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1.
Stud Health Technol Inform ; 264: 611-615, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31437996

RESUMO

Neonatal screening and ongoing follow-up of children with sickle cell disease are essential to reduce the mortality caused by this disease. To ensure care continuity, it is essential to include in the patient's record the history and details of biological tests. Thus, it is necessary to provide a Laboratory Information System for electronic management of biological test prescription and results, and the laboratory system must integrate well with Health Information Systems. In this paper, we propose a Laboratory Information System for the management of biological tests for the neonatal screening and healthcare of sickle cell disease in Senegal.


Assuntos
Anemia Falciforme , Sistemas de Informação em Laboratório Clínico , Testes Hematológicos , Humanos , Recém-Nascido , Triagem Neonatal , Senegal
2.
Rev Med Suisse ; 15(659): 1444-1447, 2019 Aug 21.
Artigo em Francês | MEDLINE | ID: mdl-31436059

RESUMO

Continuous glucose monitoring is a technique that allows near-continuous measurement of interstitial glucose concentration. Much progress has been made in this area. The management of certain diabetic patients, in particular type 1, has been considerably improved thanks to the use of this technique. Many pitfalls have been crossed to allow its commercialization. There is still a lot of progress to be made. A good knowledge of these new devices is necessary to understand their strengths and weaknesses. This article briefly discusses the state of the art in this area and the expected perspectives of this attractive but expensive technology that must meet the ever-increasing but legitimate expectations of diabetic patients.


Assuntos
Automonitorização da Glicemia , Diabetes Mellitus , Glicemia/análise , Automonitorização da Glicemia/economia , Automonitorização da Glicemia/instrumentação , Diabetes Mellitus/sangue , Diabetes Mellitus/diagnóstico , Diabetes Mellitus/terapia , Testes Hematológicos/instrumentação , Humanos
3.
Life Sci ; 232: 116650, 2019 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-31302196

RESUMO

BACKGROUND: Inhalation of NO2 leads to a progressive airflow limitation and the development of emphysema-like lesions. We report on the efficacy of hydrogen sulfide (NaHS) for alleviating NO2-induced pulmonary impairment. METHODS: Sprague Dawley rats were exposed to 20 ppm NO2 for 6 h over six consecutive days for 75 days. At day 75, rats who had developed NO2-induced emphysema were then divided into sodium hydrosulfide (NaHS) administrated group, placebo (NaCl) group and spontaneous recovery group for about one month (days 76-105); Pulmonary function (PF) and hematological and biochemical indices were measured at days 14, 45, 75, and 105. RESULTS: NO2 exposure for 75 days was associated with a significant decrease in FEV100/FVC%, an increased in functional residual capacity (FRC), and histologic evidence of emphysema, moreover; NO2 exposure led to elevated triglyceride (TG), red blood cell (RBC), hemoglobin (HGB), and hematocrit (HCT) levels. Impaired rats treated with NaHS showed no further deterioration in PF compared to rats exposed to ambient air and elevated WBC, granulocyte and lymphocyte counts and HDL-C levels to rats given NaCl. CONCLUSIONS: NO2 exposure causes emphysema and a decline in PF in rats. NaHS could alleviate the PF decline as possible indicated by an elevation of HDL-C levels and leukocyte. NaHS has therapeutic potential for emphysema caused by air pollutant NO2.


Assuntos
Testes Hematológicos , Pulmão/efeitos dos fármacos , Dióxido de Nitrogênio/toxicidade , Sulfetos/administração & dosagem , Sulfetos/farmacologia , Administração por Inalação , Animais , Pulmão/fisiopatologia , Masculino , Ratos , Ratos Sprague-Dawley , Testes de Função Respiratória
4.
J Zoo Wildl Med ; 50(2): 330-336, 2019 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-31260197

RESUMO

Analysis of serum parameters provides information about body condition, nutritional state, and health status of individuals/species, and has broad application in ecological research and veterinary diagnosis. This study establishes baseline values for serum chemistries of the Olrog's gull (Larus atlanticus). Glucose, urea, uric acid, total protein, globulin, albumin, cholesterol, triglyceride, calcium, and phosphorus concentrations were determined, as was the activity of the following enzymes: alkaline phosphatase, creatine phosphokinase, aspartate aminotransferase, and alanine aminotransferase. Thirty nonbreeding gulls (juvenile and subadult individuals) were captured and studied in Mar Chiquita Reserve (Buenos Aires, Argentina) during the wintering periods 2016 (n = 17) and 2017 (n = 13). In general terms, most values for the parameters reported were in line with those previously described for other seabirds. The year had a significant effect on several of the biochemical parameters evaluated, and the sex had a significant effect on the alkaline phosphatase and calcium. This study has defined the serum biochemical reference signatures for free-ranging Olrog's gulls during the nonbreeding period, and contributes to the knowledge of the overall health status of this threatened and endemic species.


Assuntos
Animais Selvagens , Charadriiformes/sangue , Testes Hematológicos/veterinária , Alanina Transaminase/sangue , Fosfatase Alcalina/sangue , Animais , Argentina , Aspartato Aminotransferases/sangue , Glicemia , Proteínas Sanguíneas , Cálcio/sangue , Charadriiformes/fisiologia , Colesterol/sangue , Creatina Quinase/sangue , Feminino , Masculino , Fósforo/sangue , Estações do Ano , Albumina Sérica , Soroglobulinas , Triglicerídeos/sangue , Ureia/sangue , Ácido Úrico/sangue
5.
J Zoo Wildl Med ; 50(2): 503-507, 2019 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-31260224

RESUMO

The clapper rail (Rallus crepitans) is native to salt marshes along the eastern United States. Populations are likely stable, but may be at risk due to the degradation of wetland habitat by contaminants. Contaminants can cause adverse effects in birds such as alteration of immune and reproductive function, and previous studies have used this species as a sentinel for estuarine health. Blood samples were collected from clapper rails in Florida and hematology counts, plasma biochemistry panels, and metal assessments using inductively coupled plasma-mass spectrometry were performed. Biochemical and hematology data were too limited to determine if contaminants were adversely affecting clapper rails in this study, but cadmium, lead, and zinc were increased for several birds. Although contaminant levels were not consistently elevated for all birds, additional research is needed to assess if clapper rails in this region are at risk of contaminant exposure due to increasing urbanization and development pressures.


Assuntos
Aves/sangue , Poluentes Ambientais/sangue , Testes Hematológicos/veterinária , Metais/sangue , Áreas Alagadas , Envelhecimento , Animais , Animais Selvagens , Monitoramento Ambiental , Poluentes Ambientais/química , Florida , Metais/química
6.
Braz J Cardiovasc Surg ; 34(3): 297-304, 2019 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-31310468

RESUMO

OBJECTIVES: To investigate the association between clinical hematologic parameters and saphenous vein graft failure after on-pump coronary artery bypass surgery. METHODS: A total of 1950 consecutive patients underwent isolated on-pump coronary artery surgery between November 2010 and February 2013. Of these, 284 patients met our inclusion criteria; their preoperative clinical hematological parameters were retrospectively obtained for this cohort study. And of them, 109 patients underwent conventional coronary angiography after graft failure was revealed by coronary computed tomography angiography. The primary endpoint was to catch at least one saphenous vein graft stenosis or occlusion following the coronary angiogram. We then analyzed risk factors for graft failure. In sequential or T grafts, each segment was analyzed as a separate graft. RESULTS: In logistic regression analysis, older age, platelet distribution width, and diabetes mellitus were identified as independent predictors of saphenous vein graft failure (P<0.). In contrast, preserved ejection fraction value favored graft patency (P<0.001). CONCLUSION: Increased platelet distribution width is easily measurable and can be used as a simple and valuable marker in the prediction of saphenous vein graft failure.


Assuntos
Plaquetas/fisiologia , Ponte de Artéria Coronária/efeitos adversos , Veia Safena/transplante , Grau de Desobstrução Vascular/fisiologia , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Angiografia Coronária/métodos , Ponte de Artéria Coronária/métodos , Doença da Artéria Coronariana/etiologia , Ecocardiografia , Feminino , Testes Hematológicos , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Contagem de Plaquetas , Valor Preditivo dos Testes , Curva ROC , Valores de Referência , Estudos Retrospectivos , Fatores de Risco , Veia Safena/fisiopatologia , Estatísticas não Paramétricas , Falha de Tratamento
8.
JAMA ; 322(4): 315-325, 2019 07 23.
Artigo em Inglês | MEDLINE | ID: mdl-31334793

RESUMO

Importance: Patients with active rheumatoid arthritis (RA) despite treatment with biologic disease-modifying antirheumatic drug (bDMARD) therapy need treatment options. Objective: To evaluate the effects of filgotinib vs placebo on the signs and symptoms of RA in a treatment-refractory population. Design, Setting, and Participants: A 24-week, randomized, placebo-controlled, multinational phase 3 trial conducted from July 2016 to June 2018 at 114 sites internationally, randomizing 449 adult patients (and treating 448) with moderately to severely active RA and inadequate response/intolerance to 1 or more prior bDMARDs. Interventions: Filgotinib, 200 mg (n = 148); filgotinib, 100 mg (n = 153); or placebo (n = 148) once daily; patients continued concomitant stable conventional synthetic DMARDs (csDMARDs). Main Outcomes and Measures: The primary end point was the proportion of patients who achieved 20% improvement in the American College of Rheumatology criteria (ACR20) at week 12. Secondary outcomes included week 12 assessments of low disease activity (disease activity score in 28 joints-C-reactive protein [DAS28-CRP] ≤3.2) and change in Health Assessment Questionnaire-Disability Index, 36-Item Short-Form Health Survey Physical Component, and Functional Assessment of Chronic Illness Therapy-Fatigue scores, as well as week 24 assessment of remission (DAS28-CRP <2.6) and adverse events. Results: Among 448 patients who were treated (mean [SD] age, 56 [12] years; 360 women [80.4%]; mean [SD] DAS28-CRP score, 5.9 [0.96]; 105 [23.4%] with ≥3 prior bDMARDs), 381 (85%) completed the study. At week 12, more patients receiving filgotinib, 200 mg (66.0%) or 100 mg (57.5%), achieved ACR20 response (placebo, 31.1%; difference vs placebo: 34.9% [95% CI, 23.5%-46.3%] and 26.4% [95% CI, 15.0%-37.9%], respectively; both P < .001), including among patients with prior exposure to 3 or more bDMARDs (70.3%, 58.8%, and 17.6%, respectively; difference vs placebo: 52.6% [95% CI, 30.3%-75.0%] for filgotinib, 200 mg, and 41.2% [95% CI, 17.3%-65.0%] for filgotinib, 100 mg; both P < .001). The most common adverse events were nasopharyngitis (10.2%) for filgotinib, 200 mg; headache, nasopharyngitis, and upper respiratory infection (5.9% each) for filgotinib, 100 mg; and RA (6.1%) for placebo. Four uncomplicated herpes zoster cases and 1 retinal vein occlusion were reported with filgotinib; there were no opportunistic infections, active tuberculosis, malignancies, gastrointestinal perforations, or deaths. Conclusions and Relevance: Among patients with active RA who had an inadequate response or intolerance to 1 or more bDMARDs, filgotinib, 100 mg daily or 200 mg daily, compared with placebo resulted in a significantly greater proportion achieving a clinical response at week 12. However, further research is needed to assess longer-term efficacy and safety. Trial Registration: ClinicalTrials.gov Identifier: NCT02873936.


Assuntos
Antirreumáticos/uso terapêutico , Artrite Reumatoide/tratamento farmacológico , Janus Quinase 1/antagonistas & inibidores , Piridinas/uso terapêutico , Triazóis/uso terapêutico , Adulto , Idoso , Antirreumáticos/efeitos adversos , Biomarcadores/sangue , Proteína C-Reativa/análise , Relação Dose-Resposta a Droga , Método Duplo-Cego , Tolerância a Medicamentos , Feminino , Testes Hematológicos , Humanos , Infecção/etiologia , Masculino , Pessoa de Meia-Idade , Piridinas/administração & dosagem , Piridinas/efeitos adversos , Indução de Remissão , Índice de Gravidade de Doença , Triazóis/administração & dosagem , Triazóis/efeitos adversos
9.
Br Poult Sci ; 60(3): 279-287, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31146535

RESUMO

1. This study analysed whether in ovo injection of ascorbic acid before incubation and at high incubation temperature influenced blood characteristics and performance in broilers reared in different temperature conditions. 2. A total of 3,000 fertile eggs from broiler breeders (Cobb®) were randomly divided into three incubation treatments: no ascorbic acid injection and egg incubation at 37.5°C (control); no ascorbic acid injection and egg incubation at 39°C; in ovo ascorbic acid injection prior to incubation (6 µg AA/100 µl water) and egg incubation at 39°C. 3. Male chicks hatched from the three incubation treatments were submitted to three distinct rearing temperatures (control, cold and hot) from the third week of age onwards (540 chicks were divided into 6 treatments with 5 replicates per treatment). 4. Measurements at 42 d showed that, after egg incubation at 39°C, the haematocrit, haemoglobin values, ionised calcium and glucose concentrations were increased and base excess values were reduced. However, in ovo injection of ascorbic acid normalised all these parameters. 5. Partial CO2 and O2 pressure were higher with increased rearing temperature. Blood pH was lower when eggs were incubated at 39°C and injected with ascorbic acid. In ovo injection of ascorbic acid induced leucocytosis due to lymphocytosis and heterophilia, restored basophils rate and led to monocytopoenia. Leucocytosis was triggered by hot rearing temperature due to lymphocytosis, eosinophilia and heterophilia. 6. The results obtained in this study showed that in ovo injection of ascorbic acid before incubation may serve as a long-term stimulator and modulator of the broiler immune system, and that high incubation temperatures induce adaptations in the electrolytic balance, minimising or avoiding the occurrence of respiratory alkalosis under hot rearing temperature.


Assuntos
Antioxidantes/metabolismo , Ácido Ascórbico/metabolismo , Galinhas/metabolismo , Temperatura Alta , Óvulo/química , Animais , Antioxidantes/administração & dosagem , Ácido Ascórbico/administração & dosagem , Análise Química do Sangue , Galinhas/sangue , Testes Hematológicos , Injeções/veterinária , Masculino
10.
Vet J ; 249: 1-9, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31239158

RESUMO

Haematological parameters, plasma iron concentration, and bodyweight were monitored in Melanoma-bearing Libechov Minipigs (MeLiM) from 5 to 18 weeks old. Animals with melanoma progression (P group) and spontaneous regression (SR group) were compared. The P group showed the lowest median values of red blood cell counts (RBC), haematocrit (HCT), haemoglobin concentration (HGB), and bodyweight, whereas the control white (tumour-free) pigs (C group) revealed the highest mean values of these parameters. The mean values of pigs with SR fell between the P and C groups. In addition, a stable concentration of plasma iron was found in the C group, while iron deficiency that increases with age was observed in the MeLiM groups. These results indicate that MeLiM are affected by cancer-related microcytic hypochromic anaemia. The lowest values of HGB, RBC, and HCT, together with the highest number of platelets (PLT) in the P group correspond to melanoma progression. Higher values of these parameters and lower PLT in the MeLiM pigs with SR reflected health improvement due to the destruction of melanoma cells during spontaneous regression. Monitoring of these haematological parameters can help distinguish MeLiM piglets with progression and spontaneous regression of melanoma in the early stages of postnatal development. The findings of this study correspond to findings in human patients in which cancer-related anaemia, thrombocytosis, and iron deficiency are often diagnosed.


Assuntos
Testes Hematológicos/veterinária , Melanoma/veterinária , Neoplasias Cutâneas/veterinária , Doenças dos Suínos/sangue , Animais , Peso Corporal , Progressão da Doença , Ferro/administração & dosagem , Ferro/sangue , Melanoma/sangue , Melanoma/fisiopatologia , Regressão Neoplásica Espontânea , Neoplasias Cutâneas/sangue , Neoplasias Cutâneas/fisiopatologia , Suínos , Doenças dos Suínos/fisiopatologia , Porco Miniatura
11.
BMC Infect Dis ; 19(1): 532, 2019 Jun 17.
Artigo em Inglês | MEDLINE | ID: mdl-31208362

RESUMO

BACKGROUND: There is controversy regarding the relative influence of 'exogenous' versus 'endogenous' factors on the risk of progression from latent tuberculosis infection to active tuberculosis (TB) disease in children. METHODS: We conducted a cross-sectional analysis to identify risk factors for active tuberculosis in QuantiFERON®-TB Gold (QFT-G)-positive children aged 6-13 years attending 18 schools in Ulaanbaatar, Mongolia. Children underwent clinical and radiological screening for active tuberculosis, and data relating to potential risk factors for disease progression were collected by questionnaire and determination of serum 25-hydroxyvitamin D (25[OH]D) concentrations. Risk ratios were calculated using generalized estimating equations with adjustment for potential confounders. RESULTS: 129/938 (13.8%) QFT-positive children were diagnosed with active tuberculosis. Risk of active tuberculosis was independently associated with household exposure to pulmonary TB (adjusted risk ratio [aRR] 2.40, 95% CI 1.74 to 3.30, P < 0.001), month of sampling (adjusted risk ratio [aRR] for March-May vs. June-November 3.31, 95% CI 1.63 to 6.74, P < 0.001; aRR for December-February vs. June-November 2.53, 95% CI 1.23 to 5.19, P = 0.01) and active smoking by the child (aRR 5.23, 95% CI 2.70 to 10.12, P < 0.001). No statistically significant independent association was seen for age, sex, socio-economic factors, presence of a Bacillus Calmette-Guérin (BCG) scar, tobacco exposure or vitamin D status. CONCLUSIONS: Household exposure to active TB, winter or spring season and active smoking were independently associated with risk of active tuberculosis in QFT-positive children. Our findings highlight the potentially high yield of screening child household contacts of infectious index cases for active tuberculosis in low- and middle-income countries.


Assuntos
Tuberculose Latente/epidemiologia , Tuberculose Pulmonar/epidemiologia , Adolescente , Criança , Estudos Transversais , Progressão da Doença , Feminino , Testes Hematológicos/métodos , Humanos , Tuberculose Latente/diagnóstico , Masculino , Programas de Rastreamento , Mongólia/epidemiologia , Mycobacterium bovis , Razão de Chances , Fatores de Risco , Fumar , Inquéritos e Questionários , Tuberculose Pulmonar/diagnóstico , Vitamina D/análogos & derivados , Vitamina D/sangue
12.
J Zoo Wildl Med ; 50(1): 69-81, 2019 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-31120664

RESUMO

Green turtles (Chelonia mydas) are unique because hatchlings and pelagic juveniles are carnivorous, whereas later life stages become primarily herbivorous. Although this dietary shift is well understood, nutritional requirements at each developmental stage are not. Diet selection during rehabilitation is challenging, because turtles are often fed high-protein, low-fiber diets to counteract poor appetite and emaciation, which can result in gastrointestinal disorders. The objective of this study was to analyze hematology, plasma biochemistry, and nutritional analytes to determine the effect of diet on rehabilitating green turtle health and recovery. Turtles in rehabilitation at the Georgia Sea Turtle Center (GSTC) on Jekyll Island, Georgia (n = 21) were sampled at admission, mid-rehabilitation, and recovery. Duration of rehabilitation ranged from 48 to 233 days (mean = 117) and included a shift from a mixed seafood-vegetable diet at admission to a primarily herbivorous diet at recovery. For comparison, free-ranging turtles captured during an ongoing monitoring project in St. Lucie County, Florida (n = 34) were evaluated for the same variables. Several analytes improved during rehabilitation, including total protein, uric acid, potassium, and vitamins A and E. Others were significantly different, including higher cholesterol and triglycerides, but lower calcium, vitamin D, and magnesium in recovery compared with freeranging turtles. These variations illustrate the benefits of appropriate supportive care during rehabilitation as well as the importance of a species-specific diet for green turtles, and may facilitate formulation of nutritionally complete gel diets for this species under human care.


Assuntos
Análise Química do Sangue/veterinária , Testes Hematológicos/veterinária , Nutrientes/análise , Tartarugas/fisiologia , Animais , Georgia , Avaliação Nutricional , Estado Nutricional/fisiologia , Tartarugas/sangue
13.
J Zoo Wildl Med ; 50(1): 199-204, 2019 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-31120679

RESUMO

The black-fronted piping-guan (Aburria jacutinga) is and an endangered cracid species and little is known about its health. Hematology allows researchers to assess the health and physiological status of a population, but, to our knowledge, reference intervals are not available in the literature for A. jacutinga. Thus, the present study aimed to determine the hematological reference intervals of 31 captive black-fronted pipingguan adults in the state of Paraná, Brazil. Blood samples were collected from brachial vein and stored in heparinized tubes to be processed. The red blood cell (RBC) and white blood cell (WBC) counts were performed in a hemocytometer, and hemoglobin (HGB) concentration was obtained by the spectrophotometric cyanmethemoglobin method; packed cell volume (PCV) was determined by microhematocrit technique, and the mean corpuscular volume (MCV) and mean corpuscular hemoglobin concentration (MCHC) were calculated according to a previously established formula. The heterophil : lymphocyte ratio was calculated by dividing the number of heterophils by the number of lymphocytes. Determination of the 95% reference intervals and 90% confidence intervals were performed in accordance with American Society for Veterinary Clinical Pathology guidelines using Reference Value Advisor (version 2.0). The results obtained were as follows: RBC, 1.4-2.8 × 106/µl; PCV, 34.3-51.2%; HGB, 8.0-12.6 g/dl; MCV, 157.3-261.4 fl; MCHC, 22.0-26.7 g/dl; WBC, 2.3-33.1 × 103/µl; heterophils, 12.1-16.3%, 0.5-14.4 × 103/µl; lymphocytes, 19.8-69.0%, 1.4-16.4 × 103/µl; monocytes, 0.7-17.3%, 0.1-2.8×103/µl; eosinophils, 0.4-12.8%, 0.0-3.9 × 103/µl; basophils, 0.8-12.0%, 0.0-1.9 × 103/µl; and the heterophil : lymphocyte ratio, 0.2-3.0. The present study fills gaps in the literature on hematological values for A. jacutinga, which can be used to assess the health of the species populations. In addition, it contributed to establishing the health status of captive black-fronted piping-guans, indicating the possible welfare of the birds.


Assuntos
Análise Química do Sangue/veterinária , Galliformes/sangue , Testes Hematológicos/veterinária , Animais , Animais de Zoológico/sangue , Brasil , Espécies em Perigo de Extinção , Feminino , Masculino , Valores de Referência
14.
Clin Biochem ; 70: 46-48, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31059687

RESUMO

OBJECTIVE: Develop sample acceptability rules by determining the relationship between free hemoglobin level (hemolysis) and potassium or ionized calcium in blood gas samples collected intraoperatively. DESIGN AND METHODS: Hemolysis was assessed visually or by H index for lithium heparin blood gas samples collected intraoperatively. During periods one and three this was done using two different rules for visual assessment of centrifuged lithium heparin plasma. During period two H index was measured for all visually hemolyzed samples on a Roche Cobas c501 analyzer to determine acceptability. Potassium and ionized calcium were measured in 75 lithium heparin whole blood samples on a Radiometer ABL90 to correlate H index and potassium or ionized calcium. RESULTS: During period one 35 of 5808 (0.6%) blood gas samples had visual hemolysis levels exceeding tolerance for reporting of potassium. By switching to measured H index using a laboratory-established threshold, during period 2 we estimate that 171 of 5396 (3.2%) blood gas samples exceeded the H index threshold for reporting of potassium. In 75 intraoperative blood gas samples with H index and whole blood potassium and ionized calcium measured; we observed no relationship between H index and potassium or ionized calcium. During period 3 we switched to visual assessment of hemolysis with a greater tolerance for hemolysis; with only 3 of 5345 (0.06%) samples exceeding the new visual hemolysis threshold. CONCLUSION: For blood gas samples collected intraoperatively, there is no relationship between hemolysis and measured potassium or ionized calcium. The results suggest that only grossly hemolyzed intraoperative blood gas samples should be rejected for measurement of whole blood potassium and ionized calcium.


Assuntos
Gasometria/métodos , Cálcio/sangue , Hemoglobinas/análise , Hemólise , Heparina/sangue , Lítio/sangue , Potássio/sangue , Testes Hematológicos , Período Intraoperatório , Manejo de Espécimes
15.
J Ayub Med Coll Abbottabad ; 31(2): 196-200, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31094116

RESUMO

BACKGROUND: World Health Organization recommends eight antenatal visits throughout pregnancy. Along with full blood count and fasting blood sugar tests, thirty-nine recommendations are given. The objective of this study was to find out significance of difference in haematological profile of pregnant women. METHODS: This cross-sectional study on 384 pregnant women attending outpatient department of combined military hospital Quetta, Pakistan, was conducted from 1st November 2017 to 28th February 2018. Simple random sampling technique through random number table was used. Data collected through structured questionnaire from participants and their laboratory reports was grouped trimester wise. Apart from descriptive statistics, one-way ANOVA with post hoc Tukey test was used to find out significant difference at p≤0.05. SPSS Version 20 and MS Excel 2007 were used for data analysis and plotting graphs. Principles of research ethics were exercised. RESULTS: Mean age (±SD) of the study participants was 27.5 (±4.8) years. Statistically significant difference was found for variables like haemoglobin, haematocrit and MCHC in different trimesters. Only 2 (0.5%) of the total participants had gestational diabetes mellitus. CONCLUSIONS: For getting normal reference ranges in our setting, large population-based studies are needed.


Assuntos
Testes Hematológicos/normas , Gravidez , Estudos Transversais , Feminino , Hemoglobinas/análise , Hospitais Militares , Humanos , Paquistão/epidemiologia , Gravidez/sangue , Gravidez/fisiologia , Gravidez/estatística & dados numéricos , Inquéritos e Questionários
16.
Einstein (Sao Paulo) ; 17(2): eAO4328, 2019 May 02.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31066790

RESUMO

OBJECTIVE: To compare the enzyme activity of different presentations of papain solution to validate in-house preparations. METHODS: Two papain solutions were prepared, and the third presentation was a commercial solution. Tests were carried out with samples of red cells typed as weak RhD. RESULTS: In-house prepared papain solutions showed similar enzyme reactivity, and statistically no differences compared to the enzyme activity of the commercial solution. CONCLUSION: Evaluating the cost-benefit ratio, the in-house prepared papain solutions present more economic advantages, and can be incorporated into immunohematological routines as a way to cope with periods of financial crisis and cost-containment policies.


Assuntos
Eritrócitos/enzimologia , Testes Hematológicos/normas , Papaína/química , Peptídeo Hidrolases/química , Soluções/normas , Testes de Aglutinação/métodos , Testes Hematológicos/economia , Humanos , Papaína/economia , Peptídeo Hidrolases/economia , Reprodutibilidade dos Testes , Sistema do Grupo Sanguíneo Rh-Hr/química , Sistema do Grupo Sanguíneo Rh-Hr/economia , Soluções/economia , Fatores de Tempo
17.
Exp Parasitol ; 201: 78-89, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31047987

RESUMO

Hamsters are a suitable experimental model for visceral leishmaniasis (VL) because they mimic the features of the human disease. However, the infection after inoculation can only be verified after sacrifice of the animal or several months following infection, when obvious signs of the disease appear, compromising animal welfare in both cases. Unlike other studies, the present work used an inoculum of 5 × 108 promastigotes to induce Leishmania infantum infection, which are easier to produce than amastigotes, in in vitro culture. The infection in hamsters was detected using non-invasive methods such as ultrasound imaging (USG) and blood gases, in addition to alterations in hematological parameters and weight loss. USG imaging identified changes in the size and echogenicity of the spleen, liver, and kidney as early as week 9 (W9) after experimental inoculation. However, blood gases, specially lactate, was increased in response to the infection, with statistically significant differences between W9 and W0 (before infection) (p < 0.0001). The conventional hematological parameters showed progressive pancytopenia and weight loss of 15% and 10% in infected males and females respectively, at W9 versus W0 (p < 0.0001). Histological changes in the liver, kidney, and spleen correlated with changes detected by USG imaging and the number of parasites increased proportionately to the progression of infection, being higher at W24. In conclusion, USG imaging, lactate levels, hematocrit and hemoglobin parameters, along with weight loss allowed early detection of infection, which was then confirmed by the identification and quantification of parasites in the blood, liver, and spleen by qRT-PCR. In contrast, blood chemistry was not a useful tool in the early detection of VL infection because it did not correlate with alterations evident in other techniques. The use of non-invasive tools eliminates the need for animal sacrifice to confirm infection, thus reducing the number of animals required for a given study and eliminating the need to wait until the appearance of severe signs of infection, which affect animal welfare. These tools are therefore advantageous for use in preclinical studies, for studying pathogenesis as also for vaccine and drug development.


Assuntos
Leishmania infantum/isolamento & purificação , Leishmaniose Visceral/diagnóstico , Animais , Análise Química do Sangue , Gasometria , Cricetinae , Modelos Animais de Doenças , Feminino , Testes Hematológicos , Rim/diagnóstico por imagem , Rim/patologia , Leishmania infantum/classificação , Leishmaniose Visceral/sangue , Leishmaniose Visceral/diagnóstico por imagem , Fígado/diagnóstico por imagem , Fígado/parasitologia , Fígado/patologia , Masculino , Mesocricetus , Reação em Cadeia da Polimerase em Tempo Real , Fatores Sexuais , Baço/diagnóstico por imagem , Baço/parasitologia , Baço/patologia , Ultrassonografia , Ganho de Peso
18.
Isr Med Assoc J ; 5(21): 318-321, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31140222

RESUMO

BACKGROUND: Congenital factor VII deficiency is a rare recessive autosomal bleeding disorder with a wide spectrum of clinical manifestations. OBJECTIVES: To compare the clinical and laboratory findings in Jewish and Bedouin patients with factor VII deficiency. METHODS: The clinical and laboratory findings of patients with factor VII deficiency treated at Soroka Medical Center, a tertiary hospital in Israel, from 2005 to 2015 were analyzed regarding blood factor levels, illness severity, treatment administration, and disease outcome. RESULTS: Seventy-eight patients were enrolled (1:13,000 of the population in southern Israel) of whom 26 were diagnosed with severe factor VII deficiency (1:40,000). Sixty (76.9%) patients were Jewish and 18 (23.1%) were Bedouin. In univariable analysis, Bedouin patients exhibited a more severe illness, with significantly higher complication and fatality rates, and required more preventive treatment than the Jewish patients. CONCLUSIONS: The prevalence of congenital factor VII deficiency (including severe deficiency) in the Jewish and Bedouin populations of southern Israel is higher than previously reported. The clinical spectrum of the disease was found to be more severe in the Bedouin population.


Assuntos
Deficiência do Fator VII , Administração dos Cuidados ao Paciente/métodos , Adolescente , Adulto , Árabes/estatística & dados numéricos , Pré-Escolar , Deficiência do Fator VII/congênito , Deficiência do Fator VII/diagnóstico , Deficiência do Fator VII/etnologia , Deficiência do Fator VII/mortalidade , Feminino , Testes Hematológicos/métodos , Testes Hematológicos/estatística & dados numéricos , Humanos , Lactente , Israel/epidemiologia , Judeus/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Mortalidade , Prevalência , Índice de Gravidade de Doença
19.
Int J Lab Hematol ; 41 Suppl 1: 170-176, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31069968

RESUMO

The majority of errors in laboratory medicine occur in the pre- and postanalytical phases of the testing process. Although the causes of these errors are largely common to all laboratory medicine specialties, it is important for the haematology laboratory to understand the particular impact of some on automated counting. The preanalytical phase is the stage of greatest risk but preanalytical errors may go undetected until postanalytical validation and interpretation. The challenges in the postanalytical phase include the standardisation of reference intervals against which results can be interpreted and the impact of just a small difference in reference interval for a key analyte such as haemoglobin concentration. Quality indicators against which pre- and postanalytical error incidence are measured are a source of information that can be used to improve services but laboratories struggle to collect good quality data.


Assuntos
Automação Laboratorial , Erros de Diagnóstico/prevenção & controle , Doenças Hematológicas , Testes Hematológicos , Controle de Qualidade , Automação Laboratorial/instrumentação , Automação Laboratorial/métodos , Automação Laboratorial/normas , Doenças Hematológicas/sangue , Doenças Hematológicas/diagnóstico , Testes Hematológicos/instrumentação , Testes Hematológicos/métodos , Humanos
20.
Int J Lab Hematol ; 41 Suppl 1: 151-161, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31069984

RESUMO

Recurrent, inappropriate laboratory testing is a costly and wasteful use of healthcare resources. Recognizing this problem, the American Board of Internal Medicine, Canadian Society of Internal Medicine, and the Canadian Association of Pathologist all supported the Choosing Wisely campaign to reduce laboratory investigations in patients who demonstrate clinical and laboratory stability. In this narrative, we review studies looking at a variety of approaches to reduce excessive testing including education, audit and feedback, computerized physician order entry system changes, and forcing functions. Each type of intervention has its own unique advantages and disadvantages, varying in complexity, disruptiveness, effectiveness, and sustainability. Before implementing any quality improvement project, it is important to analyze the local context to identify the root causes for the practice behavior and aim to use the minimal amount of intervention to achieve the desired result. Change is often incremental and will seldom occur with a single intervention or Plan-Do-Study-Act cycle. Garnering the support of opinion leaders and a quality improvement team will help make the process and intervention a success.


Assuntos
Assistência à Saúde , Testes Hematológicos , Laboratórios Hospitalares/normas , Garantia da Qualidade dos Cuidados de Saúde , Melhoria de Qualidade , Carga de Trabalho , Canadá , Humanos , Laboratórios Hospitalares/organização & administração , Estados Unidos
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