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At least 1,423 records · Page 79Linked to original sources

Correction of error in two-dimensional wear measurements of cemented hip arthroplasties.

The irregularity of individual wear patterns of total hip prostheses seen during patient followup may result partially from differences in radiographic projection of the components between radiographs. A method to adjust for this source of error would increase the value of individual wear curves. We developed and tested a method to correct for this source of error. The influence of patient position on validity of wear measurements was investigated with controlled manipulation of a cadaveric pelvis. Without correction, the error exceeded 0.2 mm if differences in cup projection were as small as 5 degrees. When using the described correction method, cup positioning differences could be greater than 20 degrees before introducing an error exceeding 0.2 mm. For followup of patients in clinical practice, we recommend using the correction method to enhance accuracy of the results.

Arthroplasty, Replacement, Hip↗

Assessing allelic dropout and genotype reliability using maximum likelihood.

A growing number of population genetic studies utilize nuclear DNA microsatellite data from museum specimens and noninvasive sources. Genotyping errors are elevated in these low quantity DNA sources, potentially compromising the power and accuracy of the data. The most conservative method for addressing this problem is effective, but requires extensive replication of individual genotypes. In search of a more efficient method, we developed a maximum-likelihood approach that minimizes errors by estimating genotype reliability and strategically directing replication at loci most likely to harbor errors. The model assumes that false and contaminant alleles can be removed from the dataset and that the allelic dropout rate is even across loci. Simulations demonstrate that the proposed method marks a vast improvement in efficiency while maintaining accuracy. When allelic dropout rates are low (0-30%), the reduction in the number of PCR replicates is typically 40-50%. The model is robust to moderate violations of the even dropout rate assumption. For datasets that contain false and contaminant alleles, a replication strategy is proposed. Our current model addresses only allelic dropout, the most prevalent source of genotyping error. However, the developed likelihood framework can incorporate additional error-generating processes as they become more clearly understood.

Alleles↗

Performance characteristics of gas analysis systems: what we know and what we need to know.

It is important that sources of variation in gas analysis measurements are identified and described in an accurate and informative manner. In this paper, we discussed the potential sources of error, which should be considered in any measurement study on gas analysis systems. We then covered how errors in various terms associated with gas laws propagate to outcome measurements of gas exchange to help quantify the relative importance of sources of error. Finally, we performed a literature survey to explore the statistical methods researchers have employed to arrive at conclusions on the performance characteristics of gas analysis methods. We found examples of excellent practice in the literature, but there were also gaps in the knowledge of error in gas analysis systems. Consequently, we supplied guidelines for future method comparison studies. These guidelines included (i) a sample size of at least 40 participants and the citation of confidence intervals, (ii) a description of the relationships between systematic and random errors and the size of measured value, (iii) the parallel examination of test-retest error within a method comparison study, and (iv) an a priori-made judgement on how much systematic and random error between methods is acceptable for practical applications. We stressed that this judgement should be based on expert-agreed position statements about acceptable error, which unfortunately have yet to be formulated for gas analysis systems.

Breath Tests↗

Data quality objectives for surface-soil cleanup operation using in situ gamma spectrometry for concentration measurements.

In situ gamma spectrometry is an efficient method for monitoring the progress of cleanup activities for radioactive contaminants in surface soil and for evaluating the attainment of cleanup standards. However, desired data precision and accuracy must be specified for such a detection system prior to the operation to ensure that the level of uncertainty associated with the concentration measurements is acceptable. A method for developing data quality objectives is described in this paper for in situ gamma spectrometry to achieve numerical goals for data precision and accuracy for cleanup operations. Concentration measurement for a radionuclide at its cleanup level must have a precision commensurate with the importance of cleanup decisions. The 95% lower limit of detection of the system is suggested to be about one tenth the expected system response at the cleanup level. The count time required to achieve the preferred 95% lower limit of detection, and hence the desired precision, can then be determined. The accuracy error arises from the overall calibration factor, which relates the detector responses (e.g., count rate) to physical quantities of interest (e.g., radionuclide soil concentration). The major source of error for the calibration factor using in situ gamma spectrometry is the misidentification of the type of the depth profile of radionuclide concentration in soil. If surrogate radionuclides are used, such as 241Am for plutonium, the variation in the concentration ratio would be another significant source of error. Soil sampling programs performed prior to a cleanup operation will greatly reduce the accuracy error for an in situ detection system, and the analysis of system errors may determine the degree of sampling required. The planning of such a program is discussed in the study. Uncertainty analysis using a Latin Hypercube sampling technique for the calibration factor is also demonstrated. The quantitative result of the uncertainty analysis is useful for determining a nuclide's maximum peak count rate using gamma spectrum that ensures the attainment of the cleanup standard for that nuclide with a pre-specified confidence level (e.g., 95%). The cleanup operation of 239,240Pu in surface soil in the safety shot areas at the Nevada Test Site serves as an example to illustrate the data quality objectives development.

