Cooling the papilla with ice water in preventing post-ERCP pancreatitis (ice water challenge study)

The present study aims to quantify the potential of hyperspectral thermal infrared sounders such as the Infrared Atmospheric Sounding Interferometer (IASI) and the future IASI next generation (IASI-NG) for retrieving the ice cloud layer altitude and thickness together with the ice water path. We employed the radiative transfer model Radiative Transfer for TOVS (RTTOV) to simulate cloudy radiances using parameterized ice cloud optical properties. The radiances have been computed from an ice cloud profile database coming from global operational short-range forecasts at the European Center for Medium-range Weather Forecasts (ECMWF) which encloses the normal conditions, typical variability, and extremes of the atmospheric properties over one year (Eresmaa and McNally (2014)). We performed an information content analysis based on Shannon’s formalism to determine the amount and spectral distribution of the information about ice cloud properties. Based on this analysis, a retrieval algorithm has been developed and tested on the profile database. We considered the signal-to-noise ratio of each specific instrument and the non-retrieved atmospheric and surface parameter errors. This study brings evidence that the observing system provides information on the ice water path (IWP) as well as on the layer altitude and thickness with a convergence rate up to 95% and expected errors that decrease with cloud opacity until the signal saturation is reached (satisfying retrievals are achieved for clouds whose IWP is between about 1 and 300 g/m2).

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Performance of BioFire array or QuickVue influenza A + B test versus a validation qPCR assay for detection of influenza A during a volunteer A/California/2009/H1N1 challenge study

Virology Journal ◽

10.1186/s12985-021-01516-0 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

David R. McIlwain ◽

Han Chen ◽

Maria Apkarian ◽

Melton Affrime ◽

Bonnie Bock ◽

...

Keyword(s):

Influenza A ◽

Rapid Test ◽

Influenza Viruses ◽

Qpcr Assay ◽

Superior Performance ◽

Qrt Pcr ◽

Challenge Study ◽

Test Kit ◽

2009 H1n1 ◽

B Test

Abstract Background Influenza places a significant burden on global health and economics. Individual case management and public health efforts to mitigate the spread of influenza are both strongly impacted by our ability to accurately and efficiently detect influenza viruses in clinical samples. Therefore, it is important to understand the performance characteristics of available assays to detect influenza in a variety of settings. We provide the first report of relative performance between two products marketed to streamline detection of influenza virus in the context of a highly controlled volunteer influenza challenge study. Methods Nasopharyngeal swab samples were collected during a controlled A/California/2009/H1N1 influenza challenge study and analyzed for detection of virus shedding using a validated qRT-PCR (qPCR) assay, a sample-to-answer qRT-PCR device (BioMerieux BioFire FilmArray RP), and an immunoassay based rapid test kit (Quidel QuickVue Influenza A + B Test). Results Relative to qPCR, the sensitivity and specificity of the BioFire assay was 72.1% [63.7–79.5%, 95% confidence interval (CI)] and 93.5% (89.3–96.4%, 95% CI) respectively. For the QuickVue rapid test the sensitivity was 8.5% (4.8–13.7%, 95% CI) and specificity was 99.2% (95.6–100%, 95% CI). Conclusion Relative to qPCR, the BioFire assay had superior performance compared to rapid test in the context of a controlled influenza challenge study.

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