Paper-based devices are an excellent match for low-cost point-of-care testing (POCT) tools. Their user-friendliness, portability, and short time of analysis, coupled with ease of local manufacture make these devices the best option for inexpensive diagnostic testing tools. However, despite all their positive features, these low-cost diagnostic devices must present good performance indicators, such as sensitivity, specificity, and accuracy. We developed and validated a paper-based ELISA for toxoplasmosis diagnosis through the detection of Toxoplasma gondii immunoglobulin G (IgG) antibodies in 100 human serum samples. From among the different ways to define the cut-off value, we chose Youden's J index (cut-off = 21.73 A.U.), which presented a higher sensitivity value. Our paper-based assay presented a sensitivity of 0.96, a specificity of 0.87, and a gray zone comprising 16 samples (±15% of the cut-off value, with 3 false positive outputs). The accuracy of the test was estimated by using ROC curves (AUC = 0.97). We also created a macro in Microsoft Excel® to estimate the accuracy of the test (m-Accuracy) based on a non-parametric method, which evidenced a value = 0.88, which classifies our test as moderately to highly accurate. We also provide the m-Accuracy macro for download and the paper-based microplate designs for printing, in order to collaborate with the scientific community and facilitate further studies using this platform. The improvement of these diagnostic tools can bring this technology for those who need it, contributing to population health and well-being.
1 June 2007 in Journal of the North American Benthological Society
The Atlantic Forest of Brazil has been identified as a biodiversity hotspot of global significance. We assessed chironomid (Diptera:Chironomidae) taxa richness in 2 vegetation types in this region: the Atlantic Rain Forest and the Atlantic Semi-deciduous Forest. Taxa were collected from 15 low-order streams across multiple habitats. A total of 191 morphospecies were recognized (125 Chironominae, 28 Tanypodinae, and 38 Orthocladiinae). We estimated chironomid richness using a Bayesian statistical approach. Species-richness estimates ranged from 200 (credibility interval, 195–207) to 267 (248–288). These results place low-order streams from Atlantic Forest among the most chironomid speciose areas in the world.