CN109406780A - A kind of rotavirus Test paper card and its preparation method and application - Google Patents

A kind of rotavirus Test paper card and its preparation method and application Download PDF

Info

Publication number
CN109406780A
CN109406780A CN201811574593.7A CN201811574593A CN109406780A CN 109406780 A CN109406780 A CN 109406780A CN 201811574593 A CN201811574593 A CN 201811574593A CN 109406780 A CN109406780 A CN 109406780A
Authority
CN
China
Prior art keywords
rotavirus
antibody
test paper
paper card
quality control
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201811574593.7A
Other languages
Chinese (zh)
Inventor
曹晓梅
曾婷婷
王怀远
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Chinese Academy of Inspection and Quarantine CAIQ
Original Assignee
Chinese Academy of Inspection and Quarantine CAIQ
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Chinese Academy of Inspection and Quarantine CAIQ filed Critical Chinese Academy of Inspection and Quarantine CAIQ
Priority to CN201811574593.7A priority Critical patent/CN109406780A/en
Publication of CN109406780A publication Critical patent/CN109406780A/en
Pending legal-status Critical Current

Links

Classifications

    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/62Systems in which the material investigated is excited whereby it emits light or causes a change in wavelength of the incident light
    • G01N21/63Systems in which the material investigated is excited whereby it emits light or causes a change in wavelength of the incident light optically excited
    • G01N21/64Fluorescence; Phosphorescence
    • G01N21/6428Measuring fluorescence of fluorescent products of reactions or of fluorochrome labelled reactive substances, e.g. measuring quenching effects, using measuring "optrodes"
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/569Immunoassay; Biospecific binding assay; Materials therefor for microorganisms, e.g. protozoa, bacteria, viruses
    • G01N33/56983Viruses
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/577Immunoassay; Biospecific binding assay; Materials therefor involving monoclonal antibodies binding reaction mechanisms characterised by the use of monoclonal antibodies; monoclonal antibodies per se are classified with their corresponding antigens
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/62Systems in which the material investigated is excited whereby it emits light or causes a change in wavelength of the incident light
    • G01N21/63Systems in which the material investigated is excited whereby it emits light or causes a change in wavelength of the incident light optically excited
    • G01N21/64Fluorescence; Phosphorescence
    • G01N21/6428Measuring fluorescence of fluorescent products of reactions or of fluorochrome labelled reactive substances, e.g. measuring quenching effects, using measuring "optrodes"
    • G01N2021/6439Measuring fluorescence of fluorescent products of reactions or of fluorochrome labelled reactive substances, e.g. measuring quenching effects, using measuring "optrodes" with indicators, stains, dyes, tags, labels, marks
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2333/00Assays involving biological materials from specific organisms or of a specific nature
    • G01N2333/005Assays involving biological materials from specific organisms or of a specific nature from viruses
    • G01N2333/08RNA viruses
    • G01N2333/14Reoviridae, e.g. rotavirus, bluetongue virus, Colorado tick fever virus

Abstract

A kind of test card and its preparation method and application detecting rotavirus, the test card includes support base and the sample pad being arranged successively thereon, bonding pad, nitrocellulose filter and water absorption pad;The bonding pad contains the first anti-rotavirus antibody and Quality Control antigen of near-infrared fluorescent label substance markers;Detection line and nature controlling line are set gradually on the nitrocellulose filter, the detection line includes the second anti-rotavirus antibody, and the nature controlling line includes the antibody of anti-Quality Control antigen.Method provided by the invention has the characteristics that low background fluorescence, detection sensitivity are high compared with colloidal gold method;It is easy to operate compared to the methods of electron microscopy, enzyme-linked immunosorbent assay, inverse transcription polymerase chain reaction;Cooperate Portable fluorescence scanner to use, is suitable for rotavirus field quick detection.

