Laboratory testing of Alcoscan saliva-alcohol test strips. Technical report.

National Highway Traffic Safety Administration, Office of Driver and Pedestrian Research, Washington, D.C.

Dynamic testing for side crush MRB-to-car side impact test of a 90 [degree] moving rigid barrier to a 1980 Chevrolet Citation: test #1 - 18.5 mph, test #2 - 46.6 mph. Test report.

Mode of access: Internet.

Development and implementation of a rear vision device test protocol. Volume II - simulated-use testing. Final report.

National Highway Traffic Safety Administration, Washington, D.C.

Further laboratory testing of in-vehicle alcohol test devices. Technical report.

Mode of access: Internet.

Vehicle barrier impact testing on a 1987 Subaru XT 2-door coupe with Hybrid III dummies. Test report.

Mode of access: Internet.

Vehicle barrier impact testing with Hybrid III dummies in a 1987 Ford Escort 5-door hatchback. Test report.

Mode of access: Internet.

Vehicle barrier impact testing with Hybrid III dummies in a 1987 Toyota Camry 4-door sedan. Test report.

Mode of access: Internet.

Vehicle barrier impact testing with Hybrid III dummies in a 1987 Chrysler Lebaron 2-door coupe. Test report.

Mode of access: Internet.

CSTA, U.S. Army Combat Systems Test Activity : testing for excellence.

Mode of access: Internet.

Operator and organizational maintenance manual (including repair parts and special tool lists) : test stand, automotive generator, alternator, and starter, floor mounted, 10 to 50-V, 500-amp, DC, and 25 to 50-V, 100 to 400 amp, AC, testing ranges, w/800 to 11,000-RPM ... (United Manufacturing Company model AGARTS type II, part number 7336-1 ....

"November 1966."

Employee drug testing : estimated cost to test all executive branch employees and new hires : report to the Chairman, Subcommittee on the Civil Service, Committee on Post Office and Civil Service, House of Representatives /

"GAO/GGD-92-99."

Rapid testing for group B streptococcus during labour: a test accuracy study with evaluation of acceptability and cost-effectiveness

OBJECTIVE: To determine the accuracy, acceptability and cost-effectiveness of polymerase chain reaction (PCR) and optical immunoassay (OIA) rapid tests for maternal group B streptococcal (GBS) colonisation at labour. DESIGN: A test accuracy study was used to determine the accuracy of rapid tests for GBS colonisation of women in labour. Acceptability of testing to participants was evaluated through a questionnaire administered after delivery, and acceptability to staff through focus groups. A decision-analytic model was constructed to assess the cost-effectiveness of various screening strategies. SETTING: Two large obstetric units in the UK. PARTICIPANTS: Women booked for delivery at the participating units other than those electing for a Caesarean delivery. INTERVENTIONS: Vaginal and rectal swabs were obtained at the onset of labour and the results of vaginal and rectal PCR and OIA (index) tests were compared with the reference standard of enriched culture of combined vaginal and rectal swabs. MAIN OUTCOME MEASURES: The accuracy of the index tests, the relative accuracies of tests on vaginal and rectal swabs and whether test accuracy varied according to the presence or absence of maternal risk factors. RESULTS: PCR was significantly more accurate than OIA for the detection of maternal GBS colonisation. Combined vaginal or rectal swab index tests were more sensitive than either test considered individually [combined swab sensitivity for PCR 84% (95% CI 79-88%); vaginal swab 58% (52-64%); rectal swab 71% (66-76%)]. The highest sensitivity for PCR came at the cost of lower specificity [combined specificity 87% (95% CI 85-89%); vaginal swab 92% (90-94%); rectal swab 92% (90-93%)]. The sensitivity and specificity of rapid tests varied according to the presence or absence of maternal risk factors, but not consistently. PCR results were determinants of neonatal GBS colonisation, but maternal risk factors were not. Overall levels of acceptability for rapid testing amongst participants were high. Vaginal swabs were more acceptable than rectal swabs. South Asian women were least likely to have participated in the study and were less happy with the sampling procedure and with the prospect of rapid testing as part of routine care. Midwives were generally positive towards rapid testing but had concerns that it might lead to overtreatment and unnecessary interference in births. Modelling analysis revealed that the most cost-effective strategy was to provide routine intravenous antibiotic prophylaxis (IAP) to all women without screening. Removing this strategy, which is unlikely to be acceptable to most women and midwives, resulted in screening, based on a culture test at 35-37 weeks' gestation, with the provision of antibiotics to all women who screened positive being most cost-effective, assuming that all women in premature labour would receive IAP. The results were sensitive to very small increases in costs and changes in other assumptions. Screening using a rapid test was not cost-effective based on its current sensitivity, specificity and cost. CONCLUSIONS: Neither rapid test was sufficiently accurate to recommend it for routine use in clinical practice. IAP directed by screening with enriched culture at 35-37 weeks' gestation is likely to be the most acceptable cost-effective strategy, although it is premature to suggest the implementation of this strategy at present.