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Lynam C, Jennings K, Nolan K, Kane P, McKervey MA, Diamond D. Tuning and enhancing enantioselective quenching of calixarene hosts by chiral guest amines. Anal Chem 2002; 74:59-66. [PMID: 11795818 DOI: 10.1021/ac010153k] [Citation(s) in RCA: 50] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
The synthesis of a propranolol amide derivative of p-allylcalix[4]arene is described, which has been designed to behave as a molecular sensor capable of distinguishing chiral amines on the basis of their shape and chirality. This molecule can discriminate between the enantiomers of phenylalaninol through the quenching of the fluorescence emission in methanol in contrast to an (S)-dinaphthylprolinol calix[4]arene derivative, which can discriminate between the enantiomers of phenylglycinol, but not phenylalaninol. The separation between the naphthyl fluorophores and the hydrogen-bonding sites within the chiral cavity can be tuned to recognize guest amines with similar separation between aryl groups and hydrogen-bonding sites. The formation of metal ion complexes of the p-allylcalix[4]arene propranolol amide derivative is shown to induce a more regular and rigid cone conformation in the calix[4]arene macrocycle, which generates a significant enhancement in the observed enantiomeric discrimination.
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Bowden M, Sequeira M, Krog JP, Gravesen P, Diamond D. A prototype industrial sensing system for phosphorus based on micro system technology. Analyst 2002; 127:1-4. [PMID: 11827372 DOI: 10.1039/b109209j] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Progress in the development of a miniaturised microfluidic instrument for monitoring phosphorus in natural waters and wastewater is presented. The yellow colorimetric method for phosphate analysis has been transferred to a microfluidic chip configuration This simple method employs one reagent mixed in a 1:1 ratio with a sample to produce a yellow colour absorbing strongly below 400 nm. A stopped flow approach is used which, together with the very rapid kinetics and simple reagent stream, enables a very uncomplicated microfluidic manifold design to be adopted. The working wavelength is 380 nm to coincide with the peak output of a recently developed UV-LED narrow bandwidth light source. The limit of detection for the yellow method is 0.2 ppm with a dynamic linear range from 0-50 ppm possible. The reaction time at room temperature is less than 3 min, which means that up to 20 samples per hour can be analysed.
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Jennings K, Diamond D. Enantioselective molecular sensing of aromatic amines using tetra-(S)-di-2-naphthylprolinol calix[4]arene. Analyst 2001; 126:1063-7. [PMID: 11478636 DOI: 10.1039/b100378j] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
This paper presents new analytical data, and evidence of the fluorescence quenching mechanism involved in enantioselective signals obtained with the chiral host tetra-(S)-di-2-naphthylprolinol calix[4]arene. Excellent selectivity is obtained with phenylglycinol and norephidrine in methanol, and samples of unknown enantiomeric composition have been determined with an average error of 1.08 and 0.62%, respectively (n = 6), on the basis of a single fluorescence measurement. The absence of any quenching observed with the related amines of phenylalaninol is attributed to a methylene spacer which inhibits efficient interaction between the aryl group of the guest and the naphthyl group of the host. The importance of the phenyl group of the guest in the quenching mechanism is confirmed by the complete absence of any quenching effect with cyclohexylethylamine.
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Lynch A, Diamond D, Leader M. Point-of-need diagnosis of cystic fibrosis using a potentiometric ion-selective electrode array. Analyst 2000; 125:2264-7. [PMID: 11219064 DOI: 10.1039/b006379g] [Citation(s) in RCA: 34] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The novel approach of using a micro-sensor array of miniaturised solid-state ion-selective electrodes to analyse sweat samples for sodium, potassium and chloride simultaneously is described. The array, incorporated into a miniature flow cell which is linked to a portable PC for data acquisition, constitutes a small, portable, and simple to use analytical instrument. Samples are passed through the flow cell and over the array and an immediate potentiometric response is obtained, which can be equated to the concentrations of sodium, chloride, potassium and other parameters in the sweat sample. Used here in conjunction with a Wescor Macroduct sweat sampling unit, it promises a much simplified, much less expensive procedure for sweat analysis than the procedures currently in common use.
