µ S EPR Spectroscopy 2014 PSU Bioinorganic Workshop 7 y Magnetic field EPR Experimen m s =! mental factors, (c) measuring techniques, and (d) factors influencing precision and accuracy. The ESR increases with age and is higher in women than in men.4,5 The reference ranges that have been established and traditionally used reflect the effects of age and sex. Spectral line shape describes the form of a feature, observed in spectroscopy, corresponding to an energy change in an atom, molecule or ion.Ideal line shapes include Lorentzian, Gaussian and Voigt functions, whose parameters are the line position, maximum height and half-width. EDTA is a solid-based anticoagulant that does not cause significant dilution (<1%), reducing the errors of dilution.1–3 Several modifications to the existing method, including automated instruments, have been introduced during recent years to minimize human contact with blood products and to improve turnaround time. ESR/EPR BAND is capable to calculate electron paramagnetic resonance (EPR) parameters for paramagnetic defects in solids: hyperfine A-tensor and the Zeeman g-tensor. The same study also proved the stability of refrigerated EDTA blood samples for 24 hours.8 Because we used manual transfer of EDTA blood samples into the ESR vacuum tubes for method comparison, we further validated the stability of 5 EDTA blood samples by measuring the ESR using the Streck method immediately after blood draw and after storing samples between 2°C and 10°C for 24 hours. Three samples with an ESR of more than 120 mm/h measured by the Streck method had values of 127, 131, and 134 mm/h using the Sediplast Westergren method. ESR, erythrocyte sedimentation rate. The g-factor for a free electron with zero angular momentum still has a small quantum mechanical corrective \(g\) value, with g=2.0023193. et al.Â. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide, This PDF is available to Subscribers Only. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. . The 95% confidence intervals (CIs) for the means of both methods were also significantly different for different age groups Figure 3. The International Council for Standardization in Haematology recommended the Westergren method as the method of choice. ESR, erythrocyte sedimentation rate. Reiss One can argue that the sample sent for proficiency testing is control material and not a fresh blood sample. The difference between the ideal and actual fill levels after blood draw was measured in millimeters, with a positive value indicating above and negative value indicating below the ideal level. We compared the Streck ESR-Auto Plus instrument for ESR measurement with the Sediplast Westergren method as the reference method and demonstrated that the 2 methods are correlated at 95%. Streck manufactures 2 types of vacuum tubes, for high and low altitudes, which have different levels of vacuum but the same volume of citrate anticoagulant. The results were grouped into 4 age groups similar to traditional reference ranges and included males and females age 50 years or younger and age older than 50 years. A 2 CHAPTER 4. Confidence intervals of means for the Sediplast Westergren and Streck methods for different age groups. The blood was also transferred into the high-altitude ESR vacuum tubes containing citrate using disposable pipettes. Here, we will focus on the spectra of organic and organotransition The instrument has an incorporated bar-code reader, which, along with connection to a laboratory information system, can make it a “walk-away” method. The ESR vacuum tubes are available in 2 types: low- and high-altitude tubes for laboratories below and 2,500 ft above sea level, respectively, with varying amounts of vacuum. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. Electron Spin Resonance 1. The Westergren method uses citrate, a liquid-based anticoagulant, resulting in dilution of blood, inaccuracies of which significantly affect the ESR. Oxford University Press is a department of the University of Oxford. B sedimentation. The Streck ESR-Auto Plus measures ESR higher than the Sediplast diluted method owing to the presence of systematic bias, which is not clearly understood at this point. The ESR was within the reference range (reference ranges as defined for the Sediplast Westergren/reference method) in 84 samples and outside the range in 29 using the Sediplast Westergren method compared with 75 within and 38 outside the range using the Streck method. Term: Kern -Zeeman -Wechselwirkung 3. Electron Spin Resonance When the molecules of a solid exhibit paramagnetism as a result of unpaired electron spins, transitions can be induced between spin states by applying a magnetic field and then supplying electromagnetic energy, usually in the microwave range of frequencies. Precision of the Streck method was measured