Standard Test Research Articles

Testing gravity through the distortion of time

The accelerated expansion of the Universe might be due to modifications in the laws of gravity on very large scales. We showed that standard tests of gravity based on the observed motions of galaxies are insufficient and must be extended by including measurements of another effect: the distortion of time.

Congenital deafness and vestibular disorders: a systematic literature review.

Congenital deafness is a pathological entity that represents an economical and social burden, affecting up to 0.2% of newborns in Europe. Sensorineural hearing loss (SHL) is caused by a variety of factors, including congenital abnormalities, perinatal infectious diseases and genetic syndromes. The inner ear's vestibular system, nestled alongside the auditory organs, is crucial for balance maintenance. Its close connection with the auditory system means that disturbances in one often coincide with disturbances in the other, highlighting their intertwined functions. With this review we aim to describe objective vestibular tests found in literature and to study their use for diagnosis of vestibular disturbances in patients affected by congenital deafness. The review is conducted with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) 2020 guidelines. The search string used was: [(congenital deafness) OR (congenital hearing loss) OR (congenital hypoacusia)] AND [(vestibular disorders) OR (vertigo)]. An initial abstract reading selection was made, and a subsequent comprehensive full-text reading. For each article, we identified the type of vestibular test utilized and its corresponding outcome. Out of the initial-papers identified through the search string-articles met the eligibility criteria for further analysis through abstract and full-text reading. After further selection-articles were chosen for detailed examination, focusing on the data of patients. Congenital hearing loss profoundly affects a child's development, especially in language and communication skills, and it is frequently associated with a pathological vestibular system. Early identification allows timely intervention with personalized therapies. In current literature, there is still no gold standard test to identify balance disorders in patients with congenital hearing loss. There is considerable variability on the subject due to the inclusion of diverse patients with various diagnoses, alongside a wide range of available technologies. Managing such conditions necessitates collaboration among healthcare providers, ensuring comprehensive care through prompt diagnosis and personalized treatment plans. Ongoing research aims to further improve screening methods and develop precision medicine approaches tailored to individual needs.

Comparison of a dual antibody and antigen HCV immunoassay to standard of care algorithmic testing.

The Centers for Disease Control and Prevention (CDC) guidelines for hepatitis C virus (HCV) testing, although effective, may miss crucial diagnostic opportunities. The goal of this study was to assess the utility of an antibody (Ab) and antigen (Ag) combination immunoassay as an alternative to traditional HCV screening. Remnant specimens from 1,341 patients with concurrent third-generation serologic (Roche anti-HCV-II) and nucleic acid amplification testing (NAAT) were assessed using the HCV Duo Ab/Ag immunoassay (Roche). Patient demographics, risk factors, and standard of care (SOC) laboratory results from the medical records were recorded. Overall, 99.0% (197/199) of the HCV Duo Ab+/Ag+specimens accurately identified active infections as confirmed by NAAT, and 99.9% (670/671) Ab-/Ag- samples corresponded to those without HCV infections. Individually, the HCV Duo Ab component demonstrated a 95.6% positive percent agreement (PPA) (95% CI = 93.8-96.9) and 99.1% negative percent agreement (NPA) (98.8-99.6) compared with SOC anti-HCV II Ab assay. The HCV Duo Ag had a 73.5% PPA (67.9-78.4) and 99.8% NPA (99.3-100) with NAAT. Among RNA+ specimens, 73.4% (197/267) were HCV Duo Ag+, and 265/267 (99.3%) were successfully detected on the HCV Duo Ab component. Notably, 5/7 (71.4%) Ab-/RNA +specimens were detected by HCV Duo, which would have been missed by traditional algorithmic testing. Fourth generation HCV Duo Ab/Ag assay demonstrated comparable performance to SOC testing and shortens the diagnostic window but does not eliminate the need for NAAT in all patients. Ab/Ag testing identified several Ab-/RNA+ cases, a subgroup often undiagnosed by current algorithmic testing, demonstrating promise for improved diagnostic efficiency and accuracy in HCV detection.IMPORTANCEThis study highlights the potential of a combined hepatitis C virus (HCV) Duo antibody (Ab) and antigen (Ag) immunoassay to improve early detection of HCV infections. Traditional Ab-only screening methods recommended by the Centers for Disease Control and Prevention may miss early-stage infections. The HCV Duo assay showed high accuracy, detecting nearly all active infections confirmed by nucleic acid amplification testing. Dual detection of HCV Ab and Ag shortens the diagnostic window, enabling intervention and treatment in a single visit, which is crucial for improving patient outcomes and reducing HCV transmission, especially in areas with limited access to confirmatory molecular testing.

