Evidence map›Paper›PMID 27411058›Full record

ArticlePloS one2016

Preventing Data Ambiguity in Infectious Diseases with Four-Dimensional and Personalized Evaluations.

Michelle J Iandiorio, Jeanne M Fair, Stylianos Chatzipanagiotou, Anastasios Ioannidis, Eleftheria Trikka-Graphakos, Nikoletta Charalampaki, Christina Sereti, George P Tegos, Almira L Hoogesteijn, Ariel L Rivas

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 3 countries.

Michelle J IandiorioDepartment of Internal Medicine, School of Medicine, University of New Mexico, Albuquerque, NM, 87131, United States of America.
Jeanne M FairLos Alamos National Laboratory, Global Security, Mailstop M888, Los Alamos, NM, 87545, United States of America.
Stylianos ChatzipanagiotouDepartment of Biopathology and Clinical Microbiology, Aeginition Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Anastasios IoannidisDepartment of Nursing, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Sparta, Greece.
Eleftheria Trikka-GraphakosDepartment of Clinical Microbiology, "Thriasio" General Hospital, Magoula, Greece.
Nikoletta CharalampakiDepartment of Clinical Microbiology, "Thriasio" General Hospital, Magoula, Greece.
Christina SeretiDepartment of Clinical Microbiology, "Thriasio" General Hospital, Magoula, Greece.
George P TegosTorrey Pines Institute for Molecular Studies, Port St. Lucie, FL, United States of America.
Almira L HoogesteijnHuman Ecology Department, Centro de Investigaciones Avanzadas, Mérida, México.
Ariel L RivasDepartment of Internal Medicine, School of Medicine, University of New Mexico, Albuquerque, NM, 87131, United States of America.
Thriasio General Hospital of Elefsina · GRCenter for Global Health · USCzech Academy of Sciences, Institute of Microbiology · CZHarvard University · USLos Alamos National Security (United States) · USNational and Kapodistrian University of Athens · GRUniversity of New Mexico · USUniversity of Peloponnese · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiagnostic errors can occur, in infectious diseases, when anti-microbial immune responses involve several temporal scales. When responses span from nanosecond to week and larger temporal scales, any pre-selected temporal scale is likely to miss some (faster or slower) responses. Hoping to prevent diagnostic errors, a pilot study was conducted to evaluate a four-dimensional (4D) method that captures the complexity and dynamics of infectious diseases.

methodsLeukocyte-microbial-temporal data were explored in canine and human (bacterial and/or viral) infections, with: (i) a non-structured approach, which measures leukocytes or microbes in isolation; and (ii) a structured method that assesses numerous combinations of interacting variables. Four alternatives of the structured method were tested: (i) a noise-reduction oriented version, which generates a single (one data point-wide) line of observations; (ii) a version that measures complex, three-dimensional (3D) data interactions; (iii) a non-numerical version that displays temporal data directionality (arrows that connect pairs of consecutive observations); and (iv) a full 4D (single line-, complexity-, directionality-based) version.

resultsIn all studies, the non-structured approach revealed non-interpretable (ambiguous) data: observations numerically similar expressed different biological conditions, such as recovery and lack of recovery from infections. Ambiguity was also found when the data were structured as single lines. In contrast, two or more data subsets were distinguished and ambiguity was avoided when the data were structured as complex, 3D, single lines and, in addition, temporal data directionality was determined. The 4D method detected, even within one day, changes in immune profiles that occurred after antibiotics were prescribed.

conclusionsInfectious disease data may be ambiguous. Four-dimensional methods may prevent ambiguity, providing earlier, in vivo, dynamic, complex, and personalized information that facilitates both diagnostics and selection or evaluation of anti-microbial therapies.

Indexed as

AnimalsCommunicable DiseasesDiagnostic ErrorsDogsHumansLeukocytesMedical InformaticsPilot ProjectsSpatio-Temporal Analysis

Identifiers

PMID27411058
PMCPMC4943638
OpenAlexW2461149604

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.