id sid tid token lemma pos ajlm-91 1 1 article article PROPN ajlm-91 1 2 information information NOUN ajlm-91 1 3 authors author NOUN ajlm-91 1 4 : : PUNCT ajlm-91 1 5 verena verena PROPN ajlm-91 1 6 gounden1,2 gounden1,2 PROPN ajlm-91 1 7 yashna yashna NOUN ajlm-91 1 8 rampursat1,2 rampursat1,2 ADJ ajlm-91 1 9 affiliation affiliation NOUN ajlm-91 1 10 : : PUNCT ajlm-91 1 11 1department 1department NUM ajlm-91 1 12 of of ADP ajlm-91 1 13 chemical chemical PROPN ajlm-91 1 14 pathology pathology PROPN ajlm-91 1 15 , , PUNCT ajlm-91 1 16 national national PROPN ajlm-91 1 17 health health PROPN ajlm-91 1 18 laboratory laboratory PROPN ajlm-91 1 19 services service NOUN ajlm-91 1 20 , , PUNCT ajlm-91 1 21 inkosi inkosi PROPN ajlm-91 1 22 albert albert PROPN ajlm-91 1 23 luthuli luthuli PROPN ajlm-91 1 24 central central PROPN ajlm-91 1 25 hospital hospital NOUN ajlm-91 1 26 , , PUNCT ajlm-91 1 27 south south ADJ ajlm-91 1 28 africa2nelson africa2nelson NOUN ajlm-91 1 29 r r PROPN ajlm-91 1 30 mandela mandela PROPN ajlm-91 1 31 school school NOUN ajlm-91 1 32 of of ADP ajlm-91 1 33 medicine medicine NOUN ajlm-91 1 34 , , PUNCT ajlm-91 1 35 university university NOUN ajlm-91 1 36 of of ADP ajlm-91 1 37 kwazulu kwazulu PROPN ajlm-91 1 38 - - PUNCT ajlm-91 1 39 natal natal ADJ ajlm-91 1 40 , , PUNCT ajlm-91 1 41 south south PROPN ajlm-91 1 42 africa africa PROPN ajlm-91 1 43 correspondence correspondence NOUN ajlm-91 1 44 to to ADP ajlm-91 1 45 : : PUNCT ajlm-91 1 46 verena verena PROPN ajlm-91 1 47 gounden gounden ADJ ajlm-91 1 48 postal postal ADJ ajlm-91 1 49 address address NOUN ajlm-91 1 50 : : PUNCT ajlm-91 1 51 national national PROPN ajlm-91 1 52 health health PROPN ajlm-91 1 53 laboratory laboratory PROPN ajlm-91 1 54 services service NOUN ajlm-91 1 55 , , PUNCT ajlm-91 1 56 inkosi inkosi PROPN ajlm-91 1 57 albert albert PROPN ajlm-91 1 58 luthuli luthuli PROPN ajlm-91 1 59 central central PROPN ajlm-91 1 60 hospital hospital NOUN ajlm-91 1 61 , , PUNCT ajlm-91 1 62 800 800 NUM ajlm-91 1 63 bellair bellair NOUN ajlm-91 1 64 road road NOUN ajlm-91 1 65 , , PUNCT ajlm-91 1 66 cato cato PROPN ajlm-91 1 67 manor manor PROPN ajlm-91 1 68 , , PUNCT ajlm-91 1 69 durban durban PROPN ajlm-91 1 70 4058 4058 NUM ajlm-91 1 71 , , PUNCT ajlm-91 1 72 south south PROPN ajlm-91 1 73 africa africa PROPN ajlm-91 1 74 dates date NOUN ajlm-91 1 75 : : PUNCT ajlm-91 1 76 received receive VERB ajlm-91 1 77 : : PUNCT ajlm-91 1 78 24 24 NUM ajlm-91 1 79 june june PROPN ajlm-91 1 80 2013 2013 NUM ajlm-91 1 81 accepted accept VERB ajlm-91 1 82 : : PUNCT ajlm-91 1 83 09 09 NUM ajlm-91 1 84 july july PROPN ajlm-91 1 85 2014 2014 NUM ajlm-91 1 86 published publish VERB ajlm-91 1 87 : : PUNCT ajlm-91 1 88 08 08 NUM ajlm-91 1 89 oct oct PROPN ajlm-91 1 90 . . PROPN ajlm-91 1 91 2014 2014 NUM ajlm-91 1 92 how how SCONJ ajlm-91 1 93 to to PART ajlm-91 1 94 cite cite VERB ajlm-91 1 95 this this DET ajlm-91 1 96 article article NOUN ajlm-91 1 97 : : PUNCT ajlm-91 1 98 gounden gounden PROPN ajlm-91 1 99 v v NOUN ajlm-91 1 100 , , PUNCT ajlm-91 1 101 rampursat rampursat VERB ajlm-91 1 102 y. y. PROPN ajlm-91 1 103 an an DET ajlm-91 1 104 audit audit NOUN ajlm-91 1 105 of of ADP ajlm-91 1 106 immunofixation immunofixation NOUN ajlm-91 1 107 requesting request VERB ajlm-91 1 108 practices practice NOUN ajlm-91 1 109 at at ADP ajlm-91 1 110 a a DET ajlm-91 1 111 south south ADJ ajlm-91 1 112 african african ADJ ajlm-91 1 113 referral referral NOUN ajlm-91 1 114 laboratory laboratory NOUN ajlm-91 1 115 . . PUNCT ajlm-91 2 1 afr afr PROPN ajlm-91 2 2 j j PROPN ajlm-91 2 3 lab lab PROPN ajlm-91 2 4 med med PROPN ajlm-91 2 5 . . PUNCT ajlm-91 2 6 2014;3(1 2014;3(1 NUM ajlm-91 2 7 ) ) PUNCT ajlm-91 2 8 , , PUNCT ajlm-91 2 9 art art NOUN ajlm-91 2 10 . . PUNCT ajlm-91 3 1 # # SYM ajlm-91 3 2 91 91 NUM ajlm-91 3 3 , , PUNCT ajlm-91 3 4 5 5 NUM ajlm-91 3 5 pages page NOUN ajlm-91 3 6 . . PUNCT ajlm-91 4 1 http://dx.doi.org/10.4102/ http://dx.doi.org/10.4102/ NUM ajlm-91 4 2 ajlm.v3i1.91 ajlm.v3i1.91 NOUN ajlm-91 4 3 copyright copyright NOUN ajlm-91 4 4 notice notice NOUN ajlm-91 4 5 : : PUNCT ajlm-91 5 1 © © PROPN ajlm-91 5 2 2014 2014 NUM ajlm-91 5 3 . . PUNCT ajlm-91 6 1 the the DET ajlm-91 6 2 authors author NOUN ajlm-91 6 3 . . PUNCT ajlm-91 7 1 licensee licensee NOUN ajlm-91 7 2 : : PUNCT ajlm-91 7 3 aosis aosis NOUN ajlm-91 7 4 openjournals openjournal NOUN ajlm-91 7 5 . . PUNCT ajlm-91 8 1 this this PRON ajlm-91 8 2 is be AUX ajlm-91 8 3 an an DET ajlm-91 8 4 open open ADJ ajlm-91 8 5 access access NOUN ajlm-91 8 6 article article NOUN ajlm-91 8 7 distributed distribute VERB ajlm-91 8 8 under under ADP ajlm-91 8 9 the the DET ajlm-91 8 10 terms term NOUN ajlm-91 8 11 of of ADP ajlm-91 8 12 the the DET ajlm-91 8 13 creative creative ADJ ajlm-91 8 14 commons common NOUN ajlm-91 8 15 attribution attribution NOUN ajlm-91 8 16 license license NOUN ajlm-91 8 17 , , PUNCT ajlm-91 8 18 which which PRON ajlm-91 8 19 permits permit VERB ajlm-91 8 20 unrestricted unrestricted ADJ ajlm-91 8 21 use use NOUN ajlm-91 8 22 , , PUNCT ajlm-91 8 23 distribution distribution NOUN ajlm-91 8 24 , , PUNCT ajlm-91 8 25 and and CCONJ ajlm-91 8 26 reproduction reproduction NOUN ajlm-91 8 27 in in ADP ajlm-91 8 28 any any DET ajlm-91 8 29 medium medium NOUN ajlm-91 8 30 , , PUNCT ajlm-91 8 31 provided provide VERB ajlm-91 8 32 the the DET ajlm-91 8 33 original original ADJ ajlm-91 8 34 work work NOUN ajlm-91 8 35 is be AUX ajlm-91 8 36 properly properly ADV ajlm-91 8 37 cited cite VERB ajlm-91 8 38 . . PUNCT ajlm-91 9 1 an an DET ajlm-91 9 2 audit audit NOUN ajlm-91 9 3 of of ADP ajlm-91 9 4 immunofixation immunofixation NOUN ajlm-91 9 5 requesting request VERB ajlm-91 9 6 practices practice NOUN ajlm-91 9 7 at at ADP ajlm-91 9 8 a a DET ajlm-91 9 9 south south ADJ ajlm-91 9 10 african african ADJ ajlm-91 9 11 referral referral NOUN ajlm-91 9 12 laboratory laboratory NOUN ajlm-91 9 13 in in ADP ajlm-91 9 14 this this DET ajlm-91 9 15 original original ADJ ajlm-91 9 16 research research NOUN ajlm-91 9 17 ... ... PUNCT ajlm-91 9 18 open open ADJ ajlm-91 9 19 access access NOUN ajlm-91 9 20 • • ADP ajlm-91 9 21 abstract abstract ADJ ajlm-91 9 22 • • NUM ajlm-91 9 23 introduction introduction NOUN ajlm-91 9 24 • • NUM ajlm-91 9 25 research research NOUN ajlm-91 9 26 method method NOUN ajlm-91 9 27 and and CCONJ ajlm-91 9 28 design design NOUN ajlm-91 9 29 • • NUM ajlm-91 9 30 results result NOUN ajlm-91 9 31 • • DET ajlm-91 9 32 discussion discussion NOUN ajlm-91 9 33         SPACE ajlm-91 9 34 • • NUM ajlm-91 9 35 limitations limitation NOUN ajlm-91 9 36 of of ADP ajlm-91 9 37 the the DET ajlm-91 9 38 study study NOUN ajlm-91 9 39         SPACE ajlm-91 9 40 • • NUM ajlm-91 9 41 recommendations recommendation NOUN ajlm-91 9 42         SPACE ajlm-91 9 43 • • NUM ajlm-91 9 44 conclusion conclusion NOUN ajlm-91 9 45 • • NUM ajlm-91 9 46 acknowledgements acknowledgement NOUN ajlm-91 9 47         SPACE ajlm-91 9 48 • • NOUN ajlm-91 9 49 competing compete VERB ajlm-91 9 50 interests interest NOUN ajlm-91 9 51         SPACE ajlm-91 9 52 • • NUM ajlm-91 9 53 authors author NOUN ajlm-91 9 54 ’ ' PUNCT ajlm-91 9 55 contributions contribution NOUN ajlm-91 9 56 • • NUM ajlm-91 9 57 references reference NOUN ajlm-91 9 58 abstract abstract ADJ ajlm-91 9 59 top top PROPN ajlm-91 9 60 ↑ ↑ PROPN ajlm-91 9 61 background background NOUN ajlm-91 10 1 : : PUNCT ajlm-91 10 2 it it PRON ajlm-91 10 3 is be AUX ajlm-91 10 4 common common ADJ ajlm-91 10 5 practice practice NOUN ajlm-91 10 6 in in ADP ajlm-91 10 7 most most ADJ ajlm-91 10 8 chemical chemical ADJ ajlm-91 10 9 pathology pathology NOUN ajlm-91 10 10 laboratories laboratory NOUN ajlm-91 10 11 for for ADP ajlm-91 10 12 reflective reflective ADJ ajlm-91 10 13 immunofixation immunofixation NOUN ajlm-91 10 14 electrophoresis electrophoresis NOUN ajlm-91 10 15 ( ( PUNCT ajlm-91 10 16 ife ife NOUN ajlm-91 10 17 ) ) PUNCT ajlm-91 10 18 to to PART ajlm-91 10 19 occur occur VERB ajlm-91 10 20 following follow VERB ajlm-91 10 21 the the DET ajlm-91 10 22 detection detection NOUN ajlm-91 10 23 or or CCONJ ajlm-91 10 24 suspicion suspicion NOUN ajlm-91 10 25 of of ADP ajlm-91 10 26 a a DET ajlm-91 10 27 paraprotein paraprotein ADJ ajlm-91 10 28 on on ADP ajlm-91 10 29 serum serum NOUN ajlm-91 10 30 protein protein NOUN ajlm-91 10 31 electrophoresis electrophoresis NOUN ajlm-91 10 32 ( ( PUNCT ajlm-91 10 33 spep spep NOUN ajlm-91 10 34 ) ) PUNCT ajlm-91 10 35 . . PUNCT ajlm-91 11 1 the the DET ajlm-91 11 2 chemical chemical PROPN ajlm-91 11 3 pathology pathology PROPN ajlm-91 11 4 laboratory laboratory NOUN ajlm-91 11 5 at at ADP ajlm-91 11 6 inkosi inkosi PROPN ajlm-91 11 7 albert albert PROPN ajlm-91 11 8 luthuli luthuli PROPN ajlm-91 11 9 central central PROPN ajlm-91 11 10 hospital hospital PROPN ajlm-91 11 11 ( ( PUNCT ajlm-91 11 12 ialch ialch PROPN ajlm-91 11 13 ) ) PUNCT ajlm-91 11 14 in in ADP ajlm-91 11 15 durban durban PROPN ajlm-91 11 16 , , PUNCT ajlm-91 11 17 south south PROPN ajlm-91 11 18 africa africa PROPN ajlm-91 11 19 , , PUNCT ajlm-91 11 20 is be AUX ajlm-91 11 21 currently currently ADV ajlm-91 11 22 the the DET ajlm-91 11 23 only only ADJ ajlm-91 11 24 non non ADJ ajlm-91 11 25 - - ADJ ajlm-91 11 26 private private ADJ ajlm-91 11 27 laboratory laboratory NOUN ajlm-91 11 28 in in ADP ajlm-91 11 29 the the DET ajlm-91 11 30 kwazulu kwazulu PROPN ajlm-91 11 31 natal natal PROPN ajlm-91 11 32 province province NOUN ajlm-91 11 33 that that PRON ajlm-91 11 34 performs perform VERB ajlm-91 11 35 spep spep VERB ajlm-91 11 36 analysis analysis NOUN ajlm-91 11 37 , , PUNCT ajlm-91 11 38 with with ADP ajlm-91 11 39 current current ADJ ajlm-91 11 40 practice practice NOUN ajlm-91 11 41 requiring require VERB ajlm-91 11 42 that that SCONJ ajlm-91 11 43 the the DET ajlm-91 11 44 clinician clinician ADJ ajlm-91 11 45 request request NOUN ajlm-91 11 46 ife ife NOUN ajlm-91 11 47 following follow VERB ajlm-91 11 48 suggestion suggestion NOUN ajlm-91 11 49 by by ADP ajlm-91 11 50 the the DET ajlm-91 11 51 laboratory laboratory NOUN ajlm-91 11 52 after after ADP ajlm-91 11 53 a a DET ajlm-91 11 54 suspicious suspicious ADJ ajlm-91 11 55 spep spep NOUN ajlm-91 11 56 result.objectives result.objective NOUN ajlm-91 11 57 : : PUNCT ajlm-91 11 58 to to PART ajlm-91 11 59 review review VERB ajlm-91 11 60 the the DET ajlm-91 11 61 current current ADJ ajlm-91 11 62 process process NOUN ajlm-91 11 63 for for ADP ajlm-91 11 64 ife ife PROPN ajlm-91 11 65 at at ADP ajlm-91 11 66 ialch ialch PROPN ajlm-91 11 67 in in ADP ajlm-91 11 68 the the DET ajlm-91 11 69 context context NOUN ajlm-91 11 70 of of ADP ajlm-91 11 71 reflective reflective ADJ ajlm-91 11 72 testing testing NOUN ajlm-91 11 73 and and CCONJ ajlm-91 11 74 to to PART ajlm-91 11 75 examine examine VERB ajlm-91 11 76 the the DET ajlm-91 11 77 use use NOUN ajlm-91 11 78 of of ADP ajlm-91 11 79 the the DET ajlm-91 11 80 alpha-2 alpha-2 NOUN ajlm-91 11 81 - - PUNCT ajlm-91 11 82 globulin globulin NOUN ajlm-91 11 83 / / SYM ajlm-91 11 84 alpha-1 alpha-1 NOUN ajlm-91 11 85 - - PUNCT ajlm-91 11 86 globulin globulin NOUN ajlm-91 11 87 ratio ratio NOUN ajlm-91 11 88 as as ADP ajlm-91 11 89 a a DET ajlm-91 11 90 predictor predictor NOUN ajlm-91 11 91 of of ADP ajlm-91 11 92 a a DET ajlm-91 11 93 positive positive ADJ ajlm-91 11 94 ife ife NOUN ajlm-91 11 95 result result NOUN ajlm-91 11 96 . . PUNCT ajlm-91 12 1 methods method NOUN ajlm-91 12 2 : : PUNCT ajlm-91 12 3 data datum NOUN ajlm-91 12 4 for for ADP ajlm-91 12 5 1260 1260 NUM ajlm-91 12 6 consecutive consecutive ADJ ajlm-91 12 7 spep spep NOUN ajlm-91 12 8 tests test NOUN ajlm-91 12 9 performed perform VERB ajlm-91 12 10 at at ADP ajlm-91 12 11 the the DET ajlm-91 12 12 ialch ialch PROPN ajlm-91 12 13 national national PROPN ajlm-91 12 14 health health PROPN ajlm-91 12 15 laboratory laboratory PROPN ajlm-91 12 16 service service NOUN ajlm-91 12 17 were be AUX ajlm-91 12 18 collected collect VERB ajlm-91 12 19 between between ADP ajlm-91 12 20 february february PROPN ajlm-91 12 21 and and CCONJ ajlm-91 12 22 july july PROPN ajlm-91 12 23 2011 2011 NUM ajlm-91 12 24 . . PUNCT ajlm-91 13 1 spep spep NOUN ajlm-91 13 2 and and CCONJ ajlm-91 13 3 ife ife PROPN ajlm-91 13 4 were be AUX ajlm-91 13 5 performed perform VERB ajlm-91 13 6 with with ADP ajlm-91 13 7 a a DET ajlm-91 13 8 sebia sebia ADJ ajlm-91 13 9 hydrasys hydrasys NOUN ajlm-91 13 10 automated automate VERB ajlm-91 13 11 electrophoresis electrophoresis NOUN ajlm-91 13 12 system system NOUN ajlm-91 13 13 . . PUNCT ajlm-91 14 1 the the DET ajlm-91 14 2 alpha-2 alpha-2 PROPN ajlm-91 14 3 - - PUNCT ajlm-91 14 4 globulin globulin NOUN ajlm-91 14 5 / / SYM ajlm-91 14 6 alpha-1 alpha-1 NOUN ajlm-91 14 7 - - PUNCT ajlm-91 14 8 globulin globulin NOUN ajlm-91 14 9 ratio ratio NOUN ajlm-91 14 10 was be AUX ajlm-91 14 11 calculated calculate VERB ajlm-91 14 12 using use VERB ajlm-91 14 13 density density NOUN ajlm-91 14 14 of of ADP ajlm-91 14 15 corresponding correspond VERB ajlm-91 14 16 fractions fraction NOUN ajlm-91 14 17 on on ADP ajlm-91 14 18 spep spep PROPN ajlm-91 14 19 . . PUNCT ajlm-91 15 1 results result NOUN ajlm-91 15 2 : : PUNCT ajlm-91 15 3 analysis analysis NOUN ajlm-91 15 4 revealed reveal VERB ajlm-91 15 5 that that SCONJ ajlm-91 15 6 of of ADP ajlm-91 15 7 the the DET ajlm-91 15 8 1260 1260 NUM ajlm-91 15 9 speps spep NOUN ajlm-91 15 10 performed perform VERB ajlm-91 15 11 during during ADP ajlm-91 15 12 the the DET ajlm-91 15 13 analysis analysis NOUN ajlm-91 15 14 period period NOUN ajlm-91 15 15 , , PUNCT ajlm-91 15 16 304 304 NUM ajlm-91 15 17 ifes ife NOUN ajlm-91 15 18 were be AUX ajlm-91 15 19 suggested suggest VERB ajlm-91 15 20 by by ADP ajlm-91 15 21 the the DET ajlm-91 15 22 reviewing reviewing NOUN ajlm-91 15 23 pathologist pathologist NOUN ajlm-91 15 24 . . PUNCT ajlm-91 16 1 a a DET ajlm-91 16 2 total total NOUN ajlm-91 16 3 of of ADP ajlm-91 16 4 45 45 NUM ajlm-91 16 5 ( ( PUNCT ajlm-91 16 6 15 15 NUM ajlm-91 16 7 % % NOUN ajlm-91 16 8 ) ) PUNCT ajlm-91 16 9 of of ADP ajlm-91 16 10 the the DET ajlm-91 16 11 suggested suggest VERB ajlm-91 16 12 ifes ife NOUN ajlm-91 16 13 were be AUX ajlm-91 16 14 subsequently subsequently ADV ajlm-91 16 15 requested request VERB ajlm-91 16 16 by by ADP ajlm-91 16 17 the the DET ajlm-91 16 18 attending attend VERB ajlm-91 16 19 clinicians clinician NOUN ajlm-91 16 20 . . PUNCT ajlm-91 17 1 almost almost ADV ajlm-91 17 2 half half NOUN ajlm-91 17 3 ( ( PUNCT ajlm-91 17 4 46.5 46.5 NUM ajlm-91 17 5 % % NOUN ajlm-91 17 6 ) ) PUNCT ajlm-91 17 7 ( ( PUNCT ajlm-91 17 8 n n NOUN ajlm-91 17 9 = = SYM ajlm-91 17 10 20 20 NUM