Quality Assessment Research Articles

Use of GC-IMS and Stoichiometry to Characterize Flavor Volatiles in Different Parts of Lueyang Black Chicken during Slaughtering and Cutting.

Chilled and cut chicken is preferred by consumers for its safeness and readiness to cook. To evaluate the quality characteristics of various chilled chicken products, differences in volatile organic components (VOCs) of six different cut parts (breast, back, leg, heart, liver, and gizzard) of Lueyang black chicken were characterized through gas chromatography-ion mobility spectroscopy (GC-IMS) combined with stoichiometry. A total of 54 peaks in the signal of VOCs were detected by GC-IMS, and 43 VOCs were identified by qualitative analysis. There were 22 aldehydes (20.66-54.07%), 8 ketones (25.74-62.87%), 9 alcohols (4.17-14.69%), 1 ether (0.18-2.22%), 2 esters (0.43-1.54%), and 1 furan (0.13-0.52%), in which aldehydes, ketones, and alcohols were the main categories. Among the six cut parts, the relative content of aldehydes (54.07%) was the highest in the gizzard, and the relative content of ketones (62.87%) was the highest in the heart. Meanwhile, the relative content of alcohols (14.69%) was the highest in the liver. Based on a stable and reliable predictive model established by orthogonal partial least squares-discriminant analysis (OPLS-DA), 3-hydroxy-2-butanone (monomer and dimer), acetone, 2-butanone monomer, hexanal (monomer and dimer), isopentyl alcohol monomer, and n-hexanol monomer were picked out as characteristic VOCs based on variable importance in projection (VIP value > 1.0, p < 0.05). Principal component analysis (PCA) and the clustering heatmap indicated that the characteristic VOCs could effectively distinguish the six cut parts of Lueyang black chicken. The specific VOCs responsible for flavor differences among six different cut parts of Lueyang black chicken were hexanal (monomer and dimer) for the gizzard, 2-butanone monomer and hexanal dimer for the breast, hexanal monomer for the back, 3-hydroxy-2-butanone monomer for the leg, 3-hydroxy-2-butanone (monomer and dimer) for the heart, and acetone and isopentyl alcohol monomer for the liver. These findings could reveal references for quality assessment and development of chilled products related to different cut parts of Lueyang black chicken in the future.

Evaluating the Efficacy of Reconstruction: Systematic Review of Six-Strand Hamstring Autografts for Anterior Cruciate Ligament Reconstruction: Biomechanical and Clinical Outcomes

Introduction: Anterior Cruciate Ligament (ACL) injuries are a major concern in orthopedics, particularly affecting active individuals and often necessitating surgery. The incidence of ACL injuries is rising, especially in women, comprising half of knee joint injuries. These injuries, common in sports with pivoting actions, can lead to long-term joint issues like osteoarthritis. Advances in surgical methods and understanding of postoperative recovery are crucial for improving patient outcomes, with considerations for graft size, material, and reconstruction technique critical in the rehabilitation process. Material and Methods: A systematic review was conducted by searching PubMed, MEDLINE, and SCOPUS for studies from 2009 to 10 February 2024, focusing on “six-strand hamstring graft” outcomes in ACL reconstruction. Inclusion criteria were English publications on 6HS autografts’ biomechanical and clinical outcomes. Excluded were non-specific, BTB, or hybrid studies, and non-research articles. Out of 347 records, 9 were analyzed after rigorous screening and quality assessment. This review, emphasizing six-strand hamstring autografts, enriches orthopedic knowledge, particularly for ACL surgery. Results: This review evaluated studies on six-strand hamstring (6HS) autografts for ACL reconstruction, encompassing prospective, retrospective, and cadaveric studies with subjects ranging from 12 to 413. Findings indicate that 6HS autografts enhance knee stability and increase graft diameter, correlating with reduced graft failure rates and improved clinical outcomes, including high patient satisfaction and low re-injury rates. Rehabilitation varied, with recovery times quicker due to larger graft sizes, and most studies reported low complication rates, underscoring 6HS autografts’ efficacy in ACL surgery. Conclusions: Performing 6HS autografts in ACL reconstruction reveals that they offer improved knee stability and graft diameter, leading to better clinical outcomes. These autografts are associated with high patient satisfaction and low re-injury rates, suggesting their effectiveness in mimicking native ACL function and enhancing rehabilitation. However, research limitations highlight the need for further long-term, comprehensive studies.

