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Lekkas I, Frogley MD, Achtnich T, Cinque G. Rapidly frequency-tuneable, in-vacuum, and magnetic levitation chopper for fast modulation of infrared light. Rev Sci Instrum 2022; 93:085105. [PMID: 36050048 DOI: 10.1063/5.0097279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Accepted: 07/14/2022] [Indexed: 06/15/2023]
Abstract
We present an in-vacuum mechanical chopper running at high speed and integrated into a magnetic levitating motor for modulating optical beams up to 200 kHz. The compact chopper rotor allows fast acceleration (10 kHz s-1 as standard) for rapid tuning of the modulation frequency, while 1 mm diameter slots provide high optical throughput for larger infrared beams. The modulation performances are assessed using a reference visible laser and the high brightness, broadband, infrared (IR) beam of synchrotron radiation at the MIRIAM beamline B22 at Diamond Light Source, UK. For our application of IR nanospectroscopy, minimizing the temporal jitter on the modulated beam due to chopper manufacturing and control tolerances is essential to limit the noise level in measurements via lock-in detection, while high modulation frequencies are needed to achieve high spatial resolution in photothermal nanospectroscopy. When reaching the maximum chopping frequency of 200 kHz, the jitter was found to be 0.9% peak-to-peak. The described chopper now replaces the standard ball-bearing chopper in our synchrotron-based FTIR photothermal nanospectroscopy system, and we demonstrate improved spectroscopy results on a 200 nm thickness polymer film.
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Affiliation(s)
- Ioannis Lekkas
- MIRIAM Beamline B22, Diamond Light Source Ltd., Harwell Science and Innovation Campus, Oxon OX11 0DE Chilton, Didcot, United Kingdom
| | - Mark D Frogley
- MIRIAM Beamline B22, Diamond Light Source Ltd., Harwell Science and Innovation Campus, Oxon OX11 0DE Chilton, Didcot, United Kingdom
| | - Timon Achtnich
- Celeroton AG, Industriestrasse 22, 8604 Volketswil, Switzerland
| | - Gianfelice Cinque
- MIRIAM Beamline B22, Diamond Light Source Ltd., Harwell Science and Innovation Campus, Oxon OX11 0DE Chilton, Didcot, United Kingdom
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Anderson RP, Tosca NJ, Cinque G, Frogley MD, Lekkas I, Akey A, Hughes GM, Bergmann KD, Knoll AH, Briggs DEG. Aluminosilicate haloes preserve complex life approximately 800 million years ago. Interface Focus 2020; 10:20200011. [PMID: 32642055 PMCID: PMC7333908 DOI: 10.1098/rsfs.2020.0011] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/21/2020] [Indexed: 02/07/2023] Open
Abstract
Mudstone-hosted microfossils are a major component of the Proterozoic fossil record, particularly dominating the record of early eukaryotic life. Early organisms possessed no biomineralized parts to resist decay and controls on their fossilization in mudstones are poorly understood. Consequently, the Proterozoic fossil record is compromised-we do not know whether changing temporal/spatial patterns of microfossil occurrences reflect evolution or the distribution of favourable fossilization conditions. We investigated fossilization within the approximately 1000 Ma Lakhanda Group (Russia) and the approximately 800 Ma Svanbergfjellet and Wynniatt formations (Svalbard and Arctic Canada). Vertical sections of microfossils and surrounding matrices were extracted from thin sections by focused ion beam milling. Elemental mapping and synchrotron-based infrared microspectroscopy revealed that microfossils are surrounded by haloes rich in aluminium, probably hosted in kaolinite. Kaolinite has been implicated in Cambrian Burgess Shale-type (BST) fossilization and is known to slow the growth of degraders. The Neoproterozoic mudstone microfossil record may be biased to tropical settings conducive to kaolinite formation. These deposits lack metazoan fossils even though they share fossilization conditions with younger BST deposits that are capable of preserving non-mineralizing metazoans. Thus metazoans, at least those typically preserved in BST deposits, were probably absent from sedimentary environments before approximately 800 Ma.
