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Lin KH, Liao JB, Chen YH, Wang HM, Sun WC, Kao SS, Tsai TJ, Tsay FW, Tsai WL, Lee CH, Chen WC, Yu HC. Intestinal metaplasia in follow-up endoscopies among Asian patients with short-segment Barrett's esophagus: Regression, sampling error, and associated factors. J Formos Med Assoc 2024; 123:238-247. [PMID: 37586970 DOI: 10.1016/j.jfma.2023.08.006] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 06/30/2023] [Accepted: 08/04/2023] [Indexed: 08/18/2023] Open
Abstract
BACKGROUND The percentage of and factors associated with the regression of Barrett's esophagus (BE) or its characteristic intestinal metaplasia (IM) remain unclear, and conflicting results have been reported because of diverse regression and sampling error definitions. Thus, we investigated the rates of IM regression, sampling error, and associated factors. METHODS Forty-two patients with proven short-segment BE with IM who underwent two follow-up endoscopies with biopsies of Barrett's mucosa were retrospectively analyzed. Additional Alcian blue and MUC2 staining were done on the biopsy specimens without IM in hematoxylin-eosin staining. Only patients with negative hematoxylin-eosin, Alcian blue, and MUC2 staining for IM in both follow-up endoscopies were considered to have true regression. When all three stains were negative for IM in the first, but positive in the second follow-up endoscopy, we considered IM persisting and declared sampling error. RESULTS Among the 18 patients without IM at the first follow-up endoscopy, only five (11.9%) were judged to have true regression. Prolonged proton-pump inhibitor use was significantly associated with regression. Limited experience of the endoscopist, and insufficient biopsy number were significantly related to sampling error. Receiver operating characteristic (ROC) curve analysis showed the best cut-off value of the biopsy number/maximal-length (cm) ratio to predict sampling error was 2.25. CONCLUSION In our patients with short-segment BE, 11.9% experienced regression of IM. Prolonged proton-pump inhibitors treatment was associated with regression. An insufficient biopsy number was related to a missed IM, which may be eliminated by maintaining biopsy number/maximal-length (cm) ratio ≥2.25.
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Affiliation(s)
- Kung-Hung Lin
- Health Management Center, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
| | - Jia-Bin Liao
- Department of Pathology and Laboratory Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
| | - Yan-Hua Chen
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, Pingtung Veterans General Hospital, Pingtung, Taiwan
| | - Huay-Min Wang
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
| | - Wei-Chih Sun
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
| | - Sung-Shuo Kao
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; Division of Gastroenterology and Hepatology, Department of Internal Medicine, Pingtung Veterans General Hospital, Pingtung, Taiwan
| | - Tzung-Jiun Tsai
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
| | - Feng-Woei Tsay
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
| | - Wei-Lun Tsai
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
| | - Chao-Hsien Lee
- Department of Health Business Administration, Meiho University, Pingtung, Taiwan
| | - Wen-Chi Chen
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
| | - Hsien-Chung Yu
- Health Management Center, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
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Tanaka M, Kataoka T, Nihei Y. An analytical approach to confidence interval estimation of river microplastic sampling. Environ Pollut 2023; 335:122310. [PMID: 37543067 DOI: 10.1016/j.envpol.2023.122310] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 07/31/2023] [Accepted: 08/03/2023] [Indexed: 08/07/2023]
Abstract
Microplastics (MPs), plastic particles <5 mm in diameter, are emerging ubiquitous pollutants in natural environments, including freshwater ecosystems. As rivers facilitate efficient transport among landscapes, monitoring is crucial for elucidating the origin, dynamics, and fate of MPs. However, standardized methodologies for in situ sampling in freshwater environments remain undefined to date. Specifically, evaluating the sampling error of MP concentration estimates is crucial for comparing results among studies. This study proposes a novel method for computing confidence intervals (CIs) from a single estimate of numerical concentration (expressed in particles·m-3). MPs are expected to disperse according to purely random processes, such as turbulent diffusion, and to consequently exhibit a random distribution pattern that follows a Poisson point process. Accordingly, the present study introduced a framework based on the Poisson point process to compute CIs, which were validated using MP samples from two urban rivers in Chiba, Japan, obtained using a mesh with an opening size of 335 μm. Random number simulations revealed that the CIs were applicable when ≥10 MPs were present in a sample. Further, when ≥50 MPs were present in a sample, the sampling error (95% CI) was within ±30% of the concentration estimates. The proposed framework allows for the intercomparison of single river MP samples despite the lack of sample replicates. Further, the present study emphasizes that the volume of sampled river water is the only controllable parameter that can reduce the sampling error.
