scholarly journals One-Minute Finger Pulsation Measurement for Diabetes Rapid Screening with 1.3% to 13% False-Negative Prediction Rate

2021 ◽  
Vol 6 (1) ◽  
pp. 6
Author(s):  
Justin Chu ◽  
Wen-Tse Yang ◽  
Tung-Han Hsieh ◽  
Fu-Liang Yang
PEDIATRICS ◽  
1974 ◽  
Vol 54 (6) ◽  
pp. 718-723
Author(s):  
Katherine Sprunt ◽  
Dorothea Vail ◽  
Russell S. Asnes

A rapid screening method for identification of clinic patients with pharyngitis who are carrying group A beta-hemolytic streptococci and for teaching residents the values and limitations of the culture-disk approach to identification has been reviewed as developed for a busy clinic and a busy hospital laboratory. Identification of positive cultures in less than 24 hours, using Taxos A disk and specific fluorescent antibody uptake, resulted in 12% apparent false-positive and 3.6% false-negative reports. However, when viewed in the light of the techniques used for verifying results, there were probably 3% false-positive and 3% false-negative reports. The screening method is considered acceptably reliable and practical as a laboratory tool and a resident teaching device.


2001 ◽  
Vol 47 (3) ◽  
pp. 548-555 ◽  
Author(s):  
Elke Schaeffeler ◽  
Thomas Lang ◽  
Ulrich M Zanger ◽  
Michel Eichelbaum ◽  
Matthias Schwab

Abstract Background: The thiopurine S-methyltransferase (TPMT) genetic polymorphism has a significant clinical impact on the toxicity of thiopurine drugs, which are used in the treatment of leukemia and as immunosuppressants. To date, 10 mutant alleles are known that are associated with intermediate or low TPMT activity. To facilitate rapid screening of clinically relevant TPMT mutations, we developed a strategy of high-throughput genotyping by applying denaturing HPLC (DHPLC). Methods: To test the specificity and efficiency of the DHPLC method, 98 DNA samples from a selected population of patients receiving thiopurine therapy or with previous thiopurine withdrawal were analyzed for the most frequent mutant TPMT alleles, *2 and *3A, which contain key mutations in exons 5, 7, and 10 to identify clearly different elution profiles. All fragments were examined by direct sequencing. Additionally, to test the sensitivity of DHPLC analysis, genotyping for the *2 and *3A alleles of all 98 DNA samples was performed by PCR-based methods (PCR-restriction fragment polymorphism analysis and allele-specific PCR). Results: The presence of mutations discriminating for alleles *2, *3A, *3C, and *3D, as well as various silent and intron mutations, were correctly predicted by DHPLC in 100% of the samples as confirmed by direct sequencing. Comparison with PCR-based methods for alleles *2 and *3 produced an agreement of 100% with no false-negative signals. Conclusions: DHPLC offers a highly sensitive, rapid, and efficient method for genotyping of the relevant TPMT mutations, discriminating at least for alleles *2 and *3, in clinical and laboratory practice. Additionally, DHPLC allows a simultaneous screening for novel genetic variability in the TPMT gene.


2007 ◽  
Vol 90 (5) ◽  
pp. 1427-1431 ◽  
Author(s):  
Daniela Scalas ◽  
Stefania Squadrone ◽  
Marilena Gili ◽  
Daniela Marchis ◽  
Marino Prearo ◽  
...  

Abstract A validation study was carried out in order to evaluate the performances of a dissociation enhanced lanthanide fluorescence immunoassay (DELFIA) for rapid screening of 17 -Estradiol in bovine serum. This validation was performed according to European Union (EU) Decision 2002/657/EC, which establishes criteria and procedures for determination of detection capability (CC), selectivity/specificity, and applicability/ruggedness/stability for qualitative screening tests. To determine these performance characteristics, 20 blank serum samples of cattle were collected and spiked with 17 -Estradiol at 40 pg/mL, corresponding to the maximum residue limit permitted by Italian legislation. According to the EU Decision CC criterion, spiked samples must have <5 probability to be classified as a false negative. 17 -Estradiol was detected in each spiked sample, and the CC results were <40 pg/mL. There was also no observed interference effect due to chemically related substances or from the matrix. Moreover, slight variations of some critical factors in the DELFIA procedure, deliberately introduced for ruggedness evaluation, did not result in any negative effect on the 17 -Estradiol detection. The proposed method is suitable for qualitative screening analysis of 17 -Estradiol according to EU performance requirements.


