Quality error rates in point-of-care testing.

BACKGROUND: Although a theoretical consideration suggests that point-of-care testing (POCT) might be uniquely vulnerable to error, little information is available on the quality error rate associated with POCT. Such information would help inform risk/benefit analyses when one considers the introduction of POCT. METHODS: This study included 1 nonacute and 2 acute hospital sites. The 2 acute sites each had a 24-h central laboratory service. POCT was used for a range of tests, including blood gas/electrolytes, urine pregnancy testing, hemoglobin A(1c) (Hb A(1c)), blood glucose, blood ketones, screening for drugs of abuse, and urine dipstick testing. An established Quality Query reporting system was in place to log and investigate all quality errors associated with POCT. We reviewed reports logged over a 14-month period. RESULTS: Over the reporting period, 225 Quality Query reports were logged against a total of 407 704 POCT tests. Almost two-thirds of reports were logged by clinical users, and the remainder by laboratory staff. The quality error rate ranged from 0% for blood ketone testing to 0.65% for Hb A(1c) testing. Two-thirds of quality errors occurred in the analytical phase of the testing process. These errors were all assessed as having no or minimal adverse impact on patient outcomes; however, the potential adverse impact was graded higher. CONCLUSIONS: The quality error rate for POCT is variable and may be considerably higher than that reported previously for central laboratory testing.

Rhizosphere interactions between copper oxide nanoparticles and wheat root exudates in a sand matrix: Influences on copper bioavailability and uptake.

The impact of copper oxide nanoparticles (CuONPs) on crop production is dependent on the biogeochemistry of Cu in the rooting zone of the plant. The present study addressed the metabolites in wheat root exudates that increased dissolution of CuONPs and whether solubility correlated with Cu uptake into the plant. Bread wheat (Triticum aestivum cv. Dolores) was grown for 10 d with 0 to 300 mg Cu/kg as CuONPs in sand, a matrix deficient in Fe, Zn, Mn, and Cu for optimum plant growth. Increased NP doses enhanced root exudation, including the Cu-complexing phytosiderophore, 2'-deoxymugineic acid (DMA), and corresponded to greater dissolution of the CuONPs. Toxicity, observed as reduced root elongation, was attributable to a combination of CuONPs and dissolved Cu complexes. Geochemical modeling predicted that the majority of the solution phase Cu was complexed with citrate at low dosing or DMA at higher dosing. Altered biogeochemistry within the rhizosphere correlated with bio-responses via exudate type, quantity, and metal uptake. Exposure of wheat to CuONPs led to dose-dependent decreases in Fe, Ca, Mg, Mn, and K in roots and shoots. The present study is relevant to growth of a commercially important crop, wheat, in the presence of CuONPs as a fertilizer, fungicide, or pollutant. Environ Toxicol Chem 2018;37:2619-2632. © 2018 SETAC.

A Root-Colonizing Pseudomonad Lessens Stress Responses in Wheat Imposed by CuO Nanoparticles.

Nanoparticle (NPs) containing essential metals are being considered in formulations of fertilizers to boost plant nutrition in soils with low metal bioavailability. This paper addresses whether colonization of wheat roots by the bacterium, Pseudomonas chlororaphis O6 (PcO6), protected roots from the reduced elongation caused by CuO NPs. There was a trend for slightly elongated roots when seedlings with roots colonized by PcO6 were grown with CuO NPs; the density of bacterial cells on the root surface was not altered by the NPs. Accumulations of reactive oxygen species in the plant root cells caused by CuO NPs were little affected by root colonization. However, bacterial colonization did reduce the extent of expression of an array of genes associated with plant responses to stress induced by root exposure to CuO NPs. PcO6 colonization also reduced the levels of two important chelators of Cu ions, citric and malic acids, in the rhizosphere solution; presumably because these acids were used as nutrients for bacterial growth. There was a trend for lower levels of soluble Cu in the rhizosphere solution and reduced Cu loads in the true leaves with PcO6 colonization. These studies indicate that root colonization by bacterial cells modulates plant responses to contact with CuO NPs.

Salts affect the interaction of ZnO or CuO nanoparticles with wheat.

Exposure to nanoparticles (NPs) that release metals with potential phytotoxicity could pose problems in agriculture. The authors of the present study used growth in a model growth matrix, sand, to examine the influence of 5 mmol/kg of Na, K, or Ca (added as Cl salts) and root exudates on transformation and changes to the bioactivity of copper(II) oxide (CuO) and zinc oxide (ZnO) NPs on wheat. These salt levels are found in saline agricultural soils. After 14 d of seedling growth, particles with crystallinity typical of CuO or ZnO remained in the aqueous fraction from the sand; particles had negative surface charges that differed with NP type and salt, but salt did not alter particle agglomeration. Reduction in shoot and root elongation and lateral root induction by ZnO NPs were mitigated by all salts. However, whereas Na and K promoted Zn loading into shoots, Ca reduced loading, suggesting that competition with Zn ions for uptake occurred. With CuO NPs, plant growth and loading was modified equally by all salts, consistent with major interaction with the plant with CuO rather than Cu ions. Thus, for both NPs, loading into plant tissues was not solely dependent on ion solubility. These findings indicated that salts in agricultural soils could modify the phytotoxicity of NPs.