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Affiliation(s)
- Ross P. Anderson
- All Souls College, University of Oxford, Oxford OX1 4AL, UK
- Department of Earth Sciences, University of Oxford, Oxford OX1 3AN, UK
| | - Nicholas J. Tosca
- Department of Earth Sciences, University of Oxford, Oxford OX1 3AN, UK
| | - Gianfelice Cinque
- Diamond Light Source, Harwell Science and Innovation Campus, Didcot OX11 ODE, UK
| | - Mark D. Frogley
- Diamond Light Source, Harwell Science and Innovation Campus, Didcot OX11 ODE, UK
| | - Ioannis Lekkas
- Diamond Light Source, Harwell Science and Innovation Campus, Didcot OX11 ODE, UK
| | - Austin Akey
- Center for Nanoscale Systems, Harvard University, Cambridge, MA 02138, USA
| | - Gareth M. Hughes
- Department of Materials, University of Oxford, Oxford OX1 3PH, UK
| | - Kristin D. Bergmann
- Department of Earth, Atmospheric, and Planetary Sciences, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| | - Andrew H. Knoll
- Department of Organismic and Evolutionary Biology, Harvard University, Cambridge, MA 02138, USA
| | - Derek E. G. Briggs
- Department of Geology and Geophysics, Yale University, New Haven, CT 06511, USA
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Chan KLA, Lekkas I, Frogley MD, Cinque G, Altharawi A, Bello G, Dailey LA. Synchrotron Photothermal Infrared Nanospectroscopy of Drug-Induced Phospholipidosis in Macrophages. Anal Chem 2020; 92:8097-8107. [PMID: 32396367 DOI: 10.1021/acs.analchem.9b05759] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Synchrotron resonance-enhanced infrared atomic force microscopy (RE-AFM-IR) is a near-field photothermal vibrational nanoprobe developed at Diamond Light Source (DLS), capable of measuring mid-infrared absorption spectra with spatial resolution around 100 nm. The present study reports a first application of synchrotron RE-AFM-IR to interrogate biological soft matter at the subcellular level, in this case, on a cellular model of drug-induced phospholipidosis (DIPL). J774A-1 macrophages were exposed to amiodarone (10 μM) or medium for 24 h and chemically fixed. AFM topography maps revealed amiodarone-treated cells with enlarged cytoplasm and very thin regions corresponding to collapsed vesicles. IR maps of the whole cell were analyzed by exploiting the RE-AFM-IR overall signal, i.e., the integrated RE-AFM-IR signal amplitude versus AFM-derived cell thickness, also on lateral resolution around 100 nm. Results show that vibrational band assignment was possible, and all characteristic peaks for lipids, proteins, and DNA/RNA were identified. Both peak ratio and unsupervised chemometric analysis of RE-AFM-IR nanospectra generated from the nuclear and perinuclear regions of untreated and amiodarone-treated cells showed that the perinuclear region (i.e., cytoplasm) of amiodarone-treated cells had significantly elevated band intensities in the regions corresponding to phosphate and carbonyl groups, indicating detection of phospholipid-rich inclusion bodies typical for cells with DIPL. The results of this study are of importance to demonstrate not only the applicability of Synchrotron RE-AFM-IR to soft biological matters with subcellular spatial resolution but also that the spectral information gathered from an individual submicron sample volume enables chemometric identification of treatment and biochemical differences between mammalian cells.
