Quality specifications for evaluation and comparison of performance among external quality assessment schemes in occupational and environmental laboratory medicine

Quality specifications (QS) are proposed for lead in blood and for aluminium, copper, selenium and zinc in serum as part of the aim to set standards of performance for laboratories so that results can be demonstrated to be fit for the purpose to which they are applied. The QS were established taking account of the analytical state-of-the-art, physiological variations in the concentrations of the analyte and the clinical purpose for which the assay is to be used. A procedure was devised that uses these QS to give equivalence of assessment among external quality assessment schemes (EQAS), thus avoiding conflicting information which has been demonstrated in the past. Advantages of this procedure are: to provide direct comparison of performance of laboratories taking part in different schemes, to provide equivalence of assessment of laboratory performance necessary to establish mutual recognition agreements, and to demonstrate the fitness for purpose of results from participants.Presented at the Eurachem PT Workshop September 2005, Portorož, Slovenia     

A survey of workload, facilities and awareness of uncertainty of measurement among Italian laboratories performing analyses in occupational and environmental medicine

Biological monitoring is essential for risk assessment in the presence of exposure of workers or the general population to harmful chemical agents. Besides the choice of analytical methods which are fit for purpose and the skills of the analysts, the performance of laboratories, including those working in the field of environmental and occupational medicine, also depends on other technical factors such as frequency of testing, the use of well maintained and properly functioning equipment and the implementation of quality control procedures including the participation in External Quality Assessment Schemes (EQAS). Surveys of laboratory workload have been organized periodically since 1997 within the MeTos Project, an Italian national EQAS for biomarkers of environmental and occupational exposure to chemical agents. In 2001, a more extensive survey, including specific technical issues, was organized as part of the activities of the Thematic Network of European Organizers of External Quality Assessment/Proficiency Testing Schemes Related to Occupational and Environmental Medicine (Network survey). In addition, information on the awareness and implementation of the new requirement for laboratories to estimate the uncertainty of their measurements was collected since 2000. The results of these surveys are reported and compared here. In all surveys, Pb in blood was the biomarker most frequently determined. As for biomarkers of exposure to organic compounds, the data collected in the Network survey indicate that methylhippuric acid, hippuric acid and mandelic acid in urine were the assays most commonly performed. About a third of the participants stated that they estimate the uncertainty of at least some of their measurements. Preliminary analysis of data, limited to Pb in blood, showed that analytical performance improved with continuous participation in EQAS and was positively influenced by a high workload.     

Atomic spectrometry and trends in clinical laboratory medicine

Increasing numbers of clinical laboratories are transitioning away from flame and electrothermal AAS methods to those based on ICP-MS. Still, for many laboratories, the choice of instrumentation is based upon (a) the element(s) to be determined, (b) the matrix/matrices to be analyzed, and (c) the expected concentration(s) of the analytes in the matrix. Most clinical laboratories specialize in measuring Se, Zn, Cu, and Al in serum, and/or Pb, Cd, Hg, As, and Cr in blood and/or urine, while other trace elements (e.g., Pt, Au etc.) are measured for therapeutic purposes. Quantitative measurement of elemental species is becoming more widely accepted for nutritional and/or toxicological screening purposes, and ICP-MS interfaced with separation techniques, such as liquid chromatography or capillary electrophoresis, offers the advantage of on-line species determination coupled with very low detection limits. Polyatomic interferences for some key elements such as Se, As, and Cr require instrumentation equipped with dynamic reaction cell or collision cell technologies, or might even necessitate the use of sector field ICP-MS, to assure accurate results. Nonetheless, whatever analytical method is selected for the task, careful consideration must be given both to specimen collection procedures and to the control of pre-analytical variables. Finally, all methods benefit from access to reliable certified reference materials (CRMs). While a variety of reference materials (RMs) are available for trace element measurements in clinical matrices, not all can be classified as CRMs. The major metrological organizations (e.g., NIST, IRMM, NIES) provide a limited number of clinical CRMs, however, secondary reference materials are readily available from commercial organizations and organizers of external quality assessment schemes.     

