SEARCH · Search PubMed

Results for “Records”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

SourceResearch connectionFrom yearThrough year

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 847 records · Page 47Linked to original sources

PubMed1978

Characterization of electrophysiological properties of intracellularly recorded neurons in the neocortex of awake cats: a comparison of the response to injected current in spike overshoot and undershoot neurons.

Intracellular recordings were obtained from 212 neurons of the coronal pericruciate cortex of 7 awake, untrained cats. Glass microelectrodes, filled with K+ citrate alone or K+ citrate with either cyclic GMP or 5'-GMP were used for recording and for injecting steady depolarizing and hyperpolarizing currents intracellularly. The effects of rectangular linearly rising (ramp) current pulses were also studied. Results were compared in spike overshoot* versus undershoot recordings. Spike overshoot recordings had action potentials (APs) larger than associated baseline shifts on penetration; undershoot recordings had APs smaller than associated baseline shifts on penetration. Undershoot recordings are more commonly encountered in mammalian neocortex than are overshoot recordings. (1) Except for sizes and slopes of APs and other effects consistent with the penetration of passive dendritic cables remote from regions of active spike initiation or propagation, no differences in response to current injection or in other electrophysiological properties were found between overshoot and undershoot recordings. (2) Injection of depolarizing currents produced de-reases in the amplitudes of APs, decreased rates of rise and fall of APs and increased frequencies of AP discharge. Injection of hyperpolarizing current produced slowing or cessation of AP discharge with little or only slight increases in AP amplitude when the resting potential was greater than 47 mV. (3) An effectively linear relationship was found between changes in AP size and the magnitude of weak injection depolarizing currents. This relationship provides a basis for measuring changes in cortical neuronal input resistance by the differential spike height method. (4) Most neurons showed little or no accommodative response to the injection of linearly rising, depolarizing currents. Simple or ceiling threshold-latency curves rather than minimal gradient curves were obtained in 83% of the cells in which ramp currents were injected. (5) Modal values of resting potentials between 47 and 53 mV, without increased rates of spontaneous discharge, indicate that most cells have a critical firing threshold near that reported for somatodendritic (SD) rather than initial segment (IS) generated spikes. The evidence suggests that undershoot recordings primarily reflect penetrations of passive dendritic regions rather than functional modification of neurocellular properties as a consequence of impalement.

Animals↗

PubMed1975

4-channel 24 hour cassette recorder for long-term EEG monitoring of ambulatory patients.

A 4-channel cassette recorder capable of continuously recording the EEG for 24 h on a C-120 cassette is currently in use at the Montreal Neurological Institute. We have done a limited study on 20 patients with over 2000 h of recording to evaluate the recording system, its limitations and its capabilities, and to develop methodology for its operations. The use of preamplifiers enables one to record the background EEG with a noise level of 3-5 muVpp on 4 channels continuously for 1 day. The electrodes can be hidden in the hair and the preamplifier under the collar, to allow the patient to carry on his normal activities at home and at work. Since the cassette and the batteries can be easily changed, the patient himself can prolong the recording for several days. The cassette can be played back as fast as 60 times on a Minograf EEG machine for compressed analysis or 20 times for more detailed write-out, to obtain a record equivalent to standard EEG recordings. The system was not designed to replace or compete with standard EEG recordings but when used on well defined clinical problems, or in specific research projects, it can enhance the diagnostic or research value of the EEG.

Ambulatory Care↗

PubMed1987

Recording compound action potentials from the optic nerve in man and monkeys.