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Affiliation(s)
- Mamoru Tanaka
- Department of Civil Engineering, Faculty of Science and Technology, Tokyo University of Science, Chiba, 278-8510, Japan.
| | - Tomoya Kataoka
- Department of Civil and Environmental Engineering, Faculty of Engineering, Ehime University, Ehime, 790-8577, Japan
| | - Yasuo Nihei
- Department of Civil Engineering, Faculty of Science and Technology, Tokyo University of Science, Chiba, 278-8510, Japan
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Tanaka M, Kataoka T, Nihei Y. Variance and precision of microplastic sampling in urban rivers. Environ Pollut 2022; 310:119811. [PMID: 35934151 DOI: 10.1016/j.envpol.2022.119811] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [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: 03/24/2022] [Revised: 07/15/2022] [Accepted: 07/16/2022] [Indexed: 06/15/2023]
Abstract
Microplastics (MPs), plastic particles <5 mm in diameter, have become an emerging ubiquitous concern for the environment. Rivers are the primary pathways that transport MPs from the land to the ocean; however, standardized methodologies for in-situ sampling in freshwater environments remain undefined. Notably, uncertainties in MP sampling methods lead to errors in estimating MP discharge through rivers. In the present study, the inter-sample variance of plankton net-obtained MP concentrations for two urban rivers in Japan was investigated. Numerical concentrations, expressed in particles·m-3, revealed that variance s2 was proportional to the mean m of replicated estimates of numerical concentrations. A derived statistical model suggested that river MPs disperse according to purely random processes; that is, Poisson point processes. Accordingly, a method was established to project the "precision," the ratio of the standard error to m, of numerical concentrations based on the number of net sampling repetitions. It was found that the mean of two replicates maintained sufficient precision of <30% for conditions with high concentrations of ≥3 particles·m-3. Projected precisions under different levels of MP concentrations are also presented to help design future field campaigns.
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Affiliation(s)
- Mamoru Tanaka
- Department of Civil Engineering, Faculty of Science and Technology, Tokyo University of Science, Chiba, 278-8510, Japan.
| | - Tomoya Kataoka
- Department of Civil and Environmental Engineering, Faculty of Engineering, Ehime University, Ehime, 790-8577, Japan
| | - Yasuo Nihei
- Department of Civil Engineering, Faculty of Science and Technology, Tokyo University of Science, Chiba, 278-8510, Japan
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Graul LM, Liu S, Maitland DJ. Theoretical error of sectional method for estimation of shape memory polyurethane foam mass loss. J Colloid Interface Sci 2022; 625:237-247. [PMID: 35716618 DOI: 10.1016/j.jcis.2022.06.045] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Revised: 06/03/2022] [Accepted: 06/09/2022] [Indexed: 11/25/2022]
Abstract
INTRODUCTION Measuring in vivo degradation for polymeric scaffolds is critical for analysis of biocompatibility. Traditionally, histology has been used to estimate mass loss in scaffolds, allowing for simultaneous evaluation of mass loss and the biologic response to the implant. Oxidatively degradable shape memory polyurethane (SMP) foams have been implemented in two vascular occlusion devices: peripheral embolization device (PED) and neurovascular embolization device (NED). This work explores the errors introduced when using histological sections to evaluate mass loss. METHODS Models of the SMP foams were created to mimic the device geometry and the tetrakaidekahedral structure of the foam pore. These models were degraded in Blender for a wide range of possible degradation amounts and the mass loss was estimated using m sections. RESULTS As the number of sections (m) used to estimate mass loss for a volume increased the sampling error decreased and beyond m = 5, the decrease in error was insignificant. NED population and sampling errors were higher than for PED scenarios. When m ≥ 5, the averaged sampling error was below 1.5% for NED and 1% for PED scenarios. DISCUSSION/CONCLUSION This study establishes a baseline sampling error for estimating randomly degraded porous scaffolds using a sectional method. Device geometry and the stage of mass loss influence the sampling error. Future studies will use non-random degradation to further investigate in vivo mass loss scenarios.
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Affiliation(s)
- Lance M Graul
- Department of Biomedical Engineering, Texas A&M University, College Station, TX, United States
| | - Shuling Liu
- Department of Statistics, Texas A&M University, College Station, TX, United States
| | - Duncan J Maitland
- Department of Biomedical Engineering, Texas A&M University, College Station, TX, United States.
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Noble DWA, Pottier P, Lagisz M, Burke S, Drobniak SM, O'Dea RE, Nakagawa S. Meta-analytic approaches and effect sizes to account for 'nuisance heterogeneity' in comparative physiology. J Exp Biol 2022; 225:274278. [PMID: 35258606 DOI: 10.1242/jeb.243225] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Meta-analysis is a powerful tool used to generate quantitatively informed answers to pressing global challenges. By distilling data from broad sets of research designs and study systems into standardised effect sizes, meta-analyses provide physiologists with opportunities to estimate overall effect sizes and understand the drivers of effect variability. Despite this ambition, research designs in the field of comparative physiology can appear, at the outset, as being vastly different to each other because of 'nuisance heterogeneity' (e.g. different temperatures or treatment dosages used across studies). Methodological differences across studies have led many to believe that meta-analysis is an exercise in comparing 'apples with oranges'. Here, we dispel this myth by showing how standardised effect sizes can be used in conjunction with multilevel meta-regression models to both account for the factors driving differences across studies and make them more comparable. We assess the prevalence of nuisance heterogeneity in the comparative physiology literature - showing it is common and often not accounted for in analyses. We then formalise effect size measures (e.g. the temperature coefficient, Q10) that provide comparative physiologists with a means to remove nuisance heterogeneity without the need to resort to more complex statistical models that may be harder to interpret. We also describe more general approaches that can be applied to a variety of different contexts to derive new effect sizes and sampling variances, opening up new possibilities for quantitative synthesis. By using effect sizes that account for components of effect heterogeneity, in combination with existing meta-analytic models, comparative physiologists can explore exciting new questions while making results from large-scale data sets more accessible, comparable and widely interpretable.
