Background: Internal standards are essential in quantitative mass spectrometry (MS) assays to correct for variability in sample extraction and ionization at the source. In liquid chromatography MS assays, analogues of the analyte with several atoms replaced by their stable isotopes, e.g. (2)H (D, deuterium) are often used as internal standards.
Methods: Possible interference by naturally occurring isotopes of an analyte in the internal standard channel in a liquid chromatography tandem MS assay was assessed using cortisol and its deuterated internal standard, D2-cortisol, as an example. Mass spectra were analysed and standard curves were prepared with varying concentrations of internal standard to determine the extent of any interference.
Results: The mass spectra showed that a naturally occurring isotope of cortisol at m/z 365 acts in the same way as D2-cortisol and fragments to give a daughter ion of the same m/z. Cortisol-365 can therefore falsely, but significantly, increase the amount of internal standard detected, and this will concomitantly decrease the relative response for cortisol. The standard curves with varying concentrations of internal standard showed that this phenomenon can affect the linearity of an assay.
Conclusions: Our results show that care is needed in assay development when doubly deuterated internal standards are used. Interference by naturally occurring isotopes of the analyte of interest in the internal standard transition is possible and it is important to ensure that an appropriate internal standard concentration is chosen that permits linearity of the assay over the required range.
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http://dx.doi.org/10.1258/acb.2007.007137 | DOI Listing |
West Afr J Med
September 2024
Department of Internal Medicine, Aga Khan University, Dar es Salaam, Tanzania.
Background And Objectives: Huge clinical and research gaps exist concerning the epidemiology, natural history, availability, and accessibility of care for sleep disorders in sub-Saharan Africa (SSA). This study aimed to profile the characteristics of patients referred for polysomnography and the frequencies of sleep disorders encountered at the new sleep laboratory in Dar es Salaam, Tanzania.
Materials And Methods: This retrospective hospital-based descriptive observational study was conducted at the Aga Khan Hospital Dar es Salaam.
Future Sci OA
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Gastroenterology Department, La Rabta Hospital, Tunis, Tunisia.
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BMC Med Educ
January 2025
School of Health and Life Sciences, University of the West of Scotland, Paisley, Scotland.
Background: Evaluating professional values is crucial to developing effective strategies for integrating them into professional performance and clinical education. A standard questionnaire is an instrument that can be used to evaluate professional values. This study aimed to assess the validity and reliability of the Nurses Professional Values Scale-Revised (NPVS-R) among nursing students in the Persian language.
View Article and Find Full Text PDFTrials
January 2025
Internal Medicine (Rheumatology), Academic Hospital, Istanbul, Turkey.
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J Med Ethics
January 2025
Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA.
Introduction: The integration of artificial intelligence (AI) into healthcare introduces innovative possibilities but raises ethical, legal and professional concerns. Assessing the performance of AI in core components of the United States Medical Licensing Examination (USMLE), such as communication skills, ethics, empathy and professionalism, is crucial. This study evaluates how well ChatGPT versions 3.
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