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Factors limiting large-scale localisation.

The mechanisms mediating relative spatial localisation in the visual system are still unclear. There is a growing amount of evidence that this capability is not merely limited by the processing of the front-end visual system. Models of localisation should, therefore, include higher-level processing stages. A careful study of the sources of error in localisation tasks may further our understanding of the nature of these processes. A study is reported in which the possible role of higher-order processing in relative spatial localisation is explicitly addressed. For this purpose the error sources of threshold performance were investigated for two similar relative-spatial-localisation tasks: two-dot separation discrimination and two-dot orientation discrimination. Fovea-centered stimuli with large dot separations were used. The front-end processing for these stimuli is probably identical in both tasks. Hence, differential effects of the variation of the experimental parameters on threshold performance for both tasks may reveal the characteristics of the higher-level processing involved. The effects of dot separation, stimulus orientation, and experimental procedure (single-stimulus binary forced choice versus two-alternative forced choice) on threshold performance for both tasks are reported. The results show that thresholds for both tasks increase proportionally with dot separation. However, separation-discrimination thresholds are always significantly higher than orientation-discrimination thresholds. Thresholds for separation discrimination are independent of stimulus orientation. In contrast, orientation-discrimination thresholds show an oblique effect: thresholds are consistently lower for horizontal stimuli. Both tasks also show a different dependency of threshold behaviour on the experimental procedure. For a horizontal stimulus orientation, separation discrimination is better with an explicit (physical) reference standard, whereas orientation discrimination is better with an implicit referent. These differential effects cannot be explained by any of the known characteristics of the front-end visual system. They suggest that large-scale spatial-localisation performance is probably limited at a processing level at which spatial relations are explicitly represented.

Adult↗

Usability of a barcode scanning system as a means of data entry on a PDA for self-report health outcome questionnaires: a pilot study in individuals over 60 years of age.

BACKGROUND: Throughout the medical and paramedical professions, self-report health status questionnaires are used to gather patient-reported outcome measures. The objective of this pilot study was to evaluate in individuals over 60 years of age the usability of a PDA-based barcode scanning system with a text-to-speech synthesizer to collect data electronically from self-report health outcome questionnaires. METHODS: Usability of the system was tested on a sample of 24 community-living older adults (7 men, 17 women) ranging in age from 63 to 93 years. After receiving a brief demonstration on the use of the barcode scanner, participants were randomly assigned to complete two sets of 16 questions using the bar code wand scanner for one set and a pen for the other. Usability was assessed using directed interviews with a usability questionnaire and performance-based metrics (task times, errors, sources of errors). RESULTS: Overall, participants found barcode scanning easy to learn, easy to use, and pleasant. Participants were marginally faster in completing the 16 survey questions when using pen entry (20/24 participants). The mean response time with the barcode scanner was 31 seconds longer than traditional pen entry for a subset of 16 questions (p = 0.001). The responsiveness of the scanning system, expressed as first scan success rate, was less than perfect, with approximately one-third of first scans requiring a rescan to successfully capture the data entry. The responsiveness of the system can be explained by a combination of factors such as the location of the scanning errors, the type of barcode used as an answer field in the paper version, and the optical characteristics of the barcode scanner. CONCLUSION: The results presented in this study offer insights regarding the feasibility, usability and effectiveness of using a barcode scanner with older adults as an electronic data entry method on a PDA. While participants in this study found their experience with the barcode scanning system enjoyable and learned to become proficient in its use, the responsiveness of the system constitutes a barrier to wide-scale use of such a system. Optimizing the graphical presentation of the information on paper should significantly increase the system's responsiveness.

Activities of Daily Living↗

Transformations for cDNA microarray data.

Two channel microarray data often contain systematic variations that can be minimized by data transformation prior to further analysis. The most commonly observed effects are revealed by viewing scatter plots of the logarithm of the ratio by the average logarithmic intensity of the two color channels (RI plots). In this paper we present a general model for signal intensity data with multiple error sources. We demonstrate how these sources of error influence the shape of an RI plot. We then compare some currently available transformation strategies in terms of their mechanism and performance on both simulated and real microarray data. A linlog transformation is proposed to stabilize the variance of the log ratios. We also propose a regional smoothing method to remove variation in log ratios due to spatial heterogeneity on the microarray surface. The discussed transformations represent an important initial step in microarray data analysis for both ratio-based and ANOVA methods.

Journal Article↗

Tooth enamel EPR dosimetry: sources of errors and their correction.

Some of the most important sources of systematic errors in dose determination using tooth enamel EPR spectroscopy and ways of reducing those errors are discussed. Enamel from the outside of the front teeth should not be used for dose determination because of induction of paramagnetic centers by solar light. The accuracy of the method in the low dose range is limited by variation in the shape of the EPR signal of unirradiated enamel, which can be described by an initial intrinsic signal and which varies for different samples with standard deviation of 20-30 mGy. The energy dependence of enamel sensitivity should be taken into account in the form of a correction factor. The value of this factor is estimated at 1.1-1.3 for real radiation fields in radiation contaminated territories. Variation in enamel sensitivity for different samples is shown to be within limits of 10-15% of the average value.

Dental Enamel↗

Sources of error in recording the blood pressure of patients with hypertension in general practice.

Sources of error in recording the blood pressures of patients with hypertension in general practice were examined for 1072 patients over two and a half years. A highly significant preference for terminal digit 0 was shown, but terminal digit preference operates in a different manner around important thresholds. Doctors did not adhere consistently to the protocol that they accepted. These sources of bias affect the calculations of mean blood pressure and have considerable implications for decisions about treatment for many patients.

Adult↗

Sources of error in road safety scheme evaluation: a quantified comparison of current methods.

This paper considers the various factors that can have a confounding effect in the evaluation of road safety schemes and examines the extent to which current methods can effectively deal with these. A modification to current methods is proposed which allows the reduction in accidents attributable to risk and flow changes to be separately evaluated. Data are presented to demonstrate the relative magnitudes of the various sources of error. It is shown that a principal source of error is normally regression-to-mean (RTM) and a correction for this effect should always be applied. Changes in traffic flow can also result in substantial accident changes and it is important to establish whether flow changes have occurred and if they are attributable to the effect of the scheme.

Accidents, Traffic↗

[Sources of error in the pre-analytical phase of blood gas analysis].

Analysis of blood gases and blood pH yield important information in many situations of clinical emergencies. We report on a patient in whom pre-analytic errors in blood gas and blood pH measurements resulted in unnecessary further investigations. We therefore studied various pre-analytic sources of error in blood pH and blood gas analysis. Delay in sample processing for more than one hour resulted in an increase of pO2 and pCO2 and a decrease of pH. Excess sodium heparin solution as an anticoagulant (> or = 10% of total volume) led to a significant decrease of pH and pCO2 and to an increase of pO2. Air bubbles (10% of total volume) left in the syringe for 10 min significantly increased pO2. For accurate estimations of pO2, pCO2 and pH, it is necessary to keep the heparin solution below 10% of total volume, to expel all air bubbles from the syringe and to process the blood sample within one hour. Instructions to medical staff on handling blood samples for blood gas analysis should include these possible sources of errors.

Aged↗

[Regulative resistances during mouth breathing--a source of error determining nasal resistance by pulmonary function tests (author's transl)].

Methods to determine airway resistance - pulmonary function tests - have been recommended for the measurement of nasal resistance. Using the "oscillation method", you can demonstrate in some patients a source of error: Some mouth breathers can have an additional regulative resistance. By means of direct write-out tracings it is demonstrated that the simple subtraction of the resistances (during mouth and nose breathing respectively) is not a reliable method to determine nasal resistance. But the source of error can be recognized using a more luxurious measuring technique.

Airway Resistance↗

[The framework Prospective Payment Information Systems: bias, sources of errors and consequences].

This paper reviews: 1) the biases linked to the definition method of the Diagnosis Related Groups (DRG), and the biases due to the implicit hospital model of the French programme medicalizing hospital information system (PMSI) which limit its use in hospital management; 2) the sources of errors met in use in the different kinds of data networks when collecting administrative data from medical discharge abstracts, which can induce mistakes in patient hospitalization counts and in the representation of medical units contribution to patients care; 3) the sources of errors in collecting medical informations from medical discharge abstracts can make the patient hospitalizations classified in DRG unrepresentative or uninterpretable; 4) the problems linked to the interpretation of the indicators estimated from the DRGs in hospital management and financial allocation.

Bias↗

[Sources of error in sonographic diagnosis of the rotator cuff].

Sonography of the shoulder joint has developed into an established examination technique in the diagnosis of periarticular lesions of the shoulder. Sonographic diagnosis of the rotator cuff in particular contains a multitude of possible errors, which are gone into by this study by means of 149 clinically, radiologically and sonographically examined shoulder patients with an average age of 50.5 years. Besides errors made by wrong examination technique such of the transducer as incorrect adjustment of the equipment, insufficient contact of the transducer with the skin and unsuitable choice of the examination plane, there are sources of errors in the interpretation of the sonogram caused by lack of knowledge about physically caused artifacts and sonoanatomical qualities of the shoulder joint. Calcification inside the rotator cuff and the so-called "sonographic inhomogeneity of the rotator cuff" are numbered among the sources of error particular to the shoulder joint. Most errors in sonographic diagnosis of the rotator cuff can be avoided by careful examination of both shoulder joints with an exactly tuned ultrasound device, taking into account the sonoanatomical and ultrasonic qualities. Radiological examination of the affected shoulder joint cannot be replaced by ultrasound.

Diagnostic Errors↗

Constant force probing with and without a stent in untreated periodontal disease: the clinical reproducibility problem and possible sources of error.

There is presently no satisfactory method of detecting periodontal disease activity at a specified site by means of clinical measurements. This study was designed to examine the possible sources of error with regard to probing measurement reliability. Intra-examiner reproducibility of probing measurements was studied at 766 sites in 10 patients with untreated periodontitis, using a 0.25 N hinged constant force probe (a) with a stent for guidance and landmark, and (b) without stent. The stent made little difference to overall reproducibility of probing depths, though it appeared to reduce variation in different areas. Repeated probing led to an increase in some measurements, perhaps by an effect on tissues. Reproducibility of probing depth was lower in deep pockets, and about 2% of all probing depth scores varied by 3 mm or more at the same site. 4 possible sources of measurement error were noted: visual and tactile observational error, positional error and tissue change. The results are discussed in relation to the clinical detection of periodontal disease activity.

Diagnostic Errors↗

Potential source of error in official diazepam assays.

A possible source of interference by a benzophenone hydrolysis product with the USP XIX spectrophotometric determination of diazepam in dosages forms is reported. A minor adaptation of the official assay procedures is briefly proposed as one method to correct this error.

Diazepam↗

Controlling misdiagnosis errors in preimplantation genetic diagnosis: a comprehensive model encompassing extrinsic and intrinsic sources of error.

We have developed a mathematical model to explore accuracy of preimplantation genetic diagnosis (PGD) using single cell polymerase chain reaction (PCR). The model encompasses both extrinsic technical errors and intrinsic errors related to nuclear and chromosomal abnormalities. Using estimates for these errors, we have calculated the probability of a serious error (affected embryo diagnosed as unaffected) using a variety of strategies designed to increase the accuracy of PGD. Additional information from genotyping a linked marker or a second biopsied cell reduces the probability of replacing an affected embryo, while ensuring that sufficient unaffected embryos can be replaced. For a recessive disease, two genotypes are required to ensure a low probability of replacing an affected embryo (<1%) with a high proportion of unaffected embryos eligible for replacement (68%). These genotypes may be from a single cell with linked marker, or disease genotypes from two cells. PGD of a dominant disease is more difficult, as it relies on the amplification of a single copy of the mutation. Genotypes from two biopsied cells are required to ensure that a high proportion of unaffected embryos are eligible for replacement. This model can be used as a clinical tool to prioritize embryos for transfer in a PGD cycle.

Bayes Theorem↗

Uncertainties of exposure-related quantities in mammographic x-ray unit quality control.

Breast screening programs operate in many countries with mammographic x-ray units subject to stringent quality control tests. These tests include the evaluation of quantities based on exposure measurements, such as half value layer, automatic exposure control reproducibility, average glandular dose, and radiation output rate. There are numerous error sources that contribute to the uncertainty of these exposure-related quantities, some of which are unique to the low energy x-ray spectrum produced by mammographic x-ray units. For each of these exposure-related quantities, the applicable error sources and their magnitudes vary, depending on the test equipment used to make the measurement, and whether or not relevant corrections have been applied. This study has identified and quantified a range of error sources that may be used to estimate the combined uncertainty of these exposure-related quantities, given the test equipment used and corrections applied. The uncertainty analysis uses methods described by the International Standards Organization's Guide to the Expression of Uncertainty in Measurement. Examples of how these error sources combine to give the uncertainty of the exposure-related quantities are presented. Using the best test equipment evaluated in this study, uncertainties of the four exposure-related quantities at the 95% confidence interval were found to be +/-1.6% (half value layer), +/-0.0008 (automatic exposure control reproducibility), +/-2.3% (average glandular dose), and +/-2.1% (radiation output rate). In some cases, using less precise test equipment or failing to apply corrections, resulted in uncertainties more than double in magnitude.

Breast↗

Sources of error in partial rebreathing pulmonary blood flow measurements in lungs with emphysema and pulmonary embolism.

BACKGROUND: Studies of the accuracy of partial rebreathing measurements of pulmonary blood flow (PBF) in patients with abnormal lungs have not fully explained the sources of error. METHODS: We used computer models of emphysema and pulmonary embolism incorporating both ventilation-perfusion (V/Q) and ventilation-volume (V/V) heterogeneity to investigate systematic errors in partial rebreathing PBF measurements. We studied (i) errors produced under usual conditions, (ii) effects of recirculation, (iii) effects of alveolar-proximal airway and alveolar-capillary PCO2 and VCO2 differences, (iv) effects of alveolar V/Q inhomogeneity and (v) effects of rebreathing time. RESULTS: In the pulmonary embolism model the systematic error is only acceptable (<10%) when the simulated PBF is low (2-3 litre min(-1)). In the emphysema model PBF is underestimated by more than 20% at all cardiac outputs studied. Four sources of systematic errors were found. (i) Alveolar-proximal airway PCO2 gradients and flux differences between the proximal airway and alveolar compartments contribute most to the systematic error. (ii) V/Q inhomogeneity causes PCO2 gradients between the alveolar compartments and pulmonary capillary blood, and between pulmonary capillary compartments. (iii) Rebreathing times are inadequate in the presence of V/V mismatch. (iv) The apparent effect of venous blood recirculation is small in emphysema but significant in pulmonary embolism. CONCLUSIONS: We conclude that PBF cannot be measured accurately by partial rebreathing in lungs with emphysema or embolism. Systematic errors are caused mainly by errors in end-tidal PCO2 values.

Aged↗

Pitfalls and sources of error in staging rectal cancer with endorectal us.

Endorectal ultrasound (US) is an accurate technique for local staging of rectal cancer. Because the choice of surgery depends on the level of tumor invasion and lymph node involvement, the surgeon relies largely on endorectal US findings when planning treatment. However, staging inaccuracies can occur due to over or underestimation of tumor depth, misinterpretation of lymph node involvement, and operator inexperience. Technical pitfalls in US of the rectal wall include proximity of the lesion to the anal verge, improper balloon inflation, a nonperpendicular imaging plane, shadowing artifacts due to air or stool, reverberation artifacts, refraction artifacts, and a transducer gain setting that is too high. Sources of error in tumor staging with endorectal US include interpretation differences, endosonologist bias, tumor location, tumor stenosis, peritumoral inflammation, postbiopsy and postsurgical changes, post irradiation changes, hemorrhage, and pedunculated or villous tumors. Node size and appearance are not reliable indicators of lymph node involvement. Awareness of these sources of error will improve the technical quality of endorectal US studies and allow more accurate tumor staging.

Artifacts↗

Effects of molecular crowding on protein self-association: a potential source of error in sedimentation coefficients obtained by zonal ultracentrifugation in a sucrose gradient.

Theoretical and experimental studies have illustrated a potential source of error in sedimentation coefficients obtained by sucrose density gradient centrifugation of proteins undergoing reversible self-association. The error stems from the excluded volume (molecular crowding) effect of the sucrose on the activity coefficients of monomeric and polymeric states. The consequent displacement of the equilibrium position in favor of polymeric state(s) is a function of sucrose concentration, and can therefore result in failure to detect the equilibrium coexistence of monomer if 5% sucrose suffices to displace the equilibrium completely toward dimer. In less extreme situations, it may result in the evaluation of an average sedimentation coefficient whose magnitude is a function of sucrose concentration and hence of the distance migrated into the sucrose gradient. These features are illustrated by the results of computer-simulated sedimentation of reversibly dimerizing systems in a sucrose gradient, and by conventional sedimentation velocity experiments on yeast enolase.

Centrifugation, Zonal↗

Sources of error in Doppler diagnosis of carotid occlusive disease.

Fifty errors with Doppler examination of 356 carotid bifurcations were examined to determine their cause and to establish methods of prevention. Only those errors related to hemodynamically significant stenosis or complete occlusion were considered. The relative frequency of errors in diagnosis of occlusion (30 false-positive or negative versus 31 true-positive) was considerably greater than the rate of inaccuracy for diagnosis of hemodynamically significant stenosis (20 false-positive or-negative versus 89 true-positive). The high error rate in diagnosis of occlusion was attributed to reliance on negative information. The source of error could be established in 48 of the 50 cases. In all but three cases, potential for preventing error existed through use of additional noninvasive techniques such as examination of common carotid resistivity or use of oculoplethysmography. Twenty-two errors of localization of stenosis or occlusion were encountered in addition to the 50 false-positive and -negative errors. In three of these, the errors might have led to patient mismanagement.

Arterial Occlusive Diseases↗