Assessment of Water Quality in Saline Tract of Purna Valley in the Vidarbha Region

Assessment of Water Quality in Saline Tract of Purna Valley in the Vidarbha Region

Identification and prioritization of stepping stones for biodiversity conservation in forest ecosystems

AbstractHabitat degradation and fragmentation are two of the main drivers for biodiversity loss. To mitigate the negative impact of fragmentation in forests, conservation targets are increasingly addressing connectivity to facilitate the independent movement of species between habitat fragments to ensure genetic diversity and adaptation to climate change. In this article, we present a novel approach to identifying and prioritizing stepping stones for preserving connectivity based on national and regional biodiversity data for Austrian forest ecosystems. Our study identified forest areas where conservation measures should be taken to ensure future habitat connectivity by combining four indicator values with different requirements of a stepping stone habitat into a prioritization value. The four compounded indicators are: (i) the Protect Value, which includes distances to patches of protected areas with restricted management for the undisturbed development of retention areas, (ii) the Connect Value, which combines datasets of designated habitat corridors and connectivity areas in Austria based on landscape models and expert validation, (iii) the Species Value identifying species‐rich areas, and (iv) the Habitat Value identifying biotopes of high ecological value, key biodiversity areas, and sites of favorable protection status. Nonparametric tests revealed significant differences in prioritization value among the ecoregions of Austria and therefore encourage the consideration of stepping stone prioritization at local and regional context. Building upon the insights from this case study on Austrian forest ecosystems, we developed a robust framework derived from our methodology. This framework is designed to facilitate future implementations in diverse study regions, accounting for factors beyond connectivity crucial for identifying high value stepping stone habitats. We encourage adaptation of this framework to local data availability, species requirements, and local conditions. The compiled framework provides decision support for managers and conservationists for prioritizing areas to conserve and improve connectivity of forest habitats. However, it does not substitute on‐the‐ground field assessments of habitat quality and measures of functional connectivity.

Acupuncture for the treatment of diabetic peripheral neuropathy in the elderly: a systematic review and meta-analysis

Acupuncture for the treatment of diabetic peripheral neuropathy in the elderly: a systematic review and meta-analysis

Impact of Pericervical Dentin on Fracture Resistance of Endodontically Treated Posterior Permanent Teeth: A Systematic Review and Meta-analysis.

The main aim of this present systematic review is to evaluate if the preservation of pericervical dentin (PCD) increases the fracture resistance of endodontically treated permanent posterior teeth. Two independent reviewers conducted a comprehensive review of all published studies from 2007 (1/1/2007) to 2023 (31/5/23) since the concept of PCD first appeared in the literature in 2007. Searches were conducted in multiple electronic database engines: PubMed, Scopus, EBSCO (Dentistry and oral health sciences), Web of Sciences (WOS), Cochrane, Google Scholar and Open Grey, Ovid and Shodhganga, in addition to cross-references and hand search. Articles were chosen according to a certain inclusion and exclusion criteria, which, in brief, are laboratory-based studies published in English that assess the impact of PCD on fracture resistance of endodontically treated permanent posterior teeth. Using domains, such as sample size, sample dimensions, and control group as quality assessment criteria, evaluated the selected articles and classified them according to their risk of bias into low, moderate, and high. A meta-analysis was conducted using random effects modeling at a significance level of p < 0.05. A total of studies 6,043 were retrieved from 10 different electronic search databases and hand searches, but only 12 laboratory-based studies were selected after removing duplicates and applying the eligibility criteria. Of the included 12 studies, nine studies showed low risk of bias and three studies showed moderate risk of bias. Two studies showed related data for meta-analysis, the difference observed between the two studies is statistically non-significant. Based on the results of the study, there is evidence to support that PCD preservation offers fracture resistance to the endodontically treated posterior teeth. The practice of conservative cavity preparation and avoiding the usage of instruments with high taper increases the fracture resistance of the tooth by retaining the PCD. How to cite this article: Haridoss S, Rajendran M, Swaminathan K, et al. Impact of Pericervical Dentin on Fracture Resistance of Endodontically Treated Posterior Permanent Teeth: A Systematic Review and Meta-analysis. J Contemp Dent Pract 2024;25(4):372-385.

