Abnormal Concentrations Research Articles

Geochemical and Geospatial Distribution of Organic Contaminants in the Flood Plain of Ekpetiama, Niger Delta Region of Nigeria

This study investigated the geochemical and geospatial distribution of organic contaminants in the floodplain water and sediments of Ekpetiama in the Niger Delta Region of Nigeria. This study is necessary because there are limited data on the level of organic contamination in this section of the Niger Delta Region of Nigeria. The extinction of planktons in Ekpetiama became a source of concern to the residents. This concern is because this section of the coastal plain provides fisher folks with livelihood. So, there was a need to track the source of contamination in this part of the Niger Delta region. Previous studies have suggested a high level of Total Petroleum Hydrocarbon and Total Hydrocarbon Content as possible sources of reduced dissolved oxygen in similar deltaic terrain. A total of 10 water and 10 sediment samples were collected and analyzed in triplicate at an interval of 100 m in the flood plain. A particle size analyzer was used to perform particle size analyses of air-dried sediments. The American Public Health Association method (APHA) was used to do the chemical analysis of the water samples. Here, a liquid-liquid extraction procedure was performed on sediment samples using 30 mL of Dichloromethane (DCM) as the extracting agent. The results were subjected to statistical validation. The mean grain size ranged from 2.37-4.83, kurtosis (1.94-0.49), and skewness (-0.8-0.71). The contaminant indicators (pH, biochemical oxygen demand, chemical oxygen demand, dissolved oxygen and Total Organic Carbon) point to the presence of organic contamination of the flood plain. The results indicated a total petroleum hydrocarbon range of 0.47-0.87 ppm in water and 0.69-0.96 ppm in sediments and a total hydrocarbon content range of 1.10-2.80 ppm in water and 2.56-3.90 ppm in sediment# samples. The results were above the permitted limits of the World Health Organisation. The source of ecological damage is the abnormal concentrations of organic contaminants in the flood plain. These results significantly caused ecosystem damage and human health effects in the food chain. This study provides information to the National Oil Spill Detection and Response Agency for a cleanup process.

Ingestion of minoxidil associated with elevated transaminases in the absence of ischemic hepatitis

Minoxidil is a direct-acting vasodilator that induces relaxation of the vascular endothelium, and historically, it has been used as an antihypertensive agent. It caused hypertrichosis, resulting in its typical use today as an alopecia treatment. Toxicity is characterized by hypotension and tachycardia, often requiring treatment with α-adrenergic agonists. A previously healthy 18-year-old woman presented to the emergency department three hours after ingesting 60 mL of 5% W/V topical minoxidil solution. Initial vitals included sinus tachycardia at 117 beats per minute and a blood pressure of 92/44 mmHg. Laboratory analyses performed three hours post-ingestion revealed elevated aspartate and alanine aminotransferases (224 and 384 IU/L, respectively). Acetaminophen and ethanol concentrations were undetectable. Isotonic crystalloid, N-acetylcysteine, phenylephrine, and midodrine were administered. She developed pulmonary edema, requiring diuresis and supplemental oxygen via a nasal cannula. She was discharged 108 hours post-ingestion after a full recovery. Minoxidil toxicity may be an uncommon etiology of abnormal transaminase concentrations.

The profile of adipokines associated with fibrosis and impaired microcirculation in systemic sclerosis

