Publications by authors named "Claire Guest"

Article Synopsis
  • The ongoing COVID-19 pandemic has highlighted the need for effective and rapid screening methods as traditional diagnostics are costly and time-consuming, while vaccinations remain unevenly accessible globally.
  • A study was conducted using medical detection dogs trained to identify SARS-CoV-2-positive sweat samples from individuals, showing high accuracy with 98% sensitivity and 92% specificity in detecting the virus.
  • The results suggest that using canine olfaction could serve as a reliable, non-invasive screening tool for diagnosing COVID-19, even among asymptomatic patients.
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Background: A rapid, accurate, non-invasive diagnostic screen is needed to identify people with SARS-CoV-2 infection. We investigated whether organic semi-conducting (OSC) sensors and trained dogs could distinguish between people infected with asymptomatic or mild symptoms, and uninfected individuals, and the impact of screening at ports-of-entry.

Methods: Odour samples were collected from adults, and SARS-CoV-2 infection status confirmed using RT-PCR.

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Training new medical odors presents challenges in procuring sufficient target samples, and suitably matched controls. Organizations are often forced to choose between using fewer samples and risking dogs learning individuals or using differently sourced samples. Even when aiming to standardize all aspects of collection, processing, storage and presentation, this risks there being subtle differences which dogs use to discriminate, leading to artificially high performance, not replicable when novel samples are presented.

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To quantify Diabetes Alert Dog (DAD) performance by using owner-independent measures. Eight owners of accredited DADs used a FreeStyle Libre Flash Glucose Monitoring System (FGMS). Concurrent Closed Circuit Television (CCTV) footage was collected for between 5 and 14 days in each owner's home or workplace.

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Dogs' abilities to respond to concentrations of odorant molecules are generally deemed superior to electronic sensors. This sensitivity has been used traditionally in many areas; but is a more recent innovation within the medical field. As a bio-detection sensor for human diseases such as cancer and infections, dogs often need to detect volatile organic compounds in bodily fluids such as urine and blood.

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Aims: Domestic dogs are trained to a wide variety of roles including an increasing number of medical assistance tasks. Glycaemia alert dogs are reported to greatly improve the quality of life of owners living with Type 1 diabetes. Research into their value is currently sparse, on small numbers of dogs and provides conflicting results.

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Bio-Detection Dogs (BDDs) are used in some high-income countries as a diagnostic intervention, yet little is known about their potential in low/middle-income countries with limited diagnostic resources. This exploratory study investigated the opportunities and implications of deploying BDDs as a mobile diagnostic intervention to identify people with asymptomatic malaria, particularly at ports of entry, as an important step to malaria elimination in a population. A qualitative study design consisting of participant observation, five focus group discussions and informal conversations was employed in The Gambia in April-May 2017.

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Article Synopsis
  • A quality improvement project aimed to reduce parenteral nutrition (PN) wastage by 10% over 9 months at a national intestinal failure unit (IFU) since PN can cost around £80 per day and is often wasted due to various clinical reasons!* -
  • The team utilized methods like pareto charts and PDSA cycles to identify and address the causes of waste, focusing on clinical awareness, efficient bag redistribution, stock rotations, and improved discharge planning!* -
  • As a result of these interventions, the project achieved a 34% reduction in PN wastage, leading to significant cost savings of approximately £30,000 per year in a high-use clinical setting!*
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False negatives are recorded in every chemical detection system, but when animals are used as a scent detector, some false negatives can arise as a result of a failure in the link between detection and the trained alert response, or a failure of the handler to identify the positive alert. A false negative response can be critical in certain scenarios, such as searching for a live person or detecting explosives. In this study, we investigated whether the nature of sniffing behavior in trained detection dogs during a controlled scent-detection task differs in response to true positives, true negatives, false positives, and false negatives.

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Article Synopsis
  • Trained glycaemia alert dogs provide notable benefits for diabetes patients, improving their overall well-being and independence.
  • In a study with 17 clients, owners reported fewer emergencies, reduced unconscious episodes, and better glycaemic control after obtaining a trained dog.
  • The dogs demonstrated reliable alerting abilities, especially when blood sugar levels were out of target range, suggesting their potential to enhance life quality and lower healthcare costs for diabetic individuals.
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In a previous canine study, we demonstrated that volatile organic compounds specific to bladder cancer are present in urine headspace, subsequently showing that up to 70% of tumours can be correctly classified using an electronic nose. This study aimed to evaluate the sensitivity and specificity which can be achieved by a group of four trained dogs. In a series of 30 double-blind test runs, each consisting of one bladder cancer urine sample placed alongside six controls, the highest sensitivity achieved by the best performing dog was 73% (95% CI 55-86%), with the group as a whole correctly identifying the cancer samples 64% (95% CI 55-73%) of the time.

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The organization Hearing Dogs for Deaf People provides assistance dogs that alert their deaf or hard-of-hearing recipients to key sounds, thus increasing their independence and also providing companionship. Fifty-one recipients took part in a longitudinal study to monitor the dogs' working performance over time and to examine the social and psychological effects of having a Hearing Dog. The Profile of Mood State (POMS) questionnaire and the General Health Questionnaire (GHQ) were used together with a Hearing Dog Questionnaire (HDQ) specifically developed for this study.

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Objective: To determine whether dogs can be trained to identify people with bladder cancer on the basis of urine odour more successfully than would be expected by chance alone.

Design: Experimental, "proof of principle" study in which six dogs were trained to discriminate between urine from patients with bladder cancer and urine from diseased and healthy controls and then evaluated in tests requiring the selection of one bladder cancer urine sample from six controls.

Participants: 36 male and female patients (age range 48-90 years) presenting with new or recurrent transitional cell carcinoma of the bladder (27 samples used for training; 9 used for formal testing); 108 male and female controls (diseased and healthy, age range 18-85 years--54 samples used in training; 54 used for testing).

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