Description

A kind of rotavirus Test paper card and its preparation method and application
Technical field
The present invention relates to a kind of test cards for detecting rotavirus, in particular to a kind of to be based on near-infrared immunochromatography technique Rotavirus Test paper card and its preparation method and application, the invention belongs to fluorescence immune chromatography fields.
Background technique
Rotavirus (rotavirus, abbreviation RV) is a kind of diplornavirus, belongs to Reoviridae.It It is the single main cause of baby and infantile diarrhea, almost each about five years old child once infected rotavirus at least in the world Once.The symptoms such as anorexia, vomiting, diarrhea, dehydration are mainly shown as after infection rotavirus, and serious person can lead to death.Colyliform A total of seven monoids of virus, are A, B, C, D, E, F and G with English alphabet number.Wherein, A groups are most commonly seen one kind, and The case that human rotavirus's infection is more than 90% is also all caused by this kind.
Currently, China is electron microscopy, enzyme-linked immunosorbent assay to the classical detection method of rotavirus illness (ELISA), inverse transcription polymerase chain reaction (RT-PCR), colloidal gold method etc..Electron microscopy, enzyme-linked immunosorbent assay (ELISA), the methods of inverse transcription polymerase chain reaction (RT-PCR) requires have special installation and professional technician, base The universal difficulty of unit using being restricted, and is only applicable to laboratory testing, is unsuitable for on-site test.Common fluorescence mark Object light spectral limit is remembered mostly at visible region (400-750nm), since the albumen of organism, nucleic acid etc. are under the excitation of ultraviolet light Fluorescence can be generated, therefore, stronger background fluorescence, Interference Detection signal, drop can be generated using the fluorescent marker of visible region The sensitivity of low detection.Test paper can be made to show certain color using colloidal gold developing technology, sample is judged by color Product are negative or the positive, but its sensitivity is lower, can not develop the color if sample concentration is too low, while without quantitative analysis. The launch wavelength range of near-infrared fluorescent material is in 650-1000nm, and within this range, organism autofluorescence is weaker, uses Near-infrared fluorescent material has low background fluorescence, detection signal-to-noise ratio height, the high spy of detection sensitivity as detection fluorescent marker Point.
Summary of the invention
Technical problem to be solved by the invention is to provide a kind of simple and quick, suitable for on-site test rotavirus inspections Paper card and its preparation method and application is tested, to reduce detection error, improves the accuracy of testing result.
In order to achieve the above object, present invention employs following technological means:
The present invention utilizes double-antibody sandwich principle, constructs a kind of rotavirus Test paper card, including support base and its On the sample pad, bonding pad, nitrocellulose filter and the water absorption pad that are arranged successively;The bonding pad contains near-infrared fluorescent marker The the first anti-rotavirus antibody and Quality Control antigen of label;Detection line and nature controlling line are set gradually on the nitrocellulose filter, The detection line includes the second anti-rotavirus antibody, and the nature controlling line includes the antibody of anti-Quality Control antigen.
Quality Control antigen of the present invention can be any known antigen, and the antibody of the anti-Quality Control antigen is anti-for corresponding Quality Control Former monoclonal or polyclonal antibody.In some embodiments of the present invention, Quality Control antigen is chicken IgY, anti-Quality Control antigen Antibody is goat-anti chicken IgY polyclonal antibody.
First anti-rotavirus antibody of the present invention and the second anti-rotavirus antibody are different antibody, preferably For different monoclonal antibodies.
Near-infrared fluorescent marker material of the present invention is launch wavelength in the dyestuff of 650-l000nm, and preferably NHS is living The near infrared fluorescent dye Dylight800 of change.
Fluorescent scanning instrument of the present invention can be commercially available any recognizable near-infrared wavelength light wave Scanner, portable highly sensitive near-infrared point Fluorescence Scanner disclosed in preferably Chinese patent CN201220372662.8.
Further, the present invention provides a kind of methods for preparing the rotavirus Test paper card, including following step It is rapid:
(1) near infrared fluorescent dye label the first anti-rotavirus antibody and Quality Control antigen;
(2) 1~5%BSA will be contained, the PBS buffer solution of 0.1~0.5%Tween 20 is added on sample pad, is air-dried at room temperature;
(3) the first anti-rotavirus antibody of the near infrared fluorescent dye label of step (1) preparation and Quality Control antigen are added on knot Pad is closed, is air-dried at room temperature;
(4) the second anti-rotavirus antibody and anti-Quality Control antigen-antibody are taken, is respectively prepared on nitrocellulose filter with film instrument is drawn Nature controlling line and detection line, are air-dried at room temperature;
(5) by step (2) preparation sample pad, step (3) preparation bonding pad, step (4) preparation nitrocellulose filter, with And water absorption pad is sequentially placed into support base, is assembled into rotavirus Test paper card.
Further, the present invention also provides the near-infrared fluorescent immuno-chromatographic test paper strips to prepare rotavirus inspection Application in test agent.
Further, the present invention also provides a kind of methods for detecting rotavirus, including, use is prepared by the present invention Rotavirus Test paper card follows the steps below:
(1) 50~150 μ L test samples are added dropwise in sample pad, after being placed at room temperature for 5~15min, with Portable fluorescence scanner Reading;
(2) result judgement:
All there is fluorescence emission peak in the nature controlling line and the detection line, are determined as positive findings;
Only there is fluorescence emission peak in the nature controlling line, is determined as negative findings;