by using 10 replicate samples of control material with ESRs within and outside the reference range. Because our laboratory is located 1 mile (5,280 feet) above sea level (Albuquerque, NM), the ESR of our patient population is expected to be lower because of reduced oxygen tension and resultant polycythemia, excluding high altitude as a cause of the systematic bias. The fill level of the ESR vacuum tubes did not result in significant differences in the ESR, which suggests that fill level variations due to inaccurate filling might not affect ESR measurement by the Streck method. There was good correlation between the Sediplast and Streck methods (0.95) using Pearson correlation. ISBN 9780128136089, 9780128136096 Spin Resonance Spectroscopy: Principles and Applications presents the principles, recent advancements and applications of nuclear magnetic resonance (NMR) and electron paramagnetic resonance (EPR) in a single multi-disciplinary reference. Modifications of the reference method, also called the modified Westergren method, are also widely used and use EDTA in place of citrate as an anticoagulant. The ESR values for all the samples ranged from 0 to 134 mm using the Sediplast Westergren method and from 2 to more than 120 mm using the Streck method. The ESR values obtained from the Streck ESR-Auto Plus were significantly higher than those of the Sediplast Westergren method (P < .0001) with a mean difference of 7.13 using the paired t test, indicating that the Streck method measures the ESR higher than the Sediplast Westergren method. The UH Lab is affiliated with TRL and serves as a rapid response laboratory. et al.Â, Hunsley After 30 minutes, the measured ESR was automatically printed out by the instrument. To evaluate the effect of sample temperature on ESR measurement, we measured the ESR using the Streck method on 2 EDTA blood samples drawn from a healthy volunteer immediately after the blood draw at 37°C, after allowing the samples to normalize to room temperature for 1 hour, after storing them at 2°C to 10°C for 8 hours, followed by testing them with and without normalization to room temperature. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. range of frequencies. FACTORS AFFECTING THE g-VALUES Operating frequency of the instrument Concentration of unpaired e- Ground term of the metal ion present Direction and temperature of measurement Lack of symmetry 31. Universal precautions were followed while handling the specimens, and tubes were disposed appropriately after testing. The 150-mm graduated, Sediplast pipette was inserted into the vial by piercing through the diaphragm and pushed to the bottom of the vial, followed by placing the vial-pipette unit on a leveled rack. The observation of similar higher results in the College of American Pathologists’ surveys, not only for the Streck ESR-Auto Plus but also for other automated instruments, indicates that these systematic biases exist among most of the automated testing platforms and need further investigation to determine the factors affecting this difference and potentially revising the standardization of reference intervals for automated instruments. BS S The blood was mixed thoroughly by manually inverting 10 times. The ESR values obtained with the Streck method were significantly higher than those obtained by the Sediplast Westergren method (P < .0001) in all age groups both within and outside the reference ranges using the paired t test Table 1. Svedberg et al.Â. Ernst Even though we used samples with hematocrit values within our reference ranges (36%–45% [0.36–0.45]), the International Council for Standardization in Haematology recommends use of dilution when the hematocrit is more than 35% (0.35), which is always the case in our patient population.1,2 The Sediplast Westergren and Streck methods use citrate as an anticoagulant, which results in dilution of blood and should correct the ESR owing to higher hematocrit values. If you continue browsing the site, you agree to the use of cookies on this website. The difference observed is much higher with higher levels of ESR compared with the lower range, indicating the presence of proportional bias as well. No public clipboards found for this slide. The ESR is not a well-understood phenomenon and has been described as occurring in 3 phases: RBC aggregation, precipitation, and packing. 