Frequency of postmortem ethanol formation in blood, urine and vitreous humor - Improving diagnostic accuracy with the use of ethylsulphate and putrefactive alcohols.

Abstract Identifying the source of ethanol in a decedent remained a complicated problem for forensic toxicologists because of postmortem ethanol formation. As ethanol’s non-oxidative metabolites, ethyl glucuronide (EtG) and ethyl sulfate (EtS) have the potential to distinguish between antemortem ethanol consumption and postmortem ethanol formation, due to their high sensitivity and selectivity. In the current study, a simple and quick liquid chromatography tandem mass spectrometry (LC-MS/MS) method was developed for the determination of EtG and EtS in human whole blood and vitreous humor (VH). A total of 20 μL of the sample was precipitated by methanol, and the analytes were detected by LC-MS/MS in a run of 6 min. This method achieved high sensitivity (limits of detection: 2 ng/mL for both EtG and EtS), with linearity in the range of 5–10,000 ng/mL in both whole blood and VH. Deviations in accuracy, inter- and intra-day precision were all lower than 15% at three quality control levels. Subsequently, this method was applied to 62 real forensic cases. Only blood samples were available in 52 cases. Paired blood and VH samples were present in 10 cases. The concentrations of EtG and EtS in blood were in the range of 0–22,264.8 ng/mL and 0–2,126.0 ng/mL, respectively. In one case with both blood and VH, the blood ethanol concentration was 1.22 mg/mL, with EtG and EtS both below limits of quantification (5 ng/mL) in VH, and no EtG and EtS found in whole blood. The results suggested that EtG and EtS were useful markers for the interpretation of ethanol resource in postmortem blood and VH.

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Using Tongue, Lip, and Jaw Movement Data to Improve Diagnostic Accuracy of ALS

10.1044/cred-dsa-bts-004 ◽

2014 ◽

Vol 1 (1) ◽

pp. 1

Author(s):

Jordan Green

Keyword(s):

Diagnostic Accuracy ◽

Jaw Movement ◽

Movement Data

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Clausal Density Between Ages 4 and 9 Years for the Edmonton Narrative Norms Instrument: Reference Data and Psychometric Properties

Language Speech and Hearing Services in Schools ◽

10.1044/2020_lshss-20-00043 ◽

2020 ◽

pp. 1-15

Author(s):

Ling-Yu Guo ◽

Phyllis Schneider ◽

William Harrison

Keyword(s):

Diagnostic Accuracy ◽

Psychometric Properties ◽

Language Impairment ◽

Reference Data ◽

Reliability And Validity ◽

Correlation Coefficients ◽

Criterion Validity ◽

Likelihood Ratios ◽

Generation Task ◽

Sensitivity Specificity

Purpose This study provided reference data and examined psychometric properties for clausal density (CD; i.e., number of clauses per utterance) in children between ages 4 and 9 years from the database of the Edmonton Narrative Norms Instrument (ENNI). Method Participants in the ENNI database included 300 children with typical language (TL) and 77 children with language impairment (LI) between the ages of 4;0 (years;months) and 9;11. Narrative samples were collected using a story generation task, in which children were asked to tell stories based on six picture sequences. CD was computed from the narrative samples. The split-half reliability, concurrent criterion validity, and diagnostic accuracy were evaluated for CD by age. Results CD scores increased significantly between ages 4 and 9 years in children with TL and those with LI. Children with TL produced higher CD scores than those with LI at each age level. In addition, the correlation coefficients for the split-half reliability and concurrent criterion validity of CD scores were all significant at each age level, with the magnitude ranging from small to large. The diagnostic accuracy of CD scores, as revealed by sensitivity, specificity, and likelihood ratios, was poor. Conclusions The finding on diagnostic accuracy did not support the use of CD for identifying children with LI between ages 4 and 9 years. However, given the attested reliability and validity for CD, reference data of CD from the ENNI database can be used for evaluating children's difficulties with complex syntax and monitoring their change over time. Supplemental Material https://doi.org/10.23641/asha.13172129

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1956: Does Increasing the Number of Cores of Prostate Biopsy Improve Diagnostic Accuracy? Indications and Morbidity

The Journal of Urology ◽

10.1016/s0022-5347(18)32116-5 ◽

2007 ◽

Vol 177 (4S) ◽

pp. 649-649

Author(s):

Ponnambalam Chandrasekar ◽

Jeremy Raynard ◽

Abdul Sayed ◽

Faiyaz Kapasi ◽

Jaspal S. Virdi ◽

...

Keyword(s):

Diagnostic Accuracy ◽

Prostate Biopsy

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Diagnostic Accuracy of Follicular Variant of Papillary Thyroid Carcinoma in Fine-Needle Aspirates Processed by Ultrafast Papanicolaou Stain: Histologic Follow-up of 125 Cases

Yearbook of Pathology and Laboratory Medicine ◽

10.1016/s1077-9108(08)70415-8 ◽

2007 ◽

Vol 2007 ◽

pp. 258-260

Author(s):

M.F. Vazquez

Keyword(s):

Papillary Thyroid Carcinoma ◽

Thyroid Carcinoma ◽

Diagnostic Accuracy ◽

Papillary Thyroid ◽

Follicular Variant ◽

Fine Needle ◽

Fine Needle Aspirates

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Abstract #130 Diagnostic Accuracy of Dexamethasone Suppression Test: Additive Value of Free Cortisol and Dexamethasone Measurements

Endocrine Practice ◽

10.1016/s1530-891x(20)46474-2 ◽

2019 ◽

Vol 25 ◽

pp. 19

Author(s):

Ravinder Jeet Kaur ◽

Shobana Athimulam ◽

Molly Van Norman ◽

Melinda Thomas ◽

Stefan K. Grebe ◽

...

