scholarly journals A systematic review of the accuracy of ultrasound in the diagnosis of deep venous thrombosis in asymptomatic patients

2004 ◽  
Vol 91 (04) ◽  
pp. 655-666 ◽  
Author(s):  
Jean-Pierre Boissel ◽  
Michel Cucherat ◽  
Sandrine Sonie ◽  
Nirav Shah ◽  
Alain Leizorovicz ◽  
...  

SummaryEvaluation of the accuracy of ultrasound has yielded heterogeneous results. Our objective was to summarize the evidence on the accuracy of ultrasound compared to venography in asymptomatic patients, taking into account the variation due to threshold differences. Searches of journal table of contents, computer databases (Medline, Embase, Biomed, Cochrane) and conference proceedings were performed. A study was eligible if it prospectively compared ultrasound to venography for the diagnosis of DVT in asymptomatic patients. Data of studies selected for inclusion were extracted independently by two authors. High quality studies with consecutive patient enrollment, blind evaluation of the two techniques, and absence of verification bias are summarized as Level 1, while those not fulfilling one or more of these criteria are considered Level 2. Original study authors were contacted to confirm accuracy and to provide missing data. A pooled estimate of the accuracy of ultrasound was obtained according to the method of Moses and coworkers. This method gives a summary diagnostic odds ratio (DOR). The DOR is a single indicator of test performance. It varies between 0 and infinity and exceeds 1, only when ultrasound is more often positive in patients with DVT relative to those without DVT. Higher DOR indicates better discriminatory test performance. Thirty one studies were rated as potentially unbiased and graded as Level 1.The mean prevalence of DVT as determined by venography was 22%. In Level 1 studies, the odds of positive ultrasound in proximal veins was 379 times higher (95% confidence limits 65, 2,200) and in distal veins 32 times higher (7.5, 135) among patients with DVT than those without. Our results suggest that, particularly for proximal veins, ultrasound is accurate for the diagnosis of DVT in asymptomatic postoperative orthopedic patients. More research is needed in other clinical settings.

2016 ◽  
Vol 28 (2) ◽  
pp. 321-330 ◽  
Author(s):  
Susana C. A. Póvoas ◽  
Carlo Castagna ◽  
José Manuel da Costa Soares ◽  
Pedro Silva ◽  
Manuel Coelho-e-Silva ◽  
...  

Purpose:The reliability and construct validity of three age-adapted-intensity Yo-Yo tests were evaluated in untrained (n = 67) vs. soccer-trained (n = 65) 9- to 16-year-old schoolgirls.Methods:Tests were performed 7 days apart for reliability (9- to 11-year-old: Yo-Yo intermittent recovery level 1 children’s test; 12- to 13-yearold: Yo-Yo intermittent endurance level 1; and 14- to 16-year-old: Yo-Yo intermittent endurance level 2).Results:Yo-Yo distance covered was 40% (776 ± 324 vs. 556 ± 156 m), 85% (1252 ± 484 vs. 675 ± 252 m) and 138% (674 ± 336 vs. 283 ± 66 m) greater (p ≤ .010) for the soccer-trained than for the untrained girls aged 9–11, 12–13 and 14–16 years, respectively. Typical errors of measurement for Yo-Yo distance covered, expressed as a percentage of the coefficient of variation (confidence limits), were 10.1% (8.1–13.7%), 11.0% (8.6–15.4%) and 11.6% (9.2–16.1%) for soccer players, and 11.5% (9.1–15.8%), 14.1% (11.0–19.8%) and 10.6% (8.5–14.2%) for untrained girls, aged 9–11, 12–13 and 14–16, respectively. Intraclass correlation coefficient values for test-retest were excellent (0.795–0.973) in both groups. No significant differences were observed in relative exercise peak heart rate (%HRpeak) between groups during test and retest.Conclusion:The Yo-Yo tests are reliable for determining intermittent-exercise capacity and %HRpeak for soccer players and untrained 9- to 16-year-old girls. They also possess construct validity with better performances for soccer players compared with untrained age-matched girls, despite similar %HRpeak.