Blind Quality Assessment of Dense 3D Point Clouds with Structure Guided Resampling

Objective quality assessment of three-dimensional (3D) point clouds is essential for the development of immersive multimedia systems in real-world applications. Despite the success of perceptual quality evaluation for 2D images and videos, blind/no-reference metrics are still scarce for 3D point clouds with large-scale irregularly distributed 3D points. Therefore, in this article, we propose an objective point cloud quality index with Structure Guided Resampling (SGR) to automatically evaluate the perceptually visual quality of dense 3D point clouds. The proposed SGR is a general-purpose blind quality assessment method without the assistance of any reference information. Specifically, considering that the human visual system is highly sensitive to structure information, we first exploit the unique normal vectors of point clouds to execute regional pre-processing that consists of keypoint resampling and local region construction. Then, we extract three groups of quality-related features, including (1) geometry density features, (2) color naturalness features, and (3) angular consistency features. Both the cognitive peculiarities of the human brain and naturalness regularity are involved in the designed quality-aware features that can capture the most vital aspects of distorted 3D point clouds. Extensive experiments on several publicly available subjective point cloud quality databases validate that our proposed SGR can compete with state-of-the-art full-reference, reduced-reference, and no-reference quality assessment algorithms.

Prevalence of post-traumatic stress disorder and depressive symptoms among civilians residing in armed conflict-affected regions: a systematic review and meta-analysis

BackgroundGlobally, populations afflicted by armed conflict are known to have high rates of mental health disorders.AimsThis meta-analysis aims to estimate the prevalence of post-traumatic stress disorder (PTSD) and depressive symptoms...

Compaction quality assessment of highway using roller-integrated positive maximum kinetic energy increment detection technique

During conventional highway construction, quality control and acceptance (QC/QA) are based on limited spot tests of material density at random locations which may not comprehensively represent the entire compacted area and are vulnerable to potential biases. Based on roller-integrated positive maximum kinetic energy increment detection technique with real-time kinematic global positioning systems, this research adopted kinetic energy compaction value (KECV) as a real-time monitoring index for the highway compaction quality, and subsequently proposed an KECV-based assessment method to estimate the compaction quality of subgrade and pavement materials. Additionally, a global interpolation method (Green spline) was adopted to obtain estimates for both KECVs and compaction quality at any location on the work area, enabling the analysis of the passing rate of compaction quality for the entire work area. A case study on the Hengyong highway project in China indicates a highly linear correlation between the KECV and the compaction parameters, the compactness of LLL silt, and the relative density of cement-stabilized macadam; therefore, it can serve as a reliable index for monitoring compaction quality. Assessment of compaction quality on the entire work area can be fast and continuously achieved using the proposed method, which can effectively overcome the above limitation of conventional testing, timely feedback compaction information to avoid quality defects, and availably improve the construction quality of highways.

