Feasibility of tuberculosis treatment monitoring by video directly observed therapy: a binational pilot study.

BACKGROUND: Although directly observed therapy (DOT) is recommended worldwide for monitoring anti-tuberculosis treatment, transportation and personnel requirements limit its use. OBJECTIVE: To evaluate the feasibility and acceptability of 'video DOT' (VDOT), which allows patients to record and transmit medication ingestion via videos watched remotely by health care providers to document adherence. METHODS: We conducted a single-arm trial among tuberculosis (TB) patients in San Diego, California, USA, (n = 43) and Tijuana, Mexico (n = 9) to represent high- and low-resource settings. Pre-/post-treatment interviews assessed participant characteristics and experiences. Adherence was defined as the proportion of observed doses to expected doses. RESULTS: The mean age was 37 years (range 18-86), 50% were male, and 88% were non-Caucasian. The mean duration of VDOT use was 5.5 months (range 1-11). Adherence was similar in San Diego (93%) and Tijuana (96%). Compared to time on in-person DOT, 92% preferred VDOT, 81% thought VDOT was more confidential, 89% never/rarely had problems recording videos, and 100% would recommend VDOT to others. Seven (13%) participants were returned to in-person DOT and six (12%) additional participants had their phones lost, broken or stolen. CONCLUSIONS: VDOT was feasible and acceptable, with high adherence in both high- and low-resource settings. Efficacy and cost-effectiveness studies are needed.

Quantitative determination of sporozoites and circumsporozoite antigen in mosquitoes infected with Plasmodium falciparum or P. vivax.

It is essential for malariologists and researchers to have simple and accurate means of assessing the threat of Plasmodium parasites. An attempt was therefore made to re-standardize one of the circumsporozoite (CS) ELISA that can be used to detect and quantify the circumsporozoite antigens of P. falciparum and P. vivax. A two-site, 'sandwich' ELISA based on a monoclonal antibody was used to test for the CS antigen and sporozoites of each Plasmodium species simultaneously. Using the resultant optical-density values, standard curves, that permit the number of sporozoites in an infected mosquito to be estimated from the quantification of the CS antigen, were constructed. Using these plots and the CS ELISA, the presence of just 12.5 sporozoites (i.e. 0.8 pg CS antigen) of P. falciparum, four sporozoites (3.2 pg antigen) of P. vivax-210 or 12.5 sporozoites (32.0 pg antigen) of P. vivax-247 could be demonstrated.

Stability of high-performance liquid chromatography columns packed with poly(methyloctylsiloxane) sorbed and radiation-immobilized onto porous silica and zirconized silica.

Reversed-phase packing materials were prepared from HPLC silica and from zirconized HPLC silica support particles having sorbed poly(methyloctylsiloxane) (PMOS) as the stationary phase. Portions of zirconized material were subjected to 80 kGy of ionizing radiation. Columns prepared from these packing materials were subjected to 5000 column volumes each of neutral and alkaline (pH 10) mobile phases, with periodic tests to evaluate chromatographic performance. It was shown that the PMOS stationary phase sorbed onto zirconized silica requires an immobilization treatment (such as gamma irradiation) for long term stability while prior surface zirconization of the silica support surface greatly improves the chromatographic stability of the stationary phase when using alkaline mobile phases.

Effects in high-performance liquid chromatography of a high pH in the mobile phase on poly(methyloctylsiloxane) immobilized by gamma-radiation on titanium-grafted silica.

Effects of high-pH environments on a stationary phase prepared by gamma-radiation immobilization of poly(methyloctylsiloxane) on titanium-grafted silica were investigated by HPLC testing with standard sample mixtures. The HPLC parameters indicate good stationary phase stability to 10000 column volumes each of mobile phases with pH of 7, 9 and 12. At pH 13, the efficiency decreases slowly, although reasonably good separations are still possible until increasing flow resistance no longer allows easy passage of the mobile phase.

Speciation of aqueous chromium(VI) solutions with the aid of Q-mode factor analysis followed by oblique projection.

The identities of the species of chromium(VI) that are present in aqueous solution, their spectra and their equilibria, continue to be a subject of discussion in the literature. In this paper, the composition of the Cr(VI) equilibria was estimated from the UV-vis spectra of dilute potassium dichromate solutions, without any prior knowledge of the quantities of pure components, with the aid of Imbrie Q-mode factor analysis (Q-mode FA) followed by Varimax rotation and Imbrie oblique projection. Combining these results with the k-matrix method, it was possible to obtain the spectra of the individual Cr(VI) species. Sets of 3.3x10(-4) and 3.3x10(-5) mol l(-1) Cr(VI) solutions were studied. In the pH range from 1 to 12, two factors were identified, which were related to the two species, chromate ion (CrO(4)(2-)) and bichromate ion (HCrO(4)(-)). When the analysis was extended to concentrated acid media, another factor appeared, which was related to chromic acid (H(2)CrO(4)). No evidence for the dichromate ion (Cr(2)O(7)(2-)) was seen at the Cr(VI) concentrations used. The spectra of the pure components were obtained and pK values for the first and second chromic acid dissociations were estimated as -0.54 and 5.8, respectively.

Radiation immobilization of poly(methyloctylsiloxane) on silica for use in HPLC: a uniform layer model.

Poly(methyloctylsiloxane) (PMOS) was sorbed into the pores of HPLC silica by a solvent evaporation procedure, then irradiated with gamma rays from a cobalt-60 source to absorbed doses in the range from 0 to 200 kGy (1Gy = 1J kg-1). Non-irradiated and irradiated samples were characterized by solvent extraction, specific surface area determination, infrared spectroscopy and reversed-phase column performance. Solvent extraction data reveal that about 40% of the PMOS is not extractable prior to irradiation and this increases to about 75% with radiation doses of 50 kGy or higher. Column performance was improved by the radiation treatment, reaching a maximum efficiency in the dose range of 80-140 kGy while the peak symmetry changed from As = 1.7 to 1.1. The improvement is attributed to the increased mass of polymer immobilized by the radiation treatment and to a more uniform distribution of the immobilized polymer in the silica pore system. A multi-layer stationary-phase model is presented in which the first layer consists of an adsorbed monolayer of PMOS and the second layer is immobilized by gamma radiation.