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Best RG, Diamond D, Crawford E, Grass FS, Janish C, Lear TL, Soenksen D, Szalay AA, Moore CM. Baboon/human homologies examined by spectral karyotyping (SKY): a visual comparison. CYTOGENETICS AND CELL GENETICS 2000; 82:83-7. [PMID: 9763666 DOI: 10.1159/000015070] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Baboon (Papio hamadryas) metaphase chromosomes were analyzed using spectral karyotyping (SKY), a technique combining fluorescence microscopy, CCD-imaging, and Fourier spectroscopy. Results from a comparison of SKY analyses using probes derived from human chromosomes on baboon metaphases were consistent with the majority of comparative gene mapping data between the two species. These data were also compatible with earlier studies comparing macaque and human chromosomes. Human (HSA) chromosome 2 was homologous to baboon (PHA) chromosomes 12 (HSA 2q) and 13 (HSA 2p), whereas three baboon chromosomes corresponded to two different human chromosomes: PHA 3 to HSA 7 and HSA 21, PHA 7 to HSA 14 and HSA 15, and PHA 10 to HSA 20 and HSA 22. These results support the retained synteny between the Hominidae and Cercopithecidae genomes.
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McAteer K, Raftery D, Diamond D. Temperature logging of fish catches using autonomous sensing units. Trends Food Sci Technol 2000. [DOI: 10.1016/s0924-2244(01)00008-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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158
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Lemoine P, Mailley P, Hyland M, McLaughlin JM, McAdams E, Anderson J, Lynch A, Diamond D, Leader M. Swelling and delamination of multi-electrode sensor arrays studied by variable-pressure scanning electron microscopy. JOURNAL OF BIOMEDICAL MATERIALS RESEARCH 2000; 50:313-21. [PMID: 10737872 DOI: 10.1002/(sici)1097-4636(20000605)50:3<313::aid-jbm4>3.0.co;2-v] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Multi-electrode sensor arrays are made of soft and wet materials not easily examined by most microscopic techniques. In this paper, we have demonstrated that low-vacuum scanning electron microscopy (LVSEM) and energy-dispersive X-ray analysis (EDX) are adequate for studying the hydration, swelling, and possible delamination of multi-electrode sensor arrays. We found that the LVSEM environment had no detectable effect on the morphology of Na(+), K(+), and Ca(++) sensors, and EDX analysis indicated that all three membranes have similar compositions. However, once hydrated, the sensors exhibited different behaviors. The K(+) and Ca(++) sensors swelled more than the Na(+) sensor did. This swelling is due principally to water sorption in the membrane. We believe that the larger thickness of the K(+) and Ca(++) membrane is partly responsible for the observed swelling effect. A simple Griffith analysis of the interface rupture confirms the experimental evidence that these thicker membranes also are more prone to delamination failure.
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Quinn JG, O'Neill S, Doyle A, McAtamney C, Diamond D, MacCraith BD, O'Kennedy R. Development and application of surface plasmon resonance-based biosensors for the detection of cell-ligand interactions. Anal Biochem 2000; 281:135-43. [PMID: 10870828 DOI: 10.1006/abio.2000.4564] [Citation(s) in RCA: 118] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Surface plasmon resonance (SPR)-based biosensors were investigated with a view to providing a portable, inexpensive alternative to existing technologies for "real-time" biomolecular interaction analysis of whole cell-ligand interactions. A fiber optic SPR-based (FOSPR) biosensor, employing wavelength-dependent SPR, was constructed to enable continuous real-time data acquisition. In addition, a commercially available integrated angle-dependent SPR-based refractometer (ISPR) was modified to facilitate biosensing applications. Solid-phase detection of whole red blood cells (RBCs) using affinity-captured blood group specific antibodies was demonstrated using the BIACORE 1000, BIACORE Probe, FOSPR, and ISPR sensors. Nonspecific binding of RBCs to the hydrogel-based biointerface was negligible. However, the background noise level of the FOSPR-based biosensor was approximately 25-fold higher than that of the widely used BIACORE 1000 system while that of the ISPR-based biosensor was over 100-fold higher. Nevertheless, the FOSPR biosensor was suitable for the analysis of macromolecular analytes contained in crude matrices.
