Comparison of commercial diagnostic tests for Helicobacter pylori antibodies

A number of serological tests measuring the presence of Helicobacter pylori-specific serum immunoglobulin G (IgG) are now commercially available. The aim of this study was to evaluate the clinical accuracy of five commercial H. pylori antibody tests: GAP-IgG (Biomerica), HELpTEST (AMRAD, Kew, Victoria, Australia), HELICO-G (Porton Cambridge), Pyloriset (Orion Diagnostica), and ROCHE (Roche Diagnostics). A total of 162 subjects presenting for routine upper endoscopy were studied. H. pylori was diagnosed if culture, histology, or both were positive. Ten milliliters of venous blood was collected at the time of endoscopy for serological assessment. The sensitivity and specificity of each test (GAP-IgG, HELpTEST, HELICO-G, Pyloriset, and ROCHE) were as follows: 83 and 79%, 92 and 77%, 86 and 65%, 89 and 56%, and 98 and 69%, respectively. Positive and negative predictive values were 97 and 83%, 90 and 91%, 76 and 83%, 68 and 84%, and 86 and 97%, respectively. The specificity of most tests increased by approximately 10% when sera from subjects less than 45 years old were examined. The number of sera falling into the grey zone for each test (an indeterminate result with respect to H. pylori status) varied between 2.5 and 19%. This study highlights the need for all serological kits to be independently evaluated on the population to be studied by testing against a microbiologically defined panel of H. pylori-positive and -negative sera

Enhancing Natural-Hazard Exposure Modeling Using Natural Language Processing: a Case-Study for Maltese Planning Applications

The algorithmic processing of written language for tools such as predictive text, sentiment analysis, and translation services has become commonplace. The segment of computer science concerned with the interpretation of human language, NLP (Natural Language Processing), is a versatile and fast-developing field. In this paper, NLP is deployed unconventionally to gather insights into a building's multi-hazard exposure characteristics consistent with the GED4ALL attributes. NLP is used in this study to "read" the contents of digitally-submitted planning applications made on the Maltese archipelago. Maltese architects/engineers submit a concise but detailed description of the proposed works on any given site as part of a planning process. It is suggested that valuable insights exist within this description that can assist in classifying buildings within the bounds of the GED4ALL taxonomy. NLP can be used to layer additional, building-by-building information onto existing exposure models based on more conventional data. Although the results of this study are preliminary, NLP may prove a valuable tool for enhancing exposure modeling for multi-hazard risk quantification and management

Regional Sign Language Varieties in Contact: Investigating Patterns of Accommodation

Short-term linguistic accommodation has been observed in a number of spoken language studies. The first of its kind in sign language research, this study aims to investigate the effects of regional varieties in contact and lexical accommodation in British Sign Language (BSL). Twenty-five participants were recruited from Belfast, Glasgow, Manchester, and Newcastle and paired with the same conversational partner. Participants completed a “spot-the-difference” task which elicited a considerable amount of contrasting regionally specific sign data in the participant-confederate dyads. Accommodation was observed during the task with younger signers accommodating more than older signers. The results are interpreted with reference to the relationship between language contact and lexical accommodation in BSL, and address how further studies could help us better understand how contact and accommodation contribute to language change more generally

Using conversational data to determine lexical frequency in British Sign Language: The influence of text type

This paper presents findings from an objective lexical frequency study in British Sign Language (BSL) based on 24,823 tokens collected as part of the BSL Corpus Project. The BSL study is only the fourth objective frequency study involving sign languages to be reported and is also the first study for any sign language to be based on entirely on spontaneous conversational data. When compared to previous frequency studies (both spoken and signed), some similarities can be observed although differences that may be attributed to text type are also recorded. When compared with subjective frequency ratings collected for BSL, a positive relationship is reported (similar to what has been observed for spoken languages). This is in contrast to a previous study which suggested a much weaker relationship between the two; however, this conclusion was based on a frequency count derived from narratives. These differences highlight the importance of using frequency measures derived from natural and spontaneous data, an opinion that has been emphasised in the spoken language literature

