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Spatially ordered zygotic genome activation fulfills embryo quality control.

Early embryo development features autonomous, maternally-driven cell divisions that self- organize the multicellular blastula or blastocyst tissue. Maternal control cedes to the zygote starting with the onset of widespread zygotic genome activation (ZGA), which is essential for subsequent cell fate determination and morphogenesis. Intriguingly, although the onset of ZGA is highly regulated at the level of an embryo, it can be non-homogenous and precisely patterned at the single-cell level. We previously demonstrated a stereotyped spatial and temporal ordering of ZGA in a model vertebrate embryo. Unknown, however, was whether this precise ZGA patterning was required for development. To address this fundamental question, we devised a strategy to spatially control cell divisions in the embryo that perturb blastula embryo organization. We demonstrate the feasibility of spatially inverting the cell size pattern of embryos and find that these inverted embryos undergo a flipped pattern of ZGA. Mispatterned ZGA along the animal-vegetal axis causes embryo apoptosis, revealing that gastrula embryos have a built-in quality control system to sense inappropriate ZGA patterning, including regional defects in transcriptional onset. The quality control response is non-autonomous which may depend on anti-apoptotic signals that repress cell death outside of the animal hemisphere. These results reveal the requirement of properly patterned ZGA for normal development and the existence of an embryo quality control response exquisitely tuned to the spatial and temporal ordering of genome activation and zygotic gene expression.

Journal Article↗

Cefoperazone disk diffusion susceptibility test: confirmation of the tentative interpretive criteria, Pseudomonas aeruginosa cross-resistance, and determination of quality control performance limits.

Cefoperazone disk diffusion test and minimum inhibitory concentration comparison studies were performed on 421 recent bacterial isolates, using 30- and 75-micrograms commercially prepared disks. Acceptable correlation coefficients (-0.82 to -0.86) and very major (false-susceptible) interpretive error rates (less than 1%) were obtained with both disk concentrations. The interpretive criteria for both disks were identical. Using the preferred 75-micrograms disk, the Thornsberry et al. criteria (J. Clin. Microbiol. 15:769-776, 1982) of greater than or equal to 18 mm = susceptible (less than or equal to 32 micrograms/ml) and less than or equal to 14 mm = resistant (greater than 64 micrograms/ml) resulted in only 5.5% of strains having indeterminate-range zone diameters; the 30-micrograms disk had 6.9% of strains with indeterminate zone diameters. The 75-micrograms disk, excluding the testing of enterococci, minimized the very major and other interpretive errors to less than 5%. Larger zone diameters will contribute few technical problems with either disk concentration. Data from 1,320 zone diameters submitted for each quality control strain indicated no significant (P greater than 0.05) difference between disks made by the three major manufacturers, and consistent results were obtained within each laboratory with numerous lots of Mueller-Hinton agar (except for one manufacturer). Individual daily test and accuracy quality control ranges were calculated from clinical investigator laboratory data at 16 hospitals based on mean zone sizes and from an additional 8 laboratories with both mean and median calculations. The quality control data were nearly identical, and ranges calculated by the two methods were very similar. Susceptibility tests of Pseudomonas aeruginosa indicate that the cefoperazone disk or minimum inhibitory concentration test would accurately predict P. aeruginosa susceptibility test results for other pseudomonas-active cephalosporins (cefsulodin and ceftazidime), thus producing no very major interpretive errors.

Cefoperazone↗

Computer programs and datasheets. Initiative on quality control of the German Working-Group on Pediatric Diabetology.

Despite modern treatment regimens, late complications in IDDM patients are still prevalent. Even in developed countries, a significant number of patients do not get the treatment which would be considered optimal based on the present state of medical knowledge. Quality documentation provides a successful approach to unmask deficits and to improve the outcome of care. Structural aspects as well as process and outcome indicators are different in pediatric diabetology compared to the care of adult patients. The German Working Group on Pediatric Diabetology has discussed and finalized a Statement on Quality Control, including specific parameters to be recorded prospectively in all patients. Under the auspices of the German Ministry of Health, a Computer Program designed for inpatient and outpatient care in pediatric diabetology was developed. Among many other features, internal and external quality control according to the guidelines of the German Working Group are facilitated by this approach, as no separate data entry is required. This program is now widely used among pediatric--as well as some adult--diabetes centers in Germany. Regular external comparisons of quality indicators are organized by the Working Group.

Adolescent↗

MASQOT: a method for cDNA microarray spot quality control.

