{"id":"https://openalex.org/W1661824778","doi":null,"title":"Screening of cases of acute flaccid paralysis for poliomyelitis eradication: ways to improve specificity.","display_name":"Screening of cases of acute flaccid paralysis for poliomyelitis eradication: ways to improve specificity.","publication_year":1992,"publication_date":"1992-01-01","ids":{"openalex":"https://openalex.org/W1661824778","mag":"1661824778","pmid":"https://pubmed.ncbi.nlm.nih.gov/1281445","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/2393371"},"language":"en","primary_location":{"id":"pmh:oai:europepmc.org:1444904","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2393371","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2393371","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5046581066","display_name":"Jon Kim Andrus","orcid":"https://orcid.org/0000-0002-8514-8500","observed_orcids":["https://orcid.org/0000-0002-8514-8500"]},"institutions":[{"id":"https://openalex.org/I4210089393","display_name":"World Health Organization Regional Office for the Americas","ror":"https://ror.org/008kev776","country_code":"US","type":"government","lineage":["https://openalex.org/I4210089393","https://openalex.org/I4210105654"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"J K Andrus","raw_affiliation_strings":["EPI/PAHO, Expanded Programme on Immunization, Pan American Health Organization, Washington, DC 20037"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"EPI/PAHO, Expanded Programme on Immunization, Pan American Health Organization, Washington, DC 20037","institution_ids":["https://openalex.org/I4210089393"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110930211","display_name":"Ciro A. de Quadr\u00f3s","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"C de Quadros","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"J M Oliv\u00e9","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J M Oliv\u00e9","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5113545285","display_name":"Harry F. Hull","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"H F Hull","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":2.1958,"has_fulltext":false,"cited_by_count":46,"citation_normalized_percentile":{"value":0.87270178,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"70","issue":"5","first_page":"591","last_page":"6"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11112","display_name":"Viral Infections and Immunology Research","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11112","display_name":"Viral Infections and Immunology Research","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11135","display_name":"Virology and Viral Diseases","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10166","display_name":"Mosquito-borne diseases and control","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acute-flaccid-paralysis","display_name":"acute flaccid paralysis","score":0.9940000176429749},{"id":"https://openalex.org/keywords/polio-eradication","display_name":"polio eradication","score":0.9729999899864197},{"id":"https://openalex.org/keywords/diagnostic-specificity","display_name":"diagnostic specificity","score":0.7649999856948853},{"id":"https://openalex.org/keywords/sensitivity","display_name":"sensitivity","score":0.5320000052452087},{"id":"https://openalex.org/keywords/age-criteria","display_name":"age criteria","score":0.4099999964237213}],"concepts":[{"id":"https://openalex.org/C4870876","wikidata":"https://www.wikidata.org/wiki/Q12195","display_name":"Poliomyelitis","level":2,"score":0.8713945150375366},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8205966949462891},{"id":"https://openalex.org/C2779618896","wikidata":"https://www.wikidata.org/wiki/Q107231","display_name":"Paralysis","level":2,"score":0.7486398816108704},{"id":"https://openalex.org/C2910216234","wikidata":"https://www.wikidata.org/wiki/Q5456583","display_name":"Acute flaccid paralysis","level":4,"score":0.7082391381263733},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.6696667671203613},{"id":"https://openalex.org/C2777150564","wikidata":"https://www.wikidata.org/wiki/Q5456583","display_name":"Flaccid paralysis","level":3,"score":0.6107389330863953},{"id":"https://openalex.org/C2779631682","wikidata":"https://www.wikidata.org/wiki/Q12438936","display_name":"Poliovirus","level":3,"score":0.6022754311561584},{"id":"https://openalex.org/C151492266","wikidata":"https://www.wikidata.org/wiki/Q7209788","display_name":"Poliomyelitis eradication","level":4,"score":0.4600318670272827},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3512756824493408},{"id":"https://openalex.org/C159047783","wikidata":"https://www.wikidata.org/wiki/Q7215","display_name":"Virology","level":1,"score":0.2675613760948181},{"id":"https://openalex.org/C2522874641","wikidata":"https://www.wikidata.org/wiki/Q808","display_name":"Virus","level":2,"score":0.1568697690963745}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000569","descriptor_name":"Americas","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004812","descriptor_name":"Epidemiologic