Compound action potentials were recorded from the optic nerve in patients undergoing neurosurgical operations and in rhesus monkeys. The stimuli were short light flashes delivered by light-emitting diodes that were bonded to plastic contact lenses positioned on one or both eyes, and potentials were recorded simultaneously from electrodes placed on the scalp. Potentials recorded from the optic nerve in man have an initial small positive deflection, with a latency of about 45 msec, followed by a negativity with a latency of 60-70 msec. The wave form depends on the recording site on the optic nerve and, occasionally, oscillations with a frequency around 100 Hz were seen in the responses from the optic nerve. There was considerable individual variation in the shape and size of the recorded potentials, but most potentials recorded simultaneously from an electrode placed on Oz with a reference electrode on the forehead appeared as positive deflections with latencies of about 80 msec and, occasionally, with a small positivity with a latency of about 45 msec. Compound action potentials recorded from the optic nerve near the ocular globe in the rhesus monkey in response to similar light flashes appeared as negative deflections with latencies of about 17 msec. The potentials recorded at the chiasm appeared as initial positive deflections, with the latency of the earliest peak being about 35 msec, on which oscillations with frequencies of about 100-150 Hz occasionally could be seen. The recordings from electrodes placed on the scalp (Cz-Oz and Cz-shoulder) in the monkey showed a positive peak with a latency of about 65 msec.(ABSTRACT TRUNCATED AT 250 WORDS)

Action Potentials↗

PubMed1994

Should sleep EEG record always be performed after sleep deprivation?

Sleep deprivation (SD) is a known activator of epileptiform EEG activity in patients with epilepsy. In the workup of these patients, EEG recordings are performed following SD both in the awake state and during sleep. The latter significantly increases the duration and the cost of the examination; the specific yield of sleep tracing in single-session wake-sleep record after SD has not been evaluated in adult patients. Our study tried to answer this question, analyzing consecutive recordings of 76 adult patients who had an epileptiform abnormality in the SD record. Thirty-five of the patients were treated with antiepileptic drugs at the time of the study. After SD of 24-26 h, 1000-1500 mg of chloral hydrate were administered; an 18-channel standard awake EEG was performed, followed by 30 min sleep recording. Epileptiform activity was recorded in the wake part only in 7 (9%, 3 focal, 4 generalized); in 39 (51%) the activity was seen in both awake and sleep parts (21 focal, 5 focal with secondary generalization and 13 generalized); and in 30 (40%) it was found in the sleep part only (23 focal, 1 focal with secondary generalization and 6 generalized). Whenever epileptiform activity was apparent in both parts of the recording, its configuration and localization were identical in the sleep and the wake EEGs. This phenomenon was observed in both treated and untreated patients. In combined wake-sleep recording following SD in adults, sleep tracing may reveal epileptiform activity not demonstrated during the preceding wake EEG. However, if epileptiform activity appears already in the wake recording, subsequent sleep tracing may be redundant.

Adolescent↗

PubMed1996

Brain-stem auditory evoked potentials (BAEPs) from basal surface of temporal lobe recorded from chronic subdural electrodes.

BAEPs were recorded from the basal surface of the temporal lobe by subdural electrodes chronically implanted in 6 patients who were evaluated for surgical management of intractable partial seizures. Near-field recordings were obtained by recording between the subdural electrode closest and most distant to the brain-stem. Far-field recordings were obtained by recording between the subdural electrodes and an indifferent electrode over the spinal process of the seventh cervical vertebrae. The recordings were compared with standard ear-vertex recordings. After ipsilateral ear stimulation, the subdural electrode closest to the brain-stem recorded large amplitude waves I and II followed by less well-defined waves of longer latencies. Recordings to contralateral stimulation showed no clearly defined waves I and II and a large amplitude wave Vn. Waves III, IV, V, Vn and VI were of opposite polarity after ipsi- and contralateral stimulation. These findings indicate that waves I and II are generated ipsilaterally to the stimulation side, whereas wave Vn has a contralateral origin. Wave Vn may be generated in the brachium of the inferior colliculus, as suggested from dipole configuration studies. This conclusion is consistent with the classical anatomical observations that the supracollicular auditory pathways are predominantly crossed.

Acoustic Stimulation↗

PubMed1979

A comparison of extracellular and intracellular recording during extracellular microiontophoresis.