The association between indoor air quality and respiratory health symptoms among preschool children in Penang, Malaysia

ABSTRACT A cross-sectional study was conducted among 126 preschool children aged 4–6 years in traffic, industrial, and suburban areas of Penang, Malaysia, to determine their exposure to indoor air pollutants and their associations with respiratory symptoms. A standardised and validated questionnaire was used to collect data on respiratory health symptoms among respondents. An indoor air quality assessment was conducted in selected preschools that included temperature, relative humidity, air velocity, volatile organic compounds (VOCs), and particulate matter (PM2.5, and PM10). There were significant differences in median concentrations of PM2.5, PM10 and relative humidity among study groups. Statistical analysis showed significant associations between air pollutants in preschool with respiratory symptoms. Factors that influenced the increased likelihood of cough and phlegm were linked to the increase in PM2.5 exposure. This study suggests regular classroom cleaning and routine maintenance of air conditioners to be done inside the preschools.

The efficacy and safety of Xiao-Ban-Xia-Tang in the treatment of chemotherapy-induced nausea and vomiting: A systematic review and meta-analysis.

Chemotherapy-induced nausea and vomiting (CINV) is one of the most frequent and critical side effects due to chemotherapeutics. In China, Xiao-Ban-Xia-Tang (XBXT) has already been applied extensively to prevent and treat CINV. However, there is limited testimony on the effectiveness and safety of this purpose, and there was no correlative systematic review. The aim of this review was to systematically evaluate the effectiveness and safety of XBXT in preventing and treating CINV. The systematic search was conducted in eight databases to acquire randomized controlled trials (RCTs) that appraised the effect of XBXT in treating CINV. The vomiting and nausea relief efficiency, eating efficiency, quality of life, and adverse reactions were explored for efficacy assessment. Bias risk was rated by manipulating the Cochrane risk of bias tool 2.0 (RoB 2). The retrieved investigations were analyzed by utilizing ReviewManager 5.4 and Stata 17.0. The quality of evidence was evaluated adopting the GRADE tool. A total of 16 clinical RCTs of XBXT in the treatment of CINV were incorporated into the investigation, with a total of 1246 participants. The meta-analysis showed that compared with conventional antiemetic drugs, XBXT and antiemetics improved the vomiting relief efficiency (RR 1.35, 95% confidence interval: 1.25-1.46, p < 0.00001), nausea relief efficiency (N = 367, RR 1.23, 95% CI: 1.09-1.38, p < 0.00001), and quality of life (RR = 1.37, 95% CI: 1.14-1.65, p = 0.0009) and reduced the adverse events (N = 370, RR 0.53, 95% CI: 0.29-0.96, p = 0.04). XBXT and DARAs raised eating efficiency compared with DARAs (N = 208, RR 1.30, 95% CI: 1.07-1.57, p = 0.007). The data existed as statistically significant, and the publication bias was identified as relatively low from the funnel plot and trim and fill analysis. In addition, sensitivity analysis demonstrated robust outcomes. The quality of evidence for each outcome ranged from moderate to high. There is some encouraging evidence that XBXT and antiemetics had better therapeutic effects and safety in treating CINV than antiemetic drugs alone. The quality assessment and low publication bias indicated that the overall criterion was scientific. Better research is required to verify the evidence designed with large-scale RCTs and rigorous methods.

Developing a Coordinated Registry Network for devices used for acute ischemic stroke intervention: basilar artery occlusion quality assessment pilot

BackgroundReal-world data can be helpful in evaluating endovascular therapy (EVT) in ischemic stroke care. We conducted a pilot study to aggregate data on basilar artery occlusion (BAO) EVT from existing...

To Assess or Not to Assess: Reconsidering Day 3 Embryo Quality in Planned Freeze-All Blastocyst Cycles.

