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ROSE: Alternative for Cancelled and Inconclusive Cytopathologic Examinations, as Well as Professional Training at the UNESP-Botucatu Veterinary Hospital

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Open Journal of Veterinary Medicine 2019年第9期9卷 121-135页

作者： Fabiane Andrade Correia Neiva Eduardo Eburnio Paula de Sanctis Nayara Maria Gil Mazzante Noeme Sousa Rocha Investigative and Comparative Pathology Laboratory S&Atilde o Paulo State University (UNESP) Botucatu Brazil School of Medicine from Botucatu S&Atilde o Paulo State University (UNESP) Botucatu Brazil

ROSE is a method for fast sample evaluation that does not compromise sensitivity and specificity in the hospital environment when establishing the diagnosis and the therapeutic protocol. The technique is already well-established in human medicine as it operates within the standard operational procedure, reducing the rates of inconclusive results and cancelled cytopathology assays in the hospital environment. However, its application is scarce in Veterinary Medicine, including in hospitals where intensive care is available. This study aims at conducting a case-by-case assessment of inconclusive and cancelled examinations in the Cytopathology Outpatient Clinic at UNESP (HV), Botucatu, Brazil, from 2012 to 2016 and ascertains the causes. For this purpose, a retrospective study was conducted for 9587 examinations in canines, of which 4.1% and 10.44% were inconclusive and cancelled, respectively. These results are not in line with ROSE, which foresees a total rate of 5% for these occurrences. The reasons for these high rates in the outpatient clinic were the lack of a Standard Operating Procedure (SOP) and the relative inexperience of the residents in a university hospital. Therefore, with the adoption of the ROSE protocol for veterinary cytopathological examinations, together with adequate training for the outpatient professionals responsible for the examinations, the goals set forth by the ROSE protocol would be met and the rates of inconclusive and cancelled examinations would decrease considerably. Lastly, this study hopes to contribute towards the diagnosis and therapeutic protocols of the main diseases affecting dogs.

关键词： PAAF Inconclusive or canceled Cytology Canine ROSE Rapid On-Site Evaluation

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Factors of Self-Determination to Return after the Long-Term Evacuation Caused by a Nuclear Power Plant Accident

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Open Journal of Nursing 2020年第2期10卷 117-130页

作者： Motoya Yamada Ruruko Kidachi Mayumi Shimizu Graduate School of Health Sciences Hirosaki University Hirosaki Japan Institute of Radiation Emergency Medicine Hirosaki University Hirosaki Japan

Aim of the Study: This study aimed to clarify the factors that were relevant to an individual’s self-determination to return amidst anxiety after a long-term evacuation due to the Fukushima Daiichi Nuclear Power Plant accident. Method: Semi-structured interviews on whether to return were conducted with nine participants aged 60 - 80 years (eight males and one female) residing in areas where evacuation orders were canceled. The data obtained were analyzed qualitatively and inductively. Result: All participants were returning to their homes. Factors relevant to self-determination to return were represented by five categories: a desire to return 1) emerging from life-experience as a long-term evacuee, 2) retained after obtaining information about the original place of residence, 3) acquired from a long-term life as a refugee, 4) retained with the acceptance of the potential risks of returning, and finally 5) people’s apprehension over talking about the importance of the future of the younger generation. Discussion: These categories were based on the participants’ desire to return and they continued to maintain these thoughts by gathering information and preparing for their return after the long-term evacuation caused by the nuclear accident. It was suggested that the risk perception and the norm in that age group could be among the factors that promoted the choice in maintaining the desire to return.

关键词： Long-Term Evacuation Evacuation Instructions canceled Self-Determination to Return Nuclear Disaster

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