Histopathology is examination of tissues for presence or absence of changes in their structure due to disease processes. We go through various steps in the process of converting gross sample to microscopic slides.
Histopathology is examination of tissues for presence or absence of changes in their structure due to disease processes. We go through various steps in the process of converting gross sample to microscopic slides.
This presentation deals tissue processing in histopathology, the detailed of presentation given blow:
Histology, study the organization of tissues at all levels, from the whole organ down to the molecular components of cells that are found in most multicellular plants and animals.
Animal tissues are classified as epithelium, with closely spaced cells and very little intercellular space; connective tissue, with large amounts of intercellular material; muscle, specialized for contraction; and nerve, specialized for conduction of electrical impulses. Blood is also sometimes considered a separate tissue type.
Plants are composed of relatively undifferentiated tissue known as meristematic tissue; storage tissue or parenchyma; vascular tissue; photosynthetic tissue or chlorenchyma and support tissue or sclerenchyma and collenchyma.
Automation in histopathology or advance technology in histopathology labSamim Bashir
now a day all work is done by machines .there is alot of new machines which work autmatically in hisopathology.they reduce human effort .they also increase the speed of work flow
This presentation deals tissue processing in histopathology, the detailed of presentation given blow:
Histology, study the organization of tissues at all levels, from the whole organ down to the molecular components of cells that are found in most multicellular plants and animals.
Animal tissues are classified as epithelium, with closely spaced cells and very little intercellular space; connective tissue, with large amounts of intercellular material; muscle, specialized for contraction; and nerve, specialized for conduction of electrical impulses. Blood is also sometimes considered a separate tissue type.
Plants are composed of relatively undifferentiated tissue known as meristematic tissue; storage tissue or parenchyma; vascular tissue; photosynthetic tissue or chlorenchyma and support tissue or sclerenchyma and collenchyma.
Automation in histopathology or advance technology in histopathology labSamim Bashir
now a day all work is done by machines .there is alot of new machines which work autmatically in hisopathology.they reduce human effort .they also increase the speed of work flow
Practical Histopathology and cytopathology
Histopathological examination is used to provide diagnostic information that is important for timely diagnosis of disease to determine treatment plan. Fresh tissue is extremely fragile & subject to autolysis.
This is a presentation covering all techniques in histopathology. Comprehensive coverage of all related aspects.. Useful for postgraduate Pathology students and practitioners.
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As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
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New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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Gross Examination, Selection, Collection and Fixation of Specimen
1. Gross Examination, Selection, Collection
and Fixation of Specimen
Dr. Sohaib Aslam
PhD Pathology
Ass. Professor
Dr Ghulam Abbas
PhD Poultry Nutrition
Ass. Professor
Riphah college of Veterinary Sciences, Lahore
3. The laboratory diagnosis of an infectious disease
begins collection of a clinical specimen for
examination or processing in the laboratory
Rule: right one, collected at the right time,
transported in the right way to the right laboratory.
Proper collection
first step accurate laboratory Dxs.
Collection and transportation of specimens
two important aspects.
b/4 antimicrobial agents.
Prevention of contamination of the specimen
4. Identification and Labelling
Specimen Identification
• Animal/patient information
• History
• Description of site of origin.
Labeling
• Give each specimen a number
5. Gross Examination
In order to establish a diagnosis and to select relevant portions for
microscopic examination
Diagnoses on the basis of gross examination 90 % of specimens
In the remaining 10 % the skilled pathologist can be close to the
diagnosis
Two mandatory prerequisites before examining
• Knowledge of the clinical history
• Thorough knowledge of the anatomy of the organ
6. Principles
of macroscopic assessment or gross examination of a specimen or lesion
• Location of the lesion
• Size, weight, length
• Shape and architecture
• Color and consistency
• Describe cut surfaces and identify pathological changes
7. Selection and Collection of Specimen
• A basic rule is that the fewer sections are taken, the fewer slides will need to be
reviewed.
• Without delay after death/sampling & fix
• Selected tissue should contain portion of lesion
• Take youngest lesion from periphery
• Take specimen from more than one areas of affected organs
• Cut must be made quickly, sharply and accurately
• Optimum thickness 5-6mm
• No pitching, squeezing, bending or crushing
• Wash blood with normal saline
8. Gross Specimen Photography
• Acquiring Gross Pathology Skills
1. See as many gross specimens as possible
2. Specifically study the specimen for the features already discussed
3. Correlate the microscopic findings in each section with the gross findings of the
specific area from which the section(s) have come.