ajlm-91 17 11 ) ) PUNCT ajlm-91 17 12 of of ADP ajlm-91 17 13 the the DET ajlm-91 17 14 suggested suggest VERB ajlm-91 17 15 ifes ife NOUN ajlm-91 17 16 that that PRON ajlm-91 17 17 were be AUX ajlm-91 17 18 performed perform VERB ajlm-91 17 19 revealed reveal VERB ajlm-91 17 20 the the DET ajlm-91 17 21 presence presence NOUN ajlm-91 17 22 of of ADP ajlm-91 17 23 a a DET ajlm-91 17 24 paraprotein paraprotein ADJ ajlm-91 17 25 . . PUNCT ajlm-91 18 1 there there PRON ajlm-91 18 2 was be VERB ajlm-91 18 3 no no DET ajlm-91 18 4 statistically statistically ADV ajlm-91 18 5 - - PUNCT ajlm-91 18 6 significant significant ADJ ajlm-91 18 7 difference difference NOUN ajlm-91 18 8 between between ADP ajlm-91 18 9 the the DET ajlm-91 18 10 alpha-2 alpha-2 PROPN ajlm-91 18 11 - - PUNCT ajlm-91 18 12 globulin globulin NOUN ajlm-91 18 13 / / SYM ajlm-91 18 14 alpha-1 alpha-1 NOUN ajlm-91 18 15 - - PUNCT ajlm-91 18 16 globulin globulin NOUN ajlm-91 18 17 ratio ratio NOUN ajlm-91 18 18 for for ADP ajlm-91 18 19 patients patient NOUN ajlm-91 18 20 with with ADP ajlm-91 18 21 positive positive ADJ ajlm-91 18 22 or or CCONJ ajlm-91 18 23 negative negative ADJ ajlm-91 18 24 ifes ife NOUN ajlm-91 18 25 ( ( PUNCT ajlm-91 18 26 p p NOUN ajlm-91 18 27 - - PUNCT ajlm-91 18 28 value value NOUN ajlm-91 18 29 = = NOUN ajlm-91 18 30 0.2 0.2 NUM ajlm-91 18 31 ) ) PUNCT ajlm-91 18 32 . . PUNCT ajlm-91 19 1 conclusions conclusion NOUN ajlm-91 19 2 : : PUNCT ajlm-91 19 3 this this DET ajlm-91 19 4 study study NOUN ajlm-91 19 5 reveals reveal VERB ajlm-91 19 6 the the DET ajlm-91 19 7 need need NOUN ajlm-91 19 8 for for ADP ajlm-91 19 9 reflective reflective ADJ ajlm-91 19 10 addition addition NOUN ajlm-91 19 11 of of ADP ajlm-91 19 12 ife ife PROPN ajlm-91 19 13 testing testing NOUN ajlm-91 19 14 by by ADP ajlm-91 19 15 the the DET ajlm-91 19 16 laboratory laboratory NOUN ajlm-91 19 17 following follow VERB ajlm-91 19 18 suspicious suspicious ADJ ajlm-91 19 19 findings finding NOUN ajlm-91 19 20 on on ADP ajlm-91 19 21 spep spep PROPN ajlm-91 19 22 . . PUNCT ajlm-91 20 1 introduction introduction NOUN ajlm-91 20 2 top top PROPN ajlm-91 20 3 ↑ ↑ NOUN ajlm-91 20 4 overproduction overproduction NOUN ajlm-91 20 5 of of ADP ajlm-91 20 6 a a DET ajlm-91 20 7 single single ADJ ajlm-91 20 8 abnormal abnormal ADJ ajlm-91 20 9 clone clone NOUN ajlm-91 20 10 of of ADP ajlm-91 20 11 a a DET ajlm-91 20 12 plasma plasma NOUN ajlm-91 20 13 cell cell NOUN ajlm-91 20 14 or or CCONJ ajlm-91 20 15 b b NOUN ajlm-91 20 16 lymphocyte lymphocyte ADJ ajlm-91 20 17 results result NOUN ajlm-91 20 18 in in ADP ajlm-91 20 19 the the DET ajlm-91 20 20 presence presence NOUN ajlm-91 20 21 of of ADP ajlm-91 20 22 a a DET ajlm-91 20 23 monoclonal monoclonal NOUN ajlm-91 20 24 gammopathy.1 gammopathy.1 NOUN ajlm-91 20 25 disorders disorder NOUN ajlm-91 20 26 associated associate VERB ajlm-91 20 27 with with ADP ajlm-91 20 28 the the DET ajlm-91 20 29 presence presence NOUN ajlm-91 20 30 of of ADP ajlm-91 20 31 a a DET ajlm-91 20 32 monoclonal monoclonal NOUN ajlm-91 20 33 protein protein NOUN ajlm-91 20 34 ( ( PUNCT ajlm-91 20 35 m m NOUN ajlm-91 20 36 protein protein NOUN ajlm-91 20 37 ) ) PUNCT ajlm-91 20 38 include include VERB ajlm-91 20 39 b b NUM ajlm-91 20 40 - - PUNCT ajlm-91 20 41 cell cell NOUN ajlm-91 20 42 lymphomas lymphoma NOUN ajlm-91 20 43 and and CCONJ ajlm-91 20 44 leukaemias leukaemia NOUN ajlm-91 20 45 ; ; PUNCT ajlm-91 20 46 amyloidosis amyloidosis NOUN ajlm-91 20 47 and and CCONJ ajlm-91 20 48 waldenstrom waldenstrom NOUN ajlm-91 20 49 ’s ’s NOUN ajlm-91 20 50 macroglobulinaemia macroglobulinaemia NOUN ajlm-91 20 51 ; ; PUNCT ajlm-91 20 52 and and CCONJ ajlm-91 20 53 plasma plasma NOUN ajlm-91 20 54 cell cell NOUN ajlm-91 20 55 dyscrasias dyscrasia NOUN ajlm-91 20 56 , , PUNCT ajlm-91 20 57 which which PRON ajlm-91 20 58 include include VERB ajlm-91 20 59 multiple multiple ADJ ajlm-91 20 60 myeloma myeloma NOUN ajlm-91 20 61 , , PUNCT ajlm-91 20 62 monoclonal monoclonal NOUN ajlm-91 20 63 gammopathy gammopathy ADJ ajlm-91 20 64 of of ADP ajlm-91 20 65 undetermined undetermined ADJ ajlm-91 20 66 significance significance NOUN ajlm-91 20 67 ( ( PUNCT ajlm-91 20 68 mgus mgus ADJ ajlm-91 20 69 ) ) PUNCT ajlm-91 20 70 and and CCONJ ajlm-91 20 71 plasmacytoma.2 plasmacytoma.2 PROPN ajlm-91 20 72 mgus mgus ADJ ajlm-91 20 73 is be AUX ajlm-91 20 74 a a DET ajlm-91 20 75 premalignant premalignant ADJ ajlm-91 20 76 plasma plasma NOUN ajlm-91 20 77 cell cell NOUN ajlm-91 20 78 disorder disorder NOUN ajlm-91 20 79 with with ADP ajlm-91 20 80 an an DET ajlm-91 20 81 associated associated ADJ ajlm-91 20 82 risk risk NOUN ajlm-91 20 83 of of ADP ajlm-91 20 84 progression progression NOUN ajlm-91 20 85 to to ADP ajlm-91 20 86 multiple multiple ADJ ajlm-91 20 87 myeloma myeloma NOUN ajlm-91 20 88 ( ( PUNCT ajlm-91 20 89 mm mm PROPN ajlm-91 20 90 ) ) PUNCT ajlm-91 20 91 . . PUNCT ajlm-91 21 1 mm mm PROPN ajlm-91 21 2 is be AUX ajlm-91 21 3 currently currently ADV ajlm-91 21 4 recognised recognise VERB ajlm-91 21 5 as as ADP ajlm-91 21 6 being be AUX ajlm-91 21 7 largely largely ADV ajlm-91 21 8 incurable incurable ADJ ajlm-91 21 9 ; ; PUNCT ajlm-91 21 10 the the DET ajlm-91 21 11 ability ability NOUN ajlm-91 21 12 to to PART ajlm-91 21 13 identify identify VERB ajlm-91 21 14 the the DET ajlm-91 21 15 premalignant premalignant ADJ ajlm-91 21 16 condition condition NOUN ajlm-91 21 17 ( ( PUNCT ajlm-91 21 18 mgus mgus ADJ ajlm-91 21 19 ) ) PUNCT ajlm-91 21 20 is be AUX ajlm-91 21 21 important important ADJ ajlm-91 21 22 for for ADP ajlm-91 21 23 strategies strategy NOUN ajlm-91 21 24 that that PRON ajlm-91 21 25 attempt attempt VERB ajlm-91 21 26 to to PART ajlm-91 21 27 delay delay VERB ajlm-91 21 28 or or CCONJ ajlm-91 21 29 prevent prevent VERB ajlm-91 21 30 progression progression NOUN ajlm-91 21 31 to to ADP ajlm-91 21 32 mm mm PROPN ajlm-91 21 33 . . PUNCT ajlm-91 22 1 it it PRON ajlm-91 22 2 is be AUX ajlm-91 22 3 also also ADV ajlm-91 22 4 important important ADJ ajlm-91 22 5 to to PART ajlm-91 22 6 distinguish distinguish VERB ajlm-91 22 7 between between ADP ajlm-91 22 8 those those DET ajlm-91 22 9 patients patient NOUN ajlm-91 22 10 with with ADP ajlm-91 22 11 mm mm PROPN ajlm-91 22 12 and and CCONJ ajlm-91 22 13 mgus mgus ADJ ajlm-91 22 14 as as SCONJ ajlm-91 22 15 the the DET ajlm-91 22 16 management management NOUN ajlm-91 22 17 of of ADP ajlm-91 22 18 these these DET ajlm-91 22 19 two two NUM ajlm-91 22 20 groups group NOUN ajlm-91 22 21 of of ADP ajlm-91 22 22 patients patient NOUN ajlm-91 22 23 differs differ VERB ajlm-91 22 24 , , PUNCT ajlm-91 22 25 with with SCONJ ajlm-91 22 26 those those PRON ajlm-91 22 27 with with ADP ajlm-91 22 28 mgus mgus ADJ ajlm-91 22 29 being be AUX ajlm-91 22 30 treated treat VERB ajlm-91 22 31 conservatively.1the conservatively.1the DET ajlm-91 22 32 m m NOUN ajlm-91 22 33 protein protein NOUN ajlm-91 22 34 is be AUX ajlm-91 22 35 identified identify VERB ajlm-91 22 36 by by ADP ajlm-91 22 37 either either CCONJ ajlm-91 22 38 serum serum NOUN ajlm-91 22 39 protein protein NOUN ajlm-91 22 40 electrophoresis electrophoresis NOUN ajlm-91 22 41 ( ( PUNCT ajlm-91 22 42 spep spep NOUN ajlm-91 22 43 ) ) PUNCT ajlm-91 22 44 or or CCONJ ajlm-91 22 45 urine urine NOUN ajlm-91 22 46 protein protein NOUN ajlm-91 22 47 electrophoresis electrophoresis NOUN ajlm-91 22 48 ( ( PUNCT ajlm-91 22 49 upep upep PROPN ajlm-91 22 50 ) ) PUNCT ajlm-91 22 51 as as ADP ajlm-91 22 52 a a DET ajlm-91 22 53 band band NOUN ajlm-91 22 54 of of ADP ajlm-91 22 55 restricted restricted ADJ ajlm-91 22 56 migration.1 migration.1 PROPN ajlm-91 22 57 spep spep NOUN ajlm-91 22 58 is be AUX ajlm-91 22 59 utilised utilise VERB ajlm-91 22 60 to to PART ajlm-91 22 61 identify identify VERB ajlm-91 22 62 and and CCONJ ajlm-91 22 63 monitor monitor VERB ajlm-91 22 64 patients patient NOUN ajlm-91 22 65 with with ADP ajlm-91 22 66 plasma plasma NOUN ajlm-91 22 67 cell cell NOUN ajlm-91 22 68 dyscrasias dyscrasia NOUN ajlm-91 22 69 , , PUNCT ajlm-91 23 1 in in ADP ajlm-91 23 2 particular particular ADJ ajlm-91 23 3 mm mm PROPN ajlm-91 23 4 . . PUNCT ajlm-91 24 1 immunofixation immunofixation PROPN ajlm-91 24 2 electrophoresis electrophoresis NOUN ajlm-91 24 3 ( ( PUNCT ajlm-91 24 4 ife ife PROPN ajlm-91 24 5 ) ) PUNCT ajlm-91 24 6 is be AUX ajlm-91 24 7 performed perform VERB ajlm-91 24 8 to to PART ajlm-91 24 9 confirm confirm VERB ajlm-91 24 10 the the DET ajlm-91 24 11 presence presence NOUN ajlm-91 24 12 of of ADP ajlm-91 24 13 the the DET ajlm-91 24 14 monoclonal monoclonal NOUN ajlm-91 24 15 protein protein NOUN ajlm-91 24 16 and and CCONJ ajlm-91 24 17 to to PART ajlm-91 24 18 characterise characterise VERB ajlm-91 24 19 its its PRON ajlm-91 24 20 immunoglobulin immunoglobulin NOUN ajlm-91 24 21 heavy heavy ADJ ajlm-91 24 22 chain chain NOUN ajlm-91 24 23 class class NOUN ajlm-91 24 24 and and CCONJ ajlm-91 24 25 light light ADJ ajlm-91 24 26 chain chain NOUN ajlm-91 24 27 type.1 type.1 VERB ajlm-91 24 28 in in ADP ajlm-91 24 29 some some DET ajlm-91 24 30 patients patient NOUN ajlm-91 24 31 with with ADP ajlm-91 24 32 a a DET ajlm-91 24 33 monoclonal monoclonal NOUN ajlm-91 24 34 gammopathy gammopathy ADJ ajlm-91 24 35 , , PUNCT ajlm-91 24 36 spep spep NOUN ajlm-91 24 37 may may AUX ajlm-91 24 38 show show VERB ajlm-91 24 39 a a DET ajlm-91 24 40 normal normal ADJ ajlm-91 24 41 pattern pattern NOUN ajlm-91 24 42 or or CCONJ ajlm-91 24 43 only only ADJ ajlm-91 24 44 hypogammaglobulinaemia hypogammaglobulinaemia NOUN ajlm-91 24 45 . . PUNCT ajlm-91 25 1 the the DET ajlm-91 25 2 monoclonal monoclonal NOUN ajlm-91 25 3 protein protein NOUN ajlm-91 25 4 may may AUX ajlm-91 25 5 also also ADV ajlm-91 25 6 be be AUX ajlm-91 25 7 masked mask VERB ajlm-91 25 8 on on ADP ajlm-91 25 9 spep spep NOUN ajlm-91 25 10 if if SCONJ ajlm-91 25 11 it it PRON ajlm-91 25 12 migrates migrate VERB ajlm-91 25 13 in in ADP ajlm-91 25 14 the the DET ajlm-91 25 15 beta beta NOUN ajlm-91 25 16 or or CCONJ ajlm-91 25 17 alpha-2 alpha-2 NUM ajlm-91 25 18 regions region NOUN ajlm-91 25 19 . . PUNCT ajlm-91 26 1 in in ADP ajlm-91 26 2 these these DET ajlm-91 26 3 patients patient NOUN ajlm-91 26 4 , , PUNCT ajlm-91 26 5 an an DET ajlm-91 26 6 ife ife NOUN ajlm-91 26 7 can can AUX ajlm-91 26 8 reveal reveal VERB ajlm-91 26 9 or or CCONJ ajlm-91 26 10 exclude exclude VERB ajlm-91 26 11 the the DET ajlm-91 26 12 presence presence NOUN ajlm-91 26 13 of of ADP ajlm-91 26 14 the the DET ajlm-91 26 15 monoclonal monoclonal NOUN ajlm-91 26 16 protein.3 protein.3 PROPN ajlm-91 26 17 ife ife PROPN ajlm-91 26 18 is be AUX ajlm-91 26 19 a a DET ajlm-91 26 20 relatively relatively ADV ajlm-91 26 21 expensive expensive ADJ ajlm-91 26 22 laboratory laboratory NOUN ajlm-91 26 23 test test NOUN ajlm-91 26 24 requiring require VERB ajlm-91 26 25 greater great ADJ ajlm-91 26 26 technologist technologist ADJ ajlm-91 26 27 time time NOUN ajlm-91 26 28 and and CCONJ ajlm-91 26 29 input input NOUN ajlm-91 26 30 compared compare VERB ajlm-91 26 31 with with ADP ajlm-91 26 32 other other ADJ ajlm-91 26 33 chemistry chemistry NOUN ajlm-91 26 34 tests test NOUN ajlm-91 26 35 that that PRON ajlm-91 26 36 utilise utilise VERB ajlm-91 26 37 automated automated ADJ ajlm-91 26 38 platforms platform NOUN ajlm-91 26 39 . . PUNCT ajlm-91 27 1 nevertheless nevertheless ADV ajlm-91 27 2 , , PUNCT ajlm-91 27 3 the the DET ajlm-91 27 4 practice practice NOUN ajlm-91 27 5 of of ADP ajlm-91 27 6 routine routine ADJ ajlm-91 27 7 reflex reflex NOUN ajlm-91 27 8 or or CCONJ ajlm-91 27 9 reflective reflective ADJ ajlm-91 27 10 ife ife PROPN ajlm-91 27 11 testing testing NOUN ajlm-91 27 12 following follow VERB ajlm-91 27 13 the the DET ajlm-91 27 14 detection detection NOUN ajlm-91 27 15 of of ADP ajlm-91 27 16 a a DET ajlm-91 27 17 suspected suspect VERB ajlm-91 27 18 monoclonal monoclonal NOUN ajlm-91 27 19 band band NOUN ajlm-91 27 20 or or CCONJ ajlm-91 27 21 other other ADJ ajlm-91 27 22 suspicious suspicious ADJ ajlm-91 27 23 findings finding NOUN ajlm-91 27 24 on on ADP ajlm-91 27 25 spep spep NOUN ajlm-91 27 26 or or CCONJ ajlm-91 27 27 upep upep NOUN ajlm-91 27 28 is be AUX ajlm-91 27 29 commonplace commonplace ADJ ajlm-91 27 30 in in ADP ajlm-91 27 31 many many ADJ ajlm-91 27 32 laboratories.4 laboratories.4 PROPN ajlm-91 27 33 reflex reflex ADJ ajlm-91 27 34 testing testing NOUN ajlm-91 27 35 refers refer VERB ajlm-91 27 36 to to ADP ajlm-91 27 37 the the DET ajlm-91 27 38 practice practice NOUN ajlm-91 27 39 of of ADP ajlm-91 27 40 automatic automatic ADJ ajlm-91 27 41 addition addition NOUN ajlm-91 27 42 of of ADP ajlm-91 27 43 laboratory laboratory NOUN ajlm-91 27 44 tests test NOUN ajlm-91 27 45 to to ADP ajlm-91 27 46 an an DET ajlm-91 27 47 existing exist VERB ajlm-91 27 48 test test NOUN ajlm-91 27 49 request request NOUN ajlm-91 27 50 on on ADP ajlm-91 27 51 the the DET ajlm-91 27 52 basis basis NOUN ajlm-91 27 53 of of ADP ajlm-91 27 54 laboratory laboratory NOUN ajlm-91 27 55 - - PUNCT ajlm-91 27 56 defined define VERB ajlm-91 27 57 algorithms algorithm NOUN ajlm-91 27 58 . . PUNCT ajlm-91 28 1 reflective reflective ADJ ajlm-91 28 2 testing testing NOUN ajlm-91 28 3 refers refer VERB ajlm-91 28 4 to to ADP ajlm-91 28 5 tests test NOUN ajlm-91 28 6 added add VERB ajlm-91 28 7 on on ADP ajlm-91 28 8 by by ADP ajlm-91 28 9 pathologists pathologist NOUN ajlm-91 28 10 or or CCONJ ajlm-91 28 11 clinical clinical ADJ ajlm-91 28 12 biochemists biochemist NOUN ajlm-91 28 13 after after ADP ajlm-91 28 14 consideration consideration NOUN ajlm-91 28 15 of of ADP ajlm-91 28 16 a a DET ajlm-91 28 17 wider wide ADJ ajlm-91 28 18 range range NOUN ajlm-91 28 19 of of ADP ajlm-91 28 20 information information NOUN ajlm-91 28 21 ( ( PUNCT ajlm-91 28 22 e.g. e.g. ADV ajlm-91 28 23 demographic demographic ADJ ajlm-91 28 24 data datum NOUN ajlm-91 28 25 , , PUNCT ajlm-91 28 26 clinical clinical ADJ ajlm-91 28 27 information information NOUN ajlm-91 28 28 , , PUNCT ajlm-91 28 29 previous previous ADJ ajlm-91 28 30 results result NOUN ajlm-91 28 31 and and CCONJ ajlm-91 28 32 results result NOUN ajlm-91 28 33 of of ADP ajlm-91 28 34 other other ADJ ajlm-91 28 35 accompanying accompany VERB ajlm-91 28 36 tests test NOUN ajlm-91 28 37 requested).5 requested).5 NOUN ajlm-91 28 38 for for ADP ajlm-91 28 39 the the DET ajlm-91 28 40 successful successful ADJ ajlm-91 28 41 practice practice NOUN ajlm-91 28 42 of of ADP ajlm-91 28 43 reflective reflective ADJ ajlm-91 28 44 testing testing NOUN ajlm-91 28 45 , , PUNCT ajlm-91 28 46 laboratory laboratory NOUN ajlm-91 28 47 knowledge knowledge NOUN ajlm-91 28 48 of of ADP ajlm-91 