Comparative Analyses of Three Point-of-Care Urine Drug Test Devices' Performance Characteristics for Use in Ambulatory Clinic Settings.

BACKGROUND: Urine drug testing (UDT) is a standard practice used for monitoring controlled and illicit substances in ambulatory care patients. Point-of-care (POC) UDTs are useful tools that allow for drug identification within minutes, providing rapid and objective diagnostic assistance for clinicians. The objective of this study was to evaluate the performance characteristics of 3 different POC UDT devices compared to reference methods. METHODS: A total of 106 residual urine specimens were collected to evaluate the 3 POC UDT devices: the Profile®-V MEDTOX Scan® drugs of abuse test, Quidel Triage® TOX Drug screen, and Quidel Triage Rapid OXY-BUP-MDMA panel. Device performance was assessed by their ability to identify drug classes/compounds compared to manufacturer and reference method (mass spectrometry) cutoffs. RESULTS: The results from quantitative mass spectrometry showed that 77% (84/106) of the samples were positive for one or more drugs. Each device had variable performance across each drug class. Overall, the specificity of the Profile-V MEDTOX Scan test was 90.1%, while the Quidel Triage TOX Drug Screen and Rapid OXY-BUP-MDMA devices had specificities of 89.0% and 50.0% using their respective manufacturer-stated cutoffs. Overall sensitivity was determined to be 98.6%, 97.0%, and 100% for the Profile-V MEDTOX Scan, Quidel Triage TOX Drug Screen, and Rapid OXY-BUP-MDMA, respectively. CONCLUSIONS: Of the 3 POC UDT devices evaluated, the Profile-V MEDTOX Scan demonstrated the best overall sensitivity and specificity compared to reference methods. False positive and negative results are possible with UDTs, ultimately the best device may depend on patient population and drugs of interest.

Direct noninvasive 1 H NMR analysis of stream water DOM: Insights into the effects of lyophilization compared with whole water.

NMR spectroscopy is widely used in the field of aquatic biogeochemistry to examine the chemical structure of dissolved organic matter (DOM). Most aquatic DOM analyzed by proton NMR (1 H NMR) is concentrated mainly by freeze-drying prior to analysis to combat low concentrations, frequently <100 µM C, and eliminate interference from water. This study examines stream water with low dissolved organic carbon content by 1 H NMR with a direct noninvasive analysis of whole water using a water-suppression technique. Surface waters, collected from the headwaters of the Rio Tempisquito, Costa Rica, were examined directly, and the spectral characteristics were compared with those of the traditional preanalysis freeze-drying approach revealing significant differences in the relative intensity of peaks between the whole water and freeze-dried DOM. The freeze-dried DOM required less time to obtain quality spectra, but several peaks were missing compared with the spectra of whole water DOM; notably the most dominant peak in the spectrum constituting roughly 10% of the DOM. The stream water DOM showed an increase in the relative intensity of aliphatic methyl and methylene groups and a decrease in carbonyl, carboxyl, and carbohydrate functionalities after freeze-drying. The results of this study show that freeze-drying alters the original composition of DOM and thus freeze-dried DOM may not represent the original DOM. The information gained from whole water analysis of stream water DOM in a noninvasive fashion outweighs the attraction of reduced analysis times for preconcentrated samples, particularly for studies interested in investigating the low molecular weight fraction of DOM.

Microplastic fragment and fiber contamination of beach sediments from selected sites in Virginia and North Carolina, USA.

Microplastic particles (<5 mm) constitute a growing pollution problem within coastal environments. This study investigated the microplastic presence of estuarine and barrier island beaches in the states of Virginia and North Carolina, USA. Seventeen sediment cores were collected at four study sites and initially tested for microplastic presence by pyrolysis-gas chromatography-mass spectrometry. For the extraction, microplastic particles were first separated from the sediment using a high-density cesium chloride solution (1.88 g/mL). In a second step, an oil extraction collected the remaining microplastic particles of higher densities. Under the light microscope, the extracted microplastic particles were classified based on their morphologies into fragments and fibers. Raman microspectroscopy chemically identified a subset of microplastic particles as polypropylene, polyethylene terephthalate, poly(4-vinylbiphenyl), polystyrene, polyethylene, and nylon. The results show a concentration of microplastic particles (1410 ± 810 per kg of dry sediment) even in protected and ostensibly unpolluted estuarine and beach sediments of Virginia and North Carolina.

Rapid Degradation of Oil in Mesocosm Simulations of Marine Oil Snow Events.

Following the Deepwater Horizon oil spill in the Gulf of Mexico, natural marine snow interacted with oil and dispersants forming marine oil snow (MOS) that sank from the water column to sediments. Mesocosm simulations demonstrate that Macondo surrogate oil incorporates into MOS and can be isolated, extracted, and analyzed via Fourier transform ion cyclotron resonance mass spectrometry (FTICR-MS). Up to 47% of the FTICR-MS signal from MOS extracts can be attributed to formulas also found in Macondo surrogate oil demonstrating extensive oil incorporation. Additionally, oxygenation patterns for MOS extracts provide evidence for degraded oil compounds. Formulas having similar double bond equivalents but higher oxygen content (MOS CHO: CHO2-9, DBE2-16, MOS CHON: CHO0-7N1, DBE9-18; Macondo CHO: CHO1-4, DBE2-15, CHON: CHO0-3N1, DBE9-21) were found in MOS extracts generating isoabundance distributions similar to those of environmentally aged oil. Such shifts in molecular composition are consistent with the transformation of high DBE oil components, unobservable by FTICR-MS until oxygenation in the mesocosms. Low light conditions and the rapid proliferation of hydrocarbon-degraders observed in parallel studies suggest biological activity as the primary cause of oil degradation. MOS may thus represent an important microenvironment for oil degradation especially during its long transit below the euphotic zone to sediments.

Ultra-high resolution mass spectrometry of physical speciation patterns of organic matter in fire-affected soils.

Fire is one of the most important modulating factors of the environment and the forest inducing chemical and biological changes on the most reactive soil component, the soil organic matter (SOM). Assuming the complex composition of the SOM, we used an ultra-high resolution mass spectrometry analysis technique to assess the chemical composition and fire-induced alterations in soil particle size fractions (coarse and fine) from a sandy soil in a Mediterranean oak forest at Doñana National Park (Southwest Spain). Electrospray ionization-Fourier transform ion cyclotron resonance mass spectrometry (ESI-FTICRMS) showed that the coarse fraction of soils not affected by fires consisted mainly of polyphenolic compounds consistent with little-transformed SOM and fresh biomass, whereas the fine fraction was enriched in protein and lipid like homologues suggesting microbially reworked SOM. In fire-affected SOM, the coarse fraction contained a high proportion of aromatic compounds, consistent with inputs of charred litter or in situ chemical transformation of the SOM. Analysis of the fine fraction revealed two differentiated chemical families pointing to the existence of two carbon pools; a native microbial-derived moiety composed of lipids and polypeptide compounds, and a secondary, pyrogenic or thermally-altered moiety rich in aromatic compounds. This work represents the first application of ultra-high resolution mass spectrometry to study the chemical composition of SOM in different particle size fractions.