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Performance of alpha-defensin lateral flow test after synovial fluid centrifugation for diagnosis of periprosthetic knee infection

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World Journal of Orthopedics 2021年第8期12卷 565-574页

作者： rodrigo calil teles abdo Riccardo Gomes Gobbi Chilan Bou Ghosson Leite Sandra Gofinet Pasoto Elaine Pires Leon Ana Lucia Lei Munhoz Lima Eloisa Bonfa José Ricardo Pécora Marco Kawamura Demange Instituto de Ortopedia e Traumatologia Hospital das Clínicas da Faculdade de Medicina da Universidade de São PauloSao Paulo 05403-010Brazil Division of Rheumatology Faculdade de Medicina da Universidade de São PauloSao Paulo 01246-903Brazil

BACKGROUND The quantitative alpha-defensin enzyme-linked immunosorbent assay(ELISA)demands a prior synovial fluid centrifugation,whereas this processing is not routinely required prior to the alpha-defensin lateral flow *** To evaluate whether a prior synovial fluid centrifugation could lead the lateral flow performance to achieve comparable results to ELISA during periprosthetic joint infection(PJI)*** Fifty-three cases were included in this study:22 classified as PJI and 31 classified as aseptic cases,according to Musculoskeletal Infection Society 2013 *** fluid samples were submitted to centrifugation,and the supernatant was evaluated by ELISA and lateral flow *** sensitivity(SE),specificity(SP)and accuracy of each method were calculated as well as the agreement between those two *** In all of the 31 samples from aseptic patients,alpha-defensin ELISA and lateral flow tests showed negative results for *** the 22 infected patients,the lateral flow test was positive in 19 cases(86.4%)and the ELISA was positive in 21(95.5%).Sensibility,SP and accuracy were,respectively,86.4%(95%CI:65.1%-97.1%),100%(95%CI:88.8%-100%)and 93.2%(95%CI:82.8%-98.3%)for the lateral flow test and 95.5%(95%CI:77.2%-99.9%),100%(95%CI:88.8%-100%)and 98.1%(95%CI:89.9%-100%)for *** agreement of 96.2%between those methods were *** statistical difference was found between them(P=0.48).CONCLUSION Alpha-defensin lateral flow test showed high SE,SP and accuracy after a prior synovial fluid centrifugation,achieving comparable results to *** the lower complexity of the lateral flow and its equivalent performance obtained in this condition,a prior centrifugation might be added as a valuable step to enhance the PJI diagnosis.

关键词： Alpha-defensin Alpha-defensin lateral flow Periprosthetic joint infection

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Quantitative alpha-defensin testing: Is synovial fluid dilution important?

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World Journal of Orthopedics 2022年第8期13卷 760-767页

作者： rodrigo calil teles abdo Riccardo Gomes Gobbi Chilan Bou Ghosson Leite Sandra Gofinet Pasoto Elaine Pires Leon Ana Lucia Lei Munhoz Lima Eloisa Bonfa JoséRicardo Pécora Marco Kawamura Demange Instituto de Ortopedia e Traumatologia Hospital das Clínicas da Faculdade de Medicina da Universidade de São PauloSao Paulo 05403-010Brazil Orthopaedic Department HCor-Hospital do CoraçãoSao Paulo 04004-030Brazil Division of Rheumatology Hospital das Clínicas da Faculdade de Medicina da Universidade de São PauloSao Paulo 05403-010Brazil

BACKGROUND Alpha-defensin has been widely studied for the diagnosis of periprosthetic joint infection(PJI).However,there is a lack of detailed information regarding the proper laboratory technique of the enzyme-linked immunosorbent assay(ELISA)method,such as sample *** To assess the influence of dilution in the synovial fluid during ELISA for the diagnosis of knee PJI;and determine which dilution presents a better *** Forty samples of synovial fluid from arthroplasty knees were included,17 in the infected group and 23 in the aseptic group,according to Musculoskeletal Infection Society ***,five synovial fluid samples from each group were assessed for quantitative analysis of alpha-defensin using *** dilution ratios(1:10,1:100,1:500,1:1000 and 1:5000)were tested based on the predetermined cutoff value of 5.2 mg/*** dilutions that performed better were used to compare the results of all *** For infected cases,a gradual increase in the dilution of synovial fluid samples led to an equivalent increase in alpha-defensin *** same was not observed in the aseptic *** 1:1000 and 1:5000 dilutions presented satisfactory results to differentiate infected and aseptic *** analyses were performed using 1:1000 and 1:5000 for all 40 *** 1:1000 dilution resulted in a sensitivity of 88.2%(95%CI,66%-98%)and specificity of 95.7%(95%CI,79%-99%),whereas the 1:5000 dilution presented a sensitivity of 94.1%(95%CI,73%-99%)and a specificity of 100%(95%CI,86%-100%).CONCLUSION The synovial fluid dilution had an important influence on the alpha-defensin ELISA *** of 1:5000 showed the best performance for the diagnosis of knee *** results of this study set the basis for a more reliable and reproducible alpha-defensin ELISA during the investigation of PJI,contributing to the expansion of this technique in different treatment centers worldwide.

