47 research outputs found
External quality-control surveys of peptide hormone radioimmunoassays in the Federal Republic of Germany : The present status
External Quality Assessment of Absorbance Measurements on Spectral and Spectral-Line Photometers
Peer Reviewe
Non-intrusive flow diagnostics for unsteady inlet flow distortion measurements in novel aircraft architectures
Inlet flow distortion is expected to play a major role in future aircraft architectures where complex air induction systems are required to couple the engine with the airframe. The highly unsteady distortions generated by such intake systems can be detrimental to engine performance and were previously linked with loss of engine stability and potentially catastrophic consequences. During aircraft design, inlet flow distortion is typically evaluated at the aerodynamic interface plane, which is defined as a cross-flow plane located at a specific upstream distance from the engine fan. Industrial testing currently puts more emphasis on steady state distortions despite the fact that, historically, unsteady distortions were acknowledged as equally important. This was partially due to the limitations of intrusive measurement methods to deliver unsteady data of high spatial resolution in combination with their high cost and complexity. However, as the development of aircraft with fuselage-integrated engine concepts progresses, the combination of different types of flow distortions is expected to have a strong impact on the engine’s stability margin. Therefore, the need for novel measurement methods able to meet the anticipated demand for more comprehensive flow information is now more critical than ever. In reviewing the capabilities of various non-intrusive methods for inlet distortion measurements, Filtered Rayleigh Scattering (FRS) is found to have the highest potential for synchronously characterising multiple types of inlet flow distortions, since the method has the proven ability to simultaneously measure velocity, static pressure and temperature fields in challenging experimental environments. The attributes of the FRS method are further analysed aiming to deliver a roadmap for its application on ground-based and in-flight measurement environments.European Union funding: 88652
Diagnosis of obstructive coronary artery disease using computed tomography angiography in patients with stable chest pain depending on clinical probability and in clinically important subgroups: Meta-analysis of individual patient data
Objective To determine whether coronary computed tomography angiography (CTA) should be performed in patients with any clinical probability of coronary artery disease (CAD), and whether the diagnostic performance differs between subgroups of patients. Design Prospectively designed meta-analysis of individual patient data from prospective diagnostic accuracy studies. Data sources Medline, Embase, and Web of Science for published studies. Unpublished studies were identified via direct contact with participating investigators. Eligibility criteria for selecting studies Prospective diagnostic accuracy studies that compared coronary CTA with coronary angiography as the reference standard, using at least a 50% diameter reduction as a cutoff value for obstructive CAD. All patients needed to have a clinical indication for coronary angiography due to suspected CAD, and both tests had to be performed in all patients. Results had to be provided using 2×2 or 3×2 cross tabulations for the comparison of CTA with coronary angiography. Primary outcomes were the positive and negative predictive values of CTA as a function of clinical pretest probability of obstructive CAD, analysed by a generalised linear mixed model; calculations were performed including and excluding non-diagnostic CTA results. The no-treat/treat threshold model was used to determine the range of appropriate pretest probabilities for CTA. The threshold model was based on obtained post-test probabilities of less than 15% in case of negative CTA and above 50% in case of positive CTA. Sex, angina pectoris type, age, and number of computed tomography detector rows were used as clinical variables to analyse the diagnostic performance in relevant subgroups. Results Individual patient data from 5332 patients from 65 prospective diagnostic accuracy studies were retrieved. For a pretest probability range of 7-67%, the treat threshold of more than 50% and the no-treat threshold of less than 15% post-test probability were obtained using CTA. At a pretest probability of 7%, the positive predictive value of CTA was 50.9% (95% confidence interval 43.3% to 57.7%) and the negative predictive value of CTA was 97.8% (96.4% to 98.7%); corresponding values at a pretest probability of 67% were 82.7% (78.3% to 86.2%) and 85.0% (80.2% to 88.9%), respectively. The overall sensitivity of CTA was 95.2% (92.6% to 96.9%) and the specificity was 79.2% (74.9% to 82.9%). CTA using more than 64 detector rows was associated with a higher empirical sensitivity than CTA using up to 64 rows (93.4% v 86.5%, P=0.002) and specificity (84.4% v 72.6%, P<0.001). The area under the receiver-operating-characteristic curve for CTA was 0.897 (0.889 to 0.906), and the diagnostic performance of CTA was slightly lower in women than in with men (area under the curve 0.874 (0.858 to 0.890) v 0.907 (0.897 to 0.916), P<0.001). The diagnostic performance of CTA was slightly lower in patients older than 75 (0.864 (0.834 to 0.894), P=0.018 v all other age groups) and was not significantly influenced by angina pectoris type (typical angina 0.895 (0.873 to 0.917), atypical angina 0.898 (0.884 to 0.913), non-anginal chest pain 0.884 (0.870 to 0.899), other chest discomfort 0.915 (0.897 to 0.934)). Conclusions In a no-treat/treat threshold model, the diagnosis of obstructive CAD using coronary CTA in patients with stable chest pain was most accurate when the clinical pretest probability was between 7% and 67%. Performance of CTA was not influenced by the angina pectoris type and was slightly higher in men and lower in older patients. Systematic review registration PROSPERO CRD42012002780
Concentration-Dependent Profiles for Describing the Scatter of Results of Interlaboratory Surveys
Peer Reviewe
Report on a Joint European Quality Control Survey for Neonatal Thyrotropin Determinations (1986)
Peer Reviewe
Interlaboratory Surveys of the Determination of Tumour Markers Scatter and Repeatability of the Results
Peer Reviewe
Results of Quality Control Surveys of Radioimmunological Determinations of Thyrotropin in Newborns
Peer Reviewe