Laboratory Screening Research Articles

Optimal dsRNA Concentration for RNA Interference in Asian Citrus Psyllid.

The Asian citrus psyllid (ACP) is a citrus pest and insect vector of "Candidatus Liberibacter asiaticus", the causal agent of citrus greening disease. Double-stranded RNA (dsRNA) biopesticides that trigger RNA interference (RNAi) offer an alternative to traditional insecticides. Standardized laboratory screening of dsRNA requires establishing the minimal effective concentration(s) that result in effective RNAi "penetrance" and trigger RNAi, resulting in one or more measurable phenotypes, herein, significant gene knockdown and the potential for mortality. In this study, knockdown was evaluated for a range of dsRNA concentrations of three ACP candidate genes, clathrin heavy chain (CHC), vacuolar ATPase subunit A (vATPase-A), and sucrose non-fermenting protein 7 (Snf7). Gene knockdown was quantified for ACP teneral adults and 3rd instar nymphs allowed a 48 h ingestion-access period (IAP) on 10, 50,100, 200, and 500 ng/µL dsRNA dissolved in 20% sucrose followed by a 5-day post-IAP on orange jasmine shoots. Significant gene knockdown (p < 0.05) in ACP third instar nymphs and adults ranged from 12-34% and 18-39%, 5 days post-IAP on dsRNA at 10-500 and 100-500 ng/µL, respectively. The threshold concentration beyond which no significant gene knockdown and adult mortality was observed post-48 h IAP and 10-day IAP, respectively, was determined as 200 ng/µL, a concentration indicative of optimal RNAi penetrance.

Preliminary Study on Microbial Deterioration Control and Effectiveness Evaluation in the Neolithic Prehistoric Archaeological Site of Dadiwan, Northwest China

Microbial deterioration as one of the widespread problems in archaeological site museums significantly affects their safety and exhibits. This paper systemically investigated the environments and conditions of microbial outbreaks in the Dadiwan No. F901 site museum, which is a representative archaeological site of prehistoric Yangshao culture. The morphology and harmful characteristics of the outbreak microorganisms were analyzed by microscopic techniques. The ultraviolet resistance of harmful microorganisms was also studied. Combining these findings with the original facilities of the site museum, a scientific and reasonable project was proposed to control and prevent the activity of harmful microorganisms. In addition, a 1% OIT/DCOIT biocide concentration was applied to inhibit microorganism-caused deterioration, in combination with mechanical removal based on laboratory tests and screening in situ. The effectiveness of microbial control was assessed using a portable microscope, ATP bioluminescence assay, and color difference detection. As a long-lasting preventive measure for microbial deterioration, an ultraviolet sterilization system can efficaciously prevent the re-outbreak of microbial deterioration to form a relatively stable dynamic balance for the surroundings of the site. This study is a resultful exploration in terms of microbial control and plays an important role in the sustainable protection of archaeological site museums.

Steinernema yirgalemense (Steinernematidae) to control Phlyctinus callosus and Phlyctinus xerophilus (Curculionidae)

Summary Considerable progress has been made in the surveying, taxonomy, screening, mass production and formulation of entomopathogenic nematodes (EPN) and their associated symbiotic bacteria in South Africa. Steinernema yirgalemense isolate 157-C is one of the most promising native EPN candidates with regards to virulence, its broad insect-host spectrum, and can be readily mass-produced and formulated into a commercial product. The banded fruit weevils, Phlyctinus callosus sensu stricto and Phlyctinus xerophilus, previously grouped together under the Phlyctinus callosus sensu lato species concept, are native entimine weevils of economic importance to deciduous fruit, grapevine and berries in the Western Cape province of South Africa. This study investigated potential differences in baseline susceptibility of larvae and pupae of the two weevil species to S. yirgalemense in laboratory screenings. The test arena used was 24-well bioassay plates, with an inoculation concentration of 200 infective juveniles (IJ) insect−1 for larvae and 100 IJ insect−1 for pupae. Infection was determined 48 h and 96 h after inoculation. Field-efficacy of S. yirgalemense, applied at a concentration of 60 IJ cm−2, against larvae of the two weevil species was determined in an ecologically relevant semi-field trial. In all cases in vitro mass-produced IJ of S. yirgalemense were used. No baseline differential susceptibility between P. callosus and P. xerophilus larvae was obtained in laboratory screenings. Phlyctinus pupae were approximately twice as susceptible compared to larvae, with significant differences between bioassay batches. Approximately 45% control of P. xerophilus larvae was obtained after 96 h of exposure to S. yirgalemense in the field, differing significantly from the control and P. callosus treatment. Low levels of Phlyctinus larval infection by native EPN (confirmed as Heterorhabditis bacteriophora from one P. xerophilus cadaver) occurred in both control and EPN treatment groups under field conditions.

