Blood Composition Research Articles

TUDY OF CHRONIC TOXICITY OF AN IMPROVED A-SILICONE IMPRESSION MATERIAL PRODUCED IN UKRAINE

The objective of this study is to evaluate the potential toxic effects of an improved A-silicone impression material with decorative properties on the organs and mucous membranes of laboratory animals. Materials and Methods The experiment was conducted on white laboratory rats aged 9 months and weighing 230–285 g. Findings indicate that prolonged contact (30 days) with the material does not result in significant changes in the function of major organ systems in these laboratory rats. Results. A single exposure of laboratory rats to A-silicone impression material with disinfectant properties did not cause significant changes in the physiological state of the animals. Weights of internal organs, including the liver, spleen, heart, and adrenal glands, remained within normal limits, indicating that the material had no toxic effects. The analysis of the peripheral blood composition did not reveal any abnormalities in the number of red blood cells, leukocytes, hemoglobin and other cellular components. The functional state of the liver and kidneys, including the activity of the enzymes AlаT and AсаT, levels of total protein, albumin, creatinine and urea, remained stable and did not change under the influence of the material. There was also no effect on carbohydrate metabolism. No abnormalities in protein synthesis and nitrogen excretion functions were detected, which confirms the safety of the material during the 30-day observation. Conclusion. It was established that this material in the tested dose does not affect the enzyme-synthetic function of the liver and does not exhibit cytolytic effects. The material was found to have no toxic impact on liver function with prolonged use, nor does it cause statistically significant deviations in the measured indicators between the control and experimental groups. The absence of sugar, ketones, and protein in the urine indicates no adverse effect on the renal nitrogen-excreting and saluretic functions, as well as on the vital organs of the rats.

Hematological Changes in Pre and Post Dialysis in Patients Undergoing Hemodialysis: A Comparative Study at Zawia Hospital

Chronic kidney disease (CKD) is a common condition that affects millions of people worldwide, and is responsible for high morbidity and mortality rates. The progression of CKD is associated with several serious complications and changes in blood composition. Thus, patients with CKD require dialysis to manage the disease. This study assessed the impact of haemodialysis on changes in pre and post haematological parameters in CKD patients. A cross-sectional study was carried out at Al-Zawiya Dialysis Hospital in Libya. Sixty patients with CKD were regularly undergoing haemodialysis three times a week. Data were analysed by SPSS 24.0 version. The study shows significant differences in blood parameters before-dialysis and after-dialysis levels. The mean WBC 6.22 × 10^3/µL to 6.03 × 10^3/µL, (p = 0.0045), the mean RBC 3.56 × 10^6/µL to 3.66 × 10^6/µL, (p = 0.001), the mean HCT in pre and post-haemodialysis was 32.01% to 32.71% (p = 0.018), the mean Haemoglobin 10.11 g/Dl in pre - dialysis to 10.32 g/dL post - dialysis (p = 0.027 ), the mean MCV 90.24 fL to 89.69 fL ,(p < 0.0001), the mean MCH in pre and MCH in pre and post-haemodialysis post- haemodialysis was 28.58 pg to 28.5 pg,(p < 0.0001), the mean MCHC in pre and post-haemodialysis (p = 0.003), and PLT was 241.08 × 10^3/µL to 240.46 × 10^3/µL in pre and post-haemodialysis, (p = 0.002). The different degrees of abnormality in haematological parameters in patients with renal disease under haemodialysis need careful evaluation and management. Routine assessment of these parameters is important in treatment and can help lower morbidity and mortality rates among these patients

МЕДИКО-БІОЛОГІЧНІ ОСНОВИ ВПЛИВУ ФІЗИЧНИХ ВПРАВ НА ЗБЕРЕЖЕННЯ ЗДОРОВ’Я СТУДЕНТСЬКОЇ МОЛОДІ

The article examines the medical and biological basis of the influence of physical exercises on the health of student youth. Literary sources related to the topic of the study were analyzed. The problem is described in its general form, which concerns the way of life of modern student youth. It is noted that only in-depth knowledge of the medical and biological influence will help to form students' desire and motivation to engage in physical exercises, as well as to observe the basics of a healthy lifestyle. The morpho-functional changes occurring in the human body during physical exercises are revealed. The division of the organism's reserves into biological and social is presented. The functional effects of exercises on life expectancy is described. A comparative analysis of the influence of motor activity and hypokinesia on the human body was carried out. The basics of adaptation of individual body systems to physical exertion are revealed, namely: changes in the composition and physicochemical properties of blood and the circulatory system, functional effects of adaptation of the respiratory system, features of adaptation of the digestive and metabolic systems, as well as functional effects of adaptation of neurohumoral regulation systems. In the process of research, it was concluded that it is difficult to overestimate the medical and biological impact of physical exercises on the process of preserving the health of student youth, since physical activity affects the human body in a complex way, on all its systems, processes of exchange and accumulation of functional reserves. It was concluded that with the help of physical exercises you can achieve many positive effects and affect the overall life expectancy of a person. Prospects for further research in this direction are seen in determining the level of awareness of student youth in the issues of medical and biological bases of the influence of physical exercises on preserving their own health, as well as finding new approaches for working with students in this direction in order to achieve the formation of sustainable motivation for physical activities exercises and adherence to the basics of a healthy lifestyle.

Long-term oxygen treatment in chronic respiratory failure

Chronic respiratory failure (CRF) is the leading cause of mortality in patients with pulmonary diseases. One of the key treatments for CRF is long-term oxygen therapy (LTOT). The main purpose of LTOT is to improve the quality of life, increase physical performance, reduce the frequency of exacerbations and mortality of patients. It is recommended to use oxygen therapy for at least 15–16 hours a day, and if there is no effect, increase this time to 24 hours. Indications for LTOT have remained unchanged for a long time. The decision on the appointment of LTOT should be based on three-fold results of the gas composition of arterial blood, and the assessment of gas exchange parameters can be made only after stabilization of the condition (3–4 weeks after exacerbation). It is also worth considering the possibility of hypercapnia in patients and the likelihood of aggravation of the patient’s condition due to oxygen-induced hypercapnia and respiratory acidosis. Despite the existence of numerous studies concerning the use of LTOT, most of them have been conducted on patients with COPD, which creates the need for a deeper study of the effectiveness of this method in patients with other diseases. The use of long-term oxygen therapy has a positive effect on the quality of life, physical performance, the frequency of exacerbations, hospitalizations and patient survival. There are various methods of oxygen delivery, which allows the use of LTOT not only at rest, but also when moving the patient over long distances. It is important to note that in addition to prescribing LTOT, patients need to change their lifestyle, stop smoking, and receive adequate drug therapy for the underlying disease.

Discover QTLs for the level of blood components in Shaoxing duck using GWAS and haplotype sharing analysis

Blood composition is indicative of health-related traits such as immunity and metabolism. The use of molecular genetics to investigate alterations in these attributes in laying ducks is a novel approach. Our objective was to employ genome − wide association studies (GWAS) and haplotype − sharing analysis to identify genomic regions and potential genes associated with 11 blood components in Shaoxing ducks. Our findings revealed 35 SNPs and 1 SNP associated with low-density lipoprotein cholesterol (LDL) and globulin (GLB), respectively. We identified 36 putative candidate genes for the LDL trait in close proximity to major QTLs and key loci. Based on their biochemical and physiological properties, TRA2A, NPY, ARHGEF26, DHX36, and AADAC are the strongest putative candidate genes. Through linkage disequilibrium analysis and haplotype sharing analysis, we identified three haplotypes and one haplotype, respectively, that were significantly linked with LDL and GLB. These haplotypes could be selected as potential candidate haplotypes for molecular breeding of Shaoxing ducks. Additionally, we utilized a bootstrap test to verify the reliability of GWAS with small experimental samples. The test can be accessed at https://github.com/xuwenwu24/Bootstrap-test.

Exploring Botanical Innovations in Fish Aquaculture: A Review of Biological Impacts and Industry Prospects

Culture fisheries play a crucial role in providing protein-rich sustenance for the expanding global population. However, the intensification of fish farming comes with a downside – heightened stress among fish, which subsequently escalates the risk of disease transmission. The emergence of resilient bacterial populations and the accumulation of residues in body tissues due to the use of drugs and chemicals have underscored the necessity for the development of environmentally friendly and durable solutions. Notably, there has been a recent upsurge in interest regarding the use of botanical products to enhance aquaculture practices. Plant derived secondary metabolites have demonstrated their efficacy in stimulating appetite, facilitating growth, boosting immune responses, and exhibiting antibacterial as well as anti-parasitic properties within the realm of aquaculture. This article aims to comprehensively examine the body of research on the application of plant-derived products in pisciculture, elucidating their effects on various biological aspects of fish, including growth patterns, immune system functionality, pigmentation, blood composition, and reproductive parameters. Furthermore, the article also delivers inputs into an assessment of the current status of these practices, the methodologies deployed, and the challenges encountered in integrating plant-based solutions into the aquaculture industry.

Effects of dapagliflozin on body composition and its relation to hemodynamics in heart failure with preserved ejection fraction: the CAMEO-DAPA randomized clinical trial

Abstract Background Excess fat, particularly visceral fat, plays an important role in the development of heart failure with preserved ejection fraction (HFpEF). Sodium glucose cotransporter-2 inhibitors improve hemodynamics, reduce symptom severity, and decrease risk of hospitalization, but their impact on body composition, as well as potential relationships between changes in body composition and hemodynamic effects, are unknown in HFpEF. Purpose Evaluate the effect of dapagliflozin on body and blood composition and examined the potential correlation of such changes on cardiac hemodynamics. Methods The CAMEO-DAPA trial, a single-center, double-blind, randomized, placebo-controlled study, showed that 24 weeks of dapagliflozin reduced resting and exercise pulmonary capillary wedge pressures (PCWP) in patients with HFpEF. This prespecified secondary analysis reports the effects of dapagliflozin on body composition using dual energy x-ray absorptiometry (DEXA), blood composition (radiolabeled iodinated albumin), and cardiac hemodynamics using high-fidelity micromanometers. Analysis was performed based on the intention-to-treat. Relative change was calculated by dividing the absolute change on the baseline value. Results Overall, 37 patients (67 years, 65% women, 70% with obesity, 27% overweight) completed the trial. As compared with baseline, dapagliflozin decreased total body fat compared with placebo [mean (SD) absolute change: -2.29 (2.94) kg vs -0.32 (1.84) in placebo, p=0.03; relative change: -4.6% (5.4) vs -0.8% (4.3), p=0.02], Figure 1. This was primarily due to greater loss of upper body trunk fat [absolute change: -1.53 (1.70) kg vs +0.31 (0.99) in placebo, p<.001; relative change: -5.2% (5.6) vs +1.1% (4.1), p<.001], Figure 1. Reductions in trunk fat were correlated with decreases in PCWP (r=0.41, p=0.03), Figure 2. Total body fat-free mass (FFM) tended to decrease in the dapagliflozin group [absolute change: -0.63 (1.85) kg vs +0.34 (1.76), p=0.12]; reductions in leg, android, and gynoid FFM were all greater than placebo (p<0.05). Dapagliflozin reduced plasma volume [absolute change: -170 (343) ml vs +112 (346), p=0.02] compared with placebo, and the decrease in plasma volume was correlated with the reduction in FFM (r=0.47, p=0.006), Figure 2. Treatment with dapagliflozin had no effect on resting metabolic rate but was associated with modest reduction in bone mineral content [-16 (47) g vs +26 (61), p=0.03]. Conclusions In patients with HFpEF, dapagliflozin decreases body fat, particularly trunk fat, suggesting greater effect on visceral adipose, which is correlated with favorable hemodynamic effects. Dapagliflozin also tends to reduce FFM, which may relate to reduction in total body water with or without reduction is muscle mass, in tandem with modest decreases in bone mineral content.Figure 1:Relative change in fat massFigure 2

Effects of Oregano Aromatic Water (Oreganum onites L.) Supplementation on Diets of Lactating Dairy cows on Milk Production Performance, Metabolic Health and Antioxidative Defense Mechanism

This study aimed to validate the effect of oregano aromatic water (OAW) on blood parameters, oxidative stress, and production and composition of milk when used as a feed additive. Thirty lactating Holstein cows (average 570 kg), average 74 days in milk and 2.44 lactation number, were randomly divided into three groups for a period of 60-days. These groups included: (G1) control ration, (G2) control ration + OAW (10 mg/kg of DM), (G3) control ration + OAW (20 mg/kg of DM). Milk production (MP) were unaffected by OAW doses (P>0.05). The supplementation of OAW did not affect the milk composition, and somatic cell count (SCC) (P>0.05). OAW supplementation did not affect blood biochemical values except ketone and glucose. The glucose value increased as the ketone decreased with OAW supplementation (P<0.05). The hematological blood values were not found to be significant. OAW significantly decreased Total oxidant capacity (TOC) and oxidative stress index (OSI) while increasing Total antioxidant capacity (TAC). The current study's findings indicated that OAW can be used as a feed additive to improve cow health and milk production.

The relationship of hemorheological blood values and blood velocity of microcirculatory bloodstream in rats` skin vessels

Non-invasive study of blood rheology is relevant, but quite complex issue. When systemic blood viscosity and hematocrit levels deviate, blood flow indicators in different parts of microvasculature change. Purpose of the study – research of blood flow characteristics in skin microcirculatory bloodstream of rats obtained by high-frequency ultrasound Dopplerography (HFUD) with given changes in rheological blood indicators. The studies were carried out on pubescent male Wistar rats. 3 experimental groups were formed. Group 1 (n = 21) “Hemodilution” – viscosity 1.99 ± 0.02 mPa*s, hematocrit 31.48 ± 0.31%. Group 2 (n = 32) “Reference values” – animals with unchanged blood levels – viscosity 2.84 ± 0.03 mPa*s, hematocrit 41.60 ± 0.3%. Group 3 (n = 32) “Erythrocytosis” – viscosity 3.95 ± 0.04 mPa*s, hematocrit 54.56 ± 0.23%. Dynamic blood viscosity in vitro studies were carried out on oscillatory viscometer. In order to evaluate hematocrit level heparinized whole blood was centrifuged in glass capillaries using; hematocrit values were assessed taking into account sedimentation of formed elements column using a hematocrit reader card. Blood flow in skin microcirculatory bloodstream of rats` left thigh area was estimated by HFUD method using Minimax-Doppler-K hardware and software system, with ultrasound transducer (frequency 20 MHz). Statistical analysis showed the models are correct. Blood indicators of the animals in three experimental groups differed statistically and significantly in terms of blood viscosity and hematocrit. Discriminant analysis was used to determine the relations between rheological blood parameters and characteristics of blood velocity in microcirculatory bloodstream which made it possible to identify the most significant characteristics of blood flow that tend to change depending on altered blood composition. These include: mean systolic velocity Vas (p 0.01), mean velocity Vam (p 0.001), mean volume velocity Qam (p 0.001), vascular resistance index RI (p 0.01) and the percentage of blood cells moving in low-speed H' (p = 0.03). The reliability of selected characteristics was checked with one-way analysis of variance; and their significance in determining membership in “Hemodilution”, “Reference values” or “Erythrocytosis” groups according to HFUD data was confirmed. Based on this analysis classification functions were generated for non-invasive dynamic blood viscosity determination according to ultrasound Dopplerography data.

Hydroxyprolyl-Glycine in 24 H Urine Shows Higher Correlation with Meat Consumption than Prolyl-Hydroxyproline, a Major Collagen Peptide in Urine and Blood.

Background. Urinary collagen peptides, the breakdown products of endogenous collagen, have been used as biomarkers for various diseases. These non-invasive biomarkers are easily measured via mass spectrometry, aiding in diagnostics and therapy effectiveness. Objectives. The objective of this study was to investigate the effects of consuming collagen-containing meat on collagen peptide composition in human blood and urine. Methods. Ten collagen peptides in 24 h urine were quantified. Results. Prolyl-hydroxyproline (Pro-Hyp) was the most abundant peptide. Except for hydroxyprolyl-glycine (Hyp-Gly), levels of other minor collagen peptides showed high correlation coefficients with Pro-Hyp (r = 0.42 vs. r > 0.8). Notably, 24 h urinary Hyp-Gly showed a correlation coefficient of r = 0.72 with meat consumption, significantly higher than the coefficient for Pro-Hyp (r = 0.37). Additionally, the levels of Pro-Hyp and Hyp-Gly in the blood of seven young women participants increased similarly after consuming fish meat, while before ingestion, only negligible amounts of Hyp-Gly were present. To examine which peptides are generated by the degradation of endogenous collagen, mouse skin was cultured. The amount of Pro-Hyp released from the skin was approximately 1000-fold higher than that of Hyp-Gly. Following consumption of collagen-containing meat, both Pro-Hyp and Hyp-Gly are released in blood and excreted into urine, although Pro-Hyp is primarily generated from endogenous collagen even under physiological conditions. Conclusions. Therefore, in 24 h urine samples, the non-negligible fraction of Pro-Hyp is contributed by endogenous collagen, making 24 h urine Hyp-Gly level a potential biomarker for evaluating meat consumption on the day.

Regular Exercise Training Induces More Changes on Intestinal Glucose Uptake from Blood and Microbiota Composition in Leaner Compared to Heavier Individuals in Monozygotic Twins Discordant for BMI

Background/Objectives: Obesity impairs intestinal glucose uptake (GU) (intestinal uptake of circulating glucose from blood) and alters gut microbiome. Exercise improves intestinal insulin-stimulated GU and alters microbiome. Genetics influence the risk of obesity and gut microbiome. However, the role of genetics on the effects of exercise on intestinal GU and microbiome is unclear. Methods: Twelve monozygotic twin pairs discordant for BMI (age 40.4 ± 4.5 years, BMI heavier 36.7 ± 6.0, leaner 29.1 ± 5.7, 8 female pairs) performed a six-month-long training intervention. Small intestine and colonic insulin-stimulated GU was studied using [18F]FDG-PET and microbiota from fecal samples with 16s rRNA. Results: Ten pairs completed the intervention. At baseline, heavier twins had lower small intestine and colonic GU (p < 0.05). Response to exercise differed between twins (p = 0.05), with leaner twins increasing colonic GU. Alpha and beta diversity did not differ at baseline. During the intervention, beta diversity changed significantly, most prominently at the mid-point (p < 0.01). Beta diversity changes were only significant in the leaner twins when the twin groups were analyzed separately. Exercise was associated with changes at the phylum level, mainly at the mid-point (pFDR < 0.05); at the genus level, several microbes increased, such as Lactobacillus and Sellimonas (pFDR < 0.05). In type 1 analyses, many genera changes were associated with exercise, and fewer, such as Lactobacillus, were also associated with dietary sugar consumption (p < 0.05). Conclusions: Obesity impairs insulin-stimulated intestinal GU independent of genetics. Though both twin groups exhibited some microbiota changes, most changes in insulin-stimulated colon GU and microbiota were significant in the leaner twins.

Dr Richard Davies (1708–1761): Reform, Contagion, Blood and Inflammation

Though he is nearly forgotten today, Dr Richard Davies (FRS 1738–41) was an innovative medical writer, a controversial educational reformer, and a path-breaking haematologist. His research on the composition of human blood, especially the formation of a ‘buffy coat’ in fevers, anticipated the better-known work of William Hewson and may have contributed a greater understanding of the behaviour of blood in health and disease, the effects of inflammation, and the outcomes of venesection. Davies had hoped that his works would contribute to a larger discussion made possible by a new community of better-educated medical researchers, but his ambition was thwarted, his claim to intellectual property was ridiculed, and his work did not receive the credit it deserved. This article reviews Davies’s life and works and suggests some explanations for his obscurity.

MODERN PARAMETERS OF LABORATORY EXPRESS DIAGNOSTICS IN INTENSIVE NEUROLOGY AND NEUROSURGICAL PRACTICE IN PATIENTS WITH CRANIOCEREBRAL INJURIES

The parameters listed in the article show the huge path that laboratory express diagnosis of emergency conditions in neurology has taken over the past 50 years. And this is not the limit - new unique technologies appear. The range of measured and calculated parameters continues to expand, which makes it possible to more fully and adequately assess the condition of a critically ill patient. Thus, a timely and qualitative study of the gaseous composition of blood is important for carrying out differential diagnosis, prescribing adequate treatment and monitoring the therapy effectiveness. The aim of the study was to highlight the current parameters of laboratory rapid diagnostics in intensive neurology and neurosurgical practice in patients with traumatic brain injury. There are two situations that necessitate the development of rapid methods for monitoring hemostasis in the neurological intensive care unit and neurosurgical operating room: the need to immediately determine the concentration or biological effect of anticoagulants. Some areas of surgical intervention are associated with increased blood loss due to coagulopathy, which requires timely replacement therapy. A long process of determining hemostatic parameters by routine methods in a general laboratory leads to a delay in diagnosis and, as a result, untimely treatment. Quite a few express methods designed to obtain specific information about the hemostasis process are currently available in the operating room. If these monitoring methods are used correctly, the research results are reliable, so some researchers use them to develop algorithms for determining the need for transfusion of blood components. However, the development of new monitoring methods requires close collaboration with scientists specialized in hemostasis, plus quality control must be established. It is necessary to prove the positive effect of rapid diagnostic methods on the result to ensure the possibility of their wide application in various operations.

Effect of highly-active antiretroviral therapy on neuroendocrine regulation of immunogenesis in HIV-infected children

Comparative assay has been made against the parameters of the immune and endocrine systems in 84 HIV-infected children born from HIV-infected mothers. One group of analyzed children (36 patients) did not receive highly-active antiretroviral therapy. Another group (48 patients) received different variants of highly-active antiretroviral therapy. Children aged from 1 to 182 months were examined. Venous blood samples taken from young patients were used to determine leukocyte blood composition considering the relative (%) and absolute number of blood cell counts. Hormone concentration was determined concurrently. CD-molecule expression by mononuclear cells was registered using flow cytofluorimeter. Plasma viral load in HIV-infected children was quantitatively detected with RT-PCR. Statistically significant lowering in the levels of free thyroxin, cortisol and progesterone was observed in children against a background of highly-active antiretroviral therapy as compared to those without HAART use. Correlation assay between the hormone level and the immunological parameters in children not receiving the antiretroviral preparations revealed marked positive correlations among the somatotropic hormone level and CD3+, CD4+ and CD8+ absolute numbers. Similar positive correlation with absolute T-subset number was found against free T4. The progesterone level also positively correlated with relative CD3+ and CD8+ numbers and showed negative correlation with absolute CD4+ amount. There is another positive correlation with relative T-subset number against the dehydroepiandrosterone level in the group of children without antiretroviral preparation therapy. As for HIV-infected group of children, against a background of highly-active antiretroviral therapy, the results of correlation assay between the hormone concentrations and cell parameters were found to significantly vary. There were observed positive correlations between the levels of cortisol and CD3+ (%), cortisol and CD8+ (%), estradiol and CD4/CD8, progesterone and absolute CD8+ number. As with children not receiving the antiretroviral preparations marked positive relation was revealed between the concentration of free thyroxin and absolute values of CD4+. Negative correlations were recorded between the estradiol level and the relative CD3+ numbers. Against a background of applying the antiretroviral preparations the correlation assay conducted between the viral RNA concentration (lg of copy number of mRNA/ml) and analyzed endocrinological parameters was found to have marked positive correlation with HIV concentration demonstrated by estradiol and testosterone. During the antiretroviral therapy, however, the negative correlation between the thyrotropin level and lg concentration of viral RNA was observed. Analytical results of correlation among the viral RNA concentration (lg copy number of mRNA/ml) and analyzed immunological parameters in this group of children evidence for specific ‘normalization’ due to highly-active antiretroviral therapy as the only positive correlation with virus concentration was detected for CD4+T subsets. Therefore, the alteration in endocrine system state in children born from HIV-infected mothers could be of great significance while monitoring the systemic regulation of the immunogenesis.

Effects of anticoagulants time storage on stable isotope values of crocodilians’ blood tissues

ABSTRACT Rapid coagulation of reptile blood often hinders its use in studies in remote and difficult-to-access areas, necessitating chemical preservation. Therefore, understanding the potential effects of anticoagulants on the isotopic compositions of blood is essential to avoid issues in interpreting the results for ecological studies. In this study we aimed to verify whether the storage time of the blood tissue in anticoagulants can influence its isotopic compositions of the broad-snouted caiman (Caiman latirostris), an ectothermic top predator from eastern South America. Blood samples were obtained from ten adult females of C. latirostris from a commercial breeding facility in 2015. Samples were stored in vials containing ethylenediaminetetraacetic acid (EDTA) and sodium heparin (SH) and centrifuged after 2 and 8 h to separate red blood cells and plasma. No effect of time was found on the δ13C and δ15N of whole blood, plasma, and red blood cells in contact with the two types of anticoagulants, EDTA and SH. The findings have practical implications for researchers in this field, as they suggest that anticoagulants can be used effectively for at least eight hours under refrigeration.

Venous intracerebral hemorrhage hypotheses: Hydrostatic pressure-induced bleeding mechanism and comparative analysis with arterial hemorrhage

This study establishes a hypothesis on cerebral venous thrombosis (CVT)-induced intracerebral hemorrhage (ICH), emphasizing distinctive computer tomography (CT) imaging features indicative of venous origin hemorrhages—characterized by lower CT values, diffuse cloud-like appearances, and indistinct borders, attributed to the dynamics of venous bleeding and plasma-dominated blood composition. It further delineates the unique propagation pattern of venous ICH, favoring slow diffusion through white matter tracts rather than entering sulci or breaching the arachnoid membrane, and highlights the susceptibility of specific brain regions due to their venous architecture. Contrasting these findings with arterial ICH, the paper argues for the need for tailored diagnostic and therapeutic approaches. It concludes with a discussion on future research directions, focusing on the development of novel diagnostic tools and treatment modalities specific to venous ICH.

Highly sensitive SPR based PCF sensor for broader analyte detection range including blood compositions detection

In this manuscript, a photonic crystal fiber (PCF) based sensor working on surface plasmon resonance (SPR) concept, which is polished at both the sides and consisting of semi-circular grooves is presented for the detection of a broad range of analytes with refractive index (RI) from 1.17 to 1.40. Also, the analysis is carried out for the diagnosis of different blood compositions such as water, plasma, white blood cells (WBCs), hemoglobin (HB) and red blood cells (RBCs). Plasmonic material gold is coated in the semi-circular grooves, which causes the strong SPR effect due to reduced distance between core and analyte resulting in excellent detection of the analytes. Thus, the optimum wavelength sensitivity and resolution in the case of broad analyte range detection with RI from 1.17 to 1.40 is obtained as 13000 nm/RIU and 7.7×10−6 RIU respectively. Also, blood composition detection using the proposed sensor results in excellent sensing performance with the maximum wavelength sensitivity for hemoglobin-RBCs as 11,500 nm/RIU with finer resolution of 8.69×10−6 RIU.

