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Levels of some coagulation parameters among apparently healthy Medical Laboratory Science undergraduate students of Rivers State University, Port Harcourt 哈科特港河河州立大学医学检验专业本科生中某些凝血参数的水平
Pub Date : 2023-06-30 DOI: 10.59708/ajlhts.v2i2.2311
E. Eze
Introduction: Prothrombin time (PT), International normalized ratio (INR) and activated partial thromboplastin time (APTT) are screening tests used to evaluate the overall integrity of the intrinsic, extrinsic and common coagulation pathway as well as monitoring and management of coagulation disorders. This study was aimed at assessing the PT, INR and APTT among apparently healthy undergraduate Medical Laboratory Science students of Rivers State University, Port Harcourt. Materials and Methods: A total of 100 apparently healthy undergraduate Medical Laboratory Science students of Rivers State University, Port Harcourt comprising of 44 males and 56 females within the age range of 17-40 years were recruited for this study. Five milliliters (5ml) of venous blood was collected from each participant using a standard venipuncture technique into a vacutainer bottle containing 3.2% tri-sodium citrate anticoagulant in a ratio of 1:9 of the anticoagulant and the blood and mixed thoroughly. Prothrombin time and activated partial thromboplastin time were determined by clotting method using the Helena C4 semi-automated, photo-optical coagulation analyzer and the Agappe thromboplastin test kit manufactured by Agappe Diagnostics Switzerland while INR was calculated by using the ratio of the study subjects’ PT to the mean of control PT raised to the power of the reagent international sensitivity index (ISI). The data obtained was analyzed using Graphpad Prism Software version 6.00. Data was presented as means, median, range and standard deviation. Results: The mean ± SD of the PT, INR and APTT were 12.9± 1.624s, 1.01±0.1281 and 37.99±8.898s in the same order. The reference intervals obtained for PT, INR and APTT were 9.7-16.2s, 0.8-1.3 and APTT 20.2-55.8s in the same order. The lower limits were within the ranges established by previous researchers while the upper limits were higher. The age range 21-25 had the highest frequency count (54), which was followed by <20 (26), 26-30 (17) and then <30 (3). The overall mean values for the age groups were within the established normal values and as such no statistically significant difference was observed between the various groups. Conclusion: This study has established the mean values and reference intervals of PT, INR and APTT for apparently healthy Medical Laboratory Science undergraduate students of Rivers State University, Port Harcourt as well as established that age does not have any significant effect on PT, INR and APTT. Due to geography, lifestyle, and genetic diversity, it is recommended that each laboratory establishes geography-specific reference intervals for PT, INR and APTT.
导语:凝血酶原时间(PT),国际标准化比率(INR)和活化部分凝血活素时间(APTT)是用于评估内在,外在和共同凝血途径的整体完整性以及凝血障碍的监测和管理的筛选试验。本研究旨在评估哈考特港河河州立大学医学检验专业本科生表面健康的PT、INR和APTT。材料与方法:选取哈考特港河州州立大学医学检验专业本科生100名,其中男44名,女56名,年龄17-40岁。使用标准静脉穿刺技术从每位参与者身上采集5毫升静脉血,将其放入含有3.2%柠檬酸三钠抗凝剂的真空瓶中,抗凝剂与血液的比例为1:9,并充分混合。凝血酶原时间和活化部分凝血活素时间采用凝血法测定,采用Helena C4半自动化光光学凝血分析仪和Agappe瑞士Agappe诊断公司生产的Agappe凝血活素检测试剂盒,INR采用研究对象PT与对照PT均值之比提高到试剂国际敏感性指数(ISI)的倍数计算。使用Graphpad Prism软件6.00版对所得数据进行分析。数据以平均值、中位数、极差和标准差表示。结果:PT、INR、APTT的平均±SD依次为12.9±1.624s、1.01±0.1281 s、37.99±8.898s。PT、INR和APTT的参考区间依次为9.7 ~ 16.s、0.8 ~ 1.3和20.2 ~ 55.8s。下限在前人研究确定的范围内,上限较高。21 ~ 25岁频率数最多(54),其次为<20(26)、26 ~ 30(17)、<30(3)。各年龄组总体平均值均在正常范围内,各组间无统计学差异。结论:本研究建立了哈考特港河州立大学医学检验专业本科学生PT、INR和APTT的平均值和参考区间,年龄对PT、INR和APTT无显著影响。由于地理,生活方式和遗传多样性,建议每个实验室建立PT, INR和APTT的地理特定参考区间。
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引用次数: 0
PREVALENCE OF COVID-19 INFECTION AMONG OUTPATIENTS ATTENDING A NIGERIAN TERTIARY HOSPITAL 尼日利亚一家三级医院门诊患者COVID-19感染流行情况
Pub Date : 2023-06-30 DOI: 10.59708/ajlhts.v2i2.2323
J. Udosen, J. Akpotuzor
Introduction: Three years after its declaration as a pandemic, countries and regions are still gathering data on the epidemiology of Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) infection. Following the relaxation of many restrictions earlier imposed to curb spread and the observation of some sort of seasonal surge in infection rates, it is still not clear whether the disease should remain a pandemic. Methods: This descriptive cross-sectional study was conducted at a Nigerian tertiary hospital. Ninety-two adult male and female patients presenting with common symptoms associated with COVID-19 disease were enrolled at the Outpatient Department of the facility. Ethical approval was duly sought and obtained from The Ethics and Health Research Committee of the hospital. Informed consent was obtained from each study participant. The COVID-19 testing was determined using Panbio COVID-19 Ag Rapid Test Device from Abbott (United States). Results are presented as numbers and frequencies. Results: Among outpatients presenting with symptoms such as fever and midnight sweats, body aches and pain, difficulty in breathing as well as cough and catarrh, the prevalence of COVID-19 was observed to be 15.2%. On the knowledge of the respondents regarding COVID-19, majority (80.6%) had a prior knowledge while 19.4% lacked knowledge of COVID-19. Conclusion: This study observed 15.2% prevalence for COVID-19 infection among outpatients in a Nigerian tertiary hospital. There still exists persons (19.4%) who lack knowledge of the disease.
