C6 peptide enzyme immunoassay in Lyme borreliosis serology

The cut-off values used in C6 peptide-based enzyme immunoassay (EIA), a widely used test in Lyme borreliosis (LB) serology, have not been thoroughly analysed. The objective of the study was to examine the performance of the C6 EIA, and to determine optimal cut-off values for the test. The analysed data contained results of 1368 serum samples. C6 EIA index values were compared statistically with the immunoblot (IB) test results. The identified cut-off values were further tested in a well-defined LB patient cohort. Cut-off value 1.6 appeared to be optimal when C6 EIA was used as a stand-alone test. When using C6 EIA as the first-tier test, the optimal cut-off values were 0.9 and 2.4 for negative and positive results. When C6 EIA was used as a second-tier test, samples yielding C6 index values >= 3.0 could be considered positive. The identified cut-off values had also a high sensitivity to identify seropositivity among definite LB patients. The identified cut-off values refine the role of C6 EIA in LB serology. Importantly, the use of C6 EIA leads to a reduction in the number of samples that need to be analysed using an IB, thus also reducing the costs. Two alternative workflows for LB serology including the C6 EIA are suggested.Peer reviewe

Consumption of healthcare services and antibiotics in patients with presumed disseminated Lyme borreliosis before and after evaluation of an infectious disease specialist

Our objective was to study the consumption of healthcare services and antibiotics in patients with suspicion of disseminated Lyme borreliosis (LB) before and after consultation of an infectious disease specialist. We evaluated retrospectively all presumed disseminated LB patients (n = 256) with a referral to the Department of Infectious Diseases (DID) in Helsinki University Hospital in 2013. Medical records from all healthcare providers in the area were reviewed and the number of physician contacts because of symptoms leading to LB suspicion and antimicrobial purchases were calculated 1 year before and after consultation or treatment at the DID. Patients were divided into three groups according to certainty of LB: unlikely, possible or probable/definite LB. The number of healthcare contacts 1 year before referral was higher among 121 patients with unlikely LB (6; interquartile range [IQR] 3-10), than 65 possible (4; IQR 2.5-7; p = 0.018) or 66 probable/definite LB patients (4; IQR 2.8-7; p = 0.010). The median number of contacts to healthcare during one year after consultation or treatment was 3 (IQR 0.5-7), 1 (IQR 0-3) and 0.5 (IQR 0-2.3), respectively, with a statistically significant difference between the groups (p<0.001). Antibiotics were purchased by 151 (60%) patients one year before referral and by 127 (50%) patients year after consultation or treatment at DID without statistically significant difference between groups with different LB certainty. These antibiotic purchases do not include the treatments prescribed by infectious disease specialists. In the case of 27 patients, an antimicrobial treatment was recommended in the consultation reply. In conclusion, patients with unlikely LB used more healthcare services than patients with possible or probable/definite LB. Antimicrobial consumption was similar between groups of different LB certainty

C6 peptide enzyme immunoassay in Lyme borreliosis serology

The cut-off values used in C6 peptide-based enzyme immunoassay (EIA), a widely used test in Lyme borreliosis (LB) serology, have not been thoroughly analysed. The objective of the study was to examine the performance of the C6 EIA, and to determine optimal cut-off values for the test. The analysed data contained results of 1368 serum samples. C6 EIA index values were compared statistically with the immunoblot (IB) test results. The identified cut-off values were further tested in a well-defined LB patient cohort. Cut-off value 1.6 appeared to be optimal when C6 EIA was used as a stand-alone test. When using C6 EIA as the first-tier test, the optimal cut-off values were 0.9 and 2.4 for negative and positive results. When C6 EIA was used as a second-tier test, samples yielding C6 index values ≥3.0 could be considered positive. The identified cut-off values had also a high sensitivity to identify seropositivity among definite LB patients. The identified cut-off values refine the role of C6 EIA in LB serology. Importantly, the use of C6 EIA leads to a reduction in the number of samples that need to be analysed using an IB, thus also reducing the costs. Two alternative workflows for LB serology including the C6 EIA are suggested.</p