9. Grossing of Specimen
• Cutting up specimens is known as grossing
• Grossing is an art
• Sectioning the tissue to be processed for diagnosis
• Cut the organ at interval of 1 cm thickness
• Histopathological sections ~5-6mm
• Put in metal cassettes/capsules and then in fixative
• Small specimen can be wrapped in tissue paper and then in cassette & fixed
11. Handling of Specimen
Proper specimen handling from the animal/patient to the time a
completed slide
Handling in such a way that specimens deemed acceptable
• Identification of the patient sample (labeling)
• Specimen container to be used (Wide-mouthed screw-capped,
leaked proof)
• Type and volume of fixation
• Transport packing, temperature and method
• Write “Biological Material”
13. Fixation of Tissues
The major objective to maintain clear and consistent
morphological features as living stat
In order to visualize the microanatomy of tissues,
• Stained sections of tissue must maintain the microscopic
relationships among cells, cellular components (e.g. the
cytoplasm and nuclei)
• Extracellular material with little disruption of the organization
of the tissue
• Maintaining the tissue's local chemical composition.
• Prevent drying of tissue
Each fixative has some disadvantages, like molecular loss,
swelling, shrinkage, hardening of tissues and color verification
14. Conti..
The fixative acts to 'fix at a point in time' by minimizing the loss or
enzymatic destruction of cellular and extracellular molecules, maintaining
macromolecular structures and protecting tissues from destruction by
• Microorganisms
• Long-term storage
• Infectious agents
• Prevent the micro-architecture by activity of catabolic enzymes
The most important characteristic of a fixative is to support high quality and
consistent staining with hematoxylin and eosin (H&E)
15. Ideal Fixatives
Prevent autolysis & bacterial
decomposition
Preserve tissue in their natural state &
fix all components
Make cellular components insoluble in
liquids encountered in tissue processing
Preserve tissue volume
Avoid excessive hardness of fixed
tissue
Enhance staining of tissues
Non-toxic & non-allergic
16. Types of Fixatives
• Fixatives can be classified in different ways depending on their mechanism of
action.
• In the most general terms, there are physical and chemical methods of fixation.
1. Physical fixation processes includes augmenting a fixative with heat or
microwaving, Cryopreservation is another physical method
2. The chemical fixatives can be classified a few ways
I. Additives that form cross- links e.g. Formaldehyde, zinc sulfate,
glutaraldehyde, picric acid and mercuric chloride.
II. Non-additive those that denature, most commonly accomplished by
dehydration e.g. methyl and ethyl alcohol
17. Classification of Fixatives
• A. Tissue fixatives
• a. Buffered formalin b. Buffered gluteraldehyde
• c. Zenker’s formal saline d. Bowen’s fluid
• B. Cytological fixatives
• a. Ethanol b. Methanol c. Ether
• C. Histochemical fixatives
• a. Formal saline b. Cold acetone c. Absolute alcohol
18. Factors Influencing Fixation
Factors influencing fixation Recommendations Possible Negative effects
Specimen dimensions 3 mm tissue sections are ideal
4 mm maximal thickness
Thicker sections result in incomplete
fixation
Time of fixation Varies by fixative:
Formalin—requires 6–8 h
Bouin’s—not more than 18 h
B-5 2–4 h then transfer to formalin
Under-fixation can result in tissue
distortion and poor staining;
over-fixation with some fixatives
(alcohols, B-5) can make
tissue brittle or result in loss of
antigenicity
Penetration rate Depends on the diffusion
characteristics
of each fixative:
Formalin penetrates at about 1 mm/h
Fascia and capsules are naturally
occurring physical barriers to
fixatives and can dramatically
decrease penetration. They
must be incised prior to fixation
Temperature Room temperature is ideal for the
majority of tissue fixation and up to
45 °C during processing
Heat increases the rate of fixation but
also speeds up autolysis, which can
result in poor morphology and
staining
19. Factors influencing fixation Recommendations Possible Negative effects
Volume ratio Generally accepted as 15–20:1 fixative to
tissue ratio
The concentration of active reagent in
fixative diminishes as the chemical
reaction of fixation occurs. If depleted,
fixation will cease no matter how long
tissue remains in the fixative
pH and buffers Breakdown of formaldehyde results in
formic acid which decreases pH. Buffers
help avoid this by maintaining pH
between 6.8 and 7.2
Formic acid reacts with hemoglobin to
produce formalin pigment that deposits in
tissue and can be misinterpreted as
microorganisms or other pigments
(melanin, iron); this can be removed from
tissues in the staining process by short
immersion of slides in Lugol iodine
Osmolality Do not place tissue in water or leave in
saline for excessive periods of time Cell
lysis can occur if placed in hypotonic
solution If immediate fixation is not
possible, refrigerate,
place on saline soaked gauze, or immerse
in isotonic saline for a short period
Cell lysis can occur if placed in hypotonic
solution
20. Characteristics of an Ideal Fixative
• Useful for a wide variety of tissues.
