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Clinical performance of a particle enhanced turbidimetric immunoassay (PETIA) for detecting fecal calprotectin. 用于检测粪便钙粘蛋白的颗粒增强比浊免疫分析法(PETIA)的临床性能。
Pub Date : 2024-09-18 DOI: 10.1080/00365513.2024.2403006
Tieshan Wang,Wei Wang,Siying Zhu,Minsi Zhou,Peng Li,Jing Wu,Shutian Zhang,Haiyun Shi
Particle-enhanced turbidimetric immunoassay (PETIA) is a new measurement procedure for detecting fecal calprotectin (FC). We aimed to investigate the accuracy and clinical performance of PETIA for FC. We assessed the accuracy of PETIA for FC measurements through concordance analysis, Passing-Bablok regression and Bland-Altman analysis, using enzyme-linked immunosorbent assay (ELISA) as the reference. To evaluate the clinical performance of PETIA, the FC levels of individuals with significant and non-significant bowel diseases were compared. The receiver operating characteristic (ROC) analysis was performed to determine the appropriate cut-off value of FC detected by PETIA for discriminating subjects with significant and non-significant colorectal lesions. Of the 413 cases analyzed, 340 (82.3%) were concordant between PETIA and ELISA. No significant discordance was observed. There was a good agreement (y = -7.710+0.957x) between PETIA and ELISA for detecting FC. The FC level detected by PETIA in patients with significant bowel diseases (159.1 [31.3, 821.0] µg/g) was significantly higher than that of subjects with non-significant bowel diseases (10.3 [4.2, 38.5] µg/g) (p < 0.001). The AUC of FC for identifying significant bowel diseases detected by PETIA was 0.82 (p < 0.001). With a cut-off value of 77.6µg/g, the specificity and positive predictive value were 92.2% and 97.1%, respectively. The PETIA for FC measurement showed good clinical performance for detecting bowel diseases.
微粒增强比浊免疫分析法(PETIA)是一种检测粪便钙粘蛋白(FC)的新方法。我们旨在研究 PETIA 检测 FC 的准确性和临床表现。我们以酶联免疫吸附试验(ELISA)为参照,通过一致性分析、Passing-Bablok回归和Bland-Altman分析评估了PETIA检测FC的准确性。为了评估 PETIA 的临床表现,比较了有明显和无明显肠道疾病患者的 FC 水平。通过接收器操作特征(ROC)分析,确定了 PETIA 检测到的 FC 的适当临界值,以区分有明显和无明显结直肠病变的受试者。在分析的 413 个病例中,340 个(82.3%)病例的 PETIA 和 ELISA 检测结果一致。没有观察到明显的不一致。PETIA 和 ELISA 检测 FC 的一致性很好(y = -7.710+0.957x)。有明显肠道疾病的患者通过 PETIA 检测到的 FC 水平(159.1 [31.3, 821.0] µg/g)明显高于无明显肠道疾病的受试者(10.3 [4.2, 38.5] µg/g)(p < 0.001)。通过 PETIA 检测出明显肠道疾病的 FC AUC 为 0.82(p < 0.001)。以 77.6µg/g 为临界值,特异性和阳性预测值分别为 92.2% 和 97.1%。用于 FC 测量的 PETIA 在检测肠道疾病方面表现出良好的临床性能。
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引用次数: 0
Human papilloma virus vaccine induced thrombocytopenia accompanied by a wide spectrum of reversible inflammatory responses - a case report. 人乳头状瘤病毒疫苗诱发血小板减少并伴有广泛的可逆炎症反应--病例报告。
Pub Date : 2024-09-12 DOI: 10.1080/00365513.2024.2400663
S Holm,A E Michelsen,N H Schultz,T Ueland,H Reikvam,P A Holme,P Aukrust,B Halvorsen
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引用次数: 0
Salivary cortisol and cortisone are stable after long-term storage. 唾液皮质醇和可的松在长期储存后是稳定的。
Pub Date : 2024-09-12 DOI: 10.1080/00365513.2024.2403005
Marcus Imamovic,Nils Bäcklund,Staffan Lundstedt,Göran Brattsand,Elisabeth Aardal,Per Dahlqvist
Frozen saliva samples are often used for later determination of salivary glucocorticoids in research studies on stress and endocrine disorders. We studied the stability of cortisol and cortisone in saliva after six years of storage at -80 °C by repeated analysis of 153 stored aliquots, collected with Salivette®, using liquid chromatography tandem mass spectrometry. We found a very high agreement between the first and the repeated measurement after six years at -80 °C, for both cortisol and cortisone concentrations (rs= 0.96 and rs= 0.98, respectively). Passing-Bablok regression equations were y = 0.02 + 1.00x and y = 0.02 + 1.14x for cortisol and cortisone, respectively. We conclude that salivary cortisol and cortisone concentrations remain essentially unaltered after six years of storage at -80 °C.