Keyword(s):

Diagnostic Accuracy ◽

Dexamethasone Suppression Test ◽

Free Cortisol ◽

Suppression Test ◽

Dexamethasone Suppression

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Diagnostic accuracy of magnetic resonance angiography for acute pulmonary embolism - a systematic review and meta-analysis

VASA ◽

10.1024/0301-1526/a000509 ◽

2016 ◽

Vol 45 (2) ◽

pp. 149-154 ◽

Cited By ~ 2

Author(s):

Jie Li ◽

Lei Feng ◽

Jiangbo Li ◽

Jian Tang

Keyword(s):

Pulmonary Embolism ◽

Magnetic Resonance ◽

Magnetic Resonance Angiography ◽

Diagnostic Accuracy ◽

Acute Pulmonary Embolism ◽

Meta Analysis ◽

Likelihood Ratios ◽

Summary Receiver Operating Characteristic ◽

Acute Pe ◽

Limited Sensitivity

Abstract. Background: The aim of this meta-analysis was to evaluate the diagnostic accuracy of magnetic resonance angiography (MRA) for acute pulmonary embolism (PE). Methods: A systematic literature search was conducted that included studies from January 2000 to August 2015 using the electronic databases PubMed, Embase and Springer link. The summary receiver operating characteristic (SROC) curve, sensitivity, specificity, positive likelihood ratios (PLR), negative likelihood ratios (NLR), and diagnostic odds ratio (DOR) as well as the 95 % confidence intervals (CIs) were calculated to evaluate the diagnostic accuracy of MRA for acute PE. Meta-disc software version 1.4 was used to analyze the data. Results: Five studies were included in this meta-analysis. The pooled sensitivity (86 %, 95 % CI: 81 % to 90 %) and specificity (99 %, 95 % CI: 98 % to 100 %) demonstrated that MRA diagnosis had limited sensitivity and high specificity in the detection of acute PE. The pooled estimate of PLR (41.64, 95 % CI: 17.97 to 96.48) and NLR (0.17, 95 % CI: 0.11 to 0.27) provided evidence for the low missed diagnosis and misdiagnosis rates of MRA for acute PE. The high diagnostic accuracy of MRA for acute PE was demonstrated by the overall DOR (456.51, 95 % CI: 178.38 - 1168.31) and SROC curves (AUC = 0.9902 ± 0.0061). Conclusions: MRA can be used for the diagnosis of acute PE. However, due to limited sensitivity, MRA cannot be used as a stand-alone test to exclude acute PE.

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A randomized cross-over trial in patients suspected of PAD on diagnostic accuracy of ankle-brachial index by Doppler-based versus four-point oscillometry based measurements

VASA ◽

10.1024/0301-1526/a000808 ◽

2019 ◽

Vol 48 (6) ◽

pp. 516-522 ◽

Cited By ~ 5

Author(s):

Verena Mayr ◽

Mirko Hirschl ◽

Peter Klein-Weigel ◽

Luka Girardi ◽

Michael Kundi

Keyword(s):

Diagnostic Accuracy ◽

Ankle Brachial Index ◽

Area Under The Curve ◽

High Volume ◽

Epidemiologic Studies ◽

Lower Sensitivity ◽

Oscillometric Device ◽

Specificity And Sensitivity ◽

Time Requirements ◽

Peripheral Arterial

Summary. Background: For diagnosis of peripheral arterial occlusive disease (PAD), a Doppler-based ankle-brachial-index (dABI) is recommended as the first non-invasive measurement. Due to limitations of dABI, oscillometry might be used as an alternative. The aim of our study was to investigate whether a semi-automatic, four-point oscillometric device provides comparable diagnostic accuracy. Furthermore, time requirements and patient preferences were evaluated. Patients and methods: 286 patients were recruited for the study; 140 without and 146 with PAD. The Doppler-based (dABI) and oscillometric (oABI and pulse wave index – PWI) measurements were performed on the same day in a randomized cross-over design. Specificity and sensitivity against verified PAD diagnosis were computed and compared by McNemar tests. ROC analyses were performed and areas under the curve were compared by non-parametric methods. Results: oABI had significantly lower sensitivity (65.8%, 95% CI: 59.2%–71.9%) compared to dABI (87.3%, CI: 81.9–91.3%) but significantly higher specificity (79.7%, 74.7–83.9% vs. 67.0%, 61.3–72.2%). PWI had a comparable sensitivity to dABI. The combination of oABI and PWI had the highest sensitivity (88.8%, 85.7–91.4%). ROC analysis revealed that PWI had the largest area under the curve, but no significant differences between oABI and dABI were observed. Time requirement for oABI was significantly shorter by about 5 min and significantly more patients would prefer oABI for future testing. Conclusions: Semi-automatic oABI measurements using the AngER-device provide comparable diagnostic results to the conventional Doppler method while PWI performed best. The time saved by oscillometry could be important, especially in high volume centers and epidemiologic studies.

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