28 49 this this DET ajlm-91 28 50 wider wide ADJ ajlm-91 28 51 range range NOUN ajlm-91 28 52 of of ADP ajlm-91 28 53 information information NOUN ajlm-91 28 54 , , PUNCT ajlm-91 28 55 particularly particularly ADV ajlm-91 28 56 clinical clinical ADJ ajlm-91 28 57 information information NOUN ajlm-91 28 58 , , PUNCT ajlm-91 28 59 is be AUX ajlm-91 28 60 needed need VERB ajlm-91 28 61 . . PUNCT ajlm-91 29 1 reflex reflex ADJ ajlm-91 29 2 testing testing NOUN ajlm-91 29 3 is be AUX ajlm-91 29 4 based base VERB ajlm-91 29 5 almost almost ADV ajlm-91 29 6 exclusively exclusively ADV ajlm-91 29 7 on on ADP ajlm-91 29 8 laboratory laboratory NOUN ajlm-91 29 9 results result NOUN ajlm-91 29 10 and and CCONJ ajlm-91 29 11 utilises utilise VERB ajlm-91 29 12 algorithms algorithm NOUN ajlm-91 29 13 that that PRON ajlm-91 29 14 may may AUX ajlm-91 29 15 include include VERB ajlm-91 29 16 some some DET ajlm-91 29 17 limited limited ADJ ajlm-91 29 18 clinical clinical ADJ ajlm-91 29 19 information information NOUN ajlm-91 29 20 such such ADJ ajlm-91 29 21 as as ADP ajlm-91 29 22 demographic demographic ADJ ajlm-91 29 23 data datum NOUN ajlm-91 29 24 . . PUNCT ajlm-91 30 1 reflective reflective ADJ ajlm-91 30 2 testing testing NOUN ajlm-91 30 3 , , PUNCT ajlm-91 30 4 on on ADP ajlm-91 30 5 the the DET ajlm-91 30 6 other other ADJ ajlm-91 30 7 hand hand NOUN ajlm-91 30 8 , , PUNCT ajlm-91 30 9 depends depend VERB ajlm-91 30 10 on on ADP ajlm-91 30 11 the the DET ajlm-91 30 12 expertise expertise NOUN ajlm-91 30 13 and and CCONJ ajlm-91 30 14 knowledge knowledge NOUN ajlm-91 30 15 of of ADP ajlm-91 30 16 the the DET ajlm-91 30 17 reviewing reviewing NOUN ajlm-91 30 18 pathologist pathologist NOUN ajlm-91 30 19 , , PUNCT ajlm-91 30 20 providing provide VERB ajlm-91 30 21 the the DET ajlm-91 30 22 advantage advantage NOUN ajlm-91 30 23 of of ADP ajlm-91 30 24 incorporating incorporate VERB ajlm-91 30 25 other other ADJ ajlm-91 30 26 clinical clinical ADJ ajlm-91 30 27 information information NOUN ajlm-91 30 28 that that PRON ajlm-91 30 29 reflex reflex ADJ ajlm-91 30 30 testing testing NOUN ajlm-91 30 31 does do AUX ajlm-91 30 32 not not PART ajlm-91 30 33 take take VERB ajlm-91 30 34 into into ADP ajlm-91 30 35 account account NOUN ajlm-91 30 36 . . PUNCT ajlm-91 31 1 the the DET ajlm-91 31 2 soaring soar VERB ajlm-91 31 3 costs cost NOUN ajlm-91 31 4 of of ADP ajlm-91 31 5 laboratory laboratory NOUN ajlm-91 31 6 testing testing NOUN ajlm-91 31 7 , , PUNCT ajlm-91 31 8 accompanied accompany VERB ajlm-91 31 9 by by ADP ajlm-91 31 10 increased increase VERB ajlm-91 31 11 demand demand NOUN ajlm-91 31 12 , , PUNCT ajlm-91 31 13 result result VERB ajlm-91 31 14 in in ADP ajlm-91 31 15 laboratory laboratory NOUN ajlm-91 31 16 management management NOUN ajlm-91 31 17 having have VERB ajlm-91 31 18 to to PART ajlm-91 31 19 perform perform VERB ajlm-91 31 20 intense intense ADJ ajlm-91 31 21 scrutiny scrutiny NOUN ajlm-91 31 22 of of ADP ajlm-91 31 23 test test NOUN ajlm-91 31 24 request request NOUN ajlm-91 31 25 practices practice NOUN ajlm-91 31 26 , , PUNCT ajlm-91 31 27 including include VERB ajlm-91 31 28 reflex reflex NOUN ajlm-91 31 29 and and CCONJ ajlm-91 31 30 reflective reflective ADJ ajlm-91 31 31 testing testing NOUN ajlm-91 31 32 . . PUNCT ajlm-91 32 1 the the DET ajlm-91 32 2 chemical chemical PROPN ajlm-91 32 3 pathology pathology PROPN ajlm-91 32 4 laboratory laboratory NOUN ajlm-91 32 5 at at ADP ajlm-91 32 6 inkosi inkosi PROPN ajlm-91 32 7 albert albert PROPN ajlm-91 32 8 luthuli luthuli PROPN ajlm-91 32 9 central central PROPN ajlm-91 32 10 hospital hospital PROPN ajlm-91 32 11 ( ( PUNCT ajlm-91 32 12 ialch ialch PROPN ajlm-91 32 13 ) ) PUNCT ajlm-91 32 14 in in ADP ajlm-91 32 15 durban durban PROPN ajlm-91 32 16 , , PUNCT ajlm-91 32 17 south south PROPN ajlm-91 32 18 africa africa PROPN ajlm-91 32 19 , , PUNCT ajlm-91 32 20 is be AUX ajlm-91 32 21 currently currently ADV ajlm-91 32 22 the the DET ajlm-91 32 23 only only ADJ ajlm-91 32 24 laboratory laboratory NOUN ajlm-91 32 25 that that PRON ajlm-91 32 26 provides provide VERB ajlm-91 32 27 spep spep NOUN ajlm-91 32 28 or or CCONJ ajlm-91 32 29 upep upep ADJ ajlm-91 32 30 services service NOUN ajlm-91 32 31 to to ADP ajlm-91 32 32 all all DET ajlm-91 32 33 state state NOUN ajlm-91 32 34 - - PUNCT ajlm-91 32 35 run run VERB ajlm-91 32 36 healthcare healthcare NOUN ajlm-91 32 37 facilities facility NOUN ajlm-91 32 38 in in ADP ajlm-91 32 39 the the DET ajlm-91 32 40 province province NOUN ajlm-91 32 41 of of ADP ajlm-91 32 42 kwazulu kwazulu PROPN ajlm-91 32 43 natal natal PROPN ajlm-91 32 44 ( ( PUNCT ajlm-91 32 45 estimated estimate VERB ajlm-91 32 46 population population NOUN ajlm-91 32 47 of of ADP ajlm-91 32 48 over over ADP ajlm-91 32 49 10 10 NUM ajlm-91 32 50 million million NUM ajlm-91 32 51 people).6 people).6 PROPN ajlm-91 32 52 current current ADJ ajlm-91 32 53 practice practice NOUN ajlm-91 32 54 at at ADP ajlm-91 32 55 the the DET ajlm-91 32 56 laboratory laboratory NOUN ajlm-91 32 57 for for ADP ajlm-91 32 58 all all DET ajlm-91 32 59 spep spep NOUN ajlm-91 32 60 samples sample NOUN ajlm-91 32 61 requires require VERB ajlm-91 32 62 that that SCONJ ajlm-91 32 63 the the DET ajlm-91 32 64 clinician clinician NOUN ajlm-91 32 65 directly directly ADV ajlm-91 32 66 request request VERB ajlm-91 32 67 the the DET ajlm-91 32 68 ife ife NOUN ajlm-91 32 69 in in ADP ajlm-91 32 70 addition addition NOUN ajlm-91 32 71 to to ADP ajlm-91 32 72 the the DET ajlm-91 32 73 spep spep NOUN ajlm-91 32 74 ( ( PUNCT ajlm-91 32 75 figure figure NOUN ajlm-91 32 76 1 1 NUM ajlm-91 32 77 ) ) PUNCT ajlm-91 32 78 . . PUNCT ajlm-91 33 1 neither neither CCONJ ajlm-91 33 2 reflex reflex ADJ ajlm-91 33 3 nor nor CCONJ ajlm-91 33 4 reflective reflective ADJ ajlm-91 33 5 ife ife PROPN ajlm-91 33 6 is be AUX ajlm-91 33 7 performed perform VERB ajlm-91 33 8 routinely routinely ADV ajlm-91 33 9 by by ADP ajlm-91 33 10 the the DET ajlm-91 33 11 laboratory laboratory NOUN ajlm-91 33 12 ; ; PUNCT ajlm-91 33 13 however however ADV ajlm-91 33 14 , , PUNCT ajlm-91 33 15 following follow VERB ajlm-91 33 16 pathologist pathologist NOUN ajlm-91 33 17 review review NOUN ajlm-91 33 18 , , PUNCT ajlm-91 33 19 the the DET ajlm-91 33 20 result result NOUN ajlm-91 33 21 report report NOUN ajlm-91 33 22 may may AUX ajlm-91 33 23 suggest suggest VERB ajlm-91 33 24 that that SCONJ ajlm-91 33 25 the the DET ajlm-91 33 26 clinician clinician NOUN ajlm-91 33 27 order order NOUN ajlm-91 33 28 an an DET ajlm-91 33 29 ife ife NOUN ajlm-91 33 30 for for ADP ajlm-91 33 31 further further ADJ ajlm-91 33 32 workup workup NOUN ajlm-91 33 33 of of ADP ajlm-91 33 34 the the DET ajlm-91 33 35 patient patient NOUN ajlm-91 33 36 . . PUNCT ajlm-91 34 1 although although SCONJ ajlm-91 34 2 this this DET ajlm-91 34 3 above above ADV ajlm-91 34 4 - - PUNCT ajlm-91 34 5 described describe VERB ajlm-91 34 6 practice practice NOUN ajlm-91 34 7 may may AUX ajlm-91 34 8 reduce reduce VERB ajlm-91 34 9 costs cost NOUN ajlm-91 34 10 by by ADP ajlm-91 34 11 preventing prevent VERB ajlm-91 34 12 unnecessary unnecessary ADJ ajlm-91 34 13 ife ife NOUN ajlm-91 34 14 from from ADP ajlm-91 34 15 being be AUX ajlm-91 34 16 requested request VERB ajlm-91 34 17 by by ADP ajlm-91 34 18 the the DET ajlm-91 34 19 laboratory laboratory NOUN ajlm-91 34 20 , , PUNCT ajlm-91 34 21 it it PRON ajlm-91 34 22 could could AUX ajlm-91 34 23 result result VERB ajlm-91 34 24 in in ADP ajlm-91 34 25 the the DET ajlm-91 34 26 delayed delay VERB ajlm-91 34 27 diagnosis diagnosis NOUN ajlm-91 34 28 of of ADP ajlm-91 34 29 a a DET ajlm-91 34 30 plasma plasma NOUN ajlm-91 34 31 cell cell NOUN ajlm-91 34 32 dyscrasia dyscrasia PROPN ajlm-91 34 33 , , PUNCT ajlm-91 34 34 contributing contribute VERB ajlm-91 34 35 to to ADP ajlm-91 34 36 increased increase VERB ajlm-91 34 37 healthcare healthcare NOUN ajlm-91 34 38 costs cost NOUN ajlm-91 34 39 associated associate VERB ajlm-91 34 40 with with ADP ajlm-91 34 41 hospitalisations hospitalisation NOUN ajlm-91 34 42 and and CCONJ ajlm-91 34 43 complications complication NOUN ajlm-91 34 44 . . PUNCT ajlm-91 35 1 spep spep NOUN ajlm-91 35 2 and and CCONJ ajlm-91 35 3 upep upep VERB ajlm-91 35 4 samples sample NOUN ajlm-91 35 5 for for ADP ajlm-91 35 6 patients patient NOUN ajlm-91 35 7 from from ADP ajlm-91 35 8 the the DET ajlm-91 35 9 hospital‘s hospital‘s PROPN ajlm-91 35 10 clinical clinical ADJ ajlm-91 35 11 haematology haematology NOUN ajlm-91 35 12 department department NOUN ajlm-91 35 13 are be AUX ajlm-91 35 14 exempt exempt ADJ ajlm-91 35 15 from from ADP ajlm-91 35 16 the the DET ajlm-91 35 17 current current ADJ ajlm-91 35 18 laboratory laboratory NOUN ajlm-91 35 19 ife ife PROPN ajlm-91 35 20 policy policy NOUN ajlm-91 35 21 and and CCONJ ajlm-91 35 22 reflective reflective ADJ ajlm-91 35 23 addition addition NOUN ajlm-91 35 24 of of ADP ajlm-91 35 25 ife ife PROPN ajlm-91 35 26 occurs occur VERB ajlm-91 35 27 where where SCONJ ajlm-91 35 28 indicated indicate VERB ajlm-91 35 29 . . PUNCT ajlm-91 36 1 figure figure NOUN ajlm-91 36 2 1 1 NUM ajlm-91 36 3 : : PUNCT ajlm-91 36 4 flow flow NOUN ajlm-91 36 5 diagram diagram NOUN ajlm-91 36 6 illustrating illustrate VERB ajlm-91 36 7 ialch ialch PROPN ajlm-91 36 8 laboratory laboratory PROPN ajlm-91 36 9 ife ife PROPN ajlm-91 36 10 requesting request VERB ajlm-91 36 11 process process NOUN ajlm-91 36 12 . . PUNCT ajlm-91 37 1 serum serum NOUN ajlm-91 37 2 - - PUNCT ajlm-91 37 3 free free ADJ ajlm-91 37 4 light light NOUN ajlm-91 37 5 chain chain NOUN ajlm-91 37 6 ( ( PUNCT ajlm-91 37 7 sflc sflc PROPN ajlm-91 37 8 ) ) PUNCT ajlm-91 37 9 measurement measurement NOUN ajlm-91 37 10 is be AUX ajlm-91 37 11 a a DET ajlm-91 37 12 widely widely ADV ajlm-91 37 13 - - PUNCT ajlm-91 37 14 used use VERB ajlm-91 37 15 screening screening NOUN ajlm-91 37 16 test test NOUN ajlm-91 37 17 for for ADP ajlm-91 37 18 plasma plasma NOUN ajlm-91 37 19 cell cell NOUN ajlm-91 37 20 dyscrasias.7 dyscrasias.7 VERB ajlm-91 37 21 however however ADV ajlm-91 37 22 , , PUNCT ajlm-91 37 23 this this DET ajlm-91 37 24 test test NOUN ajlm-91 37 25 is be AUX ajlm-91 37 26 still still ADV ajlm-91 37 27 relatively relatively ADV ajlm-91 37 28 expensive expensive ADJ ajlm-91 37 29 and and CCONJ ajlm-91 37 30 not not PART ajlm-91 37 31 offered offer VERB ajlm-91 37 32 in in ADP ajlm-91 37 33 many many ADJ ajlm-91 37 34 laboratories laboratory NOUN ajlm-91 37 35 serving serve VERB ajlm-91 37 36 the the DET ajlm-91 37 37 greater great ADJ ajlm-91 37 38 south south ADJ ajlm-91 37 39 african african ADJ ajlm-91 37 40 population population NOUN ajlm-91 37 41 . . PUNCT ajlm-91 38 1 in in ADP ajlm-91 38 2 addition addition NOUN ajlm-91 38 3 to to ADP ajlm-91 38 4 abnormal abnormal ADJ ajlm-91 38 5 monoclonal monoclonal NOUN ajlm-91 38 6 proteins protein NOUN ajlm-91 38 7 , , PUNCT ajlm-91 38 8 other other ADJ ajlm-91 38 9 normal normal ADJ ajlm-91 38 10 proteins protein NOUN ajlm-91 38 11 are be AUX ajlm-91 38 12 visualised visualise VERB ajlm-91 38 13 on on ADP ajlm-91 38 14 spep spep NOUN ajlm-91 38 15 , , PUNCT ajlm-91 38 16 including include VERB ajlm-91 38 17 proteins protein NOUN ajlm-91 38 18 that that PRON ajlm-91 38 19 migrate migrate VERB ajlm-91 38 20 in in ADP ajlm-91 38 21 the the DET ajlm-91 38 22 alpha-2 alpha-2 PROPN ajlm-91 38 23 and and CCONJ ajlm-91 38 24 beta beta ADJ ajlm-91 38 25 regions region NOUN ajlm-91 38 26 of of ADP ajlm-91 38 27 the the DET ajlm-91 38 28 electrophoresis electrophoresis NOUN ajlm-91 38 29 gel gel NOUN ajlm-91 38 30 . . PUNCT ajlm-91 39 1 lakshminarayanan lakshminarayanan PROPN ajlm-91 39 2 et et PROPN ajlm-91 39 3 al al PROPN ajlm-91 39 4 . . PROPN ajlm-91 39 5 describe describe VERB ajlm-91 39 6 ' ' PUNCT ajlm-91 39 7 a a DET ajlm-91 39 8 two two NUM ajlm-91 39 9 - - ADJ ajlm-91 39 10 fold fold ADJ ajlm-91 39 11 increase increase NOUN ajlm-91 39 12 in in ADP ajlm-91 39 13 the the DET ajlm-91 39 14 odds odd NOUN ajlm-91 39 15 ratio ratio NOUN ajlm-91 39 16 for for ADP ajlm-91 39 17 a a DET ajlm-91 39 18 positive positive ADJ ajlm-91 39 19 ife ife NOUN ajlm-91 39 20 result result NOUN ajlm-91 39 21 when when SCONJ ajlm-91 39 22 the the DET ajlm-91 39 23 alpha-2 alpha-2 NOUN ajlm-91 39 24 - - PUNCT ajlm-91 39 25 globulin globulin NOUN ajlm-91 39 26 / / SYM ajlm-91 39 27 alpha-1 alpha-1 NOUN ajlm-91 39 28 - - PUNCT ajlm-91 39 29 globulin globulin NOUN ajlm-91 39 30 ratio ratio NOUN ajlm-91 39 31 was be AUX ajlm-91 39 32 elevated'.8 elevated'.8 SCONJ ajlm-91 39 33 the the DET ajlm-91 39 34 authors author NOUN ajlm-91 39 35 further far ADV ajlm-91 39 36 recommend recommend VERB ajlm-91 39 37 reflex reflex ADJ ajlm-91 39 38 ife ife PROPN ajlm-91 39 39 testing testing NOUN ajlm-91 39 40 in in ADP ajlm-91 39 41 patients patient NOUN ajlm-91 39 42 with with ADP ajlm-91 39 43 a a DET ajlm-91 39 44 normal normal ADJ ajlm-91 39 45 spep spep NOUN ajlm-91 39 46 pattern pattern NOUN ajlm-91 39 47 and and CCONJ ajlm-91 39 48 hypogammaglobulinaemia hypogammaglobulinaemia NOUN ajlm-91 39 49 when when SCONJ ajlm-91 39 50 an an DET ajlm-91 39 51 elevated elevated ADJ ajlm-91 39 52 alpha-2globulin alpha-2globulin NOUN ajlm-91 39 53 / / SYM ajlm-91 39 54 alpha-1 alpha-1 NOUN ajlm-91 39 55 - - PUNCT ajlm-91 39 56 globulin globulin NOUN ajlm-91 39 57 ratio ratio NOUN ajlm-91 39 58 is be AUX ajlm-91 39 59 detected.8 detected.8 PROPN ajlm-91 39 60 the the DET ajlm-91 39 61 aims aim NOUN ajlm-91 39 62 of of ADP ajlm-91 39 63 this this DET ajlm-91 39 64 study study NOUN ajlm-91 39 65 were be AUX ajlm-91 39 66 to to PART ajlm-91 39 67 determine determine VERB ajlm-91 39 68 the the DET ajlm-91 39 69 number number NOUN ajlm-91 39 70 of of ADP ajlm-91 39 71 ifes ife NOUN ajlm-91 39 72 requested request VERB ajlm-91 39 73 by by ADP ajlm-91 39 74 clinicians clinician NOUN ajlm-91 39 75 following follow VERB ajlm-91 39 76 suggestion suggestion NOUN ajlm-91 39 77 by by ADP ajlm-91 39 78 the the DET ajlm-91 39 79 laboratory laboratory NOUN ajlm-91 39 80 and and CCONJ ajlm-91 39 81 to to PART ajlm-91 39 82 assess assess VERB ajlm-91 39 83 whether whether SCONJ ajlm-91 39 84 the the DET ajlm-91 39 85 determination determination NOUN ajlm-91 39 86 of of ADP ajlm-91 39 87 the the DET ajlm-91 39 88 alpha-2 alpha-2 NOUN ajlm-91 39 89 - - PUNCT ajlm-91 39 90 globulin globulin NOUN ajlm-91 39 91 / / SYM ajlm-91 39 92 alpha-1 alpha-1 NOUN ajlm-91 39 93 - - PUNCT ajlm-91 39 94 globulin globulin NOUN ajlm-91 39 95 ratio ratio NOUN ajlm-91 39 96 , , PUNCT ajlm-91 39 97 regardless regardless ADV ajlm-91 39 98 of of ADP ajlm-91 39 99 the the DET ajlm-91 39 100 presence presence NOUN