在有关压力和内分泌失调的研究中,冷冻唾液样本通常用于日后测定唾液中的糖皮质激素。我们使用液相色谱串联质谱法对用 Salivette® 采集的 153 份等分唾液样本进行了重复分析,研究了唾液中的皮质醇和可的松在零下 80 ℃ 保存六年后的稳定性。我们发现,在-80 °C下保存六年后,首次测量和重复测量的皮质醇和可的松浓度之间具有很高的一致性(rs= 0.96 和 rs=0.98)。皮质醇和可的松的 Passing-Bablok 回归方程分别为 y = 0.02 + 1.00x 和 y = 0.02 + 1.14x。我们得出的结论是,唾液皮质醇和可的松浓度在-80 °C储存六年后基本保持不变。
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引用次数: 0
Stability of serum placental growth factor (PlGF) and soluble fms-like tyrosine kinase 1 (sFlt-1) 血清胎盘生长因子(PlGF)和可溶性 fms 样酪氨酸激酶 1(sFlt-1)的稳定性
Pub Date : 2024-04-26 DOI: 10.1080/00365513.2024.2340037
Ingrid Alsos Lian, Tone Dypdalsbakk, Arne Åsberg
Placental growth factor (PlGF) and soluble fms-like tyrosine kinase 1 (sFlt-1) are biomarkers used for diagnosis and risk estimation of preeclampsia. Stability in room temperature (RT) may affect t...
胎盘生长因子(PlGF)和可溶性fms样酪氨酸激酶1(sFlt-1)是用于诊断和估计子痫前期风险的生物标记物。在室温(RT)下的稳定性可能会影响其对胎儿的影响。
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引用次数: 0
Linkage of cell division cycle 42 with clinical features, treatment response and survival in adult Philadelphia chromosome negative acute lymphoblastic leukemia. 细胞分裂周期 42 与成人费城染色体阴性急性淋巴细胞白血病的临床特征、治疗反应和存活率的关系。
Pub Date : 2024-04-25 DOI: 10.1080/00365513.2024.2333027
Qi Chen, Xiaoling Zhu, Di He, Wanbao Ding
Cell division cycle 42 (CDC42) regulates the progression of leukemia via mediating proliferation and immune evasion of malignant cells. The study aimed to investigate the correlation of CDC42 with clinical features, treatment response, event-free survival (EFS) and overall survival (OS) in adult Philadelphia chromosome negative acute lymphoblastic leukemia (Ph- ALL) patients. CDC42 expression in bone marrow mononuclear cells was detected in 78 adult Ph- ALL patients and 10 donors using real-time reverse transcriptase-polymerase chain reaction. CDC42 was increased in adult Ph- ALL patients compared with donors (p < .001). Besides, elevated CDC42 was linked with pro-B ALL or early-T ALL (p = .038) and white blood cell (WBC) elevation at diagnosis (p = .025). Fifty (64.1%) and 23 (29.5%) patients had complete remission (CR) at 1 month and minimal residual disease (MRD) after CR, respectively. CDC42 was inversely associated with CR at 1 month (p = .034), but not MRD after CR (p = .066). Concerning survival, patients with CDC42 ≥ 3.310 (cut by median value in patients) showed a shortened EFS (p = .006) and OS (p = .036) compared to those with CDC42 < 3.310. In detail, patients with CDC42 ≥ 3.310 and CDC42 < 3.310 had 5-year EFS rate of 29.9% and 45.4%, and 5-year OS rate of 39.4% and 63.6%, correspondingly. Further multivariate Cox's regression analyses revealed that CDC42 ≥ 3.310 was independently related to shorter EFS (hazard ratio = 2.933, p = .005). Elevated CDC42 is related with pro-B ALL or early-T ALL, WBC elevation at diagnosis, unfavorable treatment response and worse survival in adult Ph- ALL patients.
