Red Cell Hemoglobin Research Articles

Predicting the onset of metabolic syndrome in a cohort study using a logistic regression model

Introduction: Metabolic syndrome (MetS) is a complex condition manifested as a group of metabolic disorders and is associated with the prevalence of certain diseases. Early prediction of MetS risk in the middle-aged population can be effective in controlling and preventing cardiovascular diseases. This study aimed to use logistic regression to predict metabolic syndrome and identify risk factors related to this condition. Method: This cohort study investigated factors associated with metabolic syndrome in the Mashhad study, which included a total of 11,570 participants. Factors that increase the relative risk of metabolic syndrome were evaluated using logistic regression, and predictive modeling was performed using logistic regression. Results: The results of the analysis using the logistic regression model showed that some factors, such as body mass index, history of high blood lipids, history of high blood pressure, and diabetes, increased the risk of metabolic syndrome. Various indicators, such as inactivity, high blood urea level, red blood cell hemoglobin content, aging, female gender, high levels of liver gamma-glutamyl transferase, and blood uric acid increase the risk of developing metabolic syndrome. Conclusion: It seems that body mass index, history of diabetes, and heart disease are related to the relative risk of developing the MetS syndrome compared to the other indicators, such as history of blood lipids, sedentary blood pressure, blood urea, uric acid, and hemoglobin content of red blood cells. These findings were obtained using the logistic regression model.

Inflammation Burden and Atrial Fibrillation Burden: A Bidirectional Relationship.

Atrial fibrillation (AF) burden is defined as the proportion of time the patient remains in AF over a given period of time; thus, it is theoretically highest in permanent AF and lowest in paroxysmal AF. Inflammation is associated with the initiation and maintenance of AF. However, the relationship between systemic immune-inflammation index (SII) and AF burden is unknown. In the present study, we investigated the relationship between SII and AF burden. The present study is a cross-sectional analysis of 453 patients (252 females and 201 males, aged 44 to 94 years) with AF (138 with paroxysmal AF and 315 with permanent AF) who visited the cardiology outpatient clinic between October 2022 and June 2023. SII was calculated as (neutrophils × platelets/lymphocytes). The predictive role of SII and other inflammatory markers in the likelihood of AF pattern was evaluated by logistic regression analyses, and p value < 0.05 was considered statistically significant. Age, diastolic blood pressure, heart rate, diabetes mellitus, neutrophil, platelet-to-lymphocyte ratio, neutrophil-to-lymphocyte ratio, SII, C-reactive protein, red blood cell distribution width, hemoglobin A1c, and left atrial diameter were significantly higher in the permanent AF group. According to the logistic regression analysis, age (p = 0.038), diabetes mellitus (p = 0.024), red blood cell distribution width (p = 0.023), C-reactive protein (p = 0.010), SII (p = 0.001), and left atrial diameter (p < 0.001) significantly contributed to the prediction of the likelihood of permanent AF. SII is independently associated with the AF burden. Prospective studies are needed to determine whether SII may be useful in identifying patients at high risk for AF progression.

Effects of chlorpyriphos on haematological parameters in freshwater fish Anabas testudineus

Haematological measures are frequently employed as stress indicators in fish and to evaluate their overall health. This study evaluated the sublethal effects of the organophosphate insecticide chlorpyriphos on a number of haematological parameters in freshwater fish, specifically Anabas testudineus. Based on comparisons between control and experimental groups exposed to sublethal amounts of chlorpyrifos (0.125 and 0.250) at 7, 14, and 21 days, the effect was evaluated. Red blood cell counts, haemoglobin levels, WBC, and thrombocyte counts were found to decline as chlorpyrifos concentrations and days increased. White blood cell counts rose on the seventh day of exposure but fell on the fourteenth and twenty-first days when chlorpyrifos concentrations rose. According to the study, chlorpyrifos had a major negative effect on the fish's health, and haematological measures might be used as a diagnostic tool to determine whether A. testudineus has been exposed to chlorpyrifos.. KEYWORDS :A. testudineus, Chlorpyrifos, haemoglobin, Rbc, Wbc, haematological.