Methods","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009123","descriptor_name":"Muscle Hypotonia","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010243","descriptor_name":"Paralysis","qualifier_ui":"Q000382","qualifier_name":"microbiology","is_major_topic":false},{"descriptor_ui":"D010243","descriptor_name":"Paralysis","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D012680","descriptor_name":"Sensitivity and Specificity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017955","descriptor_name":"Poliovirus","qualifier_ui":"Q000302","qualifier_name":"isolation & purification","is_major_topic":false}],"locations_count":4,"locations":[{"id":"pmh:oai:europepmc.org:1444904","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2393371","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:2393371","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2393371","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Bull World Health Organ","raw_type":"Text"},{"id":"pmid:1281445","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1281445","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Bulletin of the World Health Organization","raw_type":"Journal Article"},{"id":"mag:1661824778","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1281445","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:europepmc.org:1444904","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2393371","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.7799999713897705}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":3,"referenced_works":["https://openalex.org/W2082138305","https://openalex.org/W4214864866","https://openalex.org/W6979088770"],"related_works":["https://openalex.org/W4301322532","https://openalex.org/W2135499432","https://openalex.org/W4392876426","https://openalex.org/W1930701345","https://openalex.org/W108554964","https://openalex.org/W2127869075","https://openalex.org/W4233661754","https://openalex.org/W2142702451","https://openalex.org/W2137470066","https://openalex.org/W7096938319"],"abstract_inverted_index":{"The":[0],"Pan":[1],"American":[2],"Health":[3],"Organization":[4],"in":[5,29,89,137,219],"1985":[6],"adopted":[7],"an":[8],"initiative":[9],"to":[10,38,82,91],"eradicate":[11],"poliomyelitis":[12,224],"from":[13],"the":[14,46,52,83,106,122,162,166,193,202,220],"Western":[15],"Hemisphere.":[16],"In":[17],"1990,":[18],"over":[19],"2000":[20],"cases":[21,78,99,205],"of":[22,32,56,79,100,108,119,124,134,140,147,153,164,200,204,206,222],"acute":[23],"flaccid":[24],"paralysis":[25,125,135,165],"(AFP)":[26],"were":[27,36],"reported":[28,81],"this":[30,62],"region,":[31],"which":[33],"<":[34,59,113,128,155],"1%":[35],"determined":[37],"be":[39,211],"caused":[40],"by":[41,182,213],"wild":[42],"poliovirus.":[43],"At":[44],"present,":[45],"eradication":[47],"programme":[48,84],"uses":[49],"AFP":[50,80,187,207],"as":[51,111],"criterion":[53],"for":[54,98,131],"surveillance":[55],"children":[57,103,185],"aged":[58],"15":[60],"years;":[61],"is":[63],"100%":[64],"sensitive,":[65],"but":[66],"not":[67],"specific.":[68],"To":[69],"minimize":[70],"unnecessary":[71],"diagnostic":[72],"investigations,":[73],"we":[74],"studied":[75],"all":[76],"4333":[77],"during":[85],"1989":[86],"and":[87,116,145,158,172],"1990":[88],"order":[90],"develop":[92],"more":[93],"efficient":[94],"operational":[95],"screening":[96,183],"criteria":[97,109,152],"AFP.":[101],"Among":[102],"with":[104,186,216],"AFP,":[105],"use":[107],"such":[110],"age":[112,154],"6":[114,156],"years":[115,157],"either":[117,189],"presence":[118],"fever":[120,159,191],"at":[121,161,192],"onset":[123,163,194],"or":[126,195],"a":[127,138,197],"4-day":[129],"period":[130],"complete":[132],"development":[133],"resulted":[136],"sensitivity":[139,167,221],"96%":[141],"(95%":[142],"C.I.":[143],"90-103%)":[144],"specificity":[146,173],"49%":[148],"(C.I.":[149,170,176],"47-52%).":[150],"With":[151],"present":[160],"was":[168,174],"75%":[169],"61-89%)":[171],"73%":[175],"71-75%).":[177],"These":[178],"results":[179],"suggest":[180],"that":[181],"young":[184],"who":[188],"had":[190],"showed":[196],"rapid":[198],"progression":[199],"paralysis,":[201],"number":[203],"requiring":[208],"investigation":[209],"can":[210],"reduced":[212],"one":[214],"half,":[215],"minimal":[217],"compromise":[218],"confirmed":[223],"case":[225],"detection.":[226]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2014,"cited_by_count":5},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":3}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