关键词： Alpha-defensin Enzyme-linked immunosorbent assay Periprosthetic joint infection Laboratory findings

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The burden of prolonged sedentary behavior imposed by uberization

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Sports Medicine and Health Science 2023年第2期5卷 159-163页

作者： Thalles Guilarducci Costa Vinnycius Nunes de Oliveira Douglas Assis teles Santos Ricardo Borges Viana Marilia Santos Andrade rodrigo Luiz Vancini Katja Weiss Beat Knechtle Claudio Andre Barbosa de Lira Laboratório de Avaliação do Movimento Humano Faculdade de Educação Física e DançaUniversidade Federal de GoiásGoiâniaBrazil Colegiado de Educação Física Universidade do Estado da BahiaCampus XTeixeira de FreitasBahiaBrazil Instituto de Educação Física e Esportes Universidade Federal do CearáFortalezaBrazil Departamento de Fisiologia Universidade Federal de São PauloSão PauloBrazil Centro de Educação Física e Desportos Universidade Federal do Espírito SantoVitóriaBrazil Institute of Primary Care University of Zurich8006ZurichSwitzerland Medbase St.Gallen Am Vadianplatz 9000St.GallenSwitzerland

Mobility applications are rapidly growing in cities worldwide due to their convenience and low *** applications drivers experience vast flexibility in work hours,often work longer than in fixed-hours jobs,and can constantly transport passengers in their vehicles for up to 12 h;after this,they must go offline for eight consecutive hours before driving ***,drivers have found an easy way around this limitation by switching to other apps and continuing *** burden of prolonged work can increase sedentary behavior among mobility applications *** behavior is any waking activity in which the individual expends 1.5 metabolic equivalents(METs)or less while sitting or *** behavior can increase the risk of detrimental effects on *** this opinion article,we aim to discuss the possible effects of the burden of prolonged work on the sedentary behavior of mobility applications drivers and propose possible strategies to face this concerning situation.

关键词： Mobility application Drivers Health outcomes Sedentary lifestyle Quality of life

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2-D DOA Estimation in a Cuboid Array Based on Metaheuristic Algorithms and Maximum Likelihood

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International Journal of Communications, Network and System Sciences 2020年第8期13卷 121-137页

作者： Gilberto Lopes Filho Ana Cláudia Barbosa Rezende Lucas Fiorini Cruz Flávio Henrique teles Vieira rodrigo Pinto Lemos Universidade Federal de Goiás (UFG) Goiánia Brazil

This paper proposes to apply the genetic algorithm and the firefly algorithm to enhance the estimation of the direction of arrival (DOA) angle of electromagnetic signals of a smart antenna array. This estimation is essential for beamforming, where the antenna array radiating pattern is steered to provide faster and reliable data transmission with increased coverage. This work proposes using metaheuristics to improve a maximum likelihood DOA estimator for an antenna array arranged in a uniform cuboidal geometry. The DOA estimation performance of the proposed algorithm was compared to that of MUSIC on different two dimensions scenarios. The metaheuristic algorithms present better performance than the well-known MUSIC algorithm.

关键词： Metaheuristic Algorithms Genetic Algorithm Firefly Algorithm DOA Estimation Maximum Likelihood

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Influence of Water Content on the Quality of Pigeonpea Seeds

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American Journal of Plant Sciences 2017年第10期8卷 2397-2406页

作者： Cristiane Fernandes Lisboa rodrigo Starnek Lopes De Araújo Itamar Rosa Teixeira José Hortêncio Mota Alessandro Guerra Da Silva Marcos Eduardo Viana De Araújo Deyner Damas Aguiar Silva Edgar Estevam Franca Isneider Luiz Silva Fernando Ribeiro teles De Camargo Department of Agricultural Engineering Sate University of Goiás Anápolís Brazil Department of Agricultural University of Rio Verde Rio Verde Brazil Department of Agricultural Federal University of Goiás Jataí Brazil

The species Cajanus cajan L. where pigeonpea is from presents a harvest potential in tropical regions for it is used as human and animal feed, besides being used as green fertilizer. However, the harvest area of this Fabaceae is still insignificant, due to especially the lack of quality seeds. In this context, it is possible to affirm that drying and store are portrayed as important steps for obtaining superior quality seeds. The aim of this study is to evaluate the physiologic quality of dwarf pigeonpea seeds, with different water content during storage. A factorial scheme 3 × 6 was adopted in the delimitation completely randomized, with four replications. Treatments were constituted by the combination of lots of seeds containing three different water contents (11%, 14% and 16%), submitted to a 10-month storage period, with evaluations every two months (0, 2, 4, 6, 8 and 10). Seeds were stocked in a bag type kraft under normal lab conditions, that is, no control. Physiologic quality of the seeds was evaluated through the following tests: Germination Pattern Test—GPT, first count of germination, accelerated aging and electric conductivity. It can be concluded that pigeonpea with hard seeds containing water content at 11% existing superior physiologic quality throughout the 10-month storage, under no controlled condition, certainly promoted by the less intense breathing from the reserves cumulated in the seed lot. Pigeonpea seeds storage with water content superior to 14% promotes a sharp decrease of physiologic quality, due to an increase in metabolic activity.

关键词： Cajanus cajan L. Physiologic Deterioration Seed Quality Viability and Vigour

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