PurposeAdipokines belong to a group of molecules mostly produced by adipose tissue. Abnormalities in the secretion of several adipokines have already implicated to play a pathogenic role in systemic sclerosis (SSc). However, the possible role of numerous molecules still needs to be clarified. The aim of the study was to determine whether the altered level of selected circulating adipokines might correlate with the intensity of fibrosis and vasculopathy in the course of SSc. Materials and methodsSerum concentrations of chemerin, adipsin, retinol-binding protein 4, apelin, visfatin, omentin-1, and vaspin were determined with ELISA in the sera of patients with SSc (n ​= ​55) and healthy controls (n ​= ​25). ResultsThe serum concentration of adipsin (p ​= ​0.03) and visfatin (p ​= ​0.04) was significantly increased and the level of retinol-binding protein 4 (p ​= ​0.03) was decreased in diffuse compared to limited cutaneous SSc. Moreover, serum adipsin level correlated positively with the intensity of skin fibrosis measured with the modified Rodnan skin score (r ​= ​0.31, p ​= ​0.02) and was significantly higher in patients with pulmonary arterial hypertension than in those without the condition (p ​= ​0.03). The concentrations of adipsin (p ​= ​0.01) and visfatin (p ​= ​0.04) were significantly increased and the level of apelin (p ​= ​0.02) was decreased in patients with active digital ulcerations compared to individuals without this complication. ConclusionAdipsin may be considered a pivotal protein in the development of both fibrosis and impaired microcirculation. Its abnormal concentration reflects the intensity of skin thickening and the presence of pulmonary arterial hypertension. Adipsin, visfatin, and apelin are adipose tissue-derived molecules associated with digital vasculopathy.

Association between female circulating heavy metal concentration and abortion: a systematic review and meta-analysis.

This study aimed to evaluate the association between blood heavy metal (zinc (Zn), copper (Cu), lead (Pb), and cadmium (Cd)) concentrations and spontaneous abortion (SA) and recurrent pregnancy loss (RPL) and explore the possible endocrine dysfunction associated with it. A literature search was performed in the PubMed, Embase, Cochrane Library, and Web of Science databases up to April 2023. The overall effects were expressed as the standard mean difference (SMD). Subgroup analysis was performed according to the type of abortion (SA or RPL). Stata 16.0 was utilized for data analysis. Based on the integrated findings, abortion women showed significantly lower Zn (SMD = -1.05, 95% CI: -1.74 to -0.36, p = 0.003) and Cu concentrations (SMD = -1.42, 95% CI: -1.97 to -0.87, p <0.001) and higher Pb (SMD = 1.47, 95% CI: 0.89-2.05, p <0.001) and Cd concentrations (SMD = 1.15, 95% CI: 0.45-1.85, p = 0.001) than normal pregnant women. Subgroup analysis showed that Zn and Cu deficiency and Cd and Pb exposure were significantly (p <0.05) associated with RPL, whereas Cu deficiency and Cd and Pb exposure were significantly (p <0.05) associated with SA. Zn and Cu deficiencies and Pb and Cd exposure were associated with abortion. Endocrine dysfunction, such as insulin resistance, vitamin D insufficiency, and abnormal thyroid and sex hormone concentrations, is thought to be involved in heavy metal-related abortion.

Development of turn-on fluorescent sensor based on green emissive carnosine-modified tannic acid carbon dots for the selective detection of ascorbic acid

Ascorbic acid (AA) is an indispensable biological antioxidant with anti-aging potential in neurological disorders such as Parkinson’s and Alzheimer’s. Its abnormal concentrations in physiological fluids like human serum can lead to neurological complications. In this study, a turn-on fluorescent sensor was developed using dipeptide (i.e., carnosine) modification of the polyphenolic tannic acid (TA) carbon dots (CDs) (TATA-CDs) for AA detection. Blue-fluorescent TATA-CDs were synthesized using the hydrothermal treatment of the TA and ethylene glycol-bis(β-aminoethyl ether)-N,N,N′,N′-tetraacetic acid (EGTA) as a nitrogen (N) dopant. TATA-CDs were functionalized with carnosine (TATA-Car CDs) using a facile stirring reaction. Their morphological and optical properties were studied via TEM, XRD, UV–Vis, and fluorescence spectroscopy. TATA-Car CDs displayed green fluorescence with excitation and emission wavelength maxima of 400 and 509 nm, respectively. These novel CDs are responsible for the selective turn-on fluorescence sensing of AA (0 to 15 nM) when mixed with copper (Cu2+) ions and deliver a low detection limit of 1.34 nM. The practicality and feasibility of TATA-Car CDs were investigated in human serum samples. From this perspective, the proposed fluorescent sensor is more suitable for the real-time monitoring of AA in different neurological disorders.

