Use of "biokit HSV-2 Rapid Assay" to improve the positive predictive value of Focus HerpeSelect HSV-2 ELISA

BACKGROUND: Commercially available assays to detect antibodies to the herpes simplex virus type 2 (HSV-2)-specific glycoprotein gG-2 have markedly improved serologic diagnosis of HSV-2 infection. However, even tests with high specificity can have low positive predictive values in low prevalence populations. HSV-2 is a chronic, life-long viral infection that requires both medical attention and potential alterations in health care strategy. As such, the concern for false positive diagnoses is high confirmatory testing is routine for other viral serologies such as HIV and hepatitis C. We evaluated such a strategy for HSV-2 serology by using an easily performed commercial test, biokitHSV-2 rapid test ("Biokit"; Biokit USA, Lexington MA) as a confirmatory test for the widely used gG-2 specific serology ("Focus;" HerpeSelect HSV-2 ELISA; Focus Diagnostics, Cypress CA). METHODS: We tested 782 sera by Focus HSV-2 ELISA, Biokit, and the current gold standard test, Western blot (WB). RESULTS: The positive predictive value of the Focus HSV-2 ELISA increased from 80.5% to 95.6% when Biokit testing was performed on sera that were initially positive by Focus HSV-2 ELISA. Confirmatory testing increased the specificity markedly among sera with Focus EIA values between 1.1 and 3.5: only 35% of low positive (index values 1.1–3.5) Focus HSV-2 ELISA results confirmed as positive by Biokit and WB compared with 92% of those with index values >3.5. Mathematical modeling of the data resulted in expected positive predictive values over 98% for populations with antibody prevalences typical of clinical practices in the US and Europe. CONCLUSION: Confirmatory Biokit testing of positive Focus HSV-2 ELISA results is fast, easy, and effective in reducing falsely positive HSV-2 antibody results. Patients, clinicians, and laboratories could benefit from the enhanced specificity of this simple HSV-2 serologic test combination

Correction: Use of "biokitHSV-2 Rapid Assay" to improve the positive predictive value of Focus HerpeSelect HSV-2 ELISA

As the competing interests for only the previous calendar year were included in the published article and it is journal policy to list competing interests for the previous five years, a full declaration of interests for the authors is now published

Competing pairing interactions responsible for the large upper critical field in a stoichiometric iron-based superconductor CaKFe4As4

The upper critical field of multiband superconductors is an important quantity that can reveal details about the nature of the superconducting pairing. Here we experimentally map out the complete upper-critical-field phase diagram of a stoichiometric superconductor, CaKFe4As4, up to 90T for different orientations of the magnetic field and at temperatures down to 4.2K. The upper critical fields are extremely large, reaching values close to ∼3Tc at the lowest temperature, and the anisotropy decreases dramatically with temperature, leading to essentially isotropic superconductivity at 4.2K. We find that the temperature dependence of the upper critical field can be well described by a two-band model in the clean limit with band-coupling parameters favoring intraband over interband interactions. The large Pauli paramagnetic effects together with the presence of the shallow bands is consistent with the stabilization of an FFLO state at low temperatures in this clean superconductor

Competing pairing interactions responsible for the large upper critical field in a stoichiometric iron-based superconductor, CaKFe4_4As4_4

The upper critical field of multiband superconductors is an important quantity that can reveal the details about the nature of the superconducting pairing. Here we experimentally map out the complete upper critical field phase diagram of a stoichiometric superconductor, CaKFe$_4$As$_4$, up to 90T for different orientations of the magnetic field and at temperatures down to 4.2K. The upper critical fields are extremely large, reaching values close to ~3$T_c$ at the lowest temperature, and the anisotropy decreases dramatically with temperature leading to essentially isotropic superconductivity at 4.2K. We find that the temperature dependence of the upper critical field can be well described by a two-band model in the clean limit with band coupling parameters favouring intraband over interband interactions. The large Pauli paramagnetic effects together with the presence of the shallow bands is consistent with the stabilization of an FFLO state at low temperatures in this clean superconductor.Comment: to appear in Physical Review B (2020); 13 pages, 9 figure

Comparison of Six DNA Extraction Methods for Recovery of Fungal DNA as Assessed by Quantitative PCR

The detection of fungal pathogens in clinical samples by PCR requires the use of extraction methods that efficiently lyse fungal cells and recover DNA suitable for amplification. We used quantitative PCR assays to measure the recovery of DNA from two important fungal pathogens subjected to six DNA extraction methods. Aspergillus fumigatus conidia or Candida albicans yeast cells were added to bronchoalveolar lavage fluid and subjected to DNA extraction in order to assess the recovery of DNA from a defined number of fungal propagules. In order to simulate hyphal growth in tissue, Aspergillus fumigatus conidia were allowed to form mycelia in tissue culture media and then harvested for DNA extraction. Differences among the DNA yields from the six extraction methods were highly significant (P < 0.0001) in each of the three experimental systems. An extraction method based on enzymatic lysis of fungal cell walls (yeast cell lysis plus the use of GNOME kits) produced high levels of fungal DNA with Candida albicans but low levels of fungal DNA with Aspergillus fumigatus conidia or hyphae. Extraction methods employing mechanical agitation with beads produced the highest yields with Aspergillus hyphae. The MasterPure yeast method produced high levels of DNA from C. albicans but only moderate yields from A. fumigatus. A reagent from one extraction method was contaminated with fungal DNA, including DNA from Aspergillus and Candida species. In conclusion, the six extraction methods produce markedly differing yields of fungal DNA and thus can significantly affect the results of fungal PCR assays. No single extraction method was optimal for all organisms

