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Biochemical and Hematological Impact of Hepatitis C Virus (HCV) on Human Immunodeficiency Virus (HIV) Infected Persons on Antiretroviral Drugs (ARDs) in Nigeria 尼日利亚丙型肝炎病毒(HCV)对人类免疫缺陷病毒(HIV)感染者抗逆转录病毒药物(ARDs)的生化和血液学影响
Pub Date : 2019-09-11 DOI: 10.9734/ibrr/2019/v10i130109
Y. Yakubu, M. Busu, Nfrongeh Joseph Fuh, O. Toyosi, A. Aisha, Usoroh Mary, Daniel Oluwaseun Christiana, A. A. Raji
Introduction: Biochemical and hematological abnormalities are among most common clinico-pathological manifestations of HIV/AIDS infected persons on antiretroviral drugs (ARDs). Hepatitis C Virus (HCV) infection are known to influence progression and management of HIV infection. Data are limited regarding the impact of ARDs on HIV/HCV co-infected persons in Nigeria. Hence, this study evaluated the biochemical and hematological impact of HCV on prognosis of HIV persons taking ARDs. Materials and Methods: 2,322 HIV infected persons were screened for HCV. One hundred and nine were co-infected with HCV; and were cross-sectional monitored on ARDs for fifteen months at hospitals in North Central Nigeria for changes in clinical profiles. The determination of Alanine aminotransferase (ALT), Aspartate transaminase (AST), Packed cell volume (PCV) and White blood cells count (WBC) estimations were reviewed every 3 months for each of the person using Reflotron plus machine and hematological analyzer according to the manufacturer’s instructions. Results: The results showed an increase in both HIV mono-infected and co-infected patients, with raised in AST from 18.46±0.73 to 34.32±0.6053U/l, ALT from 19.37±0.6804 to 34.87±0.5637U/l, PCV from 34.20±0.2998 to 34.89±0.4895% and WBC from 3.50x109±0.0816 to 6.67x109±0.1204 cells/L and AST from 17.35±0.1542 to 34.49±0.0981U/l, ALT from 17.67±0.1412 to 34.80±0915U/l, PCV from 36.74±0.2902 to 38.37±0.4399% and WBC from 3.90x109±0.0251 to 6.19x109±0.0178 cells/L. Conclusion: It was found that PCV and WBC count values were positively affected despite HCV replication and AST and ALT enzyme levels for both HIV-mono and co-infected persons were slightly elevated. Therefore, efforts addressing viral hepatitis co-infections at the early stage of ARDs initiation under qualified clinician should be of paramount important.
生物化学和血液学异常是抗逆转录病毒药物(ARDs)治疗的HIV/AIDS感染者最常见的临床病理表现。已知丙型肝炎病毒(HCV)感染会影响艾滋病毒感染的进展和管理。关于ARDs对尼日利亚艾滋病毒/丙型肝炎合并感染者的影响的数据有限。因此,本研究评估了HCV对ARDs患者预后的生化和血液学影响。材料与方法:对2322例HIV感染者进行HCV筛查。共感染HCV者109例;并在尼日利亚中北部的医院对ARDs进行了15个月的横断面监测,以了解临床资料的变化。使用Reflotron plus机器和血液学分析仪,根据制造商的说明,每3个月对每个人的谷丙转氨酶(ALT)、谷草转氨酶(AST)、堆积细胞体积(PCV)和白细胞计数(WBC)的测定进行复查。结果:HIV单感染者和合并感染者的AST从18.46±0.73上升至34.32±0.6053U/l, ALT从19.37±0.6804上升至34.87±0.5637U/l, PCV从34.20±0.2998上升至34.89±0.4895%,WBC从3.50 × 109±0.0816上升至6.67 × 109±0.1204 cells/ l, AST从17.35±0.1542上升至34.49±0.0981U/l, ALT从17.67±0.1412上升至34.80±0915U/l, PCV从36.74±0.2902上升至38.37±0.4399,WBC从3.90 × 109±0.0251上升至6.19 × 109±0.0178 cells/ l。结论:在HCV复制的情况下,PCV和WBC计数值受到正相关影响,单hiv感染者和合并感染者的AST和ALT酶水平均略有升高。因此,在合格的临床医生指导下,在ARDs发病早期处理病毒性肝炎合并感染的努力应该是至关重要的。
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引用次数: 0
Assessment of Blood Storage Effect Using CPDA-1 on Packed Cell Volume, Oxyhaemoglobin and Methaemoglobin in Different ABO/Rhesus Blood Types CPDA-1对不同ABO/恒河猴血型堆积细胞体积、氧合血红蛋白和甲基血红蛋白贮藏效果的评价
Pub Date : 2019-08-05 DOI: 10.9734/IBRR/2019/V9I430108
S. Christian, E. Eze, Ndueghe Ebenezer Nkom
Aims: The aim of this study is to determine the effect of blood storage using CPDA-1 on packed cell volume, methaemoglobin and oxyhaemoglobin in different ABO/Rhesus blood types donated by some residents of Port Harcourt, Rivers State, Nigeria. Study Design: This is a comparative study aimed at evaluating the effect of storage on the levels of methaemoglobin, oxyhaemoglobin and packed cell volume using CPDA-1. A total of eight donors were recruited with each sample obtained from the eight (8) known blood groups A+,B+,O+,AB+,    A-,B-,O-,AB- and analysis of samples were in triplicate. The donors were adult males with age ranging from 35-45 years and they were apparently healthy and free from transfusion transmissible infections. The different blood group samples were stored for 30 days and samples for analysis were collected at 5 days interval. Place and Duration of Study: The study was conducted in Port Harcourt, Rivers State, Nigeria. All blood donors were residents of Port Harcourt. Blood donated was stored at Military Hospital Blood Bank, Port Harcourt, in a blood bag of 450 ml containing 63 ml of citrate phosphate dextrose adenine-1 (CPDA-1). The analysis was carried out at Rivers State University, Post Graduate Laboratory within March 1st to May 27th, 2019. Methodology: A total of eight (8) different ABO/Rhesus blood types (A+,B+,AB+,O+,A-,B-,AB- and O-) were collected and stored using a blood bank refrigerator at temperature of 4°C. Day 0 was taken to be control and 5 days intervals in-between to day 30 acted as the test. Packed cell volume was estimated using micro-haematocrit method while oxyhaemoglobin and methaemoglobin levels were estimated spectrophotometrically as described by Evelyn and Malloy. Results: The result showed a significant decrease in mean packed cell volume, oxyhaemoglobin and methaemoglobin levels compared to a higher mean of these parameters in the control; and  these differences were statistically significant (p<0.05) across all blood groups under study. The decrease in values were as a result of haemolysis that occurs during storage. Conclusion: Storage of blood irrespective of the blood group type using CPDA-1 for 30 days indicates that there are “storage lesions”. This is attributed to red cell haemolysis and ageing of red blood cells. In general, all blood types showed no significant difference in their haematological (packed cell volume, methaemoglobin, oxyhaemoglobin) characteristic deterioration or storage lesion based on blood type differences. It is therefore necessary to state that storage lesion characteristics are the same irrespective of the blood type, and that fresh blood be transfused, and if blood is stored, prolonged storage beyond 10 days should be avoided.
目的:本研究的目的是确定CPDA-1血液储存对尼日利亚河州哈考特港一些居民捐献的不同ABO/恒河猴血型的堆积细胞体积、血红蛋白和氧合血红蛋白的影响。研究设计:这是一项比较研究,旨在利用CPDA-1评估储存对血红蛋白、氧化血红蛋白水平和堆积细胞体积的影响。总共招募了8名献血者,每个样本来自8种已知血型A+、B+、O+、AB+、A-、B-、O-、AB-,样本分析为三份。献血者为35-45岁的成年男性,身体健康,无输血传播感染。不同血型标本保存30 d,每隔5 d采集分析标本。研究地点和时间:研究在尼日利亚河流州哈科特港进行。所有献血者都是哈科特港的居民。捐献的血液储存在哈科特港军事医院血库的450毫升血袋中,其中含有63毫升柠檬酸磷酸葡萄糖腺嘌呤-1 (CPDA-1)。该分析于2019年3月1日至5月27日在河流州立大学研究生实验室进行。方法:采集8种不同ABO/恒河猴血型(A+、B+、AB+、O+、A-、B-、AB-和O-),在血库冰箱保存,温度为4℃。第0天为对照,中间间隔5天至第30天为试验。利用微红细胞压积法估计堆积细胞体积,而依Evelyn和Malloy描述的分光光度法估计氧化血红蛋白和甲基血红蛋白水平。结果:结果显示,与对照组中这些参数的较高平均值相比,平均堆积细胞体积、氧合血红蛋白和血红蛋白水平显著降低;各血型间差异均有统计学意义(p<0.05)。值的下降是由于在储存期间发生的溶血。结论:用CPDA-1储存任何血型的血液30天表明存在“储存病变”。这归因于红细胞溶血和红细胞老化。总的来说,所有血型在血液学(堆积细胞体积、高血红蛋白、氧合血红蛋白)特征恶化或储存病变方面没有明显的血型差异。因此,有必要声明,无论血型如何,储存病变的特征都是相同的,并且要输入新鲜血液,如果储存血液,应避免超过10天的长时间储存。
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引用次数: 1
Can Histochemical c-mpl Positivity in Bone Marrow be a Predictor for Splenectomy in Immune Thrombocytopenia? 骨髓组织化学c-mpl阳性能否作为免疫性血小板减少症患者脾切除术的预测指标?
Pub Date : 2019-07-30 DOI: 10.9734/ibrr/2019/v9i430107
I. Yavaşoğlu, Nadide Gencer, Fulden Cantaş, F. Doğer, Z. Bolaman
Purpose: Splenectomy is used as the second line therapy in patients with immune thrombocytopenia (ITP). However, there is no parameter predicting splenectomy decision. Thrombopoietin is the main regulator of platelet count through its receptor c-mpl. The aim of the present study was to evaluate immune histochemical Cloned Myeloid Leukemia Virus (c-mpl) positivity in bone marrow specimens of ITP patients with or without splenectomy indications. Methods: Pre-splenectomy bone marrow was stained for c-mpl, that was taken from 24 patients with ITP and who had splenectomy as well as bone marrow samples from 30 patients with ITP who did not have splenectomy. Results: c-mpl negativity was higher in splenectomized patients (n: 23) compared to patients without splenectomy (n:18). A significant difference was found for platelet counts before and after splenectomy. Our study show that, c-mpl positivity was statistically significant in patient group who did not have splenectomy. In the patient group who had the splenectomy, c-mpl was not associated with refractory status.  Conclusion: The significant level of c-mpl negativity might be the useful parameter for splenectomy indication in patients with immune thrombocytopenia.
目的:脾切除术是免疫性血小板减少症(ITP)患者的二线治疗方法。然而,没有参数预测脾切除术的决定。血小板生成素通过其受体c-mpl调节血小板计数。本研究的目的是评估免疫组织化学克隆髓系白血病病毒(c-mpl)阳性的ITP患者骨髓标本有或没有脾切除指征。方法:取24例行脾切除术的ITP患者脾切除术前骨髓标本和30例未行脾切除术的ITP患者骨髓标本进行c-mpl染色。结果:脾切除术患者(n: 23) c-mpl阴性高于未脾切除术患者(n:18)。脾切除术前后血小板计数有显著差异。我们的研究显示,未行脾切除术的患者组c-mpl阳性有统计学意义。在行脾切除术的患者组中,c-mpl与难治性状态无关。结论:c-mpl阴性水平可作为免疫性血小板减少症脾切除指征的参考指标。
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引用次数: 0
Adverse Events Encountered in Platelet Aphaeresis Procedure and Their Management: A Retrospective Study 血小板分离过程中遇到的不良事件及其处理:一项回顾性研究
Pub Date : 2019-07-24 DOI: 10.9734/IBRR/2019/V9I430106
P. Gupta, D. Sharma, U. Yadav, J. Bindal
Background: Platelet aphaeresis is an essential procedure, which meets the demand of single donor platelets (SDP) effectively. The procedure is well tolerated by donors with fewer side effects. Adverse events in Platelet aphaeresis have been reported from as low as 0.32 to 6.81%. Aims and Objectives:  The aim of present study is to ascertain adverse events observed in a large cohort of platelet aphaeresis procedures and determining management strategies to resolve them. Materials and Methods: This is a retrospective cross-sectional study, from January 2012 to May 2019 in Blood Bank, Department of Pathology, in a tertiary care centre in Central India. Donors for Platelet aphaeresis were selected based on the standard criteria of National Aids Control Organization (NACO) guidelines 2017 and Platelet aphaeresis protocol. Leukoreduced SDP were collected by Haemonetics® MCS +, having Leukoreduction bag system. Adverse events encountered were noted and categorized. Results: A total number of 1600 Plateletpheresis procedures were conducted to prepare SDP and transfused to 1054 patients. A total of 24 out of 1600 plateletaphaeresis procedures reported adverse events (1.5%). Donor related adverse events were 16 (66.6%), Kit related 4 (16.66%) procedure related were 4 (16.66%). Three out of 24 procedures were terminated prematurely, 1 due to severe hypocalcaemia (ACD effect) in donor and 2 due to bowl leakage. Conclusion: Platelet aphaeresis is a safe procedure for donors if done expertly while exercising caution. Adverse events reported are minimal and manageable.
背景:血小板分离是有效满足单供血小板需求的必要步骤。供体对该手术的耐受性良好,副作用少。据报道,血小板分离的不良事件低至0.32%至6.81%。目的和目的:本研究的目的是确定在大队列血小板分离过程中观察到的不良事件,并确定解决这些不良事件的管理策略。材料和方法:这是一项回顾性横断面研究,于2012年1月至2019年5月在印度中部一家三级保健中心病理学部血库进行。根据国家艾滋病控制组织(NACO) 2017年指南和血小板分离方案的标准标准选择血小板分离献血者。白细胞诱导的SDP由Haemonetics®MCS +收集,具有白细胞诱导袋系统。记录和分类遇到的不良事件。结果:共进行血小板提取1600次,制备SDP,输注1054例。1600例血小板摘除术中有24例报告了不良事件(1.5%)。供体相关不良事件16例(66.6%),试剂盒相关不良事件4例(16.66%),手术相关不良事件4例(16.66%)。24例手术中有3例提前终止,1例是由于供体严重低钙(ACD效应),2例是由于盆腔渗漏。结论:对于献血者,如果操作熟练,同时谨慎操作,血小板分离是一种安全的操作。报告的不良事件是最小的和可控的。
{"title":"Adverse Events Encountered in Platelet Aphaeresis Procedure and Their Management: A Retrospective Study","authors":"P. Gupta, D. Sharma, U. Yadav, J. Bindal","doi":"10.9734/IBRR/2019/V9I430106","DOIUrl":"https://doi.org/10.9734/IBRR/2019/V9I430106","url":null,"abstract":"Background: Platelet aphaeresis is an essential procedure, which meets the demand of single donor platelets (SDP) effectively. The procedure is well tolerated by donors with fewer side effects. Adverse events in Platelet aphaeresis have been reported from as low as 0.32 to 6.81%. \u0000Aims and Objectives:  The aim of present study is to ascertain adverse events observed in a large cohort of platelet aphaeresis procedures and determining management strategies to resolve them. \u0000Materials and Methods: This is a retrospective cross-sectional study, from January 2012 to May 2019 in Blood Bank, Department of Pathology, in a tertiary care centre in Central India. Donors for Platelet aphaeresis were selected based on the standard criteria of National Aids Control Organization (NACO) guidelines 2017 and Platelet aphaeresis protocol. Leukoreduced SDP were collected by Haemonetics® MCS +, having Leukoreduction bag system. Adverse events encountered were noted and categorized. \u0000Results: A total number of 1600 Plateletpheresis procedures were conducted to prepare SDP and transfused to 1054 patients. A total of 24 out of 1600 plateletaphaeresis procedures reported adverse events (1.5%). Donor related adverse events were 16 (66.6%), Kit related 4 (16.66%) procedure related were 4 (16.66%). Three out of 24 procedures were terminated prematurely, 1 due to severe hypocalcaemia (ACD effect) in donor and 2 due to bowl leakage. \u0000Conclusion: Platelet aphaeresis is a safe procedure for donors if done expertly while exercising caution. Adverse events reported are minimal and manageable.","PeriodicalId":13659,"journal":{"name":"International Blood Research & Reviews","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78138137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Haemoglobin and Packed Cell Volume (PCV) of High-Fat Diet/Streptozotocine-Induced Diabetic Wistar Rats Treated with Ethanol Extract of a Herbal Mixture (Aju Mbaise) 高脂饲粮/链脲佐菌素诱导的糖尿病Wistar大鼠血血红蛋白和堆积细胞体积(PCV)
Pub Date : 2019-07-15 DOI: 10.9734/IBRR/2019/V9I430105
A. T. Nnadiukwu, C. Monago-Ighorodje, L. C. Chuku
Aim: This study was carried out to evaluate the effect of ethanol extract of Aju Mbaise herbal mixture on some haematological indices of diabetic Wistar albino rats. Sample: Packed cell volume (PCV) and haemoglobin (Hb) concentration was estimated in diabetic rats treated with ethanol extract of Aju Mbaise herbal mixture. Study Design: In the course of the experiment, fifty-four (54) rats with initial weight range of 30 – 40 g were grouped into 6 of 9 rats per group. The first group served as the normal control (NC) while the remaining five groups were induced with diabetes type 2 using high-fat diet for 8 weeks and streptozotocin at 35 mg/kg body weight. Group II served as the diabetic control while the remaining groups (III, IV, V & VI) were treated with metformin and three different concentrations of the plant extract respectively. Place and Duration of Study: The study was carried out in the Animal house of the Department of Pharmacology, Faculty of Basic Clinical Sciences, University of Port Harcourt, between July 2018 and January 2019. Methodology: The haemoglobin and packed cell volume were estimated after 4th, 8th and 12th week of treatment using MINDRAY Auto-Haematology analyzer. Results: From the results obtained, it was observed that the diabetic control group has a PCV and haemoglobin concentration that is significantly (P<.05) lower when compared to that of the normal control group and the other treated groups. Conclusion: The study has shown that Aju Mbaise herbal mixture is a haematopoietic agent as it had the tendency to synthesize blood cells.
目的:研究阿菊白芷合剂乙醇提取物对糖尿病大鼠血液学指标的影响。样品:用阿菊黄合剂乙醇提取物处理糖尿病大鼠,测定其堆积细胞体积(PCV)和血红蛋白(Hb)浓度。研究设计:实验过程中,54只初始体重为30 ~ 40g的大鼠,每组9只,分为6只。第一组为正常对照组(NC),其余5组采用高脂饮食和35 mg/kg体重链脲佐菌素诱导2型糖尿病8周。II组作为糖尿病对照组,其余组(III, IV, V和VI)分别给予二甲双胍和三种不同浓度的植物提取物。研究地点和时间:研究于2018年7月至2019年1月在哈科特港大学基础临床科学学院药学系动物馆进行。方法:在治疗第4周、第8周和第12周后,使用MINDRAY自动血液学分析仪评估血红蛋白和堆积细胞体积。结果:与正常对照组及其他治疗组相比,糖尿病对照组的PCV和血红蛋白浓度显著(P< 0.05)降低。结论:阿朱白芷合剂具有合成血细胞的倾向,是一种造血剂。
{"title":"Haemoglobin and Packed Cell Volume (PCV) of High-Fat Diet/Streptozotocine-Induced Diabetic Wistar Rats Treated with Ethanol Extract of a Herbal Mixture (Aju Mbaise)","authors":"A. T. Nnadiukwu, C. Monago-Ighorodje, L. C. Chuku","doi":"10.9734/IBRR/2019/V9I430105","DOIUrl":"https://doi.org/10.9734/IBRR/2019/V9I430105","url":null,"abstract":"Aim: This study was carried out to evaluate the effect of ethanol extract of Aju Mbaise herbal mixture on some haematological indices of diabetic Wistar albino rats. \u0000Sample: Packed cell volume (PCV) and haemoglobin (Hb) concentration was estimated in diabetic rats treated with ethanol extract of Aju Mbaise herbal mixture. \u0000Study Design: In the course of the experiment, fifty-four (54) rats with initial weight range of 30 – 40 g were grouped into 6 of 9 rats per group. The first group served as the normal control (NC) while the remaining five groups were induced with diabetes type 2 using high-fat diet for 8 weeks and streptozotocin at 35 mg/kg body weight. Group II served as the diabetic control while the remaining groups (III, IV, V & VI) were treated with metformin and three different concentrations of the plant extract respectively. \u0000Place and Duration of Study: The study was carried out in the Animal house of the Department of Pharmacology, Faculty of Basic Clinical Sciences, University of Port Harcourt, between July 2018 and January 2019. \u0000Methodology: The haemoglobin and packed cell volume were estimated after 4th, 8th and 12th week of treatment using MINDRAY Auto-Haematology analyzer. \u0000Results: From the results obtained, it was observed that the diabetic control group has a PCV and haemoglobin concentration that is significantly (P<.05) lower when compared to that of the normal control group and the other treated groups. \u0000Conclusion: The study has shown that Aju Mbaise herbal mixture is a haematopoietic agent as it had the tendency to synthesize blood cells.","PeriodicalId":13659,"journal":{"name":"International Blood Research & Reviews","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84788036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Antipuritive Effect of Aqueous Root Extracts of Moringa oliefera on Alcohol-induced Haematoxicity in Wistar Rats 辣木根水提物对Wistar大鼠酒精性血液中毒的抗瘙痒作用
Pub Date : 2019-07-08 DOI: 10.9734/IBRR/2019/V9I430104
G. Ekpo, E. Ofem, S. Bassey, K. Abam, I. Arikpo, J. Enobong, S. Ufot, V. Ekam
Aim: The study is aimed at investigating the antinutritive effects of aqueous root extract of Moringa oleifera on haematological indices following sub-chronic consumption of alcohol in Wistar rats. Methods and Materials: Thirty (30) experimental rats weighing 100-120 g were randomly divided into 6 groups of 5 rats each. Group 1, the normal control group was given just rat feed and water, group 2, negative control was administered alcohol only (1.5 ml/kg body weight), rats in group 3, 4 and 5 received combined administration of alcohol 1.5 ml/kg body weight and 200, 400 and 600 mg/kg body weight of aqueous root extract of Moringa oleifera respectively, group 6 rats were administered 250 mg/body weight of extract only. At the end of fourteen days (14) the experimental rats were then sacrificed, and blood was collected for haematological analysis. Results: The result obtained shows a dose-dependent response in almost all the parameters, white blood cell (WBC) count increases significantly(P<0.05) with 600 mg/kg while dose 200 mg/kg and 400 mg/g shows no significant change. Red blood cells (RBC) decreases non-significantly (P<0.05) with increased amount of aqueous Moringa root extract.  Likewise, there was also a dose-dependent decrease in the haematological count and more noticeable with 200 mg/kg dose. It was also observed that mean corpuscular haemoglobin concentration (MCHC) and mean corpuscular volume (MCV) increases in all the treatment groups with significant observed in 400 mg/kg and 600 mg/kg. The increase in alcohol can bring about suppression of the blood cells production, enhance if there is reduction in the red blood cells, it, therefore, implies that the will be reduction in the oxygen-carrying capacity of the red blood cells, that would be carried to the tissues as well as the level of carbon dioxide returned to the lungs. Also, the PCV is involved in the transport of oxygen and absorption of the nutrient. Therefore, increase in PCV, shows a better transportation and thus results in an increase in both primary and secondary polycythemias. Conclusion: This research work shows that the plant extract contains some bioactive component or phytochemical constituents that are capable of ameliorating the toxicity effect of alcohol on animal models.
目的:研究辣木根水提物对Wistar大鼠亚慢性饮酒后血液学指标的抗营养作用。方法与材料:选取体重100 ~ 120 g的实验大鼠30只,随机分为6组,每组5只。1组正常对照组只给予大鼠饲料和水,2组阴性对照组只给予酒精(1.5 ml/kg体重),3、4、5组大鼠分别给予酒精1.5 ml/kg体重和辣木根水提物200、400、600 mg/kg体重,6组大鼠只给予辣木根水提物250 mg/kg体重。14 d后处死实验大鼠,采集血液进行血液学分析。结果:所得结果几乎所有参数均呈剂量依赖性,600 mg/kg剂量组白细胞计数显著升高(P<0.05), 200 mg/kg和400 mg/g剂量组无显著变化。血红细胞(RBC)随辣木根水提物添加量的增加而显著降低(P<0.05)。同样,血液学计数也有剂量依赖性下降,200 mg/kg剂量时更为明显。各治疗组平均红细胞血红蛋白浓度(MCHC)和平均红细胞体积(MCV)均升高,其中400 mg/kg和600 mg/kg组显著升高。酒精的增加会抑制血细胞的生成,如果红细胞减少,则会增强,因此,这意味着红细胞携带氧气的能力会降低,这些氧气将被运送到组织中,同时二氧化碳的水平也会返回到肺部。此外,PCV还参与氧气的运输和营养物质的吸收。因此,PCV的增加表现出更好的运输,从而导致原发性和继发性红细胞增多症的增加。结论:该植物提取物含有一定的生物活性成分或植物化学成分,能够改善酒精对动物模型的毒性作用。
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引用次数: 1
Seroprevalence of Hepatitis C Virus Infection among Blood Donors at Madhya Pradesh, India: A Retrospective Study 印度中央邦献血者丙型肝炎病毒感染的血清阳性率:一项回顾性研究
Pub Date : 2019-07-02 DOI: 10.9734/IBRR/2019/V9I330103
P. Gupta, D. Sharma, U. Yadav, J. Bindal, K. Pandey
Background: Viral hepatitis is a global health problem with 170 million Hepatitis C Virus (HCV) carriers worldwide, and 12-13 million HCV carriers in India. Unscreened blood and components play a significant role in transmission of HCV apart from reuse of injection needles, unsterilized surgical equipments and vertical transmission from mother to child.  Unsafe blood transfusion not only poses risk to patients, causing significant morbidity and mortality, but also adds to the economical burden on healthcare system. Aims and Objectives: Aim of this study is to estimate the seroprevalence of HCV infection among the voluntary and relative donors over a period of 7 years at blood banks of Madhya Pradesh with collaboration of Madhya Pradesh State AIDS control Society (MPSACS) Bhopal, India from 2011 to 2017. Materials and Methods: This is a retrospective study of blood donation at blood banks, of Madhya Pradesh, India.  Blood units were screened for TTIs from January 2011 To December 2017. HIV, HCV and HBV tests were done by ELISA. Data of HCV was collected and compared statistically by frequency distribution and percentage proportion. Chi Square (χ 2) test was used to determine the significant difference statistically. Results: The mean age of donors was 32.4 2 ± 8.63 years. Major contribution was from male donors (93.8%). Majority of donation was done voluntarily (87.3 %).  Out of the total 1,876,219 donors tested for TTIs over 7 years, 1980 (0.11%) were positive to anti HCV (p=.000001). Conclusion: The prevalence of HCV infection was 0.11% among blood donors of Madhya Pradesh, with geographic variation among districts. Aiming to provide safe blood to the patients, prevention of transmission of HCV by proper donor counseling and screening of the unit is required.
背景:病毒性肝炎是一个全球性的健康问题,全世界有1.7亿丙型肝炎病毒(HCV)携带者,印度有1200万至1300万HCV携带者。除了重复使用注射针头、未消毒的手术设备和母婴垂直传播外,未经筛选的血液和成分在丙型肝炎病毒传播中也起着重要作用。不安全输血不仅给患者带来风险,造成严重的发病率和死亡率,而且还增加了卫生保健系统的经济负担。目的和目的:本研究的目的是在2011年至2017年印度博帕尔中央邦国家艾滋病控制协会(MPSACS)的合作下,估计中央邦血库中自愿和相关献血者7年期间丙型肝炎病毒感染的血清患病率。材料和方法:本研究是对印度中央邦血库献血情况的回顾性研究。从2011年1月到2017年12月,对血液单位进行了tti筛查。ELISA法检测HIV、HCV、HBV。收集HCV数据,采用频率分布和百分比比例进行统计学比较。采用χ 2检验判定差异有统计学意义。结果:献血者平均年龄为32.4±8.63岁。捐献主要来自男性(93.8%)。大部分捐赠是自愿的(87.3%)。在过去7年中,总共有1,876,219名献血者接受了TTIs检测,其中1980人(0.11%)的HCV抗体呈阳性(p= 0.000001)。结论:中央邦献血者HCV感染率为0.11%,地区间存在地理差异。为了向患者提供安全的血液,需要通过适当的献血者咨询和单位筛查来预防丙型肝炎病毒的传播。
{"title":"Seroprevalence of Hepatitis C Virus Infection among Blood Donors at Madhya Pradesh, India: A Retrospective Study","authors":"P. Gupta, D. Sharma, U. Yadav, J. Bindal, K. Pandey","doi":"10.9734/IBRR/2019/V9I330103","DOIUrl":"https://doi.org/10.9734/IBRR/2019/V9I330103","url":null,"abstract":"Background: Viral hepatitis is a global health problem with 170 million Hepatitis C Virus (HCV) carriers worldwide, and 12-13 million HCV carriers in India. \u0000Unscreened blood and components play a significant role in transmission of HCV apart from reuse of injection needles, unsterilized surgical equipments and vertical transmission from mother to child.  Unsafe blood transfusion not only poses risk to patients, causing significant morbidity and mortality, but also adds to the economical burden on healthcare system. \u0000Aims and Objectives: Aim of this study is to estimate the seroprevalence of HCV infection among the voluntary and relative donors over a period of 7 years at blood banks of Madhya Pradesh with collaboration of Madhya Pradesh State AIDS control Society (MPSACS) Bhopal, India from 2011 to 2017. \u0000Materials and Methods: This is a retrospective study of blood donation at blood banks, of Madhya Pradesh, India.  Blood units were screened for TTIs from January 2011 To December 2017. HIV, HCV and HBV tests were done by ELISA. Data of HCV was collected and compared statistically by frequency distribution and percentage proportion. Chi Square (χ 2) test was used to determine the significant difference statistically. \u0000Results: The mean age of donors was 32.4 2 ± 8.63 years. Major contribution was from male donors (93.8%). Majority of donation was done voluntarily (87.3 %).  Out of the total 1,876,219 donors tested for TTIs over 7 years, 1980 (0.11%) were positive to anti HCV (p=.000001). \u0000Conclusion: The prevalence of HCV infection was 0.11% among blood donors of Madhya Pradesh, with geographic variation among districts. Aiming to provide safe blood to the patients, prevention of transmission of HCV by proper donor counseling and screening of the unit is required.","PeriodicalId":13659,"journal":{"name":"International Blood Research & Reviews","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78578128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pattern of Blood Donation Practices among Students of a Nigerian University 尼日利亚一所大学学生献血实践模式
Pub Date : 2019-06-26 DOI: 10.9734/IBRR/2019/V9I330102
N. Ugwu, C. Ugwu, Wilberforce Oti, C. Uneke
Background: Blood transfusion service is an indispensable component of health care. Despite the increased demand for blood, the supply of safe blood has been inadequate. Objective: The aim of this study is to determine the pattern of blood donation practices among medical students in Abakaliki. Methods: This was a cross-sectional study carried out at Ebonyi State University Abakaliki between October 2017 and March 2018. Stratified sampling technique was used to recruit participants from medical students using pre-tested, semi-structured, self-administered questionnaire, to assess their pattern of blood donation practices. Data was analysed using SPSS software, version 20. Results:  One hundred and fifty eight medical students who participated in the study were made up of 90 (58.4%) males and 68 (41.6%) females. The most prevalent age group was 20 to 25years. One hundred and forty three (93%) of the participants were single. The most common blood group was O Rh positive, followed by A Rh positive then B Rh positive while AB Rh negative was the least. Majority of the participants have never donated blood. The minority who have ever donated blood, donated either once or twice and the donation was made for a family member or friend. Conclusion: Participants were found to have poor pattern of blood donation practices. Misconception, fear, cultural and religious influences deter people from practicing voluntary non-remunerated blood donation. Conducting awareness and enlightenment programs regularly will help to keep them well informed and motivated to practice voluntary non-remunerated blood donation.
背景:输血服务是卫生保健不可或缺的组成部分。尽管对血液的需求增加,但安全血液的供应一直不足。目的:本研究的目的是确定Abakaliki医学院学生献血行为的模式。方法:这是一项横断面研究,于2017年10月至2018年3月在Ebonyi州立大学Abakaliki进行。采用分层抽样的方法,采用预测试、半结构化、自我管理的问卷从医学生中招募参与者,以评估他们的献血行为模式。数据分析采用SPSS软件,版本20。结果:158名参与研究的医学生中,男性90人(58.4%),女性68人(41.6%)。最普遍的年龄组是20至25岁。143名(93%)参与者是单身。最常见的血型是O Rh阳性,其次是A Rh阳性,然后是B Rh阳性,AB Rh阴性最少。大多数参与者从未献过血。少数曾经献过血的人,只捐过一次或两次,而且是为家人或朋友捐献的。结论:发现参与者有不良的献血习惯。误解、恐惧、文化和宗教影响使人们不敢进行自愿无偿献血。定期开展宣传和启蒙项目将有助于使他们充分了解情况,并有动力进行自愿无偿献血。
{"title":"Pattern of Blood Donation Practices among Students of a Nigerian University","authors":"N. Ugwu, C. Ugwu, Wilberforce Oti, C. Uneke","doi":"10.9734/IBRR/2019/V9I330102","DOIUrl":"https://doi.org/10.9734/IBRR/2019/V9I330102","url":null,"abstract":"Background: Blood transfusion service is an indispensable component of health care. Despite the increased demand for blood, the supply of safe blood has been inadequate. \u0000Objective: The aim of this study is to determine the pattern of blood donation practices among medical students in Abakaliki. \u0000Methods: This was a cross-sectional study carried out at Ebonyi State University Abakaliki between October 2017 and March 2018. Stratified sampling technique was used to recruit participants from medical students using pre-tested, semi-structured, self-administered questionnaire, to assess their pattern of blood donation practices. Data was analysed using SPSS software, version 20. \u0000Results:  One hundred and fifty eight medical students who participated in the study were made up of 90 (58.4%) males and 68 (41.6%) females. The most prevalent age group was 20 to 25years. One hundred and forty three (93%) of the participants were single. The most common blood group was O Rh positive, followed by A Rh positive then B Rh positive while AB Rh negative was the least. Majority of the participants have never donated blood. The minority who have ever donated blood, donated either once or twice and the donation was made for a family member or friend. \u0000Conclusion: Participants were found to have poor pattern of blood donation practices. Misconception, fear, cultural and religious influences deter people from practicing voluntary non-remunerated blood donation. Conducting awareness and enlightenment programs regularly will help to keep them well informed and motivated to practice voluntary non-remunerated blood donation.","PeriodicalId":13659,"journal":{"name":"International Blood Research & Reviews","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86831389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Changes in Plasma Haemoglobin Concentration in Citrate Phosphate Dextrose Adenine-1(CPDA-1) Stored Blood 枸橼酸磷酸葡萄糖腺嘌呤-1(CPDA-1)血中血浆血红蛋白浓度的变化
Pub Date : 2019-06-15 DOI: 10.9734/IBRR/2019/V9I330101
E. Eze, S. Christian, Ransom Baribefii Jacob, Z. Jeremiah, Iminabo Diada Walter Chuku
Aim: This study assessed the level of plasma haemoglobin concentration in CPDA-1 stored blood with a view to determine the extent of haemolysis during the 35 days storage period. Study Design:  This is an observational and comparative case-control study. Place and Duration of Study: The study was conducted using healthy male donors residing in Port Harcourt. Analysis was carried out at the Blood Bank of Rivers State University Teaching Hospital, formerly Braithwaite Memorial Specialist Hospital (BMSH), Port Harcourt, Nigeria, from February 1st to March 8th, 2017. Methodology: Blood for transfusion was collected from prospective male blood donor found to be in good health, aged between 18 and 52 years, with haemoglobin level within the range of 13.5 g/dl – 16 g/dl, body weight within 55 kg – 75 kg, and body temperature within 37.0 to 37.50C / 99.50F, into plastic bags containing anticoagulant CPDA-1, and handled under strict sterile condition to prevent bacterial contamination. The blood was stored in a blood bank refrigerator with a constant temperature of +2 to +60C under proper inspection at intervals for colour, turbidity, haemolysis and clot formation. Two milliliters of the sample was collected aseptically at different interval days of collection from the blood bag and analyzed using the HemoCue photometer. Results: Results showed no significant changes in plasma haemoglogin from day 1, 5, and 10, while significant increase in haemolysis occurred from day 15, 20, 25, 30, and 35 (p = 0.000), a significant increase (p<0.05) in plasma haemoglobin was observed from day 15 to day 35 of storage. Conclusion: It is pertinent therefore to note that the use of CPDA-1 does not completely stop the changes that occur in RBC as there are several changes occurring in stored blood collectively called “storage lesions”. Therefore, it is advisable that blood should be transfused within 14 days of storage to avoid transfusion of blood products that has lost most of its benefits to recipients, and where possible whole blood should be processed and components separated before storage to reduce the level of non-viable red blood cells.
目的:本研究评估CPDA-1贮存血中血浆血红蛋白浓度水平,以确定35天贮存期内溶血的程度。研究设计:这是一项观察性和比较病例对照研究。研究地点和时间:研究使用居住在哈科特港的健康男性供体。分析于2017年2月1日至3月8日在尼日利亚哈科特港河流州立大学教学医院血库(原Braithwaite纪念专科医院(BMSH))进行。方法:对健康状况良好、年龄在18 ~ 52岁、血红蛋白水平在13.5 g/dl ~ 16 g/dl、体重在55 kg ~ 75 kg、体温在37.0 ~ 37.50℃/ 99.50F之间的男性献血者采集输血血液,装入含有抗凝剂CPDA-1的塑料袋中,在严格的无菌条件下处理,防止细菌污染。将血液保存在恒温于+2至+60℃的血库冰箱中,每隔一段时间进行适当的检查,检查血液的颜色、浑浊度、溶血情况和凝块形成情况。在不同的采集间隔天从血袋中无菌采集2毫升样品,使用HemoCue光度计进行分析。结果:血浆血红蛋白在第1、5、10天无显著变化,而溶血在第15、20、25、30、35天显著增加(p = 0.000),血浆血红蛋白在第15 ~ 35天显著增加(p<0.05)。结论:因此值得注意的是,使用CPDA-1并不能完全阻止红细胞发生的变化,因为在储存的血液中发生了几种变化,统称为“储存病变”。因此,建议在储存后14天内输血,以避免输血的血液制品对受者已经失去了大部分的益处,并且在可能的情况下,全血应在储存前进行处理并分离成分,以减少不能存活的红细胞的水平。
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引用次数: 2
Synergistic Pharmacological Effect of Leaf Extracts of Ficus exasperata and Telfeira occidentalis on Chloramphenicol - Induced Anaemia in Wistar Rats 梧桐叶提取物对氯霉素致Wistar大鼠贫血的协同药理作用
Pub Date : 2019-06-03 DOI: 10.9734/IBRR/2019/V9I330100
Nweje-Anyalowu Paul Chukwuemeka, Anyalogbu Ernest Anayochukwu Aniemeka, I. Adejoh, Agatemor Uzuazokaro Mark-Maria, Uroko Robert Ikechukwu
Objective: This study was undertaken to validate the haematinic potentials of the aqueous leaf extracts of Ficus exasperata (FEAE) and Telfeira occidentalis (TOAE) administered separately and to establish a possible synergistic interaction when administered concurrently to chloramphenicol- induced anaemic rats. Materials and Methods: Anaemia was induced by oral administration of chloramphenicol (50 mg/kg) for 2 weeks.  Five (5) non- anaemic rats and Twenty (20) anaemic rats were used in this study. The non – anaemic rats served as non- anaemic control and received 1ml dist. H2O. The 25 anaemic rats were divided into 5 groups of 5 rats each (groups 2- 6). Group 2 served as anaemic control and received 1 ml dist. H2O, group 3 served as positive control (reference drug) and received ferrous gluconate (900 mg/kg) while groups 4- 6 received  FEAE (200 mg/kg), TOAE (200 mg/kg) and FEAE (100 mg/kg) + TOAE (100 mg/kg) respectively. Treatment was carried out once daily for 7 days after which the rats were bled for determination of PCV, Hb and WBC count. Results: Chloramphenicol induced a significant decrease PVC and Hb indicating anaemia and also resulted to a significant increase in WBC count. Aqueous leaves extracts of Ficus exasperata and Telfeira occidentalis produced significant increase in PCV and Hb with a corresponding decrease in WBC after 7 days of oral administration to anaemic rats. The anti- anaemic effect observed with co-administration of the extracts was however, significantly more than either of the extract administered alone. Conclusion: It can be concluded that the extracts of Ficus exasperata and Telfeira occidentalis show synergistic effect when co-administered. This could be useful in the management of   anaemia.
目的:本研究验证了榕树叶水提物(FEAE)和西柳叶水提物(TOAE)分别给药时的血电位,并建立了氯霉素诱导的贫血大鼠同时给药时可能的协同相互作用。材料与方法:口服氯霉素(50mg /kg)诱导贫血2周。本实验选用5只非贫血大鼠和20只贫血大鼠。非贫血大鼠作为非贫血对照,分别给予1ml水。将25只贫血大鼠分为5组(2 ~ 6组),每组5只,2组作为贫血对照,每天给予1 ml水;3组作为阳性对照(对照药),每天给予葡萄糖酸亚铁(900 mg/kg); 4 ~ 6组分别给予FEAE (200 mg/kg)、TOAE (200 mg/kg)和FEAE (100 mg/kg) + TOAE (100 mg/kg)。每天1次,连续治疗7 d,然后放血检测PCV、Hb和WBC计数。结果:氯霉素可显著降低贫血患者的PVC和Hb,并导致白细胞计数显著增加。对贫血大鼠口服7 d后,梧桐叶和西榆叶水提物显著增加PCV和Hb,相应降低WBC。然而,联合服用提取物的抗贫血效果明显高于单独服用提取物。结论:梧桐提取物与西榆提取物在联合给药时具有协同作用。这在治疗贫血方面可能是有用的。
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引用次数: 1
期刊
International Blood Research & Reviews
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