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Affiliation(s)
- Daniel W A Noble
- Division of Ecology and Evolution, Research School of Biology, The Australian National University, Canberra, ACT 2600, Australia
| | - Patrice Pottier
- Ecology & Evolution Research Centre, School of Biological, Earth and Environmental Sciences, University of New South Wales, Sydney, NSW 2052, Australia
| | - Malgorzata Lagisz
- Ecology & Evolution Research Centre, School of Biological, Earth and Environmental Sciences, University of New South Wales, Sydney, NSW 2052, Australia
| | - Samantha Burke
- Ecology & Evolution Research Centre, School of Biological, Earth and Environmental Sciences, University of New South Wales, Sydney, NSW 2052, Australia
| | - Szymon M Drobniak
- Ecology & Evolution Research Centre, School of Biological, Earth and Environmental Sciences, University of New South Wales, Sydney, NSW 2052, Australia
| | - Rose E O'Dea
- Ecology & Evolution Research Centre, School of Biological, Earth and Environmental Sciences, University of New South Wales, Sydney, NSW 2052, Australia
| | - Shinichi Nakagawa
- Ecology & Evolution Research Centre, School of Biological, Earth and Environmental Sciences, University of New South Wales, Sydney, NSW 2052, Australia
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Mikkelsen VE, Solheim O, Salvesen Ø, Torp SH. The histological representativeness of glioblastoma tissue samples. Acta Neurochir (Wien) 2021; 163:1911-20. [PMID: 33085022 DOI: 10.1007/s00701-020-04608-y] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Accepted: 10/05/2020] [Indexed: 02/08/2023]
Abstract
Background Glioblastomas (GBMs) are known for having a vastly heterogenous histopathology. Several studies have shown that GBMs can be histologically undergraded due to sampling errors of small tissue samples. We sought to explore to what extent histological features in GBMs are dependent on the amount of viable tissue on routine slides from both biopsied and resected tumors. Methods In 106 newly diagnosed GBM patients, we investigated associations between the presence or degree of 24 histopathological and two immunohistochemical features and the tissue amount on hematoxylin-eosin (HE) slides. The amount of viable tissue was semiquantitatively categorized as “sparse,” “medium,” or “substantial” for each case. Tissue amount was also assessed for associations with MRI volumetrics and the type of surgical procedure. Results About half (46%) of the assessed histological and immunohistochemical features were significantly associated with tissue amount. The significant features were less present or of a lesser degree when the tissue amount was smaller. Among the significant features were most of the features relevant for diffuse astrocytic tumor grading, i.e., small necroses, palisades, microvascular proliferation, atypia, mitotic count, and Ki-67/MIB-1 proliferative index (PI). Conclusion A substantial proportion of the assessed histological features were at risk of being underrepresented when the amount of viable tissue on HE slides was limited. Most of the grading features were dependent on tissue amount, which underlines the importance of considering sampling errors in diffuse astrocytic tumor grading. Our findings also highlight the importance of adequate tissue collection to increase the quality of diagnostics and histological research.
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Abstract
BACKGROUND Gastric carcinomas often measure more than 5 cm at primary diagnosis. Predictive biomarker testing is usually carried out on tissue biopsies, which do not represent the entire tumor biology and intratumoral heterogeneity. OBJECTIVES The aim of this study was to explore gastric cancer's intratumoral heterogeneity and its impact on the evaluation of predictive and prognostic biomarkers. MATERIALS AND METHODS The study cohort consisted of approximately 500 patients with therapy-naive adenocarcinomas of the stomach or the esophagogastric junction. The following biomarkers were determined: HER2, MET, Ki67, PD-L1/PD‑1, VISTA, EBV-status, and PIK3CA. RESULTS All examined biomarkers were influenced by gastric cancer's intratumoral heterogeneity. Tissue biopsies might carry the risk of sampling errors, which may significantly hamper adequate tumor classification in a clinical setting. CONCLUSIONS Our findings unravel issues of tumor heterogeneity in gastric cancer. Biomarker diagnostics on tissue biopsies should be carried out on at least five biopsies of different tumor areas. If possible, biomarker diagnostics should be repeated on resection specimens. Tissue microarrays should no longer be used for research studies of gastric cancer.