Prevalence, incidence, risk factors and residual risk associated with viral infections among eligible Brazilian blood donors.

Knowledge regarding the profile of eligible blood donors presenting positive results in laboratory screening is essential for reducing transfusion-transmitted human immunodeficiency virus (HIV), hepatitis B virus (HBV) and hepatitis C virus (HCV). Our study aimed to evaluate the prevalence, incidence, predictor variables and residual risk (RR) of HIV/HBV/HCV in blood bags donated in Minas Gerais, Brazil. This study analysed data retrieved from the records of a large blood bank relating to donations collected at multiple centres within the period 2012-2018, during which 1 991 120 blood bags were screened using immunoassays and nucleic acid tests (NATs). Multilevel modelling was used to investigate the association between sex, civil status and age group with HIV/HBV/HCV. RR was estimated from the incidence values (restricted to negative and positive tests within the study period) and window periods for infections. The prevalence in first time donors, incidence and RR of HCV (223.73 cases per 100 000; 54.84 per 100 000 persons-year and 1.6527 per 100 000, respectively) were higher than those of HIV (172.65 cases per 100 000; 28.25 per 100 000 persons-year and 0.8514 per 100 000) and HBV (168.17 cases per 100 000; 18.54 per 100 000 persons-year and 0.5588 per 100 000). The odds of acquiring infection were greater in male, single and older donors. Sixteen donors were identified as seronegative and NATs+ during the 7-year span of the study. Our study has clarified some spatiotemporal trends regarding HIV/HBV/HCV infections in donated blood in Brazil. The results will contribute to the formulation of directives addressed to high-risk donors.

Work Flow Screens Surfactants for EOR Through Wettability Alteration

_ This article, written by JPT Technology Editor Chris Carpenter, contains highlights of paper URTeC 3866246, “A Systematic Laboratory and Model-Based Surfactant Screening Work Flow for Enhanced Recovery Through Wettability Alteration in the Eagle Ford,” by Jason Jweda, SPE, Russ Bone, SPE, and Hesham El-Sobky, ConocoPhillips, et al. The paper has not been peer reviewed. _ Previous experimental studies and published field trials have shown that injected surfactants can be an effective means of improving recovery. Most experiments, however, have been conducted at ambient rather than reservoir conditions. The complete paper presents a novel approach to screen thermally stable surfactants at high pressures and high temperatures for the explicit purpose of wettability alteration in the operator’s Eagle Ford acreage. Early Internal Efforts Surfactant usage was initiated at the inception of the play. The use of these surfactants was discontinued after approximately 5 years of field development. Fieldwide performance analysis confirmed that off-the-shelf surfactants, on average, did not improve long-term performance statistically. Initial laboratory screening of bespoke surfactant chemistries commenced a few years later. To test surfactant properties near Eagle Ford reservoir conditions, a novel microfluidics experiment was conducted using synthetic microchips designed with reservoir specifications. Twenty-six flowback tests with Eagle Ford crude oil were conducted at 300°F and up to 3,800 psi with six different commercial surfactant chemistries. Imbibition results with the six commercial surfactants were compared with a control case with make-up brine water. Testing performed at 2 gal/thousand increased overall performance for the oil-wet conditions but decreased performance for mixed-wet conditions when compared with 1 gal/thousand. The surfactants tested in this series were temperature-dependent and had clogging tendencies of varying degrees within the microfluidics chips. Methods and Work Flow Promising results from the Amott cell imbibition and other experiments encouraged the authors to evaluate surfactants more holistically, with an emphasis on testing at Eagle Ford reservoir conditions. The first set of experiments involved fluid-stability tests, contact-angle measurements, interfacial-tension (IFT) measurements, static spontaneous-imbibition experiments, and completion-fluid-compatibility tests. An extensive set of commercially available surfactants was screened. The highest potential cationic and nonionic cosurfactant blends that passed through fluid stability, contact-angle, and static spontaneous-imbibition experiments were selected for hydraulic stimulation-fluid compatibility tests. After the compatibility tests, the two best-graded cationic and nonionic cosurfactant blends were used in a novel flowback experiment coupled with multistage nuclear magnetic resonance (NMR) measurements. Mechanistic reservoir simulation models were used to evaluate the production effect of wettability change caused by surfactant injection. The combination of laboratory-based experimentation and reservoir simulations provided strong confidence in holistically evaluating the potential of cosurfactant blends in the Eagle Ford.

