In this paper,in vivo spectra from 23 patients'blood samples with various Creatinine(Cr)concentration levels ranging from 0.96 to 12.5 mg/dL were measured using Fourier transform near-infrared spectrometer(FT-NIRS...In this paper,in vivo spectra from 23 patients'blood samples with various Creatinine(Cr)concentration levels ranging from 0.96 to 12.5 mg/dL were measured using Fourier transform near-infrared spectrometer(FT-NIRS)and spectrum quantitative analysis method.Since Cr undergoes passive filtration,it serves as a key biomarker of kidneys function via the estimation of glomerular filtration rate.Thus,increased blood Cr concentration reflects impaired renal func-tion.After spectra pre processing and outlier exclusion,a spectral model was developed based on partial least squares regression(PLSR)method,wherein Cr concentrations correlated with filtered NIR spectra across several peaks,where Cr is know n to absorb NIR light.Several statistical metrics were applied to estimate the model efficiency during data analysis.Comparison of spectra-derived concentrations to reference Cr measurements by the current gold-standard Jaffe's method held in hospital lab revealed a Cr prediction accuracy of 1.64 mg/dL with good corre-lation of R=0.9.Bland-Altman plots were used to compare between our calculations and ref-erence lab values and reveal minimal bias between the two.The finding presented the potential of FT-NIRS coupled with PLSR technique for Cr determination.展开更多
In this study, one hundred urine samples and one hundred blood samples of abusers were examined for the presence of alkaloid substances and abuse drugs in urines and bloods. These numbers of blood and urine samples re...In this study, one hundred urine samples and one hundred blood samples of abusers were examined for the presence of alkaloid substances and abuse drugs in urines and bloods. These numbers of blood and urine samples referred who addicts in clinics of Welfare Organization, during of detoxification treatment or maintenance treatment were screened for abuse drugs presence. Age ranges of female patients were 35 ± 15 and age range of males patients were 42 ± 18. All patients filled questionnaire and satisfy forms too. All data were analyzed by t-test and were Anowa one way, and P 〈 0.05 was considered significant. The P value of this study was P = 0.000. In this study we conclude that among all drug analytical methods the cheapest and easiest test to screening opioids and other abuse drugs in urine and blood samples is strip test for rapid diagnosis and TLC （thin-layer chromatography） is appropriate confirmation method to drug abuse distinguishing. Also tests on blood samples have high importance as a view point of accuracy to distinguishing of drugs abuse.展开更多
Breast cancer is the second leading cancer in the world. <span style="font-family:Verdana;">The long-term</span><span style="font-family:Verdana;"> exposure </span><span ...Breast cancer is the second leading cancer in the world. <span style="font-family:Verdana;">The long-term</span><span style="font-family:Verdana;"> exposure </span><span style="font-family:Verdana;">of</span><span style="font-family:Verdana;"> some metallic compounds induces different forms of cancer, including breast cancer. Trace elements are essential metals for the physiological functions of the cell on a molecular level and also contribute </span><span style="font-family:Verdana;">in</span> <span style="font-family:Verdana;">treatment</span><span style="font-family:Verdana;"> of many diseases. </span><span style="font-family:Verdana;">The aim of study was</span><span style="font-family:Verdana;"> to compare the level of essential trace elements, sodium, potassium, calcium, iron, and zinc in breast cancer patients with normal healthy adult women. Total forty-five patients (age range from 25</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">-</span><span style="font-family:;" "=""> </span><span style="font-family:;" "=""><span style="font-family:Verdana;">73 years) were included in this study and divided into three groups according to three different stages of breast cancer including tumor-II, tumor-III </span><span style="font-family:Verdana;">and</span><span style="font-family:Verdana;"> tumor-IV. Blood was collected from all participants after taking history, clinical data </span><span style="font-family:Verdana;">and</span><span style="font-family:Verdana;"> taking consent. However, about fifteen non-cancer healthy women in </span><span style="font-family:Verdana;">age</span><span style="font-family:Verdana;"> range from 26</span></span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">-</span><span style="font-family:;" "=""> </span><span style="font-family:;" "=""><span style="font-family:Verdana;">69 years were subjected to this study. The elemental concentrations were determined through atomic absorption spectrophotometer </span><span style="font-family:Verdana;">subsequent to</span><span style="font-family:Verdana;"> microwave-induced acid digestion. The results of Na, K, Zn, Fe, Ca, were observed </span></span><span style="font-family:Verdana;">to </span><span style="font-family:Verdana;">decrease in blood samples of breast cancer patients as compared to non-cancer subjects. The results are reliable with other numerous literature reported studies, the efficiency, and deficiency of these trace metals may contribute </span><span style="font-family:Verdana;">an </span><span style="font-family:Verdana;">important</span><span style="font-family:Verdana;"> role in the progress of breast cancer.</span>展开更多