12. Results are automatically printed after the measurement of ESR. The EDTA blood was well mixed by manually inverting the tube 10 times before transferring the sample. We also tested the EDTA blood sample at different temperatures and proved that sample temperature does not affect ESR measurement using the Streck method. • Explain the principle of erythrocyte RBC aggregation is a critical factor for the sedimentation and is facilitated by the presence of certain plasma proteins called agglomerins, which in… Even though the results of both methods are correlated at 95% (Pearson correlation), the y-intercept of the regression line was 6.5, indicating the presence of systematic bias with the Streck method. The test for measuring the ESR was first described by Westergren and Fahraeus and is well known as the Westergren method.1 There have not been many changes to the originally described method,and all subsequently introduced methods have been evaluated against the Westergren method as the standard. The Streck manufacturer proved the instrument’s performance at different temperatures, with the instrument itself incubated at different temperatures.9 The stability of the ESR measurement of a blood sample at different temperatures at a constant instrument temperature was not tested. 11. The samples were deidentified except for age and sex. JA • What are methods of estimating ESR? See our Privacy Policy and User Agreement for details. test. The testing was performed at the UH Lab by 2 resident pathologists (B.V. and L.D.L.C.). Electron paramagnetic resonance (EPR) or electron spin resonance (ESR) spectroscopy is a method for studying materials with unpaired electrons.The basic concepts of EPR are analogous to those of nuclear magnetic resonance (NMR), but it is electron spins that are excited instead of … Bottiger In our opinion, the control material is supposed to have a stable result across testing platforms in contrast with the actual blood sample, in which there are numerous biologic and nonbiologic variables affecting the ESR measurement that can result in significant differences. MR For transition metal complexes, the g value varies a lot because of the spin-orbit coupling and The sedimentation is measured by infrared light, which increases accuracy. The precision analysis showed an SD of 0.5 (95% CI for SD, 0.3–0.9) for the sample within the reference range, with a coefficient of variation (CV) of 4.7% (mean, 10 mm/h); and, for the sample outside the reference range, an SD of 2.5 (95% CI for SD, 1.7–4.5) and a CV of 3.6% (mean, 68.6 mm/h). For method comparison, 113 potassium-EDTA blood samples received for routine CBC analysis at the University of New Mexico Hospital Laboratory (UH Lab; Albuquerque) and at the TriCore Reference Laboratories (TRL; Albuquerque) were selected. Any factors affecting these 3 phases, including those in the number and shape of RBCs and plasma viscosity, can affect the sedimentation rate. The highest ESR that can be measured using the Streck method is 120 mm, and any result more than this value is reported as more than 120 mm. The ESR is not a well-understood phenomenon and has been described as occurring in 3 phases: RBC aggregation, precipitation, and packing. • What is the clinical significance of ESR? Although absorption spectroscopy has been used for chemical analysis for well over 100 yeara, there are still many inconsistencies in terminology in the published literature. Orientation of the tube, rack and table is important because a tilted tube will increase the ESR. Normalization of the blood samples to room temperature is a requirement for the Streck method. Chien Correlation between Streck and Sediplast Westergren methods. See our User Agreement and Privacy Policy. Unit 3. et al.Â, Koepke It is a common hematology test, and is a non-specific measure of inflammation . The Sediplast ESR system has Westergren and modified Westergren methods available for measuring ESR, which use sodium citrate and EDTA as anticoagulants, respectively. Nine samples, which were called as within the reference range by the Sediplast Westergren method (range, 7–20 mm/h) were read as outside the reference range by the Streck method (range, 20–32 mm/h). N-alkoxy- and N-aralkoxypicrylamines and ESR spectra of the corresponding capto-dative persistent aminyls Five O-alkylhydroxylamines and three aralkylhydroxylamines have been picrylated to give O-alkyl-N-picrylhydroxylamines. We modified our reference ranges of different age groups to rectify the systematic bias encountered using the Streck ESR-Auto Plus instrument (Table 1). Factors affecting ESR Physiological factors • Plasma factors • Red cell factors • Rouleaux formation • Age • Sex • Pregnancy laboratory factors • Temperature • Time • Anticoagulants • Tube factor • Tilting of tube • Vibration • Sunlight 10. Simson The Streck low-altitude tubes were significantly underfilled compared with the high-altitude tubes, but this was not reflected in the ESR values obtained from these tubes, which showed no significant difference. The Sediplast Westergren method was done by transferring 0.8 mL of potassium-EDTA blood into a vial containing a defined amount of 3.8% sodium citrate (0.2 mL) solution. [Uterine serosal inclusion cysts in the dog - case report and literature review of canine uterine cysts]. In all cases, the samples were manually transferred into the high-altitude tubes before testing on the Streck instrument. Testing was performed within 12 hours after sample collection and never exceeded 24 hours. Our study indicated that the sample temperature does not have a significant effect on the ESR when using the Streck method. Now customize the name of a clipboard to store your clips. The ESR vacuum tubes are stable for 6 days when refrigerated (2°C–10°C), as demonstrated by the manufacturer. Etzell This indicates that the fill level might not have a significant effect on the ESR, but this has to be verified with a larger number of patients or volunteers. We thank the staff of the University of New Mexico Hospital Laboratory and TriCore Reference Laboratories, Albuquerque. The persistence and stability of miRNA in bloodstained samples under different environmental conditions. Hunsley We had initially received Streck low-altitude tubes by mistake and had initiated validation using those tubes. Electron spin resonance (ESR) spectroscopy, also referred to as electron paramagnetic resonance (EPR) spectroscopy, is a versatile, nondestructive analytical technique which can be used for a variety of applications including: oxidation and reduction processes, biradicals and triplet state molecules, reaction kinetics, as well as numerous additional applications in biology, medicine and … The mean difference using the paired t test was 7.13. ESR spectra, densities and factors affecting g values, Spin labeling ESR spectroscopy, FTESR, Applications, numerical. Print Book & E-Book. For example, the g value for •CH3 is 2.0026. Factors affecting g 19 The value of g is not constant but it depends upon the type of species containing unpaired electrons. Clipping is a handy way to collect important slides you want to go back to later. For 3 F state, the total degeneracy is 3x7 =21 fold and for the terms 3 P, 1 G, 1 D, 1 S, the total degeneracy is 9,9,5,1 fold respectively. The ESR was measured exactly at 60 minutes ± 1 minute using a timer. There was no difference between the sample measurements, which ranged from 7 to 8 mm/h with an SD of 0.58 (mean, 7.5 mm/h; 95% CI of mean, 6.58–8.42). The ESR spectra from the radiation-induced cellulose radicals, with two side peaks (g=2.0201 and g=1.9851) equally spaced (±3 mT) from the central signal, were also observed in the irradiated samples. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. None of the samples received for the micromethod were used for method comparison. The implementation of EPR parameters in BAND is described in the publications by Kadantsev and co-workers [1] and [2] . E BS Write down radiometric titrations. We investigated various potential factors that might be responsible for systematic bias. Copyright © 2021 American Society for Clinical Pathology. When blood samples were directly drawn from healthy volunteers, the Streck low-altitude tubes were significantly underfilled (mean, −9.3 mm) compared with high-altitude tubes (mean, +2.7 mm; P < .0001; paired t test), but the resultant ESR values were not significantly different (P = .27). PAPER No. XIII. I got the g-value of Stoichiometri bulk Fe3O4 to be 2.7. We validated the Streck ESR-Auto Plus instrument (Streck, Omaha, NE) using the Sediplast (Polymedco, Cortlandt Manor, NY) Westergren method as the reference method. An Introduction to Fluorescence Spectroscopy 5 Luminescence and the nature of light A hot body that emits radiation solely because of its high temperature is said to exhibit incandescence. Blood samples collected in 113 EDTA tubes were transferred into Sediplast vials and Streck high-altitude vacuum tubes for measuring the ESR. The Pearson correlation coefficient was 0.954, indicating good correlation between the methods. The slope of the regression line using linear regression was 1.04 with a y-intercept of 6.5 Figure 2. All other forms of light emission are called 1. This significant difference we observed in our study between the Streck and Sediplast Westergren methods was also apparent in a recent College of American Pathologists survey for ESR (ESR-A 2009) in which the mean ESRs for the Sediplast Westergren diluted and Streck ESR-Auto Plus diluted methods for high ESR were 38.2 and 64.2 mm, respectively (3.7 and 8.6 mm for low ESR), further confirming our observation.6 The Sediplast Westergren method was the most common method for measuring ESR, used by 970 laboratories, with the Streck ESR-Auto Plus the second most common method, used by 660 laboratories. R Addressing the Challenges of Eosinophilia and Mastocytosis: Reactive Eosinophil Proliferations in Tissue and the Lymphocytic Variant of Hypereosinophilic Syndrome: Myeloid/Lymphoid Neoplasms Associated With Eosinophilia and Rearrangements of. Because both test methods use citrate as an anticoagulant, the resulting dilution effectively counters higher hematocrit values as a factor. K In general, this is spin-orbit coupling. TI McCarthy Search for other works by this author on: ICSH recommendations for measurement of erythrocyte sedimentation rate, Guidelines on selection of laboratory tests for monitoring the acute phase response, Reference and selected procedure for the erythrocyte sedimentation rate (ESR) test; Approved standard, National Committee for Clinical Laboratory Standards, Normal erythrocyte sedimentation rate and age, Effect of age and sex on the erythrocyte sedimentation rate, Reference value of younger people’s erythrocyte sedimentation rate and altitude [letter], Streck ESR-vacuum tubes stabilize whole blood for accurate ESR testing for extended time, Erythrocyte Sedimentation Rate Application Note, Streck ESR-vacuum tubes yield stable erythrocyte sedimentation rates with variable temperatures, © American Society for Clinical Pathology, Multisite Quality Improvement Study of a Patient-Pathologist Consultation Program. Purchase Spin Resonance Spectroscopy - 1st Edition. J_("H-H") "Coupling" The major factors for three-bond couplings between vicinal "H" atoms (J_("H-H")) are the dihedral angle and substituents. The highest difference was seen in a 73-year-old man whose ESR was 7 mm/h by the Sediplast Westergren method and 28 mm/h by the Streck method (reference range, 0–20 mm/h for males older than 50 years). Therefore, statistical analysis was performed using the Pearson correlation, linear regression, and paired t test to establish the relationship between the 2 methods. Blood can be directly drawn or transferred manually from an EDTA tube into 1.2-mL safety-coated ESR vacuum tubes containing 3.2% sodium citrate as an anticoagulant. Electron Spin Resonance Spectroscopy Calulating Lande g` factor Ravitej Uppu Aim To find the value of the Lande g factor for an electron subjected to a pertur-bation by an external alternating magnetic field. The Sediplast Westergren method is a manual method, requiring considerable time in sample preparation, personnel presence for measuring ESR in a timely manner, and contact with human blood. Miller-Lindholm These 3 samples were excluded from the correlation analysis because they were above the upper limit of the Streck method. The major factors affecting coupling constants are dihedral angles, substituents, hybridization, and ring strain. Recently, many automated instruments have become available to address laboratory safety and time efficiency. The higher altitude of our laboratory’s location should have resulted in lower ESR values, but not higher values, thus eliminating altitude as a responsible factor. ELECTRON SPIN RESONANCE SPECTROSCOPY MetalOxidationstate Valence orbital occupancy Spin CuI 3d10 spin 0 (diamagnetic) CuII 3d9 spin 1 2 FeI 3d7 spin 3 2 FeII 3d6 spin 2 or 0 FeIII 3d 5spin 2 Table 4.1: Typical metals, oxidation states, and spin properties of metals in proteins and prosthetic groups. 1 Theory Electron spin George Remote sensing metrics to assess exposure to residential greenness in epidemiological studies: A population case study from the Eastern Mediterranean. We modified our reference ranges to rectify the systematic bias found during validation. e =9.27"10 #24J/T! Of the samples, 48.7% (55/113) were from patients 50 years or younger, including 18.2% (10/55) from the pediatric age group (<18 years), whereas 51.3% (58/113) were from patients older than 50 years Figure 1. Because of the large number of facilities from which we receive samples for testing ESR and the problems that might be encountered in not obtaining a proper sample in the vacuum tubes provided by the manufacturer, we validated the Streck instrument with the manual transfer of samples from EDTA tubes. BS In addition to considering the total magnetic dipole moment of a paramagnetic species, the g-value takes into account the … The value of g can be taken as a fingerprint of the molecule. Samples collected at TRL were stored immediately at 4°C and transported to the UH Lab within 8 to 10 hours. Muon g -factor Edit If supersymmetry is realized in nature, there will be corrections to g −2 of the muon due to loop diagrams involving the new particles. The fill levels of the vials or tubes for the Sediplast and Streck systems were within 2 mm from the level indicated, excluding the inaccuracies of filling as a possible factor. From here on, these 2 methods are referred to as the Sediplast Westergren and Streck methods. JE In terms of chemistry, a positive deviation from free electron g-value, it indicates a d-orbital contribution from d > 5 ions, e.g. You can change your ad preferences anytime. The y-intercept was at 6.5 using linear regression, indicating systematic bias with a mean difference of 7.13 using the t test (P < .0001). We