143 research outputs found
Students’ Choice and Motivation for Journalism Education in Indian Private Universities
The study of journalism and Students' choice for learning has hardly recognised in
the age of technology and proliferation of media industries. India has witnessed
unprecedented growth of private vocational journalism institutes, where Students'
choice for learning in journalism education remains inadequate attention. The
paper brings an attempt to explore the Students' choice for learning and their
future aspirations. The empirical survey results indicate that aspirations of the
diverse Students' communities in private institutions can not only be met through
interdisciplinary approach and cultural specific pedagogies, but social
inclusiveness in media education can bridge the gap between supply and demand
in the media sector
Chandrayaan-3 Alternate Landing Site: Pre-Landing Characterisation
India's third Moon mission Chandrayaan 3 will deploy a lander and a rover at
a high latitude location of the Moon enabling us to carry out first ever
in-situ science investigations of such a pristine location that will
potentially improve our understanding on primary crust formation and subsequent
modification processes. The primary landing site (PLS), is situated at
69.367621 degS, 32.348126 degE. As a contingency, an alternate landing site
(ALS) was also selected at nearly the same latitude but nearly 450 km west to
PLS. In this work, a detailed study of the geomorphology, composition, and
temperature characteristics of ALS has been carried out using the best-ever
high resolution Chandrayaan 2 OHRC DEMs and Ortho images, datasets obtained
from Chandrayaan 1 and on-going Lunar Reconnaissance Orbiter. For understanding
the thermophysical behaviour, we used a well-established thermophysical model.
We found that the Chandrayaan 3 ALS is characterised by a smooth topography
with an elevated central part. The ALS is a scientifically interesting site
with a high possibility of sampling ejecta materials from Tycho and Moretus.
Based on the spectral and elemental analysis of the site, Fe is found to be
near approx. 4.8 wt.%, with Mg approx. 5 wt.%, and Ca approx. 11 wt.%.
Compositionally, ALS is similar to PLS with a highland soil composition.
Spatial and diurnal variability of around 40 K and 175 K has been observed in
the surface temperatures at ALS. Although belonging to similar location like
PLS, ALS showed reduced daytime temperatures and enhanced night-time
temperatures compared to PLS, indicating a terrain of distinctive
thermophysical characteristics. Like PLS, ALS is also seems to be an
interesting site for science investigations and Chandrayaan 3 is expected to
provide new insights into the understanding of lunar science even if it happens
to land in the alternate landing site.Comment: 13 pages, 7 figure
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Lymphovascular Invasion in Colorectal Cancer: An Interobserver Variability Study
Background: Lymphovascular invasion (LVI) in colorectal cancer (CRC) is considered a strong stage-independent prognostic factor and influences decisions regarding adjuvant chemotherapy in patients with Stage II tumors. However, the degree of interobserver agreement among pathologists for LVI in CRC is largely unknown. This study was undertaken to examine such interobserver variability, and we hypothesized that the use of immunohistochemical markers for vascular and lymphatic channels could improve interobserver agreement. Design: Fifty cases of AJCC stage II moderately differentiated CRC from 1990 to 2005 from the pathology archives were selected; mucinous, medullary, and other recognized special subtypes were excluded. Fifty H&E slides (one from each case) were circulated to 6 GI pathologists, who independently assessed small and large vessel invasion. No diagnostic guidelines were given to the participating pathologists; each was instructed to apply the criteria for LVI that he or she used in daily practice. Immunohistochemistry (IHC) for D2-40 and CD31 was performed on corresponding paraffin blocks. The IHC slides were randomized, recirculated, and rescored for LVI. Results were analyzed by kappa (κ)statistics, which correct for agreement by chance, and for percent agreement. Results: The average κ values were determined for the H&E slides (large and small vessel), CD31 (small vessel), and D2-40 (small vessel) (Figure 1). Agreement was fair for H&E small vessel invasion (κ = 0.28; 95%CI 0.22–0.34). The least agreement was seen in interpretation of H&E large vessel invasion (κ = 0.18; 95%CI 0.11–0.26). Agreement was not improved by use of immunohistochemical stains: CD31 (large vessel, κ = 0.42, 95%CI 0.20–0.63, small vessel, κ = 0.26, 95%CI 0.10–0.42) and D2-40 (κ = 0.32, 95%CI 0.21–0.42). Conclusions: Interobserver variability in diagnosis of LVI was substantial on H&E slides and did not improve upon use of IHC. Agreement in evaluation of large vessel invasion was only slightly higher than would be seen by chance alone. This study highlights the need for criteria in evaluation of lymphovascular invasion, as this assessment may impact patient prognosis and thus change the course of clinical treatment