ajlm-91 39 101 of of ADP ajlm-91 39 102 hypogammaglobulinaemia hypogammaglobulinaemia NOUN ajlm-91 39 103 , , PUNCT ajlm-91 39 104 could could AUX ajlm-91 39 105 assist assist VERB ajlm-91 39 106 in in ADP ajlm-91 39 107 predicting predict VERB ajlm-91 39 108 which which PRON ajlm-91 39 109 of of ADP ajlm-91 39 110 the the DET ajlm-91 39 111 patients patient NOUN ajlm-91 39 112 in in ADP ajlm-91 39 113 this this DET ajlm-91 39 114 population population NOUN ajlm-91 39 115 , , PUNCT ajlm-91 39 116 with with ADP ajlm-91 39 117 no no DET ajlm-91 39 118 paraprotein paraprotein ADJ ajlm-91 39 119 detected detect VERB ajlm-91 39 120 on on ADP ajlm-91 39 121 spep spep PROPN ajlm-91 39 122 , , PUNCT ajlm-91 39 123 were be AUX ajlm-91 39 124 more more ADV ajlm-91 39 125 likely likely ADJ ajlm-91 39 126 to to PART ajlm-91 39 127 have have VERB ajlm-91 39 128 positive positive ADJ ajlm-91 39 129 ife ife NOUN ajlm-91 39 130 results result NOUN ajlm-91 39 131 . . PUNCT ajlm-91 40 1 a a DET ajlm-91 40 2 secondary secondary ADJ ajlm-91 40 3 objective objective NOUN ajlm-91 40 4 was be AUX ajlm-91 40 5 to to PART ajlm-91 40 6 determine determine VERB ajlm-91 40 7 how how SCONJ ajlm-91 40 8 many many ADJ ajlm-91 40 9 spep spep NOUN ajlm-91 40 10 requests request NOUN ajlm-91 40 11 were be AUX ajlm-91 40 12 accompanied accompany VERB ajlm-91 40 13 by by ADP ajlm-91 40 14 clinical clinical ADJ ajlm-91 40 15 histories history NOUN ajlm-91 40 16 provided provide VERB ajlm-91 40 17 by by ADP ajlm-91 40 18 the the DET ajlm-91 40 19 clinician clinician NOUN ajlm-91 40 20 or or CCONJ ajlm-91 40 21 test test NOUN ajlm-91 40 22 requestor requestor NOUN ajlm-91 40 23 . . PUNCT ajlm-91 41 1 research research NOUN ajlm-91 41 2 method method NOUN ajlm-91 41 3 and and CCONJ ajlm-91 41 4 design design VERB ajlm-91 41 5 top top ADJ ajlm-91 41 6 ↑ ↑ PROPN ajlm-91 41 7 data datum NOUN ajlm-91 41 8 were be AUX ajlm-91 41 9 collected collect VERB ajlm-91 41 10 from from ADP ajlm-91 41 11 february february PROPN ajlm-91 41 12 2011 2011 NUM ajlm-91 41 13 to to ADP ajlm-91 41 14 july july PROPN ajlm-91 41 15 2011 2011 NUM ajlm-91 41 16 for for ADP ajlm-91 41 17 1260 1260 NUM ajlm-91 41 18 consecutive consecutive ADJ ajlm-91 41 19 spep spep NOUN ajlm-91 41 20 samples sample NOUN ajlm-91 41 21 analysed analyse VERB ajlm-91 41 22 at at ADP ajlm-91 41 23 the the DET ajlm-91 41 24 ialch ialch PROPN ajlm-91 41 25 , , PUNCT ajlm-91 41 26 national national PROPN ajlm-91 41 27 health health PROPN ajlm-91 41 28 laboratory laboratory PROPN ajlm-91 41 29 services services PROPN ajlm-91 41 30 chemical chemical PROPN ajlm-91 41 31 pathology pathology PROPN ajlm-91 41 32 laboratory laboratory PROPN ajlm-91 41 33 ( ( PUNCT ajlm-91 41 34 durban durban PROPN ajlm-91 41 35 , , PUNCT ajlm-91 41 36 south south PROPN ajlm-91 41 37 africa africa PROPN ajlm-91 41 38 ) ) PUNCT ajlm-91 41 39 . . PUNCT ajlm-91 42 1 samples sample NOUN ajlm-91 42 2 analysed analyse VERB ajlm-91 42 3 consisted consist VERB ajlm-91 42 4 of of ADP ajlm-91 42 5 routine routine ADJ ajlm-91 42 6 samples sample NOUN ajlm-91 42 7 with with ADP ajlm-91 42 8 spep spep NOUN ajlm-91 42 9 orders order NOUN ajlm-91 42 10 received receive VERB ajlm-91 42 11 by by ADP ajlm-91 42 12 the the DET ajlm-91 42 13 laboratory laboratory NOUN ajlm-91 42 14 from from ADP ajlm-91 42 15 the the DET ajlm-91 42 16 laboratory laboratory NOUN ajlm-91 42 17 hospital hospital NOUN ajlm-91 42 18 and and CCONJ ajlm-91 42 19 referring refer VERB ajlm-91 42 20 hospitals hospital NOUN ajlm-91 42 21 within within ADP ajlm-91 42 22 kwazulu kwazulu PROPN ajlm-91 42 23 natal natal PROPN ajlm-91 42 24 province.the province.the DET ajlm-91 42 25 sebia sebia ADJ ajlm-91 42 26 hydrasys hydrasys NOUN ajlm-91 42 27 ( ( PUNCT ajlm-91 42 28 sebia sebia ADJ ajlm-91 42 29 , , PUNCT ajlm-91 42 30 norcross norcross PROPN ajlm-91 42 31 , , PUNCT ajlm-91 42 32 ga ga PROPN ajlm-91 42 33 , , PUNCT ajlm-91 42 34 usa usa PROPN ajlm-91 42 35 ) ) PUNCT ajlm-91 42 36 automated automate VERB ajlm-91 42 37 electrophoresis electrophoresis NOUN ajlm-91 42 38 system system NOUN ajlm-91 42 39 was be AUX ajlm-91 42 40 used use VERB ajlm-91 42 41 to to PART ajlm-91 42 42 perform perform VERB ajlm-91 42 43 spep spep NOUN ajlm-91 42 44 and and CCONJ ajlm-91 42 45 ife ife PROPN ajlm-91 42 46 with with ADP ajlm-91 42 47 polyclonal polyclonal ADJ ajlm-91 42 48 anti anti ADJ ajlm-91 42 49 - - ADJ ajlm-91 42 50 human human ADJ ajlm-91 42 51 serum serum NOUN ajlm-91 42 52 to to PART ajlm-91 42 53 identify identify VERB ajlm-91 42 54 immunoglobulin immunoglobulin NOUN ajlm-91 42 55 heavy heavy ADJ ajlm-91 42 56 and and CCONJ ajlm-91 42 57 light light ADJ ajlm-91 42 58 chains.5 chains.5 PROPN ajlm-91 42 59 quantitation quantitation NOUN ajlm-91 42 60 of of ADP ajlm-91 42 61 spep spep PROPN ajlm-91 42 62 fractions fraction NOUN ajlm-91 42 63 was be AUX ajlm-91 42 64 performed perform VERB ajlm-91 42 65 using use VERB ajlm-91 42 66 the the DET ajlm-91 42 67 sebia sebia ADJ ajlm-91 42 68 hydrasys hydrasys NOUN ajlm-91 42 69 densitometer densitometer NOUN ajlm-91 42 70 system system NOUN ajlm-91 42 71 and and CCONJ ajlm-91 42 72 phoresis phoresis NOUN ajlm-91 42 73 software software NOUN ajlm-91 42 74 ( ( PUNCT ajlm-91 42 75 sebia sebia ADJ ajlm-91 42 76 , , PUNCT ajlm-91 42 77 norcross norcross PROPN ajlm-91 42 78 , , PUNCT ajlm-91 42 79 ga ga PROPN ajlm-91 42 80 , , PUNCT ajlm-91 42 81 usa usa PROPN ajlm-91 42 82 ) ) PUNCT ajlm-91 42 83 . . PUNCT ajlm-91 43 1 the the DET ajlm-91 43 2 same same ADJ ajlm-91 43 3 pathologist pathologist NOUN ajlm-91 43 4 interpreted interpret VERB ajlm-91 43 5 all all DET ajlm-91 43 6 spep spep NOUN ajlm-91 43 7 runs run NOUN ajlm-91 43 8 . . PUNCT ajlm-91 44 1 requisition requisition NOUN ajlm-91 44 2 by by ADP ajlm-91 44 3 the the DET ajlm-91 44 4 laboratory laboratory NOUN ajlm-91 44 5 of of ADP ajlm-91 44 6 ife ife PROPN ajlm-91 44 7 testing testing NOUN ajlm-91 44 8 was be AUX ajlm-91 44 9 suggested suggest VERB ajlm-91 44 10 on on ADP ajlm-91 44 11 the the DET ajlm-91 44 12 result result NOUN ajlm-91 44 13 report report NOUN ajlm-91 44 14 if if SCONJ ajlm-91 44 15 a a DET ajlm-91 44 16 monoclonal monoclonal NOUN ajlm-91 44 17 band band NOUN ajlm-91 44 18 or or CCONJ ajlm-91 44 19 any any DET ajlm-91 44 20 other other ADJ ajlm-91 44 21 abnormal abnormal ADJ ajlm-91 44 22 bands band NOUN ajlm-91 44 23 , , PUNCT ajlm-91 44 24 such such ADJ ajlm-91 44 25 as as ADP ajlm-91 44 26 restriction restriction NOUN ajlm-91 44 27 bands band NOUN ajlm-91 44 28 ( ( PUNCT ajlm-91 44 29 abnormal abnormal ADJ ajlm-91 44 30 areas area NOUN ajlm-91 44 31 of of ADP ajlm-91 44 32 restriction restriction NOUN ajlm-91 44 33 on on ADP ajlm-91 44 34 protein protein NOUN ajlm-91 44 35 electrophoresis electrophoresis NOUN ajlm-91 44 36 which which PRON ajlm-91 44 37 may may AUX ajlm-91 44 38 indicate indicate VERB ajlm-91 44 39 the the DET ajlm-91 44 40 presence presence NOUN ajlm-91 44 41 of of ADP ajlm-91 44 42 a a DET ajlm-91 44 43 paraprotein paraprotein ADJ ajlm-91 44 44 ) ) PUNCT ajlm-91 44 45 , , PUNCT ajlm-91 44 46 were be AUX ajlm-91 44 47 identified identify VERB ajlm-91 44 48 on on ADP ajlm-91 44 49 spep spep PROPN ajlm-91 44 50 . . PUNCT ajlm-91 45 1 ife ife PROPN ajlm-91 45 2 testing testing NOUN ajlm-91 45 3 was be AUX ajlm-91 45 4 also also ADV ajlm-91 45 5 suggested suggest VERB ajlm-91 45 6 if if SCONJ ajlm-91 45 7 the the DET ajlm-91 45 8 spep spep NOUN ajlm-91 45 9 revealed reveal VERB ajlm-91 45 10 hypogammaglobulinaemia hypogammaglobulinaemia NOUN ajlm-91 45 11 in in ADP ajlm-91 45 12 the the DET ajlm-91 45 13 absence absence NOUN ajlm-91 45 14 of of ADP ajlm-91 45 15 a a DET ajlm-91 45 16 monoclonal monoclonal NOUN ajlm-91 45 17 band band NOUN ajlm-91 45 18 . . PUNCT ajlm-91 46 1 the the DET ajlm-91 46 2 total total ADJ ajlm-91 46 3 number number NOUN ajlm-91 46 4 of of ADP ajlm-91 46 5 specimens specimen NOUN ajlm-91 46 6 analysed analyse VERB ajlm-91 46 7 , , PUNCT ajlm-91 46 8 spep spep NOUN ajlm-91 46 9 and and CCONJ ajlm-91 46 10 ife ife PROPN ajlm-91 46 11 results result NOUN ajlm-91 46 12 , , PUNCT ajlm-91 46 13 patient patient ADJ ajlm-91 46 14 demographics demographic NOUN ajlm-91 46 15 , , PUNCT ajlm-91 46 16 clinical clinical ADJ ajlm-91 46 17 histories history NOUN ajlm-91 46 18 and and CCONJ ajlm-91 46 19 requesting request VERB ajlm-91 46 20 clinician clinician NOUN ajlm-91 46 21 details detail NOUN ajlm-91 46 22 were be AUX ajlm-91 46 23 retrieved retrieve VERB ajlm-91 46 24 from from ADP ajlm-91 46 25 laboratory laboratory NOUN ajlm-91 46 26 or or CCONJ ajlm-91 46 27 hospital hospital NOUN ajlm-91 46 28 information information NOUN ajlm-91 46 29 systems system NOUN ajlm-91 46 30 . . PUNCT ajlm-91 47 1 relevant relevant ADJ ajlm-91 47 2 data datum NOUN ajlm-91 47 3 from from ADP ajlm-91 47 4 the the DET ajlm-91 47 5 information information NOUN ajlm-91 47 6 systems system NOUN ajlm-91 47 7 were be AUX ajlm-91 47 8 analysed analyse VERB ajlm-91 47 9 and and CCONJ ajlm-91 47 10 statistical statistical ADJ ajlm-91 47 11 analysis analysis NOUN ajlm-91 47 12 was be AUX ajlm-91 47 13 performed perform VERB ajlm-91 47 14 using use VERB ajlm-91 47 15 microsoft microsoft PROPN ajlm-91 47 16 ® ® PROPN ajlm-91 47 17 excel excel NOUN ajlm-91 47 18 ( ( PUNCT ajlm-91 47 19 microsoft microsoft PROPN ajlm-91 47 20 ® ® PROPN ajlm-91 47 21 office office PROPN ajlm-91 47 22 2007 2007 NUM ajlm-91 47 23 , , PUNCT ajlm-91 47 24 microsoft microsoft PROPN ajlm-91 47 25 , , PUNCT ajlm-91 47 26 usa usa PROPN ajlm-91 47 27 ) ) PUNCT ajlm-91 47 28 . . PUNCT ajlm-91 48 1 a a DET ajlm-91 48 2 p p NOUN ajlm-91 48 3 - - PUNCT ajlm-91 48 4 value value NOUN ajlm-91 48 5 of of ADP ajlm-91 48 6 < < X ajlm-91 48 7 0.05 0.05 NUM ajlm-91 48 8 was be AUX ajlm-91 48 9 considered consider VERB ajlm-91 48 10 to to PART ajlm-91 48 11 be be AUX ajlm-91 48 12 of of ADP ajlm-91 48 13 statistical statistical ADJ ajlm-91 48 14 significance significance NOUN ajlm-91 48 15 . . PUNCT ajlm-91 49 1 results result VERB ajlm-91 49 2 top top PROPN ajlm-91 49 3 ↑ ↑ PROPN ajlm-91 49 4 a a DET ajlm-91 49 5 total total NOUN ajlm-91 49 6 of of ADP ajlm-91 49 7 1260 1260 NUM ajlm-91 49 8 speps spep NOUN ajlm-91 49 9 were be AUX ajlm-91 49 10 performed perform VERB ajlm-91 49 11 from from ADP ajlm-91 49 12 1 1 NUM ajlm-91 49 13 february february NOUN ajlm-91 49 14 2011 2011 NUM ajlm-91 49 15 to to ADP ajlm-91 49 16 31 31 NUM ajlm-91 49 17 july july PROPN ajlm-91 49 18 2011 2011 NUM ajlm-91 49 19 . . PUNCT ajlm-91 50 1 analysis analysis NOUN ajlm-91 50 2 revealed reveal VERB ajlm-91 50 3 that that SCONJ ajlm-91 50 4 the the DET ajlm-91 50 5 reviewing reviewing NOUN ajlm-91 50 6 pathologist pathologist NOUN ajlm-91 50 7 suggested suggest VERB ajlm-91 50 8 304 304 NUM ajlm-91 50 9 ifes ife NOUN ajlm-91 50 10 ; ; PUNCT ajlm-91 50 11 these these PRON ajlm-91 50 12 comprised comprise VERB ajlm-91 50 13 87 87 NUM ajlm-91 50 14 internal internal ADJ ajlm-91 50 15 ( ( PUNCT ajlm-91 50 16 ialch ialch PROPN ajlm-91 50 17 wards ward NOUN ajlm-91 50 18 and and CCONJ ajlm-91 50 19 clinics clinic NOUN ajlm-91 50 20 ) ) PUNCT ajlm-91 50 21 samples sample NOUN ajlm-91 50 22 and and CCONJ ajlm-91 50 23 217 217 NUM ajlm-91 50 24 referred refer VERB ajlm-91 50 25 samples sample NOUN ajlm-91 50 26 ( ( PUNCT ajlm-91 50 27 see see VERB ajlm-91 50 28 figure figure NOUN ajlm-91 50 29 2 2 NUM ajlm-91 50 30 ) ) PUNCT ajlm-91 50 31 . . PUNCT ajlm-91 51 1 fifteen fifteen NUM ajlm-91 51 2 per per ADP ajlm-91 51 3 cent cent NOUN ajlm-91 51 4 ( ( PUNCT ajlm-91 51 5 n n NOUN ajlm-91 51 6 = = SYM ajlm-91 51 7 45/304 45/304 NUM ajlm-91 51 8 ) ) PUNCT ajlm-91 51 9 of of ADP ajlm-91 51 10 the the DET ajlm-91 51 11 suggested suggest VERB ajlm-91 51 12 ifes ife NOUN ajlm-91 51 13 were be AUX ajlm-91 51 14 requested request VERB ajlm-91 51 15 subsequently subsequently ADV ajlm-91 51 16 by by ADP ajlm-91 51 17 attending attend VERB ajlm-91 51 18 clinicians clinician NOUN ajlm-91 51 19 and and CCONJ ajlm-91 51 20 all all DET ajlm-91 51 21 ifes ife NOUN ajlm-91 51 22 were be AUX ajlm-91 51 23 performed perform VERB ajlm-91 51 24 by by ADP ajlm-91 51 25 the the DET ajlm-91 51 26 laboratory laboratory NOUN ajlm-91 51 27 , , PUNCT ajlm-91 51 28 except except SCONJ ajlm-91 51 29 for for ADP ajlm-91 51 30 two two NUM ajlm-91 51 31 patients patient NOUN ajlm-91 51 32 with with ADP ajlm-91 51 33 insufficient insufficient ADJ ajlm-91 51 34 samples sample NOUN ajlm-91 51 35 . . PUNCT ajlm-91 52 1 of of ADP ajlm-91 52 2 the the DET ajlm-91 52 3 87 87 NUM ajlm-91 52 4 internal internal ADJ ajlm-91 52 5 samples sample NOUN ajlm-91 52 6 for for ADP ajlm-91 52 7 which which PRON ajlm-91 52 8 ifes ife NOUN ajlm-91 52 9 were be AUX ajlm-91 52 10 suggested suggest VERB ajlm-91 52 11 , , PUNCT ajlm-91 52 12 14 14 NUM ajlm-91 52 13 % % NOUN ajlm-91 52 14 ( ( PUNCT ajlm-91 52 15 n n NOUN ajlm-91 52 16 = = SYM ajlm-91 52 17 12/87 12/87 NUM ajlm-91 52 18 ) ) PUNCT ajlm-91 52 19 were be AUX ajlm-91 52 20 requested request VERB ajlm-91 52 21 subsequently subsequently ADV ajlm-91 52 22 by by ADP ajlm-91 52 23 the the DET ajlm-91 52 24 clinicians clinician NOUN ajlm-91 52 25 . . PUNCT ajlm-91 53 1 of of ADP ajlm-91 53 2 the the DET ajlm-91 53 3 217 217 NUM ajlm-91 53 4 referred refer VERB ajlm-91 53 5 samples sample NOUN ajlm-91 53 6 for for ADP ajlm-91 53 7 which which PRON ajlm-91 53 8 ifes ife NOUN ajlm-91 53 9 were be AUX ajlm-91 53 10 suggested suggest VERB ajlm-91 53 11 , , PUNCT ajlm-91 53 12 15 15 NUM ajlm-91 53 13 % % NOUN ajlm-91 53 14 ( ( PUNCT ajlm-91 53 15 n n NOUN ajlm-91 53 16 = = SYM ajlm-91 53 17 33/217 33/217 NUM ajlm-91 53 18 ) ) PUNCT ajlm-91 53 19 were be AUX ajlm-91 53 20 requested request VERB ajlm-91 53 21 subsequently subsequently ADV ajlm-91 53 22 by by ADP ajlm-91 53 23 the the DET ajlm-91 53 24 clinician clinician NOUN ajlm-91 53 25 . . PUNCT ajlm-91 54 1 almost almost ADV ajlm-91 54 2 half half NOUN ajlm-91 54 3 ( ( PUNCT ajlm-91 54 4 46.5 46.5 NUM ajlm-91 54 5 % % NOUN ajlm-91 54 6 ; ; PUNCT ajlm-91 54 7 n n NOUN ajlm-91 54 8 = = SYM ajlm-91 54 9 20/43 20/43 NUM ajlm-91 54 10 ) ) PUNCT ajlm-91 54 11 of of ADP ajlm-91 54 12 all all DET ajlm-91 54 13 the the DET ajlm-91 54 14 suggested suggested ADJ ajlm-91 54 15 ifes ife NOUN ajlm-91 54 16 that that PRON ajlm-91 54 17 were be AUX ajlm-91 54 18 performed perform VERB ajlm-91 54 19 revealed reveal VERB ajlm-91 54 20 the the DET ajlm-91 54 21 presence presence NOUN ajlm-91 54 22 of of ADP ajlm-91 54 23 a a DET ajlm-91 54 24 paraprotein paraprotein ADJ ajlm-91 54 25 , , PUNCT ajlm-91 54 26 indicating indicate VERB ajlm-91 54 27 the the DET ajlm-91 54 28 possible