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Margoni F, Shepperd M. Changing the logic of replication: A case from infant studies. Infant Behav Dev 2020; 61:101483. [PMID: 33011611 DOI: 10.1016/j.infbeh.2020.101483] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Revised: 08/11/2020] [Accepted: 08/12/2020] [Indexed: 10/23/2022]
Abstract
Among infant researchers there is growing concern regarding the widespread practice of undertaking studies that have small sample sizes and employ tests with low statistical power (to detect a wide range of possible effects). For many researchers, issues of confidence may be partially resolved by relying on replications. Here, we bring further evidence that the classical logic of confirmation, according to which the result of a replication study confirms the original finding when it reaches statistical significance, could be usefully abandoned. With real examples taken from the infant literature and Monte Carlo simulations, we show that a very wide range of possible replication results would in a formal statistical sense constitute confirmation as they can be explained simply due to sampling error. Thus, often no useful conclusion can be derived from a single or small number of replication studies. We suggest that, in order to accumulate and generate new knowledge, the dichotomous view of replication as confirmatory/disconfirmatory can be replaced by an approach that emphasizes the estimation of effect sizes via meta-analysis. Moreover, we discuss possible solutions for reducing problems affecting the validity of conclusions drawn from meta-analyses in infant research.
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Affiliation(s)
- Francesco Margoni
- Department of Psychology and Cognitive Sciences, University of Trento, Italy.
| | - Martin Shepperd
- Department of Computer Science, Brunel University London, United Kingdom
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Gutt-Will M, Murek M, Schwarz C, Hewer E, Vulcu S, Beck J, Raabe A, Schucht P. Frequent Diagnostic Under-Grading in Isocitrate Dehydrogenase Wild-Type Gliomas due to Small Pathological Tissue Samples. Neurosurgery 2020; 85:689-694. [PMID: 30335178 DOI: 10.1093/neuros/nyy433] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2017] [Accepted: 08/16/2018] [Indexed: 12/22/2022] Open
Abstract
BACKGROUND In contrast to isocitrate dehydrogenase (IDH) mutation analysis, which is homogenous within a given tumor, diagnostic errors in histological analysis following the 2016 World Health Organization (WHO) classification could be due to small samples because of histological heterogeneity. OBJECTIVE To assess whether the sample size sent to histopathology influences the tumor grading in IDH wild-type gliomas. METHODS Histologically diagnosed WHO grade, sample volume, and preoperative tumor volume data of 111 patients aged who received resection of IDHwt gliomas between January 2007 and December 2015 at our hospital were evaluated. The differences between absolute and relative pathological sample sizes stratified by WHO grade were conducted using One-Way-Permutation-Test. RESULTS With a mean sample size of 10.9 cc, 83.8% of patients were histologically diagnosed as WHO grade IV, while 16.2% of patients with a mean sample size of 2.62 cc were diagnosed as WHO grade II/III. One-Way-Permutation-Test showed a significant difference between absolute tissue samples stratified by WHO grade (P = .0374). The distribution of preoperative tumor volumes with WHO grade IV vs WHO grade II/III showed no significant difference (P = .8587). Of all tumors with a sample size >10 cc 100% were pathologically diagnosed as WHO grade IV and those with sample size >5 cc 93.5% were diagnosed as WHO grade IV. CONCLUSION Small sample sizes are associated with a higher risk of under-estimating malignancy in histological grading in IDHwt gliomas. This study suggests a standard minimum sample size (>5cc) in every resection. Modalities of adjuvant treatment for IDHwt, WHO grade II/III gliomas need to reflect a prognosis that is only marginally better than of a glioblastoma.
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Affiliation(s)
- Marielena Gutt-Will
- Department of Neurosurgery, Insel-spital, University Hospital of Bern, Bern, Switzerland
| | - Michael Murek
- Department of Neurosurgery, Insel-spital, University Hospital of Bern, Bern, Switzerland
| | - Christa Schwarz
- Department of Neurosurgery, Insel-spital, University Hospital of Bern, Bern, Switzerland
| | - Ekkehard Hewer
- Institute of Pathology, University of Bern, Bern, Switzerland
| | - Sonja Vulcu
- Department of Neurosurgery, Insel-spital, University Hospital of Bern, Bern, Switzerland
| | - Jürgen Beck
- Department of Neurosurgery, Insel-spital, University Hospital of Bern, Bern, Switzerland
| | - Andreas Raabe
- Department of Neurosurgery, Insel-spital, University Hospital of Bern, Bern, Switzerland
| | - Philippe Schucht
- Department of Neurosurgery, Insel-spital, University Hospital of Bern, Bern, Switzerland
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Abstract
Background Measures of linkage disequilibrium (LD) play a key role in a wide range of applications from disease association to demographic history estimation. The true population LD cannot be measured directly and instead can only be inferred from genetic samples, which are unavoidably subject to measurement error. Previous studies of r2 (a measure of LD), such as the bias due to finite sample size and its variance, were based on the special case that the true population-wise LD is zero. These results generally do not hold for non-zero \documentclass[12pt]{minimal}
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\begin{document}$$ {r}_{true}^2 $$\end{document}rtrue2 values, which are more common in real genetic data. Results This work generalises the estimation of r2 to all levels of LD, and for both phased and unphased data. First, we provide new formulae for the effect of finite sample size on the observed r2 values. Second, we find a new empirical formula for the variance of the observed r2, equals to 2E[r2](1 − E[r2])/n, where n is the diploid sample size. Third, we propose a new routine, Constrained ML, a likelihood-based method to directly estimate haplotype frequencies and r2 from diploid genotypes under Hardy-Weinberg Equilibrium. While serving the same purpose as the pre-existing Expectation-Maximisation algorithm, the new routine can have better convergence and is simpler to use. A new likelihood-ratio test is also introduced to test for the absence of a particular haplotype. Extensive simulations are run to support these findings. Conclusion Most inferences on LD will benefit from our new findings, from point and interval estimation to hypothesis testing. Genetic analyses utilising r2 information will become more accurate as a result.