2020 ◽  
Author(s):  
Sang-Woo Kim ◽  
Man-Hae Kim ◽  
Ali Omar

<p class="MDPI31text"><span lang="EN-US">Dust lidar ratios are retrieved by a synergetic use of CALIOP and MODIS products for 5 years from 2007 to 2011. The CALIOP level 1 total attenuated backscatter data is used for the retrieval and the CALIOP level 2 aerosol profile product is used to determine dust layers. Quality assured (QA > 1 for dark target ocean, QA = 3 for deep blue land) aerosol optical depth (AOD) data from the MODIS level 2 aerosol product is used as constraint. MODIS AOD retrievals and CALIOP attenuated backscatter profiles closer than 10 km from the center of MODIS pixel are defined as collocated measurements. Clouds are screened out for both CALIOP and MODIS. The retrieval is performed for the whole column of the atmosphere from 30 km to the surface adopting a constant lidar ratio of 30 sr for aerosols of clear air above the detected layers. The retrieved dust lidar ratios show a log-normal distribution with mean (median) values of 39.5 ± 16.8 (38.1) sr and 46.6 ± 36.3 (39.2) sr for ocean and land, respectively. The mean values are comparable to the value of 44 sr currently used in the CALIOP level 2 aerosol algorithm but the median values are relatively lower. There is a distinct regional variation in the retrieved dust lidar ratios. Dust lidar ratio is larger for the Saharan Desert (49.5 ± 36.8 sr) than the Arabian Desert (42.5 ± 26.2 sr), which is consistent with many previous studies. Dust aerosols transported to the Mediterranean Sea (44.4 ± 15.9 sr), Mid Atlantic (40.3 ± 12.4 sr) and Arabian Sea (37.5 ± 12.1 sr) show lower values compared with their source regions. An aging process of the long-range transported dust to remote ocean may be responsible for low lidar ratios. Dust lidar ratio over ocean in East Asia is 41.8 ± 27.6 sr is comparable with previous studies. Over Taklamakan and Gobi Deserts region the retrieved dust lidar ratios (35.5 ± 31.1 sr) show low values but still comparable with previous studies. Dust lidar ratios for Australia (35.4 ± 34.4 sr) are also relatively low compared with other regions. Although the mean AOD difference between CALIOP and MODIS is small (close to zero), the distribution of the AOD difference shows that the CALIOP AOD is biased low. However, when including clear air AOD for CALIOP, AODs from the two sensors become more comparable. A conclusion that can be drawn from this is that retrieving only for the detected layers in the CALIOP algorithm is one of the major reasons for lower AODs for CALIOP than MODIS. Lidar ratios retrieved in this study are strongly affected by MODIS AOD, because it is used as a constraint for the retrieval. </span></p>