在宣布为大流行三年后,各国和各地区仍在收集有关严重急性呼吸综合征冠状病毒-2 (SARS-CoV-2)感染的流行病学数据。在早先为遏制传播而实施的许多限制措施有所放松,并观察到感染率出现某种季节性激增之后,目前仍不清楚该疾病是否应保持大流行。方法:本描述性横断面研究在尼日利亚一家三级医院进行。在该设施的门诊部登记了92名出现与COVID-19疾病相关的常见症状的成年男女患者。已向医院伦理与健康研究委员会寻求并获得了伦理批准。每位研究参与者都获得了知情同意。COVID-19检测采用美国雅培公司的Panbio COVID-19抗原快速检测装置。结果以数字和频率表示。结果:在以发热、盗汗、身体疼痛、呼吸困难、咳嗽、黏膜炎等症状为临床表现的门诊患者中,COVID-19的患病率为15.2%。在受访者对新冠肺炎的知识方面,大多数(80.6%)有先验知识,19.4%的受访者不了解新冠肺炎。结论:本研究发现尼日利亚某三级医院门诊患者COVID-19感染率为15.2%。仍有一些人(19.4%)对该疾病缺乏了解。
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引用次数: 1
Role of von Willebrand Factor, Fibrinogen, C Reactive Protein, Complete Blood Count and ABO blood type in monitoring ABO –typed Cardiovascular Disease patients attending University of Calabar Teaching Hospital, Calabar, Nigeria 血管性血友病因子、纤维蛋白原、C反应蛋白、全血细胞计数和ABO血型在尼日利亚卡拉巴尔大学教学医院监测ABO型心血管疾病患者中的作用
Pub Date : 2023-06-30 DOI: 10.59708/ajlhts.v2i2.2211
J. Asuquo, D. Okpokam, J. Akpotuzor, A. Emeribe
Introduction: Cardiovascular disease is known to be the leading cause of death globally and it is responsible for one third of all global deaths.The research was conducted to assess some complete blood count, von Willebrand factor, fibrinogen, C reactive protein and ABO blood group that could serve as a biomarker for the diagnosis and management of cardiovascular disease. Materials and Methods: Three hundred and sixty persons were studied, comprising 200 CVD subjects and 160 apparently healthy persons as controls, between 35-82 years of age. Fifty-nine percent of the CVD subjects were male while female constituted 41%. Questionnaires and folders were used to obtain information. Data was analyzed by SPSS version 22. ABO blood group was determined by standard tube method. Complete Blood Count was carried out with Sysmex counter, von Willebrand factor, Fibrinogen levels and C reactive protein were determined by Enzyme-Link Immuno-sorbent Assay methods, while plasma glucose and lipid profile were determined by colorimetric method. Systolic Blood Pressure and Diastolic Blood Pressure of the participants were determined. Results: Significantly higher value were observed for SBP, DBP, vWf, WBC, RDW-CV, FPG, CRP and MPV among CVD subjects, when compared to control group, While significant lower level of platelet count were recorded among CVD subjects (200.43±70.45/l) compared to control group (234.91±48.85). CVD subjects on treatment recorded significant lower value of vWf (p=0.000) and FPG (p=0.000), compared with untreated subjects. Classification of subjects based on ABO blood type revealed that group O had significantly lower vwf (p=0.000), Group A had significant higher value of plasma glucose compared to other groups. Group A also recorded significant higher value of LDL than other blood groups. CVD subjects who smoke cigarettes had significant raised glucose levels (p=0.005) than non-smokers. Significantly lower level of CRP (4.63±3.77mg/L) was seen in female subjects compared to the male (6.41±4.35mg/L). Conclusion: It concludes that CBC, vWf, SBP, and DBP showed mild significant increase in their plasma level in CVD subjects and their assay should form part of the markers for routine diagnosis of CVD in UCTH and can be useful for monitoring of treatment.