细胞分裂周期42(CDC42)通过介导恶性细胞的增殖和免疫逃避调节白血病的进展。该研究旨在探讨CDC42与成人费城染色体阴性急性淋巴细胞白血病(Ph- ALL)患者的临床特征、治疗反应、无事件生存期(EFS)和总生存期(OS)的相关性。利用实时反转录聚合酶链反应检测了78名成人费城染色体阴性急性淋巴细胞白血病患者和10名供体骨髓单核细胞中CDC42的表达。与供体相比,CDC42在成年ALL患者中的表达量有所增加(p < .001)。此外,CDC42的升高与原B ALL或早期T ALL(p = .038)和诊断时白细胞(WBC)升高(p = .025)有关。分别有50名(64.1%)和23名(29.5%)患者在1个月时完全缓解(CR),并在CR后有最小残留病(MRD)。CDC42 与 1 个月后的 CR 呈反相关(p = .034),但与 CR 后的 MRD 无关(p = .066)。在生存期方面,与 CDC42 < 3.310 的患者相比,CDC42 ≥ 3.310(以患者中位值为标准)的患者的 EFS(p = .006)和 OS(p = .036)缩短。具体而言,CDC42≥3.310和CDC42<3.310患者的5年EFS率分别为29.9%和45.4%,5年OS率分别为39.4%和63.6%。进一步的多变量 Cox 回归分析显示,CDC42 ≥ 3.310 与较短的 EFS 独立相关(危险比 = 2.933,P = .005)。CDC42 升高与前 B ALL 或早期 T ALL、诊断时白细胞升高、不利的治疗反应和成人 Ph- ALL 患者较差的生存率有关。
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引用次数: 0
Critical test result management at Danish hospital laboratories: a national survey. 丹麦医院实验室的关键检验结果管理:一项全国性调查。
Pub Date : 2024-04-22 DOI: 10.1080/00365513.2024.2343906
Kaja Kastberg Faurø, Steen Antonsen, M. Nybo
Critical test results in clinical laboratories are crucial for timely patient care, serving as indicators of potentially life-threatening conditions. Despite their importance, a notable heterogeneity in management practices exists globally. This study investigates the current practices of managing critical results at Danish clinical biochemistry laboratories and identifies areas prone for improvement. A comprehensive online survey was distributed to all 21 Danish clinical biochemistry laboratories regarding their critical result management, including documentation practices, critical limit selection, and quality assurance measures. A total of 17 laboratories (81%) responded. The answers revealed a generally uniform approach to managing critical results, with all laboratories having 24-h reporting, local instructions and using the telephone as communication channel. However, variations were noted in documentation practices and critical limit selection. Notably, 23.5% of the laboratories reported that one out of every ten critical results was not reported, indicating a significant risk of delayed critical results. This is further complicated by the limited use of predefined timeframes for reporting and also, only few laboratories actively monitored response times. The findings emphasize the need for more standardized documentation and evaluation practices to align with international standards and to enhance patient safety. While the laboratories showed a commitment to standardized procedures, the study emphasizes the necessity of a National or Nordic guideline to supplement the ISO 15189:2022. This study is a step towards optimizing critical result management, not only in Danish clinical biochemistry laboratories but also across various laboratory specialties, thereby improving overall laboratory quality, efficiency, and patient safety.
