[Histonet] Histology techs grossing in specimens???

2010-06-25 Thread jcarpenter764



Trying to get some feed back on histology techs grossing in for the 
doctors..My main question would be the training involved? Can anyone just 
start to gross in biopsies and small specimens. What does it include and what 
sort of education is involved if any Thanks!
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RE: [Histonet] (no subject)

2010-06-25 Thread Josie Britton
 

We retain our containers and specimens for 3 weeks.

 

Josie

 

 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Feher,
Stephen
Sent: Wednesday, June 23, 2010 5:51 PM
To: Hartz, Rhonda SktnHR; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] (no subject)

 

We retain them until the specimen is signed out, usually no more than 3

days.  This has been helpful if the specimen container labeling is

called into question either by the pathologist (because the cellular

profile does not match what the specimen source indicates) or the

clinician. 

 

 

Steve

 

-Original Message-

From: histonet-boun...@lists.utsouthwestern.edu

[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Hartz,

Rhonda SktnHR

Sent: Tuesday, June 22, 2010 5:55 PM

To: histonet@lists.utsouthwestern.edu

Subject: [Histonet] (no subject)

 

Hi.  This is my first time, so I apologize if I am not clear enough.  We

have had a request from one of our pathologists to retain empty specimen

containers after grossing is complete.  Is anyone aware of any

recommendations, or does anyone out there retain their empty specimen

containers?

 

Rhonda Hartz

Technologist Supervisor

Anatomic Pathology Division

Saskatoon Health Region

(306) 655-8197

rhonda.ha...@saskatoonhealthregion.ca

 

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[Histonet] ARTICLE

2010-06-25 Thread Sara Baldwin/mhhcc.org
Hi Histonetters
My boss was wondering if anyone has come across an article a long time ago 
(about 10 years) that was called Workplace Violence in the Laboratory

Thanks
Pathology Supervisor
Kathy Baldwin, SCT (ASCP)
Memorial Hospital and Health Care Center
sbald...@mhhcc.org
Ph 812-482-0210, 482-0216,  Fax 812-482-0232, 
Pager 812-481-0897
Confidential information, Authorized use only.

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Re: [Histonet] Histology techs grossing in specimens???

2010-06-25 Thread Katelin Lester
We do all of our grossing and use the CLIA regulations:
TESTING PERSONNEL (42 CFR 493 1489)
1. Licensed MD, DO or DPM.
2. Doctorate, master's, or bachelor's in laboratory science.
3. Education and training equivalent to an associate degree in a
laboratory science or medical laboratory technology that includes at least
60 semester hours including 24 semester hrs of medical lab technology and
at least 3 months training in each specialty in which high complexity
testing is performed; or, 60 semester hrs including 24 hrs of
science that includes 6 hrs chemistry, 6 hrs biology, and 12 hrs
chemistry, biology or, medical lab tech in any combination and laboratory
training that includes either: completion of a clinical lab
training program and at least 3 months training in each specialty in which
high complexity testing is performed.

It is my understanding that if there is no cutting involved (i.e. counting
and measuring GI biopsies) it is not considered a high complexity task
and anyone in the lab would be able to gross in that regard.

Katelin Lester, HTL(ASCP)
MedSurg Pathology Associates, Inc.
(503)443-2157




 Trying to get some feed back on histology techs grossing in for the
 doctors..My main question would be the training involved? Can anyone
 just start to gross in biopsies and small specimens. What does it include
 and what sort of education is involved if any Thanks!
 ___
 Histonet mailing list
 Histonet@lists.utsouthwestern.edu
 http://lists.utsouthwestern.edu/mailman/listinfo/histonet



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Re: [Histonet] ARTICLE

2010-06-25 Thread Jackie M O'Connor
No - but I could write one.




