Imprecision of Laboratory Determinations and Diagnostic Accuracy: Theoretical Considerations

1974 ◽  
Vol 13 (03) ◽  
pp. 151-158 ◽  
Author(s):  
D. A. B. Lindbebo ◽  
Fr. R. Watson

Recent studies suggest the determinations of clinical laboratories must be made more precise than at present. This paper presents a means of examining benefits of improvement in precision. To do this we use a mathematical model of the effect upon the diagnostic process of imprecision in measurements and the influence upon these two of Importance of Diagnosis and Prevalence of Disease. The interaction of these effects is grossly non-linear. There is therefore no proper intuitive answer to questions involving these matters. The effects can always, however, be calculated.Including a great many assumptions the modeling suggests that improvements in precision of any determination ought probably to be made in hospital rather than screening laboratories, unless Importance of Diagnosis is extremely high.

1998 ◽  
Vol 2 ◽  
pp. 23-30
Author(s):  
Igor Basov ◽  
Donatas Švitra

Here a system of two non-linear difference-differential equations, which is mathematical model of self-regulation of the sugar level in blood, is investigated. The analysis carried out by qualitative and numerical methods allows us to conclude that the mathematical model explains the functioning of the physiological system "insulin-blood sugar" in both normal and pathological cases, i.e. diabetes mellitus and hyperinsulinism.


2021 ◽  
Vol 1 ◽  
pp. 2147-2156
Author(s):  
Pavel Livotov

AbstractThe internal crowdsourcing-based ideation within a company can be defined as an involvement of its staff, specialists, managers, and other employees, to propose solution ideas for a pre-defined problem. This paper addresses a question, how many participants of the company-internal ideation process are required to nearly reach the ideation limit for the problems with a finite number of workable solutions. To answer the research question, the author proposes a set of metrics and a non-linear ideation performance function with a positive decreasing slope and ideation limit for the closed-ended problems. Three series of experiments helped to explore relationships between the metric attributes and resulted in a mathematical model which allows companies to predict the productivity metrics of their crowdsourcing ideation activities such as quantity of different ideas and ideation limit as a function of the number of contributors, their average personal creativity and ideation efficiency of a contributors’ group.


2021 ◽  
Vol 09 (06) ◽  
pp. E853-E862
Author(s):  
Samuel Han ◽  
Furqan Bhullar ◽  
Omar Alaber ◽  
Ayesha Kamal ◽  
Puanani Hopson ◽  
...  

Abstract Background and study aims Endoscopic ultrasound (EUS)-guided tissue sampling is the standard of care for diagnosing solid pancreatic lesions. While many two-way comparisons between needle types have been made in randomized controlled trials (RCTs), it is unclear which size and type of needle offers the best probability of diagnosis. We therefore performed a network meta-analysis (NMA) to compare different sized and shaped needles to rank the diagnostic performance of each needle. Methods We searched MEDLINE, EMBASE and Cochrane Library databases through August, 2020 for RCTs that compared the diagnostic accuracy of EUS fine-needle aspiration (FNA) and biopsy (FNB) needles in solid pancreatic masses. Using a random-effects NMA under the frequentist framework, RCTs were analyzed to identify the best needle type and sampling technique. Performance scores (P-scores) were used to rank the different needles based on pooled diagnostic accuracy. The NMA model was used to calculate pairwise relative risk (RR) with 95 % confidence intervals. Results Review of 2577 studies yielded 29 RCTs for quantitative synthesis, comparing 13 different needle types. All 22G FNB needles had an RR > 1 compared to the reference 22G FNA (Cook) needle. The highest P-scores were seen with the 22G Medtronic FNB needle (0.9279), followed by the 22G Olympus FNB needle (0.8962) and the 22G Boston Scientific FNB needle (0.8739). Diagnostic accuracy was not significantly different between needles with or without suction. Conclusions In comparison to FNA needles, FNB needles offer the highest diagnostic performance in sampling pancreatic masses, particularly with 22G FNB needles.


2008 ◽  
Vol 3 (3) ◽  
pp. 191 ◽  
Author(s):  
P. Rubino ◽  
M. Catalano ◽  
R. Rana ◽  
A. Caliandro

Author(s):  
Vladimir Grinkevich ◽  

The evaluation of the mathematical model parameters of a non-linear object with a transport delay is considered in this paper. A temperature controlled stage based on a Peltier element is an identification object in the paper. Several input signal implementations are applied to the input of the identification object. The least squares method is applied for the calculation of the non-linear differential equitation parameters which describe the identification object. The least squares method is used due to its simplicity and the possibility of identification non-linear objects. The parameters values obtained in the process of identification are provided. The plots of temperature changes in the temperature control system with a controller designed based on the mathematical model of the control object obtained as a result of identification are shown. It is found that the mathematical model obtained in the process of identification may be applied to design controllers for non-linear systems, in particular for a temperature stage based on a Peltier element, and for self-tuning controllers. However, the least square method proposed in the paper cannot estimate the transport delay time. Therefore it is required to evaluate the time delay by temperature transient processes. Dynamic object identification is applied when it is required to obtain a mathematical model structure and evaluate the parameters by an input and output control object signal. Also, identification is applied for auto tuning of controllers. A mathematical model of a control object is required to design the controller which is used to provide the required accuracy and stability of control systems. Peltier elements are applied to design low-power and small- size temperature stage . Hot benches based on a Peltier element can provide the desired temperature above and below ambient temperature.


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