AIM: To evaluate the sensitivity and specificity of transfesrrin dipstick test (Tf) in colorectal cancer (CRC) screening and precancerous lesions screening. METHODS: Eight hundreds and sixty-one individuals at high-ri...AIM: To evaluate the sensitivity and specificity of transfesrrin dipstick test (Tf) in colorectal cancer (CRC) screening and precancerous lesions screening. METHODS: Eight hundreds and sixty-one individuals at high-risk for CRC were recruited. Six hundreds and eleven subsequently received the three fecal occult blood tests and colonoscopy with biopsy performed as needed. Fecal samples were obtained on the day before colonoscopy. Tf, immuno fecal occult blood test (IFOBT) and guaiac fecal occult blood test (g-FOBT) were performed simultaneously on the same stool. To minimize false-negative cases, all subjects with negative samples were asked to provide an additional stool specimen for a second test even a third test. If the results were all negative after testing three repeated samples, the subject was considered a true negative. The performance characteristics of Tf for detecting CRC and precancerous lesions were examined and compared to those of IFOBT and the combination of Tf, IFOBT and g-FOBT. RESULTS: A total of six hundreds and eleven subjects met the study criteria including 25 with CRC and 60 with precancerous lesions. Sensitivity for detecting CRC was 92% for Tf and 96% for IFOBT, specificities of Tf and IFOBT were both 72.0% (95% CI: 68.2%-75.5%; χ2 = 0.4, P > 0.05); positive likelihood ratios of those were 3.3 (95% CI: 2.8-3.9) and 3.4 (95% CI: 2.9-4.0), respectively. In precancerous lesions, sensitivities for Tf and IFOBT were 50% and 58%, respectively (χ 2 = 0.8, P > 0.05); specificities of Tf and IFOBT were 71.5% (95% CI: 67.6%-75.1%) and 72.2% (95% CI: 68.4%-75.8%); positive likelihood ratios of those were 1.8 (95% CI: 1.3-2.3) and 2.1 (95% CI: 1.6-2.7), respectively; compared to IFOBT, g-FOBT+ Tf+ IFOBT had a significantly higher positive rate for precancerous lesions (83% vs 58%, respectively; χ 2 = 9.1, P < 0.05). In patients with CRC and precancerous lesions, the sensitivities of Tf and IFOBT were 62% and 69% (χ 2 = 0.9, P > 0.05); specificities of those were 74.5% (95% CI: 70.6%-78.1%) and 75.5% (95% CI: 71.6%-79.0%); positive likelihood ratios of those were 2.5 (95% CI: 2.0-3.1) and 2.8 (95% CI: 2.3-3.5). Compared to IF-OBT alone, combining g-FOBT, IFOBT and Tf led to significantly increased sensitivity for detecting CRC and cancerous lesions (69% vs 88%, respectively; χ 2 = 9.0, P < 0.05). CONCLUSION: Tf dipstick test might be used as an ad- ditional tool for CRC and precancerous lesions screening in a high-risk cohort.展开更多
In order to provide parameters for numerical analyses of the huge Three-Gorge concrete dam (2309 m long by 175 m height), complete tensile stress-deformation curves for large-size plain concrete specimens were measure...In order to provide parameters for numerical analyses of the huge Three-Gorge concrete dam (2309 m long by 175 m height), complete tensile stress-deformation curves for large-size plain concrete specimens were measured and studied by per-forming uniaxial tensile tests on large-size unnotched specimens (250 mm×250 mm×1400 mm). The specimens were prepared with the three-graded-aggregate materials provided by the client of the Three-Gorge project. To prevent a failure occurring near the ends of the unnotched specimens, both the ends of each specimen (450 mm in length) were cast using a higher-strength concrete than the middle part (i.e., active part). Tensile tests were completed on a specially-designed tensile testing machine, which can be easily re-assembled to accommodate different-size specimens. To make the specimens fail stably, a cyclic loading scheme was adopted after the peak strength was reached. Four of five tests in this study were successful, and four complete tensile stress-deformation curves were obtained. It was found that the post-peak curve of the large-size specimens used in this study is more gradual than those for the small-size specimens reported in the literature.展开更多
Implementing clinical trials with large multicenter samples is an important way to scientifically evaluate and demonstrate the curative effect of moxibustion.At present,clinical trials on moxibustion with large multic...Implementing clinical trials with large multicenter samples is an important way to scientifically evaluate and demonstrate the curative effect of moxibustion.At present,clinical trials on moxibustion with large multicenter samples are prospering in China.It is necessary for research units to have good research professionals and technical platforms as well as a highly standardized and scientifically feasible methodology of research.Taking tasks in the ongoing national 973 project and in the sci-tech support program of the "11th 5-year plan",for example,this research captures the characteristics of moxibustion,carries out deep analysis and introduces specific methods and the important significance of clinical research tasks on moxibustion in designing multicenter plans,implementing experiments,supervising quality and strengthening compliance.展开更多
This paper proposes the corrected likelihood ratio test （LRT） and large-dimensional trace criterion to test the independence of two large sets of multivariate variables of dimensions P1 and P2 when the dimensions P ...This paper proposes the corrected likelihood ratio test （LRT） and large-dimensional trace criterion to test the independence of two large sets of multivariate variables of dimensions P1 and P2 when the dimensions P = P1 ＋ P2 and the sample size n tend to infinity simultaneously and proportionally. Both theoretical and simulation results demonstrate that the traditional X2 approximation of the LRT performs poorly when the dimension p is large relative to the sample size n, while the corrected LRT and large-dimensional trace criterion behave well when the dimension is either small or large relative to the sample size. Moreover, the trace criterion can be used in the case of p 〉 n, while the corrected LRT is unfeasible due to the loss of definition.展开更多