The nature controlling line unstressed configuration emission peak occurs, no matter whether the detection line fluorescence emission peak occurs, determines that result is invalid.
Compared with prior art, the invention has the following beneficial effects: compared with colloidal gold method, have low background fluorescence, The high feature of detection sensitivity;Compared to electron microscopy, enzyme-linked immunosorbent assay (ELISA), reverse transcription polymerase chain reaction It answers the methods of (RT-PCR), it is easy to operate;Cooperate Portable fluorescence scanner to use, is suitable for the quickly inspection of rotavirus scene It surveys.
Detailed description of the invention
Fig. 1 is the side schematic view of Test paper card;
1: water absorption pad;
2: nitrocellulose membrane;
3: bonding pad;
4: PVC bottom plate is supported in reaction;
5: detection line;
6: nature controlling line;
7: sample pad.
Fig. 2 rotavirus qualitative detection result.
Fig. 3 rotavirus specific detection result.
Specific embodiment
The preparation of 1 rotavirus Test paper card of embodiment
1 material and reagent
1.1 material
Nitrocellulose filter (M135) is purchased from U.S. Millipore, glass fibre membrane, sample pad, blotting paper, PVC board, fast Speed detection plastic clip is purchased from Beijing Ai Dekangrui Science and Technology Ltd..
1.2 viruses and cell
Rotavirus, adenovirus, norovirus, enterovirus EV 71 are saved by this laboratory.MA-104 cell is by this Laboratory saves.
1.3 main agents
Fluorescent dye Dylight800 is purchased from U.S. Thermo, and rotavirus monoclonal antibody is purchased from Zhuhai biological section of rich U.S. Skill Co., Ltd, chicken Ig Y and goat-anti chicken Ig Y polyclonal antibody are purchased from Britain Abcam.
2 experimental methods
The preparation of 2.1 near infrared fluorescent dye labelled antibodies
Fluorescent dye Dylight800 stoste PBS buffer solution 1:10 is diluted, takes 7uL and 100uL 1mg/mL the respectively Primary antibody rotavirus antibody and 1mg/mL chicken Ig Y are protected from light 1h in room temperature after mixing.After completion of the reaction, metastatic marker Solution is into bag filter, and for 4 DEG C of dialysed overnights to remove unbonded dyestuff, the antibody addition marked is dense eventually in PBS solution Degree is 1%BSA, 0.1%Tween 20 and 0.1 ‰, 4 DEG C of sodium azide preservations.
The preparation of 2.2 rotavirus immuno-chromatographic test paper strips
2.2.1 prepared by sample pad
Cellulose membrane band is chosen as sample pad, spraying contains 5%BSA, the PBS buffer solution of 0.1%Tween 20, room temperature wind It is dry.
2.2.2 prepared by bonding pad
It chooses glass fibre element band and is used as bonding pad solid phase material, in article take that spraying near infrared fluorescent dye marks the Primary antibody rotavirus antibody and Quality Control antigen, are air-dried at room temperature band.
2.2.3 nitrocellulose film preparation
By goat-anti chicken Ig Y polyclonal antibody and the second anti-rotavirus antibody, made on nitrocellulose filter with film instrument is drawn At nature controlling line and detection line, the spacing of nature controlling line and detection line is 0.5cm, is air-dried at room temperature.
2.2.4 assembling Test paper card
Sample pad, bonding pad, nitrocellulose filter, water absorption pad and reaction are supported into PVC bottom plate such as Fig. 1 mode in sequence It installs, is then cut into test strips with cutting machine, be put into plastics card slot, assemble finished product test card.
2.3 qualitative detection
Under aseptic condition, take respectively thin in the rotavirus stoste and rotavirus infection infant excrement of laboratory preservation Rear each 50 μ l is released, adds the mixing of 50 μ l chromatographic solutions to be added drop-wise in sample pad, after being placed at room temperature for 15min, with Portable fluorescence scanner Reading.Same operation is carried out by blank control group of chromatographic solution.
2.4 specific detection
Under aseptic condition, rotavirus, adenovirus, norovirus, the enterovirus EV 71 for taking laboratory to save respectively are former Each 50 μ l after liquid dilution adds the mixing of 50 μ l chromatographic solutions to be added drop-wise in sample pad, after being placed at room temperature for 15min, is swept with Portable fluorescence Retouch instrument reading.Same operation is carried out by blank control group of chromatographic solution.
3 results
3.1 rotavirus qualitative detection results
Experiment detects rotavirus using the double-antibody sandwich immuno-chromatographic test paper strip of near infrared fluorescent dye label.Experiment It was found that near infrared fluorescent dye used in detection is the organic molecule that launch wavelength is located at 777nm, preferably NHS activation Near infrared fluorescent dye Dylight 800.The rotavirus immunity-chromatography test based on low noise excitation formula fluorescent marker Paper slip, it is 650~1000nm that low noise excitation formula fluorescent dye, which is launch wavelength,.Detection line and nature controlling line region are measured respectively Fluorescence intensity shows that the test strips are effective if fluorescence emission peak occurs in nature controlling line region, on the contrary then invalid;If detection line area It is then positive findings that domain, which fluorescence emission peak occurs simultaneously, it is on the contrary then for feminine gender.
Testing result is shown in Fig. 2.
3.2 specific detection results
After taking rotavirus, adenovirus, norovirus, the dilution of enterovirus EV 71 stoste respectively, it is added drop-wise to rotavirus Immuno-chromatographic test paper strip is detected.In addition to rotavirus test positive, adenovirus, norovirus, enterovirus EV 71 are equal For feminine gender.Thus the double antibody sandwich method immuno-chromatographic test paper strip specificity for proving that the present invention establishes is good, not viral with other Cross reaction occurs.Testing result is shown in Fig. 3.
Above embodiments be only it is exemplary, it is not intended to limit the scope of the present invention in any way.Those skilled in the art It should be understood that without departing from the spirit and scope of the invention can details to technical solution of the present invention and form carry out Modifications or substitutions, but these modifications and replacement are fallen within the protection scope of the present invention.