Combination of exhaled breath condensate samples with lipoarabinomannan point of care assay for pulmonary tuberculosis (TB) diagnosis: protocol for a diagnostic accuracy study

IntroductionThe WHO estimates a gap of about 30% between the incident (10.6 million) and notified (7.5 million) cases of tuberculosis (TB). Combined with the growing recognition in prevalence surveys of...

Doublecortin-immunoreactive neurons in the piriform cortex are sensitive to the long lasting effects of early life stress.

The olfactory system is a niche of continuous structural plasticity, holding postnatal proliferative neurogenesis in the olfactory bulbs and a population of immature neurons in the piriform cortex. These neurons in the piriform cortex are generated during embryonic development, retain the expression of immaturity markers such as doublecortin, and slowly mature and integrate into the olfactory circuit as the animal ages. To study how early life experiences affect this population of cortical immature neurons, we submitted mice of the C57/Bl6J strain to a protocol of maternal separation for 3 h per day from postnatal day 3 to postnatal day 21. Control mice were continuously with their mothers. After weaning, mice were undisturbed until 6 weeks of age, when they were weighted and tested in the elevated plus-maze, a standard test for anxiety-like behavior, to check for phenotypical effects. Mice were then perfused, and their brains processed for the immunofluorescent detection of doublecortin and the endogenous proliferation marker Ki67. We found that maternal separation induced a significant increase in the body weight of males, but not females. Further, maternally separated mice displayed increased exploratory-like behavior (i.e., head dipping, velocity and total distance traveled in the elevated plus maze), but no significant differences in anxiety-like behavior or corticosterone levels after behavioral testing. Finally, we observed a significant increase in the number of complex doublecortin neurons in the piriform cortex, but not in the olfactory bulbs, of mice submitted to maternal separation. Interestingly, most doublecortin neurons in the piriform cortex, but not the olfactory bulb, express the epigenetic reader MeCP2. In summary, mild early life stress results, during adolescence, in a male-specific increase in body weight, alteration of the exploratory behaviors, and an increase in doublecortin neurons in the piriform cortex, suggesting an alteration in their maturation process.

PSIX-5 Performance of black soldier fly larvae meal as secondary protein sources in extruded dog diets

Abstract Black soldier fly larvae meal (BSFL) has gained market exposure with ties to sustainability and novelty. Graded inclusions of BSFL were assessed for nutrient digestibility, stool quality, and palatability in adult dogs. The BSFL was included at 0%, 5% and 10% in chicken-based extruded dog diets (formulated to 22% crude protein, 13% crude fat, 3% crude fiber). The study was approved by the facility’s Institutional Animal Care and Use Committee. A standard 2-bowl palatability test over a 2-d period was executed (n = 30 dogs each) to determine intake ratios between diets (0% vs. 5%, 0% vs. 10%, and 5% vs. 10%). Total tract nutrient digestibility was evaluated (n = 6 dogs per diet) with 5 d acclimation followed by 5 d total fecal collection. Stool quality was evaluated on a 1 to 5 scale. Palatability data were analyzed using paired t-test. To test for mean differences in digestibility and stool quality outcomes between 0%, 5%, and 10% BSFL dogs, we applied the Kruskal-Wallis test. Statistical significance was set at 5% type 1 error rate. Dry matter, protein, fat, and energy digestibility, and stool quality were similar between all diets (P > 0.05). Palatability was improved (P < 0.05) with inclusion of BSFL (i.e., preference for 5% and 10% vs. 0% inclusion) and improved (P < 0.05) at 10% vs. 5% inclusion. The BSFL tested showed merit as a palatable ingredient source that maintains stool quality and digestibility in adult dogs.