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Affiliation(s)
- Ka Lung Andrew Chan
- Institute of Pharmaceutical Sciences, School of Cancer and Pharmaceutical Science, King's College London, London SE1 9NH, U.K
| | - Ioannis Lekkas
- Diamond Light Source, Harwell Science and Innovation Campus, Chilton-Didcot OX11 0DE, U.K
| | - Mark D Frogley
- Diamond Light Source, Harwell Science and Innovation Campus, Chilton-Didcot OX11 0DE, U.K
| | - Gianfelice Cinque
- Diamond Light Source, Harwell Science and Innovation Campus, Chilton-Didcot OX11 0DE, U.K
| | - Ali Altharawi
- Institute of Pharmaceutical Sciences, School of Cancer and Pharmaceutical Science, King's College London, London SE1 9NH, U.K
| | - Gianluca Bello
- Institute of Synthetic Bioarchitectures, Department of Nanobiotechnology, University of Natural Resources and Life Sciences, Vienna, Muthgasse 11, 1190 Vienna, Austria
| | - Lea Ann Dailey
- Department of Pharmaceutical Technology and Biopharmacy, University of Vienna, Althanstraße 14, 1090 Vienna, Austria
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Sweetman A, Lekkas I, Moriarty P. Mechano-chemical manipulation of Sn chains on Si(1 0 0) by NC-AFM. J Phys Condens Matter 2017; 29:074003. [PMID: 28035086 DOI: 10.1088/1361-648x/29/7/074003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
We investigate the atomic structure of Sn dimer chains grown on the Si(1 0 0) surface using non-contact atomic force microscopy (NC-AFM) at cryogenic temperatures. We find that similar to the native Si(1 0 0) dimer structure, the ground state of the Sn dimer structure is buckled at low temperature. At 5 K we show that the buckling state of the Sn dimers may be controllably, and reversibly, manipulated with atomic precision by close approach of the tip, without modification of the underlying substrate buckling structure. At intermediate cryogenic temperatures we observe changes in the configuration of the dimer chains in the region where the tip-sample interaction is very weak, suggesting that the energy barrier to transit between configurations is sufficiently small to be surmounted at 78 K.
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Sweetman A, Goubet N, Lekkas I, Pileni MP, Moriarty P. Nano-contact microscopy of supracrystals. Beilstein J Nanotechnol 2015; 6:1229-36. [PMID: 26114081 PMCID: PMC4462851 DOI: 10.3762/bjnano.6.126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/31/2014] [Accepted: 05/04/2015] [Indexed: 05/13/2023]
Abstract
BACKGROUND Highly ordered three-dimensional colloidal crystals (supracrystals) comprised of 7.4 nm diameter Au nanocrystals (with a 5% size dispersion) have been imaged and analysed using a combination of scanning tunnelling microscopy and dynamic force microscopy. RESULTS By exploring the evolution of both the force and tunnel current with respect to tip-sample separation, we arrive at the surprising finding that single nanocrystal resolution is readily obtained in tunnelling microscopy images acquired more than 1 nm into the repulsive (i.e., positive force) regime of the probe-nanocrystal interaction potential. Constant height force microscopy has been used to map tip-sample interactions in this regime, revealing inhomogeneities which arise from the convolution of the tip structure with the ligand distribution at the nanocrystal surface. CONCLUSION Our combined STM-AFM measurements show that the contrast mechanism underpinning high resolution imaging of nanoparticle supracrystals involves a form of nanoscale contact imaging, rather than the through-vacuum tunnelling which underpins traditional tunnelling microscopy and spectroscopy.
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Affiliation(s)
- Adam Sweetman
- The School of Physics and Astronomy, The University of Nottingham, Nottingham, NG7 2RD, U.K
| | - Nicolas Goubet
- Sorbonne Universités, UPMC Univ Paris 06, UMR 8233, Monaris, F-75005, Paris, France
- CNRS, UMR 8233, Monaris, F-75005, Paris, France
| | - Ioannis Lekkas
- The School of Physics and Astronomy, The University of Nottingham, Nottingham, NG7 2RD, U.K
| | - Marie Paule Pileni
- Sorbonne Universités, UPMC Univ Paris 06, UMR 8233, Monaris, F-75005, Paris, France
- CNRS, UMR 8233, Monaris, F-75005, Paris, France
- CEA/IRAMIS, CEA Saclay, 91191, Gif-sur-Yvette, France
| | - Philip Moriarty
- The School of Physics and Astronomy, The University of Nottingham, Nottingham, NG7 2RD, U.K
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Jarvis SP, Sweetman AM, Lekkas I, Champness NR, Kantorovich L, Moriarty P. Simulated structure and imaging of NTCDI on Si(1 1 1)-7 × 7 : a combined STM, NC-AFM and DFT study. J Phys Condens Matter 2015; 27:054004. [PMID: 25414147 DOI: 10.1088/0953-8984/27/5/054004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The adsorption of naphthalene tetracarboxylic diimide (NTCDI) on Si(1 1 1)-7 × 7 is investigated through a combination of scanning tunnelling microscopy (STM), noncontact atomic force microscopy (NC-AFM) and density functional theory (DFT) calculations. We show that NTCDI adopts multiple planar adsorption geometries on the Si(1 1 1)-7 × 7 surface which can be imaged with intramolecular bond resolution using NC-AFM. DFT calculations reveal adsorption is dominated by covalent bond formation between the molecular oxygen atoms and the surface silicon adatoms. The chemisorption of the molecule is found to induce subtle distortions to the molecular structure, which are observed in NC-AFM images.