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Kaefer M, Curran M, Treves ST, Bauer S, Hendren WH, Peters CA, Atala A, Diamond D, Retik A. Sibling vesicoureteral reflux in multiple gestation births. Pediatrics 2000; 105:800-4. [PMID: 10742323 DOI: 10.1542/peds.105.4.800] [Citation(s) in RCA: 72] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Vesicoureteral reflux (VUR) is the most commonly inherited disease of the genitourinary tract. Although the majority of evidence supports a genetic cause, the tendency for this condition to spontaneously improve over time has made it difficult to determine the actual mode of transmission. We report the incidence of VUR in siblings of multiple gestation births and for the first time compare the relative incidence of reflux between identical and fraternal twins. METHODS A database consisting of all radionuclide cystograms and voiding cystourethrograms performed between the years 1986 and 1996 was searched for multiple gestation births. The medical records of each patient were evaluated for age at presentation, zygosity, reflux grade, and time to resolution. Children with secondary causes of VUR (eg, posterior urethral valves) were excluded. Triplets were treated as 2 pairs of twins for statistical analysis. RESULTS Forty-six pairs met the inclusion criteria (31 dizygotic and 15 monozygotic). Overall, 23 (50%) of 46 siblings of index cases had demonstrable VUR. Comparison of VUR prevalence between identical and nonidentical twins was revealing with 80% (12/15) of identical twins and 35% (11/31) of fraternal twins having VUR. When only the youngest individuals in each group were considered, 100% (7/7) of the monozygotics and 50% (5/10) of the dizygotics demonstrated this trait. CONCLUSIONS High concordance for VUR in identical twin siblings supports a genetic basis for the transmission of this disease. Results obtained from fraternal twin siblings provides convincing evidence that this trait is transmitted in an autosomal dominant fashion.
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161
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Cadogan F, Kane P, McKervey MA, Diamond D. Lead-Selective Electrodes Based on Calixarene Phosphine Oxide Derivatives. Anal Chem 1999. [DOI: 10.1021/ac990303f] [Citation(s) in RCA: 89] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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162
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O’Neill S, Conway S, Twellmeyer J, Egan O, Nolan K, Diamond D. Ion-selective optode membranes using 9-(4-diethylamino-2-octadecanoatestyryl)-acridine acidochromic dye. Anal Chim Acta 1999. [DOI: 10.1016/s0003-2670(99)00372-4] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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163
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Kaefer M, Diamond D, Hendren WH, Vemulapalli S, Bauer SB, Peters CA, Atala A, Retik AB. The incidence of intersexuality in children with cryptorchidism and hypospadias: stratification based on gonadal palpability and meatal position. J Urol 1999; 162:1003-6; discussion 1006-7. [PMID: 10458421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
Abstract
PURPOSE The combined findings of cryptorchidism and hypospadias often indicate the existence of an intersex state. Testicular maldescent and incomplete tubularization of the urethral plate occur in a spectrum with the severity of the 2 processes likely dependent on the degree of pathophysiology in the androgenic hormonal axis. The incidence of intersexuality in children with undescended testes, hypospadias and otherwise nonambiguous male genitalia has been reported to be 27%. Although the likelihood of genotypic or gonadal ambiguity has previously been associated with meatal position in this population, to our knowledge our study is the first to evaluate the incidence of intersexuality relative to whether the undescended testis is palpable or nonpalpable. MATERIALS AND METHODS The database at our hospital was searched for all cases of undescended testes (2,105) and hypospadias (1,057) between 1982 and 1996. Radiographic, histological and karyotypic data were compiled for all patients presenting with both diagnoses. Gonadal palpability (palpable versus nonpalpable) and meatal position (anterior versus mid versus posterior) were recorded and correlated with the likelihood of identifying an intersex condition. Ten boys with a diagnosis of undescended testes subsequent to inguinal hernial repair were excluded from study. Patients with congenital adrenal hyperplasia or complete testicular feminization were also excluded from study due to the clearly female appearance of the external genitalia. Statistical significance was assessed using Fisher's exact test. RESULTS We identified 79 patients presenting with undescended testes, hypospadias and a phallus that was believed to be a possible penis. Intersex conditions were identified with nearly equal frequency in the 44 cases of unilateral (30%) and 35 of bilateral (32%) cryptorchidism. In the unilateral undescended testes group patients with a nonpalpable testis were at least 3-fold more likely to have an intersex condition than those with a palpable undescended testis (50 versus 15%, p = 0.02). In the bilateral group patients with 1 or more nonpalpable testes were also nearly 3-fold as likely to have an intersex condition than those with bilateral palpable undescended gonads (47 versus 16%, p = 0.07). Meatal position was graded as anterior in 33% of cases, mid in 25% and posterior in 41% with the more posterior location conferring a significantly greater likelihood of an intersex condition (anterior 2 of 26, mid 1 of 20 and posterior 21 of 33). CONCLUSIONS Gonadal palpability is an important predictor of an intersex state in unilateral and bilateral cases of cryptorchidism with hypospadias. Patients with an undescended testis that cannot be palpated are significantly more likely to have an intersex condition than those in whom the undescended testis may be palpated on physical examination. The severity of hypospadias likewise has a strong positive correlation with an intersex state.