Distribution of chaperone-usher fimbriae and curli fimbriae among uropathogenic Escherichia coli

BackgroundIn the present study, we aimed to determine the frequency of the csgA, fimH, mrkD, foc, papaGI, papGII and papGIII genes, to provide and to design fimbrial adhesin gene (FAG) patterns and profiles for the isolated uropathogenic Escherichia coli (UPEC) strains.MethodsThe enrollment of 108 positive urine samples was performed during seven months, between January 2022 and July 2022. The UPEC strains were confirmed through the standard microbiological and biochemical tests. The antimicrobial susceptibility test was performed through the Kirby–Bauer disc diffusion method. Molecular screening of FAGs was done through the polymerase chain reaction technology. The statistical analyses including chi square and Fisher’s exact tests were performed to interpret the obtained results in the present study.ResultsAs the main results, the antimicrobial resistance (AMR) patterns,multi- (MDR) and extensively drug-resistance (XDR) patterns and FAG patterns were designed and provided. fimH (93.3%), csgA (90.4%) and papG (37.5%) (papGII (30.8%)) genes were recognized as the top three FAGs, respectively. Moreover, the frequency of csgA-fimH gene profile was identified as the top FAG pattern (46.2%) among the others. The isolates bearing csgA-fimH gene profile were armed with a versatile of phenotypic AMR patterns. In the current study, 27.8%, 69.4% and 1.9% of the UPEC isolates were detected as extended-spectrum ß-lactamases (ESBLs) producers, MDR and XDR strains, respectively.ConclusionsIn conclusion, detection, providing and designing of patterns and profiles in association with FAGs, AMR feature in UPEC strains give us an effective option to have a successful and influential prevention for both of UTIs initiation and AMR feature.

Statistical analysis of parameters affecting Legionella and total cell growth in premise plumbing systems within buildings: A field study based on an empirical data set

During the storage and distribution of water in buildings, the excessive growth of pathogens can deteriorate the quality of drinking water. This study aims to investigate the factors influencing this growth and propose technical measures for prevention. The analysis is based on an empirical data set comprising 1361 samples from 204 domestic premise plumbing systems. In 14 systems, ultrafiltration plants were installed as microbiological barriers. Legionella cultivation and flow cytometry were used to determine microbiological properties. The study identified elevated total cell counts in tapping valves and pipe end lines in numerous premise plumbing systems, indicating prolonged water stagnation prior to sampling, which facilitates microbiological growth. Higher contamination rates were observed in these systems, with peripheral taps often being contaminated in lieu of the entire system. These systems were classified as microbiologically unstable due to the relevantly higher total cell numbers at hot water taps compared to the hot water tank (>25%). Furthermore, these systems exhibited a Legionella contamination rate that was 22.3% higher than in microbiologically stable systems. In some cases, peripheral contaminations may not accurately represent the entire premise plumbing system. Increasing the discard volume during sampling from 1 L to 3–5 L could provide more precise results during standard testing. Legionella species were primarily detected in the first 1 L of water after tap activation. Additionally, statistically significant relationships were observed between direct temperature and total cell number, as well as between the presence of ultrafiltration and total cell numbers at cold water taps.

Prevalence of Non-typhoidal Salmonella Species in Food and Stool Samples in Port Harcourt, Rivers State, Nigeria