1998 ◽  
Vol 80 (1) ◽  
pp. 81-88 ◽  
Author(s):  
T.S. Han ◽  
M.E.J. Lean

We evaluated the accuracy of self-reported home-assessed and self-measured waist circumference in 101 men and eighty-three women aged 28–67 years. The main outcome measures were subjects' self-reported and self-measured waist circumference, and self-classification according to the previously defined waist action level 1 (940 mm in men, 800 mm in women) and action level 2 (1020 mm in men, 880 mm in women), and waist circumference measured by the investigator using the ‘Waist Watcher’ tape-measure, as the reference method. The mean errors (95% CI limits of agreement) for subjects' self-reported waist circumference (self-reported minus reference; mm) were −67 (95% CI −210, 77) in men and −43 (95% CI −211, 123) in women, and for self-measured waist circumference (mm) using the ‘Waist Watcher’ (self-measured minus reference) were −5 (95% CI −62, 52) in men and −4 (95% CI −50, 42) in women. The proportions of subjects classified into waist action level 1 or action level 2 by the investigator were used as the reference method. Self-reported waist circumference of men and women respectively would be classified correctly in different categories based on action level 1 with sensitivities of 58·3 and 78·7%, and specificities of 98·5 and 98·7%, and action level 2 with sensitivities of 38·3 and 48·9%, and specificities of 98·5 and 98·7%. Using the ‘Waist Watcher’ with different colour bands based on the action levels, male and female subjects respectively classified themselves into correct categories according to action level 1 with sensitivities of 100 and 98·7%, and specificities of 98·1 and 98·2%, and according to action level 2 with sensitivities of 98·1 and 100%, and specificities of 100% for both sexes. Only 2% of the sample misclassified themselves into the wrong categories according to waist circumference action levels. In conclusion, people tend to underestimate their waist circumference, but the ‘Waist Watcher’ tape-measure offers advantages over self-reported home-assessed measurement, and may be used as a screening tool for self-classifying the risk of ill health through intra-abdominal fat accumulation.


2013 ◽  
Vol 6 (6) ◽  
pp. 11405-11437 ◽  
Author(s):  
K. V. Subrahmanyam ◽  
K. K. Kumar

Abstract. The vertical profiles of humidity measured by SAPHIR (Sondeur Atmospherique du Profil d' Humidité Intropicale par Radiométrie) on-board Megha-Tropiques satellite are validated using Atmosphere Infrared Sounder (AIRS) and ground based radiosonde observations during July–September 2012. SAPHIR provides humidity profiles at six pressure layers viz., 1000–850 (level 1), 850–700 (level 2), 700–550 (level 3), 550–400 (level 4) 400–250 (level 5) and 250–100(level 6) hPa. Segregated AIRS observations over land and oceanic regions are used to assess the performance of SAPHIR quantitatively. The regression analysis over oceanic region (125° W–180° W; 30° S–30° N) reveal that the SAPHIR measurements agrees very well with the AIRS measurements at levels 3, 4, 5 and 6 with correlation coefficients 0.79, 0.88, 0.87 and 0.78 respectively. However, at level 6 SAPHIR seems to be systematically underestimating the AIRS measurements. At level 2, the agreement is reasonably good with correlation coefficient of 0.52 and at level 1 the agreement is very poor with correlation coefficient 0.17. The regression analysis over land region (10° W–30° E; 8° N–30° N) revealed an excellent correlation between AIRS and SAPHIR at all the six levels with 0.80, 0.78, 0.84, 0.84, 0.86 and 0.65 respectively. However, again at levels 5 and 6, SAPHIR seems to be underestimating the AIRS measurements. After carrying out the quantitative comparison between SAPHIR and AIRS separately over land and ocean, the ground based global radiosonde network observations of humidity profiles over three distinct geographical locations (East Asia, tropical belt of South and North America and South Pacific) are then used to further validate the SAPHIR observations as AIRS has its own limitations. The SAPHIR observations within a radius of 50 km around the radiosonde stations are averaged and then the regression analysis is carried out at the first five levels of SAPHIR. The comparison is not carried out at sixth level due to inaccuracies of radiosonde measurements of humidity at this level. From the regression analysis, it is found that the SAPHIR observations agree very well with the radiosonde observations at all the five levels with correlation coefficients 0.65, 0.72, 0.84, 0.88 and 0.78 respectively. Among the three regions considered for the present study, the correlation was poor at the first level over East Asia. Further, statistical analysis showed that at first level the SAPHIR observations have wet bias at low humidity magnitudes and dry bias at high humidity magnitudes. The humidity magnitude at which wet bias changes to dry bias varied from one level to the other. The mean bias between the radiosonde and the SAPHIR observations are also estimated separately for the three regions. The mean bias profiles showed that SAPHIR has wet bias at all the five levels over South/North America and South Pacific regions. However, the results showed dry bias at all the levels except 2nd and 3rd levels, where it showed wet bias, over East Asia. In a nutshell, the results indicated that SAPHIR has wet bias over dry regions and dry bias over wet regions. The important outcome of the present study is the quantitative validation of the SAPHIR humidity observations using both space and ground based measurements. The present results are very encouraging and envisage the great potential of SAPHIR observations for meteorological applications especially in understanding the hydrological cycle at shorter temporal and spatial scales in the Tropics.