Accelerated Bone Loss in Older Men With Severe Abdominal Aortic Calcification-the Prospective MINOS Study.

Data on the association between the severity of abdominal aortic calcification (AAC) and bone loss are discordant. Our aim was to assess the association between baseline AAC and prospectively assessed bone loss in older men. This prospective cohort study started in 1995 (MINOS). Men aged 50 to 85 years (n = 778) had AAC assessed on the lateral radiograph of the spine using Kauppila's semiquantitative score and was followed prospectively for 7.5 years. Bone mineral density (BMD) and bone mineral content (BMC) were measured by dual-energy x-ray absorptiometry every 18 months. Statistical analysis was performed using linear mixed models. In comparison to men without AAC (AAC = 0), severe AAC (>6) was associated with more rapid bone loss at the total hip (-0.62 ± 0.06 vs -0.32 ± 0.04%/year; P < .001), trochanter, and distal forearm (-0.72 ± 0.06 vs -0.45 ± 0.03%/year; P < .001). The highest decile (AAC >10) was associated with more rapid bone loss at the femoral neck, whole body, and ultradistal radius (-0.86 ± 0.12 vs -0.34 ± 0.05%/year; P < .001). The results were similar for BMD and for BMC. The patterns were similar in sensitivity analyses (eg, after excluding men with abdominal obesity, after excluding current smokers, after excluding men with ischemic heart disease or with diabetes mellitus, after excluding men with abnormal concentrations of lipids, bioavailable 17β-estradiol or 25-hydroxycholecalciferol, after excluding men with glomerular filtration rate <60 mL/min). Severe AAC is associated with faster bone loss in older men and may contribute to the higher fracture risk observed in this population.

Laboratory μ-X-ray fluorescence elemental mapping of herbarium specimens for hyperaccumulator studies

Background and aimsAn innovative approach “Herbarium Ionomics” used a handheld X-ray fluorescence (XRF) device to non-destructively extract quantitative elemental data (i.e., the metallome) from herbarium specimens. This has led to the discovery of numerous hyperaccumulator plants. Once a new hyperaccumulator is identified through XRF screening, the next step is to verify whether this is in fact ‘real’ as there are numerous causes for anomalous measurements caused by artefacts. MethodsHere we report on the use of a scanning μ-XRF for herbarium specimens to answer the question whether the abnormal concentrations of a particular element truly represent hyperaccumulation as well as reveal broad patterns of elemental distribution to provide the first hints at the ecophysiology of the hyperaccumulated element.Results and conclusionsThe use of μ-XRF analysis of herbarium specimens can form the starting point for further studies using specimens properly prepared for micro-analytical investigations.

Different serum sodium assay, different model for end stage liver disease - sodium scores in patients awaiting liver transplant: A cross-sectional study.

Sodium can be measured with direct or indirect methods; abnormal plasma total protein concentration can impact on sodium measured by indirect ion-selective electrodes (ISE). Serum sodium is an important item to determine the Model for End Stage Liver Disease Sodium (MELD-Na) score, commonly used for liver graft allocation. Patients with cirrhosis usually have hypoproteinemia. The aim of this study was to determine if there was a significant difference between the MELD-Na scores calculated based on the results of two different serum sodium ISE: indirect and direct. This was a retrospective study; we included 166 patients that underwent liver transplant assessment, and that had paired (i.e. same date and time) direct and indirect sodium determinations. We calculated the MELD-Na scores with both sodium determinations, and we compared them. There was a significant difference between MELD-Na scores; the mean difference was 0.4±1.3. If MELD-Na score had been determined by the sodium measured by the direct ISE, 69 patients (42%) would have stayed in the same place on the waiting list, 67 patients (40%) would have moved up, and 30 patients (18%) would have moved down. There was a statistically significant difference between the MELD-Na scores calculated based on the two different sodium concentrations, which would theoretically result in changes in the order of the waiting list. This finding should prompt studies to assess if MELD-Na calculated based on direct methods has a better performance to predict clinically relevant outcomes.