A technique is described in which a central recording microelectrode can be moved independently of a concentrically arranged multibarrelled electrode prepared for microiontophoresis. Recordings were made from cat spinal motoneurones during microiontophoretic applications of excitatory amino acids and biogenic amines with the central electrode placed first extracellularly and then intracellularly. Recording were also made from one of the iontophoretic barrels. Both intra- and extracellular electrodes were used to record action potential firing, the ventral root field (VRF) evoked by antidromic ventral root stimulation and the membrane potential (EM). They were also used to record 'focal potentials' evoked by the extracellular application of drugs to nearby neurones. The firing pattern evoked by extracellular iontophoretic applications of DL-homocysteate and glutamate was not altered significantly following impalement of the cell by the recording microelectrode. Excitatory amino acids usually caused a reduction of the VRF negative wave and evoked an additional late positive wave. These VRF changes recovered at the same rate as the extracellularly recorded, negative 'focal potentials' (Flatman and Lambert, 1979). Iontophoretic applications of biogenic amines caused small increases, small decreases, or no change of the VRF negative wave. Variable responses were also seen during intracellular recording: hyperpolarization, no response and, occasionally, depolarizations were recorded. It is concluded that, during the drug action, VRF changes are difficult to interpret and are a poor index of drug-evoked changes in neuronal excitability or EM.

Amino Acids↗

PubMed1994

Skin ERGs: their effectiveness in paediatric visual assessment, confounding factors, and comparison with ERGs recorded using various types of corneal electrode.

Comparison of scotopic and photopic ERGs recorded using a variety of ERG electrodes show that contact lens electrodes produce the largest ERGs, and these are about 30-50% larger compared with those recorded with foil or thread electrodes, which contact a smaller part of the cornea. Flash ERGs recorded from infra-orbital skin electrodes are about one eighth the size of those recorded with contact lens electrodes, and around one quarter the size of those recorded with foil or fibre corneal electrodes. Reliable ERGs can be obtained in young children from infra-orbital electrodes sited centrally, within 1 cm of the rim of the eyelid, when signal averaging is used. Stimulation under fully darkened laboratory conditions with red and dim blue flashes permit assessment of cone and rod function, respectively. Factors such the recording electrode position, electrode derivation, upward rotation of the eye, eyelid closure and markedly constricted pupils can degrade the skin ERG. There are strong diagnostic advantages in recording the VEP concurrently with the skin ERG, particularly in young children. Examples of recordings in Leber's amaurosis, delayed visual maturation, albinism, optic nerve hypoplasia, achromatopsia add X-linked congenital stationary nightblindness are shown to demonstrate how ERG/VEP recordings can help in distinguishing between these conditions.

Child↗

PubMedDate not supplied

The relationship between human long-latency somatosensory evoked potentials recorded from the cortical surface and from the scalp.

In scalp recordings, stimulation of the median nerve evokes a number of long-latency (40-300 msec) somatosensory evoked potentials (SEPs) whose neural origins are unknown. We attempted to infer the generators of these potentials by comparing them with SEPs recorded from the cortical surface or from within the brain. SEPs recorded from contralateral sensorimotor cortex can be characterized as "precentral," "postcentral," or "pericentral." The scalp-recorded P45, N60 and P100 potentials appear to correspond to the pericentral P50, N90 and P190 potentials and are probably generated mainly in contralateral area 1 of somatosensory cortex. The scalp-recorded N70-P70 appear to correspond to the precentral and postcentral N80-P80 and are generated mainly in contralateral area 3b of somatosensory cortex. The scalp-recorded N120-P120 appear to correspond to the intracranial N100-P100 and are probably generated bilaterally in the second somatosensory areas. N140 and P190 (the "vertex potentials") are probably generated bilaterally in the frontal lobes, including orbito-frontal, lateral and mesial (supplementary motor area) cortex. The supplementary sensory area probably generates long-latency SEPs, but preliminary recordings have yet to confirm this assumption. Most of the proposed correspondences are speculative because the different conditions under which scalp and intracranial recordings are obtained make comparison difficult. Human recordings using chronically implanted cortical surface electrodes, and monkey studies of SEPs which appear to be analogs of the human potentials, should provide better answers regarding the precise generators of human long-latency SEPs.

Adolescent↗

PubMed2005

Is ambulatory monitoring for "community-acquired" syncope economically attractive? A cost-effectiveness analysis of a randomized trial of external loop recorders versus Holter monitoring.