Proficiency testing in analytical chemistry, microbiology and laboratory medicine: working group discussions on current practice and future directions

A summary of the working group (WG) discussions on proficiency testing (PT) and external quality assessment (EQA) held at the joint EURACHEM/CITAC/EQALM workshop, Bracknell, UK, 16–18 February 2003 is provided. The nine WGs covered a range of issues concerned with current practice and future directions; PT/EQA as a tool for regulators (WG1); PT/EQA as a tool for accreditation (WG2); evaluation of performance and uncertainty (WG3); frequency of PT/EQA participation (WG4); selection of appropriate PT/EQA schemes (WG5); added value of PT/EQA and cost benefit evaluation (WG6); global harmonisation and rationalisation (WG7); new technical areas and challenges in PT/EQA (WG8); and accreditation of PT/EQA providers (WG9). Participants with different backgrounds were on each WG in order to capture a range of views and experience from different sectors. The discussions reflected on the keynote lectures and built, in many cases, on discussions at previous workshops in 2000 and 2002.     

A review of autovalidation software in laboratory medicine

Although autovalidation procedures have been around for many years, through the use of computers and the application of (medical) protocols, they are now becoming part of the production environment of medical laboratories. The introduction of high volume instruments within routine medical laboratory testing certainly speeded up their application as well. After defining autovalidation, autoverification and autoconfirmation, this paper provides a framework for the different ways and places where these tools can be applied within laboratory medicine. Technology as well as organization are essential building blocks to reach well-defined, transparent and assured quality. A laboratory automation system (LAS) brings both areas together in a logical, future-oriented way. Strengthening the information loop, reaching guaranteed quality (analytical, turnaround times and efficiency), leads towards strict management of the laboratory processes. This includes all laboratory processes and here autovalidation and autoreporting become essential. A survey of currently available software routines and their appraisal from a managerial viewpoint are given. It can be concluded that autovalidation software in laboratory medicine is maturing and is rapidly becoming a critical success factor in any medical laboratory. Quality can be automated for sure and autovalidation software will prove to be a valuable aid to do so. Received: 23 August 2002 Accepted: 26 August 2002 Presented at the European Conference on Quality in the Spotlight in Medical Laboratories, 7–9 October 2001, Antwerp, Belgium     

Proficiency testing in analytical chemistry, microbiology, and laboratory medicine – working group discussions on current status, problems, and future directions

Working group (WG) discussions on proficiency testing (PT) held at the joint Eurachem/ EQALM workshop, Borås, Sweden, 24–26 September 2000 are summarized. The discussions focused on aspects of PT and accreditation (WG 1), general aspects of PT in analytical chemistry (WG 2), microbiology (WG 3), and laboratory medicine (WG 4), incorporation of measurement uncertainty into PT schemes (WG 5), international harmonization of PT schemes (WG 6), and the role of PT in the international structure of chemical measurement (WG 7). Current status, problems and future directions are identified. Each WG contained a majority of participants experienced in the subject being covered by that WG, and a few participants with different expertise. This was done to promote cross-fertilization of ideas between sectors, a key objective of the workshop. The WG issues reflected the content of the keynote lectures and some issues were covered from different perspectives by more than one group.     

Human and environmental risk assessment of pharmaceuticals: differences,similarities, lessons from toxicology

The presence of human and veterinary pharmaceuticals in the environment has caused increasing concern due their effects on ecological receptors. Improving the risk assessment of these compounds necessitates a quantitative understanding of their metabolism and elimination in the target organism (toxicokinetics), particularly via the ubiquitous cytochrome P-450 (CYP) system and their mechanisms of toxicity (toxicodynamics). This review focuses on a number of pharmaceuticals and veterinary medicines of environmental concern, and the differences and similarities between ecological and human risk assessment. CYP metabolism is discussed with particular reference to its ubiquity in species of ecological relevance. The important issue of pharmaceutical mixtures is discussed to assess how emerging technologies such as ecotoxicogenomics may assist in moving towards a more mechanism-based environmental risk assessment of pharmaceuticals.     