Aim: To assess the prevalence of Non-Typhoidal Salmonella spp isolated from food and stool samples in Port Harcourt. Study Design: This was a cross-sectional study with simple randomized sampling. Methodology: In this study, 210 stool samples and 210 food samples collected from December 2022 to November 2023 were tested for Salmonella using standard bacteriological and biochemical tests. The Salmonella species were isolated from the samples using Salmonella-Shigella agar (SSA), and Bismuth Sulfite Agar (BSA) after pre-enrichment and enrichment methods had been carried out using peptone water and Selenite F Broth after which biochemical tests were carried out for further identification. Data collected was analyzed with Graph pad prism version 8. Results: The prevalence and distribution of Salmonella were presented in frequencies and percentages with all analysis done at a 95% confidence interval and P-values less than .05 were considered significant. From chi-square analysis there was a 3.3% prevalence rate in food samples in comparison to stool samples that had a 2.4% prevalence (P value = .56). A higher prevalence was also reported in the female subjects (3.7%) compared to the male subjects (1.0%) (P value = .19). There was a statistically significant difference in relation to the age groups with the ‘above 50’ and ‘0 – 10’ age groups having a higher prevalence (11.1% and 10% respectively) compared to other age groups (P value = .02). For the food samples, samples in the chicken category had the highest prevalence (8.7%) (P value = 0.11). Conclusion: This study reports a relatively lower prevalence of Non-Typhoidal Salmonella species at 2.9% with the age, education and occupation of the subjects being significantly associated (P value < .05) with the prevalence of the infection. Health promotion and appropriate surveillance system should be put in place to continually reduce the burden of this disease.

Differential genotoxicity of Polygoni Multiflori in rat and human: insights from Ames test and S9 metabolic activation system

The Ames test is used worldwide to initially screen the mutagenic potential of new chemicals. In the standard Ames test, S. typhimurium strains (TA100, TA98, TA1535, and TA1537) and Escherichia coli (WP2uvrA) are treated with substances with/without cytochrome P450s (CYPs)-induced rat S9 fractions for identifying mutagens and pro-mutagens. However, many substances show completely different toxicity patterns depending on whether the liver S9 fraction belongs to rats or humans. The natural product Polygoni Multiflori Radix (PMR) can also show bacterial reverse mutation, followed by the rat or human liver S9 fraction. While PMR elicits reverse mutations in the TA1537 strain in rat liver S9 but not in human liver S9, this mechanism has not been verified yet. To explain this, the differences in metabolic enzymes compositions commonly observed between rats and humans have been implicated. This study aimed to explore the key factors that cause differences in the genotoxicity of PMR between rat and human liver S9 metabolic enzymes. The results of next-generation sequencing (NGS) analysis showed that both rat and human metabolic enzymes caused similar mutations in TA1537. However, when the metabolic enzymes in each S9 fraction were analyzed using ion mobility tandem mass spectrometry (IM-MS), rat- and human-specific enzymes were identified among the cytochrome (CYP) family, especially aryl hydrocarbon receptor (AHR)-related CYPs. These findings suggest that CYP1A1 isoforms contribute to the mechanism of PMR in the Ames test. Therefore, an in vitro Ames test might be more reliable in predicting genotoxicity for both rodents and humans. This will also help overcome the limitations of laboratory animal-based toxicity evaluations, which provide unreliable results due to interspecies differences between humans and rodents.

Accelerated Exosomal Metabolic Profiling Enabled by Robust On-Target Array Sintering with Metal-Organic Frameworks.

Pancreatic cancer is highly lethal, and survival chances improve only with early detection at a precancerous stage. However, there remains a significant gap in developing tools for large-scale, rapid screening. To this end, a high-throughput On-Target Array Extraction Platform (OTAEP) by direct sintering of a series of metal-organic frameworks (MOFs) for dual in situ extraction, encompassing both exosomes and their metabolic profiles, is developed. Based on the principle of geometry-dependent photothermal conversion efficiency and standard testing, the appropriate MOF functional unit is identified. This unit enables exosome enrichment within 10 min and metabolic fingerprint extraction in under 1 s of laser irradiation, with over five reuse. To further accelerate and enhance the quality of metabolic profile analysis, the application of Surrogate Variable Analysis to eliminate hidden confounding factors within the profiles is proposed, and five biomarkers demonstrated by MS/MS experiments are identified. These biomarkers enable early diagnosis, risk stratification, and staging of pancreatic cancer simultaneously, with sensitivity of 94.1%, specificity of 98.8%, and precision of 94.9%. This work represents a breakthrough for overcoming throughput challenges in large-scale testing and for addressing confounding factors in big data analysis.

