What is the meaning of ΔΔCt in quantitative PCR and how is it calculated?

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Bio-student
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I'm a little confused about what the ΔΔCt value means and how its calculated - could anyone verify?

Also, I'm reading lecture notes that say "2^ΔΔCt assumes efficiency is 100%". I'm really baffled by this and would appreciate any guidance.
 
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