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User verification of Abbott Alinity HQ hematology analyzer 雅培 Alinity HQ 血液分析仪的用户验证
Pub Date : 2023-12-11 DOI: 10.1515/tjb-2023-0185
Nilufer Bayraktar, D. Topcu
Abstract Objectives This study aims to evaluate the performance characteristics of the Alinity HQ hematology analyzer in a routine laboratory setting. Methods In the study, precision (short-term and long-term precision), accuracy (method comparison with Abbott Cell Dyn Ruby and estimation of bias), confirmation of a background (Limit of Blank, LoB), and carry-over were used to evaluate the performance of Alinity HQ as recommended by ICSH, CLSI guidelines EP15-A3, EP09, EP17A2, and H26-A2. Acceptance criteria were based on manufacturer technical specifications and the EFLM Biological Variation Database. Results According to the short-term precision results, except for mean corpuscular volume (MCV) and mean corpuscular hemoglobin concentration (MCHC), all measurements exhibited coefficient variations (CV) lower than their verification limits. Basophil, eosinophil, and monocyte counts, as well as mean corpuscular hemoglobin (MCH), MCHC, and red cell distribution width standard deviation (RDW-SD), did not meet the allowable imprecision criteria for the long-term precision study. The estimated bias for all analytes was within verification limits. However, the method comparison study showed concentration-dependent variations for MCHC, MCH, and mean platelet volume (MPV) parameters. Furthermore, the correlation of parameters between Alinity HQ and Cell Dyn Ruby ranged from 0.46 to 1.00. The LoB and carry-over studies demonstrated satisfactory performance for the Alinity HQ analyzer. Conclusions Although some parameters had higher CVs than expected and concentration-dependent bias, the overall analytical performance of Alinity HQ was found to be satisfactory. Alinity HQ is an accurate, highly precise analyzer with good analytical performance, suitable for high-volume laboratories.
摘要目的本研究旨在评估Alinity HQ血液分析仪在常规实验室环境下的性能特征。方法采用ICSH、CLSI指南EP15-A3、EP09、EP17A2和H26-A2推荐的方法,通过精密度(短期和长期精密度)、准确度(与雅培细胞Dyn Ruby的方法比较和偏倚估计)、背景确认(空白限、LoB)和结转来评价Alinity HQ的性能。验收标准基于制造商技术规范和EFLM生物变异数据库。结果短期精密度结果显示,除平均红细胞体积(MCV)和平均红细胞血红蛋白浓度(MCHC)外,其余指标的变异系数(CV)均低于验证限。嗜碱性粒细胞、嗜酸性粒细胞和单核细胞计数,以及平均红细胞血红蛋白(MCH)、MCHC和红细胞分布宽度标准差(RDW-SD)不符合长期精确研究允许的不精确标准。所有分析物的估计偏倚都在验证范围内。然而,方法比较研究显示MCHC、MCH和平均血小板体积(MPV)参数的浓度依赖性变化。Alinity HQ与Cell Dyn Ruby的相关系数在0.46 ~ 1.00之间。LoB和结转研究表明Alinity HQ分析仪的性能令人满意。结论虽然某些参数的cv值高于预期,且存在浓度依赖偏差,但Alinity HQ的整体分析性能令人满意。Alinity HQ是一款准确、高精度的分析仪,具有良好的分析性能,适用于高容量实验室。
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引用次数: 0
Zeolite nanomaterial-modified dielectrode oxide surface for diagnosing Alzheimer’s disease by dual molecular probed impedance sensor 通过双分子探针阻抗传感器诊断阿尔茨海默病的沸石纳米材料修饰氧化电极表面
Pub Date : 2023-12-07 DOI: 10.1515/tjb-2023-0079
Zhengguo Qiu, Xiaqing Zhang, Ni Jia, Xu Li, Rui Li, S. Gopinath, Mingna Jiao
Abstract Objectives Alzheimer’s disease (AD) is an irreversible and progressive neurogenerative disorder, which affects the learning part of brain. It mainly affects the aged population and becoming a global health issue, expecting to increase more in near future. Late diagnosis of AD worsens the situation and difficult to treat the patient. Various biosensing techniques with suitable biomarkers have been developed by researchers to diagnose the earlier stages of AD. Methods This research was focused to develop a highly sensitive zeolite-dual probe-modified impedance biosensor for identifying AD biomarker, Aβ Oligomer (AβO). The sensing surface was initially modified with zeolite through the chemical linker and then a dual probe of anti-AβO aptamer and anti-AβO antibody were attached to the surface of the zeolite. Results On these dual probe-modified surfaces, AβO was quantified to diagnose AD. Further, AβO spiked artificial CSF was identified by dual probes without any interference, indicating the selective identification of AβO. In addition, control experiments with non-immune, complementary, and control proteins failed to show the increment of responses, confirming the specific detection of AβO. Conclusions This zeolite-dual probe-modified biosensor helps to lower the limit of detection to 0.1 pM and diagnose AD at the earlier stages.
