Aspects of Viking-Age Shipbuilding: In the Light of the Construction and Trials of the Skuldelev Ship-Replicas Saga Siglar and Roar Ege

Aspects of Viking-Age Shipbuilding: In the Light of the Construction and Trials of the Skuldelev Ship-Replicas Saga Siglar and Roar Eg

Samfundsøkonomiske gevinster ved samtidig projektgennemførelse af store anlægsprojekter: Med ny bane og motorvejsudvidelse på Vestfyn som illustrativt eksempel

Der er konstant gang i planlægningen af store anlægsprojekter rundt omkring i landet. For nogle af disse projekter er der sammenfald med geografien. Dette kan både give anledning til nogle koordinationsmæssige udfordringer, men i endnu større grad kan det give anledning til samfundsøkonomiske gevinster ved f.eks. at der kan etableres fælles byggepladser og færre gener for trafikanter og omgivelser

Procalcitonin, lipopolysaccharide-binding protein, interleukin-6 and C-reactive protein in community-acquired infections and sepsis: a prospective study

INTRODUCTION: Clinicians are in need of better diagnostic markers in diagnosing infections and sepsis. We studied the ability of procalcitonin, lipopolysaccharide-binding protein, IL-6 and C-reactive protein to identify patients with infection and sepsis. METHODS: Plasma and serum samples were obtained on admission from patients with suspected community-acquired infections and sepsis. Procalcitonin was measured with a time-resolved amplified cryptate emission technology assay. Lipopolysaccharide-binding protein and IL-6 were measured with a chemiluminescent immunometric assay. RESULTS: Of 194 included patients, 106 had either infection without systemic inflammatory response syndrome or sepsis. Infected patients had significantly elevated levels of procalcitonin, lipopolysaccharide-binding protein, C-reactive protein and IL-6 compared with noninfected patients (P < 0.001). In a receiver-operating characteristic curve analysis, C-reactive protein and IL-6 performed best in distinguishing between noninfected and infected patients, with an area under the curve larger than 0.82 (P < 0.05). IL-6, lipopolysaccharide-binding protein and C-reactive protein performed best in distinguishing between systemic inflammatory response syndrome and sepsis, with an area under the curve larger than 0.84 (P < 0.01). Procalcitonin performed best in distinguishing between sepsis and severe sepsis, with an area under the curve of 0.74 (P < 0.01). CONCLUSION: C-reactive protein, IL-6 and lipopolysaccharide-binding protein appear to be superior to procalcitonin as diagnostic markers for infection and sepsis in patients admitted to a Department of Internal Medicine. Procalcitonin appears to be superior as a severity marker