Browsing by Issue Date, starting with "2021-02-21"
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- Diagnosis of SARS-CoV-2 infection by RT-PCR using specimens other than naso- and oropharyngeal swabs: a systematic review and meta-analysisPublication . Moreira, Vânia M.; Mascarenhas, Paulo; Machado, Vanessa; Botelho, João; Mendes, José João; Taveira, Nuno; Almeida, M. GabrielaThe rapid and accurate testing of SARS-CoV-2 infection is still crucial to mitigate, and eventually halt, the spread of this disease. Currently, nasopharyngeal swab (NPS) and oropharyngeal swab (OPS) are the recommended standard sampling techniques, yet, these have some limitations such as the complexity of collection. Hence, several other types of specimens that are easier to obtain are being tested as alternatives to nasal/throat swabs in nucleic acid assays for SARS-CoV-2 detection. This study aims to critically appraise and compare the clinical performance of RT-PCR tests using oral saliva, deep-throat saliva/posterior oropharyngeal saliva (DTS/POS), sputum, urine, feces, and tears/conjunctival swab (CS) against standard specimens (NPS, OPS, or a combination of both). In this systematic review and meta-analysis, five databases (PubMed, Scopus, Web of Science, ClinicalTrial.gov and NIPH Clinical Trial) were searched up to the 30th of December, 2020. Case-control and cohort studies on the detection of SARS-CoV-2 were included. The methodological quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS 2). We identified 1560 entries, 33 of which (1.1%) met all required criteria and were included for the quantitative data analysis. Saliva presented the higher accuracy, 92.1% (95% CI: 70.0-98.3), with an estimated sensitivity of 83.9% (95% CI: 77.4-88.8) and specificity of 96.4% (95% CI: 89.5-98.8). DTS/POS samples had an overall accuracy of 79.7% (95% CI: 43.3-95.3), with an estimated sensitivity of 90.1% (95% CI: 83.3-96.9) and specificity of 63.1% (95% CI: 36.8-89.3). The remaining index specimens could not be adequately assessed given the lack of studies available. Our meta-analysis shows that saliva samples from the oral region provide a high sensitivity and specificity; therefore, these appear to be the best candidates for alternative specimens to NPS/OPS in SARS-CoV-2 detection, with suitable protocols for swab-free sample collection to be determined and validated in the future. The distinction between oral and extra-oral salivary samples will be crucial, since DTS/POS samples may induce a higher rate of false positives. Urine, feces, tears/CS and sputum seem unreliable for diagnosis. Saliva testing may increase testing capacity, ultimately promoting the implementation of truly deployable COVID-19 tests, which could either work at the point-of-care (e.g. hospitals, clinics) or at outbreak control spots (e.g., schools, airports, and nursing homes).
- H-USY and H-ZSM-5 zeolites as catalysts for HDPE conversion under a hydrogen reductive atmospherePublication . Costa, Cátia S.; MUÑOZ, MARTA; Ribeiro, M. Rosário; Silva, João MThe rapid increase in the consumption of plastic caused by the abrupt growth in living standards had a noticeable effect on the plastic waste generated. Consequently, a significant number of solutions have been proposed to address this issue, with catalytic cracking under H-2 atmosphere being one of the most promising ones. In this study, the catalytic conversion of HDPE under a reductive atmosphere was evaluated by thermogravimetric analysis using large and medium pore zeolites (H-USY and H-ZSM-5, respectively) with distinct Si/Al ratios as catalytic systems. The effect of adding a metallic source to zeolites was also analyzed in this work. Results show that high temperatures are required to convert HDPE (433-480 degrees C). However, the energy requirements can be reduced by adding a zeolite catalyst to the process. In this case, the H-USY zeolite was the most efficient catalytic system for HDPE degradation, allowing for a reduction of around 169 degrees C to the onset degradation temperature. The accessibility of this large pore zeolite, together with its acidic character, seems to have a determining role on the reaction. The addition of a Ni metallic source to H-USY and H-ZSM-5 led to further reduction on energy inputs. Moreover, the liquid product distribution for H-USY was shifted to lighter fractions.