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Background illumination and its effects on peripheral visual awareness for miners using cap lamps.

The effects on the detection of objects moving in the peripheral field of adding ambient illumination (giving an illuminance of 5 lux) to that provided by a miner's cap lamp were examined in simulated underground conditions. The results indicated that an object moving into the visual field was detected at a significantly wider angle with the 5 lux ambient illuminance than without it and that greater target reflectance also increased the range of peripheral vision.

Journal Article↗

Role of troponin I, myoglobin, and creatine kinase for the detection of early graft failure following coronary artery bypass grafting.

OBJECTIVE: The detection of early graft failure following coronary artery bypass grafting (CABG) enables immediate reintervention and may significantly limit myocardial damage, thus potentially improving outcome. To date, non-invasive indicators of early graft failure following coronary surgery are still of uncertain diagnostic value. METHODS: In a prospective study, patients following isolated CABG with a postoperative serum cardiac troponin I (cTnI) above 20 ng/ml or significant ECG-changes underwent acute repeat angiography. cTnI, myoglobin (Myo), and creatine kinase (CK) were measured preoperatively and at 1, 6, 12, and 24 h after aortic unclamping. Peak values of cTnI, Myo, CK and isoenzyme CK-MB were determined postoperatively. Receiver operating curves (ROC) for cTnI, Myo and CK/CK-MB were constructed at 6, 12, and 24 h after aortic unclamping to differentiate between patients with and without early graft failure. Based on these curves, the area under curve+/-standard deviation (AUC+/-SD), the sensitivity and specificity were calculated. RESULTS: Out of 2078 consecutive patients having undergone isolated CABG from January 2001 to April 2003, 55 fulfilled the inclusion criteria and underwent acute repeat angiography. Early graft failure was found in 35 patients (group 1), whereas 20 patients did not show graft failure (group 2). CTnI and Myo, but not CK and CK-MB levels were significantly increased in group 1 compared to group 2 at 12 and 24 h after aortic unclamping. ROC analysis of cTnI, Myo and CK/CK-MB indicated cTnI as the best discriminator between the groups with 21.5 ng/ml at 12 h (AUC, 0.82+/-0.06; sensitivity, 82%; specificity, 66%) and 33.4 ng/ml at 24 h (AUC, 0.95+/-0.03; sensitivity, 98%; specificity, 82%) and Myo with 887 microg/ml at 12 h (AUC, 0.72+/-0.07; sensitivity, 73%; specificity, 57%) after aortic unclamping. In contrast, CK/CK-MB as well as the appearance of ECG-changes could not separate between the groups. CONCLUSIONS: cTnI, but not Myo and CK served as a reliable marker for the identification of patients with early graft failure following CABG.

Aged↗

Detection of testosterone and estrogen receptors in the postmenopausal endometrium.

OBJECTIVE: To detect the presence of testosterone and estrogen receptors in the stroma and glandular epithelium in the malignant and non-malignant endometrium. METHODS: One hundred and forty-five consecutively-enrolled peri- or postmenopausal patients were submitted to diagnostic or operative hysteroscopy. These patients either had a history of abnormal uterine bleeding or they were asymptomatic with an endometrial echo greater than 4 mm. The presence of estrogen and testosterone receptors was determined in endometrial samples by immunohistochemistry, using monoclonal antibodies and a streptavidin-biotin peroxidase complex system with diamino benzidine as the chromogen. RESULTS: Testosterone receptors were detected mainly in the stroma in the non-malignant endometrial lesions and in the atypical glandular epithelium in cases of estrogen-positive endometrial carcinomas. CONCLUSIONS: The presence of testosterone receptors in estrogen receptor positive endometrial carcinomas may be involved in the mechanism of cell proliferation in these tumors. The strong staining reaction for testosterone receptors in the endometrial glands can be considered one of the features of invasive malignancy.

Adult↗

Invasive lobular carcinoma. Imaging features and clinical detection.

RATIONALE AND OBJECTIVES: Mammographic findings and method of detection of 52 cases of invasive lobular carcinoma (ILC), the second most common breast carcinoma, are reported. METHODS: Preoperative mammograms and clinical records of all patients with ILC not associated with a second mammary carcinoma (other than lobular carcinoma in situ) from 1979-1991 at the authors' institution were retrospectively reviewed. RESULTS: Abnormal mammographic findings were present in 48/52 (92%) and included irregular spiculated masses (33/52, 63%), asymmetric densities (7/52, 13%), architectural distortion (5/52, 10%), microcalcifications (2/52, 4%), and well circumscribed masses (1/52, 2%). The mean mammographic diameter was 2.1 cm. The tumor was most often best visualized in the craniocaudal projection. At the time of diagnosis, 54% of women had coexistent suggestive breast physical findings and 35% had metastatic carcinoma in axillary lymph nodes. CONCLUSIONS: The infrequency of microcalcifications in pure ILC may hinder mammographic detection and contrasts markedly with ductal carcinoma. Mammography and breast physical examination play complementary roles in the detection of ILC.