BACKGROUND: cDNA microarray technology has emerged as a major player in the parallel detection of biomolecules, but still suffers from fundamental technical problems. Identifying and removing unreliable data is crucial to prevent the risk of receiving illusive analysis results. Visual assessment of spot quality is still a common procedure, despite the time-consuming work of manually inspecting spots in the range of hundreds of thousands or more. RESULTS: A novel methodology for cDNA microarray spot quality control is outlined. Multivariate discriminant analysis was used to assess spot quality based on existing and novel descriptors. The presented methodology displays high reproducibility and was found superior in identifying unreliable data compared to other evaluated methodologies. CONCLUSION: The proposed methodology for cDNA microarray spot quality control generates non-discrete values of spot quality which can be utilized as weights in subsequent analysis procedures as well as to discard spots of undesired quality using the suggested threshold values. The MASQOT approach provides a consistent assessment of spot quality and can be considered an alternative to the labor-intensive manual quality assessment process.

Data Interpretation, Statistical↗

Separate roles and different routing of calnexin and ERp57 in endoplasmic reticulum quality control revealed by interactions with asialoglycoprotein receptor chains.

The thiol oxidoreductase endoplasmic reticulum (ER)p57 interacts with newly synthesized glycoproteins through ternary complexes with the chaperones/lectins calnexin or calreticulin. On proteasomal inhibition calnexin and calreticulin concentrate in the pericentriolar endoplasmic reticulum-derived quality control compartment that we recently described. Surprisingly, ERp57 remained in an endoplasmic reticulum pattern. Using asialoglycoprotein receptor H2a and H2b as models, we determined in pulse-chase experiments that both glycoproteins initially bind to calnexin and ERp57. However, H2b, which will exit to the Golgi, dissociated from calnexin and remained bound for a longer period to ERp57, whereas the opposite was true for the endoplasmic reticulum-associated degradation substrate H2a that will go to the endoplasmic reticulum-derived quality control compartment. At 15 degrees C, ERp57 colocalized with H2b adjacent to an endoplasmic reticulum-Golgi intermediate compartment marker. Posttranslational inhibition of glucose excision prolonged association of H2a precursor to calnexin but not to ERp57. Preincubation with a low concentration (15 microg/ml) of the glucosidase inhibitor castanospermine prevented the association of H2a to ERp57 but not to calnexin. This low concentration of castanospermine accelerated the degradation of H2a, suggesting that ERp57 protects the glycoprotein from degradation and not calnexin. Our results suggest an early chaperone-mediated sorting event with calnexin being involved in the quality control retention of molecules bound for endoplasmic reticulum-associated degradation and ERp57 giving initial protection from degradation and later assisting the maturation of molecules that will exit to the Golgi.

Animals↗

arrayMagic: two-colour cDNA microarray quality control and preprocessing.

UNLABELLED: arrayMagic is a software package for quality control and preprocessing of two-colour cDNA microarray data. The automated analysis pipeline comprises data import, normalization, replica merging, quality diagnostics and data export. The script-based processing combines reproducibility and flexibility at high-throughput and provides quality-assured and preprocessed microarray data to high-level follow-up analysis. AVAILABILITY: The R package arrayMagic is available with BSD license at http://www.bioconductor.org CONTACT: a.buness@dkfz.de SUPPLEMENTARY INFORMATION: The package contains documentation in the form of manual pages and a vignette with a guided tour of a typical workflow.

Algorithms↗

[The preparation and quality control of Solanum lyratum Thunb Extract gel].

OBJECTIVE: To introduce the preparation and quality control of Solanum lyratum Extract Thunb gel. METHODS: The gel was prepared with Solanum lyratum Thunb Extract as main component and carbopol 940 as base material, and Solasodine was determined by TLCS. RESULTS: The preparation of this gel was feasible, its quality was reliable, its detection method was rapid, stable, and could be used to control the quality of Solanum lyratum Thunb Extract gel. CONCLUSIONS: Studies on Solanum lyratum Thunb Extract gel will find a new path for the treatment of eczema with mono traditional Chinese medicine.

Acrylic Resins↗

Quality control in the simultaneous assay of anticonvulsants using an automated gas chromatographic system with a nitrogen detector.

An automated gas-liquid chromatographic technique for the routine determination of phenobarbitone, primidone and phenytoin using a nitrogen-detector is described. The high selectivity of the detector for nitrogen-containing compounds allows a direct extraction procedure and the use of a phenytoin analogue as an internal standard obviates the need for accurate aliquot measurement after extraction. The anticonvulsants are chromatographed as methyl derivatives produced by on-column methylation with trimethylphenyl ammonium hydroxide following automatic liquid injection. Quality control data from an internal quality control scheme is presented and the performance of the laboratory in an inter-laboratory control scheme is reported and discussed.

Anticonvulsants↗

Quality control in the blood bank: how much is too much?