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Affiliation(s)
- Tin-Yu J Hui
- Department of Life Sciences, Silwood Park Campus, Imperial College London, Ascot, Berkshire, SL5 7PY, UK.
| | - Austin Burt
- Department of Life Sciences, Silwood Park Campus, Imperial College London, Ascot, Berkshire, SL5 7PY, UK
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Wang B, Sun Y, Zhou J, Wu X, Chen S, Shi Y, Wu S, Liu H, Ren Y, Ou X, Jia J, You H. SHG/TPEF-based image technology improves liver fibrosis assessment of minimally sized needle biopsies. Hepatol Int 2019; 13:501-9. [PMID: 31187402 DOI: 10.1007/s12072-019-09955-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2018] [Accepted: 05/18/2019] [Indexed: 12/11/2022]
Abstract
Background and aims Sampling size variability of liver biopsy remains a major limitation in the assessment of liver fibrosis. We aimed to evaluate the diagnostic value of a fully quantitative method (second harmonic generation/two-photon excitation fluorescence, SHG/TPEF based) in “short” liver biopsy samples. Methods Liver biopsy samples from chronic hepatitis B (CHB) patients were constructed into “virtual” biopsies with different lengths. The original and “virtual” samples were measured by SHG/TPEF-based technology to obtain qFibrosis score, respectively. Here, ΔqFibrosis was defined as difference of qFibrosis between original biopsy and “virtual” biopsy. Equivalence test was used to compare ΔqFibrosis with the clinically acceptable error (deviation of 0.50) in each group. Results In real-world practice, qFibrosis score increased significantly with fibrosis progression in ≥ 1.5-cm-, 1.0–1.5-cm-, and 0.5–1.0-cm-long specimens (p < 0.05), compared with ≤ 0.5-cm-long specimens (p > 0.05). In virtual biopsy samples with specified length, the equivalence was confirmed in 0.5–1.0-cm- and 1.0–1.5-cm-long specimens (0.27 vs. 0.22, p < 0.001), whereas not in ≤ 0.5-cm-long specimens (0.53, p > 0.05). The number of cross-linked collagen fibers, the total and aggregated collagen proportionate area, and the collagen strings in number, length, width and perimeter showed excellent consistency with original biopsy samples in 0.5–1.0-cm- and 1.0–1.5-cm-long specimens (ICC > 0.90). Conclusions The use of SHG/TPEF-based image technology may give useful suggestive information in evaluation of CHB-related liver fibrosis for the short sample (biopsy length > 0.5 cm). Electronic supplementary material The online version of this article (10.1007/s12072-019-09955-2) contains supplementary material, which is available to authorized users.
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Raut RV, Mitra A, Snyder AZ, Raichle ME. On time delay estimation and sampling error in resting-state fMRI. Neuroimage 2019; 194:211-227. [PMID: 30902641 DOI: 10.1016/j.neuroimage.2019.03.020] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2018] [Revised: 01/26/2019] [Accepted: 03/08/2019] [Indexed: 01/21/2023] Open
Abstract
Accumulating evidence indicates that resting-state functional magnetic resonance imaging (rsfMRI) signals correspond to propagating electrophysiological infra-slow activity (<0.1 Hz). Thus, pairwise correlations (zero-lag functional connectivity (FC)) and temporal delays among regional rsfMRI signals provide useful, complementary descriptions of spatiotemporal structure in infra-slow activity. However, the slow nature of fMRI signals implies that practical scan durations cannot provide sufficient independent temporal samples to stabilize either of these measures. Here, we examine factors affecting sampling variability in both time delay estimation (TDE) and FC. Although both TDE and FC accuracy are highly sensitive to data quantity, we use surrogate fMRI time series to study how the former is additionally related to the magnitude of a given pairwise correlation and, to a lesser extent, the temporal sampling rate. These contingencies are further explored in real data comprising 30-min rsfMRI scans, where sampling error (i.e., limited accuracy owing to insufficient data quantity) emerges as a significant but underappreciated challenge to FC and, even more so, to TDE. Exclusion of high-motion epochs exacerbates sampling error; thus, both sides of the bias-variance (or data quality-quantity) tradeoff associated with data exclusion should be considered when analyzing rsfMRI data. Finally, we present strategies for TDE in motion-corrupted data, for characterizing sampling error in TDE and FC, and for mitigating the influence of sampling error on lag-based analyses.
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Affiliation(s)
- Ryan V Raut
- Departments of Radiology, Washington University, St. Louis, MO, 63110, USA.
| | - Anish Mitra
- Departments of Radiology, Washington University, St. Louis, MO, 63110, USA
| | - Abraham Z Snyder
- Departments of Radiology, Washington University, St. Louis, MO, 63110, USA; Departments of Neurology, Washington University, St. Louis, MO, 63110, USA
| | - Marcus E Raichle
- Departments of Radiology, Washington University, St. Louis, MO, 63110, USA; Departments of Neurology, Washington University, St. Louis, MO, 63110, USA
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Cao ZJ, Qu YL, Zhao F, Liu L, Song SX, Liu YC, Cai JY, Shi XM. [Sampling methods and errors appearing in the China National Human Biomonitoring Program]. Zhonghua Liu Xing Bing Xue Za Zhi 2018; 39:1642-7. [PMID: 30572393 DOI: 10.3760/cma.j.issn.0254-6450.2018.12.020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To explore the sampling method in China National Human Biomonitoring Program (HBP) and the related errors, so as to calculate and evaluate the study design in sampling. Methods: The sampling method of HBP is of multistage nature. Taking the results of sampling method from Guizhou province as an example, results related to sampling error and variation coefficient were calculated, using the multistage unequal probability sampling error method. Results: The HBP covered 152 monitoring sites in 31 provinces (autonomous regions and municipalities) and with 21 888 residents selected. The replacement rates at various stages were 5.26%, 6.35% and 40.6% respectively. The sampling error in Guizhou province was 3 207 594, and the coefficient of variation was 0.097. Conclusions: According to the multi-stage unequal probability sampling method, the sampling coefficient variability appeared small with high precision, in Guizhou province. However, this method did not consider the weight adjustment of non-sampling errors such as population missing rate and response rate. Methods related to the calculation on multi-stage sampling error among large-scale public health monitoring projects need to be further studied.
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Fensham JR, Bubner E, D'Antignana T, Landos M, Caraguel CGB. Random and systematic sampling error when hooking fish to monitor skin fluke (Benedenia seriolae) and gill fluke (Zeuxapta seriolae) burden in Australian farmed yellowtail kingfish (Seriola lalandi). Prev Vet Med 2018; 153:7-14. [PMID: 29653737 DOI: 10.1016/j.prevetmed.2018.02.012] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2017] [Revised: 01/04/2018] [Accepted: 02/22/2018] [Indexed: 11/18/2022]
Abstract
The Australian farmed yellowtail kingfish (Seriola lalandi, YTK) industry monitor skin fluke (Benedenia seriolae) and gill fluke (Zeuxapta seriolae) burden by pooling the fluke count of 10 hooked YTK. The random and systematic error of this sampling strategy was evaluated to assess potential impact on treatment decisions. Fluke abundance (fluke count per fish) in a study cage (estimated 30,502 fish) was assessed five times using the current sampling protocol and its repeatability was estimated the repeatability coefficient (CR) and the coefficient of variation (CV). Individual body weight, fork length, fluke abundance, prevalence, intensity (fluke count per infested fish) and density (fluke count per Kg of fish) were compared between 100 hooked and 100 seined YTK (assumed representative of the entire population) to estimate potential selection bias. Depending on the fluke species and age category, CR (expected difference in parasite count between 2 sampling iterations) ranged from 0.78 to 114 flukes per fish. Capturing YTK by hooking increased the selection of fish of a weight and length in the lowest 5th percentile of the cage (RR = 5.75, 95% CI: 2.06-16.03, P-value = 0.0001). These lower end YTK had on average an extra 31 juveniles and 6 adults Z. seriolae per Kg of fish and an extra 3 juvenile and 0.4 adult B. seriolae per Kg of fish, compared to the rest of the cage population (P-value < 0.05). Hooking YTK on the edge of the study cage biases sampling towards the smallest and most heavily infested fish in the population, resulting in poor repeatability (more variability amongst sampled fish) and an overestimation of parasite burden in the population. In this particular commercial situation these finding supported that health management program, where the finding of an underestimation of parasite burden could provide a production impact on the study population. In instances where fish populations and parasite burdens are more homogenous, sampling error may be less severe. Sampling error when capturing fish from sea cage is difficult to predict. The amplitude and direction of this error should be investigated for a given cultured fish species across a range of parasite burden and fish profile scenarios.
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Affiliation(s)
- J R Fensham
- School of Animal and Veterinary Sciences, The University of Adelaide, Roseworthy Campus, Roseworthy, South Australia, 5371, Australia; Future Fisheries Veterinary Services Pty Ltd, East Ballina, New South Wales, 2478, Australia
| | - E Bubner
- Lincoln Marine Science Centre, School of Biological Sciences, Flinders University, Port Lincoln, South Australia, 5606, Australia
| | - T D'Antignana
- Lincoln Marine Science Centre, School of Biological Sciences, Flinders University, Port Lincoln, South Australia, 5606, Australia
| | - M Landos
- Future Fisheries Veterinary Services Pty Ltd, East Ballina, New South Wales, 2478, Australia
| | - C G B Caraguel
- School of Animal and Veterinary Sciences, The University of Adelaide, Roseworthy Campus, Roseworthy, South Australia, 5371, Australia.
