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Comparative Assessment of Serum versus Menstrual Blood for Diagnostic Purposes: A Pilot Study 血清与经血诊断目的的比较评估:一项初步研究
Pub Date : 2019-01-01 DOI: 10.16966/2572-9578.130
Naseri S, Lerma K, Blumenthal Pd
Background: Blood testing remains an essential component of diagnosis and prevention of disease. Phlebotomists, Laboratory Infrastructure, Storage, Collection, and Transport are required for Current Methods of Blood Collection. Menstrual Blood has many similar characteristics to circulating blood but has not previously been assessed as a Potential Diagnostic Resource. Objective: To assess if biomarkers derived from menstrual blood correlate with systemic blood. Study design: This was a prospective, observational pilot study of healthy reproductive-aged women. We chose a panel of 9 Biomarkers, used in preventative health assessments and for following clinical conditions, and compared systemic and menstrual blood levels. Results: Eighty-Four volunteers were screened over two months; 35 provided a menstrual and serum sample, of which 20 had a sample adequate for analysis. Overall, the correlation was observed, particularly for 7 Biomarkers, with no statistically significant differences between the mean menstrual and serum values. These include cholesterol (P for differences in means=0.89, R2 for correlation=0.89), Creatinine (P=0.32, R2=0.94), HSCRP (P=0.89, R2=0.99), LDL (P=0.21, R2=0.84), Triglycerides (P=0.45, R2=0.89), Hba1c (P=0.54, R2=0.80), and HDL (P=0.33, R2=0.77). One biomarker, FSH (P<0.001, R2=0.97), was less directly comparable to systemic blood, but a linear relationship was recognized suggesting that the correlation could be mathematically derived, and therefore diagnostic utility is possible. Conclusion: Based on our results, menstrual blood can reliably estimate levels of several biomarkers and may be a promising option for noninvasive collection of blood for diagnosis and health monitoring. Larger trials are needed to confirm these findings. of disorders were present in menstrual fluid [1]. These disorders include endometriosis, breast, Cervical, Ovarian and Endometrial Cancer. Several other studies have detected the presence of Human Papilloma Virus (HPV) in menstrual blood implying that it may be useful for non-invasive screening for cervical cancer or pre-cancer [2,3]. Furthermore, menstrual blood has been studied for screening or diagnosis of Sexually Transmitted Infections (STIS). Alary M, et