Americium↗

Human error and patient-controlled analgesia pumps.

Contrary to the prevailing attitude that error is a source of blame and punishment, errors can be an opportunity to discover a problem and institute activities to correct the problem to reduce the likelihood of recurrence. Often the source of error may be the system in which it occurred, not the person associated with it. Error in any domain, including healthcare, is difficult to identify and address because persons are reluctant to report errors for fear of self-incrimination. The discipline of human factors addresses issues related to human performance including use error. Human factors analysis provides insight into the etiology of use errors and how they can be reduced. Patient-controlled analgesia (PCA) pumps were developed to allow the patient or care-giver more control over pain relief. The PCA pumps can be programmed to deliver pain medication on a continuous basis, intermittently, or as a bolus. Selected adverse incidents involving PCA pumps that were due to use error and reported to the U.S. Food and Drug Administration are described. Finally, implications of those findings and the potential for reducing use error by applying considerations of the discipline of human factors are discussed.

Adverse Drug Reaction Reporting Systems↗

A stereotaxic method of recording from single neurons in the intact in vivo eye of the cat.

A method is described for recording stereotaxically from single retinal neurons in the optically intact in vivo eye of the cat. The method is implemented with the help of a new type of stereotaxic instrument and a specially developed stereotaxic atlas of the cat's eye and retina. The instrument is extremely stable and facilitates intracellular recording from retinal neurons. The microelectrode can be rotated about two mutually perpendicular axes, which intersect in the freely positionable pivot point of the electrode manipulation system. When the pivot point is made to coincide with a small electrode-entrance hole in the sclera of the eye, a large retinal region can be reached through this fixed hole in the immobilized eye. The stereotaxic method makes it possible to choose a target point on the presented eye atlas and predict the settings of the instrument necessary to reach this target. This method also includes the prediction of the corresponding light stimulus position on a tangent screen and the calculation of the projection of the recording electrode on this screen. The sources of error in the method were studied experimentally and a numerical perturbation analysis was carried out to study the influence of each of the sources of error on the final result. The overall accuracy of the method is of the order of 5 degrees of visual angle, which will be sufficient for most purposes.

Animals↗

The false fame illusion in people with memories about a previous life.

The present study examined whether individuals with full-blown memories of highly implausible events are prone to commit source monitoring errors. Participants reporting previous-life memories and those without such memories completed a false fame task. This task provides an index of source monitoring errors (i.e., misclassifying familiar non-famous names as famous names). Participants with previous-life memories had a greater tendency to judge the names of previously presented non-famous people as famous than control participants. The two groups did not differ in terms of correct recognition of new non-famous names and famous names. Although dissociation, cognitive failures, sleep-related experiences, depressive symptoms, and signs of psychological distress were all significantly higher in participants with previous-life memories than in controls, these variables did not predict the false fame illusion.

Adult↗

The origins of the back-mutation assay method: a personal recollection.

The back-mutation assay method for determining the mutagenicity of various treatments was first developed a little over 50 years ago and has been in continuous use ever since. Shortly after the method was first used it became evident that certain factors of cell density, composition of media, etc., had to be carefully controlled to preserve an acceptable reliability of the method. A factor of particular importance was the suppression of growth of back-mutant prototrophic cells by the large number of auxotrophic cells present, a phenomenon which later became known as the "Grigg Effect." This review describes the origins of the back-mutation method and of the confounding competitive suppression phenomenon, the cause of competitive suppression, methods of diagnosing whether it is likely to bias the interpretation of a particular back-mutation experiment, and an experimental design which removes it entirely as a possible source of error. A number of other phenomena, such as phenotypic lag and coincident mutation associated with back-mutation, are also discussed as possible sources of error.

Animals↗

[Error analysis of the thermoindicator method for the determination of the heart minute volume].

In the modern clinical setting, the determination of cardiac output by thermodilution is probably the most widely used method. Factors which are the basis for calculation of cardiac output measured by thermodilution are analyzed and possible sources of errors are described. This method offers the advantage of simplicity and unlimited repeatability at the bedside. Specific sources of error include factors influencing the temperature of the injectate bolus, the determination of initial baseline blood temperature, the integration of the dilution curve and the technique of injection. A model for the determination of the overall accuracy is described. The method can be used reliably. The overall accuracy was found to be from 86% to 93%.