An aid or an end? The author recalls how blood bankers lost sight of the purpose of quality control, and viewed it not as a tool but as an end in itself and a goal for the laboratory. He discusses some concepts of the quality control measures that should be followed today and pinpoints shortcomings.

Blood Banks↗

[Quality control of the serological diagnosis of dengue in laboratories throughout the Americas, 1996-2001].

OBJECTIVE: To report the results from participating laboratories for four external quality control proficiency tests of dengue serological diagnosis that were carried out in the Region of the Americas in the period of 1996-2001. METHODS: External quality control proficiency tests of dengue serological diagnosis were carried out in 1996-1997, 1998-1999, 1999-2000, and 2000-2001. Panels made up of 20 serum samples (12 of them positive for dengue IgM antibodies) were sent to participating laboratories in the Region. The sera were negative for HIV antibodies, hepatitis C virus antibodies, and hepatitis B surface antigen. The sera were stored at -20 degrees C until they were sent in refrigerated shipments to the participating laboratories. The presence of IgM antibodies was determined through IgM-capture enzyme-linked immunosorbent assay (ELISA), while the IgG antibody titer was determined by hemagglutination inhibition or by IgG ELISA. The results of the IgM antibody testing that differed from those of the reference center were considered discordant. The IgG antibody titer was considered discordant when the results differed by two dilutions or more with respect to the reference center's results. RESULTS: A total of 27 laboratories received a total of 59 serum panels over the 1996-2001 period, and the results from testing 54 of those panels (91.5%) were sent back in. Of the total of 1 080 sera samples from those 54 panels, the results from 95.6% of the IgM antibody tests were concordant with the results from the reference center. With 47 of the 54 panels (87.0%) the participating laboratories' agreement with the reference center's results for the IgM antibody testing was 90.0% or higher. The laboratories sent back results from a total of 27 IgG antibody titer tests, and 22 of them (81.5%) coincided with those from the reference center. Considering the IgM antibody testing results from the four periods, the findings from 22 of the participating laboratories coincided with those from the reference center for at least 90% of the samples, and 13 of the laboratories were in complete concordance with the reference center. CONCLUSIONS: The majority of the participating laboratories showed an excellent level of performance in detecting dengue IgG and IgM antibodies. However, the deficiencies found in some instances confirm the need for continuing to improve laboratory diagnosis of dengue in the Region of the Americas.

Americas↗

Quality control practices for calcium, cholesterol, digoxin, and hemoglobin: a College of American Pathologists Q-probes study in 505 hospital laboratories.

OBJECTIVE: To assess quality control (QC) practices and their impact on hospital laboratories using the College of American Pathologists (CAP) Q-Probes process. DESIGN: Self-directed data gathering, using a questionnaire to determine QC practices, data input forms for 6 months retrospective quality control use and run failure rates, and input forms for 3 months prospective data concerning QC failure rates and corrective steps taken. Participants submitted data for four analytes: calcium, cholesterol, digoxin, and hemoglobin. PARTICIPANTS: Laboratories enrolled in the 1994 CAP Q-Probes program. MAIN OUTCOME MEASURES: Retrospective and prospective QC failure rates compared with QC protocols and the corrective steps. RESULTS: Five hundred five hospital laboratories returned various components of the study. Median retrospective run rejection rates per 1000 runs: calcium, 4.3; cholesterol, 3.6; digoxin, 4.3; and hemoglobin, 2.4. Corresponding median prospective run rejection rates per 1000 runs: calcium, 5.8; cholesterol, 5.6; digoxin, 6.5; and hemoglobin, 3.6. Participants resolved most out-of-control events in less than 20 minutes, with no patient samples repeated. More than 95% of the time, participants resolved out-of-control events simply by repeating controls. Most participants used a single control rule based on a target mean plus or minus a multiple of the standard deviation. A few laboratories used multirule systems. CONCLUSIONS: Current testing methods yield few out-of-control events, which usually are resolved rapidly, with little impact on laboratory operation. We recommend modification and simplification of laboratory QC practices to decrease false rejection rates and to use modern instrumentation more efficiently.

Calcium↗

Internal quality control of radioimmunoassays: monitoring of error.

A cumulative sum technique has been specially designed to monitor the error between replicate determinations made on quality control plasma for consecutive batches of assays. This procedure has played a vital role in assessing assay performance. Special consideration has been given to small sample sizes (n = 2 or 3) which is generally the rule rather than the exception in many situations. This technique has been applied to numerous steroid radioimmunoassays and has ensured that both the mean value and the standard error of hormone levels of a quality control pool were under control. Data from routine assays of oestriol and testosterone in plasma from women are presented. Since this technique provides a sensitive measure of monitoring error, it assists the endocrinologist in elucidating statistical inferences which are a manifestation of assay performance.