possible ADJ ajlm-91 54 29 presence presence NOUN ajlm-91 54 30 of of ADP ajlm-91 54 31 a a DET ajlm-91 54 32 plasma plasma NOUN ajlm-91 54 33 cell cell NOUN ajlm-91 54 34 dyscrasia dyscrasia PROPN ajlm-91 54 35 . . PUNCT ajlm-91 55 1 figure figure NOUN ajlm-91 55 2 2a 2a NUM ajlm-91 55 3 : : PUNCT ajlm-91 55 4 figure figure NOUN ajlm-91 55 5 2a 2a NUM ajlm-91 55 6 : : PUNCT ajlm-91 55 7 number number NOUN ajlm-91 55 8 of of ADP ajlm-91 55 9 ife ife PROPN ajlm-91 55 10 tests test NOUN ajlm-91 55 11 ( ( PUNCT ajlm-91 55 12 n n NOUN ajlm-91 55 13 = = SYM ajlm-91 55 14 304 304 NUM ajlm-91 55 15 ) ) PUNCT ajlm-91 55 16 suggested suggest VERB ajlm-91 55 17 by by ADP ajlm-91 55 18 the the DET ajlm-91 55 19 laboratory laboratory NOUN ajlm-91 55 20 from from ADP ajlm-91 55 21 among among ADP ajlm-91 55 22 total total ADJ ajlm-91 55 23 spep spep NOUN ajlm-91 55 24 requests request NOUN ajlm-91 55 25 ( ( PUNCT ajlm-91 55 26 n n NOUN ajlm-91 55 27 = = SYM ajlm-91 55 28 1260 1260 NUM ajlm-91 55 29 ) ) PUNCT ajlm-91 55 30 . . PUNCT ajlm-91 56 1 2b 2b NOUN ajlm-91 56 2 : : PUNCT ajlm-91 56 3 percentage percentage NOUN ajlm-91 56 4 of of ADP ajlm-91 56 5 ife ife PROPN ajlm-91 56 6 tests test NOUN ajlm-91 56 7 requested request VERB ajlm-91 56 8 following follow VERB ajlm-91 56 9 laboratory laboratory NOUN ajlm-91 56 10 suggestion suggestion NOUN ajlm-91 56 11 for for ADP ajlm-91 56 12 referred refer VERB ajlm-91 56 13 ( ( PUNCT ajlm-91 56 14 n n NOUN ajlm-91 56 15 = = SYM ajlm-91 56 16 33 33 NUM ajlm-91 56 17 of of ADP ajlm-91 56 18 217 217 NUM ajlm-91 56 19 ) ) PUNCT ajlm-91 56 20 and and CCONJ ajlm-91 56 21 internal internal ADJ ajlm-91 56 22 ( ( PUNCT ajlm-91 56 23 n n NOUN ajlm-91 56 24 = = NUM ajlm-91 56 25 12 12 NUM ajlm-91 56 26 of of ADP ajlm-91 56 27 87 87 NUM ajlm-91 56 28 ) ) PUNCT ajlm-91 56 29 samples sample NOUN ajlm-91 56 30 . . PUNCT ajlm-91 57 1 clinical clinical ADJ ajlm-91 57 2 histories history NOUN ajlm-91 57 3 were be AUX ajlm-91 57 4 available available ADJ ajlm-91 57 5 on on ADP ajlm-91 57 6 the the DET ajlm-91 57 7 laboratory laboratory NOUN ajlm-91 57 8 information information NOUN ajlm-91 57 9 system system NOUN ajlm-91 57 10 ( ( PUNCT ajlm-91 57 11 lis li NOUN ajlm-91 57 12 ) ) PUNCT ajlm-91 57 13 for for ADP ajlm-91 57 14 only only ADV ajlm-91 57 15 53 53 NUM ajlm-91 57 16 % % NOUN ajlm-91 57 17 ( ( PUNCT ajlm-91 57 18 n n NOUN ajlm-91 57 19 = = SYM ajlm-91 57 20 162/304 162/304 NUM ajlm-91 57 21 ) ) PUNCT ajlm-91 57 22 of of ADP ajlm-91 57 23 the the DET ajlm-91 57 24 patients patient NOUN ajlm-91 57 25 for for ADP ajlm-91 57 26 which which PRON ajlm-91 57 27 ifes ife NOUN ajlm-91 57 28 were be AUX ajlm-91 57 29 suggested suggest VERB ajlm-91 57 30 . . PUNCT ajlm-91 58 1 table table NOUN ajlm-91 58 2 1 1 NUM ajlm-91 58 3 summarises summarise VERB ajlm-91 58 4 the the DET ajlm-91 58 5 clinical clinical ADJ ajlm-91 58 6 histories history NOUN ajlm-91 58 7 ( ( PUNCT ajlm-91 58 8 n n NOUN ajlm-91 58 9 = = SYM ajlm-91 58 10 13 13 NUM ajlm-91 58 11 ) ) PUNCT ajlm-91 58 12 that that PRON ajlm-91 58 13 were be AUX ajlm-91 58 14 available available ADJ ajlm-91 58 15 for for ADP ajlm-91 58 16 all all DET ajlm-91 58 17 ifes ife NOUN ajlm-91 58 18 performed perform VERB ajlm-91 58 19 ( ( PUNCT ajlm-91 58 20 n n NOUN ajlm-91 58 21 = = SYM ajlm-91 58 22 43 43 NUM ajlm-91 58 23 ) ) PUNCT ajlm-91 58 24 . . PUNCT ajlm-91 59 1 of of ADP ajlm-91 59 2 the the DET ajlm-91 59 3 six six NUM ajlm-91 59 4 positive positive ADJ ajlm-91 59 5 ifes ife NOUN ajlm-91 59 6 for for ADP ajlm-91 59 7 which which PRON ajlm-91 59 8 clinical clinical ADJ ajlm-91 59 9 histories history NOUN ajlm-91 59 10 were be AUX ajlm-91 59 11 supplied supply VERB ajlm-91 59 12 , , PUNCT ajlm-91 59 13 four four NUM ajlm-91 59 14 had have VERB ajlm-91 59 15 the the DET ajlm-91 59 16 clinical clinical ADJ ajlm-91 59 17 diagnosis diagnosis NOUN ajlm-91 59 18 of of ADP ajlm-91 59 19 ' ' PUNCT ajlm-91 59 20 query query NOUN ajlm-91 59 21 myeloma myeloma NOUN ajlm-91 59 22 ' ' PUNCT ajlm-91 59 23 , , PUNCT ajlm-91 59 24 one one NUM ajlm-91 59 25 was be AUX ajlm-91 59 26 peripheral peripheral ADJ ajlm-91 59 27 neuropathy neuropathy ADJ ajlm-91 59 28 and and CCONJ ajlm-91 59 29 one one NUM ajlm-91 59 30 was be AUX ajlm-91 59 31 spinal spinal ADJ ajlm-91 59 32 tuberculosis tuberculosis NOUN ajlm-91 59 33 . . PUNCT ajlm-91 60 1 table table NOUN ajlm-91 60 2 1 1 NUM ajlm-91 60 3 : : PUNCT ajlm-91 60 4 clinical clinical ADJ ajlm-91 60 5 histories history NOUN ajlm-91 60 6 for for ADP ajlm-91 60 7 the the DET ajlm-91 60 8 43 43 NUM ajlm-91 60 9 laboratory laboratory NOUN ajlm-91 60 10 - - PUNCT ajlm-91 60 11 suggested suggest VERB ajlm-91 60 12 ife ife PROPN ajlm-91 60 13 tests test NOUN ajlm-91 60 14 requested request VERB ajlm-91 60 15 by by ADP ajlm-91 60 16 clinicians clinician NOUN ajlm-91 60 17 and and CCONJ ajlm-91 60 18 performed perform VERB ajlm-91 60 19 . . PUNCT ajlm-91 61 1 all all DET ajlm-91 61 2 the the DET ajlm-91 61 3 speps spep NOUN ajlm-91 61 4 resulting result VERB ajlm-91 61 5 in in ADP ajlm-91 61 6 an an DET ajlm-91 61 7 ife ife NOUN ajlm-91 61 8 suggestion suggestion NOUN ajlm-91 61 9 by by ADP ajlm-91 61 10 the the DET ajlm-91 61 11 laboratory laboratory NOUN ajlm-91 61 12 were be AUX ajlm-91 61 13 new new ADJ ajlm-91 61 14 tests test NOUN ajlm-91 61 15 for for ADP ajlm-91 61 16 each each PRON ajlm-91 61 17 of of ADP ajlm-91 61 18 the the DET ajlm-91 61 19 304 304 NUM ajlm-91 61 20 patients patient NOUN ajlm-91 61 21 . . PUNCT ajlm-91 62 1 for for ADP ajlm-91 62 2 11 11 NUM ajlm-91 62 3 % % NOUN ajlm-91 62 4 ( ( PUNCT ajlm-91 62 5 n n NOUN ajlm-91 62 6 = = SYM ajlm-91 62 7 33/304 33/304 NUM ajlm-91 62 8 ) ) PUNCT ajlm-91 62 9 of of ADP ajlm-91 62 10 the the DET ajlm-91 62 11 patients patient NOUN ajlm-91 62 12 , , PUNCT ajlm-91 62 13 a a DET ajlm-91 62 14 repeat repeat NOUN ajlm-91 62 15 spep spep NOUN ajlm-91 62 16 rather rather ADV ajlm-91 62 17 than than ADP ajlm-91 62 18 an an DET ajlm-91 62 19 ife ife NOUN ajlm-91 62 20 was be AUX ajlm-91 62 21 submitted submit VERB ajlm-91 62 22 by by ADP ajlm-91 62 23 the the DET ajlm-91 62 24 attending attend VERB ajlm-91 62 25 clinician clinician NOUN ajlm-91 62 26 . . PUNCT ajlm-91 63 1 the the DET ajlm-91 63 2 time time NOUN ajlm-91 63 3 period period NOUN ajlm-91 63 4 between between ADP ajlm-91 63 5 the the DET ajlm-91 63 6 initial initial ADJ ajlm-91 63 7 spep spep NOUN ajlm-91 63 8 request request NOUN ajlm-91 63 9 and and CCONJ ajlm-91 63 10 the the DET ajlm-91 63 11 repeat repeat NOUN ajlm-91 63 12 spep spep NOUN ajlm-91 63 13 ranged range VERB ajlm-91 63 14 from from ADP ajlm-91 63 15 one one NUM ajlm-91 63 16 to to PART ajlm-91 63 17 182 182 NUM ajlm-91 63 18 days day NOUN ajlm-91 63 19 ( ( PUNCT ajlm-91 63 20 median median NOUN ajlm-91 63 21 28.5 28.5 NUM ajlm-91 63 22 days day NOUN ajlm-91 63 23 ) ) PUNCT ajlm-91 63 24 . . PUNCT ajlm-91 64 1 analysis analysis NOUN ajlm-91 64 2 revealed reveal VERB ajlm-91 64 3 that that SCONJ ajlm-91 64 4 of of ADP ajlm-91 64 5 the the DET ajlm-91 64 6 repeat repeat NOUN ajlm-91 64 7 speps spep NOUN ajlm-91 64 8 ordered order VERB ajlm-91 64 9 on on ADP ajlm-91 64 10 patients patient NOUN ajlm-91 64 11 , , PUNCT ajlm-91 64 12 protein protein NOUN ajlm-91 64 13 patterns pattern NOUN ajlm-91 64 14 for for ADP ajlm-91 64 15 only only ADV ajlm-91 64 16 three three NUM ajlm-91 64 17 patients patient NOUN ajlm-91 64 18 changed change VERB ajlm-91 64 19 such such ADJ ajlm-91 64 20 that that SCONJ ajlm-91 64 21 the the DET ajlm-91 64 22 restriction restriction NOUN ajlm-91 64 23 bands band NOUN ajlm-91 64 24 were be AUX ajlm-91 64 25 no no ADV ajlm-91 64 26 longer long ADV ajlm-91 64 27 visualised visualise VERB ajlm-91 64 28 . . PUNCT ajlm-91 65 1 the the DET ajlm-91 65 2 alpha-2 alpha-2 PROPN ajlm-91 65 3 - - PUNCT ajlm-91 65 4 globulin globulin NOUN ajlm-91 65 5 / / SYM ajlm-91 65 6 alpha-1 alpha-1 NOUN ajlm-91 65 7 - - PUNCT ajlm-91 65 8 globulin globulin NOUN ajlm-91 65 9 ratios ratio NOUN ajlm-91 65 10 were be AUX ajlm-91 65 11 calculated calculate VERB ajlm-91 65 12 for for ADP ajlm-91 65 13 performed perform VERB ajlm-91 65 14 ifes ife NOUN ajlm-91 65 15 for for ADP ajlm-91 65 16 patients patient NOUN ajlm-91 65 17 with with ADP ajlm-91 65 18 and and CCONJ ajlm-91 65 19 without without ADP ajlm-91 65 20 hypogammaglobulinaemia hypogammaglobulinaemia NOUN ajlm-91 65 21 , , PUNCT ajlm-91 65 22 as as SCONJ ajlm-91 65 23 only only ADV ajlm-91 65 24 four four NUM ajlm-91 65 25 of of ADP ajlm-91 65 26 the the DET ajlm-91 65 27 43 43 NUM ajlm-91 65 28 patients patient NOUN ajlm-91 65 29 had have VERB ajlm-91 65 30 hypogammaglobulinaemia hypogammaglobulinaemia NOUN ajlm-91 65 31 . . PUNCT ajlm-91 66 1 the the DET ajlm-91 66 2 alpha-2 alpha-2 PROPN ajlm-91 66 3 - - PUNCT ajlm-91 66 4 globulin globulin NOUN ajlm-91 66 5 / / SYM ajlm-91 66 6 alpha-1 alpha-1 NOUN ajlm-91 66 7 - - PUNCT ajlm-91 66 8 globulin globulin NOUN ajlm-91 66 9 ratio ratio NOUN ajlm-91 66 10 mean mean NOUN ajlm-91 66 11 and and CCONJ ajlm-91 66 12 standard standard ADJ ajlm-91 66 13 deviation deviation NOUN ajlm-91 66 14 ( ( PUNCT ajlm-91 66 15 sd sd NOUN ajlm-91 66 16 ) ) PUNCT ajlm-91 66 17 for for ADP ajlm-91 66 18 all all DET ajlm-91 66 19 patients patient NOUN ajlm-91 66 20 with with ADP ajlm-91 66 21 positive positive ADJ ajlm-91 66 22 ifes ife NOUN ajlm-91 66 23 was be AUX ajlm-91 66 24 3.2 3.2 NUM ajlm-91 66 25 and and CCONJ ajlm-91 66 26 0.9 0.9 NUM ajlm-91 66 27 , , PUNCT ajlm-91 66 28 respectively respectively ADV ajlm-91 66 29 ; ; PUNCT ajlm-91 66 30 for for ADP ajlm-91 66 31 those those PRON ajlm-91 66 32 with with ADP ajlm-91 66 33 negative negative ADJ ajlm-91 66 34 ifes ife NOUN ajlm-91 66 35 , , PUNCT ajlm-91 66 36 the the DET ajlm-91 66 37 mean mean NOUN ajlm-91 66 38 was be AUX ajlm-91 66 39 3.58 3.58 NUM ajlm-91 66 40 ( ( PUNCT ajlm-91 66 41 sd sd ADP ajlm-91 66 42 1.0 1.0 NUM ajlm-91 66 43 ) ) PUNCT ajlm-91 66 44 . . PUNCT ajlm-91 67 1 student student NOUN ajlm-91 67 2 ’s ’s PART ajlm-91 67 3 t t PROPN ajlm-91 67 4 - - PUNCT ajlm-91 67 5 test test NOUN ajlm-91 67 6 revealed reveal VERB ajlm-91 67 7 no no DET ajlm-91 67 8 statistically statistically ADV ajlm-91 67 9 - - PUNCT ajlm-91 67 10 significant significant ADJ ajlm-91 67 11 difference difference NOUN ajlm-91 67 12 between between ADP ajlm-91 67 13 the the DET ajlm-91 67 14 two two NUM ajlm-91 67 15 groups group NOUN ajlm-91 67 16 ( ( PUNCT ajlm-91 67 17 p p NOUN ajlm-91 67 18 - - PUNCT ajlm-91 67 19 value value NOUN ajlm-91 67 20 = = NOUN ajlm-91 67 21 0.2 0.2 NUM ajlm-91 67 22 ) ) PUNCT ajlm-91 67 23 . . PUNCT ajlm-91 68 1 discussion discussion NOUN ajlm-91 68 2 top top PROPN ajlm-91 68 3 ↑ ↑ PROPN ajlm-91 68 4 this this DET ajlm-91 68 5 study study NOUN ajlm-91 68 6 revealed reveal VERB ajlm-91 68 7 that that SCONJ ajlm-91 68 8 only only ADV ajlm-91 68 9 a a DET ajlm-91 68 10 minority minority NOUN ajlm-91 68 11 of of ADP ajlm-91 68 12 clinicians clinician NOUN ajlm-91 68 13 request request VERB ajlm-91 68 14 immunofixations immunofixation NOUN ajlm-91 68 15 following follow VERB ajlm-91 68 16 laboratory laboratory NOUN ajlm-91 68 17 suggestion suggestion NOUN ajlm-91 68 18 for for ADP ajlm-91 68 19 follow follow VERB ajlm-91 68 20 - - PUNCT ajlm-91 68 21 up up ADP ajlm-91 68 22 testing testing NOUN ajlm-91 68 23 as as ADP ajlm-91 68 24 a a DET ajlm-91 68 25 result result NOUN ajlm-91 68 26 of of ADP ajlm-91 68 27 suspicious suspicious ADJ ajlm-91 68 28 spep spep NOUN ajlm-91 68 29 findings finding NOUN ajlm-91 68 30 . . PUNCT ajlm-91 69 1 the the DET ajlm-91 69 2 reasons reason NOUN ajlm-91 69 3 for for ADP ajlm-91 69 4 this this DET ajlm-91 69 5 need need NOUN ajlm-91 69 6 to to PART ajlm-91 69 7 be be AUX ajlm-91 69 8 investigated investigate VERB ajlm-91 69 9 further far ADV ajlm-91 69 10 , , PUNCT ajlm-91 69 11 but but CCONJ ajlm-91 69 12 there there PRON ajlm-91 69 13 are be VERB ajlm-91 69 14 several several ADJ ajlm-91 69 15 plausible plausible ADJ ajlm-91 69 16 explanations explanation NOUN ajlm-91 69 17 . . PUNCT ajlm-91 70 1 one one NUM ajlm-91 70 2 explanation explanation NOUN ajlm-91 70 3 may may AUX ajlm-91 70 4 be be AUX ajlm-91 70 5 that that SCONJ ajlm-91 70 6 not not PART ajlm-91 70 7 all all DET ajlm-91 70 8 clinicians clinician NOUN ajlm-91 70 9 , , PUNCT ajlm-91 70 10 particularly particularly ADV ajlm-91 70 11 junior junior ADJ ajlm-91 70 12 clinicians clinician NOUN ajlm-91 70 13 , , PUNCT ajlm-91 70 14 are be AUX ajlm-91 70 15 familiar familiar ADJ ajlm-91 70 16 with with ADP ajlm-91 70 17 the the DET ajlm-91 70 18 terms term NOUN ajlm-91 70 19 ' ' PUNCT ajlm-91 70 20 paraprotein paraprotein ADJ ajlm-91 70 21 ' ' PUNCT ajlm-91 70 22 and and CCONJ ajlm-91 70 23 ' ' PUNCT ajlm-91 70 24 immunofixation immunofixation NOUN ajlm-91 70 25 ' ' PUNCT ajlm-91 70 26 , , PUNCT ajlm-91 70 27 or or CCONJ ajlm-91 70 28 with with ADP ajlm-91 70 29 the the DET ajlm-91 70 30 implications implication NOUN ajlm-91 70 31 thereof thereof ADV ajlm-91 70 32 . . PUNCT ajlm-91 71 1 furthermore furthermore ADV ajlm-91 71 2 , , PUNCT ajlm-91 71 3 clinicians clinician NOUN ajlm-91 71 4 may may AUX ajlm-91 71 5 find find VERB ajlm-91 71 6 it it PRON ajlm-91 71 7 inconvenient inconvenient ADJ ajlm-91 71 8 to to PART ajlm-91 71 9 phone phone VERB ajlm-91 71 10 the the DET ajlm-91 71 11 laboratory laboratory NOUN ajlm-91 71 12 to to PART ajlm-91 71 13 request request VERB ajlm-91 71 14 the the DET ajlm-91 71 15 addition addition NOUN ajlm-91 71 16 of of ADP ajlm-91 71 17 an an DET ajlm-91 71 18 ife ife PROPN ajlm-91 71 19 test test NOUN ajlm-91 71 20 . . PUNCT ajlm-91 72 1 it it PRON ajlm-91 72 2 must must AUX ajlm-91 72 3 also also ADV ajlm-91 72 4 be be AUX ajlm-91 72 5 noted note VERB ajlm-91 72 6 that that SCONJ ajlm-91 72 7 requisition requisition NOUN ajlm-91 72 8 of of ADP ajlm-91 72 9 ife ife PROPN ajlm-91 72 10 testing testing NOUN ajlm-91 72 11 was be AUX ajlm-91 72 12 uncommon uncommon ADJ ajlm-91 72 13 amongst amongst ADP ajlm-91 72 14 all all DET ajlm-91 72 15 clinicians clinician NOUN ajlm-91 72 16 apart apart ADV ajlm-91 72 17 from from ADP ajlm-91 72 18 clinical clinical ADJ ajlm-91 72 19 haematologists haematologist NOUN ajlm-91 72 20 and and CCONJ ajlm-91 72 21 haematologist haematologist NOUN ajlm-91 72 22 - - PUNCT ajlm-91 72 23 oncologists oncologist NOUN ajlm-91 72 24 . . PUNCT ajlm-91 73 1 during during ADP ajlm-91 73 2 the the DET ajlm-91 73 3 study study NOUN ajlm-91 73 4 , , PUNCT ajlm-91 73 5 only only ADV ajlm-91 73 6 two two NUM ajlm-91 73 7 ifes ife NOUN ajlm-91 73 8 were be AUX ajlm-91 73 9 requested request VERB ajlm-91 73 10 by by ADP ajlm-91 73 11 general