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Kraus KH, Wotton HM, Boudrieau RJ, Schwarz L, Diamond D, Minihan A. Type-II external fixation, using new clamps and positive-profile threaded pins, for treatment of fractures of the radius and tibia in dogs. J Am Vet Med Assoc 1998; 212:1267-70. [PMID: 9569167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
A new external fixation system for repair of fractures of the radius and tibia was developed that uses positive-profile threaded pins. This system allows for addition of a fixation clamp between 2 installed clamps, predrilling of pin holes through a drill sleeve, use of positive-profile threaded pins in all locations, and easier application of full pins. Type-II external fixators were applied, using this system, to fractures in 10 client-owned dogs, and outcome was evaluated. All fractures healed without complications. Duration of surgery, mean time until radiographic evidence of a bridging callus, and mean time until removal of the external fixator were shorter, and frequency of pin loosening were less than with other techniques. Pin loosening was uncommon. This system provides an important improvement in external skeletal fixation.
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O’Neill S, Kane P, Diamond D. Comparison of the performance of calix[4]arene phosphine oxide and ester derivatives in ion-selective optode membranes. ACTA ACUST UNITED AC 1998. [DOI: 10.1039/a708259b] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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167
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Grady T, Joyce T, Smyth MR, Diamond D, Harris SJ. Chiral resolution of the enantiomers of phenylglycinol using (S)-di-naphthylprolinol calix[4]arene by capillary electrophoresis and fluorescence spectroscopy. ACTA ACUST UNITED AC 1998. [DOI: 10.1039/a802025f] [Citation(s) in RCA: 46] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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168
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Walsh S, Diamond D, McLaughlin J, McAdams E, Woolfson D, Jones D, Bonner M. Solid-state sodium-selective sensors based on screen-printed Ag/AgCl reference electrodes. ELECTROANAL 1997. [DOI: 10.1002/elan.1140091704] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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169
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Park S, McGrath MJ, Smyth MR, Diamond D, Lunte CE. Voltammetric detection for capillary electrophoresis. Anal Chem 1997; 69:2994-3001. [PMID: 9253250 DOI: 10.1021/ac970156q] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Several approaches to implementing amperometric detection for capillary electrophoresis have been reported. This report describes the development of a voltammetric detector for CE. The detector is designed to minimize distortion of the voltammetry due to ohmic potential drop. This was accomplished by using a cast Nafion detection cell at the end of the separation capillary. The cast Nafion detection cell provided a low-dead-volume, low-resistance cell that minimized ohmic potential drop and peak band broadening. The ability to detect the current due to oxidation of analytes superimposed on a large background current was also improved. A dynamic background subtraction scheme was used in which a second working electrode, positioned in the electrochemical cell but outside of the detection cell, was used to compensate for the background current in real time. The output of the compensating working electrode was subtracted from the output of the detecting working electrode prior to analog-to-digital conversion. Postexperimental digital background subtraction was also implemented. This approach provided optimal elimination of the background current with maximal detection of the analytical signal. The voltammetric detector developed produced high-quality voltammetric response of analytes with injected concentrations as low as 0.20 microM. The system was evaluated by obtaining CE voltammograms of a mixture of eight test phenolic acids.
