Investigating non-response bias in mail surveys

Losses in follow-up that are biased with respect to outcome invalidate the results. There are many ways of dealing with non-response in follow-up studies. Three separate methods were used to investigate a potential bias in a mail survey of 2471 disabled people. At a response rate of 84%, the non-respondents were significantly different from the respondents with respect to the outcome, return to work and vocational training. The success rate in terms of the outcome was negatively related to the number of reminders. Significant differences were found in response rates according to age, social class, impairments, previous employment record, and completion of rehabilitation courses. There is no safe level of response rates below 100%. However small the non-response, a possible bias as a result of it must be investigated.

Differential diagnosis of malignant lymphoma and nonlymphoid tumors using monoclonal anti-leucocyte antibody

Pathologic samples from 34 cases of human solid malignancies were tested for reactivity with monoclonal anti-human leucocyte antibody, designated 2D1. This antibody detects a human leucocyte antigen (HLe-I) that is expressed strongly on B and T lymphoid cells and weakly on early hemopoietic cells, but is not found on normal mesenchymal and epithelial tissues. This study demonstrates the use of this reagent in cryostat sections of tumor samples using indirect immunofluorescence in combination with other lymphoid markers such as anti-T cell serum, anti-Ia-like serum (detecting p28, 33 "B cell associated" membrane antigen) and antisera to different immunoglobulin isotypes. Tumor cells from all 12 cases of epithelial malignancies and sarcomas were HLe-I- although adjacent (normal) lymphoid cells showed strong positive staining. In contrast, 20 cases of lymphoma (B- as well as T-cell types) were HLe-I+. Two other malignancies involving the lymphoid system were HLe-I- and failed to express any of the other lymphoid markers tested.

Palindromic rheumatism

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A model of the quaternary structure of enolases, based on structural and evolutionary analysis of the octameric enolase from Bacillus subtilis

Purified enolase from Bacillus subtilis has a native mass of approximately 370 kDa. Since B. subtilis enolase was found to have a subunit mass of 46.58 kDa, the quaternary structure of B. subtilis is octameric. The pl for B. subtilis enolase is 6.1, the pH optimum (pHo) for activity is 8.1-8.2, and the Km for 2-PGA is approximately 0.67 mM. Using the dimeric Calpha structure of yeast dimeric enolase as a guide, these dimers were arranged as a tetramer of dimers to simulate the electron microscopy image processing obtained for the octameric enolase purified from Thermotoga maritima. This arrangement allowed identification of helix J of one dimer (residues 86-96) and the loop between helix L and strand 1 (HL-S1 loop) of another dimer as possible subunit interaction regions. Alignment of available enolase amino acid sequences revealed that in 16 there are two tandem glycines at the C-terminal end of helix L and the HL-S1 loop is truncated by 4-6 residues relative to the yeast polypeptide, two structural features absent in enolases known to be dimers. From these arrangements and alignments it is proposed that the GG tandem at the C-terminal end of helix L and truncation of the HL-S1 loop may play a critical role in octamer formation of enolases. Interestingly, the sequence features associated with dimeric quaternary structure are found in three phylogenetically disparate groups, suggesting that the ancestral enolase was an octamer and that the dimeric structure has arisen independently multiple times through evolutionary history.

Employment rehabilitation: outcome and prediction

Several factors have been shown to influence return to work after chronic disability, but little is known about their independent effect. There is also some disagreement about what constitutes successful resettlement in work. To establish the predictors of an early return to stable employment, 1,565 rehabilitees discharged from two employment rehabilitation centers in England were followed for at least 1 year. Nineteen entry characteristics and six outcome measures were analyzed by the canonical correlation method. Results in the two groups of rehabilitees were fairly similar. Three variables contributed most to the outcome measure: getting a job, delay in starting work, and employment status at the time of follow-up. Factors associated with a successful outcome were motivation, a low level of physical disability, short duration of unemployment before rehabilitation, completion of rehabilitation course, and a low level of general unemployment in the home area of the rehabilitee.