<b>Objective:</b> Almost all year round occurrence of typhoid fever remains a major public health issue in Bangladesh. In recent years, there has been a significant rise in the prevalence of multi-drug res...<b>Objective:</b> Almost all year round occurrence of typhoid fever remains a major public health issue in Bangladesh. In recent years, there has been a significant rise in the prevalence of multi-drug resistance <i>Salmonella typhi</i> in Dhaka city. The major objective of this study was to observe the prevalence of multi-drug and Extended drug-resistant patterns of typhoidal <i>Salmonella typhi</i> among the patients attending a tertiary medical center by conventional culture and serologic test. <b>Materials and Methods:</b> Blood was collected by syringe and equally divided between aerobic & anaerobic BacT Alert bottle, 10 mL for paediatrics. Post isolation <i>Salmonella</i> strains were identified and were tested for antibiotic resistance. <b>Results:</b> A total of 600 blood samples of typhoid suspected patients were tested, where 32.5% came out positive, which were identified as <i>Salmonella typhi</i>. These isolates were susceptible to carbapenem drugs but highly resistant to Fluoroquinolones and Aminoglycosides antibiotics. <b>Discussion:</b> It was seen that 73.23% of isolates among male patients were extensively drug-resistant (XDR) meaning that isolates were sensitive against only one or two antibiotics while in the female it was 58.46%. Isolates from Female patients showed higher multi-drug resistant (MDR) (26.15%) isolates resistance to multiple antibiotics in comparison to isolates from the male (16.54%). 87.19% of the strains showed high drug resistance (XDR and MDR). <b>Conclusion:</b> The emergence of XDR and MDR strains of <i>S. typhi</i> in recent years is becoming a significant threat. Although no PAN-Drug resistance (resistant against all tested drugs) was observed in the current study, a high level of XDR and MDR isolates are indicating that the scenario might take place sooner than later.展开更多
Fluoroacetamide(FAM)has been employed as a rodenticide for an extended duration,leading to a multitude of inci-dents involving human ingestion poisoning.Currently,FAMs have been prohibited by nations globally;however,...Fluoroacetamide(FAM)has been employed as a rodenticide for an extended duration,leading to a multitude of inci-dents involving human ingestion poisoning.Currently,FAMs have been prohibited by nations globally;however,there are still instances of their illegal usage.Conventional instrument methods are characterized by their time-consuming nature and complex operational procedures,rendering them inadequate for meeting urgent diagnostic needs in patients with acute FAM poisoning.Therefore,there is an immediate need to develop a prompt,user-friendly,and precise immunoassay method for the diagnosis of acute poisoning induced by FAM.A lateral flow immunochro-matography assay(LFIA)was developed in this study for the visual detection of FAMs in blood samples,representing the first report of such an approach.The method exhibited a cut-off value of 0.5 mg/mL under the optimized condi-tions,enabling the entire FAM detection process in blood samples to be completed within a mere 8 min without any pretreatment requirements.Notably,the results were easily discernible by visual inspection alone.These results indi-cate that the developed LFIA holds great promise as a convenient and rapid diagnostic tool for FAM poisoning diag-nosis,thereby offering valuable support for subsequent treatment strategies.展开更多
In this study, five hundred urine samples and five hundred blood samples of abusers were examined for the presence of alkaloid substances and abuse drugs in urines and bloods. These numbers of blood and urine samples ...In this study, five hundred urine samples and five hundred blood samples of abusers were examined for the presence of alkaloid substances and abuse drugs in urines and bloods. These numbers of blood and urine samples of addicts in clinics of welfare organization, during detoxification treatment or maintenance treatment were screened for abuse drugs presence. The all of samples were tested through as a view of clinical laboratory methods. Age ranges of female patients were 35 ~ 15 and age range of males patients were 45 ~ 15. All patients filled questionnaire and satisfy forms too. First, all fresh urine and blood samples were examined to confirm presence drugs abuses, depend on their addiction and treatment, so all samples were confirmed by two tests. Then they were examined to other clinical laboratory tests. All data were analyzed by t-test and were Anova one way and two ways of Anova Turkey, and p 〈 0.05 was considered significant. The p-value of this study was p = 0.0001. The results of this study were showed that 4% of abusers had mild increase in hematocrite level and 2% of narcotic drugs abusers had