From:
Sara Baldwin/mhhcc.org sbald...@mhhcc.org
To:
histonet@lists.utsouthwestern.edu
Date:
06/25/2010 10:53 AM
Subject:
[Histonet] ARTICLE
Sent by:
histonet-boun...@lists.utsouthwestern.edu



Hi Histonetters
My boss was wondering if anyone has come across an article a long time ago 
(about 10 years) that was called Workplace Violence in the Laboratory

Thanks
Pathology Supervisor
Kathy Baldwin, SCT (ASCP)
Memorial Hospital and Health Care Center
sbald...@mhhcc.org
Ph 812-482-0210, 482-0216,  Fax 812-482-0232, 
Pager 812-481-0897
Confidential information, Authorized use only.

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RE: [Histonet] ARTICLE

2010-06-25 Thread Bonner, Janet
http://laboratorian.advanceweb.com/Editorial/Search/Searchresult.aspx?KW=violence+in+the+workplace

From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sara Baldwin/mhhcc.org 
[sbald...@mhhcc.org]
Sent: Friday, June 25, 2010 11:38 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] ARTICLE

Hi Histonetters
My boss was wondering if anyone has come across an article a long time ago 
(about 10 years) that was called Workplace Violence in the Laboratory

Thanks
Pathology Supervisor
Kathy Baldwin, SCT (ASCP)
Memorial Hospital and Health Care Center
sbald...@mhhcc.org
Ph 812-482-0210, 482-0216,  Fax 812-482-0232,
Pager 812-481-0897
Confidential information, Authorized use only.

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[Histonet] Prepared Solutions

2010-06-25 Thread Brandi Higgins
Hello All,

I work in a small lab where we purchase most of our chemicals already
prepared.  The only solutions we routinely prepare ourselves are our acid
alcohol and acid water for our staining procedures, Carnoy's Fixative (since
it needs to be fresh) and our 50%, 70% etc alcohol solutions for our Pap
stain and for our processing machine.  I would also like to start preparing
our 1% and 3% acetic acid solutions instead of purchasing them since I have
glacial acetic acid on hand anyway for our Carnoy's Fixative  (not that the
acetic acid acid solutions are expensive but every dollar counts, plus the
shipping charges always shock me).

My questions are
1 - in your labs, do you have a policy with instructions on how to prepare
each solution?  (eg 1 ml acetic acid diluted with water to 100 ml to prepate
1% Acetic Acid Aq and is it neccessary to say 500 ml water and 500 ml
reagent alcohol to form 50% alcohol)

2 - when you label the solutions you prepare, do you transfer the lot
numbers and expiration dates of the chemicals that were used to make the
solutions onto the new chemical bottles and use the expiration date of the
concentrated chemical as the expiration date of the prepared chemical?

Thanks in advance for all input.  Im always amazed at how fast, how many,
and how thorough/helpful the responses are!

Brandi Higgins, BS, HT(ASCP)
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[Histonet] Re Grossing assistants

2010-06-25 Thread Tench, Bill
I would suggest that you review the archives on this topic.  There has
been much discussion recently.  The short answer is that ANYONE
performing ANY grossing in the AP laboratory must meet the requirements
for high complexity testing.
 
Bill Tench
Associate Dir. Laboratory Services
Chief, Cytology Services
Palomar Medical Center
555 E. Valley Parkway
Escondido, California  92025
bill.te...@pph.org
Voice: 760- 739-3037
Fax: 760-739-2604
 

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[Histonet] too blue

2010-06-25 Thread Stacy McLaughlin
Any ideas why patient tissue stained with Trichrome would be too blue when the 
controls are working perfectly?
We've repeated the stain and it keeps happening.
Thanks

Stacy McLaughlin HT(ASCP)
Lead Histology Tech./Laboratory Safety


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[Histonet] Grossing Personnel Requirements

2010-06-25 Thread Meilus, Sheri D.
Hi All,
I hope this will help to clarify the new ruling passed down from CAP regarding 
personnel requirements for grossing specimens.  Historically, CAP 
differentiated between grossing and processing.  Grossing required 
orientation and/or dissection of the specimen and was considered high 
complexity testing.  In contrast, processing did not require specific 
orientation and minimal cutting and was not considered high complexity.  
However, CAP now considers grossing and processing to be in one category and is 
all high complexity.  I will excerpt the CAP alert and other pertinent 
information below:


March 31, 2010
Attention Anatomic Pathology Laboratories:
In preparation for the release of the 2010 CAP Checklist Edition in June of 
this year, CAP is notifying all accredited anatomic pathology laboratories of a 
revised checklist requirement that may have an impact on your laboratory's 
staffing.
The revisions will require that all non-pathologist individuals who perform 
macroscopic tissue examinations meet the personnel requirements for high 
complexity testing in accordance with CLIA. This interpretation of the CLIA 
requirement was recently provided to CAP from CMS. As a service to CAP 
Accredited laboratories, the CAP offers compliance alerts to help your 
laboratory maintain continuous compliance.
Previously, the Anatomic Pathology checklist differentiated two levels of 
macroscopic examination, processing and grossing. In this context, 
processing means macroscopic examination of small specimens not requiring 
knowledge of anatomy, which are entirely submitted for microscopic examination, 
while grossing means macroscopic examination of more complex specimens. 
Unlike individuals who performed grossing, individuals who performed 
processing were not required to be qualified as high complexity testing 
personnel. In the 2010 checklist edition, the concept of macroscopic tissue 
processing will no longer be recognized. All macroscopic tissue examinations 
will be considered to be grossing.
Therefore, any individual who performs macroscopic tissue examinations must be 
a pathologist, pathology resident, or an individual qualified to perform high 
complexity testing under the supervision of a pathologist (refer to ANP.11610, 
below).
Please contact the Laboratory Accreditation Program at (800) 323-4040, option 
1, then 4, or 1-847-832-7000, or by email if you have any questions.

ANP.11610 Phase II
If individuals other than a pathologist or pathology resident assist in gross 
examinations, do such individuals qualify as high complexity testing personnel 
under CLIA regulations?
NOTE: The laboratory director may delegate the dissection of specimens to 
non-pathologist individuals; these individuals must be qualified as high 
complexity testing personnel under CLIA regulations. The minimum 
training/experience required of such personnel is:
1.  An earned associate degree in a laboratory science or medical 
laboratory technology, obtained from an accredited institution, OR
2.  Education/training equivalent to the above that includes at least 60 
semester hours or equivalent from an accredited institution. This education 
must include 24 semester hours of medical laboratory technology courses, OR 24 
semester hours of science courses that includes 6 semester hours of chemistry, 
6 semester hours of biology, and 12 semester hours of chemistry, biology or 
medical laboratory technology in any combination. In addition, the individual 
must have laboratory training including either completion of a clinical 
laboratory training program approved or accredited by the ABHES, NAACLA, or 
other organization approved by HHS (note that this training may be included in 
the 60 semester hours listed above), OR at least 3 months documented laboratory 
training in each specialty in which the individual performs high complexity 
testing.
The CLIA regulations on high complexity testing personnel may be found at HC 
Testing Personnel.
In addition, the CLIA regulations include exceptions for grandfathered 
individuals; these regulations (42CFR493.1489 and 1491) may be found at the 
above Web address and at Grandfathered Exceptions.
It is the responsibility of the laboratory director to determine whether an 
individual's education, training and experience satisfies the requirements of 
this checklist question.

Sorry it is rather lengthy, but it should put to rest most of your questions 
regarding the new regulation and how it impacts labs that utilize 
non-Pathologists for grossing surgical specimens.
Best regards,
Sheri

S
Sheri Meilus
Anatomic Pathology Supervisor
Bay Pines VAHC
Building 100
Room 2B-126
727-398-6661 ext 4596



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
histonet-requ...@lists.utsouthwestern.edu
Sent: Friday, June 25, 2010 1:22 PM
To: 

[Histonet] Full-time day Job open in Central Ohio..