导言:已知心血管疾病是全球死亡的主要原因,占全球死亡总数的三分之一。该研究旨在评估一些全血细胞计数、血管性血友病因子、纤维蛋白原、C反应蛋白和ABO血型,这些指标可作为心血管疾病诊断和管理的生物标志物。材料与方法:共对360人进行了研究,其中200例为心血管疾病患者,160例为对照组,年龄在35-82岁之间。59%的心血管疾病患者为男性,41%为女性。调查问卷和文件夹被用来获取信息。数据采用SPSS 22进行分析。采用标准试管法测定ABO血型。采用Sysmex计数仪进行全血计数,用酶联免疫吸附法测定血友病因子、纤维蛋白原和C反应蛋白水平,用比色法测定血糖和血脂。测量参与者的收缩压和舒张压。结果:CVD组收缩压、舒张压、vWf、WBC、RDW-CV、FPG、CRP、MPV均显著高于对照组,血小板计数(200.43±70.45/l)显著低于对照组(234.91±48.85)。与未治疗组相比,治疗组vWf (p=0.000)和FPG (p=0.000)显著降低。基于ABO血型的受试者分类显示,O组的vwf值显著低于其他组(p=0.000), A组的血糖值显著高于其他组。A组LDL值也明显高于其他血型。吸烟的心血管疾病患者的血糖水平明显高于不吸烟的患者(p=0.005)。女性受试者CRP水平(4.63±3.77mg/L)明显低于男性受试者(6.41±4.35mg/L)。结论:CBC、vWf、收缩压和舒张压在CVD患者中呈轻度显著升高,其检测可作为UCTH患者CVD常规诊断的指标之一,并可用于监测治疗情况。
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引用次数: 0
Haemolysin test, ABO and Rhesus Blood grouping in Relation to occurrence of stillbirth, Miscarriage and transfusion status among Pregnant Women in University of Calabar, Nigeria 尼日利亚卡拉巴大学孕妇溶血素试验、ABO和恒河猴血型与死产、流产和输血状况的关系
Pub Date : 2023-06-30 DOI: 10.59708/ajlhts.v2i2.2319
N. Ernest
Introduction: Human red blood cells contain on their surface a series of glycoproteins and glycolipids which constitute the blood group antigens, which are also related to many clinical problems associated with transfusion reactions Aim of study: This study is aimed at providing information on the ABO and Rhesus Blood grouping in Relation to occurrence of stillbirth, Miscarriage and transfusion status among pregnant women attending Antenatal Clinic in University of Calabar Teaching Hospital, Calabar Nigeria. Materials and Methods: A descriptive cross-sectional study comprising of 400 pregnant women, aged 16 – 45years and who gave their informed consent was used. ABO and Rhesus blood groups were analysed using commercially prepared reagent. Haemolysin test and antibody screening were performed using standard cells. Results: Most of the pregnant women were aged 16 – 36 years and no underweight pregnant women were recorded in this study. The prevalence of ABO blood group among the pregnant women showed the decreasing order of O>A>B>AB. It was observed that blood group O appeared about 3 times the prevalent of each group. The prevalence of Rhesus positive and Negative was 95% and 5% respectively. 5.5% of stillbirth was recorded while miscarriage had a prevalence of 17%. Approximately 5% of the pregnant women received blood transfusion. Rhesus blood group was found to be associated with still-birth (P=0.004). Conclusion: ABO blood group distribution was in the order O>A>B>AB 63%, 20%, 14% and 3.0%. On the other hand, the study shows the prevalence of Rhesus D’ positive and Rhesus D’ negative to be 95% and 5% respectively. Blood group ‘O’ and rhesus positive blood group were predominant in stillbirth, miscarriages and transfusion status. It is recommended that the use of group O blood free from haemolysin α and β should only be transfused to pregnant women because of risk to the foetus.
人体红细胞表面含有一系列的糖蛋白和糖脂,这些糖蛋白和糖脂构成血型抗原,也与输血反应相关的许多临床问题有关。本研究旨在提供ABO和恒河猴血型与尼日利亚卡拉巴尔卡拉巴尔大学教学医院产前诊所孕妇死产、流产和输血状况的相关信息。材料和方法:采用一项描述性横断面研究,包括400名年龄在16 - 45岁之间且知情同意的孕妇。用市售试剂分析ABO血型和恒河猴血型。采用标准细胞进行溶血素试验和抗体筛选。结果:本组孕妇年龄在16 ~ 36岁之间,无体重过轻孕妇。孕妇ABO血型患病率依次为O>A>B>AB。观察到O型血的出现率约为各组的3倍。恒河鼠阳性率为95%,阴性阳性率为5%。死产5.5%,流产率17%。大约5%的孕妇接受了输血。恒河猴血型与死产相关(P=0.004)。结论:ABO血型分布顺序为O>A>B>AB 63%、20%、14%、3.0%。另一方面,研究显示,Rhesus D '阳性和阴性的患病率分别为95%和5%。死产、流产和输血情况以O型血和恒河阳性血为主。建议使用不含溶血素α和β的O型血只输给孕妇,因为对胎儿有危险。
{"title":"Haemolysin test, ABO and Rhesus Blood grouping in Relation to occurrence of stillbirth, Miscarriage and transfusion status among Pregnant Women in University of Calabar, Nigeria","authors":"N. Ernest","doi":"10.59708/ajlhts.v2i2.2319","DOIUrl":"https://doi.org/10.59708/ajlhts.v2i2.2319","url":null,"abstract":"Introduction: Human red blood cells contain on their surface a series of glycoproteins and glycolipids which constitute the blood group antigens, which are also related to many clinical problems associated with transfusion reactions Aim of study: This study is aimed at providing information on the ABO and Rhesus Blood grouping in Relation to occurrence of stillbirth, Miscarriage and transfusion status among pregnant women attending Antenatal Clinic in University of Calabar Teaching Hospital, Calabar Nigeria. Materials and Methods: A descriptive cross-sectional study comprising of 400 pregnant women, aged 16 – 45years and who gave their informed consent was used. ABO and Rhesus blood groups were analysed using commercially prepared reagent. Haemolysin test and antibody screening were performed using standard cells. Results: Most of the pregnant women were aged 16 – 36 years and no underweight pregnant women were recorded in this study. The prevalence of ABO blood group among the pregnant women showed the decreasing order of O>A>B>AB. It was observed that blood group O appeared about 3 times the prevalent of each group. The prevalence of Rhesus positive and Negative was 95% and 5% respectively. 5.5% of stillbirth was recorded while miscarriage had a prevalence of 17%. Approximately 5% of the pregnant women received blood transfusion. Rhesus blood group was found to be associated with still-birth (P=0.004). Conclusion: ABO blood group distribution was in the order O>A>B>AB 63%, 20%, 14% and 3.0%. On the other hand, the study shows the prevalence of Rhesus D’ positive and Rhesus D’ negative to be 95% and 5% respectively. Blood group ‘O’ and rhesus positive blood group were predominant in stillbirth, miscarriages and transfusion status. It is recommended that the use of group O blood free from haemolysin α and β should only be transfused to pregnant women because of risk to the foetus.","PeriodicalId":380612,"journal":{"name":"African Journal of Laboratory Haematology and Transfusion Science","volume":"10 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130038972","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 Haplotypes and Probable Allelic Frequencies of natives of Okolobiri Community, Nigeria: A population genetic study 尼日利亚Okolobiri社区原住民血红蛋白单倍型和可能等位基因频率:群体遗传研究