Applying sigma metrics to assess quality control processes in the transfusion transmissible infection screening laboratory of a blood center.

In the field of healthcare, quality and efficiency are of paramount importance to ensure the provision of safe and reliable diagnostic services. Blood screening laboratories play a critical role in detecting and preventing the spread of infectious diseases, ensuring the safety of blood transfusions, and supporting medical diagnoses. To enhance the quality of processes in such laboratories, the Six Sigma methodology has gained significant recognition for its ability to systematically identify and minimize variations, thereby improving overall efficiency and reducing errors. This retrospective study aims to explore the application of Six Sigma metrics in the context of blood screening laboratories, providing an in-depth analysis of its implementation, benefits, and challenges. The performance of three serology assays, i.e., anti-HCV, HIV Ag/Ab combo, and HBsAg, using internal quality control (IQC) daily data extracted from six Alinity i instruments (Abbott GmbH, Germany), from February to April 2023, was evaluated. Mean, standard deviation (SD), and coefficient of variation (CV%) was calculated for positive controls. Bias was calculated using peer group data. Sigma metrics were calculated using allowable total error (TEa %) based on difference between the observed mean of the positive control and the s/co cut-off of assay. The observed CV% for positive controls was ≤10%. The TEa% ranged from 66% to 79% for the analytes using the observed mean. All the assays showed Six Sigma performance (σ>6) with and without bias. The study observed that the serology assays showed very high sigma values (σ>6) and thus, simplified statistical quality control (SQC) design based on Westgard Sigma rules could be implemented without compromising blood safety.

DBTL bioengineering cycle for part characterization and refactoring

The Design-Build-Test-Learn (DBTL) cycle is a crucial framework in Synthetic Biology for the development and optimization of biological systems. However, the manual nature of the cycle poses limitations in terms of time and labor. This paper focuses on the application of automation techniques to the DBTL cycle, specifically in the testing and characterization of standard bioparts, which are essential components of genetic circuits. By automating the testing process, throughput, reliability, and reproducibility can be significantly improved. This paper discusses the challenges associated with manual testing methods and explores various automation strategies and technologies that can address these challenges. High-throughput screening methods, laboratory robotics, and data analysis algorithms are key elements in the automation process. As a case study, we utilize the automated DBTL cycle to refactor a biosensor, aiming to enhance its performance. Integrating automation in the DBTL cycle offers numerous advantages, including increased efficiency, standardization, and quality control of bioparts. It also enables the exploration of larger design spaces and rapid prototyping of complex genetic systems. Here, we show the advantages of using the DBTL cycle to refactor a biosensor that presents improved performance and can be readily used in more complex circuits.

Comparison of External and Internal Site Genital Sampling to Detect High-Risk HPV DNA in Women.

Human papillomavirus (HPV), the most common pathogen causing sexually transmitted diseases worldwide, is also an oncogenic virus. Due to the inadequacy of serologic tests in the diagnosis of HPV, NAATs (nucleic acid amplification tests), such as PCR (polymerase chain reaction), represent the gold standard today. Endocervical brush sampling in women has been successfully used for HPV genotyping for many years. The aim of this study was to determine the diagnostic efficacy for PCR HPV genotyping of multisite samples taken simultaneously with a swab from the external genitalia in addition to endocervical brush sampling in women applying for Hr-HPV screening. This study included 105 asymptomatic patients who came to the Gynecology Polyclinic of the University of Health Sciences Tepecik Training and Research Hospital between February 2023 and June 2023 for control purposes. Both the samples taken with a brush from the cervical area and the samples taken with a swab from the external genital area were sent to a screening laboratory for testing for Hr-HPV DNA. The samples were analyzed by real time PCR. The success rate of positive detection of swab samples of HPV type 16 was significantly higher, with a difference of 17.6% (p < 0.0001). For HPV type 18, the swab sample had a significantly higher positive detection rate, with a difference of 60.0% (p = 0.002). The results of this study show that HPV genotyping from the external genital area can be performed as an alternative to cervical sampling in sexually active women to increase the reach of a screening program.