2010-06-25 Thread Tom McNemar
We have and opening for a full time day shift histotech.  We are a small but 
progressive hospital of around 250 beds in Newark, Ohio (about 30 miles from 
Columbus).  If interested you may apply through our website 
(www.lmhealth.orghttp://www.lmhealth.org/)


Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.orgmailto:tmcne...@lmhealth.org
www.LMHealth.orgfile:///C:\Documents%20and%20Settings\TMCNEMAR\Application%20Data\Microsoft\Signatures\www.LMHealth.org



This e-mail, including attachments, is intended for the sole use of the 
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recipient, be aware that any disclosure, copying, distribution or use of the 
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RE: [Histonet] Prepared Solutions

2010-06-25 Thread Tom McNemar
Long, long ago, we made everything up (mostly from powders), we kept all the 
procedures written on recipe cards filed alphabetically in a recipe box and it 
worked very well.  About the only thing we make up anymore is formalin, and 
graded alcohols.  I have a procedure for the formalin but none for the alcohols.

We labeled the working solutions with the chemical name, percentage, and a 
shelf life date.  Dry powders lasted forever (many did not even give an 
expiration) so we just fabricated a reasonable shelf life date.

I also think it is advisable to list and spell out the name and concentration 
of every ingredient used.



Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Brandi Higgins
Sent: Friday, June 25, 2010 12:34 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Prepared Solutions

Hello All,

I work in a small lab where we purchase most of our chemicals already
prepared.  The only solutions we routinely prepare ourselves are our acid
alcohol and acid water for our staining procedures, Carnoy's Fixative (since
it needs to be fresh) and our 50%, 70% etc alcohol solutions for our Pap
stain and for our processing machine.  I would also like to start preparing
our 1% and 3% acetic acid solutions instead of purchasing them since I have
glacial acetic acid on hand anyway for our Carnoy's Fixative  (not that the
acetic acid acid solutions are expensive but every dollar counts, plus the
shipping charges always shock me).

My questions are
1 - in your labs, do you have a policy with instructions on how to prepare
each solution?  (eg 1 ml acetic acid diluted with water to 100 ml to prepate
1% Acetic Acid Aq and is it neccessary to say 500 ml water and 500 ml
reagent alcohol to form 50% alcohol)

2 - when you label the solutions you prepare, do you transfer the lot
numbers and expiration dates of the chemicals that were used to make the
solutions onto the new chemical bottles and use the expiration date of the
concentrated chemical as the expiration date of the prepared chemical?

Thanks in advance for all input.  Im always amazed at how fast, how many,
and how thorough/helpful the responses are!

Brandi Higgins, BS, HT(ASCP)
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Licking Memorial Health Systems which is confidential or privileged. If you are 
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contents of this e-mail and attachments is prohibited. If you have received 
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740-348-4641. E-mail transmissions cannot be guaranteed to be secure or 
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[Histonet] Vet Dx Labs

2010-06-25 Thread Breeden, Sara
If you are the tech for one of the States' vet dx labs, could you please
contact me; I have a question about the Ventana NexES and the service
contract ending.  I don't want to send out to the NVSL list because my
list is from 2003 and I'm sure it's changed.  Once I have all your
names, I'll send out one email with one question about  the NexES.
Thanks!

 

Sally Breeden, HT(ASCP)

Veterinary Diagnostic Services

New Mexico Department of Agriculture

700 Camino de Salud NE

Albuquerque, NM  87108

505-841-2576

 

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Re: [Histonet] Prepared Solutions

2010-06-25 Thread Rene J Buesa
The preparation of your solutions should be included in your SOP.
The lot numbers of your chemicals cannot be transferred to the solutions you 
prepare because they are a different thing.
You should determine the shelf time of your working solutions and write it in 
the label, along with the date they were prepared.
René J.

--- On Fri, 6/25/10, Brandi Higgins brandihigg...@gmail.com wrote:


From: Brandi Higgins brandihigg...@gmail.com
Subject: [Histonet] Prepared Solutions
To: histonet@lists.utsouthwestern.edu
Date: Friday, June 25, 2010, 12:33 PM


Hello All,

I work in a small lab where we purchase most of our chemicals already
prepared.  The only solutions we routinely prepare ourselves are our acid
alcohol and acid water for our staining procedures, Carnoy's Fixative (since
it needs to be fresh) and our 50%, 70% etc alcohol solutions for our Pap
stain and for our processing machine.  I would also like to start preparing
our 1% and 3% acetic acid solutions instead of purchasing them since I have
glacial acetic acid on hand anyway for our Carnoy's Fixative  (not that the
acetic acid acid solutions are expensive but every dollar counts, plus the
shipping charges always shock me).

