Automatic Blood Analyzer Research Articles

Is analysis of the reticulocyte haemoglobin equivalent a useful test for the diagnosis of iron deficiency anaemia in geriatric patients?

BackgroundIron deficiency anaemia (IDA) and anaemia of chronic disease (ACD) are common in elderly patients but there are no standard diagnostic criteria. The reticulocyte haemoglobin equivalent (Ret-He) is routinely measured by modern automated blood analysers and is an early indicator of iron deficiency. The aim of this study was to investigate whether the Ret-He level as calculated by the Sysmex XE-5000 automated blood analyser is a useful parameter for the diagnosis of IDA in a geriatric hospitalized population. MethodsIn a prospective study, blood samples were collected in 26 geriatric patients with IDA and 111 patients with ACD diagnosed according to generally accepted laboratory and clinical criteria. A blood count including Ret-He, mean corpuscular volume (MCV), mean corpuscular haemoglobin (MCH), mean corpuscular haemoglobin concentration (MCHC) and standard iron parameters was performed in each patient. ResultsHaemoglobin, Ret-He, MCV, MCH and MCHC levels were all significantly lower in IDA as compared to ACD patients. However, the area under the curve (AUC) was greater for MCH (0.87, 95% CI 0.78–0.95) and MCHC (0.86, 95% CI 0.76–0.96) then for Ret-He (0.828, 95% CI 0.73–0.93) and MCV (0.80, 95% CI 0.68–0.91). A Ret-He cut-off value of 26pg had a sensitivity and specificity based on its optimal combination of 85% and 69% respectively. ConclusionAnalysis of Ret-He does not perform better than the classical red cell indices such as MCH and MCHC in differentiating IDA and ACD in geriatric patients.

The new noninvasive occlusion spectroscopy hemoglobin measurement method: a reliable and easy anemia screening test for blood donors

The tests used for anemia screening in blood donors are based on fingerstick samples, leading to discomfort and complaints. The aim of this study was to analyze the feasibility of occlusion spectroscopy method in blood banks and to compare the method with fingerstick hemoglobinometer and hemoglobin (Hb) determination on an automatic blood analyzer. The study enrolled 205 consecutive volunteer blood donors. Samples were collected by fingerstick and venous punction to determine Hb level by a Hemocue Hb201+ (Hb-F) and automatic blood analyzer (Hb-V) and compare to the noninvasive Hb determination by occlusion spectroscopy using NBM200 system (Hb-NI). The percentage errors of Hb-F and Hb-NI of all donors as well as stratified by sex, weight, and age levels were compared to Hb-V as reference values using Wilcoxon signed rank test. The results obtained with Hb-F showed significant errors (p<0.001) in the general group as well as when stratified by sex, weight, and age groups, above values obtained with Hb-V. Hb-NI showed significant errors only in females (p=0.026) and weight level of 61 to 70kg (p=0.034), below Hb-V values. Hb-NI seems to be a good method in terms of precision and feasibility for anemia screening of blood donors as well as being much more comfortable for donors.

Omega-3 Fatty Acids Supplementation Attenuates Inflammatory Markers After Eccentric Exercise in Untrained Men

To examine the effect of ingestion of omega-3 (N-3) fatty acids on the production of interleukin (IL) 6, tumor necrosis factor (TNF) α, prostaglandin (PG) E2, lactate dehydrogenase (LDH), creatine kinase (CK), and myoglobin (Mb) during an eccentric exercise program. A randomized, double-blinded, repeated measures design was used for this study. The study was performed in the Exercise Physiology Laboratory of the Urmia University. Forty-five men, who had not participated in any training program for 60 days before their participation in this study, were recruited. Plasma levels of PGE2, IL-6, TNF-α, CK, LDH, and Mb were taken before supplementation, pre-exercise, and immediately, 24, and 48 hours after eccentric exercise. Subjects were assigned to one of the experimental (1.8 g/d N-3), placebo, or control groups. Plasma levels of PGE2, IL-6, and TNF-α were assessed using enzyme-linked immunosorbent assays kits. Plasma level of LDH, Mb, and CK were measured using an autoanalyzer, a c-counter, and an automatic blood analyzer, respectively. The experimental group showed less elevation in TNF-α and PGE2 immediately, 24, and 48 hours after exercise, when compared with the other groups. Significantly less elevation was shown in the concentration of IL-6, CK, and Mb for the experimental group at 24 and 48 hours after exercise. The experimental group also demonstrated a significant trend toward reduction in the plasma concentration of LDH immediately, 24, and 48 hours after the exercise program. Ingestion of N-3 can be effective in ameliorating, eccentric exercise-induced, inflammatory markers.

Analytical variability in sport hematology: its importance in an antidoping setting

Hematologic parameters are commonly utilized in sports medicine and antidoping testing. However, there are no universally accepted methodologies for comparing the performance of automated blood analyzer systems. To address this problem, we selected and examined 19 studies from a review of literature published from 2000 to 2010. Meaningful discrepancies were found between measurements obtained with different analytical systems. Because harmonization and clear standardization of methods are lacking, the analytical variability often largely exceeds intra- and inter-individual biological differences, producing equivocal test results unreliable for clinical and antidoping testing. A central criticality to applying the Bayesian approach is analytical variability, but the use of different analytical technologies precludes the comparison of inter-methods for determining the robustness of blood variables and their clinical significance. Therefore, future multicenter studies are needed to compare analytical methodologies and blood analyzer systems, and to establish worldwide-accepted standards and quality control protocols.

Efeitos quantitativos da estocagem de sangue periférico nas determinações do hemograma automatizado

This study evaluated possible alterations in different hematologic parameters [total erythrocyte count, hematocrit, hemoglobin concentration, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MHCM), total leukocyte count and platelet count], of blood samples submitted to varied storage times at both 4oC and at room temperature. The analyses were performed using a Sysmex XT2000i automated hematology analyzer. Written consent was obtained from donors with no hematological disorders or clinical abnormalities and thus from individuals with apparently normal laboratory reference values for healthy adults. The results were analysed by descriptive statistics with comparisons of the means being achieved by analysis of variance (ANOVA). The means of the MCHC parameters and platelet count showed significant statistical differences for both storage temperatures. At room temperature the hematocrit, MCV and red cell distribution width (RDW) readings also presented statistically significant differences. Therefore, it can be concluded that hemogram results performed by automated blood analyzers are satisfactory when carried out within 24 hours after drawing the blood sample for most of the parameters evaluated.

Immature platelet values indicate impaired megakaryopoietic activity in neonatal early-onset thrombocytopenia

Newly released platelets, referred to as immature platelets, can be reliably quantified based on their RNA content by flow cytometry in an automated blood analyser. The absolute number of immature platelets (IPF#) and the immature platelet fraction (IPF%) reflect megakaryopoietic activity. We aimed to analyse the implication of these parameters in analysing the pathomechanism of early-onset neonatal thrombocytopenia. Platelet counts and IPF were determined at day 1 to 3 (d1 to d3) in 857 neonates admitted to intensive care. In thrombocytopenic patients (platelet counts<150 x 10(9)/l, n=129), IPF# was significantly lower (8.5 +/- 2.7 x 10(9)/l), than in non-thrombocytopenic neonates (9.5 +/- 3.6 x 10(9)/l, n=682, p<0.05). IPF% was significantly higher in thrombocytopenic (9.3 +/- 7.9%) vs. non-thrombocytopenic neonates (4.1 +/- 1.8%, p<0.001). While neonates with early-onset infection (n=134) had lower platelet counts (199 +/- 75 x 10(9)/l) compared to controls (230 +/- 68 x 10(9)/l, n=574, p<0.01), there were no differences in IPF# or IPF%. Likewise, "small for gestational age" infants (SGA, n=149) had lower platelet counts at d1 (199 +/- 75 x 10(9)/l, p<0.001) than controls, but no differences in IPF. A trend towards lower IPF# was detected if SGA infants with platelet counts <100 x 10(9)/l (5.4 +/- 3.9 x 10(9)/l, n=11) and thrombocytopenic neonates with infection (9.9 +/- 7.3 x 10(9)/l, n=10, p=0.11) were compared. The evaluation of IPF# indicates that thrombocytopenia in neonates is likely due to a combination of increased platelet consumption and inadequate megakaryopoietic response by the neonatal bone marrow. Furthermore, SGA neonates with moderate and severe thrombocytopenia might have a pronounced suppression of megakaryopoiesis compared to neonates with infection.

Immature platelet fraction (IPF) in hospitalized patients with neutrophilia and suspected bacterial infection

Neutrophilia is frequently in hospitalized patients, so a screening test for infections would be very useful. The immature platelet fraction (IPF) is provided by the automated blood analyzer XE 2100 (Sysmex, Kobe, Japan) as a proportional value of the total optical platelet count [IPF%; an absolute count of immature platelets can also be obtained (AIPC)] to indicate the rate of platelet production. IPF could help to identify the aetiology of thrombocytopenia and to recognize the increased bone marrow activity as occurred during the course of infectious disease. We selected from daily routine cell blood counts 535 samples from adult patients (age >14 years) with neutrophilia (> 8 x 10(9)/L) and platelets > or =150 x 10(9)/L, to avoid bias due to physiological increase of IPF. In 153 patients blood cultures (BC) were done the same day of IPF determination because of clinically suspected infection (fever > or =38 degrees C). Eighty-nine samples (58.2%) had positive BC (75 Gram-positive agents, 14 Gram-negative). Using our IPF reference normal range [IPF% 2.39% (0.8-5.1); AIPC 5.15 x 10(9)/L (2-12.6)], we found a significantly (p<0.0001) higher level of IPF in samples with positive BC [mean IPF% 4.86+/-2.67%, median 3.8 (range 2.4-15.8); mean AIPC 14.74+/-9.26 x 10(9)/L, median 11.7, (range 4.7-44.9)] than in BC negative samples [mean IPF% 1.79+/-0.63%, median 1.7 (range 0.5-4.7); mean AIPC 6.55+/-3.58 x 10(9)/L, median 5.45 (range 1.6-20.4)]. The increased IPF shows a statistically significant correlation with BC positivity. This parameter could therefore be used in the daily laboratory routine in patients with neutrophilia as a low cost screening test for bacterial infection.

자동 혈구분석기(XE-2100)를 이용한 WBC 과다측정의 확인방법 및 사례 분석

2007년 1월부터 8월까지의 8개월 동안 삼성서울병원에서 병동 및 외래에서 의뢰된 전 혈구검사 검체를 대상으로 하여 S사의 자동혈액장비의 4 Diff channel과 WBC channel의 결과 비교를 통해 총 백혈구의 과다측정 여부를 판단하였다. 장기적 임상치료를 밟는 환자 중 8개월간의 백혈구 수 비교를 통해 over count라고 판단된 증례는 총 25건이었다. 해당 검체와 동일한 날짜에 실시한 생화학적 검사 중 간 기능(liver function test)의 지표가 되는 AST와ALT에서 정강범위를 벗어나는 경우가 전체 환자의 68%였으며, 총 별리루빈 범위도 전체 검체 중 60%가 허용범위를 넘는 결과를 보였다. 백혈구가 과다 측정된 시점에 환자의 임상정보 결과 Cephalosporin계 4세대 항생제인 cefepime을 98%의 환자들이 투여 받은 상태에 있었다. 백혈구 과다측정은 하나의 원인보다 다양한 원인들이 복합적으로 작용하여 발생하는 것으로 사료된다. During an 8 month period from January to August 2007, complete blood count (CBC) samples were taken from various wards and from the outpatient department at Samsung Medical Center. In order to determine whether or not the total white blood cells were over counted, results were obtained from both the 4Diff/channel and the white blood cell channel from the automated blood analysis equipment from S company for comparison. Among patients who were on long term treatments, the number of cases determined to be over counted by comparing the WBC counts during this 8 month period was 25. Clinical chemistry tests were also conducted on the same day on the 25 samples taken. 68% of the patients showed to exceed normal range of aspartate transaminase (AST) and alanine aminotransferase (ALT) indicating abnormal liver function, and the total bilirubin range were also in excess in 60% of the total samples taken. Further clinical information which was obtained from the patients showed 98% of the patients were administered with cefepime which is the 4th generation cephalosporin at the time when the WEC were over counted. It is assumed that a multiple of factors investigated caused the over count of the WEC rather than a single factor.

Misidentification ofCandida parapsilosisas Large Platelets in an Automated Blood Analyzer

We experienced a case in which yeasts in blood sample from a patient with cervical cancer with hepatic metastasis and multiple intraperitoneal cysts interfered with platelet morphology flag in automated blood analyzer. The peripheral blood smear was performed to confirm the flag and revealed intracellular and extracellular yeasts, which were subsequently identified as Candida parapsilosis by blood culture. (Korean J Clin Microbiol 2009;12:138-140)

Stabilization of the Reactant Temperature in Automated blood Analyzer

Stabilization of the Reactant Temperature in Automated blood Analyzer

Assessment of blood chemistry normal ranges in rainbow trout

Blood chemistry normal ranges in rainbow trout Oncorhynchus mykiss were assessed using an automated blood analyser. Non‐haemolysed serum from the caudal vessel of 45 clinically healthy, randomly selected fish (standard length, mean ±s.e. = 25·82 ± 0·68 cm; body mass, mean ±s.e. = 240·10 ± 19·40 g) were analysed for the following blood chemistry variables: glucose, urea, creatinine, total bilirubin, aspartate aminotransferase (EC 2.6.1.1), alanine aminotransferase (EC 2.6.1.2), alkaline phosphatase (EC 3.1.3.1), creatine phosphokinase (EC 2.7.3.2), lactate dehydrogenase (EC 1.1.1.27), gamma‐glutamyl transferase (EC 2.3.2.2), total protein, albumin, triglycerides, cholesterol, Ca, P, Mg, Na, K and Cl. The analytical method performed failed to assess serum gamma‐glutamyl transferase. Descriptive statistics, normality assessment by means of Kolmogorov–Smirnov test, Gaussian range (mean ± 1·96σ), Gaussian range after square root and logarithmic transformation, 2·5th–97·5th percentile range were computed for each variable. With regard to data distribution, 12 variables out of 19 (glucose, total bilirubin, aspartate aminotransferase, total protein, albumin, triglycerides, cholesterol, Ca, P, Mg, Na and K) were normally distributed. Irrespective of distribution type, 2·5th–97·5th percentile range appeared to be a reliable method in normal range evaluation. Estimates obtained were compared with previously reported ranges. General agreement was noted with some exceptions (glucose, alkaline phosphatase, lactate dehydrogenase, creatine phosphokinase, P and K) possibly due to different acclimation (17–22° C) and analytical (37° C) temperature and to methodology (serum v. plasma; caudal vessel withdrawal v. cardiac puncture). The blood automated analyser proved to be a valuable and reliable instrument for the estimation of blood chemistry over normal ranges in rainbow trout, although caution should be taken when comparing estimates obtained using different analytical techniques and acclimation temperatures, using plasma rather than serum or using different withdrawal methods.

Comparison of five tuna plasma analytes measured on two automated blood analyzers

In vitro accumulation of tetrodotoxin (TTX) and paralytic shellfish toxin (PST) in tiger puffer fish Takifugu rubripes was investigated using liver tissue slices. When T. rubripes liver slices were incubated with Leibovitz’s L-15 medium containing 0.13 mM TTX at 20 °C in air with saturated humidity, they accumulated 21.5 ± 7.3 μg TTX g−1 liver after the incubation for 12 h and increased to 55.3 ± 8.2 μg TTX g−1 liver at 48 h. In the incubation of T. rubripes liver slices with 0.13 mM PST-containing medium, PST was detected 6.3 ± 0.9 μg g−1 liver at 12 h and reached a plateau thereafter. These results reveal the difference between TTX and PST in accumulation in T. rubripes liver tissue slices. To examine the variation in PST accumulation among fish species, the liver tissue slices from tiger puffer fish T. rubripes, parrot-bass Oplegnathus fasciatus and green ling Hexagrammos otakii were incubated at a concentration of 0.027 mM PST. The toxin contents of 3.0 μg g−1 liver were observed at 8 h regardless of fish species but were not increased subsequently, showing no variety among these three species as to accumulation patterns of PST. It is noted that the tiger puffer fish T. rubripes liver specifically accumulate TTX in preference to PST.

Comparison of five tuna plasma analytes measured on two automated blood analyzers

Plasma biochemistry parameters of 32 bluefin tuna were analyzed on two blood analyzer systems, VetTest 8008 and Olympus AU2700, and the results compared and correlated. Statistically significant differences (p<0.0001) between the two analyzers were found for the total cholesterol, triglyceride, and aspartate aminotransferase analytes, but not for those of glucose and total proteins, which demonstrated almost identical values and ranges on both analyzers (p = 0.383 and 0.188, respectively). The coefficients of variation were high for most parameters on both analyzers. Overall, we conclude that data obtained with both analyzers have the same clinical significance. In routine investigations on tuna blood, due to the relatively small numbers of available samples and small sample volumes, it is more likely that the bench-top dry-slide analyzer (VetTest 8008) will be the preferred analytical system to a high-volume primary analyzer (Olympus AU2700).

Effects of Duration of Storage and Storage Temperature on Cell Counts of Bovine Blood Samples as Determined by an Automated Haematology Analyser

Analysis of blood cells is an important part of many scientific investigations in the field of cattle herd health. Over the last 30 years, automated blood analysis has all but replaced manual counting of blood cells using counting chambers. The present study investigated the effects of prolonged storage and storage temperatures on cell counts as determined by a haematology analyser. Blood samples from 20 clinically healthy cows were repeatedly analysed with a Cell-Dyn 3500 (Abbott Diagnostika, Delkenheim), within 24 hours after collection and after storage at either 4° C or 20° C. The counts of most blood cells were more stable in samples stored at 20° C than those stored at 4° C. For at least 8 h, the counts of all analysed cell types, with the exception of lymphocytes, remained within ±3 standard deviations that were calculated for fresh samples, provided that the blood was stored at 20° C.

Diagnosis by Automated Blood Analyzer

Reprints or correspondence: Dr. Richard D. Pearson, Box 801379, Division of Geographic and International Medicine, Dept. of Medicine, University of Virginia Health System, Charlottesville, VA 22908 (rdp9g@virginia.edu). Clinical Infectious Diseases 2001; 33:1944–5 2001 by the Infectious Diseases Society of America. All rights reserved. 1058-4838/2001/3311-0022$03.00 Figure 1. Scattergram generated by an automated blood-cell analyzer for the patient with Plasmodium vivax malaria. The diagnosis of P. vivax malaria was confirmed by examination of Wright-Giemsa–stained blood smears. Black points, malaria organisms; orange points, neutrophils; blue points, lymphocytes; purple points, monocytes.

Tissue factor pathway inhibitor as a universal anticoagulant for use in clinical laboratory tests.

Tissue factor pathway inhibitor (TFPI) is a protease inhibitor of extrinsic coagulation. The present study investigates the possibility of utilizing TFPI as a universal anticoagulant in clinical laboratory tests. The optimal concentration of TFPI for use in clinical laboratory tests was found to be 1 microl TFPI/ml blood (100 mmol TFPI/ml blood); the subsequent analyses were conducted at this concentration. In hematological tests, complete blood cell count and differential white blood cell count were done with an automatic blood analyzer. The results except for platelet and white blood cell counts were similar for ethylenediaminetetraacetic acid (EDTA)-treated and TFPI-treated samples. The effects of TFPI on platelet count were more pronounced when blood samples were stored at 4 degrees C than at room temperature. The effects of TFPI on cell morphology were evaluated by spreading blood samples into thin films and applying a Giemsa stain. The results showed that TFPI did not alter the morphology of blood cells. An automatic biochemical analyzer performed seventeen basic biochemical tests on serum samples and TFPI-treated plasma samples. The results of seventeen tests were comparable between TFPI-treated samples and EDTA-treated samples. The prothrombin time for TFPI-treated plasma samples was longer than that for citrated plasma samples. Nonetheless, in activated partial thromboplastin time tests, the addition of the reagent caused turbidity and partial coagulation, thus demonstrating that TFPI is not suitable for this assay. These findings suggest that although some tests cannot be performed with TFPI, this compound may be useful as a universal anticoagulant in the future.

An evaluation of iron-dextran supplementation in piglets administered by injection on the first, third or fourth day after birth

The aims of the study were to evaluate the effect of iron-dextran injection given on the first, third or fourth day after birth on haematology in piglets. An advanced automated blood analyser;Technicon H*1® , which performs a complete blood cell count and leukocyte differential counts was used to analyse the blood. Six litters of Norwegian Landrace x Yorkshire piglets were included in the study. The day after birth (day 1), half of the piglets in each litter (split litters) were injected subcutaneously with 180 mg iron as iron-dextran (1·5 ml Idofer®). The untreated piglets from two of the litters were injected with the same amount of iron-dextran on day 3, and those from the remaining four litters on day 4. The piglets were weighed and blood samples collected on days 1, 3 or 4, 7, 14 and 21. Erythropoiesis, but not leukocyte count, responded to injection on day 1 compared with injection on the third or fourth day. The difference between groups in haematological parameters was greatest on day 7. The two groups of piglets treated on day 1 had a haemoglobin concentration (Hb) ±SD of 92 g litre–1(±9) and 94 g litre–1(±9), and the piglets treated on day 3 had a Hb of 81 g litre–1(±7) and the one treated on day 4 had a Hb of 78 g litre–1(±7) on day 7. On days 14 and 21 there were no differences between groups. This study indicates that some piglets were anaemic and responded to subcutanous iron injection on day 1.

Evaluation of piglet blood utilizing the Technicon H*1.

The analytic precision of an automated blood analyzer, the Technicon H*1(R), was evaluated utilizing blood samples collected from 20 piglets at 1 and 14 days of age. The effect of storing the blood samples at 4 degrees C for 24 and 48 hours also was determined. Blood samples were analyzed twice on the first day and once on each of the subsequent tow days. Within-sample coefficient of variation was approximately 1% for hemoglobin concentration, erythrocyte count, hematocrit, mean cell volume, erythrocyte distribution width and hemoglobin distribution width (HDW); and approximately 5% for total leukocyte (WBC), neutrophils and lymphocyte counts. Mean HDW and automated differential WBC counts changed during storage to a degree that could be of clinical importance. Manual determination of differential WBC counts were compared with those obtained from the automated analyzer. Results correlated well for neutrophils (r=0.92 in 1-day-old and r=0.93 in 14-day-old piglets, P<0.001) and lymphocytes (r=0.85 in 1-day-old and r=0.93 in 14-day-old piglets, P<0.001). Other WBC values were too low to compare reasonably.

Quantitative assessment of platelets, platelet microparticles, and platelet aggregates with flow cytometry

With fluorescent beads it has become possible to determine absolute numbers of cells in a given sample instead of relative percentages on a standard flow cytometer. This study assesses the ability to count platelets, microparticles, and aggregates with a flow cytometer. Whole blood was stimulated with 0.1 U thrombin per milliliter. Platelet and microparticle counts decreased, while the number of aggregates increased. Unactivated whole blood was diluted with buffer and showed a corresponding decrease in the concentration of platelets, microparticles, and aggregates. The platelet count on the flow cytometer was always in good correlation with counts on an automated blood analyzer. Only the cytometer, and not the automated analyzer, was able to detect and count microparticles and aggregates. In highly diluted samples of unactivated whole blood there was a spurious relative increase in CD62p-positive platelets because of a surplus of anti-CD62p antibodies and a relative increase in microparticles. Flow cytometry is a valuable method for counting platelets, aggregates, and microparticles in unstimulated and activated blood samples. If the platelet count changes and drops to less than 50% of the count for which the amount of antibody and the cytometer settings have initially been adjusted, care has to be taken to avoid misinterpretation.

Application to cows and horses of Spotchem, a dry-chemistry blood analyzer for use in veterinary clinics.

The usefulness of a dry-chemistry blood analyzer, Spotchem SP-4410 (SP-4410) in a veterinary clinic for analysis of bovine and equine blood chemistry was studied. We quantitated total protein (TP), albumin (Alb), total bilirubin (T-Bil), blood urea nitrogen (BUN), total cholesterol (T-Cho), glucose (Glu), calcium (Ca), aspartate aminotransferase (AST), gamma-glutamyltransferase (GGT), creatinine phosphokinase (CPK), and alkaline phosphatase (ALP) in bovine sera. Each sample was assayed with both the SP-4410 and an automated blood analyzer which served as a wet-chemistry reference system, and the data were analyzed with regression analysis. The correlation coefficient for AST was 0.997 being the highest for all the parameters, and all the correlation coefficients were 0.93 or higher. The coefficients of variation were lower than 5.0 except in the case of bovine T-Bil where it was 5,756. The ranges of normal reference values measured by SP-4410 were the same as those reported by other investigators in most cases, but those for GGT and CPK were slightly higher. The strongest interference was observed with hemoglobin. It seems that dry-chemical-analysis of blood serum using the SP-4410 is useful for analysis of bovine and equine blood.