Creation of a 13-Item Bedside Dysphagia Screening Test

Dysphagia is a common problem that affects people with many health conditions and that can have serious complications. Various dysphagia screening tests exist; however, their creation was associated with certain weaknesses, e.g. none of them used “objective” instrumental tests (e.g., videofluoroscopy or flexible endoscopic examination of swallowing, FEES) in all patients to verify the results. In addition, most dysphagia screening tests were developed for stroke patients. The purpose of this study was to fill this gap. Our research included not only patients with stroke but also patients with other neurological and otorhinolaryngologic conditions. We tested 33 physical examination items in 44 patients and analyzed the results by comparing them to FEES results. Our study is the first one that performed this kind of comparison in all the patients enrolled in the study. Data mining was used to create a 13-item dysphagia screening test that has 88.2% sensitivity

Primary Care Validation of a Single-Question Alcohol Screening Test

BACKGROUND Unhealthy alcohol use is prevalent but under-diagnosed in primary care settings. OBJECTIVE To validate, in primary care, a single-item screening test for unhealthy alcohol use recommended by the National Institute on Alcohol Abuse and Alcoholism (NIAAA). DESIGN Cross-sectional study. PARTICIPANTS Adult English-speaking patients recruited from primary care waiting rooms. MEASUREMENTS Participants were asked the single screening question, "How many times in the past year have you had X or more drinks in a day?", where X is 5 for men and 4 for women, and a response of >1 is considered positive. Unhealthy alcohol use was defined as the presence of an alcohol use disorder, as determined by a standardized diagnostic interview, or risky consumption, as determined using a validated 30-day calendar method. MAIN RESULTS Of 394 eligible primary care patients, 286 (73%) completed the interview. The single-question screen was 81.8% sensitive (95% confidence interval (CI) 72.5% to 88.5%) and 79.3% specific (95% CI 73.1% to 84.4%) for the detection of unhealthy alcohol use. It was slightly more sensitive (87.9%, 95% CI 72.7% to 95.2%) but was less specific (66.8%, 95% CI 60.8% to 72.3%) for the detection of a current alcohol use disorder. Test characteristics were similar to that of a commonly used three-item screen, and were affected very little by subject demographic characteristics. CONCLUSIONS. The single screening question recommended by the NIAAA accurately identified unhealthy alcohol use in this sample of primary care patients. These findings support the use of this brief screen in primary care.National Institute on Alcohol Abuse and Alcoholism (R01-AA010870

DNA Typing Compatibility with a One Step Saliva Screening Test

Screening a substrate for bodily fluids is an extremely important step for locating areas that may contain DNA. Several different methods have been developed for saliva (1). The Phadebas® Forensic Press (PFP) test is a presumptive saliva test that utilizes a preloaded paper that will react with the enzyme amylase, a component of saliva (2-5). Because of its ability to screen for amylase while simultaneously locating stains, the PFP may prove to be an effective, rapid method for screening. However it is important to assess whether the PFP introduces any inhibitors (7) to downstream processing such as PCR amplification. Based on previous studies, we hypothesize that the PFP will provide a rapid and sensitive method for locating multiple saliva stains simultaneously, without introducing inhibitors to DNA profiling. To test the limitations of PFP as well as evaluated its effects on DNA profiling we first created a dilution series of saliva ranging from neat to 1:5000. After this we preformed sensitivity tests on an indirect method, UV degraded samples and washed samples as well as with bodily fluid mixtures. Once all sensitivity tests were done, cuttings were taken from the substrate and PFP paper and analyzed for DNA. Tests found that the sensitivity ranges of the PFP were between 1:10 and 1:1000, indirect tests were less sensitive than direct, all bodily fluid mixtures were detected, and UV degraded samples took more time to react. In addition our DNA results confirmed our hypothesis that PFP does not inhibit DNA and is a useful method for locating stains. This project was funded by NSFREU Grant DBI 1262832

In Vitro Screening Test Using Leishmania Promastigotes Stably Expressing mCherry Protein

Transgenic Leishmania major and Leishmania donovani axenic promastigotes constitutively expressing mCherry were used for in vitro antileishmanial drug screening. This method requires minimal sample manipulation and can be easily adapted to automatic drug tests, allowing primary high-throughput screenings without the need for expensive and sophisticated instrumentsFil: Vacchina, Paola. University Of Notre Dame-Indiana; Estados Unidos. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Miguel A. Morales. University Of Notre Dame-Indiana; Estados Unido

Establishment of quality and reliability standards and development of screening techniques for MOS microelectronic devices Final report

Quality and reliability standard development and screening test results for MOS microelectronic device

Committee on Fire Toxicology

The report outlines desirable characteristics for a screening test for determining the toxicity of combustion and pyrolysis products of polymeric materials

Use of the Metropolis-Hastings Algorithm in the Calibration of a Patient Level Simulation of Prostate Cancer Screening