Impact of red blood cell transfusion and hemoglobin threshold on 1-year mortality among surgical sepsis survivors: A propensity score matching study

BackgroundDespite the fact that red blood cell (RBC) transfusion is commonly applied in surgical intensive care unit (ICU), the effect of RBC transfusion on long-term outcomes remains undetermined. We aimed to explore the association between RBC transfusion and the long-term prognosis of surgical sepsis survivors. MethodsThis retrospective study was conducted on adult sepsis patients admitted to a tertiary surgical ICU center in China. Patients were divided into transfusion and non-transfusion groups based on the presence of RBC transfusion. Propensity score matching (PSM) and inverse probability of treatment weighting (IPTW)were performed to balance the potential confounders. ResultsA total of 1421 surgical sepsis survivors were enrolled, including 403 transfused patients and 1018 non-transfused patients. There was a significant difference in 1-year mortality between the two groups (23.1 ​% vs 12.7 ​%, HR: 1.539, 95 ​% confidence interval [CI]: 1.030–2.299, P ​< ​0.001). After PSM and IPTW, transfused patients still showed significantly increased 1-year mortality risks compared to non-transfused individuals (PSM: 23.6 ​% vs 15.9 ​%, HR 1.606, 95 ​% CI 1.036–2.488 ​P ​= ​0.034; IPTW: 20.1 ​% vs 12.9 ​%, HR 1.600, 95 ​% CI 1.040–2.462 ​P ​= ​0.032). Among patients with nadir hemoglobin below 70 ​g/L, 1-year mortality risks in both groups were similar (HR 1.461, 95 ​% CI 0.909–2.348, P ​= ​0.118). However, among patients with nadir hemoglobin above 70 ​g/L, RBC transfusion was correlated with increased 1-year mortality risk (HR 1.556, 95 ​% CI 1.020–2.374, P ​= ​0.040). ConclusionFor surgical sepsis survivors, RBC transfusion during ICU stay was associated with increased 1-year mortality, especially when patients show hemoglobin levels above 70 ​g/L.

Hematological parameters of healthy pregnant women in three trimesters compared with parameters of non-pregnant women

Anemia is a public health problem, especially in developing countries. All over the world iron deficiency is the main cause of anemia, especially during pregnancy. Pregnant women belong to the most vulnerable population group in Iraq.The objective: to determine the impact of pregnancy on hematological parameters and to compare the hematological indicators in different periods of gestation with the indicators of non-pregnant women.Materials and methods. The study was conducted over a three-month period at Baghdad hospitals and medical centers, including Baghdad Teaching Hospital, Al-Karam Hospital, and a health center in Al-Dorrah and Al-Shaab, Baghdad province, from September 1 to December 1, 2022. 60 pregnant women, 20 persons in each trimester, and 25 non-pregnant women (control) aged 18–35 years were included in the study. All participants were examined for hematological parameters: hemoglobin, erythrocytes, packed cell volume (PCV), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), measured of the concentration of hemoglobin in red blood cells (MCHC) and determined the level of iron in the blood (serum iron – SI, total iron binding capacity – TIBC, transferrin saturation – TS and serum ferritin – SF).Results. A significant decrease in the hematological indicators of pregnant women in the first trimester of pregnancy compared to non-pregnant women was established – hemoglobin, erythrocytes, PCV, MCH, MCHC. The dynamics of the decrease in the level of these parameters increases in the second trimester, and also progressively decreases in the third trimester, which leads to anemia.Starting from the first trimester and during the second and third trimesters, a decrease in the level of serum iron, transferrin saturation and serum ferritin was found in pregnant women compared to non-pregnant women, but the level of TIBC increased. During the second trimester, the need for iron begins to increase and continues to growth until the end of pregnancy. In addition, these research results indicate the importance of iron deficiency in the development of iron deficiency anemia.Conclusions. During pregnancy, anemia and a decrease in the level of some hematological parameters were determined, which progresses with increasing gestational age and is less compared to that in non-pregnant women. A decrease in the level of iron in the blood serum was established from the first to the third trimester of pregnancy. The severity of anemia is related to many factors, especially age, education level, low income, type of diet and parity.