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Affiliation(s)
- S P Jarvis
- School of Physics and Astronomy, University of Nottingham, Nottingham NG7 2RD, UK
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Msaouel P, Kappos T, Tasoulis A, Apostolopoulos AP, Lekkas I, Tripodaki ES, Keramaris NC. Comparison of resident performance in interpreting mammography results using a probabilistic or a natural frequency presentation: a multi-institutional randomized experimental study. Educ Health (Abingdon) 2015; 28:29-34. [PMID: 26261111 DOI: 10.4103/1357-6283.161846] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
BACKGROUND Residents are being increasingly challenged on how best to integrate diagnostic information in making decisions about patient care. The aim of this study is to assess the ability of residents to accurately integrate statistical data from a screening mammography test in order to estimate breast cancer probability and to investigate whether a simple alteration of the representation mode of probabilities into natural frequencies facilitates these computations. METHODS A multi-institutional randomized controlled study of residents was performed in eight major hospitals in the city of Athens. Residents were asked to estimate the positive predictive value of the screening mammography test given its sensitivity and 1-specificity as well as the prevalence of breast cancer in the relevant population. One version of the scenario was presented in the single-event probability format that is commonly used in the medical literature, while the other used the natural frequency representation. The two questionnaire versions were randomly assigned to the participants. RESULTS Out of 200 residents, 153 completed and returned the questionnaire (response rate 76.5%). Although more than one-third of the residents reported excellent or close to excellent familiarity with sensitivity and positive predictive value, the majority of responses (79.1%) were incorrect. However, a significantly higher proportion of residents in the natural frequency group (n = 88) selected the correct response compared with residents (n = 65) in the single-event probability group (28.4% vs 10.8%; 95% confidence intervals of the difference between the two proportions = 5.6-29.7%; P < 0.01). DISCUSSION Residents more often correctly understand test performance accuracy when test characteristics are presented to them as natural frequency representations than the more common approach of presenting single event probabilities. Educators and journal editors should be aware of this facilitative effect.
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Affiliation(s)
- Pavlos Msaouel
- Greek Junior Doctors and Health Scientists Society, Athens, Greece
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Stirling J, Lekkas I, Sweetman A, Djuranovic P, Guo Q, Pauw B, Granwehr J, Lévy R, Moriarty P. Critical assessment of the evidence for striped nanoparticles. PLoS One 2014; 9:e108482. [PMID: 25402426 PMCID: PMC4234314 DOI: 10.1371/journal.pone.0108482] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2013] [Accepted: 07/30/2014] [Indexed: 11/18/2022] Open
Abstract
There is now a significant body of literature which reports that stripes form in the ligand shell of suitably functionalised Au nanoparticles. This stripe morphology has been proposed to strongly affect the physicochemical and biochemical properties of the particles. We critique the published evidence for striped nanoparticles in detail, with a particular focus on the interpretation of scanning tunnelling microscopy (STM) data (as this is the only technique which ostensibly provides direct evidence for the presence of stripes). Through a combination of an exhaustive re-analysis of the original data, in addition to new experimental measurements of a simple control sample comprising entirely unfunctionalised particles, we show that all of the STM evidence for striped nanoparticles published to date can instead be explained by a combination of well-known instrumental artefacts, or by issues with data acquisition/analysis protocols. We also critically re-examine the evidence for the presence of ligand stripes which has been claimed to have been found from transmission electron microscopy, nuclear magnetic resonance spectroscopy, small angle neutron scattering experiments, and computer simulations. Although these data can indeed be interpreted in terms of stripe formation, we show that the reported results can alternatively be explained as arising from a combination of instrumental artefacts and inadequate data analysis techniques.
