Performance of an automated immunoturbidimetric assay for bovine serum amyloid A.

BACKGROUND: Acute phase proteins are a group of vital constituents of the innate immune system, which may also serve as circulatory biomarkers of inflammation. The major acute phase protein serum amyloid A (SAA) is a reliable and sensitive biomarker in cows, allowing for rapid detection of inflammatory disease. A multispecies automated immunoturbidimetric assay (VET-SAA, Eiken) has been validated for horses, dogs, and cats, and it has been used to measure SAA concentrations in bovine samples. OBJECTIVES: The aim of the present study was to perform an analytical validation of the VET-SAA immunoturbidometric assay based on monoclonal antihuman SAA antibodies for the measurement of SAA in clinical samples from cows. METHODS AND RESULTS: The validation included an assessment of imprecision, inaccuracy, and detection limit, as well as an evaluation of the overlap performance, using banked serum from healthy and sick cows with or without inflammatory disease. Intra- and interassay variation ranged from 0.91% to 2.9% and 2.5% to 5.8%, respectively. The assay was performed with acceptable accuracy within a clinically relevant range of SAA, although minor signs of inaccuracy were detected. Overlap performance was acceptable, with the VET-SAA assay able to differentiate between healthy cows and cows with inflammatory and noninflammatory conditions. The automated VET-SAA assay is considered acceptable for the measurement of SAA in cows.

"I Feel Like I Have Lost Part Of My Identity" - A Qualitative Study Exploring The Impact Of Chronic Ankle Instability.

Introduction: Lateral ankle sprain is the most common ankle injury and up to 40% of those who sustain a lateral ankle sprain will develop chronic ankle instability (CAI). The aim of this study was to explore the thoughts and expectations of CAI-patients concerning their condition and expectations of care in an orthopedic setting. . Study Design: Qualitative study. Methods: Nine semi-structured one-to-one interviews were conducted with CAI-patients who were referred to an orthopedic setting. Interviews were recorded, transcribed, and analyzed using systematic text condensation with an inductive goal free approach. . Results: Seven themes emerged. The themes were Injury history and symptoms (Lateral ankle sprain during sport, pain and instability), Information from health professional (conflicting information about management and prognosis), Management (mental and physical challenges), Expectation and hope (explanation of symptoms, prognosis and imaging to provide clarification of condition), Activity and participation (restriction in sport and daily life and feelings of uncertainty), Support (support from family/friends) and Identity (low ability to participate in sport and social life result in loss of identity). . Conclusion: The impact of CAI exceeds an experience of pain and instability. Patients experienced loss of identity, having to manage uncertainty regarding their diagnosis and prognosis and had hopes of being able to explain their condition. . Level of Evidence: Not applicable.

Comparative flooding tolerance of Typha latifolia and Phalaris arundinacea in wetland restoration: Insights from photosynthetic CO2 response curves, photobiology and biomass allocation.

Tall helophytes such as Typha latifolia and Phalaris arundinacea often rapidly colonise after rewetting of former agricultural soil and are therefore often the first plants to contribute to the soil carbon pool. In this study we carried out a mesocosm experiment where these two species grew at three different water levels relative to the soil surface (-15 cm, 0 cm, +15 cm). After eight weeks' growth, measurements of photosynthetic CO2-response curves, stomatal conductance and chlorophyll fluorescence of photosystem II were carried out to detect flooding stress. After 10 weeks' growth, the plants were harvested and biomass production, biomass allocation and specific leaf area were determined. T. latifolia had a higher and more stable photosynthetic performance across all water level treatments, which resulted in an overall higher aboveground and belowground production than P. arundinacea. In contrast, Vcmax and Jmax decreased by 41 % and 42 %, respectively from drained to flooded conditions with signs of flooding stress as impairment of the photosynthetic apparatus. Moreover, increasing water level resulted in maintenance of aboveground organs for P. arundinacea but a decrease in allocation to belowground organs. P. arundinacea did not invest in a higher specific leaf area to counter the decreased photosynthesis under flooding. From -15 cm to 0 cm water levels, P. arundinacea showed a 68 % reduction in belowground biomass, which has negative implication for carbon retention immediately after rewetting. In contrast, recolonization of T. latifolia is likely to be a suitable contributor to the soil carbon pool due to its stable physiology and high above- and belowground biomass production at all water depths, and also likely under natural water level fluctuations. We showed that even though both species are generally considered wetland plants, they are likely to support considerably different photosynthetic carbon assimilation and soil carbon sequestration rates.