Unresolved alterations in bile acid composition and dyslipidemia in maternal and cord blood after ursodeoxycholic acid treatment for intrahepatic cholestasis of pregnancy.

This study uncovers that despite ursodeoxycholic acid treatment, intrahepatic cholestasis of pregnancy (ICP) is associated with increases in the ratio of cholic acid to chenodeoxycholic acid in both maternal and cord blood, suggesting ongoing dysregulation of bile acid metabolism. The high cholic to chenodeoxycholic acid ratio is correlated with maternal dyslipidemia and high cord blood lipids. These findings may inform more targeted approaches to managing ICP.

А COMPREHENSIVE STUDY OF PATIENTS WITH ISCHEMIC HEART DISEASE: AGE, GENDER, AND COMORBIDITY ASPECTS

The purpose of the study was to analyze the clinical characteristics, comorbid status, individual biochemical indicators, and systemic inflammation activity in patients with ischemic heart disease (IHD) depending on age, gender distribution, and diagnosis influence.Materials and methods. The study included 144 patients with IHD, who were divided into two groups – the main and the control. The main group comprised 120 patients with stable angina pectoris (SAP) II-III functional class (FC). The control group consisted of 24 patients with STEMI. All patients underwent a comprehensive examination: general clinical, anthropometric, laboratory (complete blood count, biochemical analysis), and instrumental (office blood pressure measurement, heart rate, and echocardiography). The comorbid profile of patients with IHD was assessed using the Charlson comorbidity index. The severity of systemic inflammation syndrome in the selected patient groups was assessed by the cellular composition of peripheral blood upon admission to the hospital, and based on the obtained data, the values of leukocyte inflammatory markers were calculated.Results. Patients in the main group were younger than those in the control group (54.78 ± 1.11 vs. 63.50 ± 1.82) (p<0.001). A statistically significant predominance of men over women was found among the cohort of IHD patients (63.33% and 36.67%, respectively) (p<0.001), with a tendency towards male predominance among patients with SAP II-III FC compared to those with STEMI (p = 0.074). Patients in the main group compared to those in the control group had significantly higher left ventricular ejection fraction (p<0.001), systolic blood pressure (p<0.001), and diastolic blood pressure (p=0.001). In the control group compared to the main group, more cases of patients with high levels of comorbidity were found (p<0.001). Lower levels of creatinine, fibrinogen, prothrombin time, and glucose were observed in patients in the main group. Patients with SAP II-III FC compared to those with STEMI had lower levels of leukocyte inflammatory markers, such as neutrophil-to-lymphocyte ratio (NLR) (p<0.001), systemic immune inflammation index (SII) (p=0.002), systemic inflammation response index (SIRI) (p=0.007), and aggregate index of systemic inflammation (AISI) (p=0.011).Conclusions. The study underscores the need for an individualized approach to each patient with ischemic heart disease, considering their age, gender, and comorbid characteristics, as well as laboratory peculiarities, to improve therapy outcomes and prevent complications.

Assessing the Impact of Hematological Changes in Pregnancy on Maternal and Fetal Death: A Narrative Review.

Hematological changes during pregnancy encompass a wide range of alterations in blood composition and function, including variations in hemoglobin levels, red blood cell count, and coagulation factors. These changes can be physiological or pathological and may significantly impact maternal and fetal health outcomes. This narrative review examines the relationship between various hematological changes and disorders during pregnancy and their effects on maternal and fetal mortality and morbidity. We explore conditions such as anemia, sickle cell disease, thrombophilia, and blood-borne infections like malaria, as well as the impact of multiple pregnancies on hematological parameters. The review also discusses the effects of COVID-19 on maternal hematology. Key findings include the high prevalence of adverse perinatal outcomes associated with these conditions, including early miscarriages, preterm birth, low birth weight, intrauterine growth restriction, and increased risk of maternal complications. The importance of early screening, diagnosis, and appropriate management of hematological disorders during pregnancy is emphasized. This review highlights the need for a multidisciplinary approach to managing pregnant women with hematological changes to optimize maternal and fetal outcomes.