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Dempsey E, Diamond D, Smyth MR, Urban G, Jobst G, Moser I, Verpoorte EM, Manz A, Michael Widmer H, Rabenstein K, Freaney R. Design and development of a miniaturised total chemical analysis system for on-line lactate and glucose monitoring in biological samples. Anal Chim Acta 1997. [DOI: 10.1016/s0003-2670(97)90075-1] [Citation(s) in RCA: 65] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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171
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Hartnett M, Diamond D. Potentiometric Nonlinear Multivariate Calibration with Genetic Algorithm and Simplex Optimization. Anal Chem 1997. [DOI: 10.1021/ac9604898] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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172
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Freaney R, McShane A, Keaveny TV, McKenna M, Rabenstein K, Scheller FW, Pfeiffer D, Urban G, Moser I, Jobst G, Manz A, Verpoorte E, Widmer MW, Diamond D, Dempsey E, Saez de Viteri FJ, Smyth M. Novel instrumentation for real-time monitoring using miniaturized flow systems with integrated biosensors. Ann Clin Biochem 1997; 34 ( Pt 3):291-302. [PMID: 9158828 DOI: 10.1177/000456329703400312] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
A prototype miniaturized Total Chemical Analysis System (muTAS) has been developed and applied to on-line monitoring of glucose and lactate in the core blood of anaesthetized dogs. The system consists of a highly efficient microdialysis sampling interface sited in a small-scale extracorporeal shunt circuit ('MiniShunt'), a silicon machined microflow manifold and integrated biosensor array for glucose and lactate detection with associated computer software for analytical process control. During in-vivo testing the device allowed real-time on-screen monitoring of glucose and lactate with system response times of less than 5 min, made possible by the small dead volume of the microflow system. On-line glucose and lactate measurements were made in the basal state as well as during intravenous infusion of glucose or lactate. The prototype muTAS is currently suitable for trend monitoring but refinements are necessary before application of the system for determination of individual lactate values.
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Dempsey E, Diamond D, Smyth MR, Malone MA, Rabenstein K, McShane A, McKenna M, Keaveny TV, Freaney R. In vitro optimisation of a microdialysis system with potential for on-line monitoring of lactate and glucose in biological samples. Analyst 1997; 122:185-9. [PMID: 9124700 DOI: 10.1039/a606029c] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
The optimisation and evaluation of the microdialysis component of a prototype miniaturised total analysis system for application in the continuous monitoring of lactate and glucose is reported. The complete unit comprises a high efficiency microdialysis sampling system, a miniaturised microflow manifold with an integrated biosensor array, together with the hardware and software necessary for controlling the flow parameters and monitoring the sensor signals. Sampling occurs via a microdialysis shunt probe which is perfused continuously with a physiological buffered saline solution. The continuous dialysate outflow is presented to the biosensor array, resulting in the appropriate amperometric signals. Aspects of technological significance addressed here include probe membrane size, perfusate flow rate, sample flow rate, temperature change, probe sterilisation procedures, and heparin content of the physiological saline solution employed.
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Grady T, Butler T, MacCraith BD, Diamond D, Anthony McKervey M. Optical Sensor for Gaseous Ammonia With Tuneable Sensitivity. Analyst 1997. [DOI: 10.1039/a701343d] [Citation(s) in RCA: 45] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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175
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Quigley MR, Vidovich D, Cantella D, Wilberger JE, Maroon JC, Diamond D. Defining the limits of survivorship after very severe head injury. THE JOURNAL OF TRAUMA 1997; 42:7-10. [PMID: 9003251 DOI: 10.1097/00005373-199701000-00003] [Citation(s) in RCA: 40] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
BACKGROUND Reliable prediction of outcome after head injury is a daunting task. Although previous reports have highlighted the difficulties of determining outcome in the cohort of severe head injury Glasgow Coma Scale (GCS) score < or = 8), we wondered within the very severely injured population (GCS score 3-5) if a simple combination of clinical parameters may be predictive of poor outcome. METHODS All patients admitted to a Level 1 trauma center with a GCS score of 3 to 5 from 1986 to 1991 inclusive (380 patients) were retrospectively reviewed and outcome a minimum of 6 months after injury was determined by chart review or telephone. RESULTS Follow-up was accomplished in all but five patients (1.3%). Functional survival (nonvegetative) was correlated to admission GCS score, pupillary abnormalities, and age. As anticipated, overall functional survival was poor (12.5%), and even worse among those evidencing pupillary abnormalities (6.6%). Interestingly, there was an absence of survivors in the advanced age decades, with the oldest functional survivor of any GCS increasing in a stepwise fashion with increasing coma score. This translated into the oldest survivor of a GCS score of 3 being in their chronologic 30s, a score of 4 in their 40s, and a score of 5 in their 50s. Among patients older than these age decades, that is beyond this simple age/GCS cut-off (32.8% of cohort), there were no functional survivors (95% confidence interval 0, 2.4). CONCLUSIONS Within the population of very severely head injured patients (GCS score 3-5), the simple combination of age and admission GCS score appears to predict accurately non-functional outcome in almost one third of patients. If confirmed at other centers, this may have wide-ranging implications regarding counseling of families, utilization of resources, and the design of head injury studies.
