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Genuine Differences (genuine + difference)

Distribution by Scientific Domains

Medical Sciences	50%

Selected Abstracts

Recording dental caries in archaeological human remains

INTERNATIONAL JOURNAL OF OSTEOARCHAEOLOGY, Issue 4 2001
Simon Hillson
Abstract Dental caries is an important condition to record in archaeological collections, but the way in which recording is carried out has a large effect on the way in which the results can be interpreted. In living populations, dental caries is a disease that shows a strong relationship with age. Both the nature of carious lesions and their frequency change with successive age groups from childhood to elderly adulthood. There is also a progression in the particular teeth in the dentition which are most commonly affected and, in general, the molars and premolars are involved much more frequently than the canines and incisors. Lower teeth are usually affected more than upper, although the condition usually involves the right and left sides fairly equally. In the high tooth wear rate populations represented by many archaeological and museum collections, there is a complex relationship between the form of lesions and the state of wear, which adds yet another range of factors to the changing pattern of caries with increasing age. In the same populations, chipping, fracture and anomalous abrasion of teeth are also common, and these contribute similarly to the distribution and forms of carious lesion observed. Amongst the living, the pattern of ante-mortem tooth loss is important in understanding caries and, in archaeological material, there is also the complicating factor of post-mortem tooth loss. Finally, there is the question of diagnosis. There are diagnostic problems even in epidemiological studies of living patients and, for archaeological specimens, diagenetic change and the variable preservation of different parts of the dentition add further complications. For all these reasons, it is difficult to define any one general index of dental caries to represent the complete dentition of each individual, which would be universally suitable for studying a full range of collections from archaeological sites or museums. Variation in the nature of collections, their preservation, tooth wear, and ante-mortem and post-mortem tooth loss mean that when such a general index appears to differ between sites, there could be many other reasons for this, in addition to any genuine differences in caries incidence and pattern that might have been present. It is suggested here that the best approach is instead to make comparisons separately for each tooth type, age group, sex, lesion type and potential lesion site on the tooth. Copyright © 2001 John Wiley & Sons, Ltd. [source]

Assessment of hypotheses about dispersal in a long-lived seabird using multistate capture,recapture models

JOURNAL OF ANIMAL ECOLOGY, Issue 4 2004
Emmanuelle Cam
Summary 1Dispersal contributes to spatio-temporal variation in population size and is a key process in studies of life history evolution and studies with conservation implications. However, dispersal is still one of the major gaps in our knowledge of ecological dynamics. The very large literature on metapopulation dynamics lacks empirical bases on dispersal and relevant behavioural parameters. We used multistate capture,recapture models (data from 1988 to 2001) to address hypotheses about movement probability and habitat selection within a system of two breeding colonies in Audouin's gulls (Larus audouinii), an endemic species breeding in the Mediterranean and considered as threatened. 2Movement probability varied over time, and differed greatly between the colonies. 3We did not find evidence of an influence of colony size or density of predators on movement probability. 4In dispersers, our results did not support the hypotheses that movement probability between year t and t+ 1 was influenced by mean breeding success in the colony of origin (i.e. an indicator of habitat quality) or the destination colony in year t or t+ 1, or by the ratio of breeding success in these colonies in year t or t + 1 (i.e. quality gradient). 5Overall, movement probability was higher from the smaller colony to the larger, and from the colony with lower breeding success in year t to the more productive one. This provides slight support for two nonexclusive hypotheses about habitat selection (conspecific attraction and conspecific success attraction). 6Movement probability from the smaller, less productive colony was very high in some years, suggesting that the dynamics of both colonies were strongly influenced by adult dispersal. However, in absolute numbers, more individuals moved from the larger, more productive colony to the smaller one. This suggests that the system may function as a source,sink system. 7Use of multistate models to re-assess local survival showed that survival was lower in the less productive colony with higher emigration probability. This may reflect genuine differences in mortality between colonies, or more probably differences in permanent emigration from the study area. [source]

Perceptual error and the culture of open disclosure in Australian radiology

JOURNAL OF MEDICAL IMAGING AND RADIATION ONCOLOGY, Issue 3 2006
AG Pitman
Summary The work of diagnostic radiology consists of the complete detection of all abnormalities in an imaging examination and their accurate diagnosis. Errors in diagnostic radiology comprise perceptual errors, which are a failure of detection, and interpretation errors, which are errors of diagnosis. Perceptual errors are subject to rules of human perception and can be expected in a proportion of observations by any human observer including a trained professional under ideal conditions. Current legal standards of medical negligence make no allowance for perceptual errors, comparing human performance to an ideal standard. Diagnostic radiology in Australia has a culture of open disclosure, where full unbiased evidence from an examination is provided to the patient together with the report. This practice benefits the public by allowing genuine differences of opinion and also by allowing a second chance of correct diagnosis in cases of perceptual error. The culture of open disclosure, which is unique to diagnostic radiology, places radiologists at distinct medicolegal disadvantage compared with other specialties. (i) Perceptual error should be acknowledged as an integral inevitable part of diagnostic radiology; (ii) culture of open disclosure should be encouraged by the profession; and (iii) a pragmatic definition of medical negligence should reflect the imperfect performance of human observers. [source]

Diagnostic accuracy of D-dimer test for exclusion of venous thromboembolism: a systematic review

JOURNAL OF THROMBOSIS AND HAEMOSTASIS, Issue 2 2007
M. DI NISIO
Summary.,Background: The reported diagnostic accuracy of the D-dimer test for exclusion of deep vein thrombosis (DVT) and pulmonary embolism (PE) varies. It is unknown to what extent this is due to differences in study design or patient groups, or to genuine differences between D-dimer assays. Methods: Studies evaluating the diagnostic accuracy of the D-dimer test in the diagnosis of venous thromboembolism were systematically searched for in the MEDLINE and EMBASE databases up to March 2005. Reference lists of all included studies and of reviews related to the topic of the present meta-analysis were manually searched for other additional potentially eligible studies. Two reviewers independently extracted study characteristics using standardized forms. Results: In total, 217 D-dimer test evaluations for DVT and 111 for PE were analyzed. Several study design characteristics were associated with systematic differences in diagnostic accuracy. After adjustment for these features, the sensitivities of the D-dimer enzyme-linked immunofluorescence assay (ELFA) (DVT 96%; PE 97%), microplate enzyme-linked immunosorbent assay (ELISA) (DVT 94%; PE 95%), and latex quantitative assay (DVT 93%; PE 95%) were superior to those of the whole-blood D-dimer assay (DVT 83%; PE 87%), latex semiquantitative assay (DVT 85%; PE 88%) and latex qualitative assay (DVT 69%; PE 75%). The latex qualitative and whole-blood D-dimer assays had the highest specificities (DVT 99%, 71%; PE 99%, 69%). Conclusions: Compared to other D-dimer assays, the ELFA, microplate ELISA and latex quantitative assays have higher sensitivity but lower specificity, resulting in a more confident exclusion of the disease at the expense of more additional imaging testing. These conclusions are based on the most up-to-date and extensive systematic review of the topic area, including 184 articles, with 328 D-dimer test evaluations. [source]