BACKGROUND: Out patient ambulatory monitoring is often performed in patients with syncope that present in the primary care setting to include or exclude an arrhythmia. The cost-effectiveness of 2 monitoring strategies was assessed in a prospective randomized trial. METHODS: One hundred patients referred for ambulatory monitoring with syncope or presyncope were randomized to a 1-month external loop recorder (n = 49) or 48-hour Holter monitor (n = 51). Patients were offered crossover if there was failed activation or no symptom recurrence. The primary end point was symptom-rhythm correlation during monitoring. Direct costs were calculated based on the 2003 Ontario Health Insurance Plan fee schedule, combined with calculation of labor, materials, service, and overhead for diagnostic testing and related equipment. RESULTS: Before enrollment, the cost of all previous health care resource use was USD 472 +/- USD 397 (range USD 21-USD 1965). In the loop recorder group, 63% of patients had symptom recurrence and successful activation, compared with 24% in the Holter group (P < .0001). The cost per Holter was USD 177.64, and per loop recorder, USD 533.56, with a similar cost per diagnosis with the 2 techniques. The incremental cost-effectiveness ratio of the loop recorder was USD 901.74 per extra successful diagnosis. A strategy of Holter followed by offered loop recorder trended toward lower cost than initial loop recorder followed by Holter (USD 481 +/- USD 267 vs USD 551 +/- USD 83, P = .08), but was associated with a lower overall diagnostic yield (49% vs 63%) and a resultant higher cost per diagnosis (USD 982 vs USD 871, P = .08). Bootstrapping suggested that 90% of incremental cost-effectiveness ratios were less than USD 1250. CONCLUSION: Despite the increased upfront cost of external loop recorders, the marked improvement in diagnostic yield offsets the cost. External loop recorders are an economically attractive alternative. First-line use of external loop recorders in patients with "community-acquired" syncope and presyncope should be considered to optimize diagnostic yield given its value.

Cost-Benefit Analysis↗

PubMed2004

Design and application of a novel brain slice system that permits independent electrophysiological recordings from multiple slices.

We describe a novel brain slice system 'SliceMaster' that allows electrophysiological recordings from eight brain slices independently. The system consists of two autonomous units each supporting four modular brain slice chambers enabling high signal-to-noise ratio recordings, each chamber has one stimulation electrode, one recording electrode, a twin camera system and a solution application system. The positioning of both electrodes and cameras are controlled from a remote user console. The software both acquires and performs on-line analysis of the data. We have demonstrated utility of this system in obtaining recordings of spontaneous firing activity and evoked synaptic activity from mouse hippocampal slices, with reduced variability within and between experiments. Furthermore, we show recordings of population spikes from the perirhinal cortex, indicating applicability of this system for further brain regions. In addition, stable recordings could be maintained until recording was terminated after 3 h, permitting investigation of the induction and maintenance of synaptic plasticity. Recordings of spontaneous and synaptic activity, and effects of pharmacological and electrophysiological manipulation, were consistent with reports using conventional methods. However, the described system permits concurrent and independent recordings from eight brain slices, thus improving throughput, statistical design, and reducing animal use.

Action Potentials↗

PubMed2005

Estimating conductances of dual-recorded neurons within a network of coupled cells.

Simultaneous pre- and postsynaptic cell recordings are used to calculate gap junction conductance based on an equivalent electrical circuit of an electrically coupled pair of cells. This calculation is imprecise when recording from a cell pair that is coupled to neighboring cells providing indirect conductance paths between the recorded cells. Despite this imprecision, junctional conductance has been calculated for coupled cell networks during the past 40 years since a more accurate method was lacking. The present study simulated a three-dimensional network of electrically coupled heterogeneous neurons and used mathematical modeling to reduce the complexity to the simplest equations that could more accurately estimate the electrical properties of dual-recorded cells in the network. Analyses of the simulations showed that knowledge of the number of unrecorded cells directly linked to the recorded cells and of the voltage responses of these recorded cells were largely sufficient to accurately predict the direct junctional resistance linking the recorded cells as well as the input resistance of the recorded cells that would exist in the absence of junctional coupling. All model parameters could be obtained from real dual-intracellular penetrations which allow electrophysiological recordings and intracellular staining.

Animals↗

PubMed1998

Dimensional stability of record bases fabricated from light-polymerized composite using two methods.

STATEMENT OF PROBLEM: Record bases fabricated from resin-based composite, which undergoes polymerization shrinkage during curing, can distort during curing to produce significant gaps along the posterior border. PURPOSE: This study evaluated the pattern of gap formation that occurs over the palatal area of a maxillary record base fabricated from light-cured composite (Triad), and determined whether changes in the fabrication method affects the size and pattern of gap formation. Effects of composite width and passage of time on gap formation were also analyzed. MATERIAL AND METHODS: Twenty record bases were fabricated with two methods: (1) according to the manufacturer's directions, the entire surface of the record base was exposed to the curing light; and (2) the palatal area of the record base was covered with foil to prevent light penetration, and the base was light cured in three stages with readaptation of the uncured composite between stages. Ten record bases from each group were tested 1 hour after fabrication; the remaining 10 from each group were tested 7 days after fabrication. Measurements of adaptation were made at three points representing the right and left ridge crests and midpalatal areas. The first measurement was taken at the posterior border and subsequent measurements were made at 5 mm increments after reduction of the posterior border of the cast and record base with a model trimmer. RESULTS: Dimensional changes were observed in both procedures. The largest discrepancy occurred at the posterior border of record bases fabricated using method 1. Mean gap formation at the posterior border in this group after 1 hour was 454, 729, and 334 microm and 483, 841, and 330 microm after 7 days at points A, B, and C, respectively. Record bases fabricated with procedure 2 demonstrated mean gap sizes at the posterior border after 1 hour of 219, 421, and 208 microm and 267, 403, and 192 microm after 7 days at points A, B, and C, respectively. No significant influence of composite width on gap size was found. CONCLUSION: The average gap size due to stage curing (method 2) was never greater than the corresponding gap that arose from the use of the manufacturer's recommendations (method 1). Limiting the amount of surface area exposed to the curing light and readapting the uncured composite to the cast between curing episodes can significantly reduce the mean gap size occurring at the posterior border.

Acrylic Resins↗

PubMed2003

Capabilities of a penetrating microelectrode array for recording single units in dorsal root ganglia of the cat.

The recording capability of a microelectrode array in the cat dorsal root ganglion (DRG) was studied in 11 acute experiments, 373 single, discriminable sensory units were recorded on 587 electrodes (0.64 units/electrode). Sensory action potentials as large as 1750 microV were obtained (mean=132 microV). These were comparable to literature reports of the best DRG extracellular recordings made with conventional electrodes. We were able simultaneously to activate and record over 50 discriminable, time-varying units from L6 and L7 DRGs during a cyclic ankle displacement. We also successfully recorded stable, phase dependent multiple sensory units with very little artifact or electromyographic (EMG) contamination during decerebrate walking. Thus, the array is capable of recording more effectively from more DRGs neurons than has been achieved by conventional recording techniques. The recording selectivity and stability of the array, coupled with the large number of neurons that can be recorded simultaneously, provide attractive features for better understanding sensorimotor control principles.

Action Potentials↗

PubMed2002

Scalp-recorded Bereitschaftspotential is the result of the activity of cortical and subcortical generators--a hypothesis.

OBJECTIVE: The source of scalp-recorded Bereitschaftspotential (BP) remains a subject of ongoing discussion. This paper presents arguments in favour of the hypothesis that explains scalp-recorded BP as the result of the activity of both cortical and subcortical BP generators. METHODS: Intracranial recordings of BP were performed, mostly with depth electrodes in epilepsy surgery candidates. In some patients undergoing intracranial exploration, an electrode may have had contacts in the subcortical structures. RESULTS: BP is generated in several cortical and subcortical structures that are known to be directly or indirectly linked with motor control. Cortical sources of BP were displayed contralaterally to the movement in the primary motor cortex and somatosensory cortex, and bilaterally in the supplementary motor area (SMA), in the preSMA, and in the cingulate. A few other generators may be revealed in structures that have not yet been sufficiently explored. Subcortical generators of BP were found in the putamen, pallidum, caudate, and in the thalamus. In earlier recordings, BP was described rostrally to the thalamic region and in the brainstem, i.e. in the pes peripedunculi, nucleus peripeduncularis, pulvinar, and medial geniculate. CONCLUSIONS: Our observations do not explain the generation of scalp-recorded BP by the contribution of either cortical or subcortical sources alone. Intracranial cortical recordings contradict a wide distribution of scalp-recorded BP. Widely synchronised cerebral electromagnetic activity can be recorded on the scalp. We presume that in the case of BP, the weak deep dipoles might reach the scalp, as they are produced by a relatively huge mass of subcortical neuronal tissue. We strongly suspect that scalp-recorded BP represents a summation of potentials that are generated simultaneously in several cortical as well as in several subcortical structures.

Cerebral Cortex↗

PubMed2002

A signal-to-noise analysis of multifocal VEP responses: an objective definition for poor records.

Sixty local VEP records, called the multifocal VEP (mfVEP), can be obtained over a wide retinal area. From subject-to-subject, from day-to-day, and from location-to-location, these records can vary in quality presenting a challenge to quantitative analyses. Here three procedures are described for specifying the quality of mfVEP recordings in terms of signal-to-noise ratios. Monocular mfVEPs were recorded in two, 7-min runs. A '2-run signal-to-noise ratio' (2rSNR) was obtained as [RMS(RunA+RunB)]/[RMS(RunA-RunB)]-1, where RMS is the root-mean-square amplitude of the response over the period from 45 to 150 ms (signal window). Two 'noise-window signal-to-noise ratios' were obtained with the same numerator as the 2rSNR but with the denominators based upon the RMS of a signal-free window from 325 to 430 ms. In one case, inSNR, the denominator was the RMS of the record's noise window and in the other case, mnSNR, the denominator was the mean of the RMS amplitudes of all the signal-free noise windows for the subject. The SNRs were related to false-positive rates (i.e., detecting a signal when none was present) by recording mfVEPs with some of the sectors of the display occluded. In particular, the outer three rings (36 sectors) of the display were occluded so that only noise was recorded; false-positive rates for different values of SNR were calculated. The 2rSNR had the highest false-positive rate largely due to alpha in the records of some subjects. The mnSNR had a lower false-positive rate than did the inSNR because there was little correlation between the RMS of the noise in the signal-free window and the RMS of the noise within the signal window. Use of the mnSNR is recommended over the 2rSNR, especially where alpha contamination can not be eliminated. Ways to improve the SNR of the records are discussed.

Adult↗

PubMed1997

Small bowel manometry: short or long recording sessions?

The study of small bowel motility in humans is commonly done by one of two techniques: short-term recording in a stationary patient or long-term recording in an ambulatory patient. To compare the diagnostic yield of short- and long-term manometric studies of small intestinal motility, we reviewed all prolonged records performed in our center over the years. Long-term studies that included less than 6 hr of recording during fasting or less than 5 hr during sleep and short-term studies using the perfused tube technique were excluded, leaving 91/121 tracings suitable for review. We analyzed the first 3 hr of the fasting period and the first 2 hr of the postprandial period on one occasion and the whole tracing on another; the fasting, postprandial and sleep period were analyzed separately. This allowed us to compare short and long recording sessions in the same patient. The two analyses agreed in 81/91 of the cases. In 7/10 patients a study was diagnosed as abnormal in the short recording but was considered normal after review of the long recording, while the opposite occurred in the remaining three. Periods of sleep and fasting contributed similarly to the change in diagnosis. In another 6 patients with equivocal abnormalities during the short period, the long period helped to establish the diagnosis of normality with confidence. Most of the improvement in the long-term study came from extension of the studies during fasting to 6-7 hr from 3 hr. Long-term records of small bowel motility, including study during sleep enhance the diagnostic accuracy of the test. Accuracy can be improved also simply by prolonging the recording during fasting.

Abdominal Pain↗

PubMed2000

Farmer record of pregnancy status pre-slaughter compared with actual pregnancy status post-slaughter and prevalence of gross genital tract abnormalities in New Zealand dairy cows.

