Abstract:
Background/Objective:In a project of telepathology (TP) between German pathologists and a hospital in Tanzania, trained technical assistants have uploaded digital histological images onto the internet-based platform ipath. The diagnoses from 486 paediatric specimens were analysed. Methods:The investigation included diagnoses, either primarily done via TP or secondarily after a further workup of the paraffin-embedded tissue, which was sent to Germany for cases which could not be solved via TP. In the latter, the initial TP-diagnoses were compared with the results after re-evaluation. Results:The median age was 11 years. The cohort comprised 390 benign diseases (80.2%) and 96 malignant diseases (19.8%). For benign diseases, the most frequent anatomic sites were lymph nodes, skin, and soft tissue, breast, and head&-neck. Frequent diagnoses were non-specific inflammations and benign tumors. In malignant diseases, the most sites were lymph nodes, skin, soft tissue, head&neck, and ovary and the most frequent diseases sarcomas and lymphomas. The paraffin embedded tissue of 179 cases (36.3%) was shipped to Germany. With the concordance analysis, we could discover the mandatory necessity for the possibility of second opinion in difficult cases. Conclusion:An exclusively TP-support cannot meet all requirements of modern medical diagnostics. The education of local pathologists is imperative.
journal_name
Afr Health Scijournal_title
African health sciencesauthors
Voelker HU,Poetzl L,Strehl A,Mueller-Hermelink HK,Stuefe A,Stauch Gdoi
10.4314/ahs.v20i3.37subject
Has Abstractpub_date
2020-09-01 00:00:00pages
1313-1321issue
3eissn
1680-6905issn
1729-0503pii
jAFHS.v20.i3.pg1313journal_volume
20pub_type
杂志文章abstract:BACKGROUND:Current strategies to overcome the global problem of antimicrobial resistance include research in finding new and innovative antimicrobials from plants. This study was carried out to determine the antibacterial activity of plant extracts of Olea africana stem-bark, Psidium guajava leaves, Vernonia amygdalina...
journal_title:African health sciences
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pub_type: 杂志文章,随机对照试验
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