摘要目的阿尔茨海默病(Alzheimer 's disease, AD)是一种不可逆的进行性神经退行性疾病,主要影响大脑的学习部分。它主要影响老年人口,并成为一个全球性的健康问题,预计在不久的将来会增加。阿尔茨海默病的晚期诊断使病情恶化,治疗困难。研究人员开发了各种具有合适生物标志物的生物传感技术来诊断AD的早期阶段。方法采用高灵敏度的沸石双探针修饰阻抗生物传感器,对AD生物标志物a β低聚物(a β o)进行检测。首先用沸石通过化学连接剂修饰传感表面,然后将抗a β o适配体和抗a β o抗体双探针附着在沸石表面。结果在这些双探针修饰的表面上,定量测定了AβO以诊断AD。此外,双探针无干扰地鉴定了AβO加标人工脑脊液,表明了AβO的选择性鉴定。此外,非免疫蛋白、互补蛋白和对照蛋白的对照实验均未显示出应答的增加,证实了AβO的特异性检测。结论这种沸石双探针修饰的生物传感器可以将检测限降低到0.1 pM,有助于早期诊断AD。
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引用次数: 0
Forward steps in green medical laboratory practices for a sustainable future 为可持续发展的未来迈出绿色医学实验室实践的前进步伐
Pub Date : 2023-12-07 DOI: 10.1515/tjb-2023-0186
Medine Alpdemir, E. F. Yurt, Mehmet Şeneş
Abstract This paper provides information on the significance of environmental sustainability and the potential benefits of implementing green laboratory processes. Sustainability is a broad concept that includes goals such as conservation of natural resources, energy efficiency, waste management, and reducing environmental footprints. Green laboratories strive to minimise environmental footprints by embedding sustainability principles into their everyday practices. This involves improvements in energy consumption, water usage, chemical waste reduction, and recycling, ultimately, as well as lower waste disposal costs. Implementing green laboratory approaches provides many benefits, such as a smaller environmental footprint, increased energy efficiency, water conservation, and cost savings. Moreover, a rational test ordering process can effectively contribute to reducing environmental impacts in medical laboratories. Rational test ordering provides cost-effectiveness and reduces the carbon footprint. Establishing a green and sustainable laboratory culture in medical laboratories requires a permanent organisation in where all personnel participate. Training of the hospital management teams, clinicians, and laboratory professionals is a vital point. Methodology and quality indicators should be defined by international and national laboratory associations within the framework of a green and sustainable laboratory plan, and data should be collected. In conclusion, adopting green laboratory practices reduces environmental impacts, saves costs, and accelerates innovation processes. Setting quality targets and rational test ordering practices are also essential for sustainability. Applying sustainability principles in laboratory workplaces is an important step towards protecting the environment and leaving a more liveable world for future generations.
摘要:本文提供了关于环境可持续性的重要性和实施绿色实验室过程的潜在效益的信息。可持续发展是一个广泛的概念,包括保护自然资源、能源效率、废物管理和减少环境足迹等目标。绿色实验室通过将可持续发展原则融入日常实践,努力将环境足迹降至最低。这包括改善能源消耗、用水、减少化学废物和回收,以及降低废物处理成本。实施绿色实验室方法提供了许多好处,例如更小的环境足迹,提高能源效率,节约用水和节约成本。此外,合理的测试订购流程可以有效地减少医学实验室对环境的影响。合理的测试排序提供了成本效益并减少了碳足迹。在医学实验室中建立绿色和可持续的实验室文化需要一个所有人员都参与的永久性组织。培训医院管理团队、临床医生和实验室专业人员是至关重要的一点。方法和质量指标应由国际和国家实验室协会在绿色和可持续实验室计划的框架内确定,并应收集数据。总之,采用绿色实验室实践减少了对环境的影响,节省了成本,并加速了创新过程。设定质量目标和合理的测试排序实践对于可持续性也是必不可少的。在实验室工作场所应用可持续性原则是保护环境和为子孙后代留下一个更宜居的世界的重要一步。
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引用次数: 0
Evaluation of systemic inflammatory and fibrosis indices in Saprochaete capitata infections: a retrospective case-control study 帽状无患子感染的全身炎症和纤维化指数评估:一项回顾性病例对照研究
Pub Date : 2023-12-05 DOI: 10.1515/tjb-2023-0228
Nuri Cakir
Abstract Objectives Evaluation of inflammation and liver fibrosis by using well established indices of serum biomarkers in hepatitis caused by viral agents has been reported in recent studies. But the diagnostic performance and prediction of liver damage in S. capitata infections has not yet been reported. The aim of the current study was to investigate the levels of systemic inflammatory indices based on liver enzymes and platelets, their effectiveness in detecting S. capitata infection and its degree of damage to the liver. Methods We investigated the diagnostic performance of seven serum inflammation and fibrosis markers as fibrosis-4 (FIB-4) score, AST/platelet ratio (APRI), AST/ALT ratio (De Ritis ratio), albumin/ALP ratio (AAR), platelet/albumin ratio (PAR), pan-immune-inflammation value (PIV) and GGT/platelet ratio (GPR) in total 62 S. capitata infected patients using cut-offs through receiver operating characteristics (ROC) analysis. Results Area under the curve of FIB-4 score was statistically significantly higher than ones of De Ritis ratio, AAR, PIV, APR, GPR, APRI index in determining liver damage in patients with S. capitata. The optimal cut off point for FIB-4 score was defined that the levels above 27.57 for FIB-4 score may be used for the diagnosis of S. capitata with 89 % of sensitivity and 91 % of specificity. Conclusions Serum fibrosis and immune-inflammation indices are independent, useful predictors, and FIB4 score is superior to the others in the diagnosis of inflammation and liver damage in S. capitata. These biomarkers may also be useful to specialists to follow up on the medical processes of these patients.
【摘要】目的近年来有研究报道了利用已建立的血清生物标志物指标评价病毒性肝炎的炎症和肝纤维化。但对猪链球菌感染肝损害的诊断和预测尚未见报道。本研究的目的是研究基于肝酶和血小板的全身炎症指数水平,它们在检测猪头绦虫感染中的有效性及其对肝脏的损害程度。方法通过受试者工作特征(ROC)分析,采用cut-offs法对62例猪链球菌感染患者进行纤维化-4 (FIB-4)评分、AST/血小板比值(APRI)、AST/ALT比值(De Ritis ratio)、白蛋白/ALP比值(AAR)、血小板/白蛋白比值(PAR)、泛免疫炎症值(PIV)和GGT/血小板比值(GPR)等7项血清炎症和纤维化指标的诊断。结果FIB-4评分曲线下面积高于De - Ritis ratio、AAR、PIV、APR、GPR、APRI指数对猪肝损伤的判断,具有统计学意义。FIB-4评分的最佳分界点定义为FIB-4评分高于27.57分可用于诊断S. capitata,敏感性为89 %,特异性为91 %。结论血清纤维化和免疫炎症指标是独立、有用的预测指标,其中FIB4评分在诊断猪肝炎症和肝损害方面优于其他指标。这些生物标记物也可能对专家跟进这些患者的医疗过程有用。
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引用次数: 0
Current evaluation and recommendations for the use of artificial intelligence tools in education 人工智能工具在教育领域应用的当前评估和建议
Pub Date : 2023-12-01 DOI: 10.1515/tjb-2023-0254
F. Sağın, Ali Burak Özkaya, F. Tengiz, Ö. G. Geyik, Caner Geyik
Abstract This paper discusses the integration of artificial intelligence (AI) tools in education, delineating their potential to transform pedagogical practices alongside the challenges they present. Generative AI models like ChatGPT, had a disruptive impact on teaching and learning, due to their ability to create text, images, and sound, revolutionizing educational content creation and modification. However, nowadays the educational community is polarized, with some embracing AI for its accessibility and efficiency thus advocating it as an indispensable tool, while others cautioning against risks to academic integrity and intellectual development. This document is designed to raise awareness about AI tools and provide some examples of how they can be used to improve education and learning. From an educator’s perspective, AI is an asset for curriculum development, course material preparation, instructional design and student assessment, while reducing bias and workload. For students, AI tools offer personalized learning experiences, timely feedback, and support in various academic activities. The Turkish Biochemical Society (TBS) Academy recommends educators to embrace and utilize AI tools to enhance educational processes, and engage in peer learning for better adaptation while maintaining a critical perspective on their utility and limitations. The transfer of AI knowledge and methods to the teaching experiences should complement and not replace the educator’s creativity and critical thinking. The paper advocates for an informed embrace of AI, AI fluency among educators and students, ethical application of AI in academic settings, and continuous engagement with the evolving AI technologies, ensuring that AI tools are used to augment critical thinking and contribute positively to education and society.
摘要 本文讨论了人工智能(AI)工具在教育中的应用,阐述了这些工具在改变教学实践方面的潜力及其带来的挑战。ChatGPT 等人工智能生成模型能够创建文本、图像和声音,对教学产生了颠覆性的影响,彻底改变了教育内容的创建和修改。然而,如今的教育界却出现了两极分化,一些人因人工智能的易用性和高效性而将其奉为不可或缺的工具,而另一些人则对学术诚信和智力发展所面临的风险持谨慎态度。本文件旨在提高人们对人工智能工具的认识,并举例说明如何利用这些工具改进教育和学习。从教育者的角度来看,人工智能是课程开发、教材准备、教学设计和学生评估的资产,同时还能减少偏见和工作量。对于学生来说,人工智能工具可以提供个性化的学习体验、及时的反馈以及各种学术活动的支持。土耳其生化学会(TBS)学院建议教育工作者接受并利用人工智能工具来加强教育过程,并参与同行学习以更好地适应,同时对其实用性和局限性保持批判性的观点。将人工智能知识和方法转移到教学经验中,应补充而不是取代教育工作者的创造力和批判性思维。本文倡导在知情的情况下拥抱人工智能,提高教育工作者和学生对人工智能的流畅性,在学术环境中合乎道德地应用人工智能,并持续参与不断发展的人工智能技术,确保人工智能工具用于增强批判性思维,为教育和社会做出积极贡献。
{"title":"Current evaluation and recommendations for the use of artificial intelligence tools in education","authors":"F. Sağın, Ali Burak Özkaya, F. Tengiz, Ö. G. Geyik, Caner Geyik","doi":"10.1515/tjb-2023-0254","DOIUrl":"https://doi.org/10.1515/tjb-2023-0254","url":null,"abstract":"Abstract This paper discusses the integration of artificial intelligence (AI) tools in education, delineating their potential to transform pedagogical practices alongside the challenges they present. Generative AI models like ChatGPT, had a disruptive impact on teaching and learning, due to their ability to create text, images, and sound, revolutionizing educational content creation and modification. However, nowadays the educational community is polarized, with some embracing AI for its accessibility and efficiency thus advocating it as an indispensable tool, while others cautioning against risks to academic integrity and intellectual development. This document is designed to raise awareness about AI tools and provide some examples of how they can be used to improve education and learning. From an educator’s perspective, AI is an asset for curriculum development, course material preparation, instructional design and student assessment, while reducing bias and workload. For students, AI tools offer personalized learning experiences, timely feedback, and support in various academic activities. The Turkish Biochemical Society (TBS) Academy recommends educators to embrace and utilize AI tools to enhance educational processes, and engage in peer learning for better adaptation while maintaining a critical perspective on their utility and limitations. The transfer of AI knowledge and methods to the teaching experiences should complement and not replace the educator’s creativity and critical thinking. The paper advocates for an informed embrace of AI, AI fluency among educators and students, ethical application of AI in academic settings, and continuous engagement with the evolving AI technologies, ensuring that AI tools are used to augment critical thinking and contribute positively to education and society.","PeriodicalId":23344,"journal":{"name":"Turkish Journal of Biochemistry","volume":"93 2","pages":"620 - 625"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139193058","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
FIB4 score is increased in severe preeclampsia 重度子痫前期的 FIB4 评分增高
Pub Date : 2023-11-27 DOI: 10.1515/tjb-2022-0214
S. Özer, Hakan Güneş, A. Özer
Abstract Objectives This study aims to investigate how the fibrosis index based on four factors (FIB-4) is altered in preeclampsia and whether the FIB-4 score differs with respect to the severity of preeclampsia and the presence of fetal and maternal adverse outcomes. Methods One hundred and forty-two patients with mild preeclampsia (34.6 %), one hundred and ninety patients who have preeclampsia with severe features (46.2 %), and 79 healthy pregnant controls (19.2 %) were included in the study. Fetal adverse outcomes occurred in 40.1 %, and maternal adverse outcomes only appeared as neurological symptoms in 20.5 % of the preeclampsia patients. Results Healthy controls had significantly lower FIB-4 scores than women with mild preeclampsia, and women with mild preeclampsia had significantly lower FIB-4 scores than women who had preeclampsia with severe features (respectively 0.58±0.29 vs. 0.68±0.44 vs. 1.93±4.92, p=0.003). The FIB-4 scores of preeclampsia patients with neurologic symptoms and preeclampsia patients with fetal adverse events were found to be similar to preeclampsia patients who did not have these problems. In ROC curve analysis, FIB-4 scores ≥0.758 indicated the presence of neurologic symptoms in preeclampsia patients, with a sensitivity of 0.66 and a specificity of 0.66 (p=0.004). Conclusions To the best of our knowledge, this is the first study to establish the FIB-4 scores of preeclampsia patients and determine if FIB-4 scores change with respect to maternal and fetal adverse outcomes. Our findings suggest that FIB-4 might be used to predict pregnancies destined to be complicated with preeclampsia and preeclampsia patients who are more likely to experience maternal and fetal adverse outcomes.
摘要 目的 本研究旨在探讨基于四个因素的纤维化指数(FIB-4)在子痫前期中的变化情况,以及FIB-4评分在子痫前期严重程度和胎儿及母体不良结局方面是否存在差异。方法 研究纳入了 142 名轻度子痫前期患者(34.6%)、190 名重度子痫前期患者(46.2%)和 79 名健康孕妇对照组(19.2%)。40.1%的先兆子痫患者出现胎儿不良后果,20.5%的先兆子痫患者仅出现神经系统症状。结果 健康对照组的FIB-4评分明显低于轻度子痫前期妇女,轻度子痫前期妇女的FIB-4评分明显低于重度子痫前期妇女(分别为0.58±0.29 vs. 0.68±0.44 vs. 1.93±4.92,P=0.003)。有神经系统症状的子痫前期患者和有胎儿不良事件的子痫前期患者的FIB-4评分与没有这些问题的子痫前期患者相似。在 ROC 曲线分析中,FIB-4 评分≥0.758 表明子痫前期患者存在神经系统症状,敏感性为 0.66,特异性为 0.66(P=0.004)。结论 据我们所知,这是第一项对子痫前期患者进行 FIB-4 评分并确定 FIB-4 评分是否随母体和胎儿不良结局而变化的研究。我们的研究结果表明,FIB-4 可用于预测子痫前期复杂妊娠,以及更有可能出现母体和胎儿不良结局的子痫前期患者。
{"title":"FIB4 score is increased in severe preeclampsia","authors":"S. Özer, Hakan Güneş, A. Özer","doi":"10.1515/tjb-2022-0214","DOIUrl":"https://doi.org/10.1515/tjb-2022-0214","url":null,"abstract":"Abstract Objectives This study aims to investigate how the fibrosis index based on four factors (FIB-4) is altered in preeclampsia and whether the FIB-4 score differs with respect to the severity of preeclampsia and the presence of fetal and maternal adverse outcomes. Methods One hundred and forty-two patients with mild preeclampsia (34.6 %), one hundred and ninety patients who have preeclampsia with severe features (46.2 %), and 79 healthy pregnant controls (19.2 %) were included in the study. Fetal adverse outcomes occurred in 40.1 %, and maternal adverse outcomes only appeared as neurological symptoms in 20.5 % of the preeclampsia patients. Results Healthy controls had significantly lower FIB-4 scores than women with mild preeclampsia, and women with mild preeclampsia had significantly lower FIB-4 scores than women who had preeclampsia with severe features (respectively 0.58±0.29 vs. 0.68±0.44 vs. 1.93±4.92, p=0.003). The FIB-4 scores of preeclampsia patients with neurologic symptoms and preeclampsia patients with fetal adverse events were found to be similar to preeclampsia patients who did not have these problems. In ROC curve analysis, FIB-4 scores ≥0.758 indicated the presence of neurologic symptoms in preeclampsia patients, with a sensitivity of 0.66 and a specificity of 0.66 (p=0.004). Conclusions To the best of our knowledge, this is the first study to establish the FIB-4 scores of preeclampsia patients and determine if FIB-4 scores change with respect to maternal and fetal adverse outcomes. Our findings suggest that FIB-4 might be used to predict pregnancies destined to be complicated with preeclampsia and preeclampsia patients who are more likely to experience maternal and fetal adverse outcomes.","PeriodicalId":23344,"journal":{"name":"Turkish Journal of Biochemistry","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139232187","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
Comparison of results of two hematological analyzer systems: Dirui BF-7200 and Sysmex XN-1000 两种血液分析仪的结果比较:Dirui BF-7200 和 Sysmex XN-1000
Pub Date : 2023-11-27 DOI: 10.1515/tjb-2023-0184
Muhammed Seyithanoğlu, Hilmi İsmet Tuncer, F. Tolun, Metin Kilinç
Abstract Objectives Complete blood count (CBC) is performed using automated hematology analyzers. It is important that CBC results are comparable, reproducible, and reliable. In this study, our aim is to compare the results of Sysmex XN-1000 and Dirui BF-7200 hematology analyzers. Methods Patient samples randomly selected from the routine workflow for each instrument were measured 20 consecutive times to assess reproducibility. The mean, standard deviation, and coefficient of variation (CV%) were calculated for each hematological parameter. A comparison of results from the evaluated Dirui BF-7200 system with those from the current hematology analyzer Sysmex XN-1000 system was made for all of the samples included in the study. The compatibility between the parameters was evaluated using Passing–Bablok and Bland–Altman analyses. Results The within-run CV% values were outside the desirable biological variation database (European Federation of Clinical Chemistry and Laboratory Medicine) specification for CV% for eosinophil, basophil, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, mean platelet volume and platelet distribution width expressed as standard deviation in the Sysmex XN-1000 instrument and eosinophil, basophil, hematocrit and indexes of red blood cell and platelet in the Dirui BF-7200 instrument. When the Bland–Altman and Passing–Bablok analysis results were evaluated together, most parameters showed poor agreement; only white blood cells and lymphocytes showed good agreement between the two instruments. Conclusions As there is variability between results from different hematology analyzers, we recommend analyzing patient samples in the same laboratory using the same analyzer to avoid different results that could be misinterpreted.
摘要 目的 使用全自动血液分析仪进行全血细胞计数(CBC)。全血细胞计数结果的可比性、可重复性和可靠性非常重要。本研究旨在比较 Sysmex XN-1000 和 Dirui BF-7200 血液分析仪的结果。方法 从每台仪器的常规工作流程中随机抽取病人样本,连续测量 20 次,以评估重现性。计算每个血液参数的平均值、标准偏差和变异系数(CV%)。针对研究中的所有样本,将所评估的迪瑞 BF-7200 系统的结果与当前血液分析仪 Sysmex XN-1000 系统的结果进行了比较。使用 Passing-Bablok 和 Bland-Altman 分析法评估了参数之间的兼容性。结果 Sysmex XN-1000 仪器中以标准偏差表示的嗜酸性粒细胞、嗜碱性粒细胞、平均血红蛋白、平均血红蛋白浓度、平均血小板体积和血小板分布宽度,以及迪瑞 BF-7200 仪器中以标准偏差表示的嗜酸性粒细胞、嗜碱性粒细胞、血细胞比容、红细胞和血小板指数的运行内 CV% 值均超出了理想生物变异数据库(欧洲临床化学和实验室医学联合会)的规范。当同时评估 Bland-Altman 和 Passing-Bablok 分析结果时,大多数参数的一致性较差;只有白细胞和淋巴细胞在两台仪器之间的一致性较好。结论 由于不同血液分析仪的结果之间存在差异,我们建议在同一实验室使用同一分析仪对患者样本进行分析,以避免出现可能被误读的不同结果。
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引用次数: 0
Erythrocyte labile iron pool indicating concealed iron overload in non-transfusion-dependent β-thalassemia 红细胞可溶性铁库显示非输血依赖型β地中海贫血症患者隐性铁超载
Pub Date : 2023-11-21 DOI: 10.1515/tjb-2023-0116
Boonyanuch Chutvanichkul, P. Vattanaviboon, Sumana Mas-oodi, Y. U-pratya, Wanchai Wanachiwanawin
Abstract Objectives Not only do transfusion-dependent thalassemia (TDT) patients have a risk of clinical consequences arising from iron overload, non-transfusion-dependent thalassemia (NTDT) patients may encounter it also. In this study, we demonstrated the usefulness of intra-erythrocyte labile iron pool (LIP) measurement in NTDT patients with HbE/β-thalassemia in revealing a concealed iron overload and the resultant oxidative cell damage. Methods LIP and ferritin levels were assayed in 20 HbE/β-thalassemia patients, comprising 10 NTDT and 10 TDT patients and 10 healthy individuals. Erythrocyte oxidative stress parameters (intraerythrocyte reactive oxygen species (ROS) levels, numbers of erythrocyte vesicles, and cell apoptosis) were also determined and their correlations to LIP and ferritin levels were analyzed. Results LIP levels (based on different mean fluorescence intensity (MFI) values obtained by flow cytometry) were high in both the NTDT (54 [42–90]) and TDT (71 [68–77]) patients compared to the healthy individuals (43 [31–61]). The ferritin level observed in the NTDT group (2,149 [781–4,071] ng/mL) was lower than that of the TDT group (4,885 [2,343–7,826] ng/mL). The LIP level was significantly correlated with the NTDT patients’ age and all oxidative stress parameters, but the ferritin level was not. Correlation analysis predicted that NTDT patients without receiving any therapy aged 32.5 years old or over are likely at risk of iron overload status and oxidative cell damage. Conclusions The results indicate that LIP may be a helpful alternative parameter for defining the risk of iron overload.
摘要 目的 不仅输血依赖型地中海贫血(TDT)患者有可能因铁超载而导致临床后果,非输血依赖型地中海贫血(NTDT)患者也可能遇到这种情况。在这项研究中,我们证明了在 HbE/β 地中海贫血症的 NTDT 患者中进行红细胞内易变铁池(LIP)测量对揭示隐性铁超载及由此导致的细胞氧化损伤非常有用。方法 对 20 名 HbE/β 地中海贫血症患者(包括 10 名 NTDT 和 10 名 TDT 患者)和 10 名健康人进行 LIP 和铁蛋白水平检测。还测定了红细胞氧化应激参数(红细胞内活性氧(ROS)水平、红细胞囊泡数量和细胞凋亡),并分析了它们与 LIP 和铁蛋白水平的相关性。结果 与健康人(43 [31-61])相比,NTDT(54 [42-90])和 TDT(71 [68-77])患者的 LIP 水平(基于流式细胞术获得的不同平均荧光强度 (MFI) 值)都很高。在 NTDT 组中观察到的铁蛋白水平(2,149 [781-4,071] 纳克/毫升)低于 TDT 组(4,885 [2,343-7,826] 纳克/毫升)。LIP 水平与 NTDT 患者的年龄和所有氧化应激参数有明显相关性,但与铁蛋白水平无明显相关性。相关性分析预测,32.5 岁或以上未接受任何治疗的 NTDT 患者很可能面临铁超载状态和氧化细胞损伤的风险。结论 结果表明,LIP 可能是界定铁超载风险的一个有用的替代参数。
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引用次数: 0
Prediction of LDL in hypertriglyceridemic subjects using an innovative ensemble machine learning technique 利用创新的集合机器学习技术预测高甘油三酯血症患者的低密度脂蛋白
Pub Date : 2023-11-21 DOI: 10.1515/tjb-2023-0154
Ferhat Demirci, M. Emeç, Ozlem Gursoy Doruk, Murat Ormen, Pınar Akan, Mehmet Hilal Ozcanhan
Abstract Objectives Determining low-density lipoprotein (LDL) is a costly and time-consuming operation, but triglyceride value above 400 (TG>400) always requires LDL measurement. Obtaining a fast LDL forecast by accurate prediction can be valuable to experts. However, if a high error margin exists, LDL prediction can be critical and unusable. Our objective is LDL value and level prediction with an error less than low total acceptable error rate (% TEa). Methods Our present work used 6392 lab records to predict the patient LDL value using state-of-the-art Artificial Intelligence methods. The designed model, p-LDL-M, predicts LDL value and class with an overall average test score of 98.70 %, using custom, hyper-parameter-tuned Ensemble Machine Learning algorithm. Results The results show that using our innovative p-LDL-M is advisable for subjects with critical TG>400. Analysis proved that our model is positively affected by the Hopkins and Friedewald equations normally used for (TG≤400). The conclusion follows that the test score performance of p-LDL-M using only (TG>400) is 7.72 % inferior to the same p-LDL-M, using Hopkins and Friedewald supported data. In addition, the test score performance of the NIH-Equ-2 for (TG>400) is much inferior to p-LDL-M prediction results. Conclusions In conclusion, obtaining an accurate and fast LDL value and level forecast for people with (TG>400) using our innovative p-LDL-M is highly recommendable.