Use of "biokit HSV-2 Rapid Assay" to improve the positive predictive value of Focus HerpeSelect HSV-2 ELISA.

BackgroundCommercially available assays to detect antibodies to the herpes simplex virus type 2 (HSV-2)-specific glycoprotein gG-2 have markedly improved serologic diagnosis of HSV-2 infection. However, even tests with high specificity can have low positive predictive values in low prevalence populations. HSV-2 is a chronic, life-long viral infection that requires both medical attention and potential alterations in health care strategy. As such, the concern for false positive diagnoses is high confirmatory testing is routine for other viral serologies such as HIV and hepatitis C. We evaluated such a strategy for HSV-2 serology by using an easily performed commercial test, biokitHSV-2 rapid test ("Biokit"; Biokit USA, Lexington MA) as a confirmatory test for the widely used gG-2 specific serology ("Focus;" HerpeSelect HSV-2 ELISA; Focus Diagnostics, Cypress CA).MethodsWe tested 782 sera by Focus HSV-2 ELISA, Biokit, and the current gold standard test, Western blot (WB).ResultsThe positive predictive value of the Focus HSV-2 ELISA increased from 80.5% to 95.6% when Biokit testing was performed on sera that were initially positive by Focus HSV-2 ELISA. Confirmatory testing increased the specificity markedly among sera with Focus EIA values between 1.1 and 3.5: only 35% of low positive (index values 1.1-3.5) Focus HSV-2 ELISA results confirmed as positive by Biokit and WB compared with 92% of those with index values &gt;3.5. Mathematical modeling of the data resulted in expected positive predictive values over 98% for populations with antibody prevalences typical of clinical practices in the US and Europe.ConclusionConfirmatory Biokit testing of positive Focus HSV-2 ELISA results is fast, easy, and effective in reducing falsely positive HSV-2 antibody results. Patients, clinicians, and laboratories could benefit from the enhanced specificity of this simple HSV-2 serologic test combination

Competing pairing interactions responsible for the large upper critical field in a stoichiometric iron-based superconductor CaKFe4As4

The upper critical field of multiband superconductors is an important quantity that can reveal details about the nature of the superconducting pairing. Here we experimentally map out the complete upper-critical-field phase diagram of a stoichiometric superconductor, CaKFe4As4, up to 90T for different orientations of the magnetic field and at temperatures down to 4.2K. The upper critical fields are extremely large, reaching values close to ∼3Tc at the lowest temperature, and the anisotropy decreases dramatically with temperature, leading to essentially isotropic superconductivity at 4.2K. We find that the temperature dependence of the upper critical field can be well described by a two-band model in the clean limit with band-coupling parameters favoring intraband over interband interactions. The large Pauli paramagnetic effects together with the presence of the shallow bands is consistent with the stabilization of an FFLO state at low temperatures in this clean superconductor.This article is published as Bristow, Matthew, William Knafo, Pascal Reiss, William Meier, Paul C. Canfield, Stephen J. Blundell, and Amalia I. Coldea. "Competing pairing interactions responsible for the large upper critical field in a stoichiometric iron-based superconductor CaKFe 4 As 4." Physical Review B 101, no. 13 (2020): 134502. DOI: 10.1103/PhysRevB.101.134502. Posted with permission.</p

Ultra-high critical current densities, the vortex phase diagram and the effect of granularity of the stoichiometric high-Tc superconductor, CaKFe4As4

We present a comprehensive study of the critical current densities and the superconducting vortex phase diagram in the stoichiometric superconductor CaKFe4As4 which has a critical temperature of ∼35 K. We performed detailed magnetization measurements both of high quality single crystals for different orientations in an applied magnetic field up to 16 T and for a powder sample. We find an extremely large critical current density, Jc, up to 108 A/cm2 for single crystals when H(ab) at 5 K, which remains robust in fields up to 16 T, being the largest of any other iron-based superconductor. The critical current density is reduced by a factor 10 in single crystals when Hc at 5 K and significantly suppressed by the presence of grain boundaries in the powder sample. We also observe the presence of the fishtail effect in the magnetic hysteresis loops of single crystals when Hc. The flux pinning force density and the pinning parameters suggest that the large critical current could be linked to the existence of point core and surface pinning. Based on the vortex phase diagram and the large critical current densities, CaKFe4As4 is now established as a potential iron-based superconductor candidate for practical applications