Designing cancer screening programmes requires an understanding of epidemiology, disease natural history and screening test characteristics. Many of these aspects of the decision problem are unobservable and data can only tell us about their joint uncertainty. A Metropolis-Hastings algorithm was used to calibrate a patient level simulation model of the natural history of prostate cancer to national cancer registry and international trial data. This method correctly represents the joint uncertainty amongst the model parameters by drawing efficiently from a high dimensional correlated parameter space. The calibration approach estimates the probability of developing prostate cancer, the rate of disease progression and sensitivity of the screening test. This is then used to estimate the impact of prostate cancer screening in the UK. This case study demonstrates that the Metropolis-Hastings approach to calibration can be used to appropriately characterise the uncertainty alongside computationally expensive simulation models

Correlation Between Social Supports and Drug Abuse Screening Test-10 Among Senior High School Students

Drug abuse is common among adolescent, and its consequences pose important public health problem. Family, friend, school and other member of community should give support to adolescents so that they are emotionally and mentally ready to fight against drug. This cross sectional study was designed to investigate correlation between social support with Drug Abuse Screening Test-10 (DAST-10) and association of social support with treatment evaluation. Subjects included 210 senior high school students in Pekanbaru, Riau. Data obtained from Adolescents Social Support (ASS) questionnaire included social supports, and from DAST-10 included severity and treatment evaluation of drug abuse. This study showed family support, school environment and peer group support were significantly associated and significantly correlation to DAST-10 with strong correlation (0.718, 0.720 and 0.727, respectively) in negative direction. In conclusion, social supports could be a protective factor for adolescents related drug abuse.Key words: social support, DAST-10, drug abuse, senior high school studen

The development of a speech and language screening test for Maltese older persons

Aim: To develop the first screening test for Maltese speaking older adults with acquired language difficulties based on normative data, referred to in the study as Language Screening Test for the Elderly (LeST). Methodology: Normative data were collected from a representative sample of 77 elders living in the community, through cluster sampling from the five regions of Malta. Inclusion criteria: i) functional hearing abilities, ii) no history of neurological disorders, and iii) no cognitive impairment. Eighteen subjects were excluded. Factors taken into account: a) age (60 to 79 years and 80+ years), b) gender, c) educational background, d) literacy and e) bilingualism. A pilot study was carried out on 20 participants. Data collection was carried out at day centres by four speech language pathologists (SLPs). The LeST was also administered on ten subjects with aphasia and results were compared to the normal population. Results: Correlation and comparative statistical analysis of the data revealed that 1) scores were not affected by gender, age or locality, 2) p-values reach significance for factors related to bilingualism and literacy, and 3) the mean scores differ significantly between the control and test group. A cut-off point for receptive skills and one for expressive skills were also obtained. Conclusion: The test is valid for the purpose of language screening and would serve to ensure early identification of language impairment.peer-reviewe

Development and validation of a new glaucoma screening test using temporally modulated flicker

Purpose Describing the psychometric characteristics and diagnostic accuracy of the Accelerator 4‐Alternative Forced‐Choice Flicker Test prototype (A4FTp) for detecting chronic open angle glaucoma (COAG). Methods A4FTp measures temporally‐modulated flicker thresholds in regions of the visual field with high susceptibility to glaucomatous loss. We initially evaluated its psychometric properties on 20 normals (aged 33.8 ± 8.5 years) who were tested multiple times over a period of 3 months. All subjects underwent four repetitions for shorter (T8) and longer (T12) staircase termination criteria, to determine the most suitable threshold criterion. Four randomly selected subjects underwent a total of 10 repetitions to study test‐retest repeatability and learning effects. To determine its diagnostic accuracy, one eye of 40 participants with COAG and 38 normal controls were tested with the A4FTp in comparison with the Frequency Doubling Technology (FDT; C20‐5 programme) and iVue Spectral Domain Optical Coherence Tomography (SD‐OCT). Tests were conducted in a random order with results masked to the clinician conducting the reference ophthalmic examination. The accuracy of each test was determined by analysis of the area under the receiver operator characteristic curve (AUROC). Results A4FTp flicker thresholds were stable, with standard deviations of only 0.52 decilog (dL) for T8, increasing to 1.32 dL for T12, and no significant flicker sensitivity threshold improvement over the 10 repeat runs. T8 was superior to T12 on several other measures, so it was used for the remaining comparisons. In terms of diagnostic accuracy, the mean AUROC for the three tests were A4FTp [T8 criterion; 0.82, 95% confidence interval (0.73–0.92)]; SD‐OCT [any RNFL parameter p < 1% level; 0.90 (0.83–0.97)]; and FDT [one or more locations missed at p < 5% level; 0.91 (0.82–0.96)]. There was no statistical difference in AUROC between A4FTp and SD‐OCT (p = 0.18) or FDT (p = 0.12). The A4FTp test duration averaged just over 2 min per eye, taking approximately one‐third of the time for completion of the HFA SITA 24‐2 algorithm (conducted as part of the reference examination) and twice the time for the suprathreshold FDT. Conclusion Test accuracy for the A4FTp was comparable to those of the FDT and SD‐OCT for the detection of COAG. Time taken to complete the A4FTp was relatively short and initial results are promising. With further refinement, the A4FTp could have a future role in glaucoma detection