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Receptor analysis: an arithmetic correction improves precision and accuracy.

Data of receptor analysis by ligand binding experiments should be processed using the formula DCORR = (B1 - B2.F1/F2)/VS.DCORR is an estimate of the concentration of receptor-bound radioligand; B1 and F1 are estimates of bound and free radioligand in assay 1; B2 and F2 are the corresponding values obtained from the parallel assay 2, which contains an additional excess of nonlabeled ligand; VS is the volume of assays 1 and 2 that was submitted to separation. DCORR will be superior to the conventional formula, D = (B1 - B2)/VS, if the radiolabeled receptor-ligand complexes are incompletely separated from nonspecifically bound and free radioligands. DCORR corrects for the systematic underestimation of the specifically bound radioligand implicated in D as well as for random errors due to imprecise pipetting during preparation of the parallel assays. The superiority of DCORR over D is verified by processing the data of androgen receptor analyses using agar gel electrophoresis for separation of bound and free radioligand.

Animals

Diagnostic accuracy and clinical utility of thermography for lumbar radiculopathy. A meta-analysis.

The role of thermography for diagnosing lumbar radiculopathy was evaluated by literature review and meta-analysis. From 81 relevant citations, 28 studies could be analyzed for diagnostic-accuracy data (sensitivity and specificity) and method. Diagnostic-accuracy data varied significantly between studies; therefore meaningful pooled summary statistics could not be reported. Twenty-seven studies had major methodologic flaws including biased test interpretations, faulty cohort assembly, poor clinical descriptions, and small sample size. The only study of reasonably high quality found no discriminant value for liquid-crystal thermography. The role of thermography remains unclear. Rigorous clinical research is required to establish its diagnostic accuracy and clinical utility. Thermography cannot be recommended currently for routine clinical use in evaluating low-back pain.

Back Pain

Features versus redundancy: comments on Massaro, Venezky, and Taylor's "Orthographic regularity, positional frequency, and visual processing of letter strings".

Massaro, Venezky, and Taylor (1979) found only a modest effect of familiarity on letter search, apparently because they pitted pseudowords (rather than real words) against nonwords and used lowercase rather than uppercase letters. Precuing the target letter seemed to reduce the familiarity effect they found yet further, but this conclusion is clouded by the fact that reaction time data were compared with accuracy data. Because similarity between target and nontarget letters tended to have more of an effect when familiarity had less of an effect. Massaro et al. proposed a successive model, with features being detected in the first stage and orthographic structure being used in a second stage. However, a concurrent model, with a self-terminating race between lower and higher level processes, can account for the data just as well. Data from Massaro et al. and from Krueger decisively demonstrate that there is a familiarity effect based on sequential redundancy over and above any effect based on spatial redundancy (Mason 1975). The Massaro et al. data also indicate that the relative familiarity effect is constant across various age groups (Krueger, Keen & Rublevich, 1974).

Cues

Artificial intelligence in molecular diagnostics for pandemic preparedness.

INTRODUCTION: Molecular diagnostics focusing on the detection and analysis of nucleic acids are indispensable tools for early pathogen identification, transmission monitoring, and genomic surveillance during pandemics. Recent technological advances have broadened the diagnostic landscape, incorporating PCR-based methods, isothermal amplification, high-CRISPR-based amplification detection, and sequencing. Despite their diagnostic potential, widespread implementation remains limited by high validation costs, time and logistical constraints, the need for specialized professional knowledge, and a lack of adaptability in resource-limited settings. Artificial intelligence (AI) is increasingly recognized as a promising but challenging approach, offering tools that streamline assay development, automate data interpretation, and optimize real-time diagnostic performance. AREAS COVERED: This review introduces recently published AI tools with potential to enhance the in-silico design validation process of oligonucleotides for molecular assays. These cover tools for initial assay design and optimization to validation and continuous assay updates. The limitations, including concerns regarding data accuracy, the lack of transparency in data processing ('black box' models), and unresolved licensing and regulatory issues, are highlighted for each tool and as expert opinion. EXPERT OPINION: Collectively, these challenges currently confine most AI-based approaches to research settings and prevent their routine implementation in clinical molecular diagnostics. Their widespread adoption depends on addressing remaining technical, regulatory, and practical challenges.

Humans

[Monitoring management of nosocomial infections in a neurosurgical department].