Pub Date : 2023-06-30 DOI: 10.59708/ajlhts.v2i2.2312
Zaccheaus Awortu. Jeremiah
Introduction: Sickle cell disease is an autosomal recessive disorder in which patients inherit one mutated copy of the β-globin gene from each parent. This inheritance results to sickle-shaped red blood cell and associated fragility which results in the destruction of the patients red blood cells. This project was carried out as a population genetic study to determine the frequencies of the haemoglobin haplotypes (A and S) and allelic frequencies with a view to predicting the dynamics of the abnormal genes using a typical African community as a case study. Materials and Methods: Two hundred and twenty-eight (228) subjects constituted the study population of which one hundred and sixty four (164) were males (28%). Haemoglobin electrophoresis membrane at a pH 8.6 was used to establish the haemoglobin electrophoretic pattern of the study population. Results: The haemoglobin electrophoretic pattern of the study participants were as follows: Hb AA (60.5%), Hb AS (25.5%) and HbSS (14%). The distribution among males were; HbAA (62.2%), HbAS (29.3%) and HbSS (8.5%). and females: Hb AA (56.3%), HbAS (15 .6%), HbSS (28.1%). The HbA haplotype frequency was 0.732 while the HbS was 0.268. the allelic frequencies obtained by Hardy-Weinberg calculation were as follows. HbAA (0.536), HbAS (0.392) and Hb SS (0.072). The χ2 value of 29.475 obtained in this study was higher than the 3.84 at 5% significant level, hence, the null hypothesis that the population is not in Hardy-Weinberg equilibrium was accepted.. Conclusion: The study revealed high homozygous HbSS inheritance among females (28.1%) meaning that females are more affected than the males. The frequency of HbAS is expected to increase as this population is not in Hardy-Weinberg equilibrium. More awareness and sensitization is needed in our communities in order to reduce the prevalence of sickle cell anaemia in our African society.
简介:镰状细胞病是一种常染色体隐性遗传病,患者从父母双方遗传一个突变的β-珠蛋白基因拷贝。这种遗传导致镰状红细胞及其相关的脆弱性,从而导致患者红细胞的破坏。该项目是作为一项群体遗传研究进行的,目的是确定血红蛋白单倍型(a和S)的频率和等位基因的频率,以期预测异常基因的动态,并以一个典型的非洲社区为例进行研究。材料与方法:228名受试者构成研究人群,其中164名男性(28%)。用pH 8.6的血红蛋白电泳膜建立研究人群的血红蛋白电泳图谱。结果:研究参与者的血红蛋白电泳模式如下:Hb AA (60.5%), Hb as(25.5%)和HbSS(14%)。在男性中的分布为;HbAA(62.2%)、HbAS(29.3%)和HbSS(8.5%)。女性:Hb AA(56.3%)、HbAS(15.6%)、HbSS(28.1%)。HbA单倍型频率为0.732,HbS为0.268。Hardy-Weinberg计算得到的等位基因频率如下:HbAA(0.536)、HbAS(0.392)、Hb SS(0.072)。在5%显著性水平下,本研究得到的χ2值为29.475,高于3.84,因此接受总体不处于Hardy-Weinberg平衡的原假设。结论:女性HbSS高纯合遗传(28.1%),女性比男性受影响更大。HbAS的频率预计会增加,因为这一人群不处于Hardy-Weinberg平衡状态。我们的社区需要更多的认识和宣传,以减少我们非洲社会中镰状细胞性贫血的流行。
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引用次数: 0
BREAST CANCER CO-MORBIDITY AMONG PEOPLE LIVING WITH HIV INFECTION IN SOUTHERN NIGERIA 尼日利亚南部艾滋病毒感染者的乳腺癌合并症
Pub Date : 2023-06-30 DOI: 10.59708/ajlhts.v2i2.2320
J. Udosen
Introduction: Breast cancer is witnessing increasing detection in Nigeria following more awareness and access to medical care. It is predominantly observed in the same group (women of reproductive age) with the highest prevalence of human immunodeficiency virus infection. This study focused on breast cancer and HIV infection co-morbidity with regards to cytopenia during a follow-up period. Methods: This follow-up study enrolled 50 persons living with HIV (PLWH) and accessing care at the University of Calabar Teaching Hospital at Calabar, Southern Nigeria. Breast cancer co-morbidity and other clinical information were retrieved from patients’ folders. Blood sample was appropriately obtained from each subject at intervals of six months starting from the time of diagnosis and analysed by automation for blood cell and CD4 counts. Frequencies, student T-test was used for analysis of data. Statistical significance was drawn at a p≤ 0.05. Results: Mean values of haemoglobin concentration, CD4 count and platelet count were significantly lower among PLWH compared to control subjects. The prevalence of HIV infection and breast cancer co-morbidity was observed to be 6%. There was reduction in the prevalence of cytopenia as duration of therapy progressed. Anaemia and immunosuppression were not completely addressed after one year of therapy. Conclusion: The study observed 6% of breast cancer co-morbidity in HIV infection among women of reproductive age. Unresolved cytopenia remains a challenge in HIV infection, particularly with breast cancer co-morbidity, even after a year of adhering to antiretroviral therapy.