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Affiliation(s)
- Julian Stirling
- School of Physics and Astronomy, The University of Nottingham, Nottingham, United Kingdom
- * E-mail:
| | - Ioannis Lekkas
- School of Physics and Astronomy, The University of Nottingham, Nottingham, United Kingdom
| | - Adam Sweetman
- School of Physics and Astronomy, The University of Nottingham, Nottingham, United Kingdom
| | - Predrag Djuranovic
- Department of Materials Science and Engineering, Massachusetts Institute of Technology, Cambridge, MA, United States of America
| | - Quanmin Guo
- School of Physics and Astronomy, University of Birmingham, Birmingham, United Kingdom
| | - Brian Pauw
- International Center for Young Scientists (ICYS), National Institute for Materials Science (NIMS), Tsukuba, Ibaraki, Japan
| | - Josef Granwehr
- Sir Peter Mansfield Magnetic Resonance Centre, School of Physics and Astronomy, The University of Nottingham, Nottingham, United Kingdom
| | - Raphaël Lévy
- Institute of Integrative Biology, University of Liverpool, Liverpool, United Kingdom
| | - Philip Moriarty
- School of Physics and Astronomy, The University of Nottingham, Nottingham, United Kingdom
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Sweetman AM, Jarvis SP, Sang H, Lekkas I, Rahe P, Wang Y, Wang J, Champness N, Kantorovich L, Moriarty P. Mapping the force field of a hydrogen-bonded assembly. Nat Commun 2014; 5:3931. [PMID: 24875276 PMCID: PMC4050271 DOI: 10.1038/ncomms4931] [Citation(s) in RCA: 76] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2013] [Accepted: 04/22/2014] [Indexed: 02/03/2023] Open
Abstract
Hydrogen bonding underpins the properties of a vast array of systems spanning a wide variety of scientific fields. From the elegance of base pair interactions in DNA to the symmetry of extended supramolecular assemblies, hydrogen bonds play an essential role in directing intermolecular forces. Yet fundamental aspects of the hydrogen bond continue to be vigorously debated. Here we use dynamic force microscopy (DFM) to quantitatively map the tip-sample force field for naphthalene tetracarboxylic diimide molecules hydrogen-bonded in two-dimensional assemblies. A comparison of experimental images and force spectra with their simulated counterparts shows that intermolecular contrast arises from repulsive tip-sample interactions whose interpretation can be aided via an examination of charge density depletion across the molecular system. Interpreting DFM images of hydrogen-bonded systems therefore necessitates detailed consideration of the coupled tip-molecule system: analyses based on intermolecular charge density in the absence of the tip fail to capture the essential physical chemistry underpinning the imaging mechanism.