A plain language summary of the perspectives of women who were interviewed about their experiences with uterine fibroids.

This summary describes what researchers learned during interviews of women with uterine fibroids and heavy menstrual bleeding (or period bleeding). At this time, little is known about how women perceive the impact of uterine fibroids on their lives and more information is needed. The goal of this study was to provide new information about the symptoms women have and how these symptoms affect their everyday lives. These interviews were done to better understand how uterine fibroid symptoms affect the lives of women in their own words. Thirty women from the United States, who had completed a clinical trial for a new treatment for heavy menstrual bleeding and uterine fibroids, agreed to be interviewed. The women described what their experiences with uterine fibroids were and the impact these experiences with uterine fibroids had on their lives before participating in the clinical trial. The most common symptoms of uterine fibroids the women described were heavy bleeding with their menstrual periods, pain in the pelvis or groin area, the passing of blood clots, and anemia (or low hemoglobin in red blood cells). Women said their symptoms affected them physically, emotionally, socially, and financially. They also said their symptoms made it hard to do daily activities, sleep, have a sex life, and go to work or school. Women who have heavy menstrual bleeding and uterine fibroids experience various uterine fibroid symptoms, and these symptoms affect most parts of the their lives.

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.

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.

Red Blood Cell Hemoglobin Oxygen Transfer in Deep-Diving Marine Mammals

Objective: Some marine mammals of the order pinniped and cetacean can dive for long durations to forage for food and travel over distances. During these extended dives both pinnipeds and cetaceans experience extreme tissue hypoxia. Numerous adaptations have evolved to allow these species to effciently deliver and utilize oxygen (O2). One genetic difference, which our laboratory has proposed to play an important role in O2 transport effciency in modern hominids, is the inactivation of the CMP-Neu5AC hydroxylase (CMAH) gene. Pinnipeds inactivated Cmah ~ 40 million years ago but, cetaceans still express this N-glycan modifying enzyme. CMAH converts the sialic acid, N-acetylneuraminic acid (Neu5Ac), to its hydroxylated form, N-glycolylneuraminic acid (Neu5Gc). These sialic acids are located at the end of branched sugar chains on the surface of cell membranes. As a result, a change in composition could affect cell membrane charge and hydrophobicity, as well as potentially alter O2 diffusion laterally or across cell membranes. Hypothesis: In this study we hypothesized that O2 transfer from hemoglobin (Hb) in red blood cells (RBCs) to myoglobin (Mb) would differ between cetaceans (CMAH+) and pinnipeds (CMAH-). Methods: This hypothesis was tested using optical absorption spectroscopy to measure O2 exchange between oxygenated Hb in RBC and deoxygenated Mb collected in several species of mustelids and pinniped (CA sea otter, CA sea lion, and walrus) and cetaceans (Bottlenose Dolphin, Beluga, and Orca). Measurements of cell diameters (diffusion length) were also measured. Results: The mean oxygen transfer (O2D/A410) was 47% lower in pinnipeds than cetaceans (p&lt;0.01). The amount of O2 transferred in cetaceans increased with longer reported maximal dive durations. There was a trend for overall RBC diameters to be larger in cetaceans than pinnipeds (p=0.054). Summary: The RBC O2 transfer data in these hypoxia tolerant marine mammals suggest a transfer mechanism that is more effcient in cetaceans in a normoxic environment. Conclusions: More effcient oxygen transfer in cetaceans, who retained the Cmah gene, compared to pinnipeds and mustelids, who did not retain the Cmah gene, suggests that the gene knockout may not be the only factor that facilitates delivery of O2 in these marine mammals. A trend for larger RBC diameters in cetaceans than pinnipeds also suggests that diffusion length is not a main contributing factor. Future experiments to measure oxygen transfer from RBC O2-Hb to Mb under different O2 environments are needed to more closely model what may occur during long duration dives. NSF1929325. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Metabolic Reprogramming of Human Macrophages by Sickle Cell Hemoglobin

