Evaluation of the Sensitivity and Specificity of the New Clinical Diagnostic and Classification Criteria for Kashin-Beck Disease,an Endemic Osteoarthritis,in China

This study aimed to evaluate the sensitivity and specificity of the new clinical diagnostic and classification criteria for Kashin-Beck disease （KBD） using six clinical markers： flexion of the distal part of fingers, deformed fingers, enlarged finger joints, shortened fingers, squat down, and dwarfism. One-third of the total population in Linyou County was sampled by stratified random sampling.

Quality control and evaluation of human immunodeficiency virus antibody assays used for screening donated blood in China

During 2004, a total of 124 batches of HIV antibody ELISAs from domestic and overseas manufacturers, comprising approximately 60 million tests, were tested for quality and released for screening blood in China. The inter- and intra-batch variation, specificity, and sensitivity were evaluated using a laboratory panel and clinical samples. The inter-batch variation was less than 15% and only 2 of 12 assays had intra-bateh variation of less than 20% for 4 dilutions of a control specimen. 257 samples confirmed positive for HIV antibody and 4826 negative samples from different regions in China were used to evaluate the sensitivity and specificity of the assays. The results showed that the sensitivity is in the range from 93.7% to 100% for assays sampled directly from the manufacturers, and 91.4%-99.6% for those retrieved from the consumers; the specificity was in the range from 97.88 % to 99.97 %. The testing environment may vary in different regions of China. Therefore, manufaeturers should provide robust assays to satisfy the requirements of these diverse environments, and especially reduce the intra-assay variation and improve the stability of the kits.

Analyzing dynamic curve widening on forest roads

Forest roads require important design specifications to ensure all-season access for various vehicles. Long and heavy log trucks can face serious maneuvering problems on forest roads due to insufficient amount of area to the left for road widening on horizontal curves. In order to provide safe and continuous shipment and transportation,appropriate curve widening areas should be provided for long vehicles along horizontal curves. In this study, a statistical model was developed to provide curve-widening solutions for long trucks（e.g., those with 18 wheels） considering various curve radius and deflection angles. The dynamic curve widening feature of Plateia 2013 program was employed to calculate curve widening for the specified vehicle. During the solution process, nine different horizontal curve diameters from 10 to 50 m（by 5 m intervals）and 17 different deflection angles from 90° to 170°（by 5°intervals） were evaluated to run horizontal curve-widening analysis. Using a multiple regression model, we made suitable predictions about curve widening. The curvewidening areas decrease as the horizontal curve radius increases, while increasing the deflection angle on horizontal curves increases curve widening areas. Clearly, the computer-based dynamic curve widening model developed in this study can be effectively used in determining optimum widening for horizontal curves by evaluating the number of alternatives that fit geometrical specifications and vehicle types.

Cluster Analysis for Acupoint Specificity of Acupuncture Effect Based on Cerebral Infarction Rat Model

Objectives： To study the acupoint specificity through the comprehensive evaluation of the acupuncture effect on rat model with the middle cerebral artery occlusion （MCAO）. Methods： Duplicated MCAO model by Zea-longa＇s thread ligation was assessed by Zausinger＇s six-point method, and rats with 1-3 scores were chosen to be grouped. According to the randomized and controlled principle, rats were divided into 6 basic control groups （including normal group, sham group, model control group, model group without intervention, Nimodipine group, lateral-to-Renzhong group） and 6 acupuncture groups [including Neiguan （PC6） group, Weizhong （BL40） group, Chize （LU5） group, Sanyinjiao （SP6） group, Renzhong （DU6） group and non-acupoint group]; in each acupoint or non-acupoint 9 different parameter combinations were respectively set by orthogonal intersection method. There were in total 60 groups, and each group had 12 rats. The rats were treated by acupuncture with the lifting-thrusting manipulation every 12 h, in total 6 times. Indices of neurobehavioral scores, cerebral blood flow, infarction rate, microcirculation, and light microscope, etc. were measured. In order to comprehensively evaluate the acupuncture effect to research the specificity of acupoint, a cluster analysis was made with SPSS17.0 for the comprehensive effect scores of the samples computed according to the comprehensive evaluation models, and then sorting and classification were made for the comprehensive effect scores. Results： In the acupuncture groups every acupoint had different therapeutic effect due to different acupuncture parameter combinations; among the acupuncture groups the orders of curative effect were as followings： Neiguan group was of exceptional result, Weizhong group and Sanyinjiao group were of valid results in upper level, Chize group and Renzhong group were of valid results in lower level, and non-acupoint group was of invalid result; the therapeutic result of acupoint group was superior to non-acupoint group; and the curative effect of acupuncture group was also superior to basic control group. Conclusion： The acupoint has the specificity of acupuncture effect, and the acupoint specificity is relative.