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* Context.--Quality measures that are supported by evidence-based clinical practice guidelines are preferred for assessing the quality of pathologists' practices. Careful testing of a measure ensures that scores obtained by that measure reflect the quality of a pathologist's practice. Objective.--To specify a new quality measure and to demonstrate through testing that it is suitable for measuring pathologists' appropriate incorporation of information regarding microsatellite instability (MSI) and/or mismatch repair (MMR) status in pathology reports for colorectal, endometrial, gastroesophageal, and small bowel carcinoma. Design.--The College of American Pathologists collaborated with the American Gastroenterological Association to specify and test the new measure. Face validity testing was used to investigate the validity of the measure. Feasibility testing was conducted to understand if data elements required by the measure specification were readily acces sible. Signal-to-noise analysis was used to characterize the measure's reliability. Results.--Guideline recommendations for MSI and/or MMR testing supported specifications for the measure. Face validity testing indicated that the measure could distinguish the quality of care provided. Data elements required by the measure specification were found to be accessible, which supported the measure's feasibility. Reliability testing showed that differences in measure score were attributable to real differences in performance rather than random variation in scoring. Conclusions.--The Mismatch Repair or Microsatellite Instability Biomarker Testing Status in Colorectal Carcinoma, Endometrial, Gastroesophageal, or Small Bowel Carcinoma measure was appropriately specified, and testing demonstrated that it is well suited for characterizing the quality of pathologists' communication of MMR and/or MSI status. (Arch Pathol Lab Med. 2024;148:728-734; doi: 10.5858/arpa.2022-0418-OA), The Medicare Access and CHIP Reauthorization Act of 2015 established the Quality Payment Program (QPP), which allowed for adjustments to reimbursement based on a provider's demonstration of quality and cost [...]

Byline: Gyan. Singh, Neeru. Luthra, Richa. Jain, Anju. Grewal, Shubham. Garg, Livleen. Mann Background and Aims: The use of a face mask while inducing general anaesthesia (GA) in obese patients [...]

Background and Aims: Transversus abdominis plane (TAP) block is commonly used to treat post-operative pain after lower abdominal surgeries. The aim of this randomised controlled study was to assess the efficacy of addition of dexmedetomidine or dexamethasone to ropivacaine in TAP block and compare the two for post-operative pain relief in caesarean section. Methods: A hundred parturients (18-45 years) undergoing caesarean section under spinal anaesthesia received ultrasound-guided (USG) bilateral TAP block with 50ml of 3mg/kg ropivacaine along with 0.1mg/kg dexamethasone (Group A) or 1μg/kg dexmedetomidine (Group B) in this prospective, randomised, double-blind study. Time to initial self-reporting of post-operative pain, time to first rescue analgesic demand, visual analogue scale (VAS) for pain haemodynamic parameters and adverse effects if any were noted, anda P value < 0.005 was considered as statistically significant. Results: Time to initial self-reporting of post-operative pain (411.35 vs. 338.20 min, P < 0.005) and time to first rescue analgesic (474.30 vs. 407.30 min, P < 0.005) were significantly longer in group B as compared to group A. VAS score at the time of initial self-reporting of pain was significantly lower in group B. No significant haemodynamic changes or side-effects were noted. Conclusion: Addition of dexmedetomidine to ropivacaine as compared with dexamethasone in bilateral TAP block following caesarean section prolongs the time to initial post-operative pain and time to first rescue analgesic consumption. Keywords: Dexamethasone, dexmedetomidine, post-operative pain, transversus abdominis plane block, Author(s): Nitika Singla [1]; Kamakshi Garg (corresponding author) [1]; Richa Jain [1]; Aaina Malhotra [2]; Mirley Rupinder Singh [1]; Anju Grewal [1] INTRODUCTION Post-caesarean pain control is crucial particularly during [...]

Byline: Nitika. Singla, Kamakshi. Garg, Richa. Jain, Aaina. Malhotra, Mirley. Singh, Anju. Grewal Background and Aims: Transversus abdominis plane (TAP) block is commonly used to treat post-operative pain after lower [...]

Byline: Richa. Jain, Mahendra. Kumar, Zainab. Haq, Ashim. Banerjee Negative pressure pulmonary oedema (NPPO) is a life threatening condition, manifested due to upper airway obstruction in a spontaneously breathing patient. [...]