mild lower level of blood sugars than normal range and 4% of participants had increase liver enzymes such ALT （alanine transferase）, AST （aspartat transferase）, ALP （alkaline phosphatease） and 1% of them had renal failure. Although blood level BUN （blood urea nitrogen） and creatinin were examined to evaluation of their renal failure .The results in Tabriz/Iran undrevision of welfare organization clinics were approximately showed that positive results of addiction are in each of urine and blood samples. Because some of abusers directly consumed full long time agonist or partial agonists＇ drugs such as methadone and buprenorphine for their maintenance therapy in clinics. Also doing test on blood samples has high importance in distinguishing and confirmation of drugs abuse in samples. Also in this study we conclude that among all drug analytical methods the cheapest and easiest test to screening opioids and other abuse drugs in urine and blood samples is strip test for rapid diagnosis, also tests on blood samples have high importance as a view point of accuracy to distinguishing of drugs abuse, and serum levels of some other parameters showed all abusers patients situation such as liver and renal dysfimction through clinical laboratory tests.展开更多
Objective To study correlations of polychlorinated biphenyls （PCBs）, DIOXIN, and polybrominated diphenyl ethers （PBDE） with thyroid stimulating hormone（TSH） in children, and assess the impact on children＇s heal...Objective To study correlations of polychlorinated biphenyls （PCBs）, DIOXIN, and polybrominated diphenyl ethers （PBDE） with thyroid stimulating hormone（TSH） in children, and assess the impact on children＇s health. Methods Three hundred and sixty nine children aged from 6 to 8, including 195 from Luqiao, the computer E‐waste recycling area, and 174 from Longyou, the control area, were selected for this investigation to elucidate the correlation of PCBs, DIOXIN, and PBDE with TSH in children’s blood samples. The children had a physical examination and their blood levels of PCBs, DIOXIN, PBDE, and TSH were detected after sample collection. Results In the E‐waste recycling area, the contents of PCBs, PBDE, DIOXIN, and TSH in the blood samples of children were 484.00±84.86 ng·g ‐1 lipid weight, 664.28±262.38 ng·g ‐1 lipid weight, 26.00±19.58 ng·g ‐1 lipid weight and 1.88±0.42 μIU/mL （serum） respectively, while in the control area, the PCBs, PBDE, DIOXIN, and TSH contents were 255.38±95 ng·g ‐1 lipid weight, 375.81±262.43 ng·g ‐1 lipid weight, 39.64±31.86 ng·g ‐1 lipid weight, and 3.31±1.04 μIU/mL respectively. Conclusion The health status of children in the control area are better than that in the contaminated area. Among children who are exposed to persistent organic pollutants, the pollutant content increases significantly in their serum, and the distribution of TSH levels in their bodies are also affected.展开更多
Dengue virus(DENV)is a positive-sense single-stranded RNA virus belonging to the genus Flavivirus within the Flaviviridae family.Four serotypes,DENV 1-4,are distributed globally[1].Hanoi metropolitan city is an endemi...Dengue virus(DENV)is a positive-sense single-stranded RNA virus belonging to the genus Flavivirus within the Flaviviridae family.Four serotypes,DENV 1-4,are distributed globally[1].Hanoi metropolitan city is an endemic hotspot for DENV transmission in Vietnam[2,3].The largest outbreak occurred in 2017,with more than 36000 cases and 7 deaths reported,causing by all four serotypes with the predominance of DENV1,following by DENV2[4,5].During the following dengue season,we collected 390 blood and serum samples from 197 hospitalized patients in a national hospital in Hanoi city,Northern Vietnam to identify the circulating DENV serotypes responsible for the 2018-2019 outbreak.展开更多
Objective: the main causes of unqualified blood samples in community clinical examination and the related countermeasures. It is mainly a system to analyze the information of blood samples throughout 2020, to carry ou...Objective: the main causes of unqualified blood samples in community clinical examination and the related countermeasures. It is mainly a system to analyze the information of blood samples throughout 2020, to carry out regression statistical analysis on unqualified samples, and to summarize the relevant specific factors affecting the unqualified blood samples, and to formulate qualified countermeasures based on the relevant specific factors. Results: the main purpose is to analyze the specific conditions of unqualified blood samples in community clinical tests and the possible specific reasons. Relevant unqualified blood samples are counted, and relevant specific factors of unqualified blood samples are analyzed by regression. Meanwhile, according to relevant factors, experts are invited to give specific introduction and formulate relevant solutions. Among the samples found so far, 51 samples failed, with a failure rate of 0.51%. Conclusion: blood samples are susceptible to the interference of patient factors, blood collection operation factors, sample transportation and inspection factors and inspection operation factors. It is very important to adopt relevant prevention strategies to ensure the qualified samples.展开更多