Blood Flow Velocity↗

Optimal placement of radioisotopes for permanent prostate implants.

PURPOSE: To determine which of four loading techniques most efficiently yields the prescribed dose to the prostate volume while limiting dose to the central urethral volume. MATERIALS AND METHODS: The four techniques included (a) equal activity and equal spacing with nomogram, (b) differential loading, (c) peripheral loading, and (d) spiked loading of the lobes. They were evaluated with regard to target coverage urethra dose, tolerance to error, and complexity of procedure. RESULTS: All ideal plans delivered the prescribed dose of 160 Gy to 99% of the prostate volume. With prostate-volume expansion and source-placement errors, all strategies indicated that at least 71% of the target volume received the prescribed dose and greater than 92% of the target volume received 120 Gy. CONCLUSION: With source-placement errors and glandular swelling, peripheral loading yields the best target coverage while limiting dose to the central urethral volume.

Brachytherapy↗

The performance of hybrid density functional theory for the calculation of indirect nuclear spin-spin coupling constants in substituted hydrocarbons.

Density functional theory, in particular, with the Becke-3-parameter-Lee-Yang-Parr (B3LYP) hybrid functional, has been shown to be a promising method for the calculation of indirect nuclear spin-spin coupling constants. However, no systematic investigation has so far been undertaken to evaluate the capability of B3LYP to calculate these coupling constants accurately, taking properly into account the vibrational contributions. In this work, vibrationally corrected indirect spin-spin coupling constants were calculated using the B3LYP functional for 10 rigid unsubstituted and substituted hydrocarbons: ethyne, ethene, allene, cyclopropene, cyclopropane, cyclobutene, pyrrole, furan, thiophene and benzene. The resulting spin-spin constants were compared with the available experimental values. The basis sets in these calculations give indirect nuclear spin-spin coupling constants of ethyne that are almost converged to the basis-set limit, making the intrinsic error of the computational method and the error in equilibrium geometry the main sources of error. On average, the B3LYP functional overestimates the indirect nuclear spin-spin coupling constants in hydrocarbons by 10%.

Journal Article↗

Techniques for estimating genetic admixture and applications to the problem of the origin of the Icelanders and the Ashkenazi Jews.

A method is introduced for simultaneously using multiple loci to estimate admixture and test goodness of fit of the model of admixture. Deviation of observed frequencies from expectation caused by sources of error such as sampling and/or drift is allowed for all loci in all populations. This allows investigation of the effects of different assumptions about sources of error on the estimates. Admixture is then investigated for Icelanders and Ashkenazi Jews. Results indicate that the Icelanders have a large Norse contribution, and that the Jews may have a small to moderate contribution from the European gene pool. There are some indications that AB0 and G6PD give abnormal estimates of admixture compared to other loci, and that the Jewish gene pool may be derived from additional populations in addition to the populations considered.

ABO Blood-Group System↗

An intercomparison of gamma-spectrometry on two samples of biological origin by eight laboratories in four countries.

This report gives details of the first inter-laboratory comparison of gamma-spectrometry to be run within SPERA, the South Pacific Environmental Radioactivity Association since its inauguration in 1991. Laboratories in Australia, Chile, French Polynesia and New Zealand participated in the exercise. Two 'unknown' samples of biological origin were analysed. The first was a sample of milk powder derived from IAEA reference material. This sample provided an assessment of overall accuracy of 134Cs, 137Cs and 40K determinations. The second sample consisted of dried fish flesh including natural 40K and spiked with a mixed nuclide solution containing 210Pb, 109Cd, 54Mn, 60Co and trace 133Ba. Together the samples gave information on analytical precision over a range of energies and activities. When the results were compared with the recommended values and confidence intervals of the IAEA reference material, the overall accuracy of the gamma-spectrometry analytical procedures was found to be good. The average mean values for combined laboratory data fell within the recommended value ranges for each isotope. Ninety percent of the individual laboratory isotope mean values were within two standard errors of the 95% confidence interval of the standard, 75% were within 1 s.e., and 33% of the analyses fell within the confidence interval. Technical precision was also adequate with the overall errors being of the same magnitude as that of the reference material values for each isotope with relative standard deviations of 5-10%. There was a tendency for standard deviations of the combined results to be larger than those reported or derived from individual laboratory results by a factor between 1.2-5.6. This result suggested an under-estimate of systematic errors within individual laboratories. The largest sources of error were derived from reporting and calculation of results which gave a 16% gross error rate.