Reduction in urinary organophosphate pesticide metabolites in adults after a week-long organic diet

Background Conventional food production commonly uses organophosphate (OP) pesticides, which can have negative health effects, while organic food is deemed healthier because it is produced without these pesticides. Studies suggest that organic food consumption may significantly reduce OP pesticide exposure in children who have relatively higher pesticide exposure than adults due to their different diets, body weight, behaviour and less efficient metabolism. Objectives A prospective, randomised, crossover study was conducted to determine if an organic food diet reduces organophosphate exposure in adults. Methods Thirteen participants were randomly allocated to consume a diet of at least 80% organic or conventional food for 7 days and then crossed over to the alternate diet. Urinary levels of six dialkylphosphate metabolites were analysed in first-morning voids collected on day 8 of each phase using GC-MS/MS with detection limits of 0.11-0.51 ug/L. Results The mean total DAP results in the organic phase were 89% lower than in the conventional phase (M=0.032 [SD=0.038] and 0.294 [SD=0.435] respectively, p=0.013). For total dimethyl DAPs there was a 96% reduction (M=0.011 [SD=0.023] and 0.252 [SD=0.403] respectively, p=0.005). Mean total diethyl DAP levels in the organic phase were half those of the conventional phase (M=0.021 [SD=0.020] and 0.042 [SD=0.038] respectively), yet the wide variability and small sample size meant the difference was not statistically significant. Conclusions The consumption of an organic diet for one week significantly reduced OP pesticide exposure in adults. Larger scale studies in different populations are required to confirm these findings and investigate their clinical relevance

Adapting the Assessing British Sign Language Development: Receptive Skills Test into American sign language

Signed languages continue to be a key element of deaf education programs that incorporate a bilingual approach to teaching and learning. In order to monitor the success of bilingual deaf education programs, and in particular to monitor the progress of children acquiring signed language, it is essential to develop an assessment tool of signed language skills. Although researchers have developed some checklists and experimental tests related to American Sign Language (ASL) assessment, at this time a standardized measure of ASL does not exist. There have been tests developed in other signed languages, for example, British Sign Language, that can serve as models in this area. The purpose of this study was to adapt the Assessing British Sign Language Development: Receptive Skills Test for use in ASL in order to begin the process of developing a standardized measure of ASL skills. The results suggest that collaboration between researchers in different signed languages can provide a valuable contribution toward filling the gap in the area of signed language assessment

Detection of the United States Neisseria meningitidis urethritis clade in the United Kingdom, August and December 2019 - emergence of multiple antibiotic resistance calls for vigilance.

Since 2015 in the United States (US), the US Neisseria meningitidis urethritis clade (US_NmUC) has caused a large multistate outbreak of urethritis among heterosexual males. Its 'parent' strain caused numerous outbreaks of invasive meningococcal disease among men who have sex with men in Europe and North America. We highlight the arrival and dissemination of US_NmUC in the United Kingdom and the emergence of multiple antibiotic resistance. Surveillance systems should be developed that include anogenital meningococci

Centrifugation and capillarity integrated into a multiple analyte whole blood analyser

A unique clinical chemistry analyser is described which processes 90 μl of whole blood (fingerstick or venous) into multiple aliquots of diluted plasma and reports the results of 12 tests in 14 min. To perform a panel of tests, the operator applies the unmetered sample directly into a single use, 8 cm diameter plastic rotor which contains the required liquid diluent and dry reagents. Using centrifugal and capillary forces, the rotor meters the required amount of blood, separates the red cells, meters the plasma, meters the diluent, mixes the fluids, distributes the fluid to the reaction cuvettes and mixes the reagents and the diluted plasma in the cuvettes. The instrument monitors the reagent reactions simultaneously using nine wavelengths, calculates the results from the absorbance data, and reports the results