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At least 199 records · Page 11Linked to original sources

Detection of ferricyanide as a probe for the effect of hematocrit in whole blood biosensors.

Measurement of the concentration of an analyte in whole blood can be influenced by a range of factors; the red cell content or hematocrit (Hct) of the sample, the distribution and rate of movement of analyte between red cells and plasma, the amount of protein in solution, the viscosity of the sample and fouling of the sensor. The effect of the red cells is the major factor that must be taken into account. Using the analyte molality rather than the analyte molarity, the theoretical response for a range of analytes which are found in plasma and in the red cells can be calculated. For an analyte which is found in plasma alone, the effect of hematocrit is significant, with a bias of -1% per %Hct; if the analyte can freely and rapidly diffuse between the red cells and plasma, this bias is reduced to zero. Using ferrocyanide as a model analyte, the effects of fouling and reduced sample viscosity were measured to be -0.2% per %Hct, giving an overall bias of -1.2% per %Hct, a level of bias which is not clinically acceptable. This bias can be negated by measuring the hematocrit separately and incorporating it into the measurement algorithm. Such a correction is essential for the correct measurement of the concentration of an analyte in whole blood.

Biosensing Techniques↗

Can saliva replace plasma for the monitoring of methadone?

The aims of this study were to determine the relationship between saliva and plasma methadone concentrations and the influence of variability in saliva pH. Saliva and plasma samples were taken before the daily dose of methadone in 60 patients undergoing methadone maintenance treatment (MMT). Saliva pH was measured immediately after sampling, and concentrations of (RS)-, (R)-, and (S)-methadone in saliva and plasma were assayed by LC/MS. In addition, unbound (R)- and (S)-methadone concentrations were measured in plasma samples by ultrafiltration. Plasma binding and pH differences between plasma and saliva were then used to estimate methadone saliva/plasma ratios and to compare them with observed values. Saliva pH ranged from 5.1 to 7.6 (mean +/- SD, 6.7 +/- 0.5). Plasma and saliva concentrations correlated weakly [(RS)-, r = 0.14, P = 0.007, n = 44; (R)-, r = 0.10, P = 0.04, n = 43; (S)-, r = 0.22, P = 0.002, n = 43], and the mean saliva-to-plasma methadone concentration ratios were 1.1 (+/-1.3 SD), 1.5 (+/-1.5), and 0.8 (+/-0.8), for (RS)-, (R)-, and (S)-methadone, respectively. Corresponding values based on unbound concentrations of methadone in plasma were 21 (+/-20.6, n = 31), 21 (+/-19, n = 34), and 17 (+/-15, n = 36). The salivary concentration-to-dose ratios showed statistically significant but weak inverse correlations with saliva pH [(RS)-, r = 0.27, P < 0.001; (R)-, r = 0.25, P < 0.001; (S)-, r = 0.29, P < 0.001, respectively]. There were significant correlations between predicted and observed saliva/plasma ratios [(RS)-, r = 0.44, P < 0.001, n = 31; (R)-, r = 0.58, P < 0.001, n = 32; (S)-, r = 0.10, P = 0.04, n = 34], but the mean predicted saliva concentrations were about 5 times lower than the mean observed values. The poor correlations between salivary and plasma methadone concentrations observed in this study are partly related to the effect of variable saliva pH. However, saliva pH explained only 10%-36% of the total variation. As a conclusion, monitoring methadone concentrations in saliva may not be a useful alternative to plasma concentration measurements. Correction for saliva pH measured immediately after collection improves the relationship between saliva and plasma methadone concentration, but most of the variation remains unexplained.

Adult↗

Time-of-day corrections in measures of aircraft noise exposure.

Results of a socio-acoustic study of human reaction to aircraft noise around Australian airports are described. The relative importance of night, evening, and daytime operations in determining overall reaction is assessed using a correlation analysis procedure. The results indicate that night-time weightings used in most existing noise exposure indices including NEF and DNL, are too large. However, other evidence suggests that both night and evening weightings should be greater than 0 dB. The optimal weightings found were about 3 dB for night-time operations and 9 dB for evening operations. However, other considerations indicate that in a practical noise index it may be more reasonable to apply a weighting of about 6 dB during both night and evening hours.

Aircraft↗

Do we measure bilirubin correctly anno 2005?

We observed 30% discrepancy between liquid chemistry and dry chemistry analysers for the determination of total bilirubin in human adult serum samples, which were consistent with a 20% overestimation and 10% underestimation relative to a Jendrassik-Grof reference method, respectively. In contrast, standard reference material SRM916, which was recently recommended as being the most suitable material for attaining interlaboratory agreement, shows very good agreement on both types of analysers, as well as close to 100% recovery with respect to the reference method. We show that the liquid vs. dry bilirubin discrepancies seem to originate in the presence of either conjugated or delta-bilirubin. Our observations make it clear that good interlaboratory (or inter-analyser) agreement between bilirubin reference materials does not guarantee the same for bilirubin concentrations in human serum samples.

Adult↗

[Correction of measurement errors in the ELISA test].

The authors followed the influence of the arrangement of measured and control samples on microtitration plate on the ELISA test results by quantitative evaluation of rabies antibodies titres in human blood serum. They performed the test under identical conditions in all microtitration plate wells. They calculated the result according to five calibration curves--four of them were obtained by different positioning of the control positive and negative sera and the fifth curve was obtained from average values. The results from the four various positional calibration curves were significantly statistically different from the average. However, the average calibration curve--obtained from four measurements--led to identical value of rabies antibodies in cases with different dilutions of sera. The authors propose to follow some principles of measured and control samples arrangement on microtitration plates in order to minimalize the errors, caused by their dishomogeneity. (Tab. 2, Fig. 3, Ref. 10.)

Antibodies, Viral↗