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Duthinh D, Pintar AL, Simiu E. Influence of Wind Tunnel Test Duration on Wind Load Factors. J Struct Eng (N Y N Y) 2018; 144:10.1061/(asce)st.1943-541x.0002202. [PMID: 33642671 PMCID: PMC7905990 DOI: 10.1061/(asce)st.1943-541x.0002202] [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] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/01/2017] [Accepted: 05/09/2018] [Indexed: 06/12/2023]
Abstract
A method is presented for calculating the uncertainty associated with the estimation of peak pressure coefficients from wind tunnel test records of various lengths and how this uncertainty influences design wind effects. The proposed method is applicable to any type of structure and any type of civil engineering aerodynamic testing facility, including large-scale facilities. As an example of the application of the method, an investigation is presented of time series belonging to five categories of pressure coefficients implicit in Chapter 27 of the ASCE 7-10 Standard. The results of the investigation show that, for typical civil engineering wind tunnels, estimated design wind effects based on tests with durations as low as 10 s, corresponding to prototype durations of less than 6 min, are larger than their counterparts based on tests with 100 s duration by only approximately 5%. The proposed method provides useful indications on minimum lengths of pressure records to be measured in wind tunnels.
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Affiliation(s)
- Dat Duthinh
- Research Structural Engineer, Engineering Laboratory, NIST, Gaithersburg, MD 20899
| | - Adam L Pintar
- Mathematical Statistician, Statistical Engineering Division, NIST, Gaithersburg, MD 20899
| | - Emil Simiu
- NIST Fellow, Engineering Laboratory, NIST, Gaithersburg, MD 2089
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Bökkerink GMJ, van der Wilt GJ, de Jong D, van Krieken HHJM, Bleichrodt RP, de Wilt JHW, Bremers AJA. Value of macrobiopsies and transanal endoscopic microsurgery in the histological work-up of rectal neoplasms: A retrospective study. World J Gastrointest Oncol 2017; 9:251-256. [PMID: 28656075 PMCID: PMC5472555 DOI: 10.4251/wjgo.v9.i6.251] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2017] [Revised: 04/03/2017] [Accepted: 05/24/2017] [Indexed: 02/05/2023] Open
Abstract
AIM To evaluate a step up approach: Taking macrobiopsies and performing excision biopsies in patients with suspected rectal cancer in which biopsies taken though the flexible endoscope showed benign histology.
METHODS Patients with a rectal neoplasm who underwent flexible endoscopy and biopsies were included. In case of benign biopsies rigid rectoscopy and macrobiopsies were employed. If this failed to prove malignancy, transanal endoscopic microsurgery (TEM) was used in a final effort to establish a certain preoperative diagnosis. The preoperative results were compared with the findings after surgical excision and follow up to calculate the reliability of this algorithm.
RESULTS One hundred and thirty-two patients were included. One hundred and ten patients with a carcinoma and 22 with an adenoma. Seventy-five of 110 carcinomas were proven malignant after flexible endoscopy. With the addition of rigid endoscopy and taking of macrobiopsies, this number increased to 89. Performing TEM excision biopsies further enlarged the number of proven malignancies to 100.
CONCLUSION The step-up approach includes taking macrobiopsies through the rigid rectoscope and performing excision biopsies using transanal endoscopic microsurgery in addition to flexible endoscopy. This approach, reduced the number of missed preoperative malignant diagnoses from 32% to 9%.
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Kim G, Chowdhury S, Lin YM, Lu CJ. Soil sampling strategies for site assessments in petroleum-contaminated areas. Environ Geochem Health 2017; 39:293-305. [PMID: 27995353 DOI: 10.1007/s10653-016-9905-2] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2016] [Accepted: 11/30/2016] [Indexed: 06/06/2023]
Abstract
Environmental site assessments are frequently executed for monitoring and remediation performance evaluation purposes, especially in total petroleum hydrocarbon (TPH)-contaminated areas, such as gas stations. As a key issue, reproducibility of the assessment results must be ensured, especially if attempts are made to compare results between different institutions. Although it is widely known that uncertainties associated with soil sampling are much higher than those with chemical analyses, field guides or protocols to deal with these uncertainties are not stipulated in detail in the relevant regulations, causing serious errors and distortion of the reliability of environmental site assessments. In this research, uncertainties associated with soil sampling and sample reduction for chemical analysis were quantified using laboratory-scale experiments and the theory of sampling. The research results showed that the TPH mass assessed by sampling tends to be overestimated and sampling errors are high, especially for the low range of TPH concentrations. Homogenization of soil was found to be an efficient method to suppress uncertainty, but high-resolution sampling could be an essential way to minimize this.
