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  • 1
    ISSN: 1432-1084
    Keywords: Computed tomography studies ; Endoscopic ultrasonography ; cancer ; Mediastinum Neoplasms
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In this prospective study endoscopic ultra-sound (EUS) and computed tomography (CC) were evaluated to compare diagnostic accuracy of the two methods. They were performed for nodal staging in selected patients admitted to our institution for non-small-cell lung cancer (NSCLC). from February 1992 to July 1993. 45 patients were recruited for the study When N3 and N2 nodal involvement were excluded on standard chest X-ray. All the patients completed EUS TS and CT exams for staging before treatment. The results of sensitivity, specificity and accuracy were obtained in 30 patients who underwent surgical treatment with macroscopically radical resection of T and N. which allowed a complete surgical and histological comparison of CT and EUS findings. On a her-patient basis CT results were: sensitivity 63.0%. specificity 78.9 % and accuracy of 73.3 on a nodal station basis sensitivity: specificity and accuracy were 70.0%, 85.1% and 81.6% respectively. The EUS evaluation showed, on a per-patient basis, values of sensitivity 45.5%. specificity and overall diagnostic accuracy of 53.3%. On I nodal station basis the results were 50.0%,and 78.2% respectively. The results obtained in the 30 patients when both techniques were taken in association regarding sensitivity (90.9%), sspecificity (73.7%) and accuracy (80.0%) on a per-patient basis suggest that the assocation of EUS and CT offers the best approach for preoperative e staging of NSCL.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    International archives of occupational and environmental health 57 (1985), S. 19-26 
    ISSN: 1432-1246
    Keywords: Cobalt ; Urinary ; Ambient air ; Relationship
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Twenty-six workers in a hard metal manufacturing plant were monitored by cobalt urinary and ambient air measurements during the first month after summer holidays. Cobalt determinations were performed utilizing AAS, with a preliminary chelation and extraction procedure for urinary samples. Almost all personal ambient air samples turned out to be under the cobalt dust TLV of 0.1 mg/m3. When restarting work after the holidays, urinary values did not differ from the control group. At the end of the first working week, urinary cobalt had increased four fold, then decreased to the original values on the following Monday before restarting work. Thereafter, the weekend was no longer sufficient to reduce the levels to normal urinary cobalt values. The values rose to the same level observed before the holidays, and dit not substantially decrease even after the weekend. End-shift urinary cobalt values showed a good relationship with present as well as with mean past exposure on the first and the fifth weekday, but the third day did not. The correlation was better with present exposure on Monday and with mean past exposure on Friday. The observed differences may be explained by the minor influence of recent exposure on present exposure on Monday. The highest values were found on Wednesday. We suggest the utilization of end-shift urinary cobalt determination as a measure of the present exposure on Monday, and of mean recent or preceding exposure on Friday.
    Type of Medium: Electronic Resource
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