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C reactive protein (crp)

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C-reactive protein is a laboratory test that measures the level of a specific protein in the blood. This protein is produced by the liver and its levels increase in response to inflammation or infection in the body. The C-reactive protein test can be used to help detect and monitor various medical conditions.

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10 protocols using c reactive protein (crp)

1

Takotsubo Syndrome Clinical Characteristics

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The study involved patients hospitalised for an acute attack of TS from May 2006 to August 2013 at the Department of Internal Medicine and Cardiology of the University Hospital Brno. A total of 24 patients (23 women, 1 man) were admitted to the coronary acute unit with suspected acute coronary syndrome, and subsequently were diagnosed with TS according to the Mayo Clinic criteria [3 (link)]. ECG changes, hs-troponin T levels (Roche Diagnostics, Indianapolis, IN, USA, with the cut-off value at 14 ng/L), NT-proBNP (Roche Diagnostics, Indianapolis, IN, USA; with the cut-off value at 100 pg/mL), C-reactive protein (Roche, Basel, Switzerland, with the cut-off value at 5 mg/L) (all biomarkers were measured at admission), coronary angiography finding, and left ventricular function (assessed by echocardiography and left ventriculography) were evaluated in all patients. The study involved only patients with a history of TS and a documented recovery of left ventricular function. Some patients were also examined by magnetic resonance imaging (MRI) in order to rule out ischaemic aetiology or acute myocarditis. The control group was composed of 27 healthy volunteers (20 women, 7 men) who had a similar environmental burden with metals according to the questionnaire.
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2

Evaluating Glomerular Filtration Rate

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The Glomerular Filtration Rate (GFR) was evaluated through creatinine clearance, utilizing a 24 h urine collection. Creatinine was measured with an enzymatic assay utilizing isotope dilution mass spectrometry standard calibrated method (Roche Diagnostics S.p.A. Monza, Italy). PTH was measured with an immunometric assay in chemiluminescence (Diagnostic Products Corporation, Los Angeles, CA, USA) and C-reactive protein with an immunoturbidimetric high sensitivity assay system (Roche Diagnostics S.p.A. Monza, Italy).
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3

Blood Withdrawal and Hematological Measures

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In each campaign, 596 mL of blood was drawn per subject over the 56 days duration of each campaign. This included 441 mL drawn between BDC5 and HDT21, or 17.6 mL/day at 14.5 g/dL of Hb; venipuncture corresponded to an estimated loss of 2.5 g Hb/day. All blood was drawn in the bedridden position. Assays were performed at MLM Medical (Moenchengladbach, Germany). Hematocrit, hemoglobin, and erythrocyte concentrations were measured using a Counter ABXpentra60Cplus. Reticulocytes were counted manually. Haptoglobin was measured by nephelometric assay (Siemens, Marburg, Germany). Total and direct/conjugated bilirubins were measured using photometric assays, ferritin by electrochemiluminescence assay, C‐reactive protein by immunoturbidimetric assay (Roche, Mannheim, Germany), and EPO by chemiluminescent immunoassay (Beckman, Krefeld, Germany).
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4

Comprehensive Cardiometabolic Profiling Protocol

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Serum glucose was measured using the hexokinase method. HbA1c was measured in stored whole blood samples using high-performance liquid chromatography with instruments standardized to the Diabetes Control and Complications Trial assay (Tosoh A1c 2.2 and Tosoh G7)26 (link). Plasma lipid concentrations 27 (link)-30 , body mass index 31 , and blood pressure 32 were measured as part of the original ARIC study protocol. C-reactive protein was measured in 2012-13 in stored serum samples (Roche Diagnostics). Hypertension was defined as the mean of the second and third readings at the visit (with cutoff for systolic blood pressure of 140 mm Hg or higher and a cutoff for diastolic blood pressure of 90 mm Hg or higher) or the use of hypertension medication. Participants reported their alcohol use and smoking status. Glomerular filtration rate was estimated from serum creatinine, age, sex, and race using the CKD-EPI 2009 equation33 (link). Left ventricular hypertrophy was assessed using resting 12-lead electrocardiograms and defined by Cornell criteria 34 (link).
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5

Comprehensive Clinical Biomarker Profiling

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All clinical chemistry parameters including total, LDL and HDL-cholesterol, TAG
(enzymatic photometric assay; Roche Diagnostics), HbA1c, C-reactive protein
(quantitative immunoturbidimetric assay; Roche Diagnostics), glucose (hexokinase assay)
and whole blood count (flow cytometry; Sysmex) were measured from yellow and purple top
serum vacutainer tubes using standard techniques by the Institute for Clinical Chemistry,
University Duesseldorf, Germany.
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6