general ADJ ajlm-91 73 12 practitioners practitioner NOUN ajlm-91 73 13 / / SYM ajlm-91 73 14 clinicians clinician NOUN ajlm-91 73 15 from from ADP ajlm-91 73 16 other other ADJ ajlm-91 73 17 specialities.with specialities.with ADJ ajlm-91 73 18 regard regard NOUN ajlm-91 73 19 to to ADP ajlm-91 73 20 the the DET ajlm-91 73 21 above above ADJ ajlm-91 73 22 clinical clinical ADJ ajlm-91 73 23 practices practice NOUN ajlm-91 73 24 , , PUNCT ajlm-91 73 25 it it PRON ajlm-91 73 26 is be AUX ajlm-91 73 27 difficult difficult ADJ ajlm-91 73 28 to to PART ajlm-91 73 29 ascertain ascertain VERB ajlm-91 73 30 the the DET ajlm-91 73 31 baseline baseline ADJ ajlm-91 73 32 prevalence prevalence NOUN ajlm-91 73 33 of of ADP ajlm-91 73 34 monoclonal monoclonal NOUN ajlm-91 73 35 bands band NOUN ajlm-91 73 36 for for ADP ajlm-91 73 37 samples sample NOUN ajlm-91 73 38 received receive VERB ajlm-91 73 39 from from ADP ajlm-91 73 40 the the DET ajlm-91 73 41 general general ADJ ajlm-91 73 42 population population NOUN ajlm-91 73 43 . . PUNCT ajlm-91 74 1 no no DET ajlm-91 74 2 prevalence prevalence NOUN ajlm-91 74 3 data datum NOUN ajlm-91 74 4 exist exist VERB ajlm-91 74 5 for for ADP ajlm-91 74 6 the the DET ajlm-91 74 7 presence presence NOUN ajlm-91 74 8 of of ADP ajlm-91 74 9 monoclonal monoclonal NOUN ajlm-91 74 10 gammopathies gammopathy NOUN ajlm-91 74 11 in in ADP ajlm-91 74 12 the the DET ajlm-91 74 13 south south ADJ ajlm-91 74 14 african african ADJ ajlm-91 74 15 population population NOUN ajlm-91 74 16 . . PUNCT ajlm-91 75 1 van van PROPN ajlm-91 75 2 vuuren vuuren PROPN ajlm-91 75 3 et et PROPN ajlm-91 75 4 al al PROPN ajlm-91 75 5 . . PROPN ajlm-91 75 6 reported report VERB ajlm-91 75 7 a a DET ajlm-91 75 8 prevalence prevalence NOUN ajlm-91 75 9 of of ADP ajlm-91 75 10 3.2 3.2 NUM ajlm-91 75 11 % % NOUN ajlm-91 75 12 for for ADP ajlm-91 75 13 monoclonal monoclonal NOUN ajlm-91 75 14 gammopathies gammopathy NOUN ajlm-91 75 15 in in ADP ajlm-91 75 16 a a DET ajlm-91 75 17 group group NOUN ajlm-91 75 18 of of ADP ajlm-91 75 19 hiv hiv PROPN ajlm-91 75 20 - - PUNCT ajlm-91 75 21 infected infect VERB ajlm-91 75 22 patients patient NOUN ajlm-91 75 23 in in ADP ajlm-91 75 24 south south ADJ ajlm-91 75 25 africa.9 africa.9 PROPN ajlm-91 75 26 spep spep PROPN ajlm-91 75 27 , , PUNCT ajlm-91 75 28 ife ife PROPN ajlm-91 75 29 and and CCONJ ajlm-91 75 30 sflc sflc NOUN ajlm-91 75 31 have have AUX ajlm-91 75 32 been be AUX ajlm-91 75 33 recommended recommend VERB ajlm-91 75 34 as as ADP ajlm-91 75 35 screening screen VERB ajlm-91 75 36 tests test NOUN ajlm-91 75 37 for for ADP ajlm-91 75 38 plasma plasma NOUN ajlm-91 75 39 cell cell NOUN ajlm-91 75 40 disorders disorder NOUN ajlm-91 75 41 ( ( PUNCT ajlm-91 75 42 except except SCONJ ajlm-91 75 43 primary primary ADJ ajlm-91 75 44 amyloidosis amyloidosis NOUN ajlm-91 75 45 ) ) PUNCT ajlm-91 75 46 by by ADP ajlm-91 75 47 the the DET ajlm-91 75 48 international international ADJ ajlm-91 75 49 myeloma myeloma PROPN ajlm-91 75 50 working working NOUN ajlm-91 75 51 group group NOUN ajlm-91 75 52 . . PUNCT ajlm-91 76 1 in in ADP ajlm-91 76 2 his his PRON ajlm-91 76 3 study study NOUN ajlm-91 76 4 , , PUNCT ajlm-91 76 5 katzmann katzmann PROPN ajlm-91 76 6 reported report VERB ajlm-91 76 7 evidence evidence NOUN ajlm-91 76 8 to to PART ajlm-91 76 9 substantiate substantiate VERB ajlm-91 76 10 the the DET ajlm-91 76 11 use use NOUN ajlm-91 76 12 of of ADP ajlm-91 76 13 a a DET ajlm-91 76 14 simplified simplified ADJ ajlm-91 76 15 screening screen VERB ajlm-91 76 16 panel panel NOUN ajlm-91 76 17 for for ADP ajlm-91 76 18 mm mm PROPN ajlm-91 76 19 detection detection NOUN ajlm-91 76 20 , , PUNCT ajlm-91 76 21 consisting consist VERB ajlm-91 76 22 of of ADP ajlm-91 76 23 spep spep NOUN ajlm-91 76 24 and and CCONJ ajlm-91 76 25 sflc sflc VERB ajlm-91 76 26 alone.10 alone.10 PROPN ajlm-91 76 27 however however ADV ajlm-91 76 28 , , PUNCT ajlm-91 76 29 sflc sflc SCONJ ajlm-91 76 30 studies study NOUN ajlm-91 76 31 are be AUX ajlm-91 76 32 not not PART ajlm-91 76 33 currently currently ADV ajlm-91 76 34 available available ADJ ajlm-91 76 35 in in ADP ajlm-91 76 36 this this DET ajlm-91 76 37 setting setting NOUN ajlm-91 76 38 ; ; PUNCT ajlm-91 76 39 furthermore furthermore ADV ajlm-91 76 40 , , PUNCT ajlm-91 76 41 a a DET ajlm-91 76 42 large large ADJ ajlm-91 76 43 number number NOUN ajlm-91 76 44 of of ADP ajlm-91 76 45 patients patient NOUN ajlm-91 76 46 with with ADP ajlm-91 76 47 mgus mgus ADJ ajlm-91 76 48 were be AUX ajlm-91 76 49 missed miss VERB ajlm-91 76 50 in in ADP ajlm-91 76 51 the the DET ajlm-91 76 52 study study NOUN ajlm-91 76 53 by by ADP ajlm-91 76 54 katzmann katzmann PROPN ajlm-91 76 55 because because SCONJ ajlm-91 76 56 ifes ife NOUN ajlm-91 76 57 were be AUX ajlm-91 76 58 not not PART ajlm-91 76 59 performed perform VERB ajlm-91 76 60 for for ADP ajlm-91 76 61 these these DET ajlm-91 76 62 individuals.10 individuals.10 ADJ ajlm-91 76 63 worldwide worldwide ADV ajlm-91 76 64 , , PUNCT ajlm-91 76 65 different different ADJ ajlm-91 76 66 studies study NOUN ajlm-91 76 67 have have AUX ajlm-91 76 68 shown show VERB ajlm-91 76 69 the the DET ajlm-91 76 70 prevalence prevalence NOUN ajlm-91 76 71 of of ADP ajlm-91 76 72 mgus mgus ADJ ajlm-91 76 73 to to PART ajlm-91 76 74 range range VERB ajlm-91 76 75 from from ADP ajlm-91 76 76 1 1 NUM ajlm-91 76 77 % % NOUN ajlm-91 76 78 to to PART ajlm-91 76 79 10 10 NUM ajlm-91 76 80 % % NOUN ajlm-91 76 81 and and CCONJ ajlm-91 76 82 the the DET ajlm-91 76 83 prevalence prevalence NOUN ajlm-91 76 84 of of ADP ajlm-91 76 85 mm mm PROPN ajlm-91 76 86 to to PART ajlm-91 76 87 be be AUX ajlm-91 76 88 around around ADV ajlm-91 76 89 1 1 NUM ajlm-91 76 90 % % NOUN ajlm-91 76 91 of of ADP ajlm-91 76 92 all all DET ajlm-91 76 93 cancers cancer NOUN ajlm-91 76 94 diagnosed.11,12,13,14 diagnosed.11,12,13,14 PRON ajlm-91 76 95 in in ADP ajlm-91 76 96 view view NOUN ajlm-91 76 97 of of ADP ajlm-91 76 98 these these DET ajlm-91 76 99 data datum NOUN ajlm-91 76 100 , , PUNCT ajlm-91 76 101 this this DET ajlm-91 76 102 study study NOUN ajlm-91 76 103 ’s ’s PART ajlm-91 76 104 finding finding NOUN ajlm-91 76 105 of of ADP ajlm-91 76 106 the the DET ajlm-91 76 107 presence presence NOUN ajlm-91 76 108 of of ADP ajlm-91 76 109 monoclonal monoclonal NOUN ajlm-91 76 110 bands band NOUN ajlm-91 76 111 for for ADP ajlm-91 76 112 almost almost ADV ajlm-91 76 113 half half NOUN ajlm-91 76 114 of of ADP ajlm-91 76 115 those those DET ajlm-91 76 116 ifes ife NOUN ajlm-91 76 117 requested request VERB ajlm-91 76 118 following follow VERB ajlm-91 76 119 laboratory laboratory NOUN ajlm-91 76 120 suggestion suggestion NOUN ajlm-91 76 121 , , PUNCT ajlm-91 76 122 indicates indicate VERB ajlm-91 76 123 that that SCONJ ajlm-91 76 124 the the DET ajlm-91 76 125 prevalence prevalence NOUN ajlm-91 76 126 of of ADP ajlm-91 76 127 monoclonal monoclonal NOUN ajlm-91 76 128 bands band NOUN ajlm-91 76 129 in in ADP ajlm-91 76 130 patients patient NOUN ajlm-91 76 131 with with ADP ajlm-91 76 132 suspicious suspicious ADJ ajlm-91 76 133 spep spep NOUN ajlm-91 76 134 findings finding NOUN ajlm-91 76 135 is be AUX ajlm-91 76 136 greater great ADJ ajlm-91 76 137 than than ADP ajlm-91 76 138 what what PRON ajlm-91 76 139 would would AUX ajlm-91 76 140 be be AUX ajlm-91 76 141 found find VERB ajlm-91 76 142 in in ADP ajlm-91 76 143 the the DET ajlm-91 76 144 general general ADJ ajlm-91 76 145 population population NOUN ajlm-91 76 146 . . PUNCT ajlm-91 77 1 this this DET ajlm-91 77 2 highlights highlight VERB ajlm-91 77 3 the the DET ajlm-91 77 4 need need NOUN ajlm-91 77 5 for for ADP ajlm-91 77 6 reflective reflective ADJ ajlm-91 77 7 testing testing NOUN ajlm-91 77 8 and and CCONJ ajlm-91 77 9 the the DET ajlm-91 77 10 addition addition NOUN ajlm-91 77 11 of of ADP ajlm-91 77 12 reflective reflective ADJ ajlm-91 77 13 immunofixation immunofixation NOUN ajlm-91 77 14 by by ADP ajlm-91 77 15 the the DET ajlm-91 77 16 performing perform VERB ajlm-91 77 17 laboratory laboratory NOUN ajlm-91 77 18 for for ADP ajlm-91 77 19 suspicious suspicious ADJ ajlm-91 77 20 findings finding NOUN ajlm-91 77 21 on on ADP ajlm-91 77 22 spep spep PROPN ajlm-91 77 23 . . PUNCT ajlm-91 78 1 the the DET ajlm-91 78 2 results result NOUN ajlm-91 78 3 of of ADP ajlm-91 78 4 this this DET ajlm-91 78 5 study study NOUN ajlm-91 78 6 indicate indicate VERB ajlm-91 78 7 that that SCONJ ajlm-91 78 8 reflective reflective ADJ ajlm-91 78 9 testing testing NOUN ajlm-91 78 10 is be AUX ajlm-91 78 11 of of ADP ajlm-91 78 12 particular particular ADJ ajlm-91 78 13 importance importance NOUN ajlm-91 78 14 for for ADP ajlm-91 78 15 spep spep NOUN ajlm-91 78 16 requests request NOUN ajlm-91 78 17 from from ADP ajlm-91 78 18 clinicians clinician NOUN ajlm-91 78 19 who who PRON ajlm-91 78 20 are be AUX ajlm-91 78 21 not not PART ajlm-91 78 22 haematologists haematologist NOUN ajlm-91 78 23 . . PUNCT ajlm-91 79 1 this this DET ajlm-91 79 2 finding finding NOUN ajlm-91 79 3 is be AUX ajlm-91 79 4 of of ADP ajlm-91 79 5 particular particular ADJ ajlm-91 79 6 importance importance NOUN ajlm-91 79 7 because because SCONJ ajlm-91 79 8 the the DET ajlm-91 79 9 majority majority NOUN ajlm-91 79 10 of of ADP ajlm-91 79 11 patients patient NOUN ajlm-91 79 12 with with ADP ajlm-91 79 13 monoclonal monoclonal NOUN ajlm-91 79 14 gammopathies gammopathy NOUN ajlm-91 79 15 present present VERB ajlm-91 79 16 initially initially ADV ajlm-91 79 17 to to ADP ajlm-91 79 18 general general ADJ ajlm-91 79 19 practitioners practitioner NOUN ajlm-91 79 20 and and CCONJ ajlm-91 79 21 non non ADJ ajlm-91 79 22 - - ADJ ajlm-91 79 23 specialist specialist ADJ ajlm-91 79 24 clinicians.15 clinicians.15 PROPN ajlm-91 79 25 reflective reflective ADJ ajlm-91 79 26 testing testing NOUN ajlm-91 79 27 requires require VERB ajlm-91 79 28 input input NOUN ajlm-91 79 29 such such ADJ ajlm-91 79 30 as as ADP ajlm-91 79 31 clinical clinical ADJ ajlm-91 79 32 history history NOUN ajlm-91 79 33 in in ADP ajlm-91 79 34 order order NOUN ajlm-91 79 35 for for ADP ajlm-91 79 36 a a DET ajlm-91 79 37 test test NOUN ajlm-91 79 38 to to PART ajlm-91 79 39 be be AUX ajlm-91 79 40 added add VERB ajlm-91 79 41 . . PUNCT ajlm-91 80 1 the the DET ajlm-91 80 2 task task NOUN ajlm-91 80 3 is be AUX ajlm-91 80 4 made make VERB ajlm-91 80 5 more more ADV ajlm-91 80 6 difficult difficult ADJ ajlm-91 80 7 if if SCONJ ajlm-91 80 8 clinical clinical ADJ ajlm-91 80 9 histories history NOUN ajlm-91 80 10 are be AUX ajlm-91 80 11 not not PART ajlm-91 80 12 readily readily ADV ajlm-91 80 13 available available ADJ ajlm-91 80 14 at at ADP ajlm-91 80 15 the the DET ajlm-91 80 16 time time NOUN ajlm-91 80 17 of of ADP ajlm-91 80 18 test test NOUN ajlm-91 80 19 review review NOUN ajlm-91 80 20 . . PUNCT ajlm-91 81 1 the the DET ajlm-91 81 2 findings finding NOUN ajlm-91 81 3 indicated indicate VERB ajlm-91 81 4 that that SCONJ ajlm-91 81 5 clinical clinical ADJ ajlm-91 81 6 histories history NOUN ajlm-91 81 7 accompanied accompany VERB ajlm-91 81 8 only only ADV ajlm-91 81 9 53 53 NUM ajlm-91 81 10 % % NOUN ajlm-91 81 11 of of ADP ajlm-91 81 12 all all DET ajlm-91 81 13 speps spep NOUN ajlm-91 81 14 that that PRON ajlm-91 81 15 had have VERB ajlm-91 81 16 suspicious suspicious ADJ ajlm-91 81 17 findings finding NOUN ajlm-91 81 18 and and CCONJ ajlm-91 81 19 required require VERB ajlm-91 81 20 possible possible ADJ ajlm-91 81 21 reflective reflective ADJ ajlm-91 81 22 testing testing NOUN ajlm-91 81 23 . . PUNCT ajlm-91 82 1 these these DET ajlm-91 82 2 findings finding NOUN ajlm-91 82 3 correlate correlate VERB ajlm-91 82 4 with with ADP ajlm-91 82 5 another another DET ajlm-91 82 6 study study NOUN ajlm-91 82 7 , , PUNCT ajlm-91 82 8 which which PRON ajlm-91 82 9 showed show VERB ajlm-91 82 10 that that SCONJ ajlm-91 82 11 60 60 NUM ajlm-91 82 12 % % NOUN ajlm-91 82 13 of of ADP ajlm-91 82 14 laboratory laboratory NOUN ajlm-91 82 15 request request NOUN ajlm-91 82 16 forms form NOUN ajlm-91 82 17 did do AUX ajlm-91 82 18 not not PART ajlm-91 82 19 provide provide VERB ajlm-91 82 20 clinical clinical ADJ ajlm-91 82 21 information information NOUN ajlm-91 82 22 regarding regard VERB ajlm-91 82 23 diagnosis diagnosis NOUN ajlm-91 82 24 or or CCONJ ajlm-91 82 25 patient patient ADJ ajlm-91 82 26 clinical clinical ADJ ajlm-91 82 27 history history NOUN ajlm-91 82 28 ; ; PUNCT ajlm-91 82 29 however however ADV ajlm-91 82 30 , , PUNCT ajlm-91 82 31 the the DET ajlm-91 82 32 availability availability NOUN ajlm-91 82 33 of of ADP ajlm-91 82 34 clinical clinical ADJ ajlm-91 82 35 information information NOUN ajlm-91 82 36 in in ADP ajlm-91 82 37 this this DET ajlm-91 82 38 study study NOUN ajlm-91 82 39 was be AUX ajlm-91 82 40 higher high ADJ ajlm-91 82 41 than than SCONJ ajlm-91 82 42 reported report VERB ajlm-91 82 43 previously previously ADV ajlm-91 82 44 in in ADP ajlm-91 82 45 another another DET ajlm-91 82 46 south south ADJ ajlm-91 82 47 african african ADJ ajlm-91 82 48 referral referral NOUN ajlm-91 82 49 laboratory.16,17 laboratory.16,17 VERB ajlm-91 82 50 the the DET ajlm-91 82 51 lack lack NOUN ajlm-91 82 52 of of ADP ajlm-91 82 53 clinical clinical ADJ ajlm-91 82 54 information information NOUN ajlm-91 82 55 is be AUX ajlm-91 82 56 a a DET ajlm-91 82 57 significant significant ADJ ajlm-91 82 58 additional additional ADJ ajlm-91 82 59 issue issue NOUN ajlm-91 82 60 affecting affect VERB ajlm-91 82 61 interpretation interpretation NOUN ajlm-91 82 62 and and CCONJ ajlm-91 82 63 reflective reflective ADJ ajlm-91 82 64 testing testing NOUN ajlm-91 82 65 for for ADP ajlm-91 82 66 all all DET ajlm-91 82 67 laboratory laboratory NOUN ajlm-91 82 68 testing testing NOUN ajlm-91 82 69 . . PUNCT ajlm-91 83 1 further further ADJ ajlm-91 83 2 education education NOUN ajlm-91 83 3 of of ADP ajlm-91 83 4 healthcare healthcare NOUN ajlm-91 83 5 workers worker NOUN ajlm-91 83 6 with with ADP ajlm-91 83 7 regard regard NOUN ajlm-91 83 8 to to ADP ajlm-91 83 9 inclusion inclusion NOUN ajlm-91 83 10 of of ADP ajlm-91 83 11 clinical clinical ADJ ajlm-91 83 12 histories history NOUN ajlm-91 83 13 when when SCONJ ajlm-91 83 14 requesting request VERB ajlm-91 83 15 tests test NOUN ajlm-91 83 16 may may AUX ajlm-91 83 17 be be AUX ajlm-91 83 18 needed need VERB ajlm-91 83 19 . . PUNCT ajlm-91 84 1 this this DET ajlm-91 84 2 education education NOUN ajlm-91 84 3 should should AUX ajlm-91 84 4 ideally ideally ADV ajlm-91 84 5 start start VERB ajlm-91 84 6 with with ADP ajlm-91 84 7 undergraduate undergraduate ADJ ajlm-91 84 8 healthcare healthcare NOUN ajlm-91 84 9 worker worker NOUN ajlm-91 