Analysis of Imprecision for Internal Quality Control of Newborn Screening by Tandem Mass Spectrometry in China, 2015 - 2021.

This study aimed to assess the performance of the newborn screening laboratories in China through retrospective analysis of the coefficient of variation (CV) of the internal quality control (IQC) data in the national tandem mass spectrometry screening for inherited metabolic disorders in newborns. From 2015 to 2021, the IQC data of amino acid and acylcarnitine test were collected twice each year. CVmonthly in-control was calculated by excluding outliers for the current month and its discrete distribution and changes in trend were comprehensively evaluated for both normal and high concentration levels. The proportion of laboratories meeting both 1/3 and 1/4 quality criteria of the total error allowable (TEa), based on the CVmonthly in-control for each testing item, was calculated. The analysis of CVmonthly in-control for the two concentration levels for the amino acids and acylcarnitine parameters showed that CVmonthly in-control for the normal concentration levels were more discrete before 2018, while CVmonthly in-control for the high concentration levels were less discrete than the normal concentration levels, but there were relatively more outliers. More than 80% of laboratories were able to meet the 1/3 TEa standard for each test at the high concentration level, while the pass rate for the 1/4 TEa standard was significantly lower than 80% (except for C2). According to the current status of testing in China, it is recommended to use 1/3TEa as the imprecision level standard; for laboratories with relatively high precision, the 1/4TEa standard can be used.

Estudos morfológicos e moleculares sobre um parasita nematoide, Syphacia obvelata, que infecta camundongos de laboratório (Mus musculus) na Arábia Saudita

ABSTRACT During screening laboratory mice (Mus musculus) at the Zoology Department of the College of Science, King Saud University, some tiny oxyurid nematodes were detected from the large intestine of these rodents. Worms were identified using morphological and morphometric description. Furthermore, DNA was extracted from worms and subjected to polymerase chain reaction to amplify 18S rDNA and ITS (ITS1, 5.8S and ITS2) regions. Worms detected from caecum and colon of mice were detected in 80% of mice investigated. Morphologically, worms showed elongated body with tapered anterior end and narrow posterior part with cuticular annulations. Male worms measured 0.71-1.12 (0.90) long and 0.01-0.12 (0.11) wide. Female worms measured 3.12-5.011 (4.30) long and 0.13-0.29 (0.17) wide. Esophagus followed by intestine which opens at the posterior end via anal opening in females and via cloacal opening in males. Males have a single spicule with a gubernaculum and an accessory hook. Females’ uteri were pack with eggs. Data from 18S rDNA revealed a sequence which was identical to Syphacia obvelata in NCBI GenBank. Similarly, sequences from ITS regions grouped with sequences from S. obvelata confirming the morphological identity of the worm. However, it showed 3 mutations at the ITS2 region from related sequences from S. obvelata at NCBI GenBank.

Impact of water stress on morpho-physiological and biochemical traits in rice genotypes

Laboratory and field screening were performed in nine rice genotypes i.e., TM 12061, TM 12077, TM 12012, TM 14035, TM 16017, Senthuram, Vandhana, TKM 12 and Anna (R) 4 to assess their drought tolerant potential. For laboratory screening, the effect of different levels of Poly Ethylene Glycol (PEG) concentration viz., -0.2, -0.4, -0.6 and -1.0 MPa on germination, shoot length and root length were studied. There was a considerable decrease in the germination potential among all the genotypes with increase in PEG concentration. The TM 12077 showed higher level of tolerance to PEG induced drought stress showing 30.8 % germination with 3.2 cm and 8.85 cm shoot and root length, respectively at higher level of concentration (1.0 MPa). In the field screening under managed stress condition, TM 12077 and TM 12012 showed higher accumulation of proline (4.15 mg/g). Chlorophyll stability index was more than 80 % in the genotypes TM 12012, TM 12077 and TM 12061. The genotype TM 14035, the varieties Anna (R) 4 and Vandhana matured early in 115 days. Number of tillers per plant, number of panicles/sqm and yield/hectare were maximum in TM 12077. While considering both laboratory and field screening, the genotypes TM 12077, TM 12012 and TM 12061 were found promising for water stress environment and can be utilized as donors in the drought tolerance breeding programs. High heritability coupled with moderate to high GA as per cent of mean recorded for plant height, tillers per plant, chlorophyll stability Index and total chlorophyll content indicates the presence of additive gene effects and their improvement through direct selection. Bangladesh J. Bot. 52(4): 1041-1046, 2023 (December)