2020 ◽  
Vol 9 (9) ◽  
pp. e846997942
Author(s):  
Tatiana Moreira Afonso ◽  
Taciana Silveira Passos ◽  
Marcos Antonio Almeida-Santos

Objective: To evaluate the acceptability (comfort, ease of use, lubrication, and pleasure) of internal and external condom use in stable couples. Metodology: This randomized cross-over trial included 54 couples (108 adult individuals). Participants were asked to evaluate acceptability measures of both types of condoms using the Visual Analogue Scale.  We developed a three-level hierarchical model [level 1= three repeated measures (wave, type of condom); level 2= individual (gender, age); level 3= couple (sequence of presentation of female versus external condom)]. Results: The "ease of use" dimension represented the biggest difference between the types of condoms for men (Hedges 'g = 0.96; p <0.0001) and women (Hedges' g = 1.62; p <0.0001). Regardless of gender, external condoms performed better (1.61; 95% HPD = 1.41 – 1.81). Men gave lower scores in general (-0.62; 95% HPD = -1.16 − -0.10). Conclusion: The external condom scored better than the internal condom for women and their male partners. The scores tended to improve with the repetitive use of the condom. There is no evidence of the influence of the age of the individuals or the randomly selected sequence of use of condoms with regards to the mean score of the four dimensions.


2010 ◽  
Vol 3 (4) ◽  
pp. 893-907 ◽  
Author(s):  
P. Royer ◽  
J.-C. Raut ◽  
G. Ajello ◽  
S. Berthier ◽  
P. Chazette

Abstract. In this study aerosol optical properties are studied over the Po Valley from June 2006 to February 2009 using Cloud-Aerosol Lidar and Infrared Pathfinder Satellite Observations/Cloud-Aerosol LIdar with Orthogonal Polarization (CALIPSO/CALIOP) and Moderate Resolution Imaging Spectroradiometer (MODIS) onboard Aqua and Terra. The choice of the Po valley has been driven by the numerous occurrences of pollutant events leading to a mean MODIS-derived aerosol optical depth (AOD) of 0.27 (±0.17) at 550 nm over a large area of ~120 000 km2. AOD derived from MODIS, AERONET and CALIOP have been compared. The comparison with AERONET sun-photometers has highlighted an overestimation of AOD from MODIS radiometers of 0.047 for Aqua and 0.088 for Terra. A systematic underestimation of AOD derived from CALIOP Level-2 products has been observed in comparison to Aqua (0.060) and Terra (0.075) MODIS values. Considering those discrepancies a synergistic approach combining CALIOP level-1 data and MODIS AOD has been developed for the first time over land to retrieve the equivalent extinction-to-backscatter ratio at 532 nm (LR). MODIS-derived AOD were indeed used to constrain CALIOP profiles inversion. A significant number of CALIOP level-1 vertical profiles have been averaged (~200 individual laser shots) in the Po Valley, leading to a signal-to-noise ratio (SNR) higher than 10 in the planetary boundary layer (PBL), which is sufficient to invert the mean lidar profiles. The mean LR (together with the associated variabilities) over the Po Valley retrieved from the coupling between CALIOP/MODIS-Aqua and CALIOP/MODIS-Terra are ~78±22 sr and ~86±27 sr, respectively. The total uncertainty on LR retrieval has been assessed to be ~12 sr using a Monte Carlo approach. The mean LR determined from a look-up table through a selection algorithm in CALIOP level 2 operational products (~63±8 sr) show a good agreement for daytime inversion (70±11 sr for Aqua and 74±14 sr for Terra). These values appear close to what is expected for pollution aerosols in an urban area. Contrarily large differences are observed when considering nighttime CALIOP profiles inverted with daytime AOD from MODIS (63±7 sr for CALIOP level-2 compared with 89±28 sr for CALIOP/Aqua and 103±32 sr for CALIOP/Terra synergies). They can be explained by a significant evolution of AOD between lidar and radiometer passing times. In most of cases, the mean aerosol extinction coefficient in the PBL significantly differs between the level-2 operational products and the result CALIPSO/MODIS synergy results. Mean differences of 0.10 km−1 (~50%) and 0.13 km−1 (~60%) have indeed been calculated using MODIS-Aqua/CALIOP and MODIS-Terra/CALIOP coupling studies, respectively. Such differences may be due to the identification of the aerosol model by the operational algorithm and thus to the choice of the LR.


