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Granulocyte-macrophage colony-stimulating factor corrects macrophage deficiencies, but not osteopetrosis, in the colony-stimulating factor-1-deficient op/op mouse.

The op mutation in the mouse is in the coding region of the colony-stimulating factor-1 (CSF-1) gene, prevents formation of biologically active factor, and, thus, results in generalized macrophage deficiency and, in osteopetrosis, secondary to deficiency of osteoclasts. Although a few macrophages and osteoclasts are present in these mutants, it was not clear whether the inability of endogenous granulocyte-macrophage CSF (GM-CSF) to compensate for the absence of CSF-1 was due to the limitations of biological activity of this molecule or to its inability to reach respective target populations. In this study, we examined whether sc GM-CSF in large doses (20-40 micrograms/mouse.day) for 3 weeks would correct some or all of the deficiencies observed in mutant mice. All organ macrophage populations tested (liver, spleen, thymus, marrow, pleural, and peritoneal cavity) were significantly increased, reaching levels exceeding those observed in normal mice. Restoration of peritoneal and pleural macrophage populations by sc GM-CSF is of particular interest, because it was not previously observed in op/op mice treated with sc CSF-1. In contrast, there was no indication of increased bone resorption, no appearance of osteoclasts, and no tooth eruption in response to GM-CSF treatment. These data suggest that GM-CSF is able to compensate for the absence of CSF-1 during macrophage formation, but is unable to play a similar role in osteoclast differentiation.

Animals↗

Interplay of platelet polymorphisms, risk factors, and von [corrected] Willebrand factor [corrected] in determining collagen-adenosine diphosphate PFA-100 results in patients with coronary artery disease.

Platelets play a pivotal role in thrombus formation in patients with coronary artery disease (CAD), since the high shear generated in the presence of severe coronary stenoses can increase platelet reactivity (PR) and trigger thrombogenesis. Several reports have suggested a functional effect of human platelet antigen (HPA)-1 and HPA-2 gene polymorphisms on PR. However, the true determinants of high-shear PR in CAD patients taking their usual medications are still incompletely understood. In 104 patients with stable CAD we analyzed the possible clinical, biochemical and genetic factors affecting high-shear PR, measured by the ex vivo platelet function analyzer (PFA-100) collagen-adenosine diphosphate method. In univariate analysis, a lower PR was associated with decreased plasma von Willebrand factor-ristocetin cofactor activity, increased blood levels of triglycerides, female sex, use of thienopyridines, lower platelet count, and HPA-1b carriership. All variables, except HPA-1b, remained associated with lower PR in multivariate analysis. However, the introduction in the model of the HPA-1 and HPA-2 genotypes as interaction terms led to a significant improvement in the prediction of PR, although the quantitative effect was small (about 3% improvement, P=0.046).Thus, in CAD patients, there seems to be only a mild effect of the platelet glycoprotein HPA-1 and HPA-2 polymorphisms on collagen-adenosine diphosphate-stimulated PR after the effect of well-established clinical and biochemical determinants are considered.

Adenosine Diphosphate↗

The wall correction factor for a spherical ionization chamber used in brachytherapy source calibration.

The effect of wall chamber attenuation and scattering is one of the most important corrections that must be determined when the linear interpolation method between two calibration factors of an ionization chamber is used. For spherical ionization chambers the corresponding correction factors A(w) have to be determined by a non-linear trend of the response as a function of the wall thickness. The Monte Carlo and experimental data here reported show that the A(w) factors obtained for an Exradin A4 chamber, used in the brachytherapy source calibration, in terms of reference air kerma rate, are up to 1.2% greater than the values obtained by the linear extrapolation method for the studied beam qualities. Using the Aw factors derived from Monte Carlo calculations, the accuracy of the calibration factor N(K,Ir) for the Exradin A4, obtained by the interpolation between two calibration factors, improves about 0.6%. The discrepancy between the new calculated factor and that obtained using the complete calibration curve of the ion-chamber and the 192Ir spectrum is only 0.1%.

Algorithms↗

[Simplified correction factor for the calculation of heart ventricle volume by angiography].

To measure cardiac volumes from the cineventriculographic silhouette, a calibration factor (fc) is needed to correct the X rays' distorsion and amplification. In the past, several methods have been described in order to obtain this fc, whose determination is often trouble-some, and time consuming, because of the necessity of planimetry, and calibration grid use. In this paper, we describe a method to calculate the fc: after RAO left ventriculography was obtained, a metalic sphere, whose diameter is well known, is filmed at the same incidence and distance of the left ventricle from the X ray tube and image intensifier. A good correlation was found when ventricular volumes estimated by the sphere, plannimetry of a grid, and ellipsoid axes measuring methods were compared (p less than 0.01). Methodology of the three procedures is being discussed and sphere method is recommended, because it avoids the grid use or planimetry performance and because it makes easier the fc determination.