Long-term exposure to ambient PM2.5 constituents is associated with dyslipidemia in Chinese adults

BackgroundAmbient particulate matter with aerodynamic diameter ≤ 2.5 µm (PM2.5) consists of various toxic constituents. However, the health effect of PM2.5 may differ depending on its constituents, but the joint effect of PM2.5 constituents remains incompletely understood. ObjectiveOur goal was to evaluate the joint effect of long-term PM2.5 constituent exposures on dyslipidemia and identify the most hazardous chemical constituent. MethodsThis study included 67,015 participants from the China Multi-Ethnic Cohort study. The average yearly levels of PM2.5 constituents for all individuals at their residences were assessed through satellite remote sensing and chemical transport modeling. Dyslipidemia was defined as one or more following abnormal blood lipid concentrations: total cholesterol (TC) ≥ 6.22 mmol/L, triglycerides (TG) ≥ 2.26 mmol/L, high-density lipoprotein cholesterol (HDL-C) < 1.04 mmol/L, and low-density lipoprotein cholesterol (LDL-C) ≥ 4.14 mmol/L. The logistic regression model was utilized to examine the single effect of PM2.5 constituents on dyslipidemia, while the weighted quantile sum regression model for the joint effect. ResultsThe odds ratio with a 95 % confidence interval for dyslipidemia positively related to per-SD increase in the three-year average was 1.29 (1.20–1.38) for PM2.5 mass, 1.25 (1.17–1.34) for black carbon, 1.24 (1.16–1.33) for ammonium, 1.33 (1.24–1.43) for nitrate, 1.34 (1.25–1.44) for organic matter, 1.15 (1.08–1.23) for sulfate, 1.30 (1.22–1.38) for soil particles, and 1.12 (1.05–1.92) for sea salt. Stronger associations were observed in individuals < 65 years of age, males, and those with low physical activity. Joint exposure to PM2.5 constituents was positively related to dyslipidemia (OR: 1.09, 95 %CI: 1.05–1.14). Nitrate was identified as the constituent with the largest weight (weighted at 0.387). ConclusionsLong-term exposure to PM2.5 constituents poses a significant risk to dyslipidemia and nitrate might be the most responsible for the risk. These findings indicate that reducing PM2.5 constituent exposures, especially nitrate, could be beneficial to alleviate the burden of disease attributed to PM2.5-related dyslipidemia.

Leaf production and quality of sea beet (Beta vulgaris subsp. maritima) grown with saline drainage water from recirculating hydroponic or aquaculture systems