Animals↗

Reliability of the current models of instantaneous pollutant emissions

Pollutant emissions and fuel consumption of passenger cars are usually assessed as a function of average as a function of average speed. Nevertheless a number of attempts were made to take into account the driving pattern using emission vs. instantaneous speed and acceleration models. Five quite similar models were developed in Europe. To which extent these instantaneous models are innovative as compared to conventional models? In a first step the various development stages of an emission-based model and the various associated errors are presented. Among the possible sources of error, we selected modelling-induced errors, enabling to compare rigorously the various model types in terms of performance. The analysis was performed using the Modem model, developed from the measurement results obtained over a sample of 150 vehicles, representative of French, English and German fleets, over 14 representative driving cycles under urban conditions. Average emissions as measured over these 14 cycles are compared to emissions calculated over same cycles using this model. Modelling errors range from -51% to +57% as a function of the considered cycle and the vehicle type. This inaccuracy is quite similar for the other four European models. This demonstrates the low reliability of the models used, which cannot be used to assess the impact of slight changes in the driving pattern, sometimes leading to completely false conclusions. These models are barely more precise than average speed based models. In a second step, a number of alternatives liable to improve the reliability of instantaneous models are contemplated: for example using another method for calculating acceleration, or increasing the number of speed and acceleration classes significantly. But this does not improve significantly the model reliability. Limited measurements performed on a catalyst vehicle demonstrated that very high engine loads, even if not frequent, play a significant role in emissions: sometimes they yield emission values a thousand times higher. It is therefore of prime interest to study them in a comprehensive manner. In addition, this demonstrates that each model should be developed from measurements carried out over a set of representative driving cycles under real-world driving conditions.

Journal Article↗

Age differences in source forgetting: effects on reality monitoring and on eyewitness testimony.

Age differences in memory for the source of memories were investigated using two different experimental paradigms. Experiment 1 used a reality monitoring paradigm. A series of actions were either performed, imagined, or watched, and subjects were later tested for their ability to recognize the actions and identify their origins. Elderly subjects made more false positive responses than did young subjects, and they made more source confusion errors, attributing actions to the wrong sources. Both new and imagined actions were most often misclassified as watched. Experiment 2 used an eyewitness testimony paradigm. After watching a film, subjects read a written version of the story. A recognition test showed that elderly subjects were more often misled by false information in the story than were the younger subjects, and were more confident that their erroneous responses were correct. The findings suggest that a decline in memory for sources may diminish the accuracy of elderly witnesses.

Adult↗

Oral contraceptive use: interview data versus pharmacy records.

BACKGROUND: If women tend to forget and underreport their past oral contraceptive (OC) use, but the recall among cases is enhanced by the presence of disease, recall bias may explain some reported health effects of OC use. METHODS: Two different sources of information on lifetime OC use were compared for 427 (84%) of a community-based sample of 511 women aged 20-34: (i) structured interviews, using a life event calendar and picture display as memory aids, and (ii) a register of all prescriptions dispensed by pharmacies in the county since 1970. RESULTS: Interview data and pharmacy records showed high levels of agreement for any OC use, current use, time since first and last use, total duration of use, and for duration of use in different 'time windows'. But there was a tendency to under-report specific kinds of OC used in the past. CONCLUSION: Underreporting of OC use among non-cases would usually introduce little or no bias (as compared to pharmacy records) for this kind of interview and women. However, it may be preferable to use interviews for current OC use, and pharmacy records for specific kinds of OC used in the past.

Adult↗

Unravelling the population turnaround in rural Canada.

"This paper attempts to unravel the rural population turnaround in Canada through a disaggregation and analysis of rural growth rates by (1) two decades, 1961-71 and 1971-81, (2) the farm and non-farm components of rural population, (3) provincially based regions, and (4) area types based on proximity to urban centres. Following a discussion of the various definitional and boundary-matching issues arising from the use of the Census of Canada, results are presented in tabular and map form. Although rural growth rates did in all likelihood exceed urban rates in the 1970s, the extent of this turnaround is undoubtedly exaggerated in the census data, primarily because of definitional and reclassification effects. Moreover, setting aside data-related anomalies, there is strong evidence that much of this rural population growth was in fact 'spillover' from urban centres." (SUMMARY IN FRE)

Americas↗

Medication errors: analysis not blame.

This article summarizes current knowledge regarding neonatal medication errors and explicates the key concepts of human error and system error. A case report illustrates the sources of error. Medication error analysis must go beyond the blaming of individuals for active errors and explore the latent errors that exist in a complex health care environment. Using correct language to describe and define medication error may facilitate the development of a nonpunitive culture and enable effective evaluation of the causes of error.

Female↗