Efficiency estimation of super-viscous oil recovery by in-situ catalytic upgrading in cyclic steam stimulation: from laboratory screening to numerical simulation

The article provides an overview of ion-modified waterflooding technology, also known as low salinity, controlled salinity, or Smart water. This technology is currently considered one of the most promising approaches in the development of oil deposits in carbonate reservoirs due to its economic efficiency and environmental safety. The article discusses the main mechanisms and processes underlying ion-modified waterflooding and presents the results of laboratory studies conducted on core samples from foreign oil deposits. It includes an analysis of several studies, including contact angle measurements and core flooding experiments on core samples from oil deposits in carbonate reservoirs on the eastern side of the Melekess depression in the Republic of Tatarstan. It is important to note that the Vereyian deposits explored in this article are not a typical example of test objects for ion-modified water injection. This is because they are characterized by a low reservoir temperature of 23 °C, which suggests that the efficiency of the technology would likely be lower compared to studies conducted abroad, where reservoir temperatures were significantly higher. For example, Darvish Sarvestani et al. studied reservoir conditions at 90 °C, Yousef et al. – reservoir temperature of 100 °C, and Austad et al. examined the Ekofisk field at 130 °C and the Volhall field at 90 °C in Norway. However, as several studies have indicated, prolonged contact between rock samples and ion-modified water contributes to significant hydrophilization of the rock surface, as confirmed by contact angle measurements. The contact angle decreases from approximately 138.3° to 53.45° after exposure to ion-modified water. Additionally, the core flooding experiment demonstrated a slight increase in the oil displacement coefficient, reaching 9.2%. These findings suggest the potential for enhanced oil recovery by injecting Smart water into the Vereyian sediments, although further research is required to confirm the underlying mechanism.

Evaluation of health risk associated with consumption of food crops from electronic waste dumpsite using albino Wistar rat’s model: Bayelsa state Nigeria case study

The alterations in some important health biomarkers associated with consumption of food crops harvested near E-waste dumpsite in Bayelsa State, Nigeria, was evaluated. Samples of soil, plant, water and sea foods were collected around E-waste dumpsites and control sites for laboratory screening. A standard animal feed was formulated (control group), and the feed formulated from plants harvested from e-waste dumpsites was used to feed the experimental animals (Test group) for a period of three months. The formulated feeds were screened for toxic metals using atomic absorption spectrometry. The study comprises of twenty-eight animals (fourteen each of male and female) of albino wistar strain, weighing 50-100g were divided into two groups of fourteen animals each. Health biomarkers such as C-reactive protein, TNF alpha, creatinine, alanine transaminase (ALT), aspartate transaminase (AST), alanine phosphatase (ALP), platelet count, and oxidative stress parameters were evaluated in both groups. Toxic metals content of samples collected from the E-waste dumpsite revealed significantly (p&lt;0.05) higher levels of Cd, Co, Ni and Pb, which exceeded WHO permissible limits, compared with the control (p&lt;0.05) site. Significant (p&lt;0.05) differences between the test and control group for serum C-reactive protein, TNF alpha, creatinine concentrations, ALT, AST, ALP activities, platelet count, and oxidative stress parameters of the test group were all significantly (p&lt;0.05) higher than the control group, suggesting the presence of oxidative stress trigger(s) among animals in the test group and these results were further affirmed by the histology results as presented. Conclusively, this study highlighted a strong correlation between consumption of food crops cultivated near E-wastes dumpsites and potential associated health risks. Hence, demands public awareness and a call on governments and concerned regulatory bodies to ensure and enforce ethical E-waste management and disposal practices to minimize E-waste exposure and toxicity.