Effects of elevated temperature and treatment duration on selected index and engineering properties of lateritic soils

Lateritic soils are important to various engineering applications, especially in tropical regions, where they serve as key components in road construction, embankments, and other geotechnical structures. This study investigated the combined effects of elevated temperature and heating duration on the index and engineering properties of lateritic soils derived from two distinct parent rocks (charnockite and quartzite) in Ado-Ekiti, Nigeria. Disturbed lateritic soil samples were heated in a furnace at various temperatures (100, 200, 300, and 400 °C) for two designated durations (2 and 3 h). Standard geotechnical tests were conducted to evaluate Atterberg limits, compaction parameters, and unconfined compressive strength. The results showed that elevated temperature led to a decrease in the plastic limit, liquid limit, plasticity index, optimum moisture content (OMC), and UCS for both soils, though the extent varied between the two parent rocks. For instance, at 400 °C for 3 h, the plasticity index decreased by 47.82% for charnockite-derived soil and 55.22% for quartzite-derived soil. At the same temperature for 2 h, it decreased by 38.79% for charnockite-derived soil and 48.92% for quartzite-derived soil. Similarly, UCS decreased by 29.83% for charnockite-derived soil and 25.97% for quartzite-derived soil at 400 °C for 3 h, while at 400 °C for 2 h, UCS decreased by 21.20% for charnockite-derived soil and 23.48% for quartzite-derived soil. Conversely, maximum dry density (MDD) increased with temperature, rising by up to 20.64% for charnockite-derived soil and 14.66% for quartzite-derived soil at 400 °C for 3 h, and by 18.29% for charnockite-derived soil and 12.62% for quartzite-derived soil at 400 °C for 2 h. Longer heating durations (3 h) generally caused more pronounced changes in soil properties compared to shorter durations (2 h). For instance, OMC decreased by 13.41% for charnockite and 14.18% for quartzite at 400 °C for 3 h compared to a 2-h duration. Statistical analyses indicated that temperature had a significant influence on most properties, while the effect of heating duration was less consistent. These findings highlight the need to consider both temperature and heating duration when evaluating the engineering behavior of lateritic soils exposed to elevated temperatures. Practical implications include potential adjustments in construction practices and design parameters for road construction and embankments in regions prone to high temperatures, such as those experiencing frequent forest fires.

B - 88 Depression Mediates Right Cingulum-Hippocampal Integrity and Logical Memory Performance in Spanish-Speaking Mexican Americans

Abstract Objective To investigate whether depression mediates the relationship between right cingulum-hippocampal integrity and Logical Memory I (LM I) in Spanish-speaking Mexican Americans. Method Participants were 456 Spanish-speaking Mexican Americans (70.2% female; mean age = 63.3 years, SD = 8.05; mean education = 6.75 years, SD = 3.96) from the Health & Aging Brain Study - Health Disparities (HABS-HD). They underwent standard neuropsychological testing and MRI scans. Right cingulum-hippocampal integrity was measured using mean diffusivity. Depression was measured by the Geriatric Depression Scale (GDS). Results The total effect of right cingulum-hippocampal integrity on LM 1 performance was significant [F(1, 413} = 15.24; p < 0.001; r2 = 0.04; 95% CI = −6589.52, −2175.98]. Among the participants, 32.1% of participants reported depressive symptoms on the GDS, while only 21.1% received a clinical diagnosis. Depression demonstrated a significant indirect effect on LM 1 total score [B = −345.19; 95% CI = −811.34, −36.97]. The direct effect of right cingulum-hippocampal integrity on memory function remained significant [B = −4037.56; p < 0.001; 95% CI = −6243.45, −1831.66] even after accounting for depression. Conclusions Depression partially mediated the relationship between right cingulum-hippocampal integrity and LM 1 performance. This suggests that the effect of right cingulum-hippocampal integrity on memory encoding is modulated by depression severity. However, a significant direct effect remained even after accounting for depression, indicating independent contributions of both factors. Further research is needed to examine additional variables that may influence the relationship between right cingulum-hippocampal integrity and LM 1 performance.

Audiogram Estimation Performance Using Auditory Evoked Potentials and Gaussian Processes.