BACKGROUND: Sickle cell disease is caused by a single nucleotide mutation in the β-globin gene, resulting in the substitution of valine for glutamic acid, polymerization of hemoglobin and sickling of red blood cells (RBCs) under low oxygen conditions causing chronic hemolysis, and organs damage. SCA is characterized by the presence of cell-free plasma hemoglobin. Organ damage is associated with chronic inflammation and pro-inflammatory macrophages phenotype. Typically, anti-inflammatory response is elicited by the phagocytosis of senescent RBCs and cell-free hemoglobin. We have demonstrated that treatment of human macrophages with sickle cell hemoglobin (HbS) leads to lysosome accumulation, autophagy activation, and pro-inflammatory phenotype. The propensity of mutant HbS to polymerize under low pH may promote lysosomal HbS polymer accumulation, hindering degradation, and inducing macrophage differentiation towards a pro-inflammatory state. The differentiation of macrophages into specific phenotypes is associated with significant metabolic reprogramming. HYPOTHESIS: We hypothesize that the uptake of HbS by human macrophages induces their metabolic reprogramming via mitochondrial remodeling. METHODS: Human THP-1 cells were differentiated into macrophages with PMA and treated with either purified HbS or normal hemoglobin (HbA). Mitochondria were detected with MitoTrackerTM Green FM dye, and mitochondrial ROS (mtROS) level was detected by Mito SOX Red Kit. Transmission electron microscopy imaging was performed at Talos 200X transmission electron microscope. EPView (Olympus) software was used for the structure analysis. Total RNA was isolated by Trizol and sequenced on an Illumina® NextSeq 500. Comparisons between treatments were conducted using Gene Set Enrichment Analysis (GSEA). RESULTS: Immunofluorescent staining demonstrated accumulation of mitochondria after treatment with HbS compared to untreated (ctrl) or HbA-treated macrophages. Electron microscopy revealed an increase in the number and size of mitochondria. In 25 random microphotographs of cytoplasm, we detected 51 mitochondria in control, 79 in HbA treated and, 96 in HbS treated macrophages. The mitochondria volume and cristae size were significantly increased in macrophages treated with HbS. There was no increase in mtROS production in HbS treatment compared to ctrl. As expected, HbA treatment reduced mtROS production. The mitochondrial gene set (242 genes) was the second most enriched GSEA set in HbS-treated compared to HbA-treated macrophages. The larger mitochondrial size may be associated with a reduction of fission or an increase in fusion. We did not find differences in the expression of mitochondrial fission and fusion genes between HbS and HbA-treated macrophages. The increase in the mitochondrial size and cristae size may also be associated with increased oxidative phosphorylation. We found significant enrichment of genes responsible for oxidative phosphorylation in the HbS-treated macrophages. We did not find significant differences in the expression of glycolysis genes. CONCLUSION: Treatment of human macrophages with HbS significantly increases the number and volume of mitochondria, size of the cristae, and oxidative phosphorylation without upregulation of mtROS production and reduction of glycolysis. This work was supported by NIH Research Grants SC1HL150685, P50HL118006, and R01HL125005. We thank Drs. Castle Raley and Keith Crandall, George Washington University SPH Genomics Core, for sequencing and guidance in data analysis; Dr. Christine Brantner, GW Nanofabrication and Imaging Center, for TEM imaging. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

EVALUATING THE SAFETY AND THERAPEUTIC EFFICACY OF INTRAVENOUS HYDROGEN NANOBUBBLE INFUSIONS IN A HYPERCHOLESTEROLEMIC RAT MODEL

Hydrogen has emerged as a promising candidate due to its antioxidant properties and potential to modulate electron flow, enhancing mitochondrial energy metabolism and reducing oxidative stress. In this study, hypercholesterolemia male Wistar rats were utilized to investigate the safety and efficacy of intravenous hydrogen nanobubble solution (HNB). The study assessed serum lipid levels, complete blood count, and organ health following HNB administration compared to positive (simvastatin) and negative controls. Bayesian statistics were used to validate the findings. The administration of HNB did not adversely affect the immediate survival of the rats on a high fat diet (HFD), whereas simvastatin significantly reduced survival rates. It showed a dose dependent immunomodulatory effect, reducing white blood cell, lymphocyte, and monocyte counts. It also influenced erythropoiesis, as indicated by increased red blood cell counts and hemoglobin levels. A significant elevation in platelet counts was observed, suggesting potential effects on platelet production or lifespan. The study also noted changes in liver enzyme levels, with HNB indicating potential hepatoprotective effects. Furthermore, HNB treatment decrease in mean fat droplet count, suggesting a mitigation of diet induced hepatic steatosis. The findings suggest that HNB may serve as a protective agent against the deleterious effects of a high-fat diet, offering immunomodulatory and hepatoprotective benefits. This study provides a foundation for considering HNB as a potential therapeutic intervention for hypercholesterolemia and warrants further investigation into the long-term impacts of nanobubble treatment on diet induced pathologies. The consistency of results across traditional statistical significance and Bayesian evidence strengthens the validity of the observed treatment-specific effects.

Changes in liver and kidney function, red blood cell count and hemoglobin levels 1 day after ultrasound-guided percutaneous microwave ablation for uterine fibroids.

To investigate the changes in liver and kidney function, red blood cell (RBC) count and hemoglobin (HGB) levels in patients undergoing ultrasound-guided percutaneous microwave ablation (UPMWA) for uterine fibroids on postoperative day 1. The changes in liver and kidney function, RBC count and HGB levels in 181 patients who underwent selective UPMWA in the Second Affiliated Hospital of Shantou University Medical College, China, between August 2017 and January 2023 were retrospectively analyzed. All patients underwent UPMWA for uterine fibroids; 179 patients had multiple uterine fibroids and 2 patients had single uterine fibroids. The maximum fibroid diameter ranged from 18 to 140 mm, with an average of 68.3 mm. Ultrasound imaging was used to confirm that the blood flow signal within the mass had disappeared in all patients, indicating that the ablation was effective. Within 24 h, compared with before UPMWA, levels of total bilirubin, direct bilirubin, indirect bilirubin and aspartate aminotransferase had significantly increased (p < 0.01), whereas levels of total protein, albumin, globulin, alanine aminotransferase, creatinine and urea had significantly decreased (p < 0.01). Acute kidney injury (AKI) occurred in 1 of the 181 patients. The RBC count and HGB levels decreased significantly after UPMWA (p < 0.01). Ultrasound-guided percutaneous microwave ablation for uterine fibroids can impose a higher detoxification load on the liver and cause thermal damage to and the destruction of RBCs within local circulation, potentially leading to AKI. Protein levels significantly decreased after UPMWA. Therefore, perioperative organ function protection measures and treatment should be actively integrated into clinical practice to improve prognosis and enhance recovery.

A novel high-titer, bifunctional lentiviral vector for autologous hematopoietic stem cell gene therapy of sickle cell disease

A major limitation of gene therapy for sickle cell disease (SCD) is the availability and access to a potentially curative one-time treatment, due to high treatment costs. We have developed a high-titer bifunctional lentiviral vector (LVV) in a vector backbone that has reduced size, high vector yields, and efficient gene transfer to human CD34+ hematopoietic stem and progenitor cells (HSPC). This LVV contains locus control region cores expressing an anti-sickling βAS3-globin gene and two microRNA adapted short hairpin RNA simultaneously targeting BCL11A and ZNF410 transcripts to maximally induce fetal hemoglobin (HbF) expression. This LVV induces high levels of anti-sickling hemoglobins (HbAAS3 + HbF), while concurrently reducing sickle hemoglobin (HbS). The reduction in HbS and increased anti-sickling hemoglobin impedes deoxygenated HbS polymerization and red blood cell sickling at low vector copy per cell in transduced SCD patient CD34+ cells differentiated into erythrocytes. The dual alterations in red cell hemoglobins ameliorated the SCD phenotype in the SCD Berkeley mouse model in vivo. With high titer and enhanced transduction of HSPC at low multiplicity of infection, this LVV will increase the number of patient doses of vector from production lots to reduce costs and help improve accessibility to gene therapy for SCD.