Day 3 embryo quality is a predictor of in vitro fertilization (IVF) success rates in cleavage-stage embryo transfer. However, the association between day 3 embryo quality and clinical outcomes in blastocyst transfer policy is largely unknown. This retrospective study included 1074 frozen-thawed single day 5/6 blastocyst transfers between January 2019 and December 2022. Three groups were assessed depending on whether the transferred blastocyst derived from a top-quality, good-quality, or poor-quality embryo at day 3. The analysis was conducted independently for each blastocyst quality group (top, good, and poor) using multivariable logistic regression. We applied a Factorial Analysis of Mixed Data (FAMD) to reduce the potential collinearity between the covariates used in the model. All the blastocysts included in this study were obtained from the first ICSI freeze-all cycles. The cleavage and blastocysts stages were assessed between 67 ± 0.5 (day 3), 115 ± 0.5 (day 5), and 139 ± 0.5 (day 6) hours post-insemination (hpi), respectively. After adjusting for the day of transfer (day 5 or day 6) and FAMD dimensions, no statistical differences in a β-HCG, clinical pregnancy, and live birth were observed among the same-quality blastocysts derived from different day 3 embryo quality groups (top = A, good = B, and poor = C). Our findings showed that a day 3 embryo quality assessment may be unnecessary in planned freeze-all blastocyst cycles.

Do polyphenols affect body fat and/or glucose metabolism?

Obesity is reaching epidemic proportions with 51% of the population expected to be obese by 2030. Recently, polyphenols have been highlighted as an effective approach to managing obesity and associated risks. Polyphenols are a large class of bioactive plant compounds classified into two major categories: flavonoids which are distinguished by the fundamental C6-C3-C6 skeleton and non-flavonoids. This systematic review evaluated the effect of different polyphenol sources in overweight and obese people with and without type 2 diabetes. The primary outcome was lipid profile and the secondary outcomes were blood glucose, HbA1c (%), HOMA-IR, weight, and body mass index. A search was undertaken in PubMed, Web of Science, Medline, and Wiley for randomized control trials that assessed different sources of polyphenols in overweight and obese people with or without type 2 diabetes. The quality of the included studies was assessed using the National Heart, Lung, and Blood Institute Quality Assessment Tool. The search yielded 935 studies, of which six randomized control trials met the inclusion criteria. Five studies found no significant difference in lipid profile between the control and intervention groups in triglycerides, total cholesterol, LDL cholesterol, and HDL cholesterol. However, one study showed significant differences in triglycerides (p = 0.04) and HDL cholesterol (p = 0.05) between the two groups with no significant difference in total cholesterol and LDL cholesterol. There were no significant changes in blood glucose observed in the included studies, with only two studies reporting a significant difference in A1c between the groups. Four studies found no difference in HOMA-IR, while one study showed a significant decrease in HOMA-IR in the intervention group compared to the control group. Three studies reported no difference in BMI or weight between the two groups. The data associated with the specific health benefits of polyphenols and their sources in people with overweight, obese, and type 2 diabetes are still limited, so further research is required to support their use and prove their benefits.

Standardization and Quality Assessment of Drakshavaleha: Insights from Three Marketed Brands

Drakshavaleha, a traditional Ayurvedic formulation, is widely used for its therapeutic benefits in treating respiratory and digestive ailments. This study aims to standardize and evaluate the quality of Drakshavaleha from three different marketed brands through a comprehensive assessment of their physicochemical and pharmacognostical properties, alongside an estimation of toxic heavy metals content and microbial contamination, and phytochemical profiles. Materials and Methods: Three brands of Drakshavaleha were meticulously assessed through a range of tests, including organoleptic analysis, physicochemical evaluations, heavy metal content analysis, microbial contamination assessments, and qualitative phytochemical screenings. Standardized protocols and methodologies from pharmacopoeias were used for all evaluations to ensure reliable and consistent results. Results and Discussion: The findings indicated notable variations in the evaluation parameters of the different brands. Physicochemical and Pharmaceutical analysis revealed disparities in pH levels and total reducing sugar levels. Heavy metal testing and microbial contamination levels were within acceptable ranges for all samples. The qualitative phytochemical screening identified differences in the concentration of key active ingredients, potentially impacting therapeutic efficacy. Conclusion: This study underscores the importance of standardization in maintaining the safety and efficacy of Ayurvedic formulations. By identifying variations in quality and safety parameters, it provides critical insights for manufacturers to improve their production processes. Ultimately, this research advocates for enhanced quality assurance practices to uphold the integrity of Ayurvedic medicine in the global market.