临床实验室的关键检验结果是及时护理病人的关键,是可能危及生命的病情指标。尽管其重要性不言而喻,但全球范围内的管理方法却存在明显的差异。本研究调查了丹麦临床生化实验室目前管理危急结果的做法,并找出了需要改进的地方。研究人员向丹麦所有 21 家临床生化实验室发放了一份关于关键结果管理的综合在线调查问卷,内容包括文件记录方法、关键限值选择和质量保证措施。共有 17 家实验室(81%)做出了回复。答复显示,关键结果的管理方法大体一致,所有实验室都有 24 小时报告制度、本地指示和使用电话作为沟通渠道。然而,在文件记录方法和关键限值选择方面却存在差异。值得注意的是,23.5% 的实验室报告说,每 10 个关键结果中就有一个没有报告,这表明关键结果延迟的风险很大。由于使用预定义报告时限的情况有限,而且只有少数实验室积极监控响应时间,这使得情况更加复杂。研究结果表明,为了与国际标准接轨并加强患者安全,有必要采用更加标准化的文件记录和评估方法。虽然各实验室都对标准化程序做出了承诺,但本研究强调,有必要制定国家或北欧指南来补充 ISO 15189:2022。这项研究是朝着优化关键结果管理迈出的一步,不仅适用于丹麦临床生化实验室,也适用于各实验室专业,从而提高实验室的整体质量、效率和患者安全。
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引用次数: 0
Resolvin D1 level during different trimesters of pregnancy for predicting the risk of fetal growth retardation in elderly pregnancy 预测高龄孕妇胎儿发育迟缓风险的不同孕期 Resolvin D1 水平
Pub Date : 2024-04-19 DOI: 10.1080/00365513.2024.2338739
Ying Han, Dandan Wang, Shufang Cai, Lina Zhang, Jingxian Xue
Resolvin D1 (RvD1) is potentially associated with fetal growth retardation (FGR) through alleviating maternal inflammation and its linkage with several pregnancy complications. Thus, this study det...
Resolvin D1(RvD1)通过减轻母体炎症及其与多种妊娠并发症的联系,可能与胎儿生长迟缓(FGR)有关。因此,本研究发现...
{"title":"Resolvin D1 level during different trimesters of pregnancy for predicting the risk of fetal growth retardation in elderly pregnancy","authors":"Ying Han, Dandan Wang, Shufang Cai, Lina Zhang, Jingxian Xue","doi":"10.1080/00365513.2024.2338739","DOIUrl":"https://doi.org/10.1080/00365513.2024.2338739","url":null,"abstract":"Resolvin D1 (RvD1) is potentially associated with fetal growth retardation (FGR) through alleviating maternal inflammation and its linkage with several pregnancy complications. Thus, this study det...","PeriodicalId":501634,"journal":{"name":"Scandinavian Journal of Clinical and Laboratory Investigation","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140624023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Baseline glycated albumin level and risk of type 2 diabetes mellitus in Healthy individuals: a retrospective longitudinal observation in Korea 基线糖化白蛋白水平与健康人罹患 2 型糖尿病的风险:韩国的一项回顾性纵向观察结果
Pub Date : 2024-04-18 DOI: 10.1080/00365513.2024.2341412
Kang-Su Shin, Min-Seung Park, Mi Yeon Lee, Eun Hye Cho, Hee-Yeon Woo, Hyosoon Park, Min-Jung Kwon
Glycated albumin (GA) reflects glycemic status for the past three weeks. GA level demonstrates a strong correlation with HbA1c level and is used as an adjunctive biomarker for diagnosis and monitor...