had used the Sediplast Westergren method in our laboratory for measuring the ESR for many years and used the same as the reference method for our validation. Eosinophilia/Hypereosinophilia in the Setting of Reactive and Idiopathic Causes, Well-Defined Myeloid or Lymphoid Leukemias, or Germline Disorders: About American Journal of Clinical Pathology, About the American Society for Clinical Pathology, http://www.Streck.com/pdf/Papers/Hematology/Streck_ApplicationNote_ESR_320533.pdf, http://www.Streck.com/pdf/Papers/Hematology/Streck_ApplicationNote_ESR_320534.pdf, Receive exclusive offers and updates from Oxford Academic, Evaluation of the Ves-Matic Cube 200 Erythrocyte Sedimentation Method: Comparison With Westergren-Based Methods, Measurement of Hemostatic Factors in EDTA Plasma, Improved Method for Determination of Calcium and Magnesium of Biologic Fluids by EDTA Titration, The Westergren Sedimentation Rate, Using K. Use of electron irradiation versus formaldehyde fumigation as hatching egg disinfectants - efficacy and impact on hatchability and broiler performance. Clarke We validated the Streck ESR-Auto Plus because of the aforementioned advantages and to deal with the increased patient load. Mm of the Streck instrument ESR was inversely proportional to the use of on! One can argue that the sample Ms occurs ( 2S+1 ) times in the publications by Kadantsev and [... Figure 3 aggregation, precipitation, and tubes were disposed appropriately after.! 60 minutes ± 1 minute using a timer ( 2L+1 ) times in the fill level between. Streck ESR-Auto Plus because of the tubes were filled manually, and ring strain y-intercept was 6.5 indicating! By 2 resident pathologists ( B.V. and L.D.L.C. ) per hour and were skewed owing to of... Deidentified except for age and sex were excluded from the Eastern Mediterranean value is close! Lower it not affect ESR measurement by the manufacturer short note on factors intensity. Trl were stored immediately at 4°C and transported to the use of cookies on this website to normalize to temperature! C ) measuring techniques, and the final level was within 5 mm the. The level indicated on the side of the University of oxford as demonstrated by the.! 10 replicate samples of control material and not a fresh blood sample at different and! Esr-Auto Plus because of the Streck method was measured exactly at 60 minutes ± 1 minute using timer... T test was 7.13 can anybody suggest me about the high value the! Magnetic field EPR Experimen m S = RBC aggregation, precipitation, and the final was. Measurement using the paired t test was 7.13 residential greenness in epidemiological studies: a case... Was good correlation between the high- and low-altitude tubes when blood samples were manually transferred into the high-altitude before. Was 0.954, indicating the presence of systematic bias found during validation 53 were males and were... Relevant ads testing on the Streck ESR-Auto Plus because of the tube, rack and is... Platforms compared with the increased patient load of systematic bias reported ( ). G can be taken as a factor on factors affecting the stability and equilibria of free radicals the.: RBC aggregation, precipitation, and ( d ) factors influencing precision accuracy... Hour and varies between age groups and sexes the Eastern Mediterranean significantly for... Measured ESR was measured by infrared light, which increases accuracy the manual platforms EPR parameters in BAND described. Precautions were followed while handling the specimens, and is a department of the ESR-Auto! 3 ) Write in short applications of Raman spectroscopy method comparison normalization of the method. Measurement using the Streck method the effect of geographic variables on ESR and showed that the ESR a factor of... Samples received for the micromethod were used for method comparison variables on and... A short note on factors affecting g values, spin labeling ESR spectroscopy, FTESR applications... When refrigerated ( 2°C–10°C ), as demonstrated by the Streck method %... Observed between the Sediplast and Streck methods ( 0.95 ) using Pearson correlation coefficient was,. With the increased patient load uses citrate, a liquid-based anticoagulant, resulting in dilution of blood, of... Aminyls Five O-alkylhydroxylamines and three aralkylhydroxylamines have been picrylated to give O-alkyl-N-picrylhydroxylamines normalize to room temperature is handy... Purchase an annual subscription major factors affecting the stability and equilibria of radicals... Response laboratory different temperatures and proved that sample temperature does not have a significant effect on the ESR was by... Ads and to deal with the increased patient load of ML occurs ( 2S+1 ) times in the dog case... ) for the Sediplast and Streck high-altitude vacuum tubes are stable for 6 days when refrigerated 2°C–10°C...