Local neighborhood encodings for imbalanced data classification

AbstractThis paper aims to propose Local Neighborhood Encodings (LNE)-a hybrid data preprocessing method dedicated to skewed class distribution balancing. The proposed LNE algorithm uses both over- and undersampling methods. The intensity of the methods is chosen separately for each fraction of minority and majority class objects. It is selected depending on the type of neighborhoods of objects of a given class, understood as the number of neighbors from the same class closest to a given object. The process of selecting the over- and undersampling intensities is treated as an optimization problem for which an evolutionary algorithm is used. The quality of the proposed method was evaluated through computer experiments. Compared with SOTA resampling strategies, LNE shows very good results. In addition, an experimental analysis of the algorithms behavior was performed, i.e., the determination of data preprocessing parameters depending on the selected characteristics of the decision problem, as well as the type of classifier used. An ablation study was also performed to evaluate the influence of components on the quality of the obtained classifiers. The evaluation of how the quality of classification is influenced by the evaluation of the objective function in an evolutionary algorithm is presented. In the considered task, the objective function is not de facto deterministic and its value is subject to estimation. Hence, it was important from the point of view of computational efficiency to investigate the possibility of using for quality assessment the so-called proxy classifier, i.e., a classifier of low computational complexity, although the final model was learned using a different model. The proposed data preprocessing method has high quality compared to SOTA, however, it should be noted that it requires significantly more computational effort. Nevertheless, it can be successfully applied to the case as no very restrictive model building time constraints are imposed.

Evaluation of River and Groundwater Quality in the Mzimvubu to Tsitsikamma Water Management Area (WMA7)

This paper assessed and evaluated the river and groundwater quality of five major catchments in the Mzimvubu to Tsitsikamma Water Management Area (WMA7). The river assessment and evaluation considered the present state maximum, minimum and mean seasonal values of physiochemical parameters (EC, NO3 + NO2, Cl, pH, NH4-N, PO4-P and Mg). The study was able to successfully make use of statistical analysis and a water quality index in order to explain seven-year trends and the present state of all five catchments within the study area. The statistical analysis results showed that water quality parameters such as PO4, NH4 and NO3 + NO2 were not complying with the South African Water Quality Guidelines (SAWQG) limits, suggesting that the study area was impacted by anthropogenic activities such as agriculture, sewage works, etc. The application of WQI showed that the Gamtoos catchment was in a good water quality state (49.71) while the other four catchments were in a poor to very poor state, according to the WQI classification. Based on the groundwater quality assessment, the physicochemical parameters (NH4, EC, Ca, NO3 + NO2, pH, Na, Cl, Mg, F, K, SO4 and CaCO3) were selected and the main parameters of concern were EC (salinity), NO3 + NO2 and SO4. However, groundwater assessment revealed that groundwater quality was chemically suitable for drinking purposes in most parts of the study area. Therefore, the study recommended resource-directed measures to improve surface and groundwater resource protection, especially in areas where surface and groundwater quality for other uses remains a challenge. Further, strong water resource compliance monitoring and enforcement to control water resource pollution sources is critical.

Design quality assessment and investigation of visitors satisfaction of the Jordan Museum using Post-Occupancy Evaluation

AbstractThe Jordan Museum is the most important modern archeological museum in Jordan. This paper assesses the quality of design and the visitors' satisfaction with the Jordan Museum. Also, it investigates which of the selected performance elements contribute most to visitors' satisfaction. Investigative Post-Occupancy Evaluation (POE) was used within a mixed methodology approach. A questionnaire was used for the quantitative part, complemented by other qualitative methods. Descriptive statistics were used to determine the design quality and visitors' satisfaction. Stepwise regression was used to detect which performance elements predict overall visitors' satisfaction. The design quality of the museum was rated as good, and its permanent galleries were exceptionally rated as excellent. The visitors were generally satisfied with the museum. Visitors were satisfied with the interior and exterior finish but were not impressed with the heavy use of stone in the façade. The simplicity of the museum layout made navigation easy, and visitors were satisfied with wayfinding. This paper is the first to use POE to assess the Jordan Museum. The findings can be used to enhance the management and operation of the Jordan Museum. Also, important performance elements can be developed into guidelines to guarantee effective museum designs in the future.