糖化白蛋白(GA)反映了过去三周的血糖状况。GA 水平与 HbA1c 水平有很强的相关性,可作为诊断和监测糖尿病的辅助生物标志物。
{"title":"Baseline glycated albumin level and risk of type 2 diabetes mellitus in Healthy individuals: a retrospective longitudinal observation in Korea","authors":"Kang-Su Shin, Min-Seung Park, Mi Yeon Lee, Eun Hye Cho, Hee-Yeon Woo, Hyosoon Park, Min-Jung Kwon","doi":"10.1080/00365513.2024.2341412","DOIUrl":"https://doi.org/10.1080/00365513.2024.2341412","url":null,"abstract":"Glycated albumin (GA) reflects glycemic status for the past three weeks. GA level demonstrates a strong correlation with HbA1c level and is used as an adjunctive biomarker for diagnosis and monitor...","PeriodicalId":501634,"journal":{"name":"Scandinavian Journal of Clinical and Laboratory Investigation","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140609090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Appearance of hexahydrocannabinols as recreational drugs and implications for cannabis drug testing – focus on HHC, HHC-P, HHC-O and HHC-H 六氢大麻酚作为娱乐药物的出现及其对大麻药物检测的影响--重点关注 HHC、HHC-P、HHC-O 和 HHC-H
Pub Date : 2024-04-15 DOI: 10.1080/00365513.2024.2340039
Anders Helander, Malin Johansson, Tomas Villén, Annika Andersson
This study investigated the effects of hexahydrocannabinol (HHC) and other unclassified cannabinoids, which were recently introduced to the recreational drug market, on cannabis drug testing in uri...
这项研究调查了六氢大麻酚(HHC)和其他未分类的大麻素对尿液中大麻药物检测的影响。
{"title":"Appearance of hexahydrocannabinols as recreational drugs and implications for cannabis drug testing – focus on HHC, HHC-P, HHC-O and HHC-H","authors":"Anders Helander, Malin Johansson, Tomas Villén, Annika Andersson","doi":"10.1080/00365513.2024.2340039","DOIUrl":"https://doi.org/10.1080/00365513.2024.2340039","url":null,"abstract":"This study investigated the effects of hexahydrocannabinol (HHC) and other unclassified cannabinoids, which were recently introduced to the recreational drug market, on cannabis drug testing in uri...","PeriodicalId":501634,"journal":{"name":"Scandinavian Journal of Clinical and Laboratory Investigation","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140594526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Establishing a pediatric reference interval for plasma calprotectin 建立儿科血浆钙蛋白参考区间
Pub Date : 2024-04-13 DOI: 10.1080/00365513.2024.2338744
Anne-Birgitte Garm Blavnsfeldt, Tina Parkner, Cindy Soendersoe Knudsen
Plasma calprotectin is a promising new biomarker of inflammatory activity and has been found to correlate well with clinical and endoscopic activity in children and adolescents with inflammatory bo...
血浆钙黏蛋白是一种很有前景的炎症活动新生物标记物,在患有炎症性疖肿的儿童和青少年中,它与临床和内窥镜活动密切相关。
{"title":"Establishing a pediatric reference interval for plasma calprotectin","authors":"Anne-Birgitte Garm Blavnsfeldt, Tina Parkner, Cindy Soendersoe Knudsen","doi":"10.1080/00365513.2024.2338744","DOIUrl":"https://doi.org/10.1080/00365513.2024.2338744","url":null,"abstract":"Plasma calprotectin is a promising new biomarker of inflammatory activity and has been found to correlate well with clinical and endoscopic activity in children and adolescents with inflammatory bo...","PeriodicalId":501634,"journal":{"name":"Scandinavian Journal of Clinical and Laboratory Investigation","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140594276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Scandinavian Journal of Clinical and Laboratory Investigation
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