Assessment of an expert system for the automated validation of electrophoretic profiles.

BACKGROUND: The Core-lab of the Greater Romagna Area Hub Laboratory carries out about 250,000 capillary electrophoresis assays/year. The huge workload demands the assessing of an Experimental Expert System (EES) capable to sort out the negative samples. METHODS: Capillarys 2 analyzer has been employed coupled with an EES (based on five simple rules) integrated with the electrophoretic test management software PhoresisCore for assessing the entire workload of a week (5,683 samples). The classification was compared with that of two expert laboratorians. RESULTS: The expert system automatically classified 2974 profiles as negative and no positive samples were erroneously classified as negative (negative predictive value: 100%). CONCLUSIONS: The EES sensitivity was 100% and the FTE required for the validation was reduced from 1.26 to 0.63. The EES could be easily implemented in routine activity embedded in a middleware or directly running in the analyzer improving the workflow.

Dehydroepiandrosterone-sulfate serum levels and common age-related diseases: results from a cross-sectional Italian study of a general elderly population.

The association of low serum dehydroepiandrosterone sulfate (DHEAS) levels with age, lifestyle, general health status indicators, and specific diseases was investigated in 436 men and 544 women of 65-97 yr old. In both sexes low serum DHEAS levels were associated with age, alcohol intake, number of current medications, and decreased thyroid function. Low DHEAS was also associated with low serum albumin in men and low systolic blood pressure in women. Compared to healthy men (n=106) age-adjusted serum DHEAS levels were significantly lower in men with atrial fibrillation, chronic obstructive lung disease, dementia, parkinsonism, cancer, diabetes, hypothyroidism, and in institutionalized men. Compared to healthy women (n=100) age-adjusted serum DHEAS levels were significantly lower in women with occlusive arterial disease, chronic obstructive lung disease, and osteoporosis. After controlling for differences in lifestyle and general health status parameters, low DHEAS levels remained statistically associated only with atrial fibrillation in men and osteoporosis in women, and it cannot be excluded that these association were spurious, due to multiple comparisons. These data suggest that in elderly people low serum DHEAS levels are more a non-specific indicator of aging and health status than a risk indicator of specific diseases.