• Preserve small and large specimens
• Penetrate and fix tissues rapidly
• Have a shelf life of at least one-year
• Compatible with automated tissue processors
• Readily disposable or recyclable
• Support long-term tissue storage
• Giving excellent microtomy of paraffin blocks
• Cost effective, non-toxic and non-allergic
• The most important is to support high quality and consistent staining
with hematoxylin and eosin (H&E)
21. Common Fixatives: Uses and Limitations
Fixative Primary/recommended use Limitations
Alcohol Routine cytology Cases where gout
is suspected
Fixation for frozen sections, smears,
and touch preps
Methanol and ethanol cause cell
shrinkage and will make tissue
brittle specimens if over fixed
Alcoholic formalin Completion fixation with
incompletely fixed tissue; primary
fixative for fatty specimens (allows
for easier detection of lymph)
Acidic pH can allow for formation
of formalin pigment precipitates
B-5 Hematopoietic and lymphoid tissue Sections require removal of mercury
pigment prior to staining; tissue
cannot be stored in this; low
molecular weight or no extractable
nucleic acid
Bouin’s Gastrointestinal and
genitourinary tissue
Slowly removes small calcium and
iron deposits; lysis of erythrocytes;
low molecular weight or no
extractable nucleic acid
22. Fixative Primary/recommended use Limitations
Decalcifying solution
(acid based)
Large bone sections where
future molecular testing is not
required
Poor staining with low molecular
weight or no extractable nucleic
acid. Prolonged immersion can
completely dissolve specimen
Formalin Routine processing Dissolves uric acid crystals; can
dissolve breast microcalcifications if
fixed >24 h prior to processing;
reduced high molecular weight
nucleic acids with time.
Unbuffered formalin can allow for
formation of formalin pigment
precipitates
Michel transport medium Renal biopsy transport Requires
tissue to be washed with PBS
Cases requiring immunofluorescence
prior to processing
Zenker’s Bone marrow biopsies Poor antigen preservation for IHC;
slow penetration; contains mercury;
lyses red blood cells
Common Fixatives: Uses and Limitations
23. Neutral Buffered Formalin
• 10% Neutral buffered formalin (NBF) mostly used
• 40% formaldehyde gas in 100 w/v of distilled water= 100% formalin
• 10 mL of 100% formalin + 90 mL distilled water = 10% formalin
• 10 mL of 100% formalin + 90 mL distilled water + excessive Mg or Ca
carbonates = 10% NBF formalin
Mechanism of Action
• It forms cross links between amino acids of proteins nearby making them
insoluble
• Make 4mm thick tissue fix in 8 h
Advantages
• Rapid penetration, easy availability and cheap
• Does not over-harden the tissue, easily fixes lipids and carbohydrates
• Support the acid-base dyes
24. Disadvantages:
• Irritant to the nose, eyes and mucous membranes
• Formation of precipitate of paraformaldehyde (which can be
prevented by adding 11- 16% methanol)
• Formation of black formalin pigment (acid formaldehyde hematin
Editor's Notes
Transported in glass, plastic or metal container or in a plastic bag in 10%formalin.
If formalin is not available then in refrigerator at 4oC
*The container should have an opening larger enough so that the tissue can be removed easily after it has hardened by fixation
Glutaraldehyde ---Electron microscopy ---Can cause false positive PAS staining [ 2 ]; for light microscopy tissue is fixed for 2–4 h then transferred to buffer solution until processing; low molecular weight or no extractable nucleic acid.
Hollande’s -----Gastrointestinal and endocrine tissues, small decals, and bones----- Picric acid component limits use for molecular testing; low molecular weight or no extractable nucleic acid
10-15% methanol added in 100% formalin to avoid polymerization