2014 ◽  
Vol 7 (4) ◽  
pp. 439-447 ◽  
Author(s):  
C. von Holst ◽  
J. Stroka

The paper describes the validation of screening methods that are used for official control to classify samples into negative and suspect positive samples. The concept is based on the principle that negative samples are considered as compliant, whereas suspect positive samples need to be re-analysed with confirmatory methods. An important performance criterion often used is a maximum value of 5% for the probability of false negative results obtained on samples that contain the analyte at the legal limit. Since the result of analysis is a binary decision, specific validation schemes need to be applied. The paper places emphasis on practical aspects of the calculation of the method performance characteristics, which are required to check whether the methods fulfil the performance criterion. The paper shows that screening methods based on a visual inspection, e.g. a dipstick, require special data treatment. In contrast there are many methods where the classification into negative and suspect positive samples is based on the comparison of a measured response against a cut-off value. This type of methods can be validated with quantitative statistics. The paper also elaborates on the calculation of the rate of false positive results of compliant samples. In addition the impact on the economical aspect of the use of the screening method is estimated, taking into account external factors such as the cost ratio between the screening and the confirmatory method and the occurrence of non-compliant samples in the entire population of the samples.


1988 ◽  
Vol 71 (3) ◽  
pp. 669-673 ◽  
Author(s):  
Jeffrey D Klinger ◽  
Andrew Johnson ◽  
Daniel Croan ◽  
Pauline Flynn ◽  
Kevan Whippie ◽  
...  

Abstract A nucleic acid hybridization assay has been developed for Listeria spp. in dairy foods and environmental samples. The assay is based on detection of unique Listeria 16S rRNA sequences by using a 32Plabeled synthetic DNA probe. Inclusivity and exclusivity of the probe were confirmed with 139 Listeria isolates representing all known species, and 73 non-Listeria bacterial strains. In this paper, we present results from our preliminary studies comparing the hybridization assay with conventional culture on a total of 575 specimens that represent a variety of inoculated and uninoculated foods and environmental samples. The assay, which is done in a filter manifold format after 2 days of cultural enrichment, requires a total assay time of less than 2.5 days. The false-negative rate for all sample groups tested using the GENE-TRAK hybridization assay was less than the rate for culture. Thus, the new assay allows rapid screening of the indicated product groups and provides reliable numerical results


2002 ◽  
Vol 65 (10) ◽  
pp. 1656-1659 ◽  
Author(s):  
KUANG-SHENG YEH ◽  
CHIN-EN TSAI ◽  
SHIH-PING CHEN ◽  
CHAO-WEI LIAO

VIDAS Salmonella (VIDAS-SLM) is an automated system that uses the enzyme-linked fluorescent assay method to detect Salmonella species. This study evaluated the efficacy of the VIDAS-SLM method in detecting Salmonella species in pork carcass sponge samples gathered from 10 slaughter plants in Taiwan. Two hundred fifty-seven pork carcass sponge samples were screened by the VIDAS-SLM method and by the culture method in parallel. While 18 sponge samples were found to test positive by both methods, the VIDAS-SLM method detected four additional positive samples for which the culture method failed to recover Salmonella. The specificity of the VIDAS-SLM method was found to be 0.98, and its sensitivity was 1.0, since no false-negative results occurred. Artificially inoculated Salmonella at concentrations as low as 5.0 × 100 CFU/ml was detected in the heat-inactivated sponge sample in the presence or absence of 5.0 × 104 CFU of Citrobacter freundii per ml. Thus, the VIDAS-SLM method is a rapid screening method and a potential alternative to the time- and labor-intensive culture method.