The application of greenhouse soilless culture (or hydroponics) and recirculating aquaculture system (RAS) is rapidly growing worldwide as these technologies provide controlled growing conditions for crop plants and aquatic organisms, thus enhancing productivity. The wastewater from RAS and hydroponics is generally rich in many essential plant nutrients and could be reused for crop irrigation, thus reducing the costs for both wastewater treatment and fertilizers. Many wild edible plant species are salt-tolerant glycophytes or halophytes and hence are suitable for cultivation with saline wastewater in cascade cropping systems or decoupled aquaponic systems.The goal of this work was to investigate the effects of drainage water from semi-closed substrate plant culture or saltwater RAS on leaf production and quality of sea beet plants (Beta vulgaris subsp. maritima) grown hydroponically in a greenhouse. Two experiments were conducted in autumn with plants cultivated in a floating raft system to compare five different nutrient solutions: standard nutrient solution (CNS, control; EC 2.80 dS m−1, Na 0.7 mM); the effluent from a semi-closed substrate culture of tomato used as such (tomato effluent 100%, TE100; EC 6.49 dS m−1, Na 34.9 mM) or diluted (50:50) with CNS (tomato effluent 50%, TE50; EC 4.50 dS m−1, Na 17.8 mM); the effluent from a saltwater RAS with gilthead sea bream, used as such (aquaculture effluent 100%, AE100; EC 42.00 dS m−1, Na 408.6 mM) or diluted (50:50) with CNS (aquaculture effluent 50%, AE50; EC 25.40 dS m−1, Na 204.6 mM).In both experiments, leaf production was significantly reduced in plants grown with AE50 (−46.8%, on average) and AE100 (−70.4%, on average) compared to CNS; on the contrary, no or minor differences were found between CNS, TE50 and TE100 plants. The reduction of crop yield was due to the higher salinity and not to abnormal concentration of some mineral nutrients in AE. In the first experiment, the use of TE and AE also resulted in higher leaf antioxidant capacity and concentration (both expressed on a fresh weight basis) of total chlorophylls, carotenoids, flavonoids, and phenols. In both experiments, leaf concentration of Na and oxalate (both total and soluble) significantly increased with the salinity of the nutrient solution. Due to the less favourable light conditions, leaf nitrate concentration was much higher in the second experiment than in the first one, regardless of the nutrient solution.In conclusion, sea beet could be grown using hydroponic wastewater with moderate salinity with no or minor effect on leaf production and quality. In contrast, the use of highly saline aquaculture effluents markedly reduced crop yield and negatively affected leaf quality due to increased concentration of sodium, oxalate, and nitrate. In general, sea beet leaves were high in oxalate and their consumption should be limited.

Rapid and sensitive detection of endogenous HClO in living cells and zebrafish using a phenothiazine-based fluorescent probe

Hypochlorous acid (HClO) is a reactive oxygen species (ROS) that plays a critical role in numerous pathological and physiological processes. Abnormal concentrations of HClO in vivo have been closely linked to many diseases, including inflammatory disorders and cancer. In this work, an on-off fluorescent probe PTZ based on phenothiazine was synthesized for specific detection of HClO. PTZ demonstrated excellent selectivity, biocompatibility, rapid response, pH stability, and low limits of detection (5.2 nM). Furthermore, PTZ can detect both exogenous and endogenous HClO rapidly in living cells and zebrafish, which provides it with broad potential applications in life sciences.

Altered structure indicating reduced barrier function of lesional compared to non-lesional psoriatic skin-A non-invasive in vivo study of the human stratum corneum with confocal Raman micro-spectroscopy.

Psoriasis, one of the most common skin diseases affecting roughly 2%-3% of the world population, is associated with a reduced skin barrier function (SBF) that might play an important role in its pathophysiology. The SBF is provided primarily by the stratum corneum (SC) of the skin. Previous studies have revealed a higher trans-epidermal water loss, lower hydration, abnormal concentration and composition of intercellular lipids, as well as alterations in secondary keratin structure in the psoriatic SC. We compared on molecular level lesional psoriatic skin (LPS) with non-lesional psoriatic skin (nLPS) from 19 patients non-invasively in vivo, using confocal Raman micro-spectroscopy. By analysing the corresponding Raman spectra, we determined SBF-defining parameters of the SC depth-dependently. Our results revealed a lower total lipid concentration, a shift of lamellar lipid organisation towards more gauche-conformers and an increase of the less dense hexagonal lateral packing of the intercellular lipids in LPS. Furthermore, we observed lower natural moisturising factor concentration, lower total water as well as a strong tendency towards less strongly bound and more weakly bound water molecules in LPS. Finally, we detected a less stable secondary keratin structure with increased β-sheets, in contrast to the tertiary structure, showing a higher degree of folded keratin in LPS. These findings clearly suggest structural differences indicating a reduced SBF in LPS, and are discussed in juxtaposition to preceding outcomes for psoriatic and healthy skin. Understanding the alterations of the psoriatic SC provides insights into the exact pathophysiology of psoriasis and paves the way for optimal future treatments.

Assessing the Prevalence of Low Testosterone and Elevated Follicle Stimulating Hormone Among Men Presenting for Fertility Evaluation Without Oligospermia

To compare the prevalence of abnormal hormone parameters among men with and without oligospermia to determine the value of universal hormonal screening during initial fertility evaluation. We retrospectively evaluated men who underwent semen analysis and hormonal evaluation (morning testosterone [T] and follicle-stimulating hormone [FSH]) between January 2002 and May 2021. Sperm concentration was dichotomized at 15 million/mL according to World Health Organization (WHO) criteria. We compared median and interquartile range (IQR) T and FSH levels according to sperm concentration using Kruskal-Wallis test. Differences in prevalence of low testosterone (<300ng/dL) and abnormal FSH (>7.6mIU/mL) were determined using chi-square test. 1164 men had a morning serum T. There was no difference in median T among men with normal vs abnormal sperm concentration (316ng/dL, IQR 250-399 vs 316ng/dL, IQR 253-419; P=.52). FSH was measured in 1261 men. Median FSH was higher among men with sperm concentration <15 million/mL (6.0IU/mL, IQR 3.9-10.7 vs 3.8IU/mL, IQR 2.7-5.7; P<.001). Among men with ≥15 million/mL concentration, 44.1% were found to have low T (P=.874) and 10.8% had an FSH ≥7.6 mIU/mL (P<.001). Among men with ≥15 million/mL sperm concentration who underwent both T and FSH evaluation, 43.6% had at least 1 hormonal abnormality. Almost half of men with normal sperm concentration had low T. As low T may have long-term implications for both fertility and overall health, providers should consider universal T screening in men presenting for fertility evaluation.

Hormonal imbalance in patients with chronic kidney disease in the pre-dialysis and dialysis periods (part 2)

In the previous article, we presented the results of literature review showing the changes in hormone concentrations (parathyroid hormone, insulin, growth factor, prolactin) in patients with chronic renal failure (CRF) at the pre-dialysis and dialysis stages, described pathological relationships between renal failure and serum hormones concentrations, as well as changes in their biological effects. In this article, that continues the general topic, we provide the results of literature review that shows changes in serum concentrations of thyroid, adrenal, sex hormones and the features of the functioning of hypothalamus-pituitary-peripheral glands axis in patients with CRF. The presence of close pathogenic interactions of renal functional condition with hormonal activity of the thyroid gland was evaluated, as well as the ability of thyroid gland to influence the CRF progression both during pre-dialysis and dialysis sta­ges of CRF. Most patients with CRF have low serum triiodothyronine and thyroxine levels. It means that CRF is a pathological condition associated with thyroid hypofunction that progressively worsening as glomerular filtration rate decreases. For patients receiving dialysis treatment, hypothyroidism is associated with higher mortality. Secondary adrenal insufficiency is usually progresses in patients on renal replacement therapy. Non-diagnosed chronic adrenal failure may be life-threating that’s why the analysis of adrenal function is especially actual for patients on both pre-­dialysis and dialysis stages of CRF. Secondary adrenal insufficiency caused by long-lasting treatment with corticoids is a diagnostic problem for patients on dialysis treatment, because many nephrological diseases are treated by corticoids, and immunosuppressive therapy protocols used after the kidney transplantation are usually include prednisone. As the endocrine dysfunction progresses in patients with CRF, sexual dysfunction develops due to sex hormone imbalance. Abnormal androgen concentration is a typical fin­ding in CRF. A negative correlation was found between endogenic testosterone concentration and CRF stages I–V that indicated an abnormal profile of male sex hormones. There are gender-specific features of the development and progression of clinical symptoms of hormonal imbalance. The number of experimental studies show that continuous estradiol treatment may prevent the development of glomerulosclerosis. The results of clinical trials concluded that lower CRF progression and the lower incidence of CRF observed in young females compared to males, as well as the absence of gender protection in post-menopausal period, shows the important role of female sex hormones.

A Golgi-targeted fluorescent probe for imaging H2O2 and releasing H2S during Golgi stress

Golgi stress was the major stress response in the Golgi apparatus, which might be induced the disruption of redox balance and relate to a variety of diseases. As an important reactive oxygen species (ROS), hydrogen peroxide (H2O2) played an essential role in the Golgi apparatus, the abnormal concentration of H2O2 might cause oxidative damage. In contrast, hydrogen sulfide (H2S) acted as a protector for the Golgi apparatus to relieve Golgi stress. Combined thiocarbamates as H2S donor group activated by oxidizing phenylboronic acid pinacol ester to hydroxyl by H2O2, a Golgi-targeted fluorescent probe Golnap-H2O2 had been developed based on a reported Golgi-targeted fluorophore. Golnap-H2O2 showed the selectivity to H2O2 and the ability to release H2S in the existence of carbonic anhydrase. Besides, Golnap-H2O2 exhibited the targeting ability to Golgi apparatus and was qualified for imaging H2O2. According to our study results, Golnap-H2O2 could not only be used as a satisfactory imaging tool for detecting H2O2 in Golgi apparatus to explore the complex physiological functions, but also be used as a potential H2S donor for cytoprotection.

Artificially raised creatinine concentrations due to analytical interference for samples contaminated with total parenteral nutrition fluid.

A sample received in the laboratory from a patient receiving total parenteral nutrition (TPN) indicated that the patient may have renal dysfunction, but the results were not considered to be reliable enough to report. Investigations using a reference method for measurement of creatinine confirmed positive interference in the creatinine assay and distribution of samples via an External Quality Assessment (EQA) Scheme showed that this positive interference was method dependent. Residual TPN fluid (Nutriflex Lipid Special) left in the bag after the patient had completed the infusion was collected and added to a patient serum pool in increasing amounts and distributed to different laboratories for analysis of creatinine and glucose through an EQA Scheme. Positive interference in a number of different creatinine assays was identified as a result of a component in the TPN fluid. Positive interference from high concentrations of glucose has been demonstrated to be a cause for falsely high results in Jaffe creatinine assays. The concern would be that a sample contaminated with TPN fluid would have both abnormal electrolytes and creatinine concentrations and give the impression that the patient was in renal failure due to analytical interference in the creatinine assay and laboratory staff need to be aware of this problem.

Hypokalemia/Hyperkalemia and Hyponatremia/Hypernatremia.

Electrolyte disorders are very common in the pediatric population. Derangements in serum sodium and potassium concentrations are among the most frequently seen given the risk factors and comorbidities unique to children. Pediatricians, in both outpatient and inpatient settings, should be comfortable with the evaluation and initial treatment of disturbances in these electrolyte concentrations. However, to evaluate and treat a child with abnormal serum concentrations of sodium or potassium, it is critical to understand the regulatory physiology that governs osmotic homeostasis and potassium regulation in the body. Comprehension of these basic physiologic processes will allow the provider to uncover the underlying pathology of these electrolyte disturbances and devise an appropriate and safe treatment plan.

Abnormal mare behaviour is rarely associated with changes in hormonal markers of granulosa cell tumours: A retrospective study.

Abnormal or undesired mare behaviours are often assumed to be associated with ovarian abnormalities. We aimed to determine the incidence of abnormal behaviours and their association with concentrations of one or more ovarian hormones associated with a granulosa cell tumour (GCT). Retrospective descriptive. A total of 2914 hormonal profile samples submitted with the words behave, behaviour, or behaving in the submission history were analysed. The association between reported abnormal behaviours and concentrations of testosterone, anti-Müllerian hormone (AMH), inhibins and inhibin-B were assessed. Statistical analysis was performed using a Chi-squared test of association. Of the 2914 cases that were submitted due to behaviour issues, 2506 (86%) did not have any of the measured hormones reach GCT-like concentrations. The remaining 408 cases had either one (63%), two (25.5%), or three (11.5%) hormones with concentrations consistent with those from confirmed GCT cases. Testosterone had the lowest percent of GCT-like values among the cases (7.7%), compared with AMH (9.4%), inhibins (9.6%) and inhibin B (8.7%). Stallion-like behaviour was significantly associated with increased concentrations of all four hormones. In contrast, aggression, oestrous and other abnormal behaviours were significantly less likely to be associated with increased concentrations of the hormones. Retrospective study, using sample submission history. Overall, the abnormal behaviours among mares, except the stallion-like behaviour, were not associated with increased ovarian hormones. These results highlight the common misassumption about the involvement of the ovaries in 'abnormal behaviours' or 'undesirable behaviours' of mares.