Auditory evoked potentials (AEPs) play an important role in evaluating hearing in infants and others who are unable to participate reliably in behavioral testing. Discriminating the AEP from the much larger background activity, however, can be challenging and time-consuming, especially when several AEP measurements are needed, as is the case for audiogram estimation. This task is usually entrusted to clinicians, who visually inspect the AEP waveforms to determine if a response is present or absent. The drawback is that this introduces a subjective element to the test, compromising quality control of the examination. Various objective methods have therefore been developed to aid clinicians with response detection. In recent work, the authors introduced Gaussian processes (GPs) with active learning for hearing threshold estimation using auditory brainstem responses (ABRs). The GP is attractive for this task, as it can exploit the correlation structure underlying AEP waveforms across different stimulus levels and frequencies, which is often overlooked by conventional detection methods. GPs with active learning previously proved effective for ABR hearing threshold estimation in simulations, but have not yet been evaluated for audiogram estimation in subject data. The present work evaluates GPs with active learning for ABR audiogram estimation in a sample of normal-hearing and hearing-impaired adults. This involves introducing an additional dimension to the GP (i.e., stimulus frequency) along with real-time implementations and active learning rules for automated stimulus selection. The GP's accuracy was evaluated using the "hearing threshold estimation error," defined as the difference between the GP-estimated hearing threshold and the behavioral hearing threshold to the same stimuli. Test time was evaluated using the number of preprocessed and artifact-free epochs (i.e., the sample size) required for locating hearing threshold at each frequency. Comparisons were drawn with visual inspection by examiners who followed strict guidelines provided by the British Society of Audiology. Twenty-two normal hearing and nine hearing-impaired adults were tested (one ear per subject). For each subject, the audiogram was estimated three times: once using the GP approach, once using visual inspection by examiners, and once using a standard behavioral hearing test. The GP's median estimation error was approximately 0 dB hearing level (dB HL), demonstrating an unbiased test performance relative to the behavioral hearing thresholds. The GP additionally reduced test time by approximately 50% relative to the examiners. The hearing thresholds estimated by the examiners were 5 to 15 dB HL higher than the behavioral thresholds, which was consistent with the literature. Further testing is still needed to determine the extent to which these results generalize to the clinic. GPs with active learning enable automatic, real-time ABR audiogram estimation with relatively low test time and high accuracy. The GP could be used to automate ABR audiogram estimation or to guide clinicians with this task, who may choose to override the GP's decisions if deemed necessary. Results suggest that GPs hold potential for next-generation ABR hearing threshold and audiogram-seeking devices.

VOC emission rates from an indoor surface using a flux chamber and PTR-MS

Arising from the Chemical Assessment of Surfaces and Air (CASA) 2022 study at the National Institute of Standards and Technology (NIST) Net-Zero Energy Residential Test Facility (NZERTF), this paper presents the first evaluation of indoor surface emissions to a house measured with a surface flux chamber coupled to an online, non-targeted volatile organic compound (VOC) mass spectrometric detection. These surface emissions are compared to those assessed using ambient, whole house indoor VOC measurements and the outdoor air change rate. Chamber emission rates varied by almost four orders of magnitude across 35 quantified VOCs. The whole house emissions measured by campaign-long ambient measurements and the flux chamber emissions (when scaled to the painted surface area of the house) are similar, with an average ratio between the two of 1.3 ± 1.0. The general agreement between these two approaches indicates that the flux chamber was not solely measuring primary emissions from building materials located below the chamber. Rather, the results suggest that over the 12-year house lifetime, VOCs have been widely distributed around the house, migrating from their primary sources to secondary surface reservoirs. With the house in a quasi-steady state, the thermodynamic activities (i.e., the vapor pressures) of the VOCs within the different reservoirs become similar. Emissions of aromatics and monoterpenes have declined since the house was built, whereas aldehyde emissions have remained relatively constant.

A Deployable Viscoelastic Coagulation Monitor Enables Point-of-Care Assessment of Coagulopathy in Swine With Polytrauma.