Implementing preemptive, multigene, pharmacogenomic testing in the inpatient setting: Preliminary results from a small, rural facility

AbstractIntroductionPreemptive pharmacogenomic (PGx) testing is on the rise among United States health care centers, with the majority of testing performed in the primary care setting. For broader implementation, there is a call for descriptions of the implementation and workflow of successful PGx programs in a large variety of health care settings.ObjectiveThe purpose of this study was to describe the implementation and initial outcomes of preemptive PGx (11‐gene, multipanel) testing in inpatient workflow at a Veterans Affairs medical center.MethodsThe inpatient clinical pharmacist incorporated patient screening, informed consent, and PGx lab ordering into their daily workflow in March 2023. Included adult patients had to be enrolled into the facility's primary care program and able to provide informed consent. Patients were excluded if they had a history of bone marrow or liver transplant, were consulted for palliative or hospice care, or had altered mental status at the time of screening. A retrospective chart review was used to collect demographics and PGx results from March to August 2023.ResultsThere were 247 patients screened for PGx testing in the 6‐month study period. Of these, 74 already had PGx performed, 31 declined or deferred testing, and 142 consented to testing. Laboratory blood draw was not performed as ordered on 12 patients, leaving 130 samples with results. Of 130 patients, 129 (99%) had an actionable PGx variant, with most having multiple variants: one variant (6%), two variants (15%), three variants (32%), four variants (24%), five variants (18%), and six variants (3%). At the time of follow‐up, 64 (49%) patients were prescribed an affected medication: one medication (38%), two medications (8%), and three medications (3%).ConclusionIncorporating preemptive PGx testing into inpatient workflow is feasible in a rural facility with a significant proportion of patients being affected by the results.

A Microfluidic High-Capacity Screening Platform for Neurological Disorders.

Compartmentalized cell cultures (CCCs) provide the possibility to study mechanisms of neurodegenerative diseases, such as spreading of misfolded proteins in Alzheimer's or Parkinson's disease or functional changes in, e.g., chronic pain, in vitro. However, many CCC devices do not provide the necessary capacity for identifying novel mechanisms, targets, or drugs in a drug discovery context. Here, we present a high-capacity cell culture microtiter microfluidic plate compliant with American National Standard Institute of the Society for Laboratory Automation and Screening (ANSI/SLAS) standards that allows to parallelize up to 96 CCCs/experimental units, where each experimental unit comprises three microchannel-connected compartments. The plate design allows the specific treatment of cells in individual compartments through the application of a fluidic barrier. Moreover, the compatibility of the plate with neuronal cultures was confirmed with rodent primary as well as human-induced pluripotent stem cell-derived neurons of the central or peripheral nervous system for up to 14 days in culture. Using immunocytochemistry, we demonstrated that the plate design restricts neuronal soma to individual compartments, while axons, but not dendrites, can grow through the connecting microchannels to neighboring compartments. In addition, we show that neurons are spontaneously active and, as deemed by the appearance of synchronous depolarizations in neighboring compartments, are synaptically coupled. In summary, the design of the microfluidic plate allows for both morphological and functional studies of neurological in vitro cultures with increased capacity to support identification of novel mechanisms, targets, or drugs.

External quality assessment program for human papillomaviruses DNA testing in Thailand

BackgroundSince 2020, the National Health Security Office includes the human papillomavirus DNA testing for cervical cancer screening in the government's healthcare schemes. HPV DNA testing has become primary screening in many laboratories in Thailand. External quality assurance scheme is crucial for assessment of laboratory performance. ObjectivesThe aim of this study was to develop a pilot program using LBC samples for the EQA of molecular methods and to review the methods used by participants to detect the presence of high risk HPV genotypes. Study designFour pilot distributions were shipped between December 2021 and May 2023, six months apart of two panels, each consisting of five different specimens. ResultsAll participants achieved 100 % accuracy in correctly identifying the presence or absence of high-risk genotypes in all 5 EQA samples. The most used HPV DNA test for detecting the presence of high-risk HPV DNA was the two specific high-risk genotypes and 12 other high-risk HPV genotypes. There was an observed increase in the use of assays that could detect 14 HPV HR genotypes. It suggests expanding testing methods to include a broader range of high-risk HPV genotypes, which could improve the comprehensiveness of the testing. ConclusionsThe HPV DNA testing scheme provides a standardised, homogeneous and characterised clinical specimen. These results indicate that the LBC samples are suitable for utilisation in an EQA scheme. EQA of HPV molecular screening programme is essential for monitoring the performance of laboratory networks.

