Comparison of abnormal cell flagging of the hematology analyzers Sysmex XN and Sysmex XE-5000 in oncohematologic patients.

INTRODUCTION: Hematology analyzers should optimize flagging while minimizing false-negative results and unnecessary microscopic reviews. METHODS: We compared flagging performance of Sysmex XE-5000 and XN analyzers in oncohematologic patients. Differential counts were performed by Cellavision digital system (100 cells) and a hematologist (another 100 cells). RESULTS: First, we included 292 samples (86 with blasts): 28 acute lymphoblastic leukemia, 88 acute myeloid leukemia, 91 myelodysplastic syndromes, 45 chronic myeloproliferative neoplasms, and 40 chronic myelomonocytic leukemia. Sensitivity, specificity and efficiency to detect blasts were 59.3%, 88.3%, and 79.8% for XE-5000 analyzer and 70.9%, 91.3%, and 85.2% for the XN analyzer. Then, we included 111 lymphoid malignancies. In 55 CLL XE-5000 flagged for Abn Lympho/L_Blasts?, XN flagged for Abn Lympho?. In one-third of 19 samples with splenic marginal lymphoma, none of the analyzers flagged. In 5 Sézary syndrome cases, XE-5000 triggered the Abn Lympho/L_Blasts? flag while the flagging in XN was less consistent: Abn Lympho? Blasts? and Atypical Lympho?. In 5 hairy cell leukemias, both analyzers only flagged one sample. In 13 myelomas, XE-5000 generated Atypical Lympho? flag; XN triggered more variable flags. In other lymphoid malignancies, flags were variable. XN analyzer generates less samples with false basophilia. CONCLUSION: XN analyzer has improved blast detection in oncohematologic patients. Operators cannot rely on the blast flag alone but have to consider other flags and hemogram data. In lymphoproliferative disorders, XN analyzer yields less samples with pseudobasophilia. Both analyzers must improve flagging for hairy cell leukemia.

Economic analysis in the process of the preparation of river basin management plans in Slovenia: the Drava River Basin pilot study.

According to the EU Directive 2000/60/EC (Water Framework Directive, hereinafter called: WFD), several steps have to be worked out on the way towards the good water status. For this goal, some of the main elements of the river basin management plans are the programme of measures. The programme of measures has to include basic and supplementary measures. In addition, it has to check the implementation of European Directives into the national law and has to estimate the effects of these rules on the quality of the water bodies. If these regulations are not sufficient to reach the good status of water, supplementary measures have to be applied. The paper gives an overview of how basic and supplementary measures for wastewater treatment were considered in the Drava River Basin. The main stress is given to the implementation of the EU Directive 91/271/EEC (the Urban Waste Water Treatment Directive, hereinafter called: UWWTD), as part of the basic measures as defined in Annex VI of WFD and its results in the Drava River Basin.

Theoretical aspects and computer simulations of flexible charged oligomers in salt-free solutions.

The structural and thermodynamic properties of a model solution containing flexible charged oligomers and an equivalent number of counterions were studied by means of the canonical Monte Carlo simulation and integral equation theory. The oligomers were represented as freely jointed chains of charged hard spheres. In accordance with the primitive model of electrolyte solutions, the counterions were modeled as charged hard spheres and the solvent as a dielectric continuum. Simulations were performed for a set of model parameters, independently varying the chain length and concentration of the oligomers. Structural properties in the form of pair distribution functions were calculated as functions of model parameters. In addition, thermodynamic properties such as the excess energy of solution and the excess chemical potential of counterions were obtained. These properties were correlated with the conformational averages of oligomers as reflected in the end-to-end distances and radii of gyration obtained from the simulations. The relation with the experimental data for heats of dilution and for the activity coefficient is discussed. Finally, theories based on Wertheim's integral equation approach (product reactant Ornstein-Zernike approach) [J. Stat. Phys. 42, 477 (1986)] in the so-called polymer mean spherical and polymer hypernetted chain approximations were tested against the new and existing computer simulations. For the values of parameters examined in this study, the integral equation theory yields semiquantitative agreement with computer simulations.