Absence of pre-hospital coagulation tests challenges prompt management of hemostasis after trauma. The Viscoelastic Coagulation Monitor (VCM, Entegrion, Durham, NC) is a hand-held coagulation test for point-of-care. We evaluated VCM in a translational swine polytrauma model, hypothesizing that VCM correlates with a laboratory reference method, the TEG 5000 (Haemonetics, Boston, MA), and can identify coagulopathic phenotypes relevant to trauma. Our secondary hypothesis was that pre-warming of VCM disposable test cartridges using a heating plate versus pre-warming of cartridges by carrying the cartridge in the user's pocket does not significantly alter results. This study was conducted in tandem with a parent study involving anesthetized, mechanically ventilated swine (n = 20; 54 ± 5 kg) that encountered traumatic brain injury, pulmonary contusion and hemorrhage, or combination/polytrauma injury. Blood was collected at baseline, post-injury, post-shock, post-transfusion, and 6-, 24-, and 48 h post-injury to perform VCM at point-of-care. Within-group effect of time was assessed. Spearman correlation examined linear relations between VCM and standard laboratory-based coagulation tests; as well as lactate, ionized calcium, and body temperature. Logistic regression examined predictiveness of VCM to identify coagulopathic phenotypes, with receiver operator characteristic curves generated to assess diagnostic capability. At a subset of timepoints, necessity of pre-warming the VCM test cartridge using a heating plate versus pre-warming the cartridge by placement in the user's pocket was assessed by conducting simultaneous tests on two separate instruments, with results analyzed by paired t-test with crossover design. VCM revealed time-dependent changes in clotting time, clot formation time (CFT), alpha, maximum clot firmness (MCF), and lysis index (LI30). All VCM metrics correlated with the respective TEG 5000 metrics, with strongest correlation for VCM MCF with TEG MA (rhos = 0.77, P < .0001) and VCM LI30 with TEG LY30 (rhos = -0.76, P < .0001). VCM demonstrated good (area under the curve >0.70) to excellent (area under the curve >0.90) diagnostic accuracy in detection of low platelet count (MCF), low hematocrit (clotting time, clot formation time, alpha, and MCF), low fibrinogen (MCF), and high fibrinogen (alpha, MCF). There was no statistically or clinically relevant effect of cartridge warming method on results. In a trauma model, VCM detected significant changes in coagulation at point-of-care in a simplified portable form factor. VCM could enable informed hemostasis management in pre-hospital settings where coagulations tests are unavailable, pending further validation in clinical trials.

Vasculitis associated with psoriatic arthritis: a case report

BackgroundPsoriatic arthritis is a chronic inflammatory condition associated with psoriasis, which affects joints. The coexistence of vasculitis, an inflammation of blood vessels, with psoriatic arthritis is rare, highlighting a complex interplay between autoimmune diseases that affect both joints and vascular structures.Case presentationWe report on a 56-year-old male with a long-standing history of psoriasis and psoriatic arthritis, who presented with new-onset skin lesions and neurological symptoms. Clinical evaluations confirmed the presence of leukocytoclastic vasculitis and asymmetric sensory motor axonal neuropathy. The absence of positive results from various standard tests led to a challenging diagnostic process, ultimately pointing towards vasculitis associated with psoriatic arthritis. The patient was treated with corticosteroids and immunosuppressive therapy, leading to partial symptom improvement.ConclusionsThis case underlines the complex and often overlapping nature of autoimmune conditions, particularly the occurrence of vasculitis in patients with psoriatic arthritis, which is rare. It stresses the importance of considering vasculitis in patients with psoriatic arthritis who present with unexplained skin lesions and neurological symptoms. This case adds to the spectrum of psoriatic disease manifestations and suggests a need for further research to explore the underlying mechanisms and improve management strategies.

Clinical validation of the Roche cobas HPV test on the Roche cobas 5800 system for the purpose of cervical screening.