导言:随着人们对乳腺癌认识的提高和医疗保健的普及,尼日利亚的乳腺癌检出率正在上升。它主要发生在人类免疫缺陷病毒感染率最高的同一群体(育龄妇女)中。本研究的重点是在随访期间乳腺癌和艾滋病毒感染的共同发病率与细胞减少有关。方法:这项随访研究招募了50名艾滋病毒感染者(PLWH),并在尼日利亚南部卡拉巴尔的卡拉巴尔大学教学医院接受治疗。从患者文件夹中检索乳腺癌合并症和其他临床信息。从诊断时间开始,每隔6个月从每个受试者适当地采集血液样本,并通过血细胞和CD4计数自动化分析。采用频率、学生t检验对数据进行分析。p≤0.05有统计学意义。结果:与对照组相比,PLWH患者血红蛋白浓度、CD4计数和血小板计数平均值均显著降低。艾滋病毒感染和乳腺癌合并发病率为6%。随着治疗时间的推移,细胞减少症的患病率有所降低。治疗一年后,贫血和免疫抑制未得到完全解决。结论:研究发现,6%的育龄妇女在HIV感染中合并乳腺癌。即使在坚持抗逆转录病毒治疗一年之后,未解决的细胞减少症仍然是艾滋病毒感染的一个挑战,特别是与乳腺癌合并症。
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引用次数: 0
Frequencies of blood donation and types of blood donors on storage lesions as assessed by antioxidants and lipid peroxidation levels 通过抗氧化剂和脂质过氧化水平评估储存性病变的献血频率和献血者类型
Pub Date : 2023-06-30 DOI: 10.59708/ajlhts.v2i2.2324
S. A. Lawal
Introduction: Influence of Blood storage lesions on Red Blood Cells transfusion recovery and therapeutic efficacies have been well documented. Several stabilizing additives to counteract or minimize these untoward changes have been formulated. Despite these stabilizers, detectable hemolysis occurs in the blood stored in the blood bank hence, need for search on other contributing factors. Assessment of the effects of Blood Donation Frequencies and Types of Blood Donors on Storage Lesions as Assessed by the Level of Antioxidants and Lipid Peroxidation. Materials and Methods: Ethically approved cross sectional experimental research on a total numbers of 120 recruited male of family replacement donors (n=30) and Remunerated donors (n=90). Remunerated donors were grouped into three (3) based on the frequency of donation per year as mild (n=30), moderate (n=30) and high frequency (n=30) donors. Four hundred and fifty milliliters (450 ml) of blood drawn from each donor into double blood bag containing CPDA-1 anticoagulant. 100 ml of well mixed blood was transferred into the satellite bag, detached and stored in the blood bank at 2-6 C for 35 days. The blood samples analyzed for MDA, TAP, URIC, and GSH at 0, 7, 14, 21, 28 and 35 days of storage. Results: In the recruited donors, majority were above 40 years of age where family donors had secondary education, government employed; feed majorly on carbohydrate, none alcohol drinkers, none cigarette smokers with history of donating more than four years before the study and less than four times donation frequency per year. Remunerated blood donors had primary education, self-employed, moderate alcohol drinkers and moderate cigarette smokers donating more than four times a year and more than four years donation experience. In this study, the GPX, TAP and Uric acids for family were higher than remunerated at baseline and the values decrease across the week for both categories. MDA value for family was lower than remunerated donors at baseline and the values increase across the week for both categories. Conclusion: This study established variation in oxidant and antioxidants levels in whole blood stored up to 5 weeks influenced by Blood Donation Frequencies and Types of Blood Donors on Storage Lesions.