al. explored the potential of using vaginal fluid collected in menstrual pads for Chlamydia detection. This proved to have sensitivity and specificity equivalent to, or even higher than, existing methods, including vaginal swabs or urine samples [4]. These data combine to provide support for the potential utility of menstrual blood-based testing as a non-invasive alternative blood source for diagnostic or therapeutic analysis. Despite this apparent potential, menstrual blood remains a relatively uninvestigated area for diagnostics; no published literature explores the correlation of systemic versus menstrual-based blood for assessing biomarkers relative to indicators of health or disease. Introduction Whole blood or Serum (Systemic Blood)
背景:血液检测仍然是疾病诊断和预防的重要组成部分。目前的血液采集方法需要抽血师、实验室基础设施、储存、采集和运输。经血与循环血液有许多相似的特征,但以前没有被评估为潜在的诊断资源。目的:评估从经血中提取的生物标志物是否与全身血液相关。研究设计:这是一项对健康育龄妇女的前瞻性、观察性先导研究。我们选择了一组9个生物标志物,用于预防性健康评估和后续临床状况,并比较了全身和经血水平。结果:在两个月的时间里,84名志愿者被筛选;35个国家提供了月经和血清样本,其中20个国家有足够的样本供分析。总体而言,观察到相关性,特别是7个生物标志物,平均月经值和血清值之间没有统计学上的显着差异。这些指标包括胆固醇(P=均值差异=0.89,R2=0.89)、肌酐(P=0.32, R2=0.94)、HSCRP (P=0.89, R2=0.99)、LDL (P=0.21, R2=0.84)、甘油三酯(P=0.45, R2=0.89)、糖化血红蛋白(P=0.54, R2=0.80)和高密度脂蛋白(P=0.33, R2=0.77)。一种生物标志物,FSH (P<0.001, R2=0.97),与全身血液的直接可比性较低,但认识到线性关系,表明相关性可以从数学上推导出来,因此诊断实用是可能的。结论:根据我们的研究结果,经血可以可靠地估计几种生物标志物的水平,并且可能是用于诊断和健康监测的无创采血的有前途的选择。需要更大规模的试验来证实这些发现。在月经液中出现紊乱。这些疾病包括子宫内膜异位症、乳腺癌、子宫癌、卵巢癌和子宫内膜癌。其他几项研究已经在经血中检测到人乳头瘤病毒(HPV)的存在,这意味着它可能对宫颈癌或癌前病变的非侵入性筛查有用[2,3]。此外,经血已被研究用于筛查或诊断性传播感染(STIS)。Alary M等人探讨了使用经垫收集的阴道液进行衣原体检测的潜力。事实证明,这种方法的灵敏度和特异性与包括阴道拭子或尿液样本在内的现有方法相当,甚至更高。这些数据结合起来,为经血检测作为诊断或治疗分析的非侵入性替代血源的潜在效用提供了支持。尽管有这种明显的潜力,经血仍然是一个相对未被研究的诊断领域;没有发表的文献探讨全身血液与月经血液在评估与健康或疾病指标相关的生物标志物方面的相关性。全血或血清(全身血液)通常用于诊断或监测许多疾病。然而,获取标本是一个侵入性的过程,需要医疗援助。它可能会带来不便、昂贵、痛苦和焦虑。大多数育龄妇女有规律地来月经,虽然经血与全身血液有许多相同的特征,但它还没有经过严格的临床研究以用于诊断和治疗目的。经血由三种不同的体液组成:全血、阴道分泌液以及月经期间子宫内膜和子宫颈分泌后期的细胞和液体。分子蛋白质组学研究显示与全身血液有相当大的相关性;然而,经血也含有额外的液体[1]。具体来说,与全身血液相比,经血中至少可以检测到385种额外的蛋白质。2012年,Siegel D等人首次定义了经血的蛋白质组学,并发现了几种广泛的生物标志物,如Sci Forschen O、H U B、H U B、H U B、H U B、H U B、c c和c c。引文:Naseri S, Lerma K, Blumenthal PD(2019)血清与经血用于诊断目的的比较评估:a Pilot Study。为了评估这一点,我们进行了一项概念验证研究,将经血与全身血液进行比较。我们假设,如果经血生物标志物与全身血液相关,这种替代检测方法可能有潜力成为一种方便、无创和成本效益高的血液分析方法,用于诊断和治疗。如果发现可靠,这种方法可以增加月经妇女早期疾病检测和定期健康监测的机会。材料和方法本研究是一项前瞻性、观察性、先导性的健康育龄妇女研究。 背景:血液检测仍然是疾病诊断和预防的重要组成部分。目前的血液采集方法需要抽血师、实验室基础设施、储存、采集和运输。经血与循环血液有许多相似的特征,但以前没有被评估为潜在的诊断资源。目的:评估从经血中提取的生物标志物是否与全身血液相关。研究设计:这是一项对健康育龄妇女的前瞻性、观察性先导研究。我们选择了一组9个生物标志物,用于预防性健康评估和后续临床状况,并比较了全身和经血水平。结果:在两个月的时间里,84名志愿者被筛选;35个国家提供了月经和血清样本,其中20个国家有足够的样本供分析。