Diagnostic value of combined serum biomarkers for the evaluation of liver fibrosis in chronic hepatitis C infection: A multicenter, noninterventional, observational study

Background/Aims: The hepatitis C virus (HCV) infection is important cause of chronic hepatitis. Liver biopsy is considered the gold standard for assessment of fibrosis but this procedure is an invasive procedure. We aimed to evaluate the diagnostic efficiency of non-invasive serum biomarkers, separately and in combinations, on liver fibrosis in treatment-naive chronic hepatitis C (CHC) patients. Materials and Methods: Two hundred and sixteen treatment-naive CHC patients were enrolled from 32 locations across Turkey in this open-labelled, non-interventional prospective observational study. FibroTest®, aspartate aminotransferase-to-platelet ratio index(APRI), aspartate aminotransferase and alanine aminotransferase ratio (AAR), fibrosis index based on four factors (FIB-4), Age-platelet(AP) index and Forns index were measured and compared with Metavir scores got from liver biopsies. Results: Data from 182 patients with baseline liver biopsy were suitable for analysis. One hundred and twenty patients (65.9%) had F0-F1 fibrosis and 62 patients (34.1%) had F2-F4 fibrosis. APRI 0.732 area under the curve(AUC) indicated advanced fibrosis with 69% sensitivity and 77% specificity. FIB-4 0.732 AUC and FibroTest 0.715 AUC indicated advanced fibrosis with 69% and 78.4% sensitivity, and 75% and 71.4% specificity, respectively. The combined use of tests also led to an increase in AUC and specificity. Combinations of FibroTest with APRI and/or FIB-4, and FIB-4 with APRI were optimal for the evaluation of liver fibrosis. Conclusion: Fibrotest, FIB-4, APRI, AP index and Forns index exhibit good diagnostic performance for determining liver fibrosis in CHC patients, and the use of at least two tests together will increase their diagnostic value still further. © Copyright 2018 by The Turkish Society of Gastroenterology

Formation of different magnetic phases and high Curie temperature ferromagnetism in Fe57-implanted ZnO film

© 2014 Elsevier B.V. All rights reserved. We investigated magnetic properties of ZnO thin film implanted with Fe57 ions to the fluence of 1.00×1017 ions/cm2. Both vibrating sample magnetometry and magneto-optical Kerr effect measurements revealed strong room temperature ferromagnetism with similar hysteresis loops. Temperature dependent measurements showed a very high Curie temperature around 850 K. Conversion electron Mössbauer spectroscopy experiments proved the existence of paramagnetic Fe+3 and Fe+2 ions and also the presence of substitutional Fe atoms in the hexagonal ZnO crystal resulting in intrinsic ferromagnetic order

Spectrophotometric behavior of polyvinylpyrrolidone in aqueous and nonaqueous media (I)

Electronic spectral behavior of polyvinylpyrrolidone solutions in various media has been determined by UV-VIS spectrophotometry. A theoretical approach has been developed to explain the experimentally observed concentration dependent spectral behavior of polyvinyl pyrrolidone in aqueous and nonaqueous solvents. Increase in the concentration of the polymer or the addition of guanidine salts caused bathochromic shift. A similar concentration effect has been observed in nonaqueous media in the absence of guanidine salts