Adult↗

Early detection and treatment of screw loosening in triple pelvic osteotomy.

OBJECTIVE: To detect early screw loosening in triple pelvic osteotomy (TPO) and to evaluate the efficacy of retightening using fluoroscopic guidance and minimally invasive surgery to maintain acetabular alignment and achieve bone healing. STUDY DESIGN: Prospective clinical study. SAMPLE POPULATION: Sixteen dogs that had TPO. METHODS: Dogs (16) had TPO (21) by using pre-angled plates secured with 3.5 and 4.0 mm screws, with ischiatic or iliac cerclage, for osteosynthesis. In all but 1 TPO at least 1 screw was inserted into the sacral body (43 screws). The mean radiographic screw length inserted in the sacrum was 10.2 mm, and the mean percent sacral engagement was 22%. Dogs were examined clinically and radiographically immediately postoperatively, and at 10, 30, 60, and 90 days to evaluate screw position. Loose screws were retightened through stab incisions using fluoroscopy to locate the screw. RESULTS: TPO was performed without operative complications. At 10 days, 12 TPOs (57%; 11 dogs) had loose screws primarily located in the cranial aspect of the plate. This represented 20% (25) of the inserted screws. In 5 dogs, screw loosening resulted in medial rotation of the acetabular segment. All loose screws were retightened; 3 screws loosened again in 2 dogs and were detected at 60 days. However, the osteotomies healed with the planned acetabular rotation without further intervention. Screw tightening corrected the acetabular segment displacement. Screws correctly seated at 10 days did not subsequently loosen. Clinical and radiographic outcome was judged excellent in all dogs. CONCLUSION: Loose screws in TPO plates can be identified by 10 days postoperatively and retightened using fluoroscopic guidance to achieve acetabular realignment and healing without need for further surgery. CLINICAL RELEVANCE: Postoperative radiographic evaluation of screw position at 10 days after TPO is recommended to detect loose screws. Retightening loose screws should be considered as an alternative to TPO revision or confinement, especially in immature dogs.

Animals↗

Cumulative risk adjusted mortality chart for detecting changes in death rate: observational study of heart surgery.

OBJECTIVE: To detect changes in mortality after surgery, with allowance being made for variations in case mix. DESIGN: Observational study of postoperative mortality from January 1992 to August 1995. SETTING: Regional cardiothoracic unit. SUBJECTS: 3983 patients aged 16 and over who had open heart operations. MAIN OUTCOME MEASURES: Preoperative risk factors and postoperative mortality in hospital within 30 days were recorded for all surgical heart operations. Mortality was adjusted for case mix using a preoperative estimate of risk based on additive Parsonnet factors. The number of operations required for statistical power to detect a doubling of mortality was examined, and control limits at a nominal significance level of P=0.01 for detection of an adverse trend were determined. RESULTS: Total mortality of 7.0% was 26% below the Parsonnet predictor (P<0.0001). There was a highly significant variation in annual case mix (Parsonnet scores 8.7-10.6, P<0.0001). There was no significant variation in mortality after adjustment for case mix (odds ratio 1-1.5, P=0.18) with monitoring by calendar year. With continuous monitoring, however, nominal 99% control limits based on 16 expected deaths were crossed on two occasions. CONCLUSIONS: Hospital league tables for mortality from heart surgery will be of limited value because year to year differences in death rate can be large (odds ratio 1.5) even when the underlying risk or case mix does not change. Statistical quality control of a single series with adjustment for case mix is the only way to take into account recent performance when informing a patient of the risk of surgery at a particular hospital. If there is an increase in the number of deaths the chances of the next patient surviving surgery can be calculated from the last 16 deaths.

Adolescent↗

[Evaluation of red cell mean corpuscular volume and simple tube red cell osmotic fragility quantitative test in detection of thalassemia].

OBJECTIVE: To evaluate and compare the detection efficiency of red cell mean corpuscular volume(MCV) test against simple tube red cell osmotic fragility quantitative test(STROFQT) in diagnosis of thalassemia. METHODS: 1978 subjects (989 couples) were detected by both MCV test and STROFQT, 158 samples from subjects were tested by alpha,beta-thalassemia DNA polymerase chain reaction(PCR) and serum ferritin test. RESULTS: The positive rate (9.0%), sensitivity (98.9%) of MCV test were higher than those of STROFQT (8.1%, 88.6%) (P < 0.05). The specificity of MCV test showed no statistic significance compared with that of STROFQT (P > 0.05). CONCLUSION: Both MCV test and STROFQT served as helpful approaches in detection of thalassemia, MCV test shows better diagnostic efficiency for screening than STROFQT.

Adult↗

[Detection of telomerase activity in prostate needle-biopsy samples].

OBJECTIVE: To detect telomerase activity inprostate needle-biopsy samples and its role in diagnosis and prognosis of prostate cancer. METHODS: 20 tissue samples of prostate cancer tissues and 16 samples of adjacent tissues were obtained by needle-biopsy guided by transrectal B ultrasonography. 16 samples of benign prostatic hyperplasia tissues were obtained by prostatectomy and were confirmed pathologically. Telomerase activity was revealed by modified PCR-based telomeric repeat amplication protocol (TRAP)-silver staining assay. RESULTS: Telomerase activity was revealed in 18 cases of prostate cancer. In tissues adjacent to prostate cancer, telomerase activity was found in 7 of 11 cases of prostatic intraepithelial neoplasia (PIN), and in 2 of 5 cases of BPH. None of tissue samples from patients with BPH showed telomerase activity. CONCLUSIONS: Telomerase activity in prostate needle-biopsy samples might be an useful marker for detecting prostate cancer and biological malignancy.

Adenocarcinoma↗

[Mutation detection in ED1 gene in hypohidrotic ectodermal dysplasia (HED) families].

OBJECTIVE: To detect ED1 gene mutation in three hypohidrotic ectodermal dysplasia (HED) nuclear families. METHODS: Peripheral blood samples were obtained from three different families of hypohidrotic ectodermal dysplasia. Genomic DNA was extracted. Polymerase chain reaction, direct sequencing and restriction enzyme reaction were performed to identify the mutations. RESULTS: Different missense mutation in ED1 gene were found in each family: C412G, A1201G and C1375T. Two of the mutations had not been previously reported. CONCLUSION: Mutations in the ED1 gene are responsible for the phenotypes of HED of the patients in the family.

Ectodermal Dysplasia 1, Anhidrotic↗

[Detecting MTHFR gene mutation with a new approach: molecular beacons].

OBJECTIVE: To detect the methylenetetrahydrofolate reductase(MTHFR) gene C677T mutation with molecular beacon technique and assess the revant applicability. METHODS: A total of 228 samples were analyzed using molecular beacons which are oligonucleotide probes to become fluorescent upon hybridization. Wild-type molecular beacon and mutant beacon were designed to detect the genotypes of MTHFR gene. RESULTS: Analysis of the 228 samples indicated that there were three genotypes including 41 homozygous mutants, 113 heterozygous individuals and 74 wild-type individuals. Every sample was identified clearly. CONCLUSION: The present method, a closed-tube PCR/hybridization assay, is a simple, high-throughput and fast procedure that is fully automated for detecting gene mutation.

DNA Mutational Analysis↗

[Detection of endothelial nitric oxide synthase gene polymorphism in preeclampsia].

OBJECTIVE: To detect the relationship between endothelial nitric oxide synthase gene polymorphism and preeclampsia. METHODS: The study included the samples from 62 subjects (15 preeclampsia pregnant women with their infants and 16 normal pregnant women with their infants). Screening for the endothelial nitric oxide synthase gene polymorphism, the 27-bp repeat in intron 4 (eNOS4), was carried out by analysis of polymerase chain reaction and DNA sequencing. RESULTS: The frequency of the b allele (420 bp) in the 62 samples was 91.93%, the frequency of the a allele (393 bp) was 6.45%, and that of the c allele (447 bp) was 1.61%. The frequencies of eNOS 4 b/b, eNOS 4 a/b and eNOS4 c/b were 83.83%, 12.90% and 3.27%, respectively. There was no significant difference of eNOS4 polymorphism between the preeclampsia pregnant women and the normal pregnant women, between their infants, and between the preeclampsia pregnant women and their infants. CONCLUSION: The eNOS 4 polymorphism may be not associated with preeclampsia. Further studies are needed to confirm the eNOS gene polymorphism with preeclampsia.