Angiocardiography↗

Evaluation of electroacoustic test signals II: development and cross-validation of correction factors.

OBJECTIVE: To develop and cross-validate corrections for improving the match between amplified speech levels and frequency response measurements with hearing aids. DESIGN: Previously published correction approaches were reviewed. Two regression-based corrections and two nonregression corrections were developed from an existing database of hearing aid responses measured with clinically available test signals and speech (Scollie & Seewald, 2002). Corrections were evaluated on a second database of digital hearing aid responses for test signals and speech. The second data set was constructed specifically to challenge three hypothesized threats to the robustness of the corrections. RESULTS: The error for each signal (corrected and uncorrected) was calculated. Correction procedures produced a significant improvement in the match between predicted and measured aided levels of speech. Inclusion of compression-related variables provided small but significant improvements. Results generalized to the second data set. CONCLUSIONS: Correction procedures may be applied to improve the match between aided test signal levels and aided levels of speech.

Electric Stimulation↗

Orthotopic liver transplantation totally corrects factor IX deficiency in hemophilia B.

Orthotopic liver transplantation has been performed for a growing range of liver-based inborn errors of metabolism. Previous authors have documented that liver transplantation can reverse the coagulation defect of hemophilia A. In this article we report total correction of factor IX deficiency in a patient with hemophilia B and blood product-related liver disease. Intraoperative bleeding was not excessive, and the donor liver produced normal amounts of factor IX immediately.

Adolescent↗

Cytogenetic demonstration of a corrective factor in Bloom's syndrome.

Patients with Bloom's syndrome, an autosomal recessively inherited disorder, have a highly increased risk of developing early malignancies of various types. The chromosomes of such patients exhibit an enhanced rate of spontaneous sister chromatid exchange. Cocultivation of patients' fibroblasts (as responder cells) with fibroblasts from healthy donors or from patients with xeroderma pigmentosum or Fanconi's anaemia (as effector cells) produces a dose-dependent reduction in Bloom-specific sister chromatid exchange; however, Bloom heterozygotes exhibit a reduced corrective capacity. The reduction in Bloom-specific sister chromatid exchange is related to the presence of a soluble factor (m.w. 10 000-20 000) which is produced in culture by normal proliferating fibroblasts. This corrective factor might represent a cancer-protective principle that is defective in patients with Bloom's syndrome.

Bloom Syndrome↗

The effect of ambient pressure on well chamber response: experimental results with empirical correction factors.

For some air-communicating well-type chambers used for low-energy brachytherapy source assay, deviations from expected values of measured air kerma strength were observed at low pressures associated with high altitudes. This effect is consistent with an overcompensation by the air density correction to standard atmospheric temperature and pressure (P(TP)). This work demonstrates that the P(TP) correction does not fully compensate for the high altitude pressure effects that are seen with air-communicating chambers at low photon energies in the range of 20-100 keV. Deviations of up to 18% at a pressure corresponding to an approximate elevation of 8500 ft for photon energies of 20 keV are possible. For high-energy photons and for high-energy beta emitters in air-communicating chambers the P(TP) factor is applicable. As expected, the ambient pressure does not significantly affect the response of pressurized well chambers (within 1%) to either low- or high-energy photons. However, when used with beta emitters, pressurized chambers appear to exhibit a slight dependence on the ambient pressure. Using measured data, the response and correction factors were determined for three models of air-communicating well chambers for low-energy photon sources at various pressures corresponding to elevations above sea level. Monte Carlo calculations were also performed which were correlated with the experimental findings. A more complete study of the Monte Carlo calculations is presented in the accompanying paper, "The effect of ambient pressure on well chamber response: Monte Carlo calculated results for the HDR1000 Plus."

Artifacts↗

Current correction factors inadequately predict the relationship between transcutaneous (tc) and arterial PCO2 in sick neonates.

Despite widespread tcPCO2 monitoring the relationship between tcPCO2 and PaCO2 remains unclear. It has been assumed that after standard temperature correction, a constant metabolic factor can explain the elevation of tcPCO2 over PaCO2. Our data demonstrate a progressive increase in the difference between temperature corrected tcPCO2 and PaCO2 as PaCO2 increases. Thus a constant metabolic factor cannot account for the elevation of temperature corrected tcPCO2 over PaCO2. We speculate that as PaCO2 rises, CO2 production exceeds removal resulting in a progressive gradient between temperature corrected tcPCO2 and PaCO2.