总体而言,观察到相关性,特别是7个生物标志物,平均月经值和血清值之间没有统计学上的显着差异。这些指标包括胆固醇(P=均值差异=0.89,R2=0.89)、肌酐(P=0.32, R2=0.94)、HSCRP (P=0.89, R2=0.99)、LDL (P=0.21, R2=0.84)、甘油三酯(P=0.45, R2=0.89)、糖化血红蛋白(P=0.54, R2=0.80)和高密度脂蛋白(P=0.33, R2=0.77)。一种生物标志物,FSH (P<0.001, R2=0.97),与全身血液的直接可比性较低,但认识到线性关系,表明相关性可以从数学上推导出来,因此诊断实用是可能的。结论:根据我们的研究结果,经血可以可靠地估计几种生物标志物的水平,并且可能是用于诊断和健康监测的无创采血的有前途的选择。需要更大规模的试验来证实这些发现。在月经液中出现紊乱。这些疾病包括子宫内膜异位症、乳腺癌、子宫癌、卵巢癌和子宫内膜癌。其他几项研究已经在经血中检测到人乳头瘤病毒(HPV)的存在,这意味着它可能对宫颈癌或癌前病变的非侵入性筛查有用[2,3]。此外,经血已被研究用于筛查或诊断性传播感染(STIS)。Alary M等人探讨了使用经垫收集的阴道液进行衣原体检测的潜力。事实证明,这种方法的灵敏度和特异性与包括阴道拭子或尿液样本在内的现有方法相当,甚至更高。这些数据结合起来,为经血检测作为诊断或治疗分析的非侵入性替代血源的潜在效用提供了支持。尽管有这种明显的潜力,经血仍然是一个相对未被研究的诊断领域;没有发表的文献探讨全身血液与月经血液在评估与健康或疾病指标相关的生物标志物方面的相关性。全血或血清(全身血液)通常用于诊断或监测许多疾病。然而,获取标本是一个侵入性的过程,需要医疗援助。它可能会带来不便、昂贵、痛苦和焦虑。大多数育龄妇女有规律地来月经,虽然经血与全身血液有许多相同的特征,但它还没有经过严格的临床研究以用于诊断和治疗目的。经血由三种不同的体液组成:全血、阴道分泌液以及月经期间子宫内膜和子宫颈分泌后期的细胞和液体。分子蛋白质组学研究显示与全身血液有相当大的相关性;然而,经血也含有额外的液体[1]。具体来说,与全身血液相比,经血中至少可以检测到385种额外的蛋白质。2012年,Siegel D等人首次定义了经血的蛋白质组学,并发现了几种广泛的生物标志物,如Sci Forschen O、H U B、H U B、H U B、H U B、H U B、c c和c c。引文:Naseri S, Lerma K, Blumenthal PD(2019)血清与经血用于诊断目的的比较评估:a Pilot Study。为了评估这一点,我们进行了一项概念验证研究,将经血与全身血液进行比较。我们假设,如果经血生物标志物与全身血液相关,这种替代检测方法可能有潜力成为一种方便、无创和成本效益高的血液分析方法,用于诊断和治疗。如果发现可
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引用次数: 4
Castleman’s Disease about a Case 关于卡斯尔曼病的案例
Pub Date : 2019-01-01 DOI: 10.16966/2572-9578.131
D. Ap, Pazos Cp, Penton Crc, D. Ap, Perez Lr, L DominguezPlain
Castleman’s disease is a very rare lymphoproliferative disorder. There are two Clinical forms: the unicentric, which is usually benign, and the multicentric progressive course. There are three described histological patterns: hyali neovascular of unicentric presentation, of plasma cells of multicentric presentation and the mixed one. The aim of this paper is to present a clinical case of multicentric Castleman’s disease of hyaline vascular histology very little described in the literature. The patient started with asthenia, anorexia, profuse nocturnal sweating, weight loss, generalized lymphadenopathy, splenomegaly and respiratory episodes. At physical examination: multiple cervical, axillary and bilateral inguinal adenopathies. The diagnosis was made with the histopathological study of the resected ganglion, the evolution after the treatment has been favorable. Because there are no specific clinical and radiographic features, a high degree of diagnostic suspicion and the experience of the pathologist are required to diagnose this rare disease.
