scholarly journals Prevalence of anti-nuclear autoantibodies (ANA) in the general Polish population - analysis of the influence of sex and age on the variability of ANA.

2021 ◽  
Author(s):  
Paweł Krzemień ◽  
Sławomir Kasperczyk ◽  
Maciej Banach ◽  
Aleksandra Kasperczyk ◽  
Michał Dobrakowski ◽  
...  
Keyword(s):  
Staining Pattern ◽  
Population Analysis ◽  
Adult Population ◽  
Developed Countries ◽  
Immunofluorescence Assay ◽  
Polish Population ◽  
Serum Samples ◽  
Antinuclear Autoantibodies ◽  
Positive Results ◽  
Positive Population

Abstract Objectives: Diagnosis of Systemic Autoimmune Rheumatic Diseases using antinuclear autoantibodies (ANA) is dependent on many factors and varies between populations, such that the screening dilution used for indirect immunofluorescence assay (IIFA) should be defined locally for each population. The aim of the study was firstly, to assess the prevalence of ANA in the Polish adult population depending on age, sex and the cut-off threshold used for the results obtained. Second, we estimated the occurrence of individual types of ANA staining patterns.Methods: The tested material included serum samples from 1731 participants (1043 women and 688 men) that were tested with the commercially available IIFA using two cut-off thresholds 1:100 and 1:160.Results: We found ANA in 260 participants (15.0%), but the percentage of positive results strongly depended on the cut-off level. For a cut-off threshold 1:100, the positive population was 19.5% and for the 1:160 cut-off threshold, it was 11.7%. The most prevalent ANA staining pattern was AC-2 Dense Fine speckled (50%), followed by AC-21 Reticular/AMA (14.38%) ANA were more common in women (72%); 64% of ANA positive patients were over 50 years of age.Conclusion: ANA prevalence in the Polish population is at a level observed in other highly developed countries. ANA were more prevalent in women and elderly individuals. In order to reduce the number of positive results released, we suggest that Polish laboratories should set 1:160 as the cut-off threshold.

scholarly journals Analysis of the impact of sex and age on the variation in the prevalence of antinuclear autoantibodies in Polish population: a nationwide observational, cross-sectional study

2021 ◽  
Author(s):  
Paweł Krzemień ◽  
Sławomir Kasperczyk ◽  
Maciej Banach ◽  
Aleksandra Kasperczyk ◽  
Michał Dobrakowski ◽  
...  
Keyword(s):  
Adult Population ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Polish Population ◽  
Cross Sectional ◽  
Antinuclear Autoantibodies ◽  
The Impact ◽  
Positive Results ◽  
Cutoff Threshold ◽  
Positive Population

AbstractThe detection of antinuclear autoantibody (ANA) is dependent on many factors and varies between the populations. The aim of the study was first to assess the prevalence of ANA in the Polish adult population depending on age, sex and the cutoff threshold used for the results obtained. Second, we estimated the occurrence of individual types of ANA-staining patterns. We tested 1731 patient samples using commercially available IIFA using two cutoff thresholds of 1:100 and 1:160. We found ANA in 260 participants (15.0%), but the percentage of positive results strongly depended on the cutoff level. For a cutoff threshold 1:100, the positive population was 19.5% and for the 1:160 cutoff threshold, it was 11.7%. The most prevalent ANA-staining pattern was AC-2 Dense Fine speckled (50%), followed by AC-21 Reticular/AMA (14.38%) ANA more common in women (72%); 64% of ANA-positive patients were over 50 years of age. ANA prevalence in the Polish population is at a level observed in other highly developed countries and is more prevalent in women and elderly individuals. To reduce the number of positive results released, we suggest that Polish laboratories should set 1:160 as the cutoff threshold.

scholarly journals Evaluation of the protective level of antibodies to tetanus toxin in adults in Poland

2018 ◽  
pp. 167-174
Author(s):  
Karolina Śmietańska ◽  
Anna Chróst ◽  
Natalia Rokosz-Chudziak ◽  
Urszula Roguska ◽  
Waldemar Rastawicki
Keyword(s):  
Pregnant Women ◽  
Tetanus Toxin ◽  
Adult Population ◽  
Protective Level ◽  
Serum Samples ◽  
Enzymelinked Immunosorbent Assay ◽  
And Gender ◽  
High Level ◽  
Positive Results ◽  
Tetanus Antibodies

