It has long been known that laboratory tissue preparations from excised brain are capable of carrying out a vast number of metabolic processes when incubated in suitable media. Whether this in vitro metabolism represents a true picture of the metabolism of the tissue in situ is indeed a debatable point. In the past, close parallelism of in vivo and in vitro work has been the rule rather than the exception, although some definite discrepancies have occurred.

The economic justification for specialized dairy cattle is the efficiency with which they convert feeds, mostly inedible to man, into one of man's most nutritious foods. There are records of cows which have in one year's lactation produced five times the organic matter of their own bodies.

Thesis (PH.D.) -- Syracuse University, 2007. / "Publication number AAT 3266329"

Thesis (Ph.D.)--Syracuse University, 2007. / "Publication number: AAT 3295884 ."

DISSERTATION (PH.D.)--THE UNIVERSITY OF MICHIGAN

DISSERTATION (PH.D.)--THE UNIVERSITY OF MICHIGAN

Thesis (Ph. D.)--University of Wisconsin--Madison, 1981. / Typescript. Vita. Includes bibliographical references (leaves 136-140).

Thesis (M. Eng.)--University of Louisville, 2004. / Department of Computer Engineering and Computer Science. Vita. "December 2004." Includes bibliographical references (leaf 30).

Thesis (Ph. D.)--University of Wisconsin--Madison, 1965. / Typescript. Vita. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

OBJECTIVE: To determine the impact the change in NCCN guidelines for genetic counseling had on an academic Gynecologic Oncology practice. Further, to evaluate the patients being referred and the effectiveness of the genetic counseling referral process for ovarian cancer patients. DESIGN: A retrospective medical chart review was conducted of new ovarian cancer patients seen prior to (n=144) and following (n=173) the change in guidelines. Data such as cancer diagnosis, age at diagnosis, cancer family history, referral for genetic counseling, genetic counseling date, and genetic testing type was collected. Data was coded and analyzed using descriptive statistics and SPSS to determine if there was a statistically significant change before and after the guidelines publication. RESULTS: The referral rate for genetic counseling from January-March 2013 was determined to be 52% and in 2014 was 83.3%. This showed a 31.3% increase in genetic counseling referrals (p=.019). However, there were still patients not being referred and some patients did not have complete genetic testing. DISCUSSION: The change in NCCN guidelines did have an impact on patient care in this academic gynecologic oncology clinic. An effective referral system needs to be set up not only for new patients, but also for established patients who never had genetic testing or had incomplete testing.