The adequacy of fragmin as a single bolus dose with reused dialyzers

Thirty-four hemodialysis patients were studied in a crossover fashion to compare the effectiveness of bolus-dose Fragmin (a low molecular weight heparin) with regular heparin usage in hemodialysis. For each anticoagulant, 3 dialyzes were studied for each patient; the first sessions involved a new dialyzer, and the subsequent sessions involved dialyzers reprocessed with peracetic acid. To assess the effectiveness of the anticoagulation regimens, the following were measured: the dialyzer fiber bundle volume and the instantaneous dialyzer clearances for urea (1 h into the second session). In addition, factor Xa levels were measured in 5 patients during the first and second sessions at 0 min, 30 min, and 4 h. Fiber bundle volumes were (in ml) 75.4 +/- 8.8, 73.0 +/- 8.9, and 73.5 +/- 7.6 on first, second, and third uses with Fragmin (p = ns); and 77.8 +/- 9.0, 73.4 +/- 8.1, and 73.8 +/- 8.1 with heparin (p < 0.001 second and third vs. first). Thus, there were no significant differences between Fragmin and heparin. Instantaneous dialyzer clearances were 165.8 +/- 12.6 ml/min with Fragmin and 163.8 +/- 9.8 with heparin (p = ns). Factor Xa levels were 0 predialysis, 0.81 +/- 0.17 U/ml at 30 min on first use, and 0.92 +/- 0.09 U/ml on second use (p = ns); they were 0.51 +/- 0.21 U/ml at 4 h on first use and 0.61 +/- 0.16 U/ml on second use (p = ns). Thus, bolus-dose Fragmin provided similar results to constant infusion heparin and is not deleteriously influenced by reprocessing dialyzers with peracetic acid.

Garston Manor: an experiment in rehabilitation

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Unemployment and the disabled

An analysis of Employment Services Division statistics show a close relationship between the levels of unemployment in the disabled rehabilitated at the Employment Rehabilitation Centres (ERCs) and the rates of unemployment in the general population in the whole of Great Britain (r = 0.90) or in the local areas of the Centres (r = 0.66). There is also a significant association between the levels of unemployment in 749 rehabilitees passing through one ERC and the rates of unemployment in their home areas. The results have practical implications for both the employment and medical rehabilitation services.

Mild conductive hearing loss and language development: a one year follow-up study

Thirteen children aged 3 to 5 years with mild conductive hearing losses and histories of otitis media were pair-matched with audiologically normal children on age, sex, socioeconomic status, family intactness, and first language (English). The Test for Auditory Comprehension of Language, the Northwestern Syntax Screening Test, and the Developmental Sentence Scoring Procedure were administered. Phonology errors were tabulated from the spontaneous language sample. The language evaluation was repeated after a 1-year interval. All measures differentiated the groups at highly significant levels on the initial assessment. All tests except the Test for Auditory Comprehension of Language continued to show significant differences a year later. The results support the hypothesis that children who experience recurrent middle ear problems are at risk for persistent language delay.

Time synchronisation for millisecond-precision on bio-loggers

Time-synchronised data streams from bio-loggers are becoming increasingly important for analysing and interpreting intricate animal behaviour including split-second decision making, group dynamics, and collective responses to environmental conditions. With the increased use of AI-based approaches for behaviour classification, time synchronisation between recording systems is becoming an essential challenge. Current solutions in bio-logging rely on manually removing time errors during post processing, which is complex and typically does not achieve sub-second timing accuracies.We first introduce an error model to quantify time errors, then optimise three wireless methods for automated onboard time (re)synchronisation on bio-loggers (GPS, WiFi, proximity messages). The methods can be combined as required and, when coupled with a state-of-the-art real time clock, facilitate accurate time annotations for all types of bio-logging data without need for post processing. We analyse time accuracy of our optimised methods in stationary tests and in a case study on 99 Egyptian fruit bats (Rousettus aegyptiacus). Based on the results, we offer recommendations for projects that require high time synchrony.During stationary tests, our low power synchronisation methods achieved median time accuracies of 2.72 / 0.43 ms (GPS / WiFi), compared to UTC time, and relative median time accuracies of 5 ms between tags (wireless proximity messages). In our case study with bats, we achieved a median relative time accuracy of 40 ms between tags throughout the entire 10-day duration of tag deployment. Using only one automated resynchronisation per day, permanent UTC time accuracies of ≤ 185 ms can be guaranteed in 95% of cases over a wide temperature range between 0 and 50 °C. Accurate timekeeping required a minimal battery capacity, operating in the nano- to microwatt range.Time measurements on bio-loggers, similar to other forms of sensor-derived data, are prone to errors and so far received little scientific attention. Our combinable methods offer a means to quantify time errors and autonomously correct them at the source (i.e., on bio-loggers). This approach facilitates sub-second comparisons of simultaneously recorded time series data across multiple individuals and off-animal devices such as cameras or weather stations. Through automated resynchronisations on bio-loggers, long-term sub-second accurate timestamps become feasible, even for life-time studies on animals. We contend that our methods have potential to greatly enhance the quality of ecological data, thereby improving scientific conclusions.