Fulfilling a nosocomial infection watch program in a neurosurgery department lead to assess the basic situation i.e. the same characteristics related to both surgery and I.C.U. (incidence rate of wound infections 3%, of bronchopulmonary tract infections 20.8% and of urinary tract infections 9.1%). To ensure feasibility of data collection and data accuracy, strategy was based on weekly passive epidemiological data collection, laboratory data and monthly confrontation with neurosurgery's practitioners.

Bacteriological Techniques

IUPAC gas chromatographic method for determination of fatty acid composition: collaborative study.

An international collaborative study of IUPAC methods II.D.19 and II.D.25 for preparation and GLC analysis of fatty acid methyl esters was begun in 1976. The IUPAC methodology, applicable to animal and vegetable oils and fats and fatty acids from all sources, contains special instructions for preparation and analysis of methyl esters of fatty acids containing 4 or more carbon atoms (analysis of milk fat). Twenty-three collaborators participated in the analysis of 5 known mixtures, 4 vegetable oils, 1 fish oil, and 2 butterfats. Several blind duplicate samples were included. The experimental data were subjected to statistical analysis to examine intra- and interlaboratory variation. Reproducibility and accuracy data for the higher fatty acid (14:0-22:1) mixtures and fish and vegetable oils were satisfactory and were in good agreement with results from an AOCS Smalley Committee check sample program involving analysis of the same samples. Typical coefficients of variation (%) at various concentrations were 15 (2% level), 8.5 (5% level), 7 (10% level), and 3 (50% level). Low recoveries and poor reproducibility were characteristics of results obtained for butyric acid in the butterfat and related known mixtures. A coefficient of variation of about 19% was found for analysis of butyric acid in butterfat, vs coefficients of variation in the range of 4-13% for similar levels of other components in butterfat and other samples. The IUPAC methodology for GLC analysis of fats and oils other than milk fats has been adopted by the AOAC as official first action to replace the current GLC method, 28.063-28.067.

Animals

Pulse code modulation telemetry in ski injury research. I. Instrumentation.

Measurement problems can be classified into instrumentation, data transmission and recording, and analysis. This paper focuses on the transmission of multichannel, high-volume, high-frequency, high-accuracy data. Boot-ski dynamometer and skier velocity anemometer data provide 13 channels of max. 8-mV signals requiring 8-microvolt resolution or 4.45-Newton dynamometer resolution. The data transmission system features durability, power consumption approx. 10 Watts, weight 4.54 kp, range greater than 3,500 m, frequency response 250 Hz, accuracy 1 per cent, temperature stability, dynamic range plus or minus 2 inches. The transducer signals are ampflified to plus or minus 10 V for the 100-kbps PCM system. Special AC amplifiers, driven by an amplitude-stabilized power oscillator, were designed for elimination of radio frequency interference (RFI), improved stability and high signal/noise. Sixteen words are sequentially sampled at 521/sec-13 data, 2 frame counters, and 1 sync. The ground station consists of the PCM decoder with real-time capability and an analog tape recorder. Data is subsequently buffered and formatted onto digital tape by mini-computer.

Athletic Injuries

Mass balance: a quantitative guide to clinical nutritional therapy. I. The predialysis patient with renal disease.

Mass balance principles can be readily applied to the patient with chronic renal failure for the more structured management of his/her nutritional and clinical course. Urine values provide valuable information with respect to rates of protein catabolism and sodium intake; creatinine excretion rates provide a ready check on data accuracy and lean body mass; urea and creatinine clearance can be calculated, if blood levels of these solutes are known. With accurate data on creatinine generation and the ratio of urea to creatinine clearance, creatinine clearance, urea generation, and protein catabolism rates can be estimated from blood levels alone. These techniques then provide quantitative guidance for the nutritional/medical staff in its efforts to control the clinical course of the patient with severly diminished renal function.

Acute Kidney Injury

An interlaboratory comparison of serum total protein analyses.

An analysis of the 1976 CAP Comprehensive Chemistry Survey of total serum proteins is presented. More than 2,000 laboratories contributed data in this survey. Estimation of total serum protein concentration by the biuret reaction remains the most widely used technic, followed by refractometry. Precision and accuracy data for a number of analytic systems and methods are presented. Precisions for the entire group are nearly comparable. A negative bias for total protein concentration was shown by the SMAC.

Blood Chemical Analysis

Development of long-term care data systems. 20. Problems of data collection in long-term health care.

Data collection involves decisions of what to count, how to count, and what to do with the count. The first of these will be determined by the third, since it is the goals which decide what data should be collected. Ways of categorizing and classifying patients, services, treatments, and personnel in relation to long-term medical care must be formulated, and development of comparable data requires definition of baselines or units of observation. Many decision makers with widely varying interests will be competing for information, and to ensure timeliness and accuracy, data collection should be restricted to a minimum of simple, easily obtained, and unambiguous items. Routine reporting of events, periodic censuses relating to persons, and sample surveys all have advantages and limitations. Probably the most useful tools are long-term care registers, as they enable longitudinal studies of patient cohorts. Reliable but confidential means for linking personal records must be found and all records in the system must flow into a central collecting point.

Classification

[Nutritional research in studies of large numbers of people: the need for integrating accuracy and simplicity].

Epidemiological investigations on nutrition and chronic diseases require high reliability, accuracy, low cost and feasibility of the system through which dietary information is collected. Food frequency questionnaire are commonly used in large epidemiological investigations. However, repeated 24 hour recall should be considered to integrate this information. Multiple 24 h recalls in random samples of large cohorts appear to be convenient choice to improve data accuracy. This procedure also allow calibration of dietary information in case of pooling of data from different cohorts. Multiple 24 h recalls can be easily carried out through telephone interviews instead of multiple face-to-face. This reliable procedure, tested in a study reported in this paper, may improve compliance.

Adult

An evaluation of the accuracy of pharmacokinetic data for the computer assisted infusion of alfentanil.

The accuracy of using average alfentanil pharmacokinetic data in a computer assisted infusion pump (TIAC) to predict alfentanil plasma concentrations was tested in 35 patients (divided into three groups) receiving alfentanil and nitrous oxide in oxygen anaesthesia for lower and upper abdominal surgery. By frequently measuring the arterial plasma concentration, it was possible to determine the average prediction error for individual patients and for groups of patients. For the groups, there were no significant systematic over- or underpredictions of the alfentanil plasma concentrations (bias). However, there existed a moderate degree of variability (imprecision) within the groups, caused by deviations of measured and predicted plasma concentrations in the individual patients within each group. As a result, prediction errors of 22.2-32.5% can be expected with the average pharmacokinetic data used in this study to drive TIAC. It was concluded that, as a result of the moderate degree of imprecision, it is unwise to rely totally on the absolute values of alfentanil plasma concentrations predicted by a computer-regulated infusion pump such as TIAC. However, such devices can be used to attain rapidly a relatively stable plasma concentration that can be adjusted (titrated) to the requirements of an individual patient during anaesthesia.

Adjuvants, Anesthesia

Structure and process in semantic memory: new evidence based on speed-accuracy decomposition.

Reaction-time and accuracy data obtained from studies of sentence verification have not been rich enough to answer certain important theoretical questions about structures and processes in human semantic memory. However, a new technique called speed-accuracy decomposition (Meyer, Irwin, Osman, & Kounios, 1986) may help solve this problem. The technique allows intermediate products of sentence verification to be analyzed more precisely. Three experiments with speed-accuracy decomposition indicate that verification processes produce useful partial information before they are completed. Such information appears to accumulate continuously at a rate whose magnitude depends on the degree of relatedness between semantic categories. This outcome is consistent with continuous computational (e.g., semantic-feature comparison) models of semantic memory. An analysis of reaction-time minima suggests that a discrete all-or-none search process may also contribute at least occasionally to sentence verification. Further details regarding the nature of these processes and the memory structures on which they operate can be inferred from additional results obtained through speed-accuracy decomposition.

Humans

A scheme for the evaluation of methods in clinical chemistry with particular application to those measuring enzyme activities. Part II: analysis of data and performance assessment.

Recommendations are made concerning the editing of day-to-day reproducibility data for establishment of precision in the evaluation of a clinical chemistry method. The concept of diagnostic and equalized diagnostic indices is introduced together with formulae for their generation from the usual precision and accuracy data acquired in method evaluations. These indices allow direct comparison of data obtained from procedures for measuring enzyme activities which employ a variety of experimental conditions and units in their protocols. The equalized diagnostic index permits assessment of the suitability of the normal range assignment. Permissible limits of variation (PLV) and permissible limits of discrepancy (PLD) have been developed empirically from detailed examination of data from method evaluations and proficiency testing surveys in the published literature. The application of the diagnostic indices and the two permissible limits of criteria have been illustrated using data from the assessment of 19 kits measuring CPK activity. The inconsistency of the correlation coefficient in method comparisons is confirmed.

Canada