Introduction: The aim of the research was to assess the protective level of antibodies for tetanus toxin in adults in Poland. The obtained research results provide information on how the protective level of anti-tetanus antibodies is formed after the administration of basic doses and booster doses in people of different ages and gender. Material and Methods: A total of 493 serum samples collected from 321 adult individuals, 86 blood donors and 86 pregnant women with ages ranging from 20 to 40 years were investigated. Antibody concentrations were measured with an enzymelinked immunosorbent assay (Tetanus IgG ELISA, IBL International, Germany). Results: The results showed that among 493 individuals examined, only four were not detected with an IBL ELISA antibody for tetanus toxin. The most, as many as 258 people had antibodies at the level of 0.1-1.0 IU / ml, in 220 people these antibodies were detected at 1.0-5.0 IU / ml and only in 11 people at the level above 5.0 IU / ml. What is very important, the percentage of results with a high level of antibodies to the tetanus toxin (>1.0 IU/ml) decreased with the age of the examined patients. Analysis of the results showed that statistically significantly higher levels of antibodies (>1.0 IU/ml) were detected more frequently in men than in women. The percentage of highly positive results (over 1.0 IU/ml) was significantly higher in pregnant women (73.3%) than in the group of all 169 other women examined (24.3%) and higher than in the group of 50 women (40.0%) and 61 men (57.4%) at a similar age of 19-39 years as pregnant women. Conclusions: The results we obtained testify generally to a relatively good level of immunization against tetanus in the adult population in Poland up to 50 years of age. A high percentage of older people, especially after the age of 60, with a low level of vaccine anti-tetanus antibodies indicate the desirability of administering doses of the anti-tetanus vaccine in people in this age group.

The Worrying Trend of Diabetes Mellitus in Saudi Arabia: An Urgent Call to Action

2020 ◽  
Vol 16 (3) ◽  
pp. 204-210 ◽  
Author(s):  
Asirvatham A. Robert ◽  
Mohamed A. Al Dawish
Keyword(s):  
Diabetes Mellitus ◽  
Saudi Arabia ◽  
Present Report ◽  
Adult Population ◽  
Current Trend ◽  
Fold Increase ◽  
Developed Countries ◽  
Evidence Base ◽  
Small Sample ◽  
Cross Sectional

From last few years, the pervasiveness of diabetes mellitus (DM), in Saudi Arabia, is growing at a frightening rate. Overall, one-fourth of the adult population is affected by DM, which is further predicted to rise to more than double by the year 2030. The most alarming is possibly the escalation propensity of diabetes, in recent years, where a nearly ten-fold increase has been witnessed over the past thirty years in Saudi Arabia. However, the number of research arbitrations on the prevalence and incidence of DM is woefully inadequate, as compared to developed countries. Apart from this, most of the existing research data carried out in Saudi Arabia is cross-sectional, with small sample sizes, which most often involve only certain parts of the country. Consequently, the present scenario demands more multidimensional and multisectoral research to strengthen the evidence base and to accumulate greater knowledge as a basis for measures and programmes to confront diabetes and its complications. Thus, the present report makes an attempt to depict the current trend of diabetes as well as intends to put forward essential measures for controlling diabetes in Saudi Arabia.

scholarly journals A rapid point-of-care assay accurately measures vitamin D

2021 ◽  
Author(s):  
K. Albrecht ◽  
J. Lotz ◽  
L. Frommer ◽  
K. J. Lackner ◽  
G. J. Kahaly
Keyword(s):  
Vitamin D ◽  
Metabolic Pathways ◽  
Point Of Care ◽  
Immunofluorescence Assay ◽  
Laboratory Method ◽  
Controlled Study ◽  
Mean Deviation ◽  
Serum Samples ◽  
Assay Validation ◽  
Accuracy And Precision

Abstract Purpose Vitamin D (VitD) is a pleiotropic hormone with effects on a multitude of systems and metabolic pathways. Consequently, the relevance of a sufficiently high VitD serum level becomes self-evident. Methods A rapid immunofluorescence assay designed for the point-of-care measurement of serum VitD3 solely was tested. Inter- and intra-assay validation, double testing and result comparison with a standardized laboratory method were performed. Results An overall linear correlation of r = 0.89 (Pearson, 95% CI 0.88–0.92, p < 0.01) between the point of care and the conventional reference assay was registered. Accuracy and precision were of special interest at cut-points (10 ng/ml [mean deviation 1.7 ng/ml, SD 1.98 ng/ml, SE 0.16 ng/ml], 12 ng/ml [MD 0.41, SD 1.89, SE 0.19] and 30 ng/ml [MD − 1.11, SD 3.89, SE 0.35]). Only a slight deviation was detected between the two assays when using fresh (r = 0.91, 95% CI 0.86–0.94, p < 0.01) and frozen serum samples (r = 0.86, 0.82–0.89, p < 0.01). Results remained steady when samples were frozen several times. Inter- and intra-assay validation according to the CLSI protocol as well as multiuser testing showed stable results. Conclusion This novel, innovative, and controlled study indicates that the evaluated rapid point of care VitD assay is reliable, accurate, and suited for clinical practice.