简介:血液储存病变对红细胞输血恢复和治疗效果的影响已经有很好的文献记载。已经配制了几种稳定添加剂来抵消或减少这些不利的变化。尽管有这些稳定剂,可检测到的溶血发生在血库中储存的血液中,因此需要寻找其他因素。通过抗氧化剂和脂质过氧化水平评估献血频率和献血者类型对储存性病变的影响。材料与方法:经伦理批准的横断面实验研究,共招募120名男性家庭替代献血者(n=30)和有偿献血者(n=90)。有偿献血者根据每年捐赠的频率分为轻度(n=30)、中度(n=30)和高频率(n=30)三种。从每个献血者身上抽取450毫升的血液,放入含有CPDA-1抗凝剂的双血袋中。将混合均匀的血液100 ml移入卫星袋,分离后在2-6℃条件下于血库保存35 d。在储存0、7、14、21、28和35天时分析血样中丙二醛、TAP、尿酸和谷胱甘肽的含量。结果:入选献血者以40岁以上居多,其中家庭献血者具有中等学历、政府工作;主要以碳水化合物为食,不饮酒,不吸烟,在研究前有四年以上的捐赠史,每年捐赠频率低于四次。有偿献血者受过初等教育、自雇、适度饮酒和适度吸烟,每年献血4次以上,有4年以上献血经验。在本研究中,家庭的GPX、TAP和尿酸高于基线值,两类值在一周内都有所下降。家庭的MDA值在基线时低于有偿献血者,两类的MDA值在一周内都有所增加。结论:本研究确定了献血频率和献血者类型对储存病变全血中氧化剂和抗氧化剂水平的影响。
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引用次数: 0
Full blood count and some haemorheologic variables of vendors exposed to liquefied petroleum (cooking) gas: a comparative study 暴露于液化石油(烹饪)气体的商贩的全血细胞计数和一些血液流变学变量:一项比较研究
Pub Date : 2023-06-30 DOI: 10.59708/ajlhts.v2i2.2318
P. Akpan, C. Okwara, P.M Wonah
Introduction: Cooking gas in the form of liquefied petroleum gas is sold in gas stations and outlets by vendors who do not use personal protective equipment despite working in a high-risk environment hence they have a high exposure to inhalation of the chemicals in the gas. This study assessed the full blood count and haemorheologic variables of vendors exposed to liquefied petroleum gas. Methods: Forty gas vendors were enrolled from four gas stations in Calabar while forty apparently healthy individuals who do not work in gas-related jobs were recruited as control. Ethical approval was granted by the Cross River State Ministry of Health, Calabar. Permission to enroll workers was obtained from the management of gas stations while study subjects gave informed consent. A structured questionnaire was used to obtain demographic information and health history while blood pressure, weight and height were measured using standard instruments; the body mass index was calculated. The full blood count and haemorheologic variables were determined by standard methods. Data analysis was done using a student t-test on SPSS version 21 and a P value ≤0.05 was considered significant. Results: The mean age was 25.9±3.2 years and 26.5±6.5 years for the test and control groups with gas vendors being predominantly males (97.5%). Work duration of 97.5% of gas vendors was ≤5 years. Sixty percent of the control and 42.5% of the gas vendors engaged in regular exercise while 40% and 57.5% do not. Sixty-seven-point five percent (67.5%) of the control rarely go for medical checks and 27.5% had never had a medical check with only 2% who check often. For the gas vendors, 55% have never had a medical check while 45% of them rarely check. Also, 42.5% of the control have never or rarely checked their blood pressure while 15% check often; 62.5% of the gas vendors have never checked their blood pressure while 37.5% rarely check. There was a family history of hypertension for 2 (5%) of the control and none for the test group. Also, 1 (2.5%) of the gas vendors had a history of fainting episodes while 39 of them and the control did not. Only 10% and 20% of the gas vendors use nose mask and hand gloves with the use of overalls and safety boots being 40% for each. The body mass index of the control group (25.15kg/m2) was not different (P>0.05) from that of the test group (24.53kg/m2). Whereas the systolic blood pressure was higher for the gas vendors than the control (126.47mmHg and 120.32mmHg), the diastolic blood pressures were comparable (74.60mmHg versus 72.92mmHg). The full blood count shows the red blood cell count, haematocrit and haemoglobin of the gas vendors were significantly higher (P<0.05) than the control value while the mean corpuscular volume and mean corpuscular haemoglobin were comparable (P>0.05). Again, the mean corpuscular haemoglobin concentration and red cell distribution width standard deviation of the gas vendors were significantly higher (P<0.05) versus the con