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Affiliation(s)
- Geonha Kim
- Department of Civil and Environmental Engineering, Hannam University, Daejeon, Republic of Korea.
| | - Saikat Chowdhury
- SAFE Research Center, Hannam University, Daejeon, Republic of Korea
| | - Yen-Min Lin
- Taiwan Environmental Scientific Co. Ltd., Kaohsiung City, Taiwan
| | - Chih-Jen Lu
- Department of Environmental Engineering, National Chung-Hsing University, Taichung City, Taiwan
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Abstract
Histopathologic evaluation of liver biopsy specimens yields information that is not otherwise obtainable and is frequently essential for diagnosing hepatic disease. Percutaneous needle biopsy, laparoscopic biopsy, and surgical biopsy each have their own set of advantages and disadvantages. Care should be taken to ensure an adequate amount of tissue is collected for meaningful histologic evaluation. Because sampling error is a limitation of hepatic biopsy, multiple liver lobes should be biopsied. This article discusses the indications for liver biopsy, associated risks, advantages and disadvantages of different biopsy techniques, and strategies to get the most useful information possible out of this process.
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Affiliation(s)
- Jonathan A Lidbury
- Gastrointestinal Laboratory, Department of Small Animal Clinical Sciences, College of Veterinary Medicine & Biomedical Sciences, Texas A&M University, 4474 TAMU, College Station, TX 77843, USA.
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19
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Egger C, Maurer M. Importance of anthropogenic climate impact, sampling error and urban development in sewer system design. Water Res 2015; 73:78-97. [PMID: 25644630 DOI: 10.1016/j.watres.2014.12.050] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [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: 06/10/2014] [Revised: 12/19/2014] [Accepted: 12/29/2014] [Indexed: 06/04/2023]
Abstract
Urban drainage design relying on observed precipitation series neglects the uncertainties associated with current and indeed future climate variability. Urban drainage design is further affected by the large stochastic variability of precipitation extremes and sampling errors arising from the short observation periods of extreme precipitation. Stochastic downscaling addresses anthropogenic climate impact by allowing relevant precipitation characteristics to be derived from local observations and an ensemble of climate models. This multi-climate model approach seeks to reflect the uncertainties in the data due to structural errors of the climate models. An ensemble of outcomes from stochastic downscaling allows for addressing the sampling uncertainty. These uncertainties are clearly reflected in the precipitation-runoff predictions of three urban drainage systems. They were mostly due to the sampling uncertainty. The contribution of climate model uncertainty was found to be of minor importance. Under the applied greenhouse gas emission scenario (A1B) and within the period 2036-2065, the potential for urban flooding in our Swiss case study is slightly reduced on average compared to the reference period 1981-2010. Scenario planning was applied to consider urban development associated with future socio-economic factors affecting urban drainage. The impact of scenario uncertainty was to a large extent found to be case-specific, thus emphasizing the need for scenario planning in every individual case. The results represent a valuable basis for discussions of new drainage design standards aiming specifically to include considerations of uncertainty.
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Affiliation(s)
- C Egger
- Eawag, Swiss Federal Institute of Aquatic Science and Technology, 8600 Dübendorf, Switzerland; Institute of Environmental Engineering, ETH Zurich, 8093 Zurich, Switzerland.
| | - M Maurer
- Eawag, Swiss Federal Institute of Aquatic Science and Technology, 8600 Dübendorf, Switzerland; Institute of Environmental Engineering, ETH Zurich, 8093 Zurich, Switzerland
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Stringer AP, Smith D, Kerley GI, Linklater WL. Reducing sampling error in faecal egg counts from black rhinoceros (Diceros bicornis). Int J Parasitol Parasites Wildl 2014; 3:1-5. [PMID: 24918070 PMCID: PMC4047959 DOI: 10.1016/j.ijppaw.2013.10.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2013] [Revised: 10/07/2013] [Accepted: 10/08/2013] [Indexed: 11/30/2022]
Abstract
Faecal egg counts (FECs) are commonly used for the non-invasive assessment of parasite load within hosts. Sources of error, however, have been identified in laboratory techniques and sample storage. Here we focus on sampling error. We test whether a delay in sample collection can affect FECs, and estimate the number of samples needed to reliably assess mean parasite abundance within a host population. Two commonly found parasite eggs in black rhinoceros (Diceros bicornis) dung, strongyle-type nematodes and Anoplocephala gigantea, were used. We find that collection of dung from the centre of faecal boluses up to six hours after defecation does not affect FECs. More than nine samples were needed to greatly improve confidence intervals of the estimated mean parasite abundance within a host population. These results should improve the cost-effectiveness and efficiency of sampling regimes, and support the usefulness of FECs when used for the non-invasive assessment of parasite abundance in black rhinoceros populations.
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Affiliation(s)
- Andrew P. Stringer
- Centre for Biodiversity and Restoration Ecology, Victoria University of Wellington, New Zealand
| | - Diane Smith
- Centre for African Conservation Ecology, Nelson Mandela Metropolitan University, Port Elizabeth, South Africa
| | - Graham I.H. Kerley
- Centre for African Conservation Ecology, Nelson Mandela Metropolitan University, Port Elizabeth, South Africa
| | - Wayne L. Linklater
- Centre for Biodiversity and Restoration Ecology, Victoria University of Wellington, New Zealand
- Centre for African Conservation Ecology, Nelson Mandela Metropolitan University, Port Elizabeth, South Africa
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