Blood Hemoglobin Concentration Research Articles

Predicting mortality within 1 year of ART initiation in children and adolescents living with HIV in sub-Saharan Africa: a retrospective observational cohort study

Differentiated service delivery (DSD) for children and adolescents living with HIV can improve targeted resource use. We derived a mortality prediction score to guide clinical decision making for children and adolescents living with HIV. Data for this retrospective observational cohort study were evaluated for all children and adolescents living with HIV and initiating antiretroviral therapy (ART); aged 0-19 years; and enrolled at Baylor clinics in Eswatini, Malawi, Lesotho, Tanzania, and Uganda between 2005 and 2020. Data for clinical prediction, including anthropometric values, physical examination, ART, WHO stage, and laboratory tests were captured at ART initiation. Backward stepwise variable selection and logistic regression were performed to develop predictive models for mortality within 1 year of ART initiation. Probabilities of mortality were generated, compared with true outcomes, internally validated, and evaluated against WHO advanced HIV criteria. The study population included 16 958 children and adolescents living with HIV and initiated on ART between May 18, 2005, and Dec 18, 2020. Predictive variables for the most accurate model included: age, CD4 percentage, white blood cell count, haemoglobin concentration, platelet count, and BMI Z score as continuous variables, and WHO clinical stage and oedema, abnormal muscle tone and respiratory distress on examination as categorical variables. The area under the curve (AUC) of the predictive model was 0·851 (95% CI 0·839-0·863) in the training set and 0·822 (0·800-0·845) in the test set, compared with 0·606 (0·595-0·617) for the WHO advanced HIV criteria (p<0·0001). This study evaluated a large, multinational population to derive a mortality prediction tool for children and adolescents living with HIV. The model more accurately predicted clinical outcomes than the WHO advanced HIV criteria and has the potential to improve DSD for children and adolescents living with HIV in high-burden settings. National Institute of Health Fogarty International Center.

The GWAS SNP rs80207740 modulates erythrocyte traits via allele-specific binding of IKZF1 and targeting XPO7 gene.

Genome-wide association studies have identified many single nucleotide polymorphisms (SNPs) associated with erythrocyte traits. However, the functional variants and their working mechanisms remain largely unknown. Here, we reported that the SNP of rs80207740, which was associated with red blood cell (RBC) volume and hemoglobin content across populations, conferred enhancer activity to XPO7 gene via allele-differentially binding to Ikaros family zinc finger 1 (IKZF1). We showed that the region around rs80207740 was an erythroid-specific enhancer using reporter assays, and that the G-allele further enhanced activity. 3D genome evidence showed that the enhancer interacted with the XPO7 promoter, and eQTL analysis suggested that the G-allele upregulated expression of XPO7. We further showed that the rs80207740-G allele facilitated the binding of transcription factor IKZF1 in EMSA and ChIP analyses. Knockdown of IKZF1 and GATA1 resulted in decreased expression of Xpo7 in both human and mouse erythroid cells. Finally, we constructed Xpo7 knockout mouse by CRISPR/Cas9 and observed anemic phenotype with reduced volume and hemoglobin content of RBC, consistent to the effect of rs80207740 on erythrocyte traits. Overall, our study demonstrated that rs80207740 modulated erythroid indices by regulating IKZF1 binding and Xpo7 expression.

#1431 Risk factors of adverse cardiovascular events in the early postoperative period in kidney transplant recipients

Abstract Background and Aims Kidney transplantation improves quality of life and increases life expectancy in patients with Stage 5 Chronic Kidney Disease. However, the frequency of adverse cardiovascular events in the postoperative period remains high and reduces the effectiveness of transplantation. The aim was to study the incidence of cardiovascular risk factors in the preoperative period in kidney transplant recipients with adverse cardiovascular events in the early postoperative period. Method The study included 51 kidney transplant recipients whose age was 46.1 ± 4.6 years. 12 (23.5%) recipients had adverse cardiovascular events (acute myocardial infarction, unstable angina, rhythm disturbance, complicated hypertensive crisis) in the early postoperative period. 39 (76.5%) recipients with uncomplicated postoperative period formed the comparison group. The study groups were comparable by gender and age. Results Traditional cardiovascular risk factors were assessed. The study groups had comparable rates of arterial hypertension, obesity, hyperglycemia, dyslipidemia and smoking in the preoperative period and graft function in the postoperative period. The study groups didn't have significant differences in the incidence of anemia and hemoglobin blood concentration. But the erythropoietin blood level in the preoperative period in recipients with adverse cardiovascular events was higher—38.5 (23.5-155.0) mU/mL versus 16.0 (10.0-32.0) mU/mL, p &amp;lt; 0.01, and hypererythropoietinemia was diagnosed more often—58.3% (n = 7) versus 25.6% (n = 10), p &amp;lt; 0.05, than in patients without cardiovascular events. The incidence of elevated interleukin-6 blood level in the preoperative period was higher in recipients with adverse cardiovascular events—25.0% (n = 3) versus 5.1% (n = 2), p &amp;lt; 0.05. At the same time C-reactive protein levels and white blood cell counts were not significantly different. Recipients with adverse cardiovascular events had a lower left ventricular ejection fraction—59.5 ± 10.6% versus 65.6 ± 7.1%, p &amp;lt; 0.05, and a higher incidence of left ventricular diastolic dysfunction in the preoperative period—75.0% (n = 9) versus 35.9% (n = 14), p &amp;lt; 0.05, than in recipients without cardiovascular complications. Conclusion Kidney transplant recipients with adverse cardiovascular events in the early postoperative period had a higher incidence of left ventricular diastolic dysfunction, increased blood levels of erythropoietin and interleukin-6 and a lower left ventricular ejection fraction before transplantation than recipients with an uncomplicated postoperative period.

Theoretical Evaluation of Simultaneous Optical Measurement Method for Hemoglobin Concentration, Oxygen Saturation, and Water Percentage in Blood Based on Multi-parameter Optimization

Theoretical Evaluation of Simultaneous Optical Measurement Method for Hemoglobin Concentration, Oxygen Saturation, and Water Percentage in Blood Based on Multi-parameter Optimization

Extreme elevational migration spurred cryptic speciation in giant hummingbirds

The ecoevolutionary drivers of species niche expansion or contraction are critical for biodiversity but challenging to infer. Niche expansion may be promoted by local adaptation or constrained by physiological performance trade-offs. For birds, evolutionary shifts in migratory behavior permit the broadening of the climatic niche by expansion into varied, seasonal environments. Broader niches can be short-lived if diversifying selection and geography promote speciation and niche subdivision across climatic gradients. To illuminate niche breadth dynamics, we can ask how "outlier" species defy constraints. Of the 363 hummingbird species, the giant hummingbird (Patagona gigas) has the broadest climatic niche by a large margin. To test the roles of migratory behavior, performance trade-offs, and genetic structure in maintaining its exceptional niche breadth, we studied its movements, respiratory traits, and population genomics. Satellite and light-level geolocator tracks revealed an >8,300-km loop migration over the Central Andean Plateau. This migration included a 3-wk, ~4,100-m ascent punctuated by upward bursts and pauses, resembling the acclimatization routines of human mountain climbers, and accompanied by surging blood-hemoglobin concentrations. Extreme migration was accompanied by deep genomic divergence from high-elevation resident populations, with decisive postzygotic barriers to gene flow. The two forms occur side-by-side but differ almost imperceptibly in size, plumage, and respiratory traits. The high-elevation resident taxon is the world's largest hummingbird, a previously undiscovered species that we describe and name here. The giant hummingbirds demonstrate evolutionary limits on niche breadth: when the ancestral niche expanded due to evolution (or loss) of an extreme migratory behavior, speciation followed.

Does the Anastomosis Recipient Vessel Have an Influence on Free Flap Perfusion in Microvascular Head and Neck Reconstruction-A Retrospective Analysis of 338 Cases with Comparison of Flap Perfusion between Different Arterial and Venous Recipient Vessels in Radial Free Forearm Flaps, Anterolateral Thigh Flaps, and Fibula Free Flaps.

Background: Flap perfusion is a prerequisite for microvascular free flap survival and a parameter routinely used for flap monitoring. The aim of this study was to investigate the influence of the anastomosis recipient vessel on flap perfusion. Methods: Flap perfusion was retrospectively analyzed in 338 patients who underwent head and neck reconstruction with microvascular free flaps between 2011 and 2020. The Oxygen-to-see tissue oxygen analysis system measurements for intraoperative and postoperative flap blood flow, hemoglobin concentration, and hemoglobin oxygen saturation at 8 and 2 mm tissue depths were compared between arterial anastomosis recipient vessels (external carotid artery [ECA], facial artery [FAA], lingual artery [LIA], and superior thyroid artery [STA]) and venous anastomosis recipient vessels (internal jugular vein [IJV], combination of IJV and IJV branches, IJV branches, and external jugular vein). Results: The postoperative hemoglobin concentration at 2 mm tissue depth differed significantly between arterial anastomosis recipient vessels (ECA, 41.0 arbitrary units [AU]; FAA, 59.0 AU; LIA, 51.5 AU; STA, 59.0 AU; p = 0.029). This difference did not persist in the multivariable testing (p = 0.342). No other differences in flap blood flow, hemoglobin concentration, or hemoglobin oxygen saturation were observed between the arterial and venous anastomosis recipient vessels (p > 0.05 for all). Conclusions: The arterial and venous recipient vessels used for anastomosis did not influence microvascular free flap perfusion. This underlines the capability of the studied recipient vessels to adequately perfuse free flaps, may explain the observed indifferent flap survival rates between commonly used anastomosis recipient vessels, and implies that the recipient vessel is not a confounding variable for flap monitoring with the Oxygen-to-see tissue oxygen analysis system. Further prospective studies are needed to confirm the findings.

Performance of the non-invasive point-of-care device, EzeCheck, for haemoglobin assessment in adults and children in community and institutional care settings.

Anaemia is a major public health problem, especially in resource constrained settings. Dependency on assessment of blood hemoglobin (Hgb) concentration impedes anemia detection, risk stratification and intervention. Thus, valid, frugal and scalable technologies are needed. EzeCheck is a noninvasive portable device developed in India for predicting hemoglobin levels in human beings aged 4 years and above using a finger-tip biosensor. In this assessment, we aimed to: (i) evaluate EzeCheck's performance with an automated whole blood hemato-analyzer (Sysmex XN 1000) as the gold standard, and (ii) estimate EzeCheck's agreement with Sahli's method and HemoCue (Hb-301) in real-world primary and higher care facilities. Paired assessments were done at five sites across India i.e., Bhubaneshwar, Shimla, Solan and Mashobra and Ulhasnagar. Participants across all age groups (4 years and above) were assessed. We used a range of statistical tests to evaluate the performance of EzeCheck. It was found that EzeCheck performed well across age and gender categories with convincing validity, concordance, precision and accuracy, and acceptable bias. While comparing EzeCheck with Hemato-analyzer, no statistically significant systematic bias was found. However, EzeCheck showed significant systematic bias when compared to Sahli's method and HemoCue. We concluded that EzeCheck could detect anemia (as per WHO Hgb cut-offs) in 'real-world settings' and 'across age and gender categories', with high sensitivity, specificity and accuracy, and can serve as a replacement to traditional methods of hemoglobin assessment. Further, for countries with higher prevalence of anemia where universal screening may be mandated, the positive predictive value of EzeCheck will be higher. The likelihood ratios also indicated that the device had moderate-to-good utility. EzeCheck is suitable for embedment into program and out-patient health care settings in resource constrained contexts as a spot-check hemoglobinometer.

86 Assessment of sow hemoglobin concentration and its impact on farrowing duration

Abstract Prolonged farrowing duration may have detrimental effects on sows, leading to physical strain and potential complications post farrowing. Severe hypoxia experienced by piglets during farrowing can result in stillbirths or birth of weak piglets, increasing the likelihood of pre-weaning mortality. While the prevalence of anemia in sows has recently gained attention, the consequences of this condition are not yet well understood. Blood concentration of hemoglobin (Hb) has a role in oxygen carrying capacity and thus may influence the resilience of a sow during farrowing. Evaluating Hb in sows before farrowing could offer insights for improving sow welfare and reducing pre-weaning mortality. The primary objective of this study was to examine the relationship between sow Hb and farrowing duration. A total of 57 sows (n = 5, 6, 29, and 17 of parity 1, 2, 3, and 4, respectively) were monitored for Hb using a Hemocue Hb 201+ handheld Hb monitor where sow blood samples were collected before farrowing (on d 112) and between 40 and 48 h after farrowing (i.e., on d 2) from an ear vein using a 20 G needle. Sows were categorized as anemic (Hb &amp;lt; 10 g/dL) or non-anemic (Hb ≥ 10 g/dL) based on their Hb at d 112. Among sows that were evaluated, 25 were classified as non-anemic- and 32 were classified as anemic. Surveillance cameras were employed to record the farrowing process for each sow, accompanied by human observation. The time of birth for each piglet was recorded to calculate average birthing interval. Within 12 h of birth, all piglets were weighed individually. Stillborn piglets were identified using a lung flotation test conducted within 1 h of birth. The correlation between sow Hb, farrowing duration, stillborn piglets, and total piglets born was evaluated using the PROC CORR procedure and Proc Mixed in SAS was used to test the effect of Hb category on farrowing duration with total piglets born as a covariate. A negative correlation was observed between pre-farrow Hb and farrowing duration (r = -0.62, P &amp;lt; 0.0001). No correlation was observed between farrowing duration and total born (r = 0.22, P = 0.11). However, a significant weak correlation was found between farrowing duration and stillborn piglets (r = 0.32, P = 0.01). Anemic sows had prolonged farrowing duration (7.2 h ± 0.92 min, P = 0.0005) compared with non-anemic sows (3.5 h ± 0.88 min, P = 0.0005). There was no difference in litter size (16.41 ± 0.7 vs 16.3 ± 0.7) for anemic and non-anemic sows, respectively. These findings highlight the importance of sow Hb status at farrowing and indicate sows with decreased Hb may experience prolonged farrowing duration. Strategies to identify anemic sows before farrowing may reduce stillborn rate and improve sow resilience after farrowing.

PSIV-14 Assessing sow and suckling pig hemoglobin status in a single lactation following one or two iron supplementations of piglets in a commercial farm

Abstract Newborn piglets are typically anemic at birth [defined as blood hemoglobin concentration (Hb) &amp;lt; 10 g/dL] and sow’s milk contains negligible amounts of iron; common commercial practice is one dose of injectable iron in the first week of life. However, a considerable proportion of piglets have decreased Hb at weaning which may have implications on post-wean performance. Thus, there is interest in additional iron supplementation before weaning. The primary objective of this study was to evaluate the impact of one or two iron supplementations on offspring performance. A total of 172 sows (parity 1 to 8) and litters (n = 2,378 piglets) were assigned in a randomized complete block design to Control [piglets received one injectable iron dose (400 mg)], SUPoral (injectable iron as Control plus oral iron supplement at 1oz/litter per day for 8 d before weaning), or SUPinject (injectable iron as Control plus 100 mg 7 d before weaning). According to barn stand protocol, the first iron dose was provided to all piglets on d 7 after the initiation of farrowing. Sow Hb status was determined at entry to farrowing house and weaning; -Hb status of all born alive piglets was measured within 28 of birth and at weaning. Analysis of variance compared the effect of iron supplementation, parity, and their interaction on piglet Hb status. Sow Hb at entry (9.3, 10.4, and 9.6 g/dL ± 0.15, respectively) was less (P &amp;lt; 0.001) for parity 4-8 sows than parity 1, with parity 2-3 intermediate and no difference between parity groups at weaning (9.5 g/dL ± 0.16). Litter size at birth (total or born alive) and preweaning mortality did not differ between treatments. Piglet Hb at birth was not different between treatments; however, 85% of piglets from parity 4-8 sows were deemed anemic at birth compared with 72 and 76% in parity 1 and 2-3 sows, respectively (P &amp;lt; 0.05). Immediately before additional iron supplementation, Control piglets had lower (P &amp;lt; 0.0001) Hb than SUPoral and SUPinject piglets (7.4 vs 8.0 and 8.1 g/dL ± 0.12, respectively). At weaning, there were no differences in piglet Hb by iron supplementation treatments (11.4 g/dL ± 0.07). However, the percentage of piglets within a litter deemed anemic at weaning was greater (30%; P &amp;lt; 0.011) in parity 4-8 sows compared with parity 1 sows at 13%. There was no difference in piglet body weight at weaning between treatment groups or by parity grouping. In this study, additional iron supplementation before weaning had minimal impact on piglet iron status or growth. The decreased Hb at entry in older sows combined with greater proportion of anemic piglets at birth or weaning suggests greater attention to sow iron intake may be warranted.

250 Effects of premix carriers rich in iron, calcium, or fiber on growth performance of early-growing pigs

Abstract The study was to evaluate the effect of premix carriers rich in iron (sand), calcium (limestone), or fiber (rice hull) on growth performance of early-growing pigs. A total of 215 pigs [initial body weight (BW) = 39.90 ± 5.06 kg) were randomly allotted to 3 dietary treatments containing 2% of different premix carriers: sand, limestone, or rice hull (30% crude fiber) using initial BW and sex as blocks (5 to 6 pigs per pen, 14 pens per treatment). The total Ca in sand, limestone, and rice hull were 4.28, 39.52, and 0.27 %, respectively, with Fe levels of 2.39, 0.20, and 0.05%, respectively. The analyzed total Ca level of the experimental diet containing sand, limestone, or rice hull was 0.69, 0.71, or 1.88 %, the analyzed total P level was 0.49, 0.49, or 0.48 %, and the analyzed total Fe level was 305, 633, or 347 ppm, respectively with 144 ppm of Fe from FeSO4·H2O in each diet. During the 28 d of the experiment, BW, feed disappearance, and fecal scores (ranging from 0 to 3 with 3 indicating watery feces) were recorded. Blood and feces were collected at the end of the experiment to measure the ATTD of dry matter (DM) and CP, serum iron concentration, hemoglobin, and red blood cell count. Data were analyzed by ANOVA using the Mixed Procedure of SAS with different premix carriers as the fixed effect. Limestone reduced the average daily gain (ADG; P &amp;lt; 0.05, 0.871 vs. 0.965 and 0.935 kg/d), increased feed conversion ratio (FCR; P &amp;lt; 0.05, 2.55 vs. 2.33 and 2.36), and aggravated diarrhea severity as reflected by greater fecal scores (P &amp;lt; 0.05, 1.53 vs. 1.18 and 1.19) compared with sand and rice hull as carriers. The ATTD of both DM and CP in pigs fed a premix with sand as a carrier were greater than that in rice hull- or limestone-treated pigs (P &amp;lt; 0.05, DM: 86.7 vs. 77.7 or 74.1%; CP: 86.1 vs. 75.0 or 73.3%). Furthermore, pigs fed a premix containing sand exhibited the greatest serum iron concentrations among treatment groups (sand, limestone, and rice hull: 2.81, 1.93, and 1.69 mg/L). However, no significant difference was observed in red blood cell count or hemoglobin concentrations among groups. In sum, excessive limestone in premix can negatively affect growth performance and fecal consistency, whereas using sand rich in iron as a carrier in premix exerted minimal impact on nutrient digestibility as opposed to limestone or rice hull.

Intraprostatic Injection of Tranexamic Acid Decrease Blood Loss during Monopolar TURP: A Randomized Controlled Clinical Trial

ObjectiveTo assess the role of intraprostatic injection of tranexamic acid (TXA) in reducing blood loss during transurethral resection of the prostate (TURP). MethodsWe conducted a randomized, controlled, double-blind trial involving 60 patients with benign prostatic hyperplasia (BPH) aged 50–85 years, undergoing monopolar TURP. Patients' prostatic weights ranged from 50 to 80 grams. They were divided equally into two groups: Group I received an intraprostatic injection of 1 gram of TXA (Cyklokapron) dissolved in 50 ml of 0.9% saline at multiple sites, while Group II (control) received a 60 ml saline injection. Comprehensive clinical assessments and standard laboratory tests, including screenings for TXA hypersensitivity, were performed for all patients. ResultsGroup I exhibited significantly lower intraoperative blood loss and hemoglobin concentration in irrigation fluid immediately post-surgery and at the 6-hour postoperative mark compared to Group II (P < 0.05). Coagulation parameters—activated partial thromboplastin time (APTT), prothrombin time (PT), fibrinogen level (FB), and thrombin clotting time (TT)—showed no significant differences between the groups preoperatively or at 6 and 24 hours postoperatively. No thromboembolic events or other complications were reported in either group. ConclusionThe intraprostatic injection of TXA during monopolar TURP is safe, with minimal adverse effects, and effectively reduces blood loss.

The Application of Optical Sensors with Built-in Anchor-like Cavities in the Detection of Hemoglobin Concentration

This paper introduces a refractive index sensor based on Fano resonance, utilizing a metal–insulator–metal (MIM) waveguide structure with an Anchor-like cavity. This study utilizes the finite element method (FEM) for analyzing the propagation characteristics of the structure. The evaluation concentrated on assessing how the refractive index and the structure’s geometric parameters affect its sensing characteristics. The designed structure demonstrates optimum performance, achieving a maximum sensitivity of 2440 nm/RIU and an FOM of 63. Given its high sensitivity, this nanoscale refractive index sensor is ideal for detecting hemoglobin concentrations in blood, and the sensor’s sensitivity is 0.6 nm·g/L, aiding in clinical prevention and treatment.

Effect of Maternal Flavour Conditioning Combined with Organic and Inorganic Iron-Supplemented Creep Feed on Piglet Performance and Haemoglobin Status.

Iron injections are vital but imperfect against iron deficiency anaemia (IDA). This experiment explored the effects on piglets of maternal flavour conditioning and the voluntary intake of anise flavoured, iron-supplemented creep feed compared with iron injections. The experiment was a 2 × 2 factorial arrangement: ±maternal exposure to dietary anise flavour and ±intramuscular injections of piglets. Twenty-three sows and their litters (242 piglets) were randomly allocated to one of four treatments (n = 5 or 6 per treatment): no flavour plus no injection (NF + NI); no flavour plus iron injection (NF + I); flavour plus no injection (F + NI); and flavour plus iron injection (F + I). All piglets could access anise flavoured, iron-supplemented creep feed (organic and inorganic forms) from D2 of birth. Sow feed intake and milk anethole concentration, piglet body weight (BW) and average daily gain (ADG), creep feed disappearance, piglet behavioural time budgets, and piglet blood glucose and haemoglobin concentrations were determined. Over the four-week study, the only significant differences found were that iron-injected piglets had reduced blood glucose (p = 0.036) on D14 and that maternal flavour provision increased the frequency of piglet creep feed interaction (p = 0.023) and decreased the frequency of suckling events (p = 0.009). In summary, maternal flavour conditioning reduced piglet creep feed neophobia without influencing consumption. The supplementation of creep feed with iron and anise flavour to piglets under the conditions of this trial was effective in preventing IDA, regardless of exposure to maternal flavouring conditioning.

Evaluation of the Therapeutic Impact of Probiotic-Enriched Orange and Pomegranate Juices on Some Health Parameters in Diarrhea-Induced Laboratory Rats

This research endeavor was undertaken to craft a functional beverage by blending orange and pomegranate juices, enriched with the inclusion of therapeutic probiotic strains, specifically Lactobacillus acidophilus, Lactobacillus plantarum, and Lactobacillus rhamanous. A comprehensive assessment was conducted to investigate the physicochemical, microbial, and sensory characteristics of the resulting beverage. Furthermore, we explored the potential health benefits of this fortified beverage within a rat model afflicted with E. coli infection, focusing on its influence on blood parameters and lipid profiles in male rats. The research findings revealed the presence of four distinct bacterial strains, namely Staphylococcus hominis, Staphylococcus aureus, E. coli, and Enterococcus gallinarum, in natural juices obtained from local markets in Tikrit. Regarding the physicochemical properties and bacterial counts in the manufactured juices, the results indicated a decline in pH levels and total sugar content over time, coupled with an increase in total acidity during refrigerated storage of functional juices. Additionally, the enumeration and viability of fortifying bacteria surpassed the prescribed probiotic threshold in the tested juice varieties. Sensory evaluation outcomes demonstrated the overall acceptability of the manufactured juices. The research findings demonstrated that E. coli-induced diarrhea led to a significant elevation (P<0.05) in key blood parameters, including white blood cell and platelet counts (12.63 and 747 mm^3/liter), along with a notable reduction in red blood cell counts and hemoglobin concentration (6.0 and 13.1 mm^3/liter, respectively). However, oral administration of functional juices resulted in a decrease in white blood cell and platelet counts and an increase in red blood cell counts and hemoglobin concentration across all measured parameters. Regarding lipid profiles, the diarrheal group exhibited elevated levels of detrimental lipid markers, including cholesterol, triglycerides, and low-density lipids (73.59, 71.61, and 14.8, respectively), accompanied by reduced high-density lipoproteins concentration (31.5). Conversely, treatment with oral doses of functional juices led to a reduction in these adverse lipid indicators for all treatment groups.

Efficacy of nano-curcumin on nicotine-induced genotoxicity and immunomodulatory disruption in protein- malnourished female rats

Background: Aggravated DNA damage and immunomodulatory disruptions by nicotine are more prominent in female populations under protein-restricted conditions. Females are more susceptible to nicotine-induced complications due to their low innate immunity. Anti-inflammatory and anti-genotoxic curcumin, though it effectively works against nicotine-induced complications, still its therapeutic use is hindered due to its poor aqueous solubility and low bioavailability. Nano-curcumin would be a better therapeutic agent because of its increased aqueous solubility and higher bioavailability than curcumin. Materials: This study investigates the effects of nicotine (2.5 mg/kg body weight injected subcutaneously for 21 days) on genotoxicity and immunomodulatory disruptions in female rats maintained under a protein-restricted diet (5% casein) and determines the ameliorative efficacy of nano-curcumin after one hour of nicotine dosage. Results: It is observed that nicotine decreases hemoglobin content in blood and DNA content in tissues. It causes severe DNA damage and disrupts the immune system and endocrine functions under protein-restricted conditions. Nano-curcumin ameliorates the nicotine-mediated genotoxic effects, maintains the female sex hormone levels, and restores the normalcy of immune responses in protein-restricted diet rats more efficiently than curcumin. Conclusion: Nano-curcumin looks like a potential blocker of nicotine, which may be used as a prospective therapeutic herbal agent to protect the health of the protein-malnourished female population.

Anemia is Associated with Mortality and Higher Hospitalization Rates in Elderly Patients Receiving Home Care: A Prospective Cohort Study

Aim: Our study aims to evaluate the relationship of anemia with all-cause hospitalization and mortality in elderly patients receiving home care. Methods: Our study was designed as a prospective cohort and was carried out with patients aged 65 and above who received home care services. Demographic data of the participants, chronic diseases, drug utilization, activities of daily living, and laboratory tests were recorded. Our research was completed by recording the number of hospitalizations due to all causes and mortality data in the year following the recording of the patient data. Results: In total, 341 patients were included in our study. The mean age was 80.62±8.74. Anemia prevalence was specified to be 65.4% (n=223). During the one-year follow-up period, 157 (46.0%) patients were hospitalized at least once. Mortality developed at a rate of 20.2% (n=69). After adjusting for confounding factors, it was determined that anemia was associated with hospitalization and mortality. A weak negative and significant correlation was determined between the hemoglobin concentration in the blood and the one-year hospitalization frequency. In patients who developed mortality, blood hemoglobin concentration was found to be significantly lower. Conclusion: Anemia was detected to be independently associated with hospitalization and mortality in elderly patients receiving home care. As the hemoglobin concentration in the blood decreases in the elderly group, the rate of hospitalization increases. Patients who develop mortality have significantly lower hemoglobin levels than those who survive. Keywords: anemia, home care services, aged, mortality, hospitalization

Growth and Health Response to Dietary Supplementation of Pineapple Peel Extract in Labeo Rohita (Hamilton, 1822) Fingerlings

ABSTRACT: The introduction of protease enzyme supplementation in the early stages of fish can address protease deficiency, thereby promoting increased protein digestion and overall organismal well-being. This study focuses on evaluating the influence of Ananas comosus peel extract (AcPE) on the growth, biochemical profile, and haematological characteristics of Labeo rohita fingerlings. Over a 45 day period, L. rohita fingerlings were fed a basal diet enriched with AcPE (at a ratio of 1:2 extract to feed), with observations taken at 15-day intervals. The control group received the basal diet without AcPE. The findings highlight an overall enhancement in growth parameters among the experimental group fingerlings that were fed the AcPE-supplemented diet, with the exception of length gain, when compared to the control group. Examination of the fingerlings' biochemical profiles revealed a significantly higher protein and amino acid content, while carbohydrate and lipid content remained relatively stable within the two groups. In terms of haematological profiles, a noteworthy increase in total red blood cell count and haematocrit value was observed, while white blood cell count and haemoglobin concentration did not exhibit significant variations. This study underscores the potential benefits of incorporating AcPE into the basal diet as an eco-friendly approach for waste management, while simultaneously enhancing the growth and health of L. rohita fingerlings.