卡斯尔曼氏病是一种非常罕见的淋巴细胞增生性疾病。临床表现有两种:单中心型(通常为良性)和多中心进行性病程。有三种描述的组织学模式:单中心表现的透明新生血管,多中心表现的浆细胞和混合的。本文的目的是提出一个临床病例多中心卡斯尔曼病的透明血管组织学很少在文献中描述。患者开始时表现为虚弱、厌食、夜间大量出汗、体重减轻、全身淋巴结病、脾肿大和呼吸发作。体格检查:多发颈椎、腋窝和双侧腹股沟腺病变。诊断是通过对切除神经节的组织病理学研究做出的,治疗后的进展是有利的。由于没有特定的临床和影像学特征,诊断这种罕见的疾病需要高度的诊断怀疑和病理学家的经验。
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引用次数: 1
Electrogastrogram Analysis in Children with Chronic Abdominal Pain 慢性腹痛患儿胃电图分析
Pub Date : 2019-01-01 DOI: 10.16966/2572-9578.125
Yu Lp, C. Jie, Zhou Ql, G. Ming
Objective: Electrogastrography (EGG) is a non-invasive method for the diagnosis of gastric electrical activity. This study used an EGG to analyze the gastric activity in children with Chronic Abdominal Pain (CAP). Methods: We conducted a retrospective analysis of patients with CAP who underwent EGG at the first affiliated Hospital of Anhui Medical University. Multichannel EGG with 8-minutes recordings preprandially and postprandially was done in children with CAP. Computerized spectral analysis methods were used to compute various EGG parameters. Results: Chronic superficial gastritis and Functional Dyspepsia (FD) were very common among 96 patients with CAP. The dominant power and waveform response area of EGG was significantly lower in FD patients and chronic superficial gastritis in both preprandial and postprandial states. DP, WRA and power ratio was obviously higher in patients with superficial gastritis, duodenitis and reflux esophagitis in their postprandial states. Conclusions: Gastric myoelectrical activity abnormalities were observed in CAP patients and different abnormality of EGG parameters was shown in different groups. EGG is an effective, reliable and non-invasive method in the diagnosis of CAP subgroups.
目的:胃电图(EGG)是一种无创诊断胃电活动的方法。本研究采用EGG分析慢性腹痛(CAP)患儿胃活动。方法:回顾性分析在安徽医科大学第一附属医院行EGG术的CAP患者。对CAP患儿进行餐前和餐后8分钟的多通道EGG记录。采用计算机谱分析方法计算各种EGG参数。结果:慢性浅表性胃炎和功能性消化不良(FD)在96例CAP患者中非常常见,FD患者和慢性浅表性胃炎在餐前和餐后状态下EGG的优势功率和波形响应面积均显著降低。浅表性胃炎、十二指肠炎和反流性食管炎患者餐后状态的DP、WRA和功率比明显较高。结论:CAP患者胃肌电活动异常,不同组的EGG参数异常不同。EGG是一种有效、可靠、无创的CAP亚组诊断方法。
{"title":"Electrogastrogram Analysis in Children with Chronic Abdominal Pain","authors":"Yu Lp, C. Jie, Zhou Ql, G. Ming","doi":"10.16966/2572-9578.125","DOIUrl":"https://doi.org/10.16966/2572-9578.125","url":null,"abstract":"Objective: Electrogastrography (EGG) is a non-invasive method for the diagnosis of gastric electrical activity. This study used an EGG to analyze the gastric activity in children with Chronic Abdominal Pain (CAP). Methods: We conducted a retrospective analysis of patients with CAP who underwent EGG at the first affiliated Hospital of Anhui Medical University. Multichannel EGG with 8-minutes recordings preprandially and postprandially was done in children with CAP. Computerized spectral analysis methods were used to compute various EGG parameters. Results: Chronic superficial gastritis and Functional Dyspepsia (FD) were very common among 96 patients with CAP. The dominant power and waveform response area of EGG was significantly lower in FD patients and chronic superficial gastritis in both preprandial and postprandial states. DP, WRA and power ratio was obviously higher in patients with superficial gastritis, duodenitis and reflux esophagitis in their postprandial states. Conclusions: Gastric myoelectrical activity abnormalities were observed in CAP patients and different abnormality of EGG parameters was shown in different groups. EGG is an effective, reliable and non-invasive method in the diagnosis of CAP subgroups.","PeriodicalId":92069,"journal":{"name":"Journal of clinical and laboratory medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67394190","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
Assessment of Lipid Profile Pattern in Patients with Hyperthyroidism in a Tertiary Hospital in Kano, North Western Nigeria 尼日利亚西北部卡诺一家三级医院甲状腺机能亢进患者的脂质谱模式评估
Pub Date : 2019-01-01 DOI: 10.16966/2572-9578.127
Yahaya Is, Adimabua Op, Ocheni Ap, Adamu Gb
Background : Hyperthyroidism is an important metabolic disorder associated with multiple biochemical abnormalities that have direct impact on lipid metabolism. The aim of the current study is to assess lipid profile pattern in patients with hyperthyroidism attending Aminu Kano Teaching Hospital, Kano. Methods : A case control study conducted during the period of November 2015 to December 2017 among 100 hyperthyroidism patients before treatment and 100 apparently healthy individuals as controls with age between 18-70 years. Sixty eight of the patients were females while thirty two were males. Fasting blood was collected from each individual to determine serum TSH, T3 and T4 with quantitative ELISA assay technique, Product of ACCU BIND Inc., USA. Lipid profile was measured by an enzymatic spectrophotometric method and precipitation enzymatic method for HDL-C. SPSS software package version 20 was used for the analysis of data. Results : The results of the present study showed that the mean values of T3, T4, TG and TG/HDL-C ratio were significantly higher (p<0.05) in patients with hyperthyroidism than the control group while TSH, T4/T3 ratio TC, HDL-C and LDL-C were significantly lower (p<0.05) in patients with hyperthyroidism than the control group. There were significant (p<0.05) and positive correlations between TSH and TC, HDL-C and LDL-C respectively in the patients. There was no significant (p<0.05) correlation between TSH and TG in the patients. There were no significant correlations in the control group of the respective analytes. Conclusion : Our results revealed that hyperthyroidism was associated with decrease total cholesterol, high density lipoprotein cholesterol, low density lipoprotein cholesterol and slightly increased triglycerides. LDL and negative correlation, but not significant between TSH a pond TGs. These findings are similar with the report of Shashi A and Sharma N [31]. They reported positive correlations between serum TSH and TC, TSH and LDL, TSH and HDL, but not with TSH and TG. On the other positive correlations changes in resting subsequent loss of disparities findings compared previous findings differences in the research design and the subjects used in the studies.
背景:甲亢是一种重要的代谢性疾病,与多种生化异常相关,直接影响脂质代谢。本研究的目的是评估在卡诺县明野教学医院就诊的甲亢患者的脂质谱模式。方法:于2015年11月至2017年12月对100例治疗前甲状腺功能亢进患者和100例18-70岁的表面健康者作为对照进行病例对照研究。68名患者为女性,32名患者为男性。采用美国ACCU BIND公司产品,采集空腹血,测定血清TSH、T3、T4。脂质谱测定采用酶光度法和沉淀酶法测定HDL-C。采用SPSS软件包第20版对数据进行分析。结果:本研究结果显示,甲亢患者T3、T4、TG、TG/HDL-C均值显著高于对照组(p<0.05), TSH、T4/T3比值TC、HDL-C、LDL-C均值显著低于对照组(p<0.05)。患者TSH与TC、HDL-C、LDL-C呈显著正相关(p<0.05)。患者TSH与TG之间无显著相关性(p<0.05)。在各自分析物的对照组中没有显著的相关性。结论:甲状腺机能亢进与总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇降低及甘油三酯轻度升高有关。LDL与TSH呈负相关,但TSH与TGs之间无显著相关性。这些发现与Shashi A和Sharma N bbb的报告相似。他们报告了血清TSH与TC、TSH与LDL、TSH与HDL呈正相关,但与TSH与TG无正相关。在其他正相关方面,静息后差异损失的变化与先前研究设计和研究对象的差异进行了比较。
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引用次数: 1
Effects of Multiple Freeze/Thaw Cycles on Measurements of Potential Novel Biomarkers Associated With Adverse Pregnancy Outcomes. 多次冷冻/解冻周期对与不良妊娠结局相关的潜在新型生物标志物测量的影响。
Pub Date : 2017-01-01 Epub Date: 2017-02-21 DOI: 10.16966/2572-9578.107
Sandra L Rebholz, John T Melchior, Jeffrey A Welge, Alan T Remaley, W Sean Davidson, Laura A Woollett

World-wide, millions of women enter preterm labor or have small newborns. Effective biomarkers are needed to identify women at risk for these adverse outcomes. A time and cost effective way to examine any potentially new biomarkers in samples collected during prior studies or trials that had been assayed for other metabolites would be highly useful. Thus, the current study aimed to determine if samples that had been previously thawed and re-frozen could be re-assayed for novel biomarkers, those being lipoprotein composition (sizing, proteome, lipids) and combined cholesterol and cytokine concentrations. Fasting blood was collected from 51 young non-pregnant women and plasma was analyzed for lipoprotein composition and cytokine concentrations after multiple freeze/thaw cycles in the cold or at room temperature and after being stored for 18 months. Plasma LDL-C, HDL-C, total cholesterol, and triglyceride concentrations decreased <6-7% (cholesterols) or <20% (triglyceride) after 7 thaws in the cold, 3 thaws at room temperature, and after 18 months of storage. As these decreases were less than day-to-day reported variation of lipids, they do not appear to be physiologically significant. Cytokine (IL-6, TNF α, IL-8, IL-1β) and hsCRP concentrations decreased by 22%, 8%, 8%, 22%, and 35%, respectively; only IL-6, IL-1β and hsCRP concentrations showed significant decreases greater than day-to-day variations of 20%. For measured triglyceride and cytokine, but not cholesterol concentrations, decreases with freeze/thaw cycles were greater when concentrations were elevated. Multiple thaws also led to changes in lipoprotein sizing, specifically to a shift from medium- and large-sized HDL particles to small-sized HDL particles and from large LDL to IDL. No changes occurred for VLDL particle numbers. Though particle sizes changed, the HDL proteome did not change with multiple thaw cycles or after long term storage. Overall, the results demonstrate that it is possible to use previously obtained frozen samples for plasma cholesterol and triglyceride levels and the lipoprotein proteome, and lipoprotein sizing and cytokine concentrations if one knows the history of the sample as changes should be relative to one another.

在世界范围内,数以百万计的妇女早产或新生儿很小。需要有效的生物标志物来识别有这些不良后果风险的妇女。在先前的研究或试验中收集的样品中检测任何潜在的新生物标志物的时间和成本效益的方法将非常有用,这些样品已被分析为其他代谢物。因此,目前的研究旨在确定先前解冻和重新冷冻的样品是否可以重新检测新的生物标志物,即脂蛋白组成(大小,蛋白质组,脂质)以及胆固醇和细胞因子的组合浓度。收集了51名年轻未怀孕妇女的空腹血液,在低温或室温下多次冷冻/解冻并储存18个月后,分析血浆中的脂蛋白组成和细胞因子浓度。血浆LDL-C、HDL-C、总胆固醇和甘油三酯浓度降低
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引用次数: 7
Clinical and Laboratory Medicine-Sci Forschen Full Text RESEARCH ARTICLE Exocrine Pancreatic Cell NF-κB/AP-1 Crosstalk Downstream of ERK MAPK 外分泌胰腺细胞NF-κB/AP-1串扰ERK MAPK下游
Pub Date : 1900-01-01 DOI: 10.16966/2572-9578.137
Twait Ec, Samuel I
Aim: To test the hypothesis that cooperative interactions between transcription factors Nuclear Factor-kappa B (NF-κB) and Activator Protein-1 (AP1) augment transcriptional activity in exocrine pancreatic cells.
目的:验证转录因子核因子κB (NF-κB)和激活蛋白1 (Activator Protein-1, AP1)之间的协同相互作用是否能增强胰腺外分泌细胞的转录活性。
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引用次数: 0
期刊
Journal of clinical and laboratory medicine
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