84 10 training training NOUN ajlm-91 84 11 but but CCONJ ajlm-91 84 12 should should AUX ajlm-91 84 13 continue continue VERB ajlm-91 84 14 as as ADP ajlm-91 84 15 part part NOUN ajlm-91 84 16 of of ADP ajlm-91 84 17 continued continue VERB ajlm-91 84 18 education education NOUN ajlm-91 84 19 and and CCONJ ajlm-91 84 20 communiqués communiqué NOUN ajlm-91 84 21 provided provide VERB ajlm-91 84 22 by by ADP ajlm-91 84 23 the the DET ajlm-91 84 24 laboratory laboratory NOUN ajlm-91 84 25 services service NOUN ajlm-91 84 26 , , PUNCT ajlm-91 84 27 particularly particularly ADV ajlm-91 84 28 to to ADP ajlm-91 84 29 medical medical ADJ ajlm-91 84 30 interns intern NOUN ajlm-91 84 31 , , PUNCT ajlm-91 84 32 phlebotomists phlebotomist NOUN ajlm-91 84 33 and and CCONJ ajlm-91 84 34 nurses nurse NOUN ajlm-91 84 35 . . PUNCT ajlm-91 85 1 another another DET ajlm-91 85 2 possible possible ADJ ajlm-91 85 3 method method NOUN ajlm-91 85 4 to to PART ajlm-91 85 5 promote promote VERB ajlm-91 85 6 provision provision NOUN ajlm-91 85 7 of of ADP ajlm-91 85 8 clinical clinical ADJ ajlm-91 85 9 histories history NOUN ajlm-91 85 10 could could AUX ajlm-91 85 11 be be AUX ajlm-91 85 12 through through ADP ajlm-91 85 13 utilisation utilisation NOUN ajlm-91 85 14 of of ADP ajlm-91 85 15 the the DET ajlm-91 85 16 laboratory laboratory NOUN ajlm-91 85 17 and and CCONJ ajlm-91 85 18 hospital hospital NOUN ajlm-91 85 19 information information NOUN ajlm-91 85 20 system system NOUN ajlm-91 85 21 to to PART ajlm-91 85 22 prevent prevent VERB ajlm-91 85 23 the the DET ajlm-91 85 24 complete complete ADJ ajlm-91 85 25 placement placement NOUN ajlm-91 85 26 of of ADP ajlm-91 85 27 a a DET ajlm-91 85 28 test test NOUN ajlm-91 85 29 order order NOUN ajlm-91 85 30 request request NOUN ajlm-91 85 31 if if SCONJ ajlm-91 85 32 a a DET ajlm-91 85 33 clinical clinical ADJ ajlm-91 85 34 history history NOUN ajlm-91 85 35 is be AUX ajlm-91 85 36 not not PART ajlm-91 85 37 provided provide VERB ajlm-91 85 38 . . PUNCT ajlm-91 86 1 in in ADP ajlm-91 86 2 order order NOUN ajlm-91 86 3 to to PART ajlm-91 86 4 assist assist VERB ajlm-91 86 5 with with ADP ajlm-91 86 6 the the DET ajlm-91 86 7 process process NOUN ajlm-91 86 8 of of ADP ajlm-91 86 9 reflective reflective ADJ ajlm-91 86 10 testing testing NOUN ajlm-91 86 11 for for ADP ajlm-91 86 12 spep spep PROPN ajlm-91 86 13 / / SYM ajlm-91 86 14 ife ife PROPN ajlm-91 86 15 , , PUNCT ajlm-91 86 16 the the DET ajlm-91 86 17 possible possible ADJ ajlm-91 86 18 use use NOUN ajlm-91 86 19 of of ADP ajlm-91 86 20 another another DET ajlm-91 86 21 parameter parameter NOUN ajlm-91 86 22 , , PUNCT ajlm-91 86 23 the the DET ajlm-91 86 24 alpha-2 alpha-2 NOUN ajlm-91 86 25 - - PUNCT ajlm-91 86 26 globulin globulin NOUN ajlm-91 86 27 / / SYM ajlm-91 86 28 alpha-1 alpha-1 NOUN ajlm-91 86 29 - - PUNCT ajlm-91 86 30 globulin globulin NOUN ajlm-91 86 31 ratio ratio NOUN ajlm-91 86 32 , , PUNCT ajlm-91 86 33 was be AUX ajlm-91 86 34 examined examine VERB ajlm-91 86 35 in in ADP ajlm-91 86 36 patients patient NOUN ajlm-91 86 37 with with ADP ajlm-91 86 38 and and CCONJ ajlm-91 86 39 without without ADP ajlm-91 86 40 hypogammaglobulinaemia hypogammaglobulinaemia NOUN ajlm-91 86 41 . . PUNCT ajlm-91 87 1 this this DET ajlm-91 87 2 parameter parameter NOUN ajlm-91 87 3 is be AUX ajlm-91 87 4 calculated calculate VERB ajlm-91 87 5 from from ADP ajlm-91 87 6 spep spep NOUN ajlm-91 87 7 densitometry densitometry NOUN ajlm-91 87 8 results result NOUN ajlm-91 87 9 and and CCONJ ajlm-91 87 10 thus thus ADV ajlm-91 87 11 requires require VERB ajlm-91 87 12 no no DET ajlm-91 87 13 added add VERB ajlm-91 87 14 cost cost NOUN ajlm-91 87 15 . . PUNCT ajlm-91 88 1 the the DET ajlm-91 88 2 findings finding NOUN ajlm-91 88 3 in in ADP ajlm-91 88 4 this this DET ajlm-91 88 5 population population NOUN ajlm-91 88 6 did do AUX ajlm-91 88 7 not not PART ajlm-91 88 8 show show VERB ajlm-91 88 9 any any DET ajlm-91 88 10 statistically statistically ADV ajlm-91 88 11 - - PUNCT ajlm-91 88 12 significant significant ADJ ajlm-91 88 13 correlation correlation NOUN ajlm-91 88 14 between between ADP ajlm-91 88 15 the the DET ajlm-91 88 16 ratio ratio NOUN ajlm-91 88 17 and and CCONJ ajlm-91 88 18 the the DET ajlm-91 88 19 presence presence NOUN ajlm-91 88 20 of of ADP ajlm-91 88 21 positive positive ADJ ajlm-91 88 22 ife ife PROPN ajlm-91 88 23 findings finding NOUN ajlm-91 88 24 . . PUNCT ajlm-91 89 1 the the DET ajlm-91 89 2 elevated elevated ADJ ajlm-91 89 3 ratio ratio NOUN ajlm-91 89 4 of of ADP ajlm-91 89 5 alpha-2 alpha-2 PROPN ajlm-91 89 6 - - PUNCT ajlm-91 89 7 globulin globulin NOUN ajlm-91 89 8 / / SYM ajlm-91 89 9 alpha-1 alpha-1 NOUN ajlm-91 89 10 - - PUNCT ajlm-91 89 11 globulin globulin NOUN ajlm-91 89 12 ratio ratio NOUN ajlm-91 89 13 may may AUX ajlm-91 89 14 still still ADV ajlm-91 89 15 have have VERB ajlm-91 89 16 a a DET ajlm-91 89 17 role role NOUN ajlm-91 89 18 in in ADP ajlm-91 89 19 patients patient NOUN ajlm-91 89 20 with with ADP ajlm-91 89 21 hypogammaglobulinaemia hypogammaglobulinaemia NOUN ajlm-91 89 22 , , PUNCT ajlm-91 89 23 as as SCONJ ajlm-91 89 24 described describe VERB ajlm-91 89 25 by by ADP ajlm-91 89 26 lakshminarayanan lakshminarayanan PROPN ajlm-91 89 27 et et PROPN ajlm-91 89 28 al al PROPN ajlm-91 89 29 . . PROPN ajlm-91 89 30 ,8 ,8 PUNCT ajlm-91 89 31 however however ADV ajlm-91 89 32 , , PUNCT ajlm-91 89 33 the the DET ajlm-91 89 34 findings finding NOUN ajlm-91 89 35 could could AUX ajlm-91 89 36 indicate indicate VERB ajlm-91 89 37 that that SCONJ ajlm-91 89 38 the the DET ajlm-91 89 39 ratio ratio NOUN ajlm-91 89 40 is be AUX ajlm-91 89 41 unlikely unlikely ADJ ajlm-91 89 42 to to PART ajlm-91 89 43 assist assist VERB ajlm-91 89 44 with with ADP ajlm-91 89 45 detection detection NOUN ajlm-91 89 46 of of ADP ajlm-91 89 47 a a DET ajlm-91 89 48 monoclonal monoclonal NOUN ajlm-91 89 49 protein protein NOUN ajlm-91 89 50 amongst amongst ADP ajlm-91 89 51 the the DET ajlm-91 89 52 population population NOUN ajlm-91 89 53 examined examine VERB ajlm-91 89 54 in in ADP ajlm-91 89 55 this this DET ajlm-91 89 56 study study NOUN ajlm-91 89 57 . . PUNCT ajlm-91 90 1 limitations limitation NOUN ajlm-91 90 2 of of ADP ajlm-91 90 3 the the DET ajlm-91 90 4 study study NOUN ajlm-91 90 5 the the DET ajlm-91 90 6 use use NOUN ajlm-91 90 7 of of ADP ajlm-91 90 8 a a DET ajlm-91 90 9 single single ADJ ajlm-91 90 10 pathologist pathologist NOUN ajlm-91 90 11 to to PART ajlm-91 90 12 report report VERB ajlm-91 90 13 on on ADP ajlm-91 90 14 speps spep NOUN ajlm-91 90 15 allows allow NOUN ajlm-91 90 16 for for ADP ajlm-91 90 17 greater great ADJ ajlm-91 90 18 consistency consistency NOUN ajlm-91 90 19 . . PUNCT ajlm-91 91 1 a a DET ajlm-91 91 2 potential potential ADJ ajlm-91 91 3 shortfall shortfall NOUN ajlm-91 91 4 of of ADP ajlm-91 91 5 this this DET ajlm-91 91 6 approach approach NOUN ajlm-91 91 7 is be AUX ajlm-91 91 8 the the DET ajlm-91 91 9 possibility possibility NOUN ajlm-91 91 10 of of ADP ajlm-91 91 11 overcalling overcalling NOUN ajlm-91 91 12 or or CCONJ ajlm-91 91 13 undercalling undercalling NOUN ajlm-91 91 14 of of ADP ajlm-91 91 15 suspicious suspicious ADJ ajlm-91 91 16 bands band NOUN ajlm-91 91 17 on on ADP ajlm-91 91 18 spep spep NOUN ajlm-91 91 19 by by ADP ajlm-91 91 20 the the DET ajlm-91 91 21 single single ADJ ajlm-91 91 22 pathologist pathologist NOUN ajlm-91 91 23 . . PUNCT ajlm-91 92 1 however however ADV ajlm-91 92 2 , , PUNCT ajlm-91 92 3 it it PRON ajlm-91 92 4 should should AUX ajlm-91 92 5 be be AUX ajlm-91 92 6 noted note VERB ajlm-91 92 7 that that SCONJ ajlm-91 92 8 almost almost ADV ajlm-91 92 9 half half NOUN ajlm-91 92 10 of of ADP ajlm-91 92 11 the the DET ajlm-91 92 12 suggested suggest VERB ajlm-91 92 13 ifes ife NOUN ajlm-91 92 14 requested request VERB ajlm-91 92 15 were be AUX ajlm-91 92 16 found find VERB ajlm-91 92 17 to to PART ajlm-91 92 18 be be AUX ajlm-91 92 19 positive positive ADJ ajlm-91 92 20 . . PUNCT ajlm-91 93 1 this this DET ajlm-91 93 2 finding finding NOUN ajlm-91 93 3 , , PUNCT ajlm-91 93 4 together together ADV ajlm-91 93 5 with with ADP ajlm-91 93 6 the the DET ajlm-91 93 7 poor poor ADJ ajlm-91 93 8 rate rate NOUN ajlm-91 93 9 of of ADP ajlm-91 93 10 ife ife PROPN ajlm-91 93 11 requisition requisition NOUN ajlm-91 93 12 following follow VERB ajlm-91 93 13 suggestion suggestion NOUN ajlm-91 93 14 , , PUNCT ajlm-91 93 15 substantiates substantiate VERB ajlm-91 93 16 the the DET ajlm-91 93 17 need need NOUN ajlm-91 93 18 for for ADP ajlm-91 93 19 reflective reflective ADJ ajlm-91 93 20 testing testing NOUN ajlm-91 93 21 for for ADP ajlm-91 93 22 spep spep PROPN ajlm-91 93 23 . . PUNCT ajlm-91 94 1 recommendations recommendation NOUN ajlm-91 94 2 further further ADJ ajlm-91 94 3 studies study NOUN ajlm-91 94 4 involving involve VERB ajlm-91 94 5 immunofixation immunofixation NOUN ajlm-91 94 6 should should AUX ajlm-91 94 7 be be AUX ajlm-91 94 8 performed perform VERB ajlm-91 94 9 for for ADP ajlm-91 94 10 all all DET ajlm-91 94 11 patients patient NOUN ajlm-91 94 12 with with ADP ajlm-91 94 13 suspicious suspicious ADJ ajlm-91 94 14 spep spep NOUN ajlm-91 94 15 . . PUNCT ajlm-91 95 1 conclusion conclusion NOUN ajlm-91 95 2 in in ADP ajlm-91 95 3 conclusion conclusion NOUN ajlm-91 95 4 , , PUNCT ajlm-91 95 5 both both CCONJ ajlm-91 95 6 the the DET ajlm-91 95 7 laboratory laboratory NOUN ajlm-91 95 8 and and CCONJ ajlm-91 95 9 the the DET ajlm-91 95 10 user user NOUN ajlm-91 95 11 need need VERB ajlm-91 95 12 to to PART ajlm-91 95 13 ensure ensure VERB ajlm-91 95 14 that that SCONJ ajlm-91 95 15 sufficient sufficient ADJ ajlm-91 95 16 clinical clinical ADJ ajlm-91 95 17 information information NOUN ajlm-91 95 18 is be AUX ajlm-91 95 19 provided provide VERB ajlm-91 95 20 to to PART ajlm-91 95 21 optimise optimise VERB ajlm-91 95 22 reflective reflective ADJ ajlm-91 95 23 testing testing NOUN ajlm-91 95 24 in in ADP ajlm-91 95 25 a a DET ajlm-91 95 26 resource resource NOUN ajlm-91 95 27 - - PUNCT ajlm-91 95 28 limited limit VERB ajlm-91 95 29 environment environment NOUN ajlm-91 95 30 . . PUNCT ajlm-91 96 1 acknowledgements acknowledgement NOUN ajlm-91 96 2 top top ADJ ajlm-91 96 3 ↑ ↑ NOUN ajlm-91 96 4 we we PRON ajlm-91 96 5 would would AUX ajlm-91 96 6 like like VERB ajlm-91 96 7 to to PART ajlm-91 96 8 acknowledge acknowledge VERB ajlm-91 96 9 the the DET ajlm-91 96 10 laboratory laboratory NOUN ajlm-91 96 11 technologists technologist NOUN ajlm-91 96 12 at at ADP ajlm-91 96 13 ialch ialch PROPN ajlm-91 96 14 who who PRON ajlm-91 96 15 performed perform VERB ajlm-91 96 16 the the DET ajlm-91 96 17 electrophoresis electrophoresis NOUN ajlm-91 96 18 testing testing NOUN ajlm-91 96 19 that that PRON ajlm-91 96 20 made make VERB ajlm-91 96 21 this this DET ajlm-91 96 22 study study NOUN ajlm-91 96 23 feasible feasible ADJ ajlm-91 96 24 . . PUNCT ajlm-91 97 1 competing compete VERB ajlm-91 97 2 interests interest NOUN ajlm-91 97 3 the the DET ajlm-91 97 4 authors author NOUN ajlm-91 97 5 declare declare VERB ajlm-91 97 6 that that SCONJ ajlm-91 97 7 they they PRON ajlm-91 97 8 have have VERB ajlm-91 97 9 no no DET ajlm-91 97 10 financial financial ADJ ajlm-91 97 11 or or CCONJ ajlm-91 97 12 personal personal ADJ ajlm-91 97 13 relationship(s relationship(s NOUN ajlm-91 97 14 ) ) PUNCT ajlm-91 97 15 that that PRON ajlm-91 97 16 may may AUX ajlm-91 97 17 have have AUX ajlm-91 97 18 inappropriately inappropriately ADV ajlm-91 97 19 influenced influence VERB ajlm-91 97 20 them they PRON ajlm-91 97 21 in in ADP ajlm-91 97 22 writing write VERB ajlm-91 97 23 this this DET ajlm-91 97 24 article article NOUN ajlm-91 97 25 . . PUNCT ajlm-91 98 1 authors author NOUN ajlm-91 98 2 ’ ' PUNCT ajlm-91 98 3 contributions contribution NOUN ajlm-91 98 4 v.g v.g PROPN ajlm-91 98 5 . . PUNCT ajlm-91 99 1 ( ( PUNCT ajlm-91 99 2 inkosi inkosi PROPN ajlm-91 99 3 albert albert PROPN ajlm-91 99 4 luthuli luthuli PROPN ajlm-91 99 5 central central PROPN ajlm-91 99 6 hospital hospital NOUN ajlm-91 99 7 ; ; PUNCT ajlm-91 99 8 nelson nelson PROPN ajlm-91 99 9 r r PROPN ajlm-91 99 10 mandela mandela PROPN ajlm-91 99 11 school school NOUN ajlm-91 99 12 of of ADP ajlm-91 99 13 medicine medicine NOUN ajlm-91 99 14 ) ) PUNCT ajlm-91 99 15 conceived conceive VERB ajlm-91 99 16 of of ADP ajlm-91 99 17 the the DET ajlm-91 99 18 study study NOUN ajlm-91 99 19 and and CCONJ ajlm-91 99 20 y.r y.r PROPN ajlm-91 99 21 . . PUNCT ajlm-91 100 1 ( ( PUNCT ajlm-91 100 2 inkosi inkosi PROPN ajlm-91 100 3 albert albert PROPN ajlm-91 100 4 luthuli luthuli PROPN ajlm-91 100 5 central central PROPN ajlm-91 100 6 hospital hospital NOUN ajlm-91 100 7 ; ; PUNCT ajlm-91 100 8 nelson nelson PROPN ajlm-91 100 9 r r PROPN ajlm-91 100 10 mandela mandela PROPN ajlm-91 100 11 school school NOUN ajlm-91 100 12 of of ADP ajlm-91 100 13 medicine medicine NOUN ajlm-91 100 14 ) ) PUNCT ajlm-91 100 15 collected collect VERB ajlm-91 100 16 the the DET ajlm-91 100 17 data datum NOUN ajlm-91 100 18 , , PUNCT ajlm-91 100 19 which which PRON ajlm-91 100 20 both both DET ajlm-91 100 21 authors author NOUN ajlm-91 100 22 analysed analyse VERB ajlm-91 100 23 . . PUNCT ajlm-91 101 1 v.g v.g AUX ajlm-91 101 2 . . PROPN ajlm-91 101 3 prepared prepare VERB ajlm-91 101 4 the the DET ajlm-91 101 5 draft draft NOUN ajlm-91 101 6 manuscript manuscript NOUN ajlm-91 101 7 and and CCONJ ajlm-91 101 8 both both DET ajlm-91 101 9 authors author NOUN ajlm-91 101 10 reviewed review VERB ajlm-91 101 11 the the DET ajlm-91 101 12 manuscript manuscript NOUN ajlm-91 101 13 . . PUNCT ajlm-91 102 1 references reference NOUN ajlm-91 102 2 top top VERB ajlm-91 102 3 ↑ ↑ PROPN ajlm-91 102 4 1.attaelmannan 1.attaelmannan NUM ajlm-91 102 5 a a NOUN ajlm-91 102 6 , , PUNCT ajlm-91 102 7 levinson levinson PROPN ajlm-91 102 8 ss ss PROPN ajlm-91 102 9 . . PUNCT ajlm-91 103 1 understanding understanding NOUN ajlm-91 103 2 and and CCONJ ajlm-91 103 3 identifying identify VERB ajlm-91 103 4 monoclonal monoclonal NOUN ajlm-91 103 5 gammopathies gammopathy NOUN ajlm-91 103 6 . . PUNCT ajlm-91 104 1 clinchem clinchem INTJ ajlm-91 104 2 . . PUNCT ajlm-91 105 1 2000;46(8 2000;46(8 NUM ajlm-91 105 2 pt pt NOUN ajlm-91 105 3 2):1230–1238.2.alexanian 2):1230–1238.2.alexanian NUM ajlm-91 105 4 r r NOUN ajlm-91 105 5 , , PUNCT ajlm-91 105 6 weber weber PROPN ajlm-91 105 7 d d PROPN ajlm-91 105 8 , , PUNCT ajlm-91 105 9 liu liu PROPN ajlm-91 105 10 f. f. PROPN ajlm-91 105 11 differential differential PROPN ajlm-91 105 12 diagnosis diagnosis NOUN ajlm-91 105 13 of of ADP ajlm-91 105 14 monoclonal monoclonal NOUN ajlm-91 105 15 gammopathies gammopathy