Abstract

BackgroundThe erythrocyte sedimentation rate (ESR) is a simple and inexpensive laboratory test, which is widespread in clinical practice, for assessing the inflammatory or acute response. This work addresses the theoretical and experimental investigation of sedimentation a single and multiple particles in homogeneous and heterogeneous (multiphase) medium, as it relates to their internal structure (aggregation of solid or deformed particles).MethodsThe equation system has been solved numerically. To choose finite analogs of derivatives we used the schemes of directional differences.Results(1) Our model takes into account the influence of the vessel wall on group aggregation of particles in tubes as well as the effects of rotation of particles, the constraint coefficient, and viscosity of a mixture as a function of the volume fraction. (2) This model can describe ESR as a function of the velocity of adhesion of erythrocytes; (3) Determination of the ESR is best conducted at certain time intervals, i.e. in a series of periods not exceeding 5 minutes each; (4) Differential diagnosis of various diseases by means of ESR should be performed using the aforementioned timed measurement of ESR; (5) An increase in blood viscosity during trauma results from an increase in rouleaux formation and the time-course method of ESR will be useful in patients with trauma, in particular, with traumatic shock and crush syndrome.ConclusionThe mathematical model created in this study used the most fundamental differential equations that have ever been derived to estimate ESR. It may further our understanding of its complex mechanism.

Highlights

  • The erythrocyte sedimentation rate (ESR) is a simple and inexpensive laboratory test that is widespread in clinical practice for assessing the inflammatory or acute response [1]

  • The mathematical model created in this study used the most fundamental differential equations that have ever been derived to estimate ESR

  • It may further our understanding of its complex mechanism

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Summary

Introduction

The erythrocyte sedimentation rate (ESR) is a simple and inexpensive laboratory test that is widespread in clinical practice for assessing the inflammatory or acute response [1]. The ESR has been found to be of clinical significance in the follow-up and prognosis of non-inflammatory conditions, such as prostate cancer [2], coronary artery disease [3], and stroke [4]. Some examples of recent applications of the ESR may include sickle cell disease and bacterial otitis media [7,8]. The ESR has been shown to be elevated in 55% of patients with otitis media [7]. The ESR is usually low in the absence of a painful crisis [8]. A low ESR is an intrinsic property of the sickle red blood cell rheology [9,10]. This work addresses the theoretical and experimental investigation of sedimentation a single and multiple particles in homogeneous and heterogeneous (multiphase) medium, as it relates to their internal structure (aggregation of solid or deformed particles)

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