Claims (12)

1. a kind of rotavirus Test paper card, wherein the test card includes support base and the sample being arranged successively thereon Pad, bonding pad, nitrocellulose filter and water absorption pad;The bonding pad contains the first anti-colyliform of near-infrared fluorescent label substance markers Antiviral antibody and Quality Control antigen;Set gradually detection line and nature controlling line on the nitrocellulose filter, the detection line includes the Secondary antibody rotavirus antibody, the nature controlling line include the antibody of anti-Quality Control antigen.
2. rotavirus Test paper card as described in claim 1, wherein the support base is PVC board.
3. rotavirus Test paper card as claimed in claim 1 or 2, wherein the bonding pad is glass fibre membrane.
4. the rotavirus Test paper card as described in claims 1 to 3 is any, wherein the near-infrared fluorescent marker is hair Ejected wave grows the dyestuff in 650-l000nm.
5. rotavirus Test paper card as claimed in claim 4, wherein the near-infrared fluorescent marker is NHS activation Near infrared fluorescent dye Dylight800.
6. the rotavirus Test paper card as described in claim 1 to 5 is any, wherein the Quality Control antigen is chicken IgY, described The antibody of anti-Quality Control antigen is goat-anti chicken IgY polyclonal antibody.
7. rotavirus Test paper card as claimed in claim 6, wherein the goat-anti chicken IgY polyclonal antibody using dense Degree is 0.5~2mg/mL.
8. the rotavirus Test paper card as described in claim 1 to 7 is any, wherein the first anti-rotavirus antibody and The second anti-rotavirus antibody is different antibody.
9. rotavirus Test paper card as claimed in claim 8, wherein the use concentration of the second anti-rotavirus antibody For 0.5~2mg/mL.
10. a kind of method for detecting rotavirus, including, it is detected and is tried using rotavirus as described in any one of claim 1 to 9 Paper card follows the steps below,
(1) 50~150 μ L test samples are added dropwise in sample pad, after being placed at room temperature for 5~15min, with Portable fluorescence scanner Reading;
(2) result judgement:
All there is fluorescence emission peak in the nature controlling line and the detection line, are determined as positive findings;
Only there is fluorescence emission peak in the nature controlling line, is determined as negative findings;
The nature controlling line unstressed configuration emission peak occurs, no matter whether the detection line fluorescence emission peak occurs, determines that result is invalid.
11. a kind of method for preparing rotavirus Test paper card as described in any one of claim 1 to 9, includes the following steps,
(1) near infrared fluorescent dye label the first anti-rotavirus antibody and Quality Control antigen;
(2) 1~5%BSA will be contained, the PBS buffer solution of 0.1~0.5%Tween 20 is added on sample pad, is air-dried at room temperature;
(3) the first anti-rotavirus antibody of the near infrared fluorescent dye label of step (1) preparation and Quality Control antigen are added on knot Pad is closed, is air-dried at room temperature;
(4) the second anti-rotavirus antibody and anti-Quality Control antigen-antibody are taken, is respectively prepared on nitrocellulose filter with film instrument is drawn Nature controlling line and detection line, are air-dried at room temperature;
(5) by step (2) preparation sample pad, step (3) preparation bonding pad, step (4) preparation nitrocellulose filter, with And water absorption pad is sequentially placed into support base, is assembled into rotavirus Test paper card.
12. rotavirus detection reagent as described in any one of claim 1 to 9 is stuck in the application in detection rotavirus.
CN201811574593.7A 2018-12-21 2018-12-21 A kind of rotavirus Test paper card and its preparation method and application Pending CN109406780A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201811574593.7A CN109406780A (en) 2018-12-21 2018-12-21 A kind of rotavirus Test paper card and its preparation method and application