Blood Count and Renal Functionality Assessments in the Emergency Section Disclose Morbidity and Mortality in Omicron COVID-19 Patients: A Retrospective Study.

Background: SARS-CoV-2 is the coronavirus responsible for the COVID-19 pandemic. Even though we are no longer in a pandemic situation, people are still getting infected, some of them need hospitalization and a few of them die. Methods: We conducted a retrospective study including 445 patients who accessed the Emergency Section of Policlinico Umberto I, Rome, Italy, where they had routine blood exams. In this study, we focused on the complete blood count, serum creatinine and azotemia. The data were analyzed using ANOVA, Spearman correlation and ROC analyses. They were divided into four groups based on their clinical outcomes: (1) the emergency group (patients who had mild forms and were quickly discharged); (2) the hospital ward group (patients who were admitted to the emergency section and were then hospitalized in a COVID-19 ward); (3) the intensive care unit (ICU) group (patients who required intensive assistance after the admission in the emergency section); (4) the deceased group (patients who had a fatal outcome after admission to the emergency section). Results: We found significant changes for creatinine, azotemia, hematocrit, mean corpuscular hemoglobin concentration, basophils, monocytes, red blood cell distribution width, hemoglobin, hematocrit and red blood cell numbers using ANOVA according to their clinical outcomes, particularly for the deceased group. Also, we found linear correlations of clinical outcomes with eosinophils, hemoglobin, hematocrit, mean corpuscular hemoglobin concentration, lymphocyte, neutrophil, platelet and red blood cell number and red blood cell distribution width. Conclusions: This study discloses an early association between "classical" routine blood biomarkers and the severity of clinical outcomes in Omicron patients.

Preoperative Blood Counts Predict Overall Survival in Patients Undergoing Surgical Removal of Brain Metastasis

The prognosis for patients with cancer with brain metastasis (BM) requiring surgical removal is quite limited. Preoperative prognostic factors can provide meaningful information to surgeons, oncologists, and patients. This study evaluated the preoperative blood counts in patients with BM who were treated with surgical removal. Between January 2011 and November 2021, 221 consecutive surgeries were conducted on 198 patients with BM. Among the 198 patients, 188 patients with sufficient blood test data and follow-up were analyzed in this study. The tumors originated from the lungs (n=102, 54.3%), colon (n=26, 13.3%), breast (n=13, 6.9%), kidney (n=8, 4.3%), stomach (n=6, 3.2%), and others (n=33, 17.6%). The blood test data included neutrophils, lymphocytes, monocytes, eosinophils, basophils, red blood cell count, hemoglobin, and albumin. The median follow-up and median survival times were both 11months (range: 0-139months). Higher neutrophil-lymphocyte ratio≥3.17, platelet-lymphocyte ratio ≥112.7, systemic immune-inflammation index ≥594.4, systemic inflammation response index ≥1.25 were unfavorable predictors of prognosis for the patients treated with surgical removal for BM (P<0.001). Furthermore, lower lymphocyte-monocyte ratio<2.33 and prognostic nutritional index<48.5 were unfavorable predictors. Simple, less expensive, routinely ordered preoperative blood count assessments, such as the neutrophil-lymphocyte ratio, platelet-lymphocyte ratio, lymphocyte-monocyte ratio, systemic immune-inflammation index, systemic inflammation response index, and prognostic nutritional index, can predict the overall survival of patients treated with surgical removal for BM.

LAMA WAKTU PENGHENTIAN KONSUMSI SOJU TERHADAP KADAR ALKOHOL HATI, MORFOLOGI HATI, DAN GAMBARAN HEMATOLOGI TIKUS PUTIH

LAMA WAKTU PENGHENTIAN KONSUMSI SOJU TERHADAP KADAR ALKOHOL HATI, MORFOLOGI HATI, DAN GAMBARAN HEMATOLOGI TIKUS PUTIH

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.