简介:液化石油气形式的烹饪气体在加油站和销售点出售,尽管在高风险环境中工作,但供应商没有使用个人防护设备,因此他们高度暴露于吸入气体中的化学物质。本研究评估了接触液化石油气的商贩的全血细胞计数和血液流变学变量。方法:从卡拉巴尔市4个加油站招募40名加油小贩,同时招募40名不从事加油相关工作的健康个体作为对照。卡拉巴尔克罗斯河州卫生部批准了伦理许可。招募工作人员的许可是由加油站的管理人员获得的,而研究对象也给予了知情同意。采用结构化问卷获取人口统计信息和健康史,采用标准仪器测量血压、体重和身高;计算身体质量指数。全血细胞计数和血液流变学指标采用标准方法测定。数据分析采用SPSS 21版学生t检验,P值≤0.05为显著性。结果:试验组和对照组的平均年龄分别为25.9±3.2岁和26.5±6.5岁,供气小贩以男性为主(97.5%)。97.5%的燃气供应商工作年限≤5年。60%的对照组和42.5%的供气商定期锻炼,40%和57.5%的供气商不定期锻炼。67.5%(67.5%)的对照组很少去做体检,27.5%的人从未做过体检,只有2%的人经常做体检。对于天然气供应商来说,55%的人从未做过体检,45%的人很少体检。此外,42.5%的对照组从未或很少检查血压,15%的人经常检查血压;62.5%的商贩从未量过血压,37.5%的商贩很少量血压。对照组有2%(5%)有高血压家族史,试验组无高血压家族史。此外,1名(2.5%)气体供应商有昏厥史,而39名他们和对照组没有。只有10%和20%的气体供应商使用口罩和手套,使用工作服和安全靴的比例分别为40%。对照组体重指数(25.15kg/m2)与试验组体重指数(24.53kg/m2)差异无统计学意义(P>0.05)。尽管气体供应商的收缩压高于对照组(126.47mmHg和120.32mmHg),但舒张压是相似的(74.60mmHg和72.92mmHg)。全血细胞计数显示,供气小贩的红细胞计数、红细胞压积和血红蛋白显著高于供气小贩(P0.05)。供气小贩红细胞血红蛋白平均浓度和红细胞分布宽度标准差均显著高于供气小贩(P0.05)。两组患者的白细胞总数、绝对粒细胞和淋巴细胞计数均显著高于对照组(P0.05)。供气小贩血小板计数、平均血小板体积、血小板分布宽度、血小板电积、血小板大细胞比、血小板大细胞计数均显著高于对照组(P<0.05)。试验组血浆相对黏度和纤维蛋白原浓度显著高于对照组(P=0.030)。结论:这项研究表明,暴露于烹饪气体中的商贩的红细胞、白细胞和血小板参数的增加可能是对慢性炎症诱导状态的反应。血液流变学也受损,表现为相对血浆粘度和纤维蛋白原浓度的增加,因此可能易患心血管疾病。应教育烹饪加油站的管理人员和供应商使用个人防护设备的必要性,以减少接触烹饪气体的成分。
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引用次数: 0
Platelet activities in pregnant women living with Human Immunodeficiency Virus on HAART in Lagos , Nigeria. 在尼日利亚拉各斯接受HAART治疗的感染人类免疫缺陷病毒的孕妇的血小板活性。
Pub Date : 2023-03-30 DOI: 10.59708/ajlhts.v2i1.2306
David Olufemi, Tesleemah Oluwakemi Davies-Folorunsho, A. A. Ademosun, Nuryn Abdulganiyu, Pius Omosigho Omoruyi, Matthew Olaniyan, M. Muhibi
Introduction:Thrombocytopenia due to insufficient thromboxane A2 activation has been an independent predictor associated with bleeding in some pregnant women living with HIV. More so, the elevation in the systemic vasoconstriction by the abnormal activation of platelets through thromboxane A2 is a multi-system disorder during pregnancy resulting in maternal hypertension which is one of the major underlying pathophysiological occurrences in women with preeclampsia. Materials and Method: A cross-sectional, descriptive study to determine platelet activities in pregnant women living with Human Immunodeficiency Virus on HAART residing in Lagos State, was carried out. A total of 80 samples were collected; 40 from pregnant women on HAART (group A), 20 samples from HIV negative pregnant women (group B) and 20 from non-pregnant HIV positive women on HAART (group C). The samples were analyzed using automated haematology analyzer (MIDRAY BC 10), platelets morphology was reviewed from blood films stained by Leishman stain and thromboxane A2 was quantified using standard ELISA technique. Data was analyzed with SPSS version 23.0. Values were considered significantly different at P < 0.05. Results:The platelets count results revealed the mean ± standard error of mean (SEM) in group A, group B and group C as 236.27 ± 11.40, 227.26 ± 16.44 and 246.21 ± 21.54 respectively ( p = 0.743). The Platelet distribution width (PDW) revealed the mean ± SEM in group A, group B and group C as 13.50 ± 0.42 ,13.36 ± 0.53 and 12.56 ± 0.52 ( p = 0.390 ) . As for mean platelet volume (MPV), the mean ± SEM for group A, group B and group C were 12.36 ± 1.96, 10.71 ± 0.37, and 10.45 ± 1.78 respectively(p = 0.671). The mean ± SEM of thromboxane A2 in group A, group B and group C were 367.65 ± 37.74, 135.85 ± 51.69 and 276.10 ± 50.90 (p = 0.02). Conclusion and Recommendation: This study showed platelet aggregation in group A, group B and group C were 7.5% , 0%, and 2%; and this could be one of the suggestive factors in the increase in coagulation activities found in pregnancy. Thromboxane A2 level reflects a recent activation of platelets, thus it serves as a good biomarker. It is recommended that research be conducted to establish reference ranges of Thromboxane A2 for categories of normal individuals, including pregnant women in Lagos while attention should be paid to platelet activity studies in the Prevention of Mother to Child Transmission (PMTCT) programmes, to prevent mortality of participants on account of platelet aberrations.
导语:血栓素A2激活不足导致的血小板减少是一些感染HIV的孕妇出血的独立预测因素。更重要的是,血小板通过血栓素A2的异常激活引起的全身血管收缩升高是妊娠期间的多系统紊乱,导致产妇高血压,这是子痫前期妇女主要的潜在病理生理现象之一。材料和方法:在拉各斯州进行了一项横断面描述性研究,以确定居住在HAART的感染人类免疫缺陷病毒的孕妇的血小板活性。共采集样本80份;40份来自HAART孕妇(A组),20份来自HIV阴性孕妇(B组),20份来自HAART非妊娠HIV阳性妇女(C组)。使用自动血液学分析仪(MIDRAY BC 10)对样本进行分析,利什曼染色血膜检查血小板形态,使用标准ELISA技术对血栓素A2进行定量分析。数据分析采用SPSS 23.0版本。P < 0.05认为差异有统计学意义。结果:血小板计数结果显示,A、B、C组患者的平均±标准误差(SEM)分别为236.27±11.40、227.26±16.44、246.21±21.54 (p = 0.743)。血小板分布宽度(PDW)显示,A、B、C组平均±SEM分别为13.50±0.42、13.36±0.53和12.56±0.52 (p = 0.390)。平均血小板体积(MPV) A、B、C组平均±SEM分别为12.36±1.96、10.71±0.37、10.45±1.78 (p = 0.671)。A、B、C组血栓素A2的平均±SEM分别为367.65±37.74、135.85±51.69、276.10±50.90 (p = 0.02)。结论与建议:本研究显示,A组、B组和C组血小板聚集率分别为7.5%、0%和2%;这可能是怀孕期间凝血活动增加的暗示因素之一。血栓素A2水平反映了血小板的近期活化,因此它是一个很好的生物标志物。建议开展研究,以建立包括拉各斯孕妇在内的正常人类别的血栓素A2参考范围,同时应注意预防母婴传播(PMTCT)规划中的血小板活性研究,以防止参与者因血小板异常而死亡。
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引用次数: 0
Cobalt-60 lymphocytes immuno-phenotypes/myeloid-lymphoid toxicities and countermeasure effects of aqueous extracts of Parquetina nigrescens, Camellia sinensis and Telfairia occidentalis in guineapigs 黑凤尾花、山茶和西凤尾花水提物对豚鼠钴-60淋巴细胞免疫表型/骨髓淋巴细胞毒性及对策作用
Pub Date : 2023-03-30 DOI: 10.59708/ajlhts.v2i1.2301
Luqman. O Olatunbosun, Ghalil A Eltahir, Abdulraheem Ameen A, Fatai D Olalere, S. Lawal, S. A. Biliaminu, K. Ogunwale, S. Atunwa, Oyenike A Musiliu, Ibrahim K Lawal
Introduction: Radiotherapy is an outstanding and efficacious mode of cancer management. Immune dyscrasia and dyshaemopoiesis in patients being managed with radiotherapy are well documented. Currently, no ideal radio-immuno-haematologic countermeasures in clinical use especially because, of their toxicities at the optimal concentrations exists. This study assessed the countermeasure effects of Parquetina nigrescens, Camellia sinensis and Telfairia occidentalis on immune syndrome in irradiated guineapigs. Methods: Thirty guineapigs were randomly assigned to nine groups: [A1-A4 (Pre), B1-B4 (Post) and C (Control)] where (n = 3)/group for countermeasure studies. Animals were exposed to 4.0 Gy whole-body Co60 while extracts were administered twice daily at concentrations of 400 mg/ml, 1000 mg/ml, 900 mg/ml of C. sinensis, P. nigrescens and T. occidentalis respectively. Peripheral whole blood was collected on days (D): baseline, D0 [24 hours after radiation], D3, D9 and D14. Haemogram and CD4 were analyzed. Results: Lymphocyte immune-phenotypes (CD4, Twbc), Abs. Neutrophil and Neutrophil:Lymphocyte ratio (NLR) counts were significantly increased from day 3 to 14 except NLR that was erratic on day 14 (p = 0.01). Contrarily, Absolute Lymphocyte counts were significantly decreased from day 3 to 9 then increased significantly on day 14 (p = 0.00) with significant NLR similarly on day 14 (p = 0.02). Conclusion: The results indicate a significant decrease in lymphocyte-immunophenotypes in group C as compared to groups A and B, suggesting that extracts showed significant ameliorating effects in groups A and B probably by minimizing the activation of ROS/NOS. The leaves’ extracts of Camellia sinensis, Parquetina nigrescens and Telfairia occidentalis showed potent counter-effects to radiation-induced haemopoietic and immune dyscrasia syndromes in guineapigs.
放疗是癌症治疗中一种突出而有效的治疗方式。放疗患者的免疫不良和造血障碍有很好的文献记载。目前,在临床应用中没有理想的放射免疫血液学对策,特别是因为它们在最佳浓度下存在毒性。本研究评价了黑山茶、山茶和西山茶对辐照豚鼠免疫综合征的防治作用。方法:30只豚鼠随机分为[a1 ~ a4 (Pre), b1 ~ b4 (Post), C (Control)] 9组,每组3只进行对策研究。动物全身暴露于4.0 Gy的Co60环境中,同时分别以400 mg/ml、1000 mg/ml、900 mg/ml的浓度给药中华金针菇、黑皮金针菇和西方金针菇提取物,每天两次。收集外周血全血(D)天:基线,D0[放疗后24小时],D3, D9和D14。分析血象和CD4。结果:淋巴细胞免疫表型(CD4、Twbc)、抗体、中性粒细胞和中性粒细胞与淋巴细胞比值(NLR)计数在第3 ~ 14天除NLR在第14天不稳定外,均显著升高(p = 0.01)。相反,绝对淋巴细胞计数在第3 ~ 9天显著降低,在第14天显著升高(p = 0.00), NLR在第14天也显著升高(p = 0.02)。结论:与a、B组相比,C组淋巴细胞免疫表型明显降低,提示a、B组提取物可能通过减少ROS/NOS的激活而具有显著的改善作用。山茶叶提取物、黑山茶叶提取物和西山茶叶提取物对豚鼠辐射诱导的造血和免疫不良综合征有较强的拮抗作用。
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引用次数: 0
期刊
African Journal of Laboratory Haematology and Transfusion Science
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