NOUN ajlm-91 105 16 . . PUNCT ajlm-91 106 1 arch arch ADJ ajlm-91 106 2 pathol pathol NOUN ajlm-91 106 3 lab lab NOUN ajlm-91 106 4 med me VERB ajlm-91 106 5 . . PUNCT ajlm-91 107 1 1999;123(2):108–113 1999;123(2):108–113 NUM ajlm-91 107 2 . . PUNCT ajlm-91 107 3 3.jenkins 3.jenkins NUM ajlm-91 107 4 ma ma PROPN ajlm-91 107 5 . . PROPN ajlm-91 107 6 serum serum PROPN ajlm-91 107 7 and and CCONJ ajlm-91 107 8 urine urine NOUN ajlm-91 107 9 electrophoresis electrophoresis NOUN ajlm-91 107 10 for for ADP ajlm-91 107 11 detection detection NOUN ajlm-91 107 12 and and CCONJ ajlm-91 107 13 identification identification NOUN ajlm-91 107 14 of of ADP ajlm-91 107 15 monoclonal monoclonal NOUN ajlm-91 107 16 proteins protein NOUN ajlm-91 107 17 . . PUNCT ajlm-91 108 1 clin clin PROPN ajlm-91 108 2 biochem biochem PROPN ajlm-91 108 3 rev rev VERB ajlm-91 108 4 . . PROPN ajlm-91 108 5 2009;30(3):119–122 2009;30(3):119–122 NUM ajlm-91 108 6 . . PUNCT ajlm-91 109 1 4.katzmann 4.katzmann NUM ajlm-91 109 2 ja ja PROPN ajlm-91 109 3 , , PUNCT ajlm-91 109 4 stankowski stankowski ADJ ajlm-91 109 5 - - PUNCT ajlm-91 109 6 drengler drengler NOUN ajlm-91 109 7 tj tj PROPN ajlm-91 109 8 , , PUNCT ajlm-91 109 9 kyle kyle PROPN ajlm-91 109 10 ra ra PROPN ajlm-91 109 11 , , PUNCT ajlm-91 109 12 et et PROPN ajlm-91 109 13 al al PROPN ajlm-91 109 14 . . PROPN ajlm-91 109 15 specificity specificity NOUN ajlm-91 109 16 of of ADP ajlm-91 109 17 serum serum NOUN ajlm-91 109 18 and and CCONJ ajlm-91 109 19 urine urine NOUN ajlm-91 109 20 protein protein NOUN ajlm-91 109 21 electrophoresis electrophoresis NOUN ajlm-91 109 22 for for ADP ajlm-91 109 23 the the DET ajlm-91 109 24 diagnosis diagnosis NOUN ajlm-91 109 25 of of ADP ajlm-91 109 26 monoclonal monoclonal NOUN ajlm-91 109 27 gammopathies gammopathy NOUN ajlm-91 109 28 . . PUNCT ajlm-91 110 1 clin clin PROPN ajlm-91 110 2 chem chem NOUN ajlm-91 110 3 . . PUNCT ajlm-91 111 1 2010;56(12):1899–1900 2010;56(12):1899–1900 NUM ajlm-91 111 2 . . PUNCT ajlm-91 112 1 5.srivastava 5.srivastava NUM ajlm-91 112 2 r r NOUN ajlm-91 112 3 , , PUNCT ajlm-91 112 4 bartlett bartlett PROPN ajlm-91 112 5 wa wa PROPN ajlm-91 112 6 , , PUNCT ajlm-91 112 7 kennedy kennedy PROPN ajlm-91 112 8 i i PROPN ajlm-91 112 9 m m PROPN ajlm-91 112 10 , , PUNCT ajlm-91 112 11 et et PROPN ajlm-91 112 12 al al PROPN ajlm-91 112 13 . . PROPN ajlm-91 112 14 reflex reflex PROPN ajlm-91 112 15 and and CCONJ ajlm-91 112 16 reflective reflective ADJ ajlm-91 112 17 testing testing NOUN ajlm-91 112 18 : : PUNCT ajlm-91 112 19 efficiency efficiency NOUN ajlm-91 112 20 and and CCONJ ajlm-91 112 21 effectiveness effectiveness NOUN ajlm-91 112 22 of of ADP ajlm-91 112 23 adding add VERB ajlm-91 112 24 on on ADP ajlm-91 112 25 laboratory laboratory NOUN ajlm-91 112 26 tests test NOUN ajlm-91 112 27 . . PUNCT ajlm-91 113 1 ann ann PROPN ajlm-91 113 2 clin clin PROPN ajlm-91 113 3 biochem biochem PROPN ajlm-91 113 4 . . PUNCT ajlm-91 114 1 2010;47(pt 2010;47(pt PROPN ajlm-91 114 2 3):223–227 3):223–227 NUM ajlm-91 114 3 . . PUNCT ajlm-91 115 1 6.statistics 6.statistics NUM ajlm-91 115 2 south south PROPN ajlm-91 115 3 africa africa PROPN ajlm-91 115 4 . . PUNCT ajlm-91 116 1 south south ADJ ajlm-91 116 2 african african ADJ ajlm-91 116 3 statistics statistic NOUN ajlm-91 116 4 , , PUNCT ajlm-91 116 5 2009 2009 NUM ajlm-91 117 1 [ [ X ajlm-91 117 2 document document NOUN ajlm-91 117 3 on on ADP ajlm-91 117 4 the the DET ajlm-91 117 5 internet internet NOUN ajlm-91 117 6 ] ] PUNCT ajlm-91 117 7 . . PUNCT ajlm-91 118 1 c2009 c2009 NOUN ajlm-91 119 1 [ [ X ajlm-91 119 2 updated update VERB ajlm-91 119 3 2010 2010 NUM ajlm-91 119 4 jul jul NOUN ajlm-91 119 5 27 27 NUM ajlm-91 119 6 ; ; PUNCT ajlm-91 119 7 cited cite VERB ajlm-91 119 8 2012 2012 NUM ajlm-91 119 9 oct oct NOUN ajlm-91 119 10 23 23 NUM ajlm-91 119 11 ] ] PUNCT ajlm-91 119 12 . . PUNCT ajlm-91 120 1 available available ADJ ajlm-91 120 2 from from ADP ajlm-91 120 3 : : PUNCT ajlm-91 120 4 http://www.statssa.gov.za/publications/sastatistics/sastatistics2009.pdf http://www.statssa.gov.za/publications/sastatistics/sastatistics2009.pdf PROPN ajlm-91 120 5 7.bradwell 7.bradwell NUM ajlm-91 120 6 ar ar PROPN ajlm-91 120 7 . . PROPN ajlm-91 120 8 serum serum PROPN ajlm-91 120 9 free free ADJ ajlm-91 120 10 light light NOUN ajlm-91 120 11 chain chain NOUN ajlm-91 120 12 measurements measurement NOUN ajlm-91 120 13 move move VERB ajlm-91 120 14 to to ADP ajlm-91 120 15 center center NOUN ajlm-91 120 16 stage stage NOUN ajlm-91 120 17 . . PUNCT ajlm-91 121 1 clin clin PROPN ajlm-91 121 2 chem chem PROPN ajlm-91 121 3 . . PUNCT ajlm-91 122 1 2005;51(5):805–807 2005;51(5):805–807 NUM ajlm-91 122 2 . . NOUN ajlm-91 122 3 8.lakshminarayanan 8.lakshminarayanan NUM ajlm-91 122 4 r r NOUN ajlm-91 122 5 , , PUNCT ajlm-91 122 6 li li PROPN ajlm-91 122 7 y y PROPN ajlm-91 122 8 , , PUNCT ajlm-91 122 9 janatpour janatpour PROPN ajlm-91 122 10 k k NOUN ajlm-91 122 11 , , PUNCT ajlm-91 122 12 et et PROPN ajlm-91 122 13 al al PROPN ajlm-91 122 14 . . PUNCT ajlm-91 122 15 detection detection NOUN ajlm-91 122 16 by by ADP ajlm-91 122 17 immunofixation immunofixation NOUN ajlm-91 122 18 of of ADP ajlm-91 122 19 m m PROPN ajlm-91 122 20 proteins protein NOUN ajlm-91 122 21 in in ADP ajlm-91 122 22 hypogammaglobulinemic hypogammaglobulinemic ADJ ajlm-91 122 23 patients patient NOUN ajlm-91 122 24 with with ADP ajlm-91 122 25 normal normal ADJ ajlm-91 122 26 serum serum NOUN ajlm-91 122 27 protein protein NOUN ajlm-91 122 28 electrophoresis electrophoresis NOUN ajlm-91 122 29 results result NOUN ajlm-91 122 30 . . PUNCT ajlm-91 123 1 am be AUX ajlm-91 123 2 j j PROPN ajlm-91 123 3 clin clin PROPN ajlm-91 123 4 pathol pathol NOUN ajlm-91 123 5 . . PUNCT ajlm-91 124 1 2007;127(5):746–751 2007;127(5):746–751 NUM ajlm-91 124 2 . . PUNCT ajlm-91 125 1 9.van 9.van PROPN ajlm-91 125 2 vuuren vuuren PROPN ajlm-91 125 3 mj mj PROPN ajlm-91 125 4 , , PUNCT ajlm-91 125 5 zemlin zemlin PROPN ajlm-91 125 6 ae ae PROPN ajlm-91 125 7 , , PUNCT ajlm-91 125 8 germishuys germishuy VERB ajlm-91 125 9 jj jj PROPN ajlm-91 125 10 . . PROPN ajlm-91 125 11 monoclonal monoclonal NOUN ajlm-91 125 12 gammopathy gammopathy ADJ ajlm-91 125 13 and and CCONJ ajlm-91 125 14 other other ADJ ajlm-91 125 15 serum serum NOUN ajlm-91 125 16 protein protein NOUN ajlm-91 125 17 electrophoresis electrophoresis NOUN ajlm-91 125 18 patterns pattern NOUN ajlm-91 125 19 in in ADP ajlm-91 125 20 patients patient NOUN ajlm-91 125 21 with with ADP ajlm-91 125 22 hiv hiv PROPN ajlm-91 125 23 infection infection NOUN ajlm-91 125 24 in in ADP ajlm-91 125 25 south south PROPN ajlm-91 125 26 africa africa PROPN ajlm-91 125 27 . . PUNCT ajlm-91 126 1 ann ann PROPN ajlm-91 126 2 clin clin PROPN ajlm-91 126 3 biochem biochem PROPN ajlm-91 126 4 . . PUNCT ajlm-91 127 1 2010;47(pt 2010;47(pt PROPN ajlm-91 127 2 4):366–374 4):366–374 PROPN ajlm-91 127 3 . . PUNCT ajlm-91 128 1 10.katzmann 10.katzmann NUM ajlm-91 129 1 ja ja AUX ajlm-91 129 2 . . PUNCT ajlm-91 129 3 screening screen VERB ajlm-91 129 4 panels panel NOUN ajlm-91 129 5 for for ADP ajlm-91 129 6 monoclonal monoclonal NOUN ajlm-91 129 7 gammopathies gammopathy NOUN ajlm-91 129 8 : : PUNCT ajlm-91 129 9 time time NOUN ajlm-91 129 10 to to PART ajlm-91 129 11 change change VERB ajlm-91 129 12 . . PUNCT ajlm-91 130 1 clin clin PROPN ajlm-91 130 2 biochem biochem PROPN ajlm-91 130 3 rev rev VERB ajlm-91 130 4 . . PUNCT ajlm-91 131 1 2009;30(3):105–111 2009;30(3):105–111 NUM ajlm-91 131 2 . . PUNCT ajlm-91 132 1 11.kyle 11.kyle NUM ajlm-91 132 2 ra ra PROPN ajlm-91 132 3 , , PUNCT ajlm-91 132 4 therneau therneau PROPN ajlm-91 132 5 tm tm PROPN ajlm-91 132 6 , , PUNCT ajlm-91 132 7 rajkumar rajkumar PROPN ajlm-91 132 8 sv sv PROPN ajlm-91 132 9 , , PUNCT ajlm-91 132 10 et et PROPN ajlm-91 132 11 al al PROPN ajlm-91 132 12 . . PUNCT ajlm-91 133 1 prevalence prevalence NOUN ajlm-91 133 2 of of ADP ajlm-91 133 3 monoclonal monoclonal NOUN ajlm-91 133 4 gammopathy gammopathy ADJ ajlm-91 133 5 of of ADP ajlm-91 133 6 undetermined undetermined ADJ ajlm-91 133 7 significance significance NOUN ajlm-91 133 8 . . PUNCT ajlm-91 134 1 n n PRON ajlm-91 134 2 engl engl PROPN ajlm-91 134 3 j j PROPN ajlm-91 134 4 med med PROPN ajlm-91 134 5 . . PUNCT ajlm-91 135 1 2006;354(13):1362–1369 2006;354(13):1362–1369 NUM ajlm-91 135 2 . . PUNCT ajlm-91 136 1 12.wadhera 12.wadhera NUM ajlm-91 136 2 rk rk NOUN ajlm-91 136 3 , , PUNCT ajlm-91 136 4 rajkumar rajkumar PROPN ajlm-91 136 5 sv sv PROPN ajlm-91 136 6 . . PUNCT ajlm-91 137 1 prevalence prevalence NOUN ajlm-91 137 2 of of ADP ajlm-91 137 3 monoclonal monoclonal NOUN ajlm-91 137 4 gammopathy gammopathy ADJ ajlm-91 137 5 of of ADP ajlm-91 137 6 undetermined undetermined ADJ ajlm-91 137 7 significance significance NOUN ajlm-91 137 8 : : PUNCT ajlm-91 137 9 a a DET ajlm-91 137 10 systematic systematic ADJ ajlm-91 137 11 review review NOUN ajlm-91 137 12 . . PUNCT ajlm-91 138 1 mayo mayo PROPN ajlm-91 138 2 clin clin PROPN ajlm-91 138 3 proc proc NOUN ajlm-91 138 4 . . PUNCT ajlm-91 139 1 2010;85(10):933–942 2010;85(10):933–942 NUM ajlm-91 139 2 . . PUNCT ajlm-91 140 1 13.onwah 13.onwah PROPN ajlm-91 140 2 al al PROPN ajlm-91 140 3 , , PUNCT ajlm-91 140 4 adeyemo adeyemo PROPN ajlm-91 140 5 ta ta PROPN ajlm-91 140 6 , , PUNCT ajlm-91 140 7 adediran adediran ADJ ajlm-91 140 8 a a PRON ajlm-91 140 9 , , PUNCT ajlm-91 140 10 et et PROPN ajlm-91 140 11 al al PROPN ajlm-91 140 12 . . PUNCT ajlm-91 140 13 prevalence prevalence NOUN ajlm-91 140 14 and and CCONJ ajlm-91 140 15 type type NOUN ajlm-91 140 16 of of ADP ajlm-91 140 17 monoclonal monoclonal NOUN ajlm-91 140 18 gammopathy gammopathy ADJ ajlm-91 140 19 of of ADP ajlm-91 140 20 undetermined undetermined ADJ ajlm-91 140 21 significance significance NOUN ajlm-91 140 22 in in ADP ajlm-91 140 23 an an DET ajlm-91 140 24 apparently apparently ADV ajlm-91 140 25 healthy healthy ADJ ajlm-91 140 26 nigerian nigerian ADJ ajlm-91 140 27 population population NOUN ajlm-91 140 28 : : PUNCT ajlm-91 140 29 a a DET ajlm-91 140 30 cross cross ADJ ajlm-91 140 31 sectional sectional ADJ ajlm-91 140 32 study study NOUN ajlm-91 140 33 . . PUNCT ajlm-91 141 1 bmc bmc ADJ ajlm-91 141 2 blood blood NOUN ajlm-91 141 3 disord disord NOUN ajlm-91 141 4 . . PUNCT ajlm-91 142 1 2012;12:7 2012;12:7 X ajlm-91 142 2 . . PUNCT ajlm-91 143 1 14.cancer 14.cancer NUM ajlm-91 143 2 research research NOUN ajlm-91 143 3 uk uk PROPN ajlm-91 143 4 . . PUNCT ajlm-91 144 1 myeloma myeloma PROPN ajlm-91 144 2 incidence incidence PROPN ajlm-91 144 3 statistics statistic NOUN ajlm-91 145 1 [ [ X ajlm-91 145 2 page page NOUN ajlm-91 145 3 on on ADP ajlm-91 145 4 the the DET ajlm-91 145 5 internet internet NOUN ajlm-91 145 6 ] ] PUNCT ajlm-91 145 7 . . PUNCT ajlm-91 146 1 c2012 c2012 NOUN ajlm-91 147 1 [ [ NOUN ajlm-91 147 2 updated update VERB ajlm-91 147 3 2012 2012 NUM ajlm-91 147 4 apr apr NOUN ajlm-91 147 5 13 13 NUM ajlm-91 147 6 ; ; PUNCT ajlm-91 147 7 cited cite VERB ajlm-91 147 8 2012 2012 NUM ajlm-91 147 9 oct oct NOUN ajlm-91 147 10 24 24 NUM ajlm-91 147 11 ] ] PUNCT ajlm-91 147 12 . . PUNCT ajlm-91 148 1 available available ADJ ajlm-91 148 2 from from ADP ajlm-91 148 3 : : PUNCT ajlm-91 148 4 http://www.cancerresearchuk.org/cancer-info/cancerstats/types/myeloma/incidence/uk-multiple-myeloma-incidence-statistics http://www.cancerresearchuk.org/cancer-info/cancerstats/types/myeloma/incidence/uk-multiple-myeloma-incidence-statistics PROPN ajlm-91 148 5 15.kariyawasan 15.kariyawasan NUM ajlm-91 148 6 cc cc PROPN ajlm-91 148 7 , , PUNCT ajlm-91 148 8 hughes hughes PROPN ajlm-91 148 9 da da PROPN ajlm-91 148 10 , , PUNCT ajlm-91 148 11 jayatillake jayatillake NOUN ajlm-91 148 12 mm mm PROPN ajlm-91 148 13 , , PUNCT ajlm-91 148 14 et et PROPN ajlm-91 148 15 al al PROPN ajlm-91 148 16 . . PUNCT ajlm-91 148 17 multiple multiple ADJ ajlm-91 148 18 myeloma myeloma PROPN ajlm-91 148 19 : : PUNCT ajlm-91 148 20 causes cause NOUN ajlm-91 148 21 and and CCONJ ajlm-91 148 22 consequences consequence NOUN ajlm-91 148 23 of of ADP ajlm-91 148 24 delay delay NOUN ajlm-91 148 25 in in ADP ajlm-91 148 26 diagnosis diagnosis NOUN ajlm-91 148 27 . . PUNCT ajlm-91 149 1 qjm qjm INTJ ajlm-91 149 2 . . PUNCT ajlm-91 150 1 2007;100(10):635–640 2007;100(10):635–640 NUM ajlm-91 150 2 . . PUNCT ajlm-91 151 1 16.chhillar 16.chhillar NUM ajlm-91 151 2 n n CCONJ ajlm-91 151 3 , , PUNCT ajlm-91 151 4 khurana khurana PROPN ajlm-91 151 5 s s PROPN ajlm-91 151 6 , , PUNCT ajlm-91 151 7 agarwal agarwal PROPN ajlm-91 151 8 r r PROPN ajlm-91 151 9 , , PUNCT ajlm-91 151 10 et et PROPN ajlm-91 151 11 al al PROPN ajlm-91 151 12 . . PROPN ajlm-91 151 13 effect effect NOUN ajlm-91 151 14 of of ADP ajlm-91 151 15 pre pre ADJ ajlm-91 151 16 - - ADJ ajlm-91 151 17 analytical analytical ADJ ajlm-91 151 18 errors error NOUN ajlm-91 151 19 on on ADP ajlm-91 151 20 quality quality NOUN ajlm-91 151 21 of of ADP ajlm-91 151 22 laboratory laboratory NOUN ajlm-91 151 23 medicine medicine NOUN ajlm-91 151 24 at at ADP ajlm-91 151 25 a a DET ajlm-91 151 26 neuropsychiatry neuropsychiatry PROPN ajlm-91 151 27 institute institute NOUN ajlm-91 151 28 in in ADP ajlm-91 151 29 north north PROPN ajlm-91 151 30 india india PROPN ajlm-91 151 31 . . PUNCT ajlm-91 152 1 indian indian PROPN ajlm-91 152 2 j j PROPN ajlm-91 152 3 clin clin PROPN ajlm-91 152 4 biochem biochem PROPN ajlm-91 152 5 . . PUNCT ajlm-91 153 1 2011 2011 NUM ajlm-91 153 2 ; ; PUNCT ajlm-91 153 3 26(1):46–49 26(1):46–49 NUM ajlm-91 153 4 . . PUNCT ajlm-91 154 1 17.nutt 17.nutt NUM ajlm-91 154 2 l l NOUN ajlm-91 154 3 , , PUNCT ajlm-91 154 4 zemlin zemlin PROPN ajlm-91 154 5 ae ae PROPN ajlm-91 154 6 , , PUNCT ajlm-91 154 7 erasmus erasmus PROPN ajlm-91 154 8 rt rt PROPN ajlm-91 154 9 . . PROPN ajlm-91 154 10 incomplete incomplete ADJ ajlm-91 154 11 laboratory laboratory NOUN ajlm-91 154 12 request request NOUN ajlm-91 154 13 forms form NOUN ajlm-91 154 14 : : PUNCT ajlm-91 154 15 the the DET ajlm-91 154 16 extent extent NOUN ajlm-91 154 17 and and CCONJ ajlm-91 154 18 impact impact NOUN ajlm-91 154 19 on on ADP ajlm-91 154 20 critical critical ADJ ajlm-91 154 21 results result NOUN ajlm-91 154 22 at at ADP ajlm-91 154 23 a a DET ajlm-91 154 24 tertiary tertiary ADJ ajlm-91 154 25 hospital hospital NOUN ajlm-91 154 26 in in ADP ajlm-91 154 27 south south PROPN ajlm-91 154 28 africa africa PROPN ajlm-91 154 29 . . PUNCT ajlm-91 155 1 ann ann PROPN ajlm-91 155 2 clin clin PROPN ajlm-91 155 3 biochem biochem PROPN ajlm-91 155 4 . . PUNCT ajlm-91 156 1 2008;45(pt 2008;45(pt PROPN ajlm-91 156 2 5):463–466 5):463–466 PROPN ajlm-91 156 3 . . PUNCT