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- Hogevik, Harriet, et al.
(author)
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C-reactive protein is more sensitive than erythrocyte sedimentation rate for diagnosis of infective endocarditis.
- 1997
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In: Infection. - : Springer Science and Business Media LLC. - 0300-8126 .- 1439-0973. ; 25:2, s. 82-5
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Journal article (peer-reviewed)abstract
- The objective of this study was to evaluate the sensitivity of C-reactive protein (CRP) elevation compared to erythrocyte sedimentation rate (ESR), leucocyte count and thrombocyte count in the diagnosis of infective endocarditis (IE). It was designed as a prospective study of suspected episodes of IE in adults in tertiary care at a university-affiliated department of infectious diseases. In 89 episodes of IE, CRP was available from the start of treatment. Median age was 66 years, 45 were men and 44 women. Median CRP concentration was found to be 90 (range 0-357) mg/l with only 4% normal values. Episodes involving native valves had higher CRP than episodes occurring with prosthetic valves. Staphylococcal origin, short duration of symptoms, short duration of fever and highest recorded temperature all correlated to higher CRP levels. The CRP response was also prominent among patients > 70 years old. Among non-responders, a few cases with simultaneous cirrhosis were noted. ESR was less sensitive than CRP, with a normal level in 28% of the episodes. It was concluded that CRP determination is superior to erythrocyte sedimentation rate, leucocyte count and thrombocyte count in the diagnosis of infective endocarditis.
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- Shev, S, et al.
(author)
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HCV genotypes in Swedish blood donors as correlated to epidemiology, liver disease and hepatitis C virus antibody profile
- 1995
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In: Infection. - 1439-0973 .- 0300-8126. ; 23:5, s. 253-257
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Journal article (peer-reviewed)abstract
- Sixty-two anti-HCV and HCV-RNA positive Swedish blood donors (44 men, 18 women; median age 34 years) were studied. HCV genotypes were correlated to parenteral risk factors, liver morphology, serum alanine aminotransferase (ALAT) levels and HCV antibody profile. Forty percent of the donors were infected with HCV genotype 1a, 10% with 1b, 21% with 2b, and 29% with 3a. Intravenous drug use (IVDU) was more common in donors with genotype 3a than in those with genotype 1a (p = 0.024), and prior blood transfusion more common in genotype 2b than in 3a (p = 0.012). Chronic active hepatitis with and without cirrhosis was found in 38% of donors infected with genotype 2b as compared to 8% of donors infected with 1a (p = 0.034). Forty percent of donors with genotype 1a had normal ALAT at the time of liver biopsy versus 11% with genotype 3a (p = 0.046). Antibodies to C33c and C22-3 were present in nearly all donors whereas reactivity to C100-3 and 5-1-1 was detected more often in donors with genotypes 1a and 1b as compared to donors with genotypes 2b and 3a. In conclusion, genotype 3a was correlated to IVDU or tattooing as parenteral risk factors for the acquisition of HCV infection, and genotype 2b to prior blood transfusion. Donors with genotypes 1a seemed to have less severe liver disease than those infected with genotypes 2b and 3a.
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| 17. |
- Blondin, Geneviève, et al.
(author)
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Electron paramagnetic resonance study of the S=1/2 ground state of a radiolysis-generated manganese(III)-trimanganese(IV) form of [Mn-IV;O-4(6)(bipy)(6)](4+) (bipy=2,2'-bipyridine). Comparison with the photosynthetic Oxygen Evolving Complex
- 1997
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In: Journal of the Chemical Society. Dalton Transactions. - : Royal Society of Chemistry (RSC). - 1472-7773 .- 0300-9246 .- 1364-5447. ; 1997:21, s. 4069-4074
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Journal article (peer-reviewed)abstract
- gamma-Ray irradiation at liquid nitrogen temperature of a dimethylformamide solution of the tetranuclear complex [(Mn4O6)-O-IV(bipy)(6)](4+) (bipy = 2,2'-bipyridine) allowed the generation of the first mixed-valence tetranuclear system containing Mn-III and Mn-IV ions and exhibiting a S = 1/2 ground state. The X-band EPR spectrum of this tetranuclear system has been obtained. Simulations have been undertaken and the Mn hyperfine coupling tensors determined clearly show a (MnMn3IV)-Mn-III, composition for the EPR active species. A general approach for the analysis of the isotropic components of the Mn hyperfine tensors is presented in detail. This allowed the determination of the spin projection value for each Mn site. A three J coupling scheme assuming that the linear topology of the starting compound remains is able to reproduce these spin projection values if and only if the Mn-III ion is located at a terminal position in a N4O2 environment. The EPR signal of this [Mn4O6(bipy)(6)](3+) species is compared with the multiline signal observed in the S-2 state of the photosynthetic Oxygen Evolving Complex.
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