Objective: to analyze the application effect of self-made artery puncture pillow in radial artery blood collection, so as to provide convenience for clinical nursing work. Methods: using convenience sampling method, 2...Objective: to analyze the application effect of self-made artery puncture pillow in radial artery blood collection, so as to provide convenience for clinical nursing work. Methods: using convenience sampling method, 240 patients hospitalized in the department of Cardiovascular Medicine of our hospital from January to August 2021 were selected as research objects, and divided into groups according to the odd and even number of bed numbers, with 120 patients in each group. In the control group, the traditional wrist pillow was used to pad the expert wrist, and after puncture, cotton swab was pressed to stop bleeding. Patients in the study group used self-made arterial puncture pillow on expert wrist, and then used elastic compression band to stop bleeding after puncture. The success rate of one puncture, incidence of local moderate to severe pain, bleeding and ecchymosis, effective hemostasis rate and patient satisfaction were compared between the two groups. Results: the success rate of one puncture in the study group was 95.8%(115/120), higher than that in the control group (87.5%(105/120). Moderate-severe pain, bleeding, and hematoma rates were lower in the study group than in the control group. The patient satisfaction in the study group was 98.3%, higher than 90% in the control group. Conclusion: application of homemade artery puncture pillow can fully expose of puncture, greatly improve the success rate of puncture, blood after use elastic pressure with oppression hemostasis replaces the artificial pressure, saves the manpower, dynamic MaiZhen timer set 5-10 minutes of press time remind, improves the hemostatic effect, reduce the incidence of complications after the biopsy, worth clinical promotion.展开更多
Objective: this article mainly analyzes the causes of unqualified clinical blood samples and studies the corresponding optimization measures. Methods: 150 unqualified blood samples received blood test in our hospital ...Objective: this article mainly analyzes the causes of unqualified clinical blood samples and studies the corresponding optimization measures. Methods: 150 unqualified blood samples received blood test in our hospital from May 2019 to May 2020 were selected as the research object. The causes of unqualified blood samples in clinical test were analyzed according to the quality evaluation standard and the corresponding optimization measures were studied based on the analysis. Results: among the 150 blood samples, the causes and the number of cases of unqualified clinical examination are mainly as follows: 69 cases are unqualified due to the influence of hemolysis, 46 cases are unqualified due to coagulation, and 7 cases are unqualified due to incorrect use of anticoagulants. In addition, there are 28 cases of unqualified examination due to other reasons such as untimely submission, wrong label or deviation of blood collection position. Conclusion: during the whole process of clinical examination of blood samples, attention should be paid to the comprehensive quality of the operators, and the training should be strengthened. At the same time, attention should also be paid to the collection of blood samples by skilled personnel and timely inspection.展开更多
Objective To explore the complement deposition levels on blood cell surfaces in patients with paroxysmal nocturnal hemoglobinuria(PNH)and evaluate their association with clinical manifestations.Methods This study enro...Objective To explore the complement deposition levels on blood cell surfaces in patients with paroxysmal nocturnal hemoglobinuria(PNH)and evaluate their association with clinical manifestations.Methods This study enrolled patients with PNH,who had not been treated with complement inhibitors and appeared at Peking Union Medical College Hospital from February 2021 to February 2023.The clinical information of participants was retrospectively recorded,and peripheral blood samples were collected.Gender-and age-matched normal controls(NC)were recruited accordingly.展开更多
OBJECTIVE:To investigate the effect of acupressure applied to UB60 and K3 acupuncture points in order to relieve the procedural pain caused by heel lancing blood sampling process in the term newborns.METHODS:The data ...OBJECTIVE:To investigate the effect of acupressure applied to UB60 and K3 acupuncture points in order to relieve the procedural pain caused by heel lancing blood sampling process in the term newborns.METHODS:The data were collected by using the Information Form and the Neonatal Infant Pain Scale.Acupressure applied for 3 min before heel lancing blood sampling in the newborns in the experimental group(n=31).No intervention was applied to newborns in the control group(n=32).RESULTS:A significant difference was found between mean scores of the newborns in the control and acupressure group in favor of the acupressure group in terms of heart rate during and after the procedure,oxygen saturation before,during and after the procedure,duration of crying during and after the procedure(P<0.05).It was found that there was a significant difference between groups in terms of Neonatal Infant Pain Scale mean scores during(P=0.001)and after the procedure(P<0.05),and the difference was found to be in favor of the acupressure group.CONCLUSION:As a result,acupressure was found to be an effective method in relieving pain caused by heel lancing blood sampling in newborns.展开更多
