Parametric analysis of rank transformed data for statistical assessment of genotoxicity data with examples from cultured mammalian cells

The utility of rank transformation followed by parametric analysisof the ranks has been assessed for determination of the statisticalsignificance of genotoxicity data. Both non-parametric and parametricanalytical methods have defects when used to assess the significanceof results from routine regulatory tests. Superficially, therank transformation method followed by parametric analysis ofranks appears to be an ideal solution. However, we consideredthat such a test might suffer a substantial loss of power whenused to analyse normally distributed data with very low samplereplication. To test this hypothesis we took 22 data sets fromfive ‘borderline’ positive compounds in mouse lymphomatreat-and-plate assays where treatment-related increases werebetween 1.5- and 3-fold the control and analysed these resultsby Dunnett's t-test using rank transformed data and weighted,untransformed data. In theory these mouse lymphoma data shouldshow the rank transformation system at its worst in comparisonwith parametric methodology using weighted data. Surprisingly,the rank transformation methodology showed no loss of powerand, overall, performed more consistently than the weighteddata methodology. Based on this limited number of data sets,rank transformation followed by parametric analysis of ranksseems to be an approach very suitable for genotoxicity assaysin general, particularly where distributions are non-normalor of uncertain form. It combines the general applicabilityof non-parametric methods with the power of parametric analyses.However, the methodology still requires to be further validatedin use and by computer simulation.     

Evaluation and treatment of chemonucleolysis failures

Fifty patients underwent chemonucleolysis for the treatment of lumbar disk herniations unresponsive to conservative therapy. In patients treated with chymopapain, unrelieved sciatica was the most common cause of clinical treatment failure. Eight patients (16%) experienced no relief or only a transient reduction in their radicular symptoms following chymopapain injection. All eight patients were clinically reevaluated and underwent repeat neuroradiographic studies. Computed axial tomography and lumbar myelography demonstrated persistent nerve root compromise at the level of the injected disk space. Open diskectomy was performed in all eight cases. Postoperatively, seven patients noted complete resolution of their radicular symptoms; one patient had intermittent low back and leg pain following surgery.     

Medical Writing: A Prescription for Clarity

I enjoyed reading this book, as it has changed the way I write.The aim of the book is to enable writers to communicate moreeffectively, and whether you are an amateur or a well-publishedauthor this book will be useful. After reading it, I immediatelywanted to redraft work I had written previously. But it is toolate! The book has     

Comparison of airway diameter measurements from an anthropomorphic airway tree phantom using hyperpolarized 3He MRI and high-resolution computed tomography.

An anthropomorphic airway tree phantom was imaged with both hyperpolarized (HP) 3He MRI using a dynamic projection scan and computed tomography (CT). Airway diameter measurements from the HP 3He MR images obtained using a newly developed model-based algorithm were compared against their corresponding CT values quantified with a well-established method. Of the 45 airway segments that could be evaluated with CT, only 14 airway segments (31%) could be evaluated using HP 3He MRI. No airway segments smaller than approximately 4 mm in diameter and distal to the fourth generation were adequate for analysis in MRI. For the 14 airway segments measured, only two airway segments yielded a non-equivalent comparison between the two imaging modalities, while eight more had inconclusive comparison results, leaving only four airway segments (29%) that satisfied the designed equivalence criteria. Some of the potential problems in airway diameter quantification described in the formulation of the model-based algorithm were observed in this study. These results suggest that dynamic projection HP 3He MRI may have limited utility for measuring airway segment diameters, particularly those of the central airways.     

An audit of influenza and pneumococcal vaccination in rheumatology outpatients

Background  

Influenza and pneumococcal vaccination are recommended for a number of clinical risk groups including patients treated with major immunosuppressant disease modifying anti-rheumatic drugs. Such immunisation is not only safe but immunogenic in patients with rheumatic diseases. We sought to establish dual vaccination rates and significant influencing factors amongst our hospital rheumatology outpatients.     

Functional genomics and schizophrenia: endophenotypes and mutant models.

This article summarizes the rationale, methods, and results of gene discovery programs in schizophrenia research and describes functional methods of investigating potential candidate genes. It focuses next on the most prominent current candidate genes and describes (1) evidence for their association with schizophrenia and research into the function of each gene; (2) investigation of the clinical phenotypes and endophenotypes associated with each gene, at the levels of psychopathologic, neurocognitive, electrophysiologic, neuroimaging, and neuropathologic findings; and (3) research into the ethologic, cognitive, social, and psychopharmacologic phenotype of mutants with targeted deletion of each gene. It examines gene-gene and gene-environment interactions. Finally, it looks at future directions for research.     

Colour Doppler imaging in the demonstration of an orbital varix.

Colour Doppler imaging (CDI) is a recent development in ultrasonography. It allows simultaneous two-dimensional structural imaging and Doppler evaluation of blood flow. Quantitative information on flow velocity is obtained by pulsed Doppler spectral analysis, the colour information being used to choose the vessel of interest. Using this technique the authors examined a patient with an orbital varix previously diagnosed by clinical findings and computed tomography. Dynamic evaluation with real-time direct imaging of flow facilitated the diagnosis of this orbital disorder without the need for any contrast material. This technique may prove to be a useful adjunct to computed tomography for the evaluation of suspected vascular lesions of the orbit.