Blood Gas Monitoring, Transcutaneous↗

MMPI-2 interpretation of patients with cerebrovascular disease: a correction factor.

The validity of the conventional Minnesota Multiphasic Personality Inventory (MMPI) interpretation as applied to neurologic patients has been increasingly questioned on the grounds of the test's psychiatric normative base and inclusion of items that may be sensitive to bona fide neurologic symptoms. This study used 110 patients with cerebrovascular disease (CVD) to (i) determine whether the 370-item pool of the MMPI-2 (abbreviated form) contains a unitary neurologic symptom factor, and (ii) devise a systematic approach to correct for patient endorsement of such items. Commonly endorsed items that differentiated the CVD sample from a group of normal adults were factor analyzed. Bona fide neurologic complaints (21 items) emerged as the major discriminative source of variance in the 370 MMPI-2 item pool that tends to inflate estimates of psychopathology (Scales 1, 2, 3, and 8), alter profile codes types, and potentially affect decision-making related to the diagnosis and treatment of CVD patients. Recommendations regarding a greater reliance upon content scales and the use of a corrective scoring key are discussed.

Journal Article↗

Autotaxin stimulates urokinase-type plasminogen activator expression through phosphoinositide 3-kinase-Akt-nuclear [corrected] factor kappa B signaling cascade in human melanoma cells.

Autotaxin, a lysophospholipase D producing lysophosphatidic acid, augments invasive and metastatic potential of tumor cells. Current investigations have focused on understanding the molecular mechanisms by which autotaxin regulates the expression of a major mediator of tumor invasion and metastasis, urokinase-type plasminogen activator (uPA) in human A2058 melanoma cells. Autotaxin induced uPA expression in a dose-dependent manner that was inhibited by pharmacological inhibitors for Gi (pertussis toxin), phosphoinositide 3-kinase (PI3K, LY294002), Akt inhibitor (AktI), proteosome activity and IkappaB phosphorylation (pyrrolidine dithiocarbamate), and by a dominant negative mutant (DN) of Akt. Autotaxin phosphorylated Akt and induced the translocation of nuclear [corrected] factor-kappaB (NF-kappaB) to the nucleus that were inhibited by AktI or by overexpressing DN-Akt. Consistently, green fluorescence protein-tagged p65 of NF-kappaB accumulated in the nucleus by autotaxin that was abrogated when the cells were transfected with DN-Akt. Moreover, autotaxin increased the DNA binding ability of NF-kappaB and promoter activity of uPA. Collectively, these data strongly suggest autotaxin induces uPA expression via the Gi-PI3K-Akt-NF-kappaB signaling pathway that might be critical for autotaxin-induced tumor cell invasion and metastasis.

Blotting, Western↗

Individualized correction factors in the preselection of hearing aids.

This study investigated three issues involving corrections for individual ear acoustics in hearing aid prescriptions: (a) the extent to which inconsistencies in the sound-field reference position can affect comparative corrections for the real-ear unaided response (REUR); (b) the extent to which individual variability in the real-ear-to-coupler level difference (RECD) supports the use of individual measurements as opposed to an average-ear estimate; and (c) the adequacy of using KEMAR estimates of the effects of the location of the hearing aid microphone. In Experiment 1, KEMAR REURs using over-the-ear and under-the-ear reference positions were compared with KEMAR REURs using a center-of-head reference position. Maximum differences of 4-9 dB were found in the 1500- to 5000-Hz range, depending on test conditions. In Experiment 2, the ear canal response of an insert earphone was compared to the 2-cc coupler response of the same earphone to calculate the RECD. Individual RECDs for a population of hearing aid candidates were compared to the RECD for KEMAR. For 8 of the 15 subjects (9 of 18 ears), the RECD was more than 4 dB different from KEMAR at two or more third-octave frequencies between 500 and 4000 Hz. In Experiment 3, the effect of the location of the hearing aid microphone for in-the-ear (ITE) and in-the-canal (ITC) locations was compared with the over-the-ear (OTE) location for 18 ears and for KEMAR. The effects varied across individual ears, but all ears and KEMAR showed positive gain in the high frequencies for the ITE and ITC locations. The relevance of these results to hearing aid prescription practices is discussed.

Adult↗

The role of platelet activating factor [correction of actor] in acute gastric injury and its protection by sucralfate.