Systemic therapy for cervical cancer with potentially regulatable oncolytic adenoviruses

Peer reviewe

Consumption of healthcare services and antibiotics in patients with presumed disseminated Lyme borreliosis before and after evaluation of an infectious disease specialist

Publisher Copyright: © 2021Our objective was to study the consumption of healthcare services and antibiotics in patients with suspicion of disseminated Lyme borreliosis (LB) before and after consultation of an infectious disease specialist. We evaluated retrospectively all presumed disseminated LB patients (n = 256) with a referral to the Department of Infectious Diseases (DID) in Helsinki University Hospital in 2013. Medical records from all healthcare providers in the area were reviewed and the number of physician contacts because of symptoms leading to LB suspicion and antimicrobial purchases were calculated 1 year before and after consultation or treatment at the DID. Patients were divided into three groups according to certainty of LB: unlikely, possible or probable/definite LB. The number of healthcare contacts 1 year before referral was higher among 121 patients with unlikely LB (6; interquartile range [IQR] 3–10), than 65 possible (4; IQR 2.5–7; p = 0.018) or 66 probable/definite LB patients (4; IQR 2.8–7; p = 0.010). The median number of contacts to healthcare during one year after consultation or treatment was 3 (IQR 0.5–7), 1 (IQR 0–3) and 0.5 (IQR 0–2.3), respectively, with a statistically significant difference between the groups (p<0.001). Antibiotics were purchased by 151 (60%) patients one year before referral and by 127 (50%) patients year after consultation or treatment at DID without statistically significant difference between groups with different LB certainty. These antibiotic purchases do not include the treatments prescribed by infectious disease specialists. In the case of 27 patients, an antimicrobial treatment was recommended in the consultation reply. In conclusion, patients with unlikely LB used more healthcare services than patients with possible or probable/definite LB. Antimicrobial consumption was similar between groups of different LB certainty.Peer reviewe

Microstructural characteristics of vehicle-aged heavy-duty diesel oxidation catalyst and natural gas three-way catalyst

Abstract Techniques to control vehicle engine emissions have been under increasing need for development during the last few years in the more and more strictly regulated society. In this study, vehicle-aged heavy-duty catalysts from diesel and natural gas engines were analyzed using a cross-sectional electron microscopy method with both a scanning electron microscope and a transmission electron microscope. Also, additional supporting characterization methods including X-ray diffractometry, X-ray photoelectron spectroscopy, Fourier-transform infrared spectroscopy and catalytic performance analyses were used to reveal the ageing effects. Structural and elemental investigations were performed on these samples, and the effect of real-life ageing of the catalyst was studied in comparison with fresh catalyst samples. In the real-life use of two different catalysts, the poison penetration varied greatly depending on the engine and fuel at hand: the diesel oxidation catalyst appeared to suffer more thorough changes than the natural gas catalyst, which was affected only in the inlet part of the catalyst. The most common poison, sulphur, in the diesel oxidation catalyst was connected to cerium-rich areas. On the other hand, the severities of the ageing effects were more pronounced in the natural gas catalyst, with heavy structural changes in the washcoat and high concentrations of poisons, mainly zinc, phosphorus and silicon, on the surface of the inlet part

Regulation of Cox-2 and VEGF promoter activity with anti-inflammatory reagents.

<p>Monolayers were preincubated with reagents, and C33A (a, b), SiHa (c, d), Caski (e, f) and HeLa (g, h) cells were infected with 1 000 viral particles (vp)/cell of Ad5luc1 (with the CMV controlling luciferase), Adcox-2Mluc or AdVEGFluc, and luciferase expression was analyzed. Transgene expression level with Cox-2 and VEGF promoters are compared to the CMV promoter (%). Each point represents the mean of four experiments±standard error. *<i>P</i><0.05, **<i>P</i><0.01, ***<i>P</i><0.0001 <i>versus</i> no substance.</p