Estriol↗

[A design of ultrasonic tele-diagnosis and quality control system].

Objective. To study the method for constructing an ultrasonic tele-diagnosis and quality control system. Method. The standard of Intemet/Intranet technology was used for the system. The compression and up-loading component based on wavelet and the software platform of ultrasound image processing were developed to suit the ultrasound image characteristics. The information exchange and storage (DICOM) was studied for the compatibility between the system and the Hospital Information System (HIS). Both of them were combined to form an integrated system. Result. WWW server, relevant case history managing and image processing software were constructed in the system. Conclusion. It is feasible to establish a low cost and maintainable system for ultrasound tele-diagnosis and quality control system based on Internet/Intranet technology.

Feasibility Studies↗

[External quality control in the medical laboratory: evaluation of 12 ring trials 1994-1996].

The regulations for reimbursement of laboratory tests provide that such tests will be paid for by social insurance institutions only if the laboratories participate in internal and external quality control schemes. Twelve surveys of the external quality assessment scheme of MQ Zürich (Association for Medical Quality Control) were evaluated. We analyzed the imprecision and inaccuracy of the participant results depending on the analytical system or methods used. Furthermore, the number of participants who met the quality criteria published by FKGRAL (Expert Committee for Overall Revision of Analysis List) was determined. The deviations from the internationally recommended or reference methods respectively were within +/-33% for the metabolites and enzymes if native plasma was used as control sample. If lyophilized samples were used, 5 deviations observed were > +/-33% (maximum +99%). For hematologic parameters the deviations were in the range of +/-10%. The CV's were 5.7-17.6% for wet chemistry methods used by the participants and 4.5-15.1% for the other methods. (Cobas Ready, Ektachem, Reflotron, Vision). For hematologic parameters we found CV's between 4.5 and 14.0%. 69-83% of the participants using wet chemistry methods met the FKGRAL criteria, while 86-98% of participants using one of the other system obtained adequate results. The corresponding figure for the hematologic parameters was 83-93%. The nature of the control samples (native samples or lyophilizate) did not influence the number of participants who successfully passed the survey. The study showed that the surveys are an adequate tool for determining participants with inadequate analytical performance, and in many cases the survey results make it possible to propose the necessary educative measures.

Blood Chemical Analysis↗

Reduced bovine hemoglobin solution evaluated for use as a blood gas quality-control material.

We evaluated a new commercially available partially purified reduced bovine hemoglobin solution (RBHS) and a new tonometer for use in the quality control of blood gas analyzers. RBHS is manufactured in three different formulations, each corresponding to three different bicarbonate-buffering capacities and concentrations of total hemoglobin (ctHb). The P50 for each formulation of RBHS was determined to be as follows: 30.6 mmHg (4.08 kPa) for Level 1, 29.1 mmHg (3.88 kPa) for Level 2, and 28.2 mmHg (3.76 kPa) for Level 3. When RBHS and human blood samples were tonometered at three clinically significant values of PO2 and PCO2, the recovered values for PO2 and PCO2 in RBHS were comparable with those of the tonometered whole blood. Each level of RBHS also produced precise pH (SD < or = 0.006 pH units) and ctHb (SD = 1.0 g/L) values. In addition, when the temperature of a sample chamber was intentionally altered, the changes in RBHS blood gas values closely approximated the changes seen with human blood. RBHS shows more thermal sensitivity than either perfluorocarbon emulsions or aqueous buffers, which are currently being used as quality-control and proficiency testing materials.

Blood Gas Analysis↗

Quality control limits for disk diffusion and broth microdilution susceptibility tests with Haemophilus test medium.

A six-center collaborative study was performed with the aim of developing quality control test limits for both disk diffusion and broth microdilution susceptibility tests with Haemophilus influenzae ATCC 49247 using Haemophilus test medium. Quality control ranges are presented for 18 antimicrobials: ampicillin, amoxicillin-clavulanate, ampicillin-sulbactam, cefuroxime, cefamandole, cefonicid, cefotaxime, ceftriaxone, ceftizoxime, ceftazidime, cefixime, chloramphenicol, tetracycline, trimethoprim-sulfamethoxazole, rifampin, imipenem, aztreonam, and ciprofloxacin.

Anti-Bacterial Agents↗

[Assessment of liquid human serum in quality control of clinico-biochemical studies].

Ethylen-glycol-based liquid human serum was used in intralaboratory control of the quality of biochemical assays. The serum was stored in a freezer at -15 degrees C, the tested components were stable for up to 1.5 years. Studies with liquid reference serum permitted detection of gross, regular, and accidental errors and helped timely remove the causes of these errors. Errors made during laboratory investigations are analyzed.

Blood Preservation↗