Label-free biosensor on chip (BoC) based on localized surface plasmon resonance for monitoring temperature and blood hemoglobin concentration

On-chip localized surface plasmon resonance (LSPR) biosensor on chip (BoC) is a type of label-free biosensor that utilizes the plasmonic resonances of metal nanostructures to detect changes in the refractive index of the local environment. This results in changes in the intensity and wavelength of the surface plasmon resonance, which can be used to quantify the presence and concentration of biomolecules such as proteins, nucleic acids, and cells. In this paper, we propose a novel on-chip device with a microfluidic channel that contains the biological fluid under test. We have obtained sharp resonance peaks in the wavelength range between 700–800 nm with a sensitivity of 509 nm R−1IU−1 which is good compared to other on-chip devices. The main advantage of our design is the less complex manufacturing process compared to other BoCs. Our design consists of a central cavity that is surrounded by silver and consists of rectangular pillar-shaped silver particles placed in the cavity. Two very promising applications of this device are label-free temperature sensing and blood hemoglobin (Hb) concentration sensing with a resolution of 0.222 nm/°C for temperature and 1. 34 nm/(g/dL) for Hb. However, it can be used for any kind of sensing application that involves refractive index changes as the sensing platform.

Polygonatum sibiricum Saponin Prevents Immune Dysfunction and Strengthens Intestinal Mucosal Barrier Function in Cyclophosphamide-Induced Immunosuppressed BALB/c Mice.

The aim of this study was to explore the immunomodulatory effect of Polygonatum sibiricum saponin (PS) in a cyclophosphamide-induced (Cy) immunosuppression mice model. Oral administration of PS by gavage effectively alleviated weight loss caused by Cy and increased the index of immune organs. PS promoted the proliferation of splenic lymphocytes and T cell subsets (CD3+, CD355+, CD4+/CD8+) and relieved the xylene-induced inflammatory response and Cy-induced increase of serum hemolysin. Moreover, PS increased serum levels of lactate dehydrogenase and acid phosphatase. PS elevated serum level of cytokines and immunoglobulins (TNF-α, IFN-γ, IL-4, IL-6, IL-β, SIgA, and IgG) and the expression of mRNA of IL-10, TNF-α, and IL-6 in the spleen. Increased mRNA expression of tight junction protein (ZO-1, Mucin2, Occludin) expression and protein expression of IL-6/MyD88/TLR4 in the small intestine showed that PS exhibited a restorative effect on intestinal mucosal injury caused by cyclophosphamide. Oral PS prevented Cy-induced decline in leukocytes, red blood cells, lymphocytes, hemoglobin concentrations, and neutrophils, providing evidence for alleviating hematopoietic disorders. In addition, PS increased SOD and NO levels, reduced MDA levels, and improved oxidative damage in the liver. These findings demonstrate that PS has the potential to be developed as a supplemental agent for alleviating immunosuppression caused by chemotherapeutic agents.

Differential responses of cerebral and renal oxygenation to altered perfusion conditions during experimental cardiopulmonary bypass in sheep.

We tested whether the brain and kidney respond differently to cardiopulmonary bypass (CPB) and to changes in perfusion conditions during CPB. Therefore, in ovine CPB, we assessed regional cerebral oxygen saturation (rSO2 ) by near-infrared spectroscopy and renal cortical and medullary tissue oxygen tension (PO2 ), and, in some protocols, brain tissue PO2 , by phosphorescence lifetime oximetry. During CPB, rSO2 correlated with mixed venous SO2 (r = 0.78) and brain tissue PO2 (r = 0.49) when arterial PO2 was varied. During the first 30 min of CPB, brain tissue PO2 , rSO2 and renal cortical tissue PO2 did not fall, but renal medullary tissue PO2 did. Nevertheless, compared with stable anaesthesia, during stable CPB, rSO2 (66.8 decreasing to 61.3%) and both renal cortical (90.8 decreasing to 43.5 mm Hg) and medullary (44.3 decreasing to 19.2 mm Hg) tissue PO2 were lower. Both rSO2 and renal PO2 increased when pump flow was increased from 60 to 100 mL kg-1 min-1 at a target arterial pressure of 70 mm Hg. They also both increased when pump flow and arterial pressure were increased simultaneously. Neither was significantly altered by partially pulsatile flow. The vasopressor, metaraminol, dose-dependently decreased rSO2 , but increased renal cortical and medullary PO2 . Increasing blood haemoglobin concentration increased rSO2 , but not renal PO2 . We conclude that both the brain and kidney are susceptible to hypoxia during CPB, which can be alleviated by increasing pump flow, even without increasing arterial pressure. However, increasing blood haemoglobin concentration increases brain, but not kidney oxygenation, whereas vasopressor support with metaraminol increases kidney, but not brain oxygenation.