AIMS: To record the prevalence of gross abnormalities of the reproductive tract in culled New Zealand dairy cows, to determine how accurately farmers classify the pregnancy status of their animals and to establish if this was influenced by method of pregnancy diagnosis. METHODS: The reproductive tracts from 1134 cull dairy cows were examined after slaughter and evisceration for the presence of gross abnormalities, ovarian activity and pregnancy at a commercial abattoir. The farmers that had submitted these animals for slaughter were surveyed for information about the farm and herd from which each cow was derived and to establish whether the farmer believed each cow to be pregnant or not. The method that had been used to determine pregnancy status was recorded for each animal. RESULTS: Gross abnormalities were evident in 5.7% of reproductive tracts. Ovarian activity (presence of follicles 5 mm diameter and/or a corpus luteum) was apparent in 88% of non-pregnant cows. Pregnancy was detected in 39% of cows, of which 2.3% carried twins. The pregnancy status evident at slaughter varied from that reported by farmers in 7.0% of the 954 cows for which farmers were able to provide information. Of the cows that had been examined by palpation or ultrasound per rectum prior to slaughter, 10.3% that were recorded as non-pregnant by farmers were pregnant, and 3.2% of those recorded as pregnant were not. Of the cows that had not been examined, 3.8% of those recorded as nonpregnant by farmers were pregnant while 10.4% of those recorded as pregnant were not. There was no apparent association between gross genital tract abnormalities or ovarian activity and the misclassification of pregnancy status. Amongst cows that were pregnant at slaughter the foetus was significantly smaller in cows that had been recorded as 'not pregnant' after palpation or ultrasound examination than in cows that had been recorded as 'not pregnant' on the basis of farmer observation only. CONCLUSIONS: The prevalence of gross abnormalities of the reproductive tract was comparable to that reported in similar studies overseas. Farmer observation as a method of pregnancy detection overestimates pregnancy rate. Pregnancy status may be misclassified or misrecorded following palpation or ultrasound examination of cattle per rectum. Accurate classification of pregnancy status is dependent on the method and timing of pregnancy diagnosis and on minimising errors of diagnosis, cow identification and recording.

Journal Article↗

PubMed2005

Lack of recording of systemic lupus erythematosus in the death certificates of lupus patients.

OBJECTIVE: To determine to what extent the diagnosis of systemic lupus erythematosus (SLE) in deceased lupus patients is under-reported in death certificates, and the patient characteristics associated with such an occurrence. METHODS: The death certificates of 76 of the 81 deceased SLE patients from two US lupus cohorts (LUMINA for Lupus in Minorities: Nature vs Nurture and CLU for Carolina Lupus Study), including 570 and 265 patients, respectively, were obtained from the Offices of Vital Statistics of the states where the patients died (Alabama, Georgia, North Carolina, South Carolina, Tennessee and Texas). Both cohorts included patients with SLE as per the American College of Rheumatology criteria, aged > or =16 yr, and disease duration at enrolment of < or =5 yr. The median duration of follow-up in each cohort at the time of these analyses ranged from 38.1 to 53.0 months. Standard univariable analyses were performed comparing patients with SLE recorded anywhere in the death certificate and those without it. A multivariable logistic regression model was performed to identify the variables independently associated with not recording SLE in death certificates. RESULTS: In 30 (40%) death certificates, SLE was not recorded anywhere in the death certificate. In univariable analyses, older age was associated with lack of recording of SLE in death certificates [mean age (standard deviation) 50.9 (15.6) years and 39.1 (18.6) yr among those for whom SLE was omitted and included on the death certificates, respectively, P = 0.005]. Patients without health insurance, those dying of a cardiovascular event and those of Caucasian ethnicity were also more likely to be in the non-recorded group. In the multivariable analysis, variables independently associated with not recording SLE as cause of death were older age [odds ratio = (95% confidence interval) 1.043 (1.005-1.083 per yr increase); P = 0.023] and lack of health insurance [4.649 (1.152-18.768); P = 0.031]. CONCLUSIONS: A high proportion of SLE diagnoses are not recorded in death certificates. Older patients and those without health insurance are more prone to have SLE not recorded. These findings do have implications for the assessment of the impact of this disease in epidemiological studies conducted using vital statistics records.

Adolescent↗