My questions are
1 - in your labs, do you have a policy with instructions on how to prepare
each solution?  (eg 1 ml acetic acid diluted with water to 100 ml to prepate
1% Acetic Acid Aq and is it neccessary to say 500 ml water and 500 ml
reagent alcohol to form 50% alcohol)

2 - when you label the solutions you prepare, do you transfer the lot
numbers and expiration dates of the chemicals that were used to make the
solutions onto the new chemical bottles and use the expiration date of the
concentrated chemical as the expiration date of the prepared chemical?

Thanks in advance for all input.  Im always amazed at how fast, how many,
and how thorough/helpful the responses are!

Brandi Higgins, BS, HT(ASCP)
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[Histonet] manual morphometric analysis

2010-06-25 Thread mohamed abd el razik
hi all histonetters
i need to do some morphomtric analysis on some samples of small intestin but we 
have no image analysis software so  i need to do it manually by occular 
micrometer.
i need to know how to calculate villus surface area? 
overall mucosal surface area of cross section?
 surface area of lamina propria?
mitotic figure index??
 
i don't know how to caculate all . any help please 
thanks in advance
 
mohamed
faculty of vet. med.
cairo univ.- egypt



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Re: [Histonet] MMA Formulation for EXAKT Grinding

2010-06-25 Thread Jack Ratliff
Nikki,

The MMA formulation you describe is one that yields a very soft block suitable 
for thin section (4-6 microns) microtomy. I have heard where people use this 
formulation for undemineralized bone and maybe even for stent work, but the 
softness of this formulation concerns me for the stents given the reduced 
stability. For me personally it is not what I use for both of these specimen 
types, but that is for another discussion.

It is important to note that the volume of catalyst is proportional to the 
total volume of solution and thus this ratio (expressed as w/w) is directly 
proportional to the reaction product. Now to make things a little more 
confusing, the reaction product is influenced by air temperature, the 
size/density of the specimen, the total volume of reaction product, and 
sometimes the embedding container and void space above the solution level and 
container lid. Furthermore, since this reaction or polymerization of resin is 
an exothermic reaction, the rate (expressed as a unit of time) at which the 
reaction reaches the actual point at which polymerization initiates (v-max) 
also then influences the amount of heat that is generated from the reaction. 
This then is proportional to the quality of polymerization that can be seen as 
either a hard clear desirable block or and over polymerized, bubbled mess!!!

It is my opinion that the bubbles in your specimen blocks are related to the 
build up of pressure in your container and caused by a rapid polymerization of 
your specimens by the use of the heated water bath (as per you concentration of 
catalyst to MMA/DBP solution) and lack of void space to buffer or diffuse 
excess heat. My feeling is that you are using too much catalyst in conjunction 
with the heat of the water bath to polymerize these specimens. Also, what is 
the volume of the solution you are polymerizing, how close are your specimen 
molds to each other in the water bath, and is the water level of the water bath 
at or above the embedding solution level in the specimen container? The heat 
generated from one specimen can sometimes add to the heat generated by another 
in close proximity. This then results sometimes in an over polymerization of 
one specimen (too much heat generated in the reaction) and no polymerization of 
another (absence of heat to drive the reaction).

Here are my suggestions:

1) If you need specimens polymerized immediately the next day, take care to 
space out your specimens further apart in the water bath. Also, try turning 
down the water bath to reduce the secondary heat used to drive the reaction. If 
none of this works, then look at reducing the amount of catalyst used (may want 
to do this first and keep everything else the same).

2) If you can spare a few days, don't change a thing with the embedding 
solution, try switching your molds to polypropylene containers and leave them 
out on the counter at room temperature (22-23C) for 2-3 days until they 
polymerize.

Hope this helps and it wasn't too confusing.