Incomplete Polyp Resection During Colonoscopy—Results of the Complete Adenoma Resection (CARE) Study
Although the adenoma detection rate is used as a measure of colonoscopy quality, there are limited data on the quality of endoscopic resection of detected adenomas. We determined the rate of incompletely resected neoplastic polyps in clinical practice.We performed a prospective study on 1427 patients who underwent colonoscopy at 2 medical centers and had at least 1 nonpedunculated polyp (5-20 mm). After polyp removal was considered complete macroscopically, biopsies were obtained from the resection margin. The main outcome was the percentage of incompletely resected neoplastic polyps (incomplete resection rate [IRR]) determined by the presence of neoplastic tissue in post-polypectomy biopsies. Associations between IRR and polyp size, morphology, histology, and endoscopist were assessed by regression analysis. Of 346 neoplastic polyps (269 patients; 84.0% men; mean age, 63.4 years) removed by 11 gastroenterologists, 10.1% were incompletely resected. IRR increased with polyp size and was significantly higher for large (10-20 mm) than small (5-9 mm) neoplastic polyps (17.3% vs 6.8%; relative risk = 2.1), and for sessile serrated adenomas/polyps than for conventional adenomas (31.0% vs 7.2%; relative risk = 3.7). The IRR for endoscopists with at least 20 polypectomies ranged from 6.5% to 22.7%; there was a 3.4-fold difference between the highest and lowest IRR after adjusting for size and sessile serrated histology. Neoplastic polyps are often incompletely resected, and the rate of incomplete resection varies broadly among endoscopists. Incomplete resection might contribute to the development of colon cancers after colonoscopy (interval cancers). Efforts are needed to ensure complete resection, especially of larger lesions
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NSAIDs Modulate Clonal Evolution in Barrett's Esophagus
Cancer is considered an outcome of decades-long clonal evolution fueled by acquisition of somatic genomic abnormalities (SGAs). Non-steroidal anti-inflammatory drugs (NSAIDs) have been shown to reduce cancer risk, including risk of progression from Barrett's esophagus (BE) to esophageal adenocarcinoma (EA). However, the cancer chemopreventive mechanisms of NSAIDs are not fully understood. We hypothesized that NSAIDs modulate clonal evolution by reducing SGA acquisition rate. We evaluated thirteen individuals with BE. Eleven had not used NSAIDs for 6.2±3.5 (mean±standard deviation) years and then began using NSAIDs for 5.6±2.7 years, whereas two had used NSAIDs for 3.3±1.4 years and then discontinued use for 7.9±0.7 years. 161 BE biopsies, collected at 5–8 time points over 6.4–19 years, were analyzed using 1Million-SNP arrays to detect SGAs. Even in the earliest biopsies there were many SGAs (284±246 in 10/13 and 1442±560 in 3/13 individuals) and in most individuals the number of SGAs changed little over time, with both increases and decreases in SGAs detected. The estimated SGA rate was 7.8 per genome per year (95% support interval [SI], 7.1–8.6) off-NSAIDs and 0.6 (95% SI 0.3–1.5) on-NSAIDs. Twelve individuals did not progress to EA. In ten we detected 279±86 SGAs affecting 53±30 Mb of the genome per biopsy per time point and in two we detected 1,463±375 SGAs affecting 180±100 Mb. In one individual who progressed to EA we detected a clone having 2,291±78 SGAs affecting 588±18 Mb of the genome at three time points in the last three of 11.4 years of follow-up. NSAIDs were associated with reduced rate of acquisition of SGAs in eleven of thirteen individuals. Barrett's cells maintained relative equilibrium level of SGAs over time with occasional punctuations by expansion of clones having massive amount of SGAs
Interobserver agreement of estimating the extent of intestinal metaplasia in patients with chronic atrophic gastritis
The extent of gastric intestinal metaplasia (GIM) can be used to determine the risk of gastric cancer. Eleven international
gastrointestinal expert pathologists estimated the extent of GIM on haematoxylin and eosin (H&E)- and Alcian blue-Periodic
acid Schiff (AB-PAS)-stained slides of 46 antrum biopsies in 5% increments. Interobserver agreement was tested with the
intraclass correlation coefficient (ICC). Correlation between standard deviation and extent of GIM was evaluated with the
Spearman correlation. The interobserver agreement was very good (ICC = 0.983, 95% confidence interval (CI) 0.975–0.990).
The use of AB-PAS did not increase the agreement (ICC = 0.975, 95% CI 0.961–0.985). Cases with a higher amount of
metaplastic epithelium demonstrated a higher standard deviation (rs = 0.644; p < 0.01), suggesting lower diagnostic accuracy
in cases with extensive GIM. In conclusion, estimating the extent of GIM on H&E-stained slides in patients with chronic
atrophic gastritis can be achieved satisfactorily with high interobserver agreement, at least among international expert gastrointestinal
pathologists.Open access funding provided by Medical University
of Graz.https://www.springer.com/journal/428am2023Anatomical Patholog
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