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201811574593.7A CN109406780A (en) 2018-12-21 2018-12-21 A kind of rotavirus Test paper card and its preparation method and application

Publications (1)

Publication Number Publication Date
CN109406780A true CN109406780A (en) 2019-03-01

Family

ID=65461104

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201811574593.7A Pending CN109406780A (en) 2018-12-21 2018-12-21 A kind of rotavirus Test paper card and its preparation method and application

Country Status (1)

Country Link
CN (1) CN109406780A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110455766A (en) * 2019-09-03 2019-11-15 莎穆(上海)生物科技有限公司 Detection method based on two area's fluorescence imaging of near-infrared for the strip of lateral flow immune detection, detection device and non-diagnostic purpose

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110455766A (en) * 2019-09-03 2019-11-15 莎穆(上海)生物科技有限公司 Detection method based on two area's fluorescence imaging of near-infrared for the strip of lateral flow immune detection, detection device and non-diagnostic purpose

Similar Documents

Publication Publication Date Title
Andryukov Six decades of lateral flow immunoassay: from determining metabolic markers to diagnosing COVID-19
CN106872420B (en) Kit and method for time-resolved fluorescence quantitative detection of microalbuminuria
CN102680692B (en) Immunochromatographic quantitative test reagent based on near-infrared fluorescent marker
CN109765384B (en) Canine coronavirus antibody fluorescence detection test strip and preparation method and application thereof
CN105403698A (en) Diagnostic test kits employing an internal calibration system
CN111435136A (en) Time-resolved fluorescence immunochromatography kit for detecting novel coronavirus and preparation method thereof
CN105784706B (en) A kind of aflatoxin B1 fast determining method based on smart mobile phone detecting system
CN109406780A (en) A kind of rotavirus Test paper card and its preparation method and application
JPH11153600A (en) Test piece for immunoassay and measuring method using the same
CN1963519A (en) Test paper bar for testing colloidal gold of A-group wheel virus antigen
CN110596396B (en) Method for detecting protein, test strip and kit
CN208607234U (en) Immunofluorescence for detecting Canine Parvovirus antigen chromatographs detection card
CN110927380A (en) Duplex test strip for detecting methamphetamine and ketamine as well as preparation method and application method thereof
CN210037831U (en) Test paper card for detecting rotavirus
US20220308049A1 (en) Lateral flow test strips with competitive assay control
Forghani Diagnosis by viral antigen detection
CN113514636A (en) New crown neutralizing antibody fluorescence immunochromatographic assay test strip and preparation method thereof
Meng et al. Detection of Tetanus Antibody Applying a Cu-Zn-In-S/ZnS Quantum Dot-Based Lateral Flow Immunoassay
US20070026386A1 (en) Method for the detection of newly acquired hiv infection
KR20210067690A (en) Simultaneous screening method using high sensitivity time-resolved fluorescence of duck hepatitis virus and enteritis virus
CN1963509A (en) Test paper bar for testing colloidal gold of protective antibody of rabies virus
US20180164310A1 (en) Device and method for immunochromatographic assay
US20240077482A1 (en) Methods and apparatuses for detecting respiratory infections
CN103543262B (en) Method for detecting EB (Epstein-Barr) virus, quantum dot labelled immunochromatographic test strip and preparation method thereof
CN211179854U (en) Candida albicans detection reagent strip and reagent kit

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination