Average Hemoglobin Concentration Research Articles

Erythrocyte blood indices and state of iron metabolism in children with juvenile idiopathic arthritis

Juvenile idiopathic arthritis (JIA) is a systemic chronic disease. One of the extra-articular manifestations of JIA are hematological changes. The most common is anemia. The aim of the study was to explore the indicators of the red blood cells and the state of iron metabolism in children with JIA, depending on the form and duration of the disease. A retrospective analysis of the medical history of patients was carried out. The study of the indicators of the red blood cells consisted in determining the number of erythrocytes, the amount of hemoglobin, the ratio of the number of erythrocytes to blood volume, the average volume of erythrocytes, the average hemoglobin content in the erythrocyte, the average concentration of hemoglobin in the erythrocyte, as well as the distribution of red blood cells along the length in the form of the difference between the largest and smallest size of red blood cells and the deviation of the volume of red blood cells from the average value. The state of iron metabolism was represented by such indicators as the content of serum iron, ferritin, transferrin, latent iron-binding capacity of blood serum, total iron-binding capacity of serum, transferrin saturation coefficient with iron. In 18.7 % of children with JIA, a decrease in hemoglobin of less than 120 g/l was noted. There was a significant (p < 0.001) decrease in the average hemoglobin content in the erythrocyte in 37.9 % of patients. As a result of the study, it was found that the decrease in the iron content in the blood serum is due not only to the true iron deficiency state, but also to the redistribution of iron reserves against the background of chronic autoimmune inflammation. In the systemic form of the disease, changes in the latent iron deficiency state are more pronounced. With a long course of the disease, normalization of red blood cell parameters occurs. The duration of the disease has no effect on ferrokinetics, which is due to the development of iron deficiency compensation against the background of ongoing treatment.

Rat hematological parameters of subacute multifrequency electromagnetic next-generation cellular communications exposure

The cellular communication electromagnetic fields have become a significant physical environmental factor recently, which cannot but cause reasonable concern due to the possible adverse effects of human health. Experimental laboratory animal studies are an integral part of the development and substantiation maximal permissible levels, in which the blood system is an objective functional indicator of the electromagnetic field biological effects. Thus, the purpose of the research was to study the hematological parameters of the male and female rat blood of subacute multi-frequency electromagnetic exposure from cellular communication systems and possible long-term biological effects. The object of research was male and female Wistar line rats. There were multi-frequency 30-days electromagnetic field exposure with 500 μW/cm2 power density at 3.5, 28 and 37 GHz summary. Hematological parameters of peripheral rat blood of the experimental and control groups were determined at the end of 30 days of exposure and 30 days after exposure. 30 days exposure did not lead to statistically significant changes in the blood cell composition in either male or female rats compared with sham exposure. In post exposure period (30 days after), significant changes in hematological parameters shown female rats only, which consisted in a decrease in the average content (MCH) and the average concentration (MCHC) of hemoglobin (Hb) in erythrocyte (RBC), the level of leukocytes (WBC), lymphocytes (LYM) and an increase in monocytes (MON). There were no statistical changes in all hematological parameters in male rats. The research results suggest the development of aftereffect adaptive reactions in rats upon completion of subacute electromagnetic exposure and their correlation to the effect depending on the sex of the animal.

Annual Dynamics of Blood Lipid Parameters in Highly Qualified Physical Training.

The purpose of the paper is to study and analyse the annual dynamics of blood lipid parameters in highly qualified physical training. An experiment is a leading method for studying this problem that allows considering the problem comprehensively and in practice, as well as a comparison method, which makes it possible to analyse common features and differences as well as consider the dynamics of blood lipid parameters. Athletes who developed endurance or strength to a greater extent had no significant differences in many blood parameters. However, the groups of athletes who developed only strength had a more pronounced anisocytosis. In addition, it was possible to identify a correlation between the parameters of red blood cells and trained sports results. It was concluded that the highest indicators of the number of red blood cells, haemoglobin and average haemoglobin concentration in red blood cells were observed in strength training, and the lowest-in athletes training speed indicators. The article is of practical value for future research in the field of medicine and regenerative physiotherapy.

PECULIARITIES OF OXIDATIVE STRESS IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION WITH IRON DEFICIENCY ANEMIA

The article presents changes in hemogram and oxidative stress in patients with acute myocardial infarction (AMI) on the background of iron deficiency anemia (IDA). Iron deficiency anemia is an additional factor that contributes to the deepening of myocardial ischemia and deepens the processes of peroxidation and damage to cardiomyocytes, which is an important factor in the unfavorable course, both acute period and recovery processes in myocardial necrosis. In order to study the indicators of the general analysis of blood and functional state of the antioxidant system in patients with acute myocardial infarction with IDA, 36 patients with AMI with IDA were examined, including 39% men and 61% women. The first group consisted of 10 patients with AMI without IDA, the second 26 patients with AMI and IDA of varying severity, the control group consisted of 30 healthy individuals. Hemogram parameters, glutathione system function, oxyproline, arginase and magnesium levels in the blood were determined. It has been established that women with mild and moderate anemia predominate among patients with acute myocardial infarction with concomitant iron deficiency anemia. Among men, half of the patients have severe anemia. In addition to a decrease in Hb levels, patients with ACS with IDA have the following laboratory signs of anemia: a tendency to increase the average concentration of hemoglobin in one erythrocyte, low serum iron levels and an increase in serum transferrin levels. In the presence of IDA in patients with ACS there are changes in the antioxidant system. Anemic syndrome in such patients is accompanied by increased concentrations of glutathione transferase and peroxidase, as well as decreased concentrations of oxyproline.
 Anemia can trigger oxidative stress, and an increase in OS may be associated with changes in cardiac function. Possible cardiovascular effects in patients with comorbid conditions should also be considered.
 Iron deficiency is the most prevalent micronutrient disorder globally. When severe, iron deficiency leads to anemia, which can be deleterious to cardiac function. Given the central role of iron and oxygen in cardiac biology, multiple pathways are expected to be altered in iron-deficiency anemia, and identifying these requires an unbiased approach.
 Oxidative stress is an imbalance between free radicals and antioxidant molecules that can play an important role in the pathogenesis of iron-deficiency anemia (IDA).
 Maintenance of the iron homeostasis is essential for metabolic and physiological processes. Iron plays a critical role in erythropoiesis, is incorporated into erythroblasts and reticulocytes, and has a crucial role in oxygen transport and oxygen storage. Moreover, iron is essential for cardiac and skeletal muscle metabolism, the synthesis and degradation of proteins, lipids, ribonucleic acids, and mitochondrial function.
 Research has now focused on non-traditional cardiovascular risk factors and the roles of iron and iron deficiency (ID) in patients with cardiovascular disease.
 The Iron required for immune response, hormonal balance, and plays an important role in regulating oxidative stress and aerobic metabolism. The myocardial tissue has a mainly aerobic cellular metabolism, which depends of mitochondria's Krebs cycle enzymes that need iron as an essential cofactor. In this regard, there is some evidence that myocardial iron deficiency is highly prevalent in HF and may play a role in the progression of the disease.

Optical method to determine in vivo capillary hematocrit, hemoglobin concentration, and 3-D network geometry in skeletal muscle.

The aim of this study was to develop a tool to visualize and quantify hemodynamic information, such as hemoglobin concentration and hematocrit, within microvascular networks recorded in vivo using intravital video microscopy. Additionally, we aimed to facilitate the 3-D reconstruction of the microvascular networks. Digital images taken from an intravital video microscopy preparation of the extensor digitorum longus muscle in rats for 25 capillary segments were used. The developed algorithm was used to delineate capillaries of interest, calculate the optical density for each pixel in the image, and reconstruct the 3-D capillary geometry using the calculated light path-lengths. Subsequently, the mean corpuscular hemoglobin concentration (MCHC), hemoglobin concentration, and hematocrit for these capillaries were calculated. We evaluated the hematocrit values determined by our methodology by comparing them to those obtained using a previously published method. The hematocrit values from the proposed optical method were strongly correlated with those calculated using published methods r2 (25)=.92, p<.001, and demonstrated excellent agreement with a mean difference of 1.3% and a coefficient of variation (CV) of 11%. The average MCHC, hemoglobin concentration, and light path-lengths were 23.83g/dl, 8.06g/dl, and 3.92µm, respectively. The proposed methodology can quantify hemodynamic measurements and produce functional images for visualization of the microcirculation in vivo.

Purulent-necrotic lesions of finger tissues in cows and their effect on the physicochemical and biochemical properties of blood

A study was made of the prevalence, species structure and localization of purulent-necrotic ulcerative lesions of the tissues of the fingers in cows with a non-walking technology of keeping on a leash in stalls and loose in boxes, as well as an assessment of their effect on the physico-chemical and biochemical properties of blood. It was found that in conditions of loose housing, the number of cases of registration of purulent-necrotic defects in the tissues of the fingers of cows is 4.30% more than in conditions of tethered housing. The species structure of purulent-necrotic ulcers in loose keeping technology is represented by ulcerative defects in the tissues of the corolla and the arch of the interdigital fissure, the incidence of diagnosing which is higher by 7.14% and 4.76% than in the conditions of tethered keeping, and in the conditions of tethered technology, the most common are ulcerative defects in the tissues of the crumb and the base of the skin of the sole, the frequency of registration of which is higher by 7.16% and 7.24% than with loose technology. When evaluating the effect of registered forms of purulent-necrotic ulcerative lesions of the tissues of the fingers on the physical and chemical properties, it was found that the lowest concentration of hemoglobin is recorded with a purulent-necrotic ulcer of the base of the skin of the sole, which is less than with ulcerative defects of the crumb by 3.37%, with ulcerative defects in tissues of the interdigital fissure by 7.63%, with ulcerative defects of the corolla by 17.06%. In cows with ulcers of the base of the skin of the sole, crumb and tissues of the interdigital gap, hypochromic anemia was recorded, which is expressed in a decrease in the average hemoglobin content in the erythrocyte relative to the physiological norm by 20.70%, 14.42% and 3.51%, respectively. The revealed hypochromic anemia reduced the digital indicator of blood hematocrit relative to the threshold values of the physiological norm by 6.43%, 5.56%, 2.80%. When evaluating the effect of the established species structure of purulent-necrotic ulcerative defects in the tissues of the fingers on the biochemical composition of blood serum, it was determined that the highest concentration of total protein, aspartate aminotransferase and alanine aminotransferase is recorded in cows with purulent-necrotic ulcers in the tissues of the hoof corolla, total bilirubin - with purulent-necrotic ulcers of the base of the skin of the sole, alkaline phosphatase - with purulent-necrotic ulcers of the tissues of the interdigital fissure.

Influence of Network Multimedia Nutritional Supplements on Basketball Exercise Fatigue Based on Embedded Microprocessor

Sports can cause the consumption of energy materials in the body. The rational use of nutritional supplements can maintain the homeostasis of the organism, which plays a very important role in improving the competitive performance of sports athletes. The purpose of this study is to explore the effect of nutritional supplements on basketball sports fatigue. The method of this study is as follows: first of all, 15 basketball players in our city were selected as the experimental objects, and they were randomly divided into the experimental group and the control group. The members of the experimental group took nutrients. After the training, 6 days a week, 3 hours in the morning and 3 hours in the afternoon, and the rest was adjusted on Sunday. Before training, four weeks and eight weeks of training, the blood routine indexes and body functions of athletes were tested. The results showed that the number of red blood cells, hemoglobin concentration, and average hemoglobin concentration of ligustilide supplement of the athletes were at the level of 0.05 after 4 weeks and 8 weeks, and the difference was significant ( P &lt; 0.05 ). The nutritional supplements were used in sprint (3.4 s less), long-distance running (12.8 s less), and weight lifting (6.2 kg more) to a certain extent. Nutritional supplements are used as an auxiliary means of diet to supplement the amino acids, trace elements, vitamins, minerals, etc. required by the human body. The conclusion is that nutrition supplement can effectively improve the indexes of athletes’ body in about four weeks, but the effect is not obvious after a long time. This study provides a certain method for the research of nutritional supplements in the field of sports.

Influence of Spirulina platensis biomass in compound feed composition on the dynamics of morphological parameters of broiler chickens’ blood

The article presents data on the dynamics of morphological parameters of broiler chickens’ blood when spirulina biomass is introduced into the diet in the amount of 5 g/kg of compound feed. The use of spirulina biomass as part of the compound feed led to an increase in the number of erythrocytes, hematocrit, leukocytes, hemoglobin concentration in the birds’ blood of the experimental group during the experiment. The number and % content of agranulocytes, granulocytes, platelets, the average volume of erythrocytes and the average concentration of corpuscular hemoglobin in birds’ erythrocytes of the experimental group is characterized by uneven changes. Hematological studies revealed that in the birds’ blood of the experimental group by 42 days age, there was an increase in the number of neutrophils, basophils, platelets and an increase in the proportion of % of the content of neutrophils and basophils, and the number of lymphocytes, eosinophils and the proportion of their % content decreased.

Определение индивидуальных и средних характеристик эритроцитов нативной крови методом статической спектральной цифровой микроскопии

The method of static (non-flow) spectral digital microscopy (SSDM) method to identify, to count and to determine the standard and individual characteristics of native blood erythrocytes is suggested. The object to study was the whole donor blood diluted by saline and placed into the counting Goryaev camber. Among the standard characteristics of erythrocytes, the following were determined: the concentration of erythrocytes in a blood sample RBC (Red Blood Cells concentration), the scatter of erythrocytes by volume RDW (Red cells Distribution Width), including RDW-SD and RDW-CV, hematocrit HCT, mean erythrocyte volume MCV (Mean Cell Volume). n addition, the possibility of measuring the average hemoglobin content in erythrocyte MCH (Mean Cell Hemoglobin), MCHC (Mean Corpuscular Hemoglobin Concentration), as well as the total content of hemoglobin HGB in the blood sample (Hemoglobin) was investigated. The peculiarity of SSCM method proposed lies in the fact that it fundamentally allows to determine not only the general hematological characteristics of blood samples (RBC, RDW-SD and RDW-CV, HGB), but also the mean values of the characteristics of native blood erythrocytes (MCV, MCH, MCHC), and also, and most importantly, the individual characteristics of each erythrocyte. The latter permitted the authors to introduce a new type of erythrocyte characteristics ICV, ICH, ICHC (Individual Cell Volume, Individual Cell Hemoglobin, Individual Corpuscular Hemoglobin Concentration). In turn, this made it possible to obtain the histograms of hemoglobin distribution in erythrocytes of a blood sample along with the traditional distribution of their volumes, which can serve as an additional tool in the field of hemodiagnostics. Thus, the paper shows that SSCM method makes it possible to compile an individual metrological "passport" for each erythrocyte of the blood sample under study - this is the main feature of this work.

Determination of individual and average characteristics of native blood erythrocytes by the static spectral digital microscopy method

The method of static (non-flow) spectral digital microscopy (SSDM) method to identify, to count and to determine the standard and individual characteristics of native blood erythrocytes is suggested. The object to study was the whole donor blood diluted by saline and placed into the counting Goryaev camber. Among the standard characteristics of erythrocytes, the following were determined: the concentration of erythrocytes in a blood sample RBC (Red Blood Cells concentration), the scatter of erythrocytes by volume RDW (Red cells Distribution Width), including RDW-SD and RDW-CV, hematocrit HCT, mean erythrocyte volume MCV (Mean Cell Volume). n addition, the possibility of measuring the average hemoglobin content in erythrocyte MCH (Mean Cell Hemoglobin), MCHC (Mean Corpuscular Hemoglobin Concentration), as well as the total content of hemoglobin HGB in the blood sample (Hemoglobin) was investigated. The peculiarity of SSCM method proposed lies in the fact that it fundamentally allows to determine not only the general hematological characteristics of blood samples (RBC, RDW-SD and RDW-CV, HGB), but also the mean values of the characteristics of native blood erythrocytes (MCV, MCH, MCHC), and also, and most importantly, the individual characteristics of each erythrocyte. The latter permitted the authors to introduce a new type of erythrocyte characteristics ICV, ICH, ICHC (Individual Cell Volume, Individual Cell Hemoglobin, Individual Corpuscular Hemoglobin Concentration). In turn, this made it possible to obtain the histograms of hemoglobin distribution in erythrocytes of a blood sample along with the traditional distribution of their volumes, which can serve as an additional tool in the field of hemodiagnostics. Thus, the paper shows that SSCM method makes it possible to compile an individual metrological &amp;quot;passport&amp;quot; for each erythrocyte of the blood sample under study --- this is the main feature of this work. Keywords: erythrocyte identification, erythrocyte counting, individual characteristics of erythrocytes, static spectral digital microscopy.

COMPENSATORY AND ADAPTIVE BODY REACTIONS ON SHUTTLE TRAVEL FROM AND TO THE ARCTIC

Introduction: Effectiveness of compensatory mechanisms in adapting to environmental conditions is an important area for research in the field of human physiology yielding controversial results Aim: To study adaptation of respiratory and cardiovascular systems of men to shuttle travels between the Arctic and Central Russia. Methods: Two groups of geologists each consisting of 35 individuals comprised the sample. The complex investigation of functional systems (FS) activity was performed in Central Russia and after 2 years of work in the Arctic Data on minute respiratory volume, hemodynamic parameters and, morphofunctional features of blood were studied. Results: We observed two types of adaptation to unfavorable conditions of the North - the breathing type and the cardiovascular type of adaptation to provide adequate body supply with oxygen. In comparison with the reference values measured in Central Russia there was an increase in respiratory minute volume by 20.6 % in the breathing adaptation type group and by 19.6 % in the cardiovascular type adaptation group. Average concentration of hemoglobin increased by 1.50 and 1.85, but the difference was not significant. Conclusions: Our findings suggest that adaptation to the harsh conditions of the Arctic may occur either via mainly respiratory or mainly cardiovascular mechanisms

Assessment of the prevalence of anemia in patients with primary hyperparathyroidism: a single-center observational study

The combination of primary hyperparathyroidism (PHPT) with anemia was first described in 1931. It remains unclear whether PHPT is the direct cause of anemia, or it develops due to PHPT's complications. The frequency of PHPT--associated anemia in the Russian population is unknown. To assess the prevalence of anemia in patients with PHPT admitted to the Department of Parathyroid Glands Pathology in the Endocrinology Research Centre from January 2017 to August 2020. The study included patients with PHPT over 18 years old. A single-center observational one-stage one-sample uncontrolled study was carried out. We analyzed laboratory and instrumental data obtained during inpatient examination in accordance with the standards of medical care. Statistical analysis was performed using Statistica 13 (StatSoft, USA) and SPSS (IBM, USA) software packages. The study included 327 patients with PHPT, 28 (9%) men and 299 (91%) women. The median age was 59 years [51; 66]. 26 patients (8%) with anemia were identified. Statistically significant differences between patients with and without anemia were found only in the GFR. Comparison of patients with and without anemia didn't reveal any significant differences in the incidence of PHPT's complications.Significant differences in serum hemoglobin concentration and average hemoglobin concentration in erythrocytes were revealed between patients with and without vertebrae fractures. In the group of patients without compression fractures these parameters were higher.In the subgroup of patients with total calcium concentration above 3 mmol/L and PTH above 3 normal values, the incidence of anemia reached 21% (95% CI: 10%; 35%). Within this group we revealed tendencies to higher levels of PTH, ionized calcium and osteocalcin in patients with anemia. In general, there was no correlation between hypercalcemia, the degree of PTH elevation and the presence of anemia in patients with PHPT. However, in the subgroup of patients with severe hypercalcemia, there was a relationship between the concentration of PTH, ionized calcium and the presence of anemia. In patients with PHPT and vertebral fractures, significantly lower concentrations of blood hemoglobin and hemoglobin in erythrocytes were observed.

Relationship of erythrocyte adrenoreactivity with their quantitative and qualitative characteristics as a method for assessing the rheological properties of blood in athletes

Objective of the study: prediction of the rheological properties of blood in young men with different levels of motor activity (MA) by assessing the relationship between the adrenergic reactivity of erythrocytes (ARE) with their quantitative and qualitative parameters.Materials and methods: the study involved young men with a low (41 people) and a high level of physical activity (athletes — 20 people), aged 21–23 years. In all subjects, the total, individual characteristics of erythrocytes and ARE were determined. ERS was assessed by the change in the erythrocyte sedimentation rate (ESR) under the influence of adrenaline in vitro at final concentrations of 10–5; 10–6; 10–7; 10–8; 10–9; 10–11; 10–13 g/ml venous blood. According to the nature of the observed effect, in accordance with the direction of ESR shifts, 3 types of ARE were distinguished: increased ESR in the presence of adrenaline — aggregative (Ar, type 1); no changes — areactive (Ap, type 2); decreased ESR — antiaggregatory (AnAg, type 3).Results: in athletes, inverse correlations of the ARE types were established when exposed to stress concentrations of adrenaline (SCA) (above 10–8 g/ml) with the hemoglobin level (r = –0.59, p = 0.008), the average hemoglobin content in the erythrocyte (r = –0.55, p = 0.016), when exposed to physiological concentrations of adrenaline (PCA) (10–9 g/ml and below) — with the corpuscular volume of erythrocytes (r = –0.51, p = 0.029). In young men with a low level of MA, an inverse correlation was found between the minimum ARE values and the number of erythrocytes (r = –0.36, p = 0.01), and the maximum — with the average concentration of hemoglobin in the cell (r = 0.54, p = 0.04).Conclusion: in young men leading a sedentary lifestyle, the tendency of erythrocytes to aggregate under the influence of adrenaline increases with an increase in their number and intracellular viscosity. In athletes, the predominance of the antiaggregatory type of ARE, and, consequently, more stable rheological properties of erythrocytes and an improvement in microcirculation, are facilitated by a decrease in the size of erythrocytes and an average saturation of cells with hemoglobin.

Оценка распространенности анемий у пациентов с первичным гиперпаратиреозом: одноцентровое обсервационное исследование

BACKGROUND : The combination of primary hyperparathyroidism (PHPT) with anemia was first described in 1931. It remains unclear whether PHPT is the direct cause of anemia, or it develops due to PHPT’s complications. The frequency of PHPT-­associated anemia in the Russian population is unknown. AIM : To assess the prevalence of anemia in patients with PHPT admitted to the Department of Parathyroid Glands Pathology in the Endocrinology Research Centre from January 2017 to August 2020. MATERIALS AND METHODS : The study included patients with PHPT over 18 years old. A single-center observational one-stage one-sample uncontrolled study was carried out. We analyzed laboratory and instrumental data obtained during inpatient examination in accordance with the standards of medical care. Statistical analysis was performed using Statistica 13 (StatSoft, USA) and SPSS (IBM, USA) software packages. RESULTS : The study included 327 patients with PHPT, 28 (9%) men and 299 (91%) women. The median age was 59 years [51; 66]. 26 patients (8%) with anemia were identified. Statistically significant differences between patients with and without anemia were found only in the GFR. Comparison of patients with and without anemia didn’t reveal any significant differences in the incidence of PHPT’s complications. Significant differences in serum hemoglobin concentration and average hemoglobin concentration in erythrocytes were revealed between patients with and without vertebrae fractures. In the group of patients without compression fractures these parameters were higher. In the subgroup of patients with total calcium concentration above 3 mmol/L and PTH above 3 normal values, the incidence of anemia reached 21% (95% CI: 10%; 35%). Within this group we revealed tendencies to higher levels of PTH, ionized calcium and osteocalcin in patients with anemia. CONCLUSION : In general, there was no correlation between hypercalcemia, the degree of PTH elevation and the presence of anemia in patients with PHPT. However, in the subgroup of patients with severe hypercalcemia, there was a relationship between the concentration of PTH, ionized calcium and the presence of anemia. In patients with PHPT and vertebral fractures, significantly lower concentrations of blood hemoglobin and hemoglobin in erythrocytes were observed.

Effect Of Ligustilide Supplement On Physical Fitness Of Athletes

PURPOSE: In this study, high content ligustilide plant extract was supplemented to monitor the changes of physical fitness and physiological function of athletes, and to explore the effect of ligustilide plant extract on physical function and physical fitness of athletes. METHODS: Thirty five high-level basketball players from Zhengzhou University were selected and divided into two groups randomly: nutritional supplement group (S, n = 18) and control group (C, n = 17). This study was approved by the Ethics Committee of Zhengzhou University. Informed consent was obtained from each subject. The intervention period was 8 weeks, six days per week. The training method adopted the small cycle plate training scheme. We measured changes of the scores of rating of perceived exertion (RPE), physical fitness test (15 m running, 30 m running, 400 m running) and routine blood test (mainly including red blood cell count, hemoglobin concentration and average erythrocyte hemoglobin concentration, etc.) before and after training. RESULTS: In group S, the percentage of RPE (grade 6-11) and RPE (grade 12-18) before experiment was 37.5% and 62.5%. After 8 weeks of experiment, 62.5% of RPE (grade 6-11) and 37.5% of RPE (grade 12-18). In group C, 14% of RPE (grade 6-11), 86% of slight RPE (grade 12-18), and 100% of RPE (grade 12-18) after 8 weeks of experiment. It was found that after 8 weeks of training, the number of red blood cells, the concentration of hemoglobin and the average concentration of red blood cell hemoglobin in group S were significantly higher than those before the experiment (p = 0.011). According to the comparison of the physical fitness test results of the athletes in group S, it was found that the performance of 400 m after 4 weeks and 8 weeks was significantly higher compared with pre-experiment (p = 0.024). The changes of 30 m and 15 m were not significant different (p = 0.076, p = 0.055). The 400-meter test performance of athletes in group C was significantly higher than that before the experiment only after 8 weeks of training (p = 0.017). CONCLUSION: Ligustilide supplementation can increase the number of red blood cell and hemoglobin concentration of athletes and has a positive impact on the physical fitness of athletes and the recovery of fatigue.

Retrospective Analysis of Hematological Phenotypes in Patients with Gene Mutation and Deletion α-Thalassemia

To explore the differences between hematological phenotypes of patients with different genotypes in gene mutations and deletion α- thalassemia. By screening the α- thalassemia gene test results in the First Affiliated Hospital, Sun Yat-Sen University from January 2015 to April 2020, the patients with mutation and deletion α- thalassemia were obtained, then the differences between hematological phenotypes of patients with different genotypes were analyzed. There were 96 patients with mutation combined with deletion α- thalassemia from the results of 24 054 α- thalassemia patients screened out, including 79 patients with non-deletion Hb H disease (αTα/--SEA) and 17 patients with mild α- thalassemia (αTα/-α), the incidence was 0.42%. Except the number of red blood cells (RBC) and mean corpuscular volume (MCV), the hemoglobin (Hb) concentration, hematocrit (Ht), average red blood cell hemoglobin concentration (MCHC), average red blood cell hemoglobin amount (MCH), average red blood cell volume (MCV) of the patients with αTα/--SEA genotype were significantly lower than those with αTα/-α genotype. The Hb of the patients with αCSα/--SEA and αQSα/--SEA genotype was (86±20)g/L and (84±9)g/L, respectirely, which was significantly lower than (114±16) g/L of αWSα/--SEA genotype (P<0.05); The MCHC of patients with αCSα/--SEA and αQSα/--SEA genotype was (278.8±8.5) g/L and (282.1±21.1)g/L, respectirely, which was also significantly lower than (315.4±19.5) g/L of αWSα/--SEA genotype (P<0.05); There was no significant difference between the patients with αCSα/--SEA and αQSα/--SEA genotype in hematological phenotypes. Except MCH and MCV, there was no significant differences between the patients with αWSα/--SEA and αTα/-α genotype in RBC, Hb, and Ht. The result of Hb A2 was (2.3±0.9)% for only 27 patients who performed electrophoretic analysis. There was no significant difference between the patients with αTα/--SEA and αTα/-α genotype in Hb A2, aslo among 3 types of the patients with αTα/--SEA genotype. The hematological phenotype changes caused by αWSα/--SEA genotype are similar to those of mild α- thalassemia, and both of them are significantly lighter than those patients with αCSα/--SEA and αQSα/--SEA genotype.

Clinical utility of Abbott Alinity hq extended red blood cell parameters in differentiating β-thalassemia trait and iron deficiency anemia.

The objective of the study was to evaluate the performance of the Abbott Alinity hq advanced multi angle polarized scatter separation (MAPSSTM )-based optical RBC technology, for the differentiation between iron deficiency anemia (IDA) and β-thalassemia carrier status. Four hundred and sixty-four samples were analyzed. 228 were healthy controls, 30 were β-thalassemia carriers, and 40 were IDA. Receiver operating characteristics analysis evaluated the performance of red cell parameters and mathematical formulas. RBC concentration was the most efficient discriminant (area under the curve; AUC of 0.963, Youden Index of 0.88) followed by red blood cell distribution width in size distribution (AUC of 0.960 and YI of 0.86), and red blood cell distribution width coefficient of variation (AUC of 0.924, and YI of 0.74). The absolute reticulocyte concentration showed good diagnostic efficiency, with AUC of 0.808. Hemoglobin distribution width, the %CV of directly measured cellular hemoglobin concentration, and CHCr, the average hemoglobin concentration of reticulocytes have emerged as novel discriminating parameters, with AUC of 0.749 and 0.785, respectively. The England and Fraser index was the best discriminating mathematical formula based on Youden Index of 0.91. The Ricerca, red blood cell distribution width index, Green and King, and Mentzner Index formulas also showed strong discriminative power. The Shine and Lal index, together with the recent mathematical formula M/H, (ratio of percent microcytic and hypochromic red blood cells) demonstrated moderate performance with AUC of 0.796 and 0.740, respectively. Extended red cell analysis delivered by the advanced optical technology on the Alinity hq hematology analyzer has efficient diagnostic utility in the initial discrimination of the two most common microcytic anemias: IDA and β-thalassemia trait.

Changes of hematological indices in patients with diffuse toxic goiter

Objective. To reveal the incidence of various morphological types and degrees of the anemia severity in patients with diffuse toxic goiter.&#x0D; Materials and methods. Data of medical histories of 157 patients, operated for diffuse toxic goiter in 2012 yr were analyzed. In accordance to hematological indices estimated there were outlined two Groups of patients: Group I – 98 patients with diffuse toxic goiter and mild anemia, average age (39.4 ± 1.4) yrs old, 57 (58.2%) women and 41 (41.8%) men, and Group II – 59 patients with diffuse toxic goiter and middle degree of the anemia severity, average age (41.1 ± 1.7) yrs old, 48 (81.4%) women and 11 (18.6%) men. Levels of hemoglobin, hematocrit, quantity and average volume of erythrocytes, average content of hemoglobin in one erythrocyte, average concentration of hemoglobin in the erythrocytes were determined in the blood analysis.&#x0D; Results. Microcytic type of anemia was noted in 89.8% of patients with anemia of middle degree of severity, while a normocytic one – in 10.2%; in mild anemia – in 87.8 and 12.2% patients, accordingly. Hypochromic and normochromic types of anemia with equal rate were revealed in mild anemia and anemia of middle degree of severity: hypochromic – in 94.9%, normochromic – in 5.1% patients.&#x0D; Conclusion. Diffuse toxic goiter is characterized by more frequent development of mild (62.4%), microcytic (88.5%), hyperchromic (94.9%) anemia, caused by iron deficiency.

Dietary Determinants of Anemia in Children Aged 6-36 Months: A Cross-Sectional Study in Indonesia.

Anemia has been acknowledged as worldwide problem, including in Indonesia. This cross-sectional study aims to explore dietary determinants as risk factors for anemia in children aged 6–36 months living in a poor urban area of Jakarta. The study was done in Kampung Melayu sub-district in Jakarta, Indonesia. Data was collected within two weeks in September–October 2020. A structured questionnaire for a 24-h recall and a semi-quantitative Food Frequency Questionnaire (FFQ) were used to collect the dietary intake data, and venous blood was withdrawn to determine the hemoglobin levels. Bivariate chi-square and multiple logistic regression tests were executed to explore the dietary determinant factors for anemia. We recruited 180 subjects. The average hemoglobin concentration was 11.4 ± 1.7 mg/dL; the anemia prevalence was 29.4%. The following variables were significantly associated with higher risk of anemia: no cow’s milk formula consumption, inadequate intake of fats, protein, calcium, vitamin D, iron, zinc, vitamin A, vitamin C, vitamin B6, and vitamin B12. Only cow’s milk formula consumption and zinc intake were revealed as the determinant factors of anemia. In conclusion, the prevalence of anemia was 29.4% among children aged 6–36 months old. Anemia was significantly associated with two dietary determinants as risk factors that are cow’s milk formula consumption and zinc intake.

The Role of Plant-Based Protein Functional Food in Preventing Acute Respiratory Disease: A Case Study.

The Kaliningrad region is known for its specific climate, which can negatively affect the adaptive potential of the body. This manifests in an increased incidence of respiratory diseases and skin conditions. To prevent high morbidity, a plant protein product was included in the diet of first-year university students. This study aimed to assess the effectiveness of this food intervention in preventing the most common diseases among Kaliningrad students. Two groups of university students took part in the food trial. In the control group, catabolic processes prevailed in nutrient metabolism. Disadaptation manifested itself in the metabolism of proteins, vitamins, minerals, hematopoiesis and humoral immunity. Inflammation was indicated by α1- and α2-globulins, a weak immune response, and IgM and IgG. High oxidative stress and low antioxidative ability of blood serum were observed. The plant-based protein product (FP) helped preserve testosterone level and prevent an increase in catabolic reactions. Moreover, it had a positive effect on both red blood cell hematopoiesis (a smaller increase in the average volume of erythrocytes, the same average concentration and content of hemoglobin, an increased relative red cell distribution width (RDW) and white blood cell hematopoiesis (a beneficial effect for the immune system: lymphocytes, the relative content of neutrophils, monocytes, basophils and eosinophils). The stimulation of humoral immunity was evidenced by beta- and gamma-globulins, an active immune response, the level of IgM and IgG, antioxidant protection, reduction of peroxides and an increase in antioxidant activity of blood serum. The 34-week observation showed a 1.7-fold decrease in the incidence of respiratory illnesses and a 5.7-fold decrease in skin and subcutaneous tissue diseases. Acute respiratory infections were reduced 1.8-fold. There were no cases of community-acquired pneumonia in the treatment group, compared with 55.1‰ in the control group. The incidence of respiratory diseases was 3.3–10.6 times lower in the treatment group than in the control group in weeks 6–19. The findings testify to the prophylactic effect of functional food during social adaptation and acclimatization of students.