Platelet activating factor, a potent inflammatory mediator, has been reported to induce gastrointestinal damage, whereas its inhibition or antagonism is associated with mucosal protection. The aim of the present study was to elucidate the association between acute experimental gastric damage and mucosal platelet activating factor generation in the rat, and to evaluate the protective effect of sucralfate in relation to mucosal platelet activating factor formation. Gastric damage in the rat was induced by either subcutaneous injection of indomethacin 30 mg/kg or intragastric administration of aspirin 100 mg/kg, hydrochloric acid 0.6 N, taurocholate 30 mM, ethanol 96%, or sodium chloride 25%. All agents induced a significant increase in mucosal platelet activating factor levels concomitantly with induction of mucosal damage. Pretreatment with sucralfate 150 mg/rat provided a significant macroscopic and microscopic mucosal protection in all experimental models. This protection was associated with a significant decrease in mucosal platelet activating factor level in the hydrochloric acid, taurocholate, ethanol and hyperosmolar sodium chloride treated rats, whereas it remained unchanged in the aspirin and indomethacin treated rats. The data imply that platelet activating factor may have a limited role in the pathogenesis of indomethacin or aspirin induced damage, where other mechanisms such as cyclooxygenase inhibition dominate. In the damage induced by topical strong irritants, platelet activating factor may have a major pathogenetic role.

Animals↗

Ciliary neurotrophic factor corrects obesity and diabetes associated with leptin deficiency and resistance.

Receptor subunits for the neurocytokine ciliary neurotrophic factor (CNTF) share sequence similarity with the receptor for leptin, an adipocyte-derived cytokine involved in body weight homeostasis. We report here that CNTF and leptin activate a similar pattern of STAT factors in neuronal cells, and that mRNAs for CNTF receptor subunits, similarly to the mRNA of leptin receptor, are localized in mouse hypothalamic nuclei involved in the regulation of energy balance. Systemic administration of CNTF or leptin led to rapid induction of the tis-11 primary response gene in the arcuate nucleus, suggesting that both cytokines can signal to hypothalamic satiety centers. Consistent with this idea, CNTF treatment of ob/ob mice, which lack functional leptin, was found to reduce the adiposity, hyperphagia, and hyperinsulinemia associated with leptin deficiency. Unlike leptin, CNTF also reduced obesity-related phenotypes in db/db mice, which lack functional leptin receptor, and in mice with diet-induced obesity, which are partially resistant to the actions of leptin. The identification of a cytokine-mediated anti-obesity mechanism that acts independently of the leptin system may help to develop strategies for the treatment of obesity associated with leptin resistance.

Animals↗

Lymphocyte-derived progesterone-induced blocking factor corrects resorption in a murine abortion system.

An anti-abortive effect of a progesterone-induced blocking factor has been shown in the CBA/J x DBA/2 abortion system. I.p. injections of pregnant mice on days 7.5, 9.5, and 11.5 of gestation with dialyzed supernatants from progesterone-treated murine pregnancy spleen cells (but not from control ones) significantly (P less than 0.01) reduced the resorption rate from 47.7% in the untreated animals to 20.7%.

Animals↗

Granulocyte colony-stimulating factor corrects the neutropenia associated with glycogen storage disease type Ib.

A young woman with glycogen storage disease, type Ib, and chronic neutropenia had severe recurrent infections. In a life-threatening situation, treatment with granulocyte colony-stimulating factor (G-CSF) resulted in the prompt correction of neutropenia. Subsequently, daily G-CSF therapy has allowed the maintenance of a normal neutrophil count and marked clinical improvement over a period of 18 months. The spectrum of neutropenic conditions which are responsive to G-CSF should include this inherited metabolic disorder.

Adult↗

Correction factor in Orbscan II in the assessment of corneal pachymetry.

PURPOSE: Comparison of corneal pachymetry assessment with ultrasound and Orbscan II using acoustic factor and subtraction methods. METHODS: Ultrasound and Orbscan pachymetry for all patients with LASIK performed between July 2002 and May 2003 were retrospectively analyzed. Comparison between the 2 preoperative measurements was analyzed. RESULTS: Using a custom acoustic factor of 0.93, there was no significant difference between the overall ultrasound and Orbscan pachymetry (P = 0.696). However, there was underestimation in thick corneas and overestimation in thin corneas. Using the subtraction method as the correcting technique, the magnitude of over- and underestimation was reduced. CONCLUSION: The current correction method by means of acoustic factor may result in error in assessing extremes of corneal thickness. Alternative approaches such as the subtraction method can be considered to achieve more accurate results.

Adult↗