scholarly journals Biological variation and reference change value data for serum copper, zinc and selenium in Turkish adult population

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Ceylan Bal ◽  
Serpil Erdogan ◽  
Gamze Gök ◽  
Cemil Nural ◽  
Betül Özbek ◽  
...  
Keyword(s):  
Adult Population ◽  
Reference Intervals ◽  
Serum Copper ◽  
Biological Variation ◽  
Serum Samples ◽  
Reference Change Value ◽  
Index Of Individuality ◽  
Copper Zinc ◽  
Clinically Significant ◽  
Analytical Variation

Abstract Objectives Calculation of biological variation (BV) components is very important in evaluating whether a test result is clinically significant. The aim of this study is to analyze BV components for copper, zinc and selenium in a cohort of healthy Turkish participants. Methods A total of 10 serum samples were collected from each of the 15 healthy individuals (nine female, six male), once a week, during 10 weeks. Copper, zinc and selenium levels were analyzed by atomic absorption spectrometer. BV parameters were calculated with the approach suggested by Fraser. Results Analytical variation (CVA), within-subject BV (CVI), between-subject BV (CVG) values were 8.4, 7.1 and 4.3 for copper; 4.2, 9.1 and 13.7 for zinc; 7.6, 2.5 and 6.9 for selenium, respectively. Reference change values (RCV) were 30.46, 27.56 and 22.16% for copper, zinc and selenium, respectively. The index of individuality (II) values were 1.65, 0.66 and 0.36 for copper, zinc and selenium, respectively. Conclusions According to the results of this study, traditional reference intervals can be used for copper but we do not recommend using it for zinc and selenium. We think that it would be more accurate to use RCV value for zinc and selenium in terms of following significant changes in recurrent results of a patient.

scholarly journals Performance evaluation of ImmunoCAP® ISAC 112: a multi-site study

2017 ◽  
Vol 55 (4) ◽  
Author(s):  
Marianne van Hage ◽  
Peter Schmid-Grendelmeier ◽  
Chrysanthi Skevaki ◽  
Mario Plebani ◽  
Walter Canonica ◽  
...  
Keyword(s):  
South African ◽  
Low Frequency ◽  
Specific Ige ◽  
High Concentration ◽  
Serum Samples ◽  
Site Analysis ◽  
Calibration Sample ◽  
Clustering And Classification ◽  
Study Sites ◽  
Positive Results

Abstract Background: After the re-introduction of ImmunoCAP Methods: The study was carried out at 22 European and one South African site. Microarrays from different batches, eight specific IgE (sIgE) positive, three sIgE negative serum samples and a calibration sample were sent to participating laboratories where assays were performed according to the manufacturer’s instructions. Results: For both the negative and positive samples results were consistent between sites, with a very low frequency of false positive results (0.014%). A similar pattern of results for each of the samples was observed across the 23 sites. Homogeneity analysis of all measurements for each sample were well clustered, indicating good reproducibility; unsupervised hierarchical clustering and classification via random forests, showed clustering of identical samples independent of the assay site. Analysis of raw continuous data confirmed the good accuracy across the study sites; averaged standardized, site-specific ISU-E values fell close to the center of the distribution of measurements from all sites. After outlier filtering, variability across the whole study was estimated at 25.5%, with values of 22%, 27.1% and 22.4% for the ‘Low’, ‘Moderate to High’ and ‘Very High’ concentration categories, respectively. Conclusions: The study shows a robust performance of the ImmunoCAP

Reactivity of serum samples from patients with a flavivirus infection measured by immunofluorescence assay and ELISA

2002 ◽  
Vol 4 (12) ◽  
pp. 1209-1215 ◽  
Author(s):  
Penelopie Koraka ◽  
Herve Zeller ◽  
Matthias Niedrig ◽  
Albert D.M.E Osterhaus ◽  
Jan Groen
Keyword(s):  
Immunofluorescence Assay ◽  
Serum Samples ◽  
Flavivirus Infection

scholarly journals Toxoplasmosis serology: an efficient hemagglutination procedure to detect IgG and IgM antibodies