Correlation of Duration of Antipsychotic Therapy with Hemoglobin Levels in People with Schizophrenia

Background: Schizophrenia is a serious mental disorder with various unknown causes accompanied by a collection of positive symptoms, negative symptoms, disorganization in thinking, speaking or movement and cognitive dysfunction. The therapeutic modality used to treat these symptoms is antipsychotic therapy. Over a certain period of time, the use of antipsychotics can cause hematological syndrome which affects the process of red blood cell formation and hemoglobin levels. Low hemoglobin levels can worsen neuronal function in the brain, thereby aggravating symptoms in schizophrenia. Aim: Analyzing the relationship between duration of antipsychotic therapy &lt;2 years and ≥2 years with hemoglobin levels in schizophrenia patients. Method: This research is an analytical observational study with a cross-sectional approach in which research subjects were obtained using a consecutive sampling method from medical records of patients with schizophrenia (ODS) at RSJD Dr. Amino Gondohutomo Semarang (n=68) divided into 2 groups consisting of patients with a duration of therapy &lt;2 years and a duration of therapy ≥2 years. The relationship between duration of antipsychotic therapy and hemoglobin levels was analyzed using unpaired t-test. Result: The mean hemoglobin value for people with schizophrenia in the group with a duration of therapy &lt;2 years is 14.09, while that in the group with a duration of therapy ≥2 years is 14.06 with a p value = 0.928. Conclusion: There was no relationship between hemoglobin levels in people with schizophrenia and duration of therapy both &lt;2 years and ≥2 years.

Acceptance and Content of Iron of Nahukol (Broccoli Tofu Nugget) as an Alternative Food to Prevent Anemia

Anemia is a condition of low red blood cell mass or hemoglobin. Another way of prevention and control is to consume food sources of iron such as tofu. The general objective of this study was to determine the characteristics of "NAHUKOL" on the results of the acceptability test and iron levels of alternative snacks to prevent anemia. The research design used was experimental research with a total sample of 3 samples, the iron test sample used the most preferred sample and the control group. Data collection techniques used acceptability test and iron content test. the study was conducted from October to March 2023. The analytical technique used in the acceptability test was the Kruskal Wallis test and in the iron, test using the atomic absorption spectrophotometer method. The results of the research on the acceptability test obtained the most preferred formula was formulation 2. The iron content test obtained results in formulation 2 of 4.43 mg/100 g and the control group of 4.2 mg/100 g. NAHUKOL products (Tofu and Broccoli Nuggets) can be used as an alternative food to prevent anemia.

Comparative Effects of Meloxicam and Phenylbutazone on Clinical Outcomes and Acute Phase Response in Sheep with Acute Respiratory Disease

The ovine respiratory complex (ORC) is one of the most common respiratory diseases observed in sheep. The objective of the present investigation was to evaluate the comparative therapeutic efficacy of two non-steroidal anti-inflammatory drugs (meloxicam and phenylbutazone) for the treatment of the ORC. For this purpose, 33 Ossimi sheep were randomly assigned into three treatment groups (11 each). Group 1 was treated with amoxicillin long-acting (LA) and meloxicam, group 2 received amoxicillin LA and phenylbutazone, and group 3 was treated with amoxicillin LA alone. Sheep were examined clinically and clinical index scores were recorded before and after treatment. Additionally, blood samples were collected from each sheep. After 14 days of treatment, sheep of group 1 indicated significant improvements in their clinical index scores and a reduction in total leukocyte count. However, there was a significant increase in red blood cell count, hemoglobin, and MCHC%. There was a significant decrease in the serum globulin, copper, and haptoglobin in group 1, compared to sheep of groups 2 and 3. Based on the results of this study, administering meloxicam to sheep with an ovine respiratory complex resulted in significant improvements in clinical outcomes and significant corrections in above mentioned hematological and biochemical parameters. Although phenylbutazone proved to be less effective, it still demonstrated some degree of efficacy in treating this condition. This study suggests that meloxicam may be a more effective treatment option for ORC with phenylbutazone. Keywords: Acute phase protein, Amoxicillin, Anti-inflammatory, Ovine respiratory complex