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The Prothrombin Time (PT) test is used for monitoring of treatment with Vitamin K-antagonists (VKA). The result of the PT test should be expressed as the International Normalized Ratio (INR). Calculation of INR is based on the availability of International Standards (IS) for thromboplastin and a calibration model. Calibration of a new PT test system is performed with the appropriate IS and fresh plasma samples of healthy (normal) volunteers and patients treated with VKA. The calibration model is based on the assumption of a linear relationship between the log(PT)'s obtained with the new PT system and the reference IS for both normal and patients' samples. Patients' samples for calibration should be selected by rejecting samples beyond the 1.5–4.5 INR range. Outliers should be rejected defined as points with a perpendicular distance greater than three residual standard deviations from the line of relationship. Selection of patients' samples and rejection of outliers result in a reduction of the between-laboratory variation of calibration. In addition to monitoring of VKA, the PT is used for management of patients with chronic liver disease. Likewise, INRliver should be based on calibration with an IS using samples from patients with chronic liver disease.  相似文献   

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Needed standards     
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《Mycotoxin Research》1988,4(1):55-55
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The newly emerging LCA standards provide an opportunity to review and improve upon the current LCA methodology. As more industrial practitioners enter the arena, the opportunity arises to not only demand environmental improvement from industrial service and product providers but also to fill LCA data gaps. A framework is suggested for improvement in the current LCA framework that focuses on the business relationships of the industrial practitioner. The framework seeks to promote environmental improvement from industrial sectors through the identification of state-of-the-art technologies used throughout a life cycle. Basing LCAs on the best performers in an industry will create a market for a high level of environmental performance, disperse the responsibility of inventory data gathering, and improve upon the advancements already anticipated through the widespread application of LCA.  相似文献   

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The development of standards in the field of PACS is essential. This paper explains why and describes the current activities in this field. Special emphasis is put on the European activities, i.e. the CEN/TC251 committee. The impact of standards is given on the relation between the Information Technology and Medical Imaging market.  相似文献   

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Sleep and Biological Rhythms -  相似文献   

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The Proteomics Standards Initiative (PSI) aims to define community standards for data representation in proteomics and to facilitate data comparison, exchange and verification. Progress has been made in the development of common standards for data exchange in the fields of both mass spectrometry and protein-protein interaction. A proteomics-specific extension is being created for the emerging American Society for Tests and Measurements mass spectrometry standard, which will be supported by manufacturers of both hardware and software. A data model for proteomics experimentation is under development and discussions on a public repository for published proteomics data are underway. The Protein-Protein Interactions group expects to publish the Level 1 PSI data exchange format for protein-protein interactions soon and discussions as to the content of Level 2 have been initiated.  相似文献   

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Cale GS 《Bioethics》1999,13(2):131-148
This discussion paper addresses Ian Wilks' defence of the risk-related standard of competence that appears in Bioethics 11 . Wilks there argues that the puzzle posed by Mark Wicclair in Bioethics 5 against Dan Brock's argument in favour of a risk-related standard of competence — namely that Brock's argument allows for situations of asymmetrical competence — is not a genuine problem for a risk-related standard of competence. To show this, Wilks presents what he believes to be two examples of real situations in which asymmetrical competence arises.
I argue that insofar as Wilks equivocates two senses of competence in his examples — namely, competence to perform a task and competence in performing a task — Wilks is unable to illustrate the existence of real situations of asymmetrical competence. By examining the way in which Wilks equivocates two senses of competence in his examples, and by applying the results of this examination to the problem of patient competency within the medical field, I argue that not only does Wilks fail to show that situations of asymmetrical competence exist, but he is also unable to provide a foundation for understating how the risk-related standard of competence can strike a balance between an individual's autonomy and benevolent intervention.
I thus conclude that insofar as Wilks fails to answer the objections raised by Wicclair and others against the risk-related standard of competence, the risk-related standard of competence continues to be undermined by the problem of asymmetrical competence.  相似文献   

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Many states across the U.S. use the total petroleum hydrocarbon (TPH) measurement as a regulatory tool for setting cleanup standards for underground storage tank sites and other petroleum‐related sites requiring cleanup. In Part 1 of this article (Michelsen and Petito Boyce, J. Soil Contam., 2(2): 109–124), alternative techniques and new methods for developing site‐specific cleanup standards for petroleum hydrocarbons were reviewed, including the use of chemical fingerprinting, constituent analysis, and human health and ecological risk assessment methods. In Part 2 of this article, the cost effectiveness and accuracy of these approaches are evaluated by comparing a generic TPH cleanup standards approach with site‐specific cleanup standards approaches for two actual sites in Washington State, a neighborhood gas station and a former bulk fuel storage facility. Based on these case studies, as well as consideration of other available approaches discussed in Part 1 of this article, recommendations are provided for selecting the most appropriate method of developing cleanup standards at a petroleum‐contaminated site.  相似文献   

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