Advanced waveform analysis of diaphragm surface EMG allows for continuous non-invasive assessment of respiratory effort in critically ill patients at different PEEP levels

BackgroundRespiratory effort should be closely monitored in mechanically ventilated ICU patients to avoid both overassistance and underassistance. Surface electromyography of the diaphragm (sEMGdi) offers a continuous and non-invasive modality to assess respiratory effort based on neuromuscular coupling (NMCdi). The sEMGdi derived electrical activity of the diaphragm (sEAdi) is prone to distortion by crosstalk from other muscles including the heart, hindering its widespread use in clinical practice. We developed an advanced analysis as well as quality criteria for sEAdi waveforms and investigated the effects of clinically relevant levels of PEEP on non-invasive NMCdi.MethodsNMCdi was derived by dividing end-expiratory occlusion pressure (Pocc) by sEAdi, based on three consecutive Pocc manoeuvres at four incremental (+ 2 cmH2O/step) PEEP levels in stable ICU patients on pressure support ventilation. Pocc and sEAdi quality was assessed by applying a novel, automated advanced signal analysis, based on tolerant and strict cut-off criteria, and excluding inadequate waveforms. The coefficient of variations (CoV) of NMCdi after basic manual and automated advanced quality assessment were evaluated, as well as the effect of an incremental PEEP trial on NMCdi.Results593 manoeuvres were obtained from 42 PEEP trials in 17 ICU patients. Waveform exclusion was primarily based on low sEAdi signal-to-noise ratio (Ntolerant = 155, 37%, Nstrict = 241, 51% waveforms excluded), irregular or abrupt cessation of Pocc (Ntolerant = 145, 35%, Nstrict = 145, 31%), and high sEAdi area under the baseline (Ntolerant = 94, 23%, Nstrict = 79, 17%). Strict automated assessment allowed to reduce CoV of NMCdi to 15% from 37% for basic quality assessment. As PEEP was increased, NMCdi decreased significantly by 4.9 percentage point per cmH2O.ConclusionAdvanced signal analysis of both Pocc and sEAdi greatly facilitates automated and well-defined identification of high-quality waveforms. In the critically ill, this approach allowed to demonstrate a dynamic NMCdi (Pocc/sEAdi) decrease upon PEEP increments, emphasising that sEAdi-based assessment of respiratory effort should be related to PEEP dependent diaphragm function. This novel, non-invasive methodology forms an important methodological foundation for more robust, continuous, and comprehensive assessment of respiratory effort at the bedside.

Establishing Quality Assurance for HIV-1 Rapid Test for Recent Infection in Thailand through the Utilization of Dried Tube Specimens.

The present study focuses on establishing the quality assurance of laboratories for recent infections (RTRI) in Thailand. We developed a cold-chain independent method, using fully characterized plasma obtained from the Thai Red Cross Society, and prepared as dried tube specimens (DTS). Twenty microliters of HIV-seronegative, recent, and long-term infected samples were aliquoted into individual tubes and dried at room temperature, 20-30 degrees Celsius, in a biosafety cabinet overnight to ensure optimal preservation. The DTS external quality control and external quality assessment were tested for homogeneity and stability following the ISO/Guide 35 guidelines. The DTS panels were distributed to 48 sites (FY 2022) and 27 sites (FY 2023) across 14 and 9 provinces, respectively, in Thailand. The results from participating laboratories were collected and evaluated for performance. The results were scored, and acceptable performance criteria were defined as the proportion of panels correctly tested, which was set at 100%. The satisfactory performance ranged from 96% to 100% and was not significantly different among the 13 health regions. The developed and implemented DTS panels can be used to monitor the quality of RTRI testing in Thailand.