Pneumocystis PCR: It Is Time to Make PCR the Test of Choice

Pneumocystis PCR: It Is Time to Make PCR the Test of Choice

BACKGROUND The testing strategy for Pneumocystis at the Cleveland Clinic changed from toluidine blue staining to polymerase chain reaction (PCR). We studied the differences in positivity rates for these assays and compared each with the detection of Pneumocystis in companion specimens by cytology and surgical pathology. METHODS We reviewed the results of all Pneumocystis test orders 1 year be...

Pneumocystis Carinii Real Time PCR Kit

Patient Choice Has Become the Standard Practice in Healthcare Provision: It is Time to Extend its Meaning; Comment on “Is Patient Choice the Future of Health Care Systems?”

The key argument of this commentary is that patient choice has a broader meaning than suggested by consumerist choice models. In increasingly marketized health care systems with diversified and knowledge-based service arrangements, patients are continuously obliged to choose insurers, physicians or hospitals and treatments—whether they like it or not. However, health care users refer to a wide ...

Writing qualitative article: It is time to quality improvement

Précis: This debate article highlights some questions from critics of qualitative research. Planning for proper design, philosophical background, researcher as a research instrument in the study, trustworthiness and application of findings are main debates in this field. One of the issues that have been received little attention is report of qualitative inquiry. A qualified report can an...

I-4: Is It Time Now to Cancel Fresh EmbryoTransfer

The implantation of embryo depends on the quality of the embryo and the receptivity of the endometrium. While the factors affecting embryo quality were optimized, the implantation rates did not reach the desirable levels. This directs the blaming for endometrial receptivity which already has been affected by supra-physiological levels of hormone, namely estradiol, in controlled ovarian hypersti...