摘要 目的 测定低密度脂蛋白(LDL)是一项既费钱又费时的工作,但甘油三酯值超过 400(TG>400)就必须测量 LDL。通过准确预测来快速预报低密度脂蛋白对专家来说很有价值。但是,如果存在较高的误差范围,低密度脂蛋白预测就会变得非常关键和不可用。我们的目标是在预测低密度脂蛋白值和水平时,误差小于可接受的总误差率(% TEa)。方法 我们目前的工作使用 6392 份实验室记录,采用最先进的人工智能方法预测患者的低密度脂蛋白值。所设计的 p-LDL-M 模型使用定制的、超参数调整的集合机器学习算法预测低密度脂蛋白值和等级,总平均测试得分为 98.70%。结果 结果表明,对于临界总胆固醇大于 400 的受试者,建议使用我们创新的 p-LDL-M。分析证明,我们的模型受到通常用于(TG≤400)的霍普金斯方程和弗里德瓦尔德方程的积极影响。结论是,仅使用(TG>400)的 p-LDL-M 的测试得分性能比使用霍普金斯和弗里德瓦尔德支持数据的 p-LDL-M 差 7.72%。此外,NIH-Equ-2 对(TG>400)的测试得分性能也远逊于 p-LDL-M 预测结果。结论 总之,使用我们创新的 p-LDL-M 对(TG>400)患者进行准确、快速的低密度脂蛋白值和水平预测是非常值得推荐的。
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引用次数: 0
Enhancement of chondrogenic differentiation in ATDC5 cells using GFOGER-modified peptide nanofiber scaffold 使用 GFOGER 改性肽纳米纤维支架增强 ATDC5 细胞的软骨分化能力
Pub Date : 2023-11-20 DOI: 10.1515/tjb-2023-0115
Seher Yaylacı
Abstract Objectives Owing to its avascular nature, cartilage tissue has a restricted capacity for regeneration. These structural features make it difficult for a fully functional tissue to regenerate after damage. Therefore, studies aiming at cartilage tissue regeneration are getting quite interesting. In this study, we employed a novel approach to induce chondrogenic differentiation using a collagen mimetic peptide amphihile (PA) nanofiber. The nanofiber comprised a specific peptide sequence – glycine-phenylalanine-hydroxyproline-glycine-glutamate-arginine (GFOGER), corresponding to the α1 (I) collagen chain. This sequence was selected for its ability to mimic the structure and function of natural collagen in the extracellular matrix (ECM). This specific peptide sequence is expected to enhance the chondrogenic differentiation process by providing a more efficient and effective method for tissue engineering applications. Methods ATDC5 cells were cultured on the synthetic scaffold of collagen-mimicking PA nanofibers, facilitating adhesion, division, and chondrogenic cell differentiation. Results In our study, ATDC5 cells cultured on collagen mimetic peptide nanofiber expressed chondrogenic marker proteins, namely Collagen II and Sox9, significantly high at the 5th and 10th days compared to cells cultured on TCP in the absence of insulin as inducer. Conclusions According to our results, the collagen mimetic peptide-based scaffold supports cell growth and differentiation by mimicking the natural cell matrix.
摘要 目的 由于软骨组织具有无血管性质,其再生能力受到限制。这些结构特征使得功能完善的组织在受损后很难再生。因此,以软骨组织再生为目标的研究越来越受到关注。在这项研究中,我们采用了一种新方法,利用胶原蛋白模拟肽双亲(PA)纳米纤维诱导软骨分化。纳米纤维由特定的肽序列组成--甘氨酸-苯丙氨酸-羟脯氨酸-甘氨酸-谷氨酸-精氨酸(GFOGER),与α1(I)胶原链相对应。之所以选择这一序列,是因为它能够模拟细胞外基质(ECM)中天然胶原蛋白的结构和功能。这种特定的肽序列有望通过为组织工程应用提供更高效、更有效的方法来增强软骨分化过程。方法 在仿胶原 PA 纳米纤维合成支架上培养 ATDC5 细胞,促进其粘附、分裂和软骨细胞分化。结果 在我们的研究中,培养在仿胶原蛋白肽纳米纤维上的 ATDC5 细胞在第 5 天和第 10 天表达的软骨标志蛋白,即胶原蛋白 II 和 Sox9,与培养在无胰岛素诱导剂的 TCP 上的细胞相比明显较高。结论 根据我们的研究结果,基于胶原蛋白模拟肽的支架通过模拟天然细胞基质支持细胞生长和分化。
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引用次数: 0
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Turkish Journal of Biochemistry
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