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Affiliation(s)
- A. M. Sweetman
- School of Physics & Astronomy, University of Nottingham, Nottingham NG7 2RD, UK
- These authors contributed equally to this work
| | - S. P. Jarvis
- School of Physics & Astronomy, University of Nottingham, Nottingham NG7 2RD, UK
- These authors contributed equally to this work
| | - Hongqian Sang
- School of Physics and Technology, Centre for Electron Microscopy and MOE Key Laboratory of Artificial Micro- and Nano-structures, Wuhan University, Wuhan 430072, China
- Department of Physics, King’s College London, The Strand, London WC2R 2LS, UK
- These authors contributed equally to this work
| | - I. Lekkas
- School of Physics & Astronomy, University of Nottingham, Nottingham NG7 2RD, UK
| | - P. Rahe
- Department of Physics and Astronomy, University of Utah, Salt Lake City, Utah 84112-0830, USA
| | - Yu Wang
- School of Physics and Technology, Centre for Electron Microscopy and MOE Key Laboratory of Artificial Micro- and Nano-structures, Wuhan University, Wuhan 430072, China
| | - Jianbo Wang
- School of Physics and Technology, Centre for Electron Microscopy and MOE Key Laboratory of Artificial Micro- and Nano-structures, Wuhan University, Wuhan 430072, China
| | - N.R. Champness
- School of Chemistry, University of Nottingham, Nottingham NG7 2RD, UK
| | - L. Kantorovich
- Department of Physics, King’s College London, The Strand, London WC2R 2LS, UK
| | - P. Moriarty
- School of Physics & Astronomy, University of Nottingham, Nottingham NG7 2RD, UK
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Msaouel P, Kappos T, Tasoulis A, Apostolopoulos AP, Lekkas I, Tripodaki ES, Keramaris NC. Assessment of cognitive biases and biostatistics knowledge of medical residents: a multicenter, cross-sectional questionnaire study. Med Educ Online 2014; 19:23646. [PMID: 24646439 PMCID: PMC3955772 DOI: 10.3402/meo.v19.23646] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2013] [Revised: 02/16/2014] [Accepted: 02/17/2014] [Indexed: 06/03/2023]
Abstract
PURPOSE The aim of this study is to determine the perceived familiarity of medical residents with statistical concepts, assess their ability to integrate these concepts in clinical scenarios, and investigate their susceptibility to the gambler's fallacy and the conjunction fallacy. METHODS A multi-institutional, cross-sectional survey of Greek medical residents was performed. Participants were asked to indicate their familiarity with basic statistical concepts and answer clinically oriented questions designed to assess their biostatistics knowledge and cognitive biases. Univariate, bivariate, and multivariate statistical models were used for the evaluation of data. RESULTS Out of 153 respondents (76.5% response rate), only two participants (1.3%) were able to answer all seven biostatistics knowledge questions correctly while 29 residents (19%) gave incorrect answers to all questions. The proportion of correct answers to each biostatistics knowledge question ranged from 15 to 51.6%. Residents with greater self-reported familiarity were more likely to perform better on the respective knowledge question (all p<0.01). Multivariate analysis of the effect of individual resident characteristics on questionnaire performance showed that previous education outside Greece, primarily during medical school, was associated with lower biostatistics knowledge scores (p<0.001). A little more than half of the respondents (54.2%) answered the gambler's fallacy quiz correctly. Residents with higher performance on the biostatistics knowledge questions were less prone to the gambler's fallacy (odds ratio 1.38, 95% confidence intervals 1.12-1.70, p=0.003). Only 48 residents (31.4%) did not violate the conjunction rule. CONCLUSIONS A large number of medical residents are unable to correctly interpret crucial statistical concepts that are commonly found in the medical literature. They are also especially prone to the gambler's fallacy bias, which may undermine clinical judgment and medical decision making. Formalized systematic teaching of biostatistics during residency will be required to de-bias residents and ensure that they are proficient in understanding and communicating statistical information.
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Affiliation(s)
- Pavlos Msaouel
- Greek Junior Doctors and Health Scientists Society, Athens, Greece;
| | - Theocharis Kappos
- 2nd Department of Surgery, Metaxa Cancer Memorial Hospital, Pireaus, Greece
| | | | | | - Ioannis Lekkas
- Otorhinolaryngology Clinic, 251 G.N.A. Hospital, Athens, Greece
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Msaouel P, Keramaris NC, Apostolopoulos AP, Syrmos N, Kappos T, Tasoulis A, Tripodaki E, Kagiampaki E, Lekkas I, Siegrist J. The Effort‐reward Imbalance Questionnaire in Greek: Translation, Validation and Psychometric Properties in Health Professionals. J Occup Health 2012; 54:119-30. [DOI: 10.1539/joh.11-0197-oa] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Pavlos Msaouel
- Greek Junior Doctors and Health Scientists SocietyGreece
- Department of Internal MedicineJacobi Medical Center, Albert Einstein College of MedicineUSA
| | | | | | | | | | | | | | | | - Ioannis Lekkas
- Greek Junior Doctors and Health Scientists SocietyGreece
| | - Johannes Siegrist
- Department of Medical SociologyUniversity of Dűsseldorf, DűsseldorfGermany
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