Jack


On Jun 25, 2010, at 3:46 PM, Wahlberg, Nikki nikki.wahlb...@bsci.com wrote:

 Hello Everyone,
 
 I was wondering if you could help me with my MMA formulation.  I have been 
 using a formulation that I found in a published paper.  My current embedding 
 formulation is 80ml MMA, 20ml Dibutyl Phthalate and 3g Benzoyl Peroxide.  The 
 samples are embedded after three days of infiltration, one change per day, 
 with the formulation of 80ml MMA and 20ml Dibutyl Phthalate. Lately have 
 noticed that there is a pressure build up in the vials.  I have had a few 
 vials burst almost immediately once placed in the heated waterbath. I am 
 filling the glass vials full with the embedding solution, capping them and 
 then placing them in a water bath in a 37 degree oven.  They are completely 
 polymerized by the next morning. I am also getting bubbles in the plastic 
 when polymerized.
 
 I have two questions: Is there any way to get rid of the bubbles in the 
 plastic and of more concern what do you think is causing the pressure build 
 up?
 
 I would really appreciate any help that you can provide.
 
 Thank you,
 Nikki
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[Histonet] (no subject)

2010-06-25 Thread Lisa Hamilton



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[Histonet] IHC Lead Tech Position

2010-06-25 Thread Lisa Hamilton


Our lab is currently seeking a highly motivated histotech with a 
*_strong_* background in immunohistochemistry. We are located just 
outside St. Louis Missouri. The right candidate will take the lead role 
in the development and implementation of new procedures, instrumentation 
and quality control for the IHC department. Must have the ability to 
recognize probable cause of technical difficulties and to expediently 
remedy these difficulties. This is a full-time position, Monday-Friday.


Please contact me if interested.

Lisa Hamilton, HT (ASCP)
Histology Supervisor
(314) 991-4363 x 230
lhamil...@wcplaboratories.com


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Re: [Histonet] manual morphometric analysis

2010-06-25 Thread Bob Nienhuis
If you have a microscope camera of some kind, ImageJ is a free
dowmloadable software package that will do morphometric
analysis. See: http://rsbweb.nih.gov/ij/. There is a mailing list with a lot
of helpful people on it too.

Bob Nienhuis
UCLA / VA Medical Center
Los Angeles

On Fri, Jun 25, 2010 at 2:59 PM, mohamed abd el razik k8...@yahoo.comwrote:

 hi all histonetters
 i need to do some morphomtric analysis on some samples of small intestin
 but we have no image analysis software so  i need to do it manually by
 occular micrometer.
 i need to know how to calculate villus surface area?
 overall mucosal surface area of cross section?
  surface area of lamina propria?
 mitotic figure index??

 i don't know how to caculate all . any help please
 thanks in advance

 mohamed
 faculty of vet. med.
 cairo univ.- egypt



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Re: [Histonet] ARTICLE

2010-06-25 Thread Gervaip
I have it some where at work.  I seem to remember that it was a work  shop 
and not just an article I read.  I will look for it.  
 
Pearl
Dance like no one is  watching  

 
In a message dated 6/25/2010 11:19:19 A.M. Central Daylight Time,  
Jackie.O'con...@abbott.com writes:

No - but  I could write one.




From:
Sara Baldwin/mhhcc.org  sbald...@mhhcc.org
To:
histonet@lists.utsouthwestern.edu
Date:
06/25/2010  10:53 AM
Subject:
[Histonet] ARTICLE
Sent  by:
histonet-boun...@lists.utsouthwestern.edu



Hi  Histonetters
My boss was wondering if anyone has come across an article a  long time ago 
(about 10 years) that was called Workplace Violence in the  Laboratory

Thanks
Pathology Supervisor
Kathy Baldwin, SCT  (ASCP)
Memorial Hospital and Health Care Center
sbald...@mhhcc.org
Ph  812-482-0210, 482-0216,  Fax 812-482-0232, 
Pager  812-481-0897
Confidential information, Authorized use  only.

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[Histonet] Tissue Processors

2010-06-25 Thread Shirley Pan
We are in the process of trying out tissue processors. Are there any users of 
the Leica Peloris or Thermo EG who can help us out with some opinions? 
Reliability, ease of changing solutions, programmability? Thanks for any help.


  
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