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Grady T, Cadogan A, McKittrick T, Harris SJ, Diamond D, McKervey M. Sodium-selective electrodes based on triester monoacid derivatives of p-tert-butylcalix[4]arene. Comparison with tetraester calix[4]arene ionophores. Anal Chim Acta 1996. [DOI: 10.1016/s0003-2670(96)00380-7] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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177
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Grady T, Harris SJ, Smyth MR, Diamond D, Hailey P. Determination of the Enantiomeric Composition of Chiral Amines Based on the Quenching of the Fluorescence of a Chiral Calixarene. Anal Chem 1996; 68:3775-82. [DOI: 10.1021/ac960383c] [Citation(s) in RCA: 77] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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178
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180
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Fang T, McGrath M, Diamond D, Smyth MR. Development of a computer controlled multichannel potentiostat for applications with flowing solution analysis. Anal Chim Acta 1995. [DOI: 10.1016/0003-2670(94)00482-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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181
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McGrath MJ, Fang T, Diamond D, Smyth MR. Application of A Multichannel Potentiostat to Metal Ion Determinations in Flow Injection Analysis. ANAL LETT 1995. [DOI: 10.1080/00032719508001127] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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182
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Diamond D, Matchett G, Davey GC. The effect of prior fear levels on UCS-expectancy ratings to a fear-relevant stimulus. THE QUARTERLY JOURNAL OF EXPERIMENTAL PSYCHOLOGY. A, HUMAN EXPERIMENTAL PSYCHOLOGY 1995; 48:237-47. [PMID: 7754084 DOI: 10.1080/14640749508401386] [Citation(s) in RCA: 24] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
This study investigated the effect of levels of prior fear to a fear-relevant stimulus on UCS expectancy ratings in a threat conditioning procedure. The results suggested that UCS-expectancy ratings are independently influenced by both the nature of the stimulus (whether it is fear-relevant or fear-irrelevant) and the level of prior fear to the stimulus. Furthermore, significantly higher UCS-expectancy levels caused by prior fear and stimulus type were accompanied in some stages of the experiment by greater magnitudes of skin conductance responses during the stimulus.
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Rehm D, McEnroe E, Diamond D. An all solid-state reference electrode based on a potassium chloride doped vinyl ester resin. ACTA ACUST UNITED AC 1995. [DOI: 10.1039/ai9953200319] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Diamond D, Cadogan A, McKittrick T, Grady T, Harris SJ, McKervey MA. Characteristics of sodium-selective electrodes based on a triethylester monoacid derivative of p-tert-butylcalix[4]arene. ACTA ACUST UNITED AC 1995. [DOI: 10.1039/ai9953200137] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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185
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McGrath MJ, Iwuoha EI, Diamond D, Smyth MR. The use of differential measurements with a glucose biosensor for interference compensation during glucose determinations by flow injection analysis. Biosens Bioelectron 1995; 10:937-43. [PMID: 8652108 DOI: 10.1016/0956-5663(95)99231-9] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
A novel detection system for the determination of glucose in the presence of clinically important interferents, based on the use of dual sensors and flow-injection analysis (FIA), is described. The normalisation methodology involves measurement of the interference signal at a reference sensor; this signal can then be subtracted from the glucose sensor signal (post-run) to give a corrected measurement of the glucose concentration. The detection system consists of a thin layer with dual glassy carbon working electrodes. One electrode was surface modified to act as a glucose biosensor by immobilisation of glucose oxidase (GOx) (from Aspergillus niger) with 1% glutaraldehyde and bovine serum albumin. The second electrode (glucose oxidase omitted) was utilised to measure the interference signal responding only to electroactive species present in the injected sample. A computer controlled multichannel potentiostat was used for potential application and current monitoring duties. The sensor responses were saved in ASCII format to facilitate post-run analysis in Microsoft Excel. Cyclic voltammetry (CV) was utilised to investigate the manner in which the interference signal contributed to the total signal obtained at the biosensor in the presence of glucose. The kinetics parameters Imax and the apparent Michaelis-Menten constant, K'm, were calculated for the sensor operating under flow-injection conditions.
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186
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Walsh S, de Viteri FJS, Diamond D. Analysis of blood sodium using flow injection analysis with a calix[4]arene potentiometric detector. ACTA ACUST UNITED AC 1995. [DOI: 10.1039/ai9953200365] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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187
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Grady T, Maskula S, Diamond D, Marrs DJ, McKervey MA, O'Hagan P. Characteristics of a europium-selective electrode based on a calix[4]arene tetraphosphine oxide. ACTA ACUST UNITED AC 1995. [DOI: 10.1039/ai9953200471] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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188
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Diamond D. Analytical chemistry, 5th edition ?, Wiley, New York, 1994. Pages: xx + 812. £18.95 (softback), ISBN 047105820. £64.00 (hardback). Talanta 1995. [DOI: 10.1016/0039-9140(95)90019-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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189
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Diamond D, McEnroe E, McCarrick M, Lewenstam A. Evaluation of a new solid-state reference electrode junction material for ion-selective electrodes. ELECTROANAL 1994. [DOI: 10.1002/elan.1140061108] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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190
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Golin M, Bricklin M, Diamond D. Avoiding burnout. Nursing 1994; 24:101-3. [PMID: 7854656] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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191
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Abstract
The relationship between the quality of parents' attachment to their own parents and the quality of affective style was examined with a sample of 49 severely disturbed young adults and adolescents and their families receiving long-term in-patient treatment. Measures reflecting disturbances in attachment of parents to their own parents, derived from a five-minute speech sample task, were strongly associated with measures of negative affective style (e.g., criticism, intrusiveness and guilt induction) in face-to-face interactions with the disturbed offspring, as assessed through videotaped discussions of conflictual family issues after three months of treatment. The most significant findings involved the linkages between disturbances in the mother's attachment to her own mother and the degree of negative affect directed at the child patient. The association between disturbed intergenerational parental attachments and negative affective style supports the hypothesis that the parent's own internal burdens, stemming from disturbed attachment representations, particularly of the same-sex parent, may be a driving force behind the negative affect they display in interactions with their disturbed offspring.
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192
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de Viteri FJS, Diamond D. Determination and application of ion-selective electrode model parameters using flow injection and simplex optimization. Analyst 1994. [DOI: 10.1039/an9941900749] [Citation(s) in RCA: 119] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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193
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De Viteri FJS, Diamond D. Virtual instrument for flow-injection analysis with sensor array detection. ACTA ACUST UNITED AC 1994. [DOI: 10.1039/ai9943100229] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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194
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Pérez-Jiménez C, Harris SJ, Diamond D. New fluoroionophores for alkali-metal cations based on tetrameric calixarenes. ACTA ACUST UNITED AC 1994. [DOI: 10.1039/jm9940400145] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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195
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McCarrick M, Harris SJ, Diamond D. Assessment of a chromogenic calix[4]arene for the rapid colorimetric detection of trimethylamine. ACTA ACUST UNITED AC 1994. [DOI: 10.1039/jm9940400217] [Citation(s) in RCA: 28] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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196
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de Viteri FJS, Diamond D. Ammonium detection using an ion-selective electrode array in flow-injection analysis. ELECTROANAL 1994. [DOI: 10.1002/elan.1140060104] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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197
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Golin M, Bricklin M, Diamond D. 8 ways to make yourself more promotable. Nursing 1993; 23:84, 86, 88. [PMID: 8414265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
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198
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199
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Hartnett M, Diamond D, Barker PG. Neural network based recognition of flow injection patterns. Analyst 1993. [DOI: 10.1039/an9931800347] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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200
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McCarrick M, Wu B, Harris SJ, Diamond D, Barrett G, McKervey MA. Chromogenic ligands for lithium based on calix[4]arene tetraesters bearing nitrophenol residues. ACTA ACUST UNITED AC 1993. [DOI: 10.1039/p29930001963] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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