Apr 24, 2013 11:33
11 yrs ago
7 viewers *
French term

la limite panique basse

French to English Medical Biology (-tech,-chem,micro-) Lab report
This is from a 'bacteriologie virologie parasitologie' report on stool samples from a patient. It says:

'Valeur inférieur a` la limite panique Basse'

There is also 'Valeur supérieure a` la limite panique Haute'

What on earth does panique mean here?! I can find barely any hits on google.fr for it!

I have translated 'Valeur inférieure `a la normale basse' as 'value less than the lower limit of normal'

Any help would be appreciated! :)

Discussion

Jane Proctor (X) Apr 25, 2013:
Michael knows his stuff and if he reckons that going with "panic" is "nonsense", then I would choose something less contentious, whilst yes, clarifying with the client..!
Drmanu49 Apr 25, 2013:
I agree with Michael and would not use panic but rather critical value.
Claire Knell (asker) Apr 25, 2013:
Interesting... Hi all, thanks so much for your responses. I am pretty sure it is not a typo as it appears to be standard wording on a standard lab report. It is an odd one and I think I will go with lower panic limit and ask the client if they can clarify at all...

Thanks again!
Michael Barnett Apr 25, 2013:
It's not cool to panic. We physicians are not inclined to panic over laboratory values. We might be concerned, but not panicked.

I could appreciate alarm over a high viral count but not a low one. So what is it with this panic nonsense?

It appears to me that there has been some sort of distortion of language at some point in the life history of this text.

Generally the high and low values reported as the normal range in medicine are statistically derived and represent the values two standard deviations above and below the mean. This corresponds to the upper and lower 2.5 percent.

Then there are the so called critical values which often have some biological significance beyond the strictly statistical derivation. On the low end it may simply represent the threshold for detectability.
Jane Proctor (X) Apr 24, 2013:
like critical threshold I was thinking along the line of safe(ty) limits, but prefer Drmanu49's suggestion.
Drmanu49 Apr 24, 2013:
There is a possibility for panic value or critical value

"value under the lower panic/critical threshold"
Nikki Scott-Despaigne Apr 24, 2013:
lower panic limit? As you say, worryingly low Ghits for this one, although they do exist and in original language texts, for example : http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfMAUDE/de...

Rare indeed though in Fr or in EN. You might like to put the question to your client.

Proposed translations

+2
42 mins
Selected

lower panic limit

"panique" is "panic", and I'm nor surprised at all it's being used.
I don't see any need to make it sound milder in the translation.
There are probably all the reasons in the world "to panic" if a virus count is out of the normal.

"The cell-dyn 1800 system operator's manual, principles of operation, subsection: dispersional data alerts, states that if results for a parameter fall between the lower patient limit and the lower panic limit, the results are highlighted (white lettering on blue background) on the screen."
[http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfMAUDE/de...]
Peer comment(s):

agree liz askew : http://amisha.pragmaticdata.com/~gunther/oldhtml/tables.html
13 mins
Thanks!
agree philgoddard
16 mins
Thanks!
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4 KudoZ points awarded for this answer. Comment: "Selected automatically based on peer agreement."
15 mins

typo, value under the lower limit of normal, or below the inferior threhold

IMO

--------------------------------------------------
Note added at 19 minutes (2013-04-24 11:53:03 GMT)
--------------------------------------------------

There is a possibility for panic value or critical value

this would be value under the lower panic/critical threshold

www.nursingcenter.com › Home › Journal Articles › Journal Issue
by MD Barry Ladizinski - 2011 - Related articles
Lower socioeconomic status and a primary level of education may also play a role in the ... Critical limits (panic values) for both men and women are less than 5.0 g/dL or greater than 20.0 g/dL. For the ..... Bacteriology of sickle cell leg ulcers.
Peer comment(s):

neutral Nikki Scott-Despaigne : Not really a typo, probably simply a bit of sloppy usage. As you say, looks like it should be "panic value", used as a synonym for "critical value", around 3 500 Ghits, which is probably a good sign! Ex :http://www.stanfordlab.com/pages/panicvalues.htm
17 mins
typo was more a question, I have seen critical value used in reports but never pani values in this context.
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Reference comments

37 mins
Reference:

panic value, critical value, alert value, decision level

"Value" rather than limit, as suggested by DrManu49 seems to be a logical explanation for this one. Perhaps a sloppy choice of term with "limit" whereas "value" seems to be used.

http://medical-dictionary.thefreedictionary.com/panic value

And then :

http://medical-dictionary.thefreedictionary.com/decision lev...

http://www.westgard.com/glossary.htm

Medical decision level, decision level, Xc. A concentration of analyte where medical interpretation is critical for patient care. There may be several different medical decision levels for a particular analyte. Xc should provide guidance for selecting relevant estimates of stable imprecision, stable inaccuracy, and matrix inaccuracy. This is analogous to identifying a critical Target Value (TV) for assessing test performance and validating QC design.
Peer comments on this reference comment:

agree Daryo
7 mins
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47 mins
Reference:

see

Classification of hepatitis C virus and human immunodeficiency ...
vir.sgmjournals.org/content/89/9/2098.full.pdf
500 results ... Journal of General Virology (2008), 89, 2098–2107 ... establish *** critical threshold values*** and error rates for subtype inference, we tested the ...
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