Synergistic mediating effect of edible fungal polysaccharides (Auricularia and Tremellan) and Crataegus flavonoids in hyperlipidemic rats.

Both edible fungal polysaccharides (Auricularia and Tremellan) and Crataegus flavonoids promote the balance of dyslipidemia, which have a positive biological regulating effect on intestinal flora. In this study, the extraction of water-soluble polysaccharides from Auricularia and Tremellan was investigated and optimized firstly. Polysaccharides and flavonoids were then combined to study the effects on the mediating role of abnormal blood lipid concentration and intestinal flora in vivo. The rats were divided into 10 groups, the NC (normal control), HM (model), PCI (Simvastatin control), PCII (Fenofibrate control), AAP (Auricularia auricular Polysaccharide), TFP (Tremella fuciformis Polysaccharide), HF (Crataegus Flavonoid), LDC (Low-dose combination), MDC (Medium dose combination), and HDC (High-dose combination), used to explore the impact of polysaccharides and flavonoids complex on state of blood lipid, liver, and intestinal flora of dyslipidemia rats. The results showed that the combination of polysaccharides and flavonoids could significantly decrease the levels of triglyceride (TG), total cholesterol (TC), low-density lipoprotein (LDL-C), and increase the level of high-density lipoprotein cholesterol (HDL-C). It also significantly decreased the levels of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) and improved liver morphology. What is more, the HDC favorably alters the intestinal microflora balance, promotes intestinal integrity and mobility, and inhibits the growth of harmful bacteria such as Escherichia coli/Shigella and Clostridium compared with HM group. In brief, the combination of polysaccharides and flavonoids had a synergistic effect on the remission of dyslipidemia, and promoted health by improving lipid metabolism, protecting liver tissue, and regulating the intestinal flora in hyperlipidemia rats.

Pseudohyponatremia: Mechanism, Diagnosis, Clinical Associations and Management.

Pseudohyponatremia remains a problem for clinical laboratories. In this study, we analyzed the mechanisms, diagnosis, clinical consequences, and conditions associated with pseudohyponatremia, and future developments for its elimination. The two methods involved assess the serum sodium concentration ([Na]S) using sodium ion-specific electrodes: (a) a direct ion-specific electrode (ISE), and (b) an indirect ISE. A direct ISE does not require dilution of a sample prior to its measurement, whereas an indirect ISE needs pre-measurement sample dilution. [Na]S measurements using an indirect ISE are influenced by abnormal concentrations of serum proteins or lipids. Pseudohyponatremia occurs when the [Na]S is measured with an indirect ISE and the serum solid content concentrations are elevated, resulting in reciprocal depressions in serum water and [Na]S values. Pseudonormonatremia or pseudohypernatremia are encountered in hypoproteinemic patients who have a decreased plasma solids content. Three mechanisms are responsible for pseudohyponatremia: (a) a reduction in the [Na]S due to lower serum water and sodium concentrations, the electrolyte exclusion effect; (b) an increase in the measured sample's water concentration post-dilution to a greater extent when compared to normal serum, lowering the [Na] in this sample; (c) when serum hyperviscosity reduces serum delivery to the device that apportions serum and diluent. Patients with pseudohyponatremia and a normal [Na]S do not develop water movement across cell membranes and clinical manifestations of hypotonic hyponatremia. Pseudohyponatremia does not require treatment to address the [Na]S, making any inadvertent correction treatment potentially detrimental.