基金Supported by National Natural Science Foundation of China,No. 81071832the Key Scientific Research Project of the Health Bureau of Hubei Province, No. JX5A01
文摘AIM: To evaluate the sensitivity and specificity of transfesrrin dipstick test (Tf) in colorectal cancer (CRC) screening and precancerous lesions screening. METHODS: Eight hundreds and sixty-one individuals at high-risk for CRC were recruited. Six hundreds and eleven subsequently received the three fecal occult blood tests and colonoscopy with biopsy performed as needed. Fecal samples were obtained on the day before colonoscopy. Tf, immuno fecal occult blood test (IFOBT) and guaiac fecal occult blood test (g-FOBT) were performed simultaneously on the same stool. To minimize false-negative cases, all subjects with negative samples were asked to provide an additional stool specimen for a second test even a third test. If the results were all negative after testing three repeated samples, the subject was considered a true negative. The performance characteristics of Tf for detecting CRC and precancerous lesions were examined and compared to those of IFOBT and the combination of Tf, IFOBT and g-FOBT. RESULTS: A total of six hundreds and eleven subjects met the study criteria including 25 with CRC and 60 with precancerous lesions. Sensitivity for detecting CRC was 92% for Tf and 96% for IFOBT, specificities of Tf and IFOBT were both 72.0% (95% CI: 68.2%-75.5%; χ2 = 0.4, P > 0.05); positive likelihood ratios of those were 3.3 (95% CI: 2.8-3.9) and 3.4 (95% CI: 2.9-4.0), respectively. In precancerous lesions, sensitivities for Tf and IFOBT were 50% and 58%, respectively (χ 2 = 0.8, P > 0.05); specificities of Tf and IFOBT were 71.5% (95% CI: 67.6%-75.1%) and 72.2% (95% CI: 68.4%-75.8%); positive likelihood ratios of those were 1.8 (95% CI: 1.3-2.3) and 2.1 (95% CI: 1.6-2.7), respectively; compared to IFOBT, g-FOBT+ Tf+ IFOBT had a significantly higher positive rate for precancerous lesions (83% vs 58%, respectively; χ 2 = 9.1, P < 0.05). In patients with CRC and precancerous lesions, the sensitivities of Tf and IFOBT were 62% and 69% (χ 2 = 0.9, P > 0.05); specificities of those were 74.5% (95% CI: 70.6%-78.1%) and 75.5% (95% CI: 71.6%-79.0%); positive likelihood ratios of those were 2.5 (95% CI: 2.0-3.1) and 2.8 (95% CI: 2.3-3.5). Compared to IF-OBT alone, combining g-FOBT, IFOBT and Tf led to significantly increased sensitivity for detecting CRC and cancerous lesions (69% vs 88%, respectively; χ 2 = 9.0, P < 0.05). CONCLUSION: Tf dipstick test might be used as an ad- ditional tool for CRC and precancerous lesions screening in a high-risk cohort.
文摘In order to provide parameters for numerical analyses of the huge Three-Gorge concrete dam (2309 m long by 175 m height), complete tensile stress-deformation curves for large-size plain concrete specimens were measured and studied by per-forming uniaxial tensile tests on large-size unnotched specimens (250 mm×250 mm×1400 mm). The specimens were prepared with the three-graded-aggregate materials provided by the client of the Three-Gorge project. To prevent a failure occurring near the ends of the unnotched specimens, both the ends of each specimen (450 mm in length) were cast using a higher-strength concrete than the middle part (i.e., active part). Tensile tests were completed on a specially-designed tensile testing machine, which can be easily re-assembled to accommodate different-size specimens. To make the specimens fail stably, a cyclic loading scheme was adopted after the peak strength was reached. Four of five tests in this study were successful, and four complete tensile stress-deformation curves were obtained. It was found that the post-peak curve of the large-size specimens used in this study is more gradual than those for the small-size specimens reported in the literature.
基金Supported by the National "11th 5-year Plan" (2006BAI12B04-2)National Plan on Developing Key Basic Researches(973 Plan)(2009CB522902)+1 种基金State Natural Science Fund(30760320)a project of Key Sci-tech Support Plan in Jiangxi
文摘Implementing clinical trials with large multicenter samples is an important way to scientifically evaluate and demonstrate the curative effect of moxibustion.At present,clinical trials on moxibustion with large multicenter samples are prospering in China.It is necessary for research units to have good research professionals and technical platforms as well as a highly standardized and scientifically feasible methodology of research.Taking tasks in the ongoing national 973 project and in the sci-tech support program of the "11th 5-year plan",for example,this research captures the characteristics of moxibustion,carries out deep analysis and introduces specific methods and the important significance of clinical research tasks on moxibustion in designing multicenter plans,implementing experiments,supervising quality and strengthening compliance.
基金supported by National Natural Science Foundation of China(Grant Nos.11101181,11171057,11171058 and 11071035)Research Fund for the Doctoral Program of Higher Education of China(Grant No.20110061120005)+1 种基金NECT-11-0616,PCSIRTthe Fundamental Research Funds for the Central Universities
文摘This paper proposes the corrected likelihood ratio test （LRT） and large-dimensional trace criterion to test the independence of two large sets of multivariate variables of dimensions P1 and P2 when the dimensions P = P1 ＋ P2 and the sample size n tend to infinity simultaneously and proportionally. Both theoretical and simulation results demonstrate that the traditional X2 approximation of the LRT performs poorly when the dimension p is large relative to the sample size n, while the corrected LRT and large-dimensional trace criterion behave well when the dimension is either small or large relative to the sample size. Moreover, the trace criterion can be used in the case of p 〉 n, while the corrected LRT is unfeasible due to the loss of definition.