Natural durability of 8 tropical species suitable for structural roundwood: laboratory screening tests for resistance to fungi and termites

Knowledge of the wood properties of tropical tree species is still relatively limited, so timber extraction focuses on a few abundant, large-diameter species. Very little is known about small-diameter trees, although they could be used directly as roundwood for construction. The aim of this study was to determine the natural durability of 8 candidate species for use as structural roundwood in French Guiana: Goupia glabra, Licania alba, Hymenopus heteromorphus, Lecythis persistens, Oxandra asbeckii, Pouteria bangii, Simarouba amara, Tachigali melinonii and Virola surinamensis. Samples of their wood were exposed to white rot (European and tropical), brown rot (European), and European subterranean termites (using non-choice and multi-choice tests) in laboratory conditions and subjected to screening tests adapted from European standards. Only two species were classified as durable against both fungi and termites: L. alba and P. bangii, which means they can be used without treatment as building material in tropical or temperate climates. The other species tested were classified (1) as durable but with notable differences observed in their resistance to fungi and termites respectively (G. glabra, L. persistens, O. asbeckii), (2) moderately durable (H. heteromorphus), (3) low durability to sensitive (T. melinonii, S. amara, V. surinamensis), meaning actual European standards would not let use these last species in outdoor structures without protection, despite their use by local population in traditional building. However, they could be used for building purposes with appropriate protection systems (including wood protection). The results we obtained for resistance to wood decay provide essential information to assess the potential of these eight tree species in French Guiana’s construction sector.

Researching COVID to enhance recovery (RECOVER) pregnancy study: Rationale, objectives and design.

Pregnancy induces unique physiologic changes to the immune response and hormonal changes leading to plausible differences in the risk of developing post-acute sequelae of SARS-CoV-2 (PASC), or Long COVID. Exposure to SARS-CoV-2 during pregnancy may also have long-term ramifications for exposed offspring, and it is critical to evaluate the health outcomes of exposed children. The National Institutes of Health (NIH) Researching COVID to Enhance Recovery (RECOVER) Multi-site Observational Study of PASC aims to evaluate the long-term sequelae of SARS-CoV-2 infection in various populations. RECOVER-Pregnancy was designed specifically to address long-term outcomes in maternal-child dyads. RECOVER-Pregnancy cohort is a combined prospective and retrospective cohort that proposes to enroll 2,300 individuals with a pregnancy during the COVID-19 pandemic and their offspring exposed and unexposed in utero, including single and multiple gestations. Enrollment will occur both in person at 27 sites through the Eunice Kennedy Shriver National Institutes of Health Maternal-Fetal Medicine Units Network and remotely through national recruitment by the study team at the University of California San Francisco (UCSF). Adults with and without SARS-CoV-2 infection during pregnancy are eligible for enrollment in the pregnancy cohort and will follow the protocol for RECOVER-Adult including validated screening tools, laboratory analyses and symptom questionnaires followed by more in-depth phenotyping of PASC on a subset of the overall cohort. Offspring exposed and unexposed in utero to SARS-CoV-2 maternal infection will undergo screening tests for neurodevelopment and other health outcomes at 12, 18, 24, 36 and 48 months of age. Blood specimens will be collected at 24 months of age for SARS-CoV-2 antibody testing, storage and anticipated later analyses proposed by RECOVER and other investigators. RECOVER-Pregnancy will address whether having SARS-CoV-2 during pregnancy modifies the risk factors, prevalence, and phenotype of PASC. The pregnancy cohort will also establish whether there are increased risks of adverse long-term outcomes among children exposed in utero. Clinical Trial Registration: http://www.clinicaltrials.gov. Unique identifier: NCT05172011.

Prospective Study of a System-Wide Adrenal Incidentaloma Quality Improvement Initiative.