Pleural Fluid Biomarker Analysis

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Pleural fluid ADA levels were determined by using an automated ultraviolet kinetic assay (Roche Diagnostics, Barcelona, Spain). Nine biomarkers, which were selected as potentially discriminatory from the derivation sample, were measured either by enzyme-linked immunosorbert assays (human cathepsin-B, human kallikrein-12, human condroitin sulfate, human matrix metalloproteinase 3 [MMP-3], human matrix metalloproteinase 9 [MMP-9], and human angiostatin; Cusabio Biothech), a particle-enhanced immunoturbidimetric assay (C-reactive protein; Roche Diagnostics GmbH, Mannheim, Germany), or electro-chemiluminiscence immunoassays (CA15-3 and CA19-9; Roche Diagnostics GmbH, Mannheim, Germany) in the pleural fluid of an independent population.
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7

Comprehensive Assessment of Kidney and Heart Disease

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These are detailed in the methods paper [17 (link)] but in brief patients underwent assessments at baseline, 1 month and 3 months. These consisted of the 6-min walk test (6MWT), laboratory measurements including eGFR and biochemical profile (BCP), full blood count (FBC), haemoglobin (Hb), serum ferritin (SF), transferrin saturation (TSAT), C-reactive protein (CRP) and NT-ProBNP (Roche diagnostics) and cystatin C. Quantification of proteinuria was carried out by measurement of urinary protein:creatinine ratio (uPCR) or if diabetic, urinary albumin:creatinine ratio (uACR) depending on availability and use in the recruiting centres. New York Association Functional classification (NYHA), electrocardiogram (ECG) and 2D echo were carried out in all Group 1 patients at baseline, 1 and 3 months. Two questionnaires: the Kidney Disease Quality of Life Short Form Questionnaire (KDQoL-SF-36) and The Minnesota Living with Heart Failure Questionnaire (MLHF) were completed at the three time points for Groups 1. Pulse wave velocity (PWV) and augmentation index (AiX) measurements were performed at baseline and at months 1 and 3 for Groups 1.
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8

Blood biomarker analysis protocol

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Blood samples were obtained from participants who had fasted for at least 10 hours. These were stored in EDTA anti-coagulant tubes. SUA, TG, HDL, LDL, fasting blood glucose, aspartate transaminase (AST), ALT, homocysteine and CRP were measured in the CDC’s laboratory with a Hitachi (7600) automatic analyzer using Wako Diagnostics reagent, except for CRP (Roche, Basel, Switzerland), in accordance with the instructions of the manufacturer.
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9

Immunotherapy Follow-up: Serological and Blood Profile Assessment

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All serological tests and blood counts were performed during routinely scheduled examinations as recommended for patients during follow-up after immunotherapy. Blood tests were performed in an accredited university hospital laboratory (Institute of Medical Biochemistry and Laboratory Diagnostics, General University hospital and First Faculty of Medicine, Charles University, Prague, Czech Republic). The laboratory complies with national accreditation standards (ČSN, EN ISO 15189; 2013), which guarantee the accuracy of verified results. Normal value range and pathological limits were determined by the producer. S100B (Roche, Switzerland) was performed by Electro-chemiluminescence immunoassay (ECLIA) for the in vitro quantitative determination of S100 in human serum. LDH (Roche, Switzerland) was performed by International Federation of Clinical Chemistry (IFCC) methods, and CRP (Roche) was performed by nephelometry using a Dade Behring BNII instrument. Blood count, neutrophils abs. and lymphocytes abs. were performed by automatic analyzer. The serological markers used, and the examination of the blood count, physiological limits and critical values are summarized in Table 1.
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10

Serological Markers of Rheumatoid Arthritis

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Serum IgM RF and high sensitivity CRP (hsCRP) were assessed by quantitative nephelometry (Cobas Mira Plus, Roche), using RF and CRP reagents, respectively (both Dialab, Vienna, Austria). RF levels > 50 IU/ml indicated seropositivity and hsCRP levels > 5 mg/l were considered elevated. Anti-CCP autoantibodies were detected in serum samples using the second generation Immunoscan-RA CCP2 ELISA test (Euro Diagnostica, Arnhem, The Netherlands).
The assay was performed according to the instructions of the manufacturer. A concentration > 25 IU/ml indicated seropositivity.
We also calculated the mean ESR (mESR), CRP (mCRP) and DAS28 (mDAS28) values based on three monthly assessments within the past 3 years (up to 12 assessments) (Table 1). We applied the EULAR DAS28 remission and low disease activity criteria: DAS28 remission: < 2.6, low disease activity < 3.2.
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