1994 ◽  
Vol 77 (2) ◽  
pp. 374-394 ◽  
Author(s):  
Karl F Eckner ◽  
Wendy A Dustman ◽  
Michael S Curiale ◽  
Russell S Flowers ◽  
Barbara J Robison

Abstract A collaborative study was performed by 30 laboratories in 3 sets of trials to validate a modified colorimetric monoclonal enzyme-linked immunosorbent assay (ELISA) method for Salmonella detection. The modifications to the current methodology included incubation of enrichments and postenrichments at an elevated temperature, addition of novobiocin to the M-broth post-enrichment, and elimination of the centrifugation and agitation steps. Five artificially contaminated foods (nonfat dry milk, milk chocolate, dried egg, ground black pepper, and soy flour) and 1 naturally contaminated food (raw ground turkey) were analyzed. The artificially contaminated foods were inoculated with individual Salmonella serotypes at a high (10–50 cells/25 g) and low (1–5 cells/25 g) contamination level. Results from the modified ELISA method were compared to the Bacteriological Analytical Manual (BAM)/AOAC culture method. In 2 of the food products, milk chocolate and pepper, a number of laboratories isolated Salmonella from uninoculated control samples, thus invalidating their data. As a result, there were too few laboratories remaining with valid data, and these foods were repeated. In the completed study, there were 11 false negative results obtained by the modified ELISA method, while there were 28 false negatives produced by the BAM/AOAC procedure. There were 11 ELISA positive assays which could not be confirmed by culture methods. Statistically, there were no differences between the modified, colorimetric, monoclonal ELISA and the reference culture method in all foods except raw turkey, where the ELISA method was more productive. The colorimetric monoclonal enzyme immunoassay (Salmonella-Tek) method for detecting Salmonella in all foods has been adopted first action by AOAC INTERNATIONAL.


1978 ◽  
Vol 7 (3) ◽  
pp. 286-289
Author(s):  
G K Barbin ◽  
J D Thorley ◽  
J A Reinarz

Simplified urine microscopy, nitrite testing, and dipstick culture were compared with urine loop streak culture colony counts in 219 random voided specimens to determine the accuracy of the three rapid screening techniques. Nitrite testing resulted in 65% false negative results, which could not be significantly improved by incubation at 37 degrees C but which could be improved by adding nitrate substrate before incubation. Dipstick culture could not be quantitated until after 18 h of incubation. A new, simplified microscopy technique, using unspun, unstained urine, resulted in 4% false negative results and 4% false positive results in specimens containing over 10(5) organisms per ml and was the best method Centrifuges, Gram staining reagents, and counting chambers are not necessary for accurate microscopic screening of random urine specimens for the presence of bacteriuria by this technique, and the results are immediately available.


Soil Research ◽  
2009 ◽  
Vol 47 (4) ◽  
pp. 433 ◽  
Author(s):  
J. G. P. Bray ◽  
R. Viscarra Rossel ◽  
A. B. McBratney

There is increasing demand for cheap and rapid screening tests for soil contaminants in environmental consultancies. Diffuse reflectance spectroscopy (DRS) in the visible-near infrared (vis-NIR) and mid infrared (MIR) has the potential to meet this demand. The aims of this paper were to develop diagnostic screening tests for heavy metals and polycyclic aromatic hydrocarbons (PAH) in soil using vis-NIR and MIR DRS. Cadmium, copper, lead, and zinc were analysed, as were total PAH and benzo[a]pyrene. An ordinal logistic regression technique was used for the screening and predictions of either contaminated or uncontaminated soil at different thresholds. We calculated the rates of false positive and false negative predictions and derived Receiver Operating Characteristic curves to explore how the choice of a threshold affects their proportion. Zinc and copper had the best prediction accuracies of the heavy metals, with 89% and 85%, respectively. Cadmium and lead had the lowest prediction accuracies, with 68% and 67%, respectively. PAH predictions averaged 78.9%. With an average prediction accuracy of 79.9%, MIR analysis was only slightly more accurate than vis-NIR analysis, which had an average prediction accuracy of 77.5%. However, vis-NIR may be used in situ, thereby reducing cost and time of analysis and providing diagnosis in ‘real-time’. DRS in the vis-NIR can substantially decrease both the time and cost associated with screening for soil contaminants.


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