1989 ◽  
Vol 31 (4) ◽  
pp. 279-285 ◽  
Author(s):  
M.E. Camargo ◽  
Maria Emilia G. Moura ◽  
P.G. Leser
Keyword(s):  
Simple Procedure ◽  
Low Cost ◽  
Protein A ◽  
Developed Countries ◽  
Serum Samples ◽  
Serum Dilution ◽  
Specific Antibodies ◽  
Igm Antibodies ◽  
Diagnostic Capability ◽  
Acute Toxoplasmosis

In search of an efficient but simple, low cost procedure for the serodiagnosis of Toxoplasmosis, especially suited for routine laboratories facing technical and budget limitations as in less developed countries, the diagnostic capability of Hematoxo® , an hemagglutination test for toxoplasmosis, was evaluated in relation to a battery of tests including IgG- and IgM-immunofluorescence tests, hemagglutination and an IgM-capture enzymatic assay. Detecting a little as 5 I.U. of IgG antitoxoplasma antibodies, Hematoxo® showed a straight agreement as to reactivity and non-reactivity for the 443 non-reactive and the 387 reactive serum samples, included in this study. In 23 cases presenting a serological pattern of acute toxoplasmosis and showing IgM antibodies, Hematoxo® could detect IgM antibodies in 18, indicated by negativation or a significant decrease in titers as a result of treating samples with 2-mercapto-ethanol. However, a neat increase in sensitivity for IgM specific antibodies could be achieved by previously removing IgG from the sample, as demonstrated in a series of acute toxoplasmosis sera. A simple procedure was developed for this purpose, by reconstituting a lyophilized suspension of Protein A - rich Staphylococcus with the lowest serum dilution to be tested. Of low cost and easy to perform, Hematoxo® affords not only a practical qualitative procedure for screening reactors and non-reactors, as in prenatal services, but also quantitative assays that permit to titrate antibodies as well as to identify IgM antibodies.

scholarly journals Epidemiological situation of bovine brucellosis in the State of Paraiba, Brazil

2016 ◽  
Vol 37 (5Supl2) ◽  
pp. 3403 ◽  
Author(s):  
Inácio José Clementino ◽  
Ricardo Augusto Dias ◽  
Marcos Amaku ◽  
Fernando Ferreira ◽  
Evelise Oliveira Telles ◽  
...  
Keyword(s):  
Risk Factor ◽  
Odds Ratio ◽  
The State ◽  
Prevalence Rates ◽  
Risk Of Infection ◽  
Bovine Brucellosis ◽  
Serum Samples ◽  
The Rose ◽  
Positive Results ◽  
Epidemiological Situation

This study was performed to characterize the epidemiological status of brucellosis in the State of Paraíba, Brazil. The State was divided into three regions. Herds were randomly sampled in each region and a pre-established number of animals were sampled in each of these herds. A total of 3,489 serum samples from 674 herds were collected. In each herd, an epidemiological questionnaire was conducted. This questionnaire focused on herd traits, as well as husbandry and sanitary practices that could be associated with the risk of infection. The serum samples were screened for antibodies against Brucella spp. by the Rose-Bengal Test (RBT), and all positive sera were confirmed by the 2-mercaptoethanol test (2-ME). The herd was considered positive if at least one animal had positive results for both the RBT and the 2-ME test. The prevalence rates of infected herds and animals in the State were 4.6% [3.2-6.5%] and 2.5% [1.1-3.9%], respectively. The prevalence rates of infected herds and animals in the regions were, respectively: region 1, 3.2% [1.5-6.6%] and 1.7% [0.5-5.7%]; region 2, 2.2% [0.9-5.2%] and 0.7% [0.3-1.7%]; and region 3, 7.9% [5.0-12.2%] and 3.2% [1.6-6.3%]. The risk factor (odds ratio, OR) associated with the presence of the infection was Zebuine as the predominant breed (OR=12.30 [1.32-114.64]).

scholarly journals Conus Medullaris Position in an Adult Population: Analysis of Magnetic Resonance Imaging

2016 ◽  
Vol 34 (4) ◽  
pp. 1352-1356
Author(s):  
Ozlen Karabulut ◽  
Hatice Akay ◽  
Zulfu Karabulut ◽  
Hüseyin Özevren ◽  
Gunay Saka ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Population Analysis ◽  
Adult Population ◽  
Conus Medullaris ◽  
Resonance Imaging
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