Objective:To explore the feasibility of enzyme-linked immunosorbent assay(ELISA)in detecting syphilis dry blood spots.Methods:Based on dry blood spot samples,laboratory linear dial,laboratory basic dial,laboratory int...Objective:To explore the feasibility of enzyme-linked immunosorbent assay(ELISA)in detecting syphilis dry blood spots.Methods:Based on dry blood spot samples,laboratory linear dial,laboratory basic dial,laboratory interference dial,and laboratory precision dial were constructed.The linear range,sensitivity,specificity,precision and other performances of ELISA for detecting syphilis dry blood spot samples were comprehensively evaluated,and the stability of dry blood spot samples at 37℃was detected.In addition,112 suspected syphilis antibody-positive plasma samples were selected as the control,and dry blood spot samples were prepared accordingly.The clinical sensitivity,clinical specificity,positive predictive value and negative predictive value of dry blood spot samples and plasma samples in ELISA for syphilis detection were compared,and the consistency and correlation between the two samples were analyzed by the Kappa consistency test and Spearman rank correlation analysis.Results:The results of the linear analysis showed that the serial dilution of dry blood spot samples in ELISA for syphilis antibody ranged from 23to 27,and there was a good linear range[R2=0.9862(P<0.05)].Sensitivity and specificity analysis showed that the positive coincidence rate and negative coincidence rate of the two detection methods were 100%(15/15).The results of the interference dial test showed that ELISA based on dry blood spot samples could accurately detect 6 syphilis antibody samples from 18samples,and the detection accuracy rate was 100.00%(6/6).The results of the precision test showed that the RSD of syphilis antibody detection in dry blood spot samples with different dilution times(23,25and 27)was 0.24%to 3.87%between spots,0.06%to4.07%between batches and 0.49%to 3.88%between days.Within 7 days,the inter-day RSD of dry blood spots with different dilution times(23,25,27)were 0.27%,0.65%and 0.95%,respectively.The clinical sensitivity,clinical specificity,positive predictive value and negative predictive value of dry blood spot samples in ELISA detection of syphilis antibody were 96.00%(72/75),100.00%(37/37),100.00%(72/72)and 92.50%,respectively.The results of the Kappa consistency test and Spearman rank correlation analysis showed that the Kappa value of the two methods was 0.941(P<0.01),and the correlation coefficientρbetween the S/CO ratios of the two methods was 0.211(P<0.01).The comparison of S/CO ratio results showed that the distribution characteristics of the S/CO ratio between the two methods were similar,and the ratio distribution was relatively concentrated.Conclusion:using dry blood spot samples to perform ELISA for syphilis detection has good precision,strong anti-interference ability and excellent stability.Although false-positive results appear in weak positive samples,it still has a high application value in ELISA for syphilis antibody detection,which can provide an important reference for disease diagnosis.展开更多
Diabetes is spreading at an alarming rate worldwide,becoming one of the most significant public health challenges[1].Effective diabetes management requires precise,dynamic,and personalized monitoring strategies to cap...Diabetes is spreading at an alarming rate worldwide,becoming one of the most significant public health challenges[1].Effective diabetes management requires precise,dynamic,and personalized monitoring strategies to capture the multi-system physiological responses triggered by factors such as diet,exercise,and emotional fluctuations[2,3].Traditional diabetes monitoring relies on fingerstick blood sampling to assess blood glucose levels,which not only requires frequent skin punctures to obtain blood samples but also has a certain degree of lag.展开更多
Background：Antimicrobial resistance is a serious problem that compromises the empirical treatment of infections,resulting in a lack of effective antibiotics and high medical expenses.Here,we aimed to monitor the tren...Background：Antimicrobial resistance is a serious problem that compromises the empirical treatment of infections,resulting in a lack of effective antibiotics and high medical expenses.Here,we aimed to monitor the trends in antimicrobial resistance among Enterobacteriaceae isolated from blood samples in China's Mainland.Methods：A total of 2240 Enterobacteriaceae isolates from blood were collected from hospitalized patients at 19 tertiary hospitals between October 2004 and June 2014.The minimum inhibitory concentrations of all isolates were determined using the agar dilution method according to the Clinical and Laboratory Standards Institute 2016 guidelines.Results：The most commonly isolated bacteria were Escherichia coli,compromising 47.0