Appropriate follow-up of incidental adrenal masses (IAMs) is infrequent. We implemented a quality improvement (QI) program to improve management of IAMs. This system-wide initiative targeted primary care providers (PCPs) after IAM detection. It incorporated (1) chart-based messages and emails to PCPs, (2) an evidence-based IAM evaluation algorithm, (3) standardized recommendations in radiology reports, and (4) access to a multispecialty adrenal clinic. Patients diagnosed with an IAM from January 1, 2018, to December 31, 2019, were prospectively included (the "QI cohort") and compared with a historical, preintervention cohort diagnosed with IAMs in 2016. The primary outcomes were the initiation of an IAM investigation by the PCP, defined as relevant clinical history-taking, laboratory screening, follow-up imaging, or specialist referral. The QI cohort included 437 patients and 210 in the historical cohort. All patients had 12 months or more of follow-up. In the QI cohort, 35.5% (155 of 437) met the primary endpoint for PCP-initiated evaluation, compared with 27.6% (58 of 210) in the historical cohort (p = 0.0496). Among the subgroup with a documented PCP working within our health system, 46.3% (74 of 160) met the primary endpoint in the QI cohort vs 33.3% (38 of 114) in the historical cohort (p = 0.035). After adjusting for insurance status, presence of current malignancy, initial imaging setting (outpatient, inpatient, or emergency department), and having an established PCP within our health system, patients in the QI cohort had 1.70 times higher odds (95% CI 1.16 to 2.50) of undergoing a PCP-initiated IAM evaluation. Adrenal surgery was ultimately performed in 2.1% (9 of 437) of QI cohort patients and 0.95% (2 of 210) of historical cohort patients (p = 0.517). This simple, moderately labor-intensive QI intervention was associated with increased IAM evaluation initiated by PCPs.

Development and Validation of a Risk-Prediction Nomogram for Preoperative Blood Type and Antibody Testing in Spinal Fusion Surgery.

With advancements in minimally invasive techniques, the use of spinal fusion surgery is rapidly increasing and transfusion rates are decreasing. Routine preoperative ABO/Rh blood type and antibody screening (T&S) laboratory tests may not be appropriate for all spinal fusion patients. Herein, we constructed a nomogram to assess patient transfusion risk based on various risk factors in patients undergoing spinal fusion surgery, so that preoperative T&S testing can be selectively scheduled in appropriate patients to reduce healthcare and patient costs. Patients who underwent spinal fusion surgery between 01/2020 and 03/2023 were retrospectively examined and classified into the training (n = 3533, 70%) and validation (n = 1515, 30%) datasets. LASSO and multivariable logistic regression were used to analyze risk factors for blood transfusion. Nomogram predictive model was built according to the independent predictors and mode predictive power was validated using consistency index (C-index), Hosmer-Lemeshow (HL) test, calibration curve analysis and area under the curve (AUC) for receiver operating characteristic (ROC) curve. Bootstrap resampling was used for internal validation. Decision curve analysis (DCA) was applied to evaluate the model's performance in the clinic. Being female, age, BMI, admission route, critical patient, operative time, heart failure, end-stage renal disease or chronic kidney disease (ESRD or CKD), anemia, and coagulation defect were predictors of blood transfusion for spinal fusion. A prediction nomogram was developed according to a multivariate model with good discriminatory power (C-index = 0.887); Bootstrap resampling internal validation C-index was 0.883. Calibration curves showed strong matching between the predicted and actual probabilities of the training and validation sets. HL tests for the training and validation sets had p-values of 0.327 and 0.179, respectively, indicating good calibration. When applied to the training set, the following parameters were found: AUC: 0.895, 95% CI: 0.871-0.919, sensitivity 78.2%, specificity 86.7%, positive predictive value 29.4% and negative predictive value 98.2%. If the model were applied in the training set, 2911 T&S tests (82.4%) would be eliminated, equaling a RMB349,320 cost reduction. The AUC in the internal validation was: 0.879, 95% CI: 0.839-0.927, sensitivity 75.2%, specificity 88.8%, positive predictive value 34.3%, negative predictive value 97.9%, would eliminate 1276 T&S tests (84.2%), saving RMB 153,120. The DCA curve indicated good clinical application value. The nomogram based on 10 independent factors can help healthcare professionals predict the risk of transfusion for patients undergoing spinal fusion surgery to target preoperative T&S testing to appropriate patients and reduce healthcare costs.