This study assessed the relative clinical sensitivity and specificity, as well as reproducibility, for high-risk HPV types of the Roche cobas HPV test when processed using the Roche cobas 5800 system. The results from this study demonstrate that the cobas HPV test using the cobas 5800 system fulfils the Meijer criteria for use in population-based cervical screening. This clinical validation study also examines the clinical sensitivity and specificity based on partial genotyping, with separate detection of HPV16 and HPV18, compared with the Roche cobas 4800 HPV test, a second-generation standard comparator assay. The cobas HPV test has a relative clinical sensitivity of 1.000, when compared with the cobas 4800 HPV test to detect histologically confirmed CIN2+ lesions in woman aged 30 years or older, with a relative clinical specificity of 0.995. The general intra- and inter-laboratory agreement for the cobas HPV test on the cobas 5800 system for finding a HPV positive result were 99.1% and 99.6%, respectively.IMPORTANCEThis study demonstrates, for the first time, the clinical performance of the Roche cobas HPV test when processed using the new cobas 5800 system [cobas (5800)]. This study shows that the cobas (5800) demonstrates relative clinical sensitivity and specificity, when compared with a standard comparator HPV test, which meets the international HPV test validation requirements. Intra- and inter-laboratory reproducibility also fulfills these criteria. The current study demonstrates that the cobas (5800) can be used for primary HPV-based cervical screening on cervical specimens.

Central Venous Oxygen Saturation for Estimating Mixed Venous Oxygen Saturation and Cardiac Index in the ICU: A Systematic Review and Meta-Analysis.

The objectives of our systematic review and meta-analyses were to determine the diagnostic accuracy of central venous oxygen saturation (Scvo2) in estimating mixed venous oxygen saturation (Svo2) and cardiac index in critically ill patients. A systematic search using MEDLINE, Cochrane Central Register of Controlled Trials, and Embase was completed on May 6, 2024. Studies of patients in the ICU for whom Scvo2 and at least one reference standard test was performed (thermodilution and/or Svo2) were included. Individual patient data were used to calculate the pooled intraclass correlation coefficient (ICC) for Svo2 and Spearman correlation for cardiac index. The Quality Assessment of Diagnostic Accuracy Studies-2 and Grading Recommendations Assessment, Development, and Evaluation tools were used for the risk of bias and certainty of evidence assessments. Of 3427 studies, a total of 18 studies with 1971 patients were identified. We meta-analyzed 16 studies (1335 patients) that used Svo2 as a reference and three studies (166 patients) that used thermodilution as reference. The ICC for reference Svo2 was 0.83 (95% CI, 0.75-0.89) with a mean difference of 2.98% toward Scvo2. The Spearman rank correlation for reference cardiac index is 0.47 (95% CI, 0.46-0.48; p < 0.0001). There is moderate reliability for Scvo2 in predicting Svo2 in critical care patients with variability based on sampling site and presence of sepsis. There is limited evidence on the independent use of Scvo2 in predicting cardiac index.

Fabrication of Hybrid Epoxy Composites (Joint Compound Adhesive) for Aluminum Substrate Applications and Their Evaluation for Mechanical Properties.

This research endeavor deals with the development of an epoxy hybrid nanocomposite using aliphatic diglycidyl ether of a bisphenol A (DGEBA) epoxy matrix. The formulation used the stoichiometric ratio of the curing agent and incorporated nanopigments such as zirconium and silica, along with other microfillers. We incorporated Zr and SiO2 nanoparticles and various other additives in the epoxy matrix and ensured homogeneous dispersion by using sonication methodology along with silane as a coupling agent. Aluminum molds were utilized to fabricate dumbbell-shaped ASTM standard samples for the testing of mechanical properties. The adhesive properties were evaluated through standard lap shear tests. Fourier transform infrared spectroscopy was utilized to analyze the cross-linking reaction of the epoxy moiety and the polyamidoamine adduct curing agent. Further characterization using field emission scanning electron microscopy, energy-dispersive spectroscopy, and high-resolution transmission electron microscopy confirmed the presence and uniform dispersion of the fillers and nanopigments. The results showed good enhancements in ultimate tensile strength, yield strength, and elastic modulus of 95.3, 162.1, and 425.4%, respectively, compared to formulations using only SiO2. The addition of ZrO2 and SiO2, along with various microfillers, such as talc and aluminum silicate, led to significant improvements in the mechanical properties. This study demonstrates the synergistic efficiency of combining SiO2 and ZrO2 along with microfillers, such as talc and aluminum silicate, in epoxy resin for diverse applications in the construction industry, where mechanical strength and substrate adhesion are crucial.