Background: The Centers for Medicaid and Medicare Services approved a number of panels as screening tests including those for liver functions. The utility of routinely testing for Aspartate aminotransferase (AST) and direct bilirubin was questioned and empirical data analyzed to suggest alternatives. Methods: Tests done over six months were examined for AST, ALT, total and direct bilirubin valu...

It has long been recognized that, with p-diazobenzenesulfonic acid (van den Bergh reagent), bilirubin in serum of patients with jaundice may exhibit two types of reaction (1, 2). If coupling with the diazo reagent occurs promptly in aqueous solution, the reaction is said to be “direct;” if, however, coupling t.akes place only after prior addition of alcohol, the reaction is said to be “indirect...

We developed an enzymatic method for measuring direct-reacting bilirubin (DBIL) in serum. At pH 4.5, bilirubin oxidase (BOX) oxidizes mono-conjugated bilirubin, di-conjugated bilirubin, and most of the delta-bilirubin to biliverdin. The resulting decrease in absorbance at 460 nm is linearly related to the concentration of DBIL in serum. Mean DBIL values in the 51 patients' sera examined by the ...

Objective We investigated the relationship between serum bilirubin levels and metabolic syndrome (MetS), and the longitudinal effects of baseline serum bilirubin concentrations on MetS in patients with schizophrenia spectrum disorders undergoing atypical antipsychotics. Methods The sample of this study consisted of 131 patients with schizophrenia spectrum disorders. Waist circumference, blood...

Unconjugated bilirubin, conjugated bilirubin, and mixtures of various proportions of each were dissolved in depigmented human serum. These, together with normal and pathologic native human sera, were analyzed for conjugated, unconjugated, and total bilirubin by the Weber-Schalm method. Results were compared with the determination of “prompt direct reacting bilirubin” and of total bilirubin by t...

It has long been recognized that, with p-diazobenzenesulfonic acid (van den Bergh reagent), bilirubin in serum of patients with jaundice may exhibit two types of reaction (1, 2). If coupling with the diazo reagent occurs promptly in aqueous solution, the reaction is said to be “direct;” if, however, coupling t.akes place only after prior addition of alcohol, the reaction is said to be “indirect...

Michaëlsson's (1961) method for the measurement of plasma bilirubin concentration was found to be complicated by conjugated bilirubin. Delaying the addition of the accelerator, diphylline, corrected this fault. The method was calibrated using serum or plasma, since reconstituted protein solutions introduced large errors.

Most studies of analytical interference indicate the magnitude but not the type of interference. We developed a model for interference that assesses the magnitude of the following types of interference: independent of analyte concentration, dependent on analyte concentration, and a combination of the two. The experimental design for the model is an orthogonally arranged matrix with progressivel...

We compared the effect of light on direct-reacting bilirubin (DBIL) measurement by the bilirubin oxidase (EC 1.3.3.5; BOX) method and by the Jendrassik-Gróf diazo method. DBIL concentrations determined by the BOX method in the sera of hyperbilirubinemic infants treated with phototherapy yielded falsely higher values than those by the direct diazo method. A similar tendency was noted when DBIL c...