Adult↗

[Detection of CD59(-) blood cells in patients with aplastic anemia].

OBJECTIVE: To detect paroxysmal nocturnal hemoglobinuria (PNH) clone in aplastic anemia (AA) patients. METHODS: Flow cytometric technique along with antibodies against CD59 was used to estimate the amount of GPI-P deficient cells, characteristic of PNH abnormalities. RESULTS: Among 23 cases of AA studied, 13 possessed no excessive percentage of CD59(-) cells in peripheral PMNs and RBCs. Eight of these 13 cases underwent bone marrow examination, and no increase of CD59(-) mononuclear cell (MNC) was found either. Three other AA patients had slightly increased amount (> 5%) of CD59(-) cells in both peripheral blood and bone marrow. In seven cases, percentages of CD59(-) cells were normal in peripheral RBCs and PMNs but increased in bone marrow MNCs. CONCLUSION: Measurement of CD59(-) cells in periperal blood and bone marrow by flow cytometry may serve as the best way of detecting PNH clone in AA, and thus could be used for the early diagnosis of AA-PNH syndrome.

Anemia, Aplastic↗

Performance of fly visual interneurons during object fixation.

Neurons involved in the processing of optic flow are usually analyzed using stimuli designed by the experimenter. However, in real life optic flow depends on locomotive behavior. We characterized the performance of motion-sensitive neurons in the visual system of the fly using optic flow as occurring in behavioral situations during object fixation. Optic flow generated by tethered flying flies in a flight simulator was subsequently replayed while recording the responses of two cell types in the fly's motion pathway presumably involved in the detection of objects and of deviations from a straight flight course, respectively. FD1b cells, which are representatives of the so-called figure-detection cells, responded very specifically to object motion. Although object selectivity of these cells is attributable to inhibition during large-field motion, the influence of background motion during object fixation was almost negligible. In contrast, the cells of the so-called horizontal system (HS cells) are most sensitive to background motion, as elicited during deviations of the animal from its course. During object fixation, the responses of HS cells depended on both object and background motion. The simulated distance of the background to the fly did not have a strong influence on the responses of either cell type. The specificity for detecting deviations from a straight course is enhanced by subtraction of the signals of HS cells in both halves of the brain. In contrast, the FD1b cells in the two halves of the brain need to interact in a nonlinear way to ensure efficient detection of objects.

Action Potentials↗

Object segmentation and recovery via neural oscillators implementing the similarity and prior knowledge gestalt rules.

Object recognition requires the solution of the binding and segmentation problems, i.e., grouping different features to achieve a coherent representation. Synchronization of neural activity in the gamma-band, associated with gestalt perception, has often been proposed as a putative mechanism to solve these problems, not only as to low-level processing, but also in higher cortical functions. In the present work, a network of Wilson-Cowan oscillators is used to segment simultaneous objects, and recover an object from partial or corrupted information, by implementing two gestalt rules: similarity and prior knowledge. The network consists of H different areas, each devoted to representation of a particular feature of the object, according to a topological organization. The similarity law is realized via lateral intra-area connections, arranged as a "Mexican-hat". Prior knowledge is realized via inter-area connections, which link properties belonging to a previously memorized object. A global inhibitor allows segmentation of several objects avoiding interference. Simulation results, performed using three simultaneous input objects, show that the network is able to detect an object even in difficult conditions (i.e., when some features are absent or shifted with respect to the original one). Moreover, the trade-off between sensitivity (capacity to detect true positives) and specificity (capacity to reject false positives) can be controlled acting on the extension of lateral synapses (i.e., on the level of accepted similarity). Finally, the network can also deal with correlated objects, i.e., objects which have some common features. Simulations performed using a different number of objects (2, 3, 4 or 5) suggest that the network is able to segment and recall up to four objects, but the oscillation frequency must increase, the lower the number of objects simultaneously present. The model, although quite simpler compared with neurophysiology, may represent a theoretical framework for the analysis of the relationships between object representation, memory, learning, and gamma-band activity. In particular, it extends previous studies on autoassociative memory since it exploits not only oscillatory dynamics, but also a topological organization of features.

Gestalt Theory↗

[Validity of AUDIT test for detection of disorders related with alcohol consumption in women].

BACKGROUND AND OBJECTIVE: Early detection of patients with alcohol problems is important in clinical practice. The AUDIT (Alcohol Use Disorders Identification Test) questionnaire is a valid tool for this aim, especially in the male population. The objective of this study was to validate how useful is this questionnaire in females patients and to assess their test cut-off point for the diagnosis of alcohol problems in women. PATIENTS AND METHOD: 414 woman were recruited in 2 health center and specialized center for addiction treatment. The AUDIT test and a semistructured interview (SCAN as gold standard) were performed to all patients. Internal consistency and criteria validity was assessed. RESULTS: Cronbach alpha was 0.93 (95% confidence interval [CI], 0.921-0.941). When the DSM-IV was taken as reference the most useful cut-off point was 6 points, with 89.6% (95% CI, 76.11-96.02) sensitivity and 95.07% (95% CI, 92.18-96.97) specificity. When CIE-10 was taken as reference the sensitivity was 89.58% (95% CI, 76.56-96.10) and the specificity was 95.33% (95% CI, 92.48-97.17). CONCLUSIONS: AUDIT is a questionnaire with good psychometrics properties and is valid for detecting dependence and risk alcohol consumption in women.

Adolescent↗

Vibro-acoustography: an imaging modality based on ultrasound-stimulated acoustic emission.

We describe theoretical principles of an imaging modality that uses the acoustic response of an object to a highly localized dynamic radiation force of an ultrasound field. In this method, named ultrasound-stimulated vibro-acoustography (USVA), ultrasound is used to exert a low-frequency (in kHz range) force on the object. In response, a portion of the object vibrates sinusoidally in a pattern determined by its viscoelastic properties. The acoustic emission field resulting from object vibration is detected and used to form an image that represents both the ultrasonic and low-frequency (kHz range) mechanical characteristics of the object. We report the relation between the emitted acoustic field and the incident ultrasonic pressure field in terms of object parameters. Also, we present the point-spread function of the imaging system. The experimental images in this report have a resolution of about 700 microm, high contrast, and high signal-to-noise ratio. USVA is sensitive enough to detect object motions on the order of nanometers. Possible applications include medical imaging and material evaluation.

Journal Article↗

Measurements of the effects of x-ray film--screen characteristics on threshold detectability of small low-contrast objects.

Experiments were performed to test threshold detectability of a small nylon bead radiographed with two different image receptors and under different scattering conditions. In another paper, the present authors predicted, on theoretical grounds, the visibility of small low-contrast objects radiographed in the presence of scattered radiation. The experiments discussed in this paper tested these predictions using an observer-testing method resulting in Receiver Operating Characteristic (ROC) curves. In addition to the rigidly controlled experiments from which the ROC curves were obtained, another experiment was performed in which a human phantom was used and the radiographs rated as to the visibility of small artificial lesions. By and large, the experiments confirmed the predictions made from the theoretical analysis, using visual contrast as a measure of detectability.

Absorptiometry, Photon↗

Ultrasonographic detection of single umbilical artery: a simple marker of fetal anomaly.

OBJECTIVE: To detect associated anomalies, karyotypes and perinatal prognosis of fetuses with single umbilical artery. METHOD: Fifteen fetuses who have single umbilical artery were evaluated in the obstetrical ultrasonography and medical genetics departments of Osmangazi University. RESULTS: Fifteen fetuses with single umbilical artery were detected during antenatal ultrasonographic examinations. Associated sonographic abnormalities include oligohydramnios (two), intrauterine growth retardation (one), renal agenesis (one), fetal ascites (one), diaphragmatic hernia (one), hydrocephalus (two), and meningomyelocele (one). Complications related to the pregnancy were pre-eclampsia in one case and abruptio placenta in another. Karyotype analysis was available in 11 cases and the only cytogenetic abnormality detected was trisomy 18 in one case. Two cases with hydrocephalus and single umbilical artery were delivered by cesarean section at 34 and 38 weeks, but both died (on the first and fifth days after birth). Five pregnancies were terminated because of intrauterine death (one), severe pre-eclampsia (one), cytogenetic abnormality (one), and multiple congenital anomalies associated with single umbilical artery (two) at 36, 27, 22, 26 and 29 weeks, respectively. Eight of the neonates who had no additional congenital or cytogenetic abnormality were completely normal at birth and during the neonatal period. Diagnoses were confirmed pathologically in all cases. CONCLUSION: Scanning the umbilical cord should be one of the essential parts of ultrasonographic examination. When single umbilical artery is detected, a detailed ultrasonographic examination is necessary to rule out associated abnormalities. We advise fetal karyotyping even when no additional pathology can be detected on ultrasonographic examination.

Abnormalities, Multiple↗