1993 ◽  
Vol 70 (02) ◽  
pp. 266-269 ◽  
Author(s):  
Giancarlo Agnelli ◽  
Benilde Cosmi ◽  
Stefano Radicchia ◽  
Franca Veschi ◽  
Enrico Boschetti ◽  
...  

SummaryImpedance plethysmography (IPG) has high sensitivity and specificity in patients with symptomatic deep vein thrombosis (DVT) while it fails to detect asymptomatic DVT. The aim of this study was to determine whether the features of thrombi such as location, size and occlusiveness could explain the different accuracy of IPG in symptomatic and asymptomatic DVT patients. One-hundred and seventeen consecutive outpatients with a clinical suspicion of DVT and 246 consecutive patients undergoing hip surgery were admitted to the study. In symptomatic patients IPG was performed on the day of referral, followed by venography, while in asymptomatic patients IPG was performed as a surveillance programme, followed by bilateral venography.A venography proved DVT was observed in 37% of the symptomatic patients and 34% of the asymptomatic limbs. A significantly higher proportion of proximal DVTs was found in symptomatic patients than in asymptomatic patients (78% vs 46%; p = 0.001). The mean Marder score, taken as an index of thrombus size, was significantly higher in symptomatic patients than in asymptomatic patients (19.0 vs 9.6; p = 0.0001). A significantly higher proportion of occlusive DVTs was observed in symptomatic than in asymptomatic patients (69% vs 36%; p = 0.001).We conclude that the unsatisfactory diagnostic accuracy of IPG in asymptomatic DVT is due to the high prevalence of distal, small and non occlusive thrombi. Such thrombi are unlikely to cause a critical obstruction of the venous outflow and therefore to produce a positive IPG.


1970 ◽  
Vol 4 (2) ◽  
pp. 74-77
Author(s):  
Rukshana Ahmed ◽  
Shamim Ara

Pathological changes in the prostate gland occur commonly with advancing age including inflammation, atrophy, hyperplasia and carcinoma and a change in volume is also evident. Estimation of volume of prostate may be useful in a variety of clinical settings. A cross-sectional descriptive study was designed to see the changes in volume of the prostate with advancing age and done in the Department of Anatomy, Dhaka Medical College, Dhaka from August 2006 to June 2007. The study was performed on 70 post-mortem human prostates collected from the unclaimed dead bodies that were under examination in the Department of Forensic Medicine, Dhaka Medical College, Dhaka. The samples were divided into three age groups; group A (10-20 years), group B (21-40 years) and group C (41-70 years). Volume of the sample was measured by using the ellipsoid formula. The mean ± SD volume of prostate was 7.68 ± 3.64 cm3 in group A, 10.61 ± 3.99 cm3 in group B and 15.40 ± 6.31 cm3 in group C. Mean difference in volume between group A and group C, group B and group C were statistically significant (p<0.001). Statistically significant positive correlation was found between age and volume of prostate (r = + 0.579, p < 0.001). Key Words: Prostate; volume; Bangladeshi. DOI: 10.3329/imcj.v4i2.6501Ibrahim Med. Coll. J. 2010; 4(2): 74-77


2018 ◽  
Vol 5 (2) ◽  
pp. 7 ◽  
Author(s):  
Ahmad Aunur Rohman
Keyword(s):  
Level 1 ◽  

Penelitian ini dimaksudkan untuk mengetahui bagaimana kemampuan komunikasi matematis mahasiswa terhadap pemahaman statistika. Data dalam penelitian ini berupa hasil pekerjaan tes tertulis tentang kemampuan komunikasi matematis dan wawancara terhadap subjek penelitian. Pengumpulan data diperoleh dengan tes dan wawancara. Uji keabsahan data yang digunakan adalah triangulasi. Data penelitan yang terkumpul dianalisis dengan analisis data non statistik yang terdiri dari tiga alur, yaitu reduksi data, penyajian data, dan penarikan kesimpulan/verifikasi data. Hasil penelitian menunjukkan bahwa 1) Terdapat 5 mahasiswa yang berada pada level 0 (sangat kurang baik); 2) 24 mahasiswa berada pada level 1 (kurang baik); 3) 6 mahasiswa berada pada level 2 (cukup baik); Penelitian ini diharapkan dapat memacu individu lain untuk melakukan penelitian yang lebih baik dan mendalam tentang kemampuan komunikasi matematis.


Al-Risalah ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. 126-148
Author(s):  
Ay Maryani

This study describes the religious behavior of UIN Syarif Hidayatullah Jakarta students. The variables used are internal and external environment as independent variable and religious behavior as dependent variable. The internal environment variable consists of gender factor, (male and female). The external environmental variables comprise the faculty environment, the present resident and the place to grow. The present resident consist of dormitories, boarding houses and parents' homes and the place to grow consist of urban and rural environment. Religious behavior variables consist of habluminallah behavior and habluminannas behavior. Habluminallah's behavior measured by (1) knowledge of faith and worship, (2) attitudes toward faith and worship, and (3) practice of faith and worship. The habluminannas variable measured by (1) Islamic behavior for them self, like honest, discipline and good work / studyethics, trust and concern on legality, (2) Islamic behavior with others, like generous, cooperation, caring, respect to the people's rights and tolerance and (3) Islamic behavior for the natural surroundings, like love of nature and nature conservation efforts. The methodology used was (1) Statistical descriptive, (2) MANOVA (Multivariate Analysis of Variance) and (3) Independent sample t-test. The results showed the religious behavior UIN Syarif Hidayatullah Jakarta students has a very good category. This is indicated by the mean values for the behavior of haluminallah and habluminannas of 158.85 and 178.76,  espectively. The average value of habluminallah behaviour in the range of values "145-180" with the category of "very good" and habluminannas behavior in the range value "165-205" with the category "very good. Habluminallah and habluminannas behavior are different for each faculty. This is indicated by the significance level of Pillai Trace, Wilk Lambda, Hotelling Trace, Roy's Largest Root of 0.00 (<0.05). Habluminallah and habluminannas behavior are the same for respondents who live in dormitories, boarding houses, and parents' homes. This is indicated by the value of F test and significance at Wilk's Lambda respectively for 2.055 and 0.085 (>0.05). Habluminallah and habluminannas behaviors are similar for urban and rural respondents. This is known from the sig level. (2-tailed) for habluminallah and habluminannas behavior of 0.317 and 0.245 (> 0.05), respectively. Habluminallah and habluminannas behaviors are similar for male and female. This is known from the sig level. (2-tailed) for habluminallah and habluminannas behavior of 0.950 and 0.307 (> 0.05),respectively. The results of this study are expected to be used to develop university policies that can enhance the Islamic values of UIN Syarif Hidayatullah Jakarta.


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