A comprehensive application: Molecular docking and network pharmacology for the prediction of bioactive constituents and elucidation of mechanisms of action in component-based Chinese medicine

Traditional Chinese medicine (TCM) has been used for more than 2000 years in China. TCM has received wide attention recently due to its unique charm. At the same time, its main obstacles have attracted wide attention, including vagueness of drug composition and treatment mechanism. With the development of virtual screening technology, more and more Chinese medicine compounds have been studied to discover the potential active components and mechanisms of action. Molecular docking is a computer technology based on structural design. Network pharmacology establishes powerful and comprehensive databases to understand the relationship between TCM and disease network. In this review, emergent uses and applications of two techniques and further superiorities of the two techniques when embarked to boil down into a tidy system were illustrated. A combination of the two provides a theoretical basis and technical support for the construction of modern TCM based on the compatibility of components and accelerates the realization of two basic elements as well, including the clearness of the pharmacodynamic substances and explanation of the effect of TCM.     

Estimates of uncertainty of measurement from proficiency testing data: a case study

The results obtained by a laboratory over a number of proficiency testing/external quality assessment schemes (PT/EQAS) rounds can give information on the uncertainty of its measurements for a given test, provided that conditions such as full coverage of the routine analytical range, traceability, and small uncertainty of the assigned values (compared to the spread of the results) are met and provided that systematic deviations and any other sources of uncertainty are considered. As organisers of the Italian EQAS (ITEQAS) in occupational and environmental laboratory medicine, we tested this hypothesis using as model data from well-performing laboratories taking part in ITEQAS for lead in blood over the last 2 years. We also investigated how different PT/EQAS features (frequency of trials and number of samples) would affect a laboratory estimate of its uncertainty. Such information can be helpful in improving PT/EQAS organisation and define, for a given test: (a) the state of the art of the uncertainty of current measurement procedures, (b) identify needs for improvement of analytical methodologies and (c) set targets for acceptable uncertainty values.Presented at the Eurachem PT Workshop September 2005, Portorož, Slovenia.Papers published in this section do not necessarily reflect the opinion of the Editors, the Editorial Board and the Publisher.     

Mechanism,kinetics, and environmental assessment of OH-initiated transformation of CTDE in the atmosphere

The transformation mechanism and kinetics of 2-chloro-1,1,2-trifluoroethyl-difluoromethyl-ether (CTDE, CHF₂OCF₂CHFCl) triggered by OH radicals are studied by density-functional theory methods and canonical variational transition state theory. The computational rate constant including small-curvature tunneling correction is found to be in commendable agreement with the experimental data. Two hydrogen abstraction channels to form the alkyl radicals of C·F₂OCF₂CHFCl and CHF₂OCF₂C·FCl are observed, and the formation of CHF₂OCF₂C·FCl is found to be more favorable than C·F₂OCF₂CHFCl kinetically and thermodynamically. Subsequent evolution of CHF₂OCF₂C·FCl in the presence of NO and O₂ indicates that the organic nitrate (CHF₂OCF₂CONO₂FCl) is the stable product. The dechlorinate of alkoxy radical (CHF₂OCF₂C(O·)FCl) is the most favorable degradation channel, and the estimated ozone depletion potential for CTDE relative to chlorofluorocarbon-11 is 0.0204, which could lead to ozone depletion as a consequence. The computed atmospheric lifetime for CTDE is found to be 3.69 years by considering the combined contributions from OH radicals and Cl atoms. The total radiative forcing and global warming potential of CTDE are, respectively, 0.547 W m⁻² ppbv and 628.58 (100 years) at 298 K, suggesting that the contribution of CTDE to the greenhouse effect is moderate.     

Chemical and environmental sampling: quality through accreditation, certification and industrial standards

Executive summary In the CEN/STAR Trends Analysis workshop on Sampling, initiated by request of the Nordic Innovation Centre, specially invited experts provided presentations on demands about regulation concerning sampling quality, sampling standard developments, quality assurance systems and practical experience from different sampling situations and cases. The workshop arrived at recommendations on the importance of proper sampling for environmental and product control purposes, especially to support European regulations, trade agreements and monitoring of environment. Sampling is an integrated part of the whole measurement process and should therefore be especially considered from the viewpoint of the end-user of the results. There is a need for raising quality control issues in sampling and for the establishment of a more uniformly co-ordinated European quality system for sampling. With the standard methods available, there are in principle two different ways of achieving third party assessment of the sampling protocols and procedures: accreditation of sampling organisations based upon international, national, or in-house standards and methods, and certification of individual samplers’ competences for sampling. Several activities or efforts as well as research and standardisation needs for raising the quality issues in sampling were identified and presented in a paper by the workshop.All the presentations and Workshop Proceedings are electronically available on the Nordic Innovation Centre's web site at and more specifically at     

中医药现代化对分析化学的机遇与挑战

综述了多种分析方法在中医药现代化中的重要作用,内容包括中药面临的机遇与挑战,中药市场及所存在的问题,当前在中药鉴别、分离、提纯以及复方药效的研究常用的分析方法,中药指纹图谱以及残留农药的检测。引用文献183篇。     

International Measurement Evaluation Programme (IMEP); IMEP-14: Picturing the performance of analytical laboratories measuring trace elements in sediment

The International Measurement Evaluation Programme (IMEP) is an interlaboratory comparison scheme founded, owned and co-ordinated by the Institute for Reference Materials and Measurements (IRMM) since 1988. IMEP-14, for the first time in the series, is focusing on trace elements in sediment. Reference values for ten elements stating total concentrations and expanded uncertainties according to GUM were established. In total, 239 laboratories from 43 countries in five continents participated in the comparison, and the degree of equivalence between the results from the laboratories and the reference values is presented graphically. Identical samples were distributed to nine National Measurement Institutes within the frame of the CCQM-P15 pilot study. Participation in the IMEP-14 interlaboratory comparison was offered to laboratories in the EU new member states and acceding countries according to the IRMMs Metrology in Chemistry support programme for EU new member states and acceding countries.This revised version was published online in August 2004 with corrections to text especially to the Discussion section.     

A simple and sensitive portable system for a rapid evaluation of bisphenol A contamination in potable and environmental waters using a mesoporous silica-modified carbon paste electrode

In this work, two ordered mesoporous silicas (HMS and SBA-15) were prepared and incorporated into carbon paste electrodes (CPEs) to obtain mesostructured sensors for a rapid determination of bisphenol A (BPA) in waters by voltammetric techniques. The materials were characterised by nitrogen adsorption-desorption measurements, transmission electron microscopy and scanning electron microscopy. The electrochemical properties of the modified carbon paste electrodes were studied by differential pulse voltammetry (DPV) and cyclic voltammetry (CV). Results showed that the sensor modified with HMS (HMS-CPE) exhibited strong adsorption activity toward the oxidation of BPA, with a well-defined voltammetric peak at +0.6 V. Moreover, the HMS-CPE exhibited a wider linearity range, from 0.44 to 3.5 μM BPA, with a detection limit of 61 nM (S/N = 3) and good reproducibility by DPV. The enhanced performance of the HMS-CPE could be attributed to its high surface area, with a 3 D wormhole-like channel structure that favoured an excellent accessibility, high adsorption capacity and faster adsorption rate of BPA. This novel sensor was coupled to a portable system and successfully applied for a rapid determination of BPA in tap, mineral, well and river water samples with good recovery, ranging from 98 ± 12 to 103 ± 7%.     

Selective solid-phase extraction of bisphenol A using molecularly imprinted polymers and its application to biological and environmental samples

Molecularly imprinted polymers (MIPs) were prepared using bisphenol A (BPA) as a template by precipitation polymerization. The polymer that had the highest binding selectivity and ability was used as solid-phase extraction (SPE) sorbents for direct extraction of BPA from different biological and environmental samples (human serum, pig urine, tap water and shrimp). The extraction protocol was optimized and the optimum conditions were as follows: conditioning with 5 mL methanol–acetic acid (3:1), 5 mL methanol, 5 mL acetonitrile and 5 mL water, respectively, loading with 5 mL aqueous samples, washing with 1 mL acetonitrile, and eluting with 3 mL methanol. MIPs can selectively recognize, effectively trap and preconcentrate BPA over a concentration range of 2–20 μM. Recoveries ranged from 94.03 to 105.3 %, with a relative standard deviation lower than 7.9 %. Under the optimal condition, molecularly imprinted SPE recoveries of spiked human serum, pig urine, tap water and shrimp were 65.80, 82.32, 76.00 and 75.97 %, respectively, when aqueous samples were applied directly. Compared with C18 SPE, a better baseline, better high-performance liquid chromatography separation efficiency and higher recoveries were achieved after molecularly imprinted SPE.      

Chemometrics and modernization of traditional Chinese medicine

Development of chromatographic fingerprinting and its related chemometric methods in the research of quality control of traditional Chinese medicines(TCMs) are discussed. The quality control methods for guarantying the authentication and stability of products and semi-products of TCMs are firstly assessed. The technique based on chromatographic fingerprinting is essentially a kind of high-through put and integral tools to explore the complexity of herbal medicines. In order to further control the comprehensive quality of TCMs,confirmation and identification of their important chemical components are necessary. Some new strategies are proposed to trace the chemical changes of chromatographic fingerprints both in product processing and/or after their administration by modern chromatographic techniques and chemometrics. Combined with systems biology and bioinformatics,it seems possible for one to reveal the working mechanism of TCMs and to further control their intrinsic quality comprehensively.     

Characterization of synthetic dyes for environmental and forensic assessments: A chromatography and mass spectrometry approach

Dyes have become common substances since they are employed in mostly all objects surrounding our daily activities such as clothing and upholstery. Based on the usage and disposal of these objects, the transfer of the dyes to other media such as soil and water increases their prevalence in our environment. However, this prevalence could help to solve crimes and pollution problems if detection techniques are proper. For that reason, the detection and characterization of dyes in complex matrices is important to determine the possible events leading to their deposition (natural degradation, attempts of removal, possible match with evidence, among others). Currently, there are several chromatographic and mass spectrometric approaches used for the identification of these organic molecules and their derivatives with high specificity and accuracy. This review presents current chromatographic and mass spectrometric methods that are used for the detection and characterization of disperse, acid, basic, and reactive dyes, and their derivatives.     

International Atomic Energy Agency's contributions to advances in nutritional and environmental metrology

For more than three decades the International Atomic Energy Agency (IAEA) has supported projects on food, nutrition and environment for strengthening the analytical capabilities in developing countries (DCs). Over time, such efforts have led to the development of proper study designs, harmonization of sampling protocols, adequate contamination control and evaluation of the suitability of competing analytical techniques for the determination of specific analytes. Collectively, these consistent IAEA initiatives have promoted harmonization of chemical measurements thus facilitating comparability of results of filed investigations. Importantly, the Agency's efforts have infused a measure of metrological awareness in measurements carried out in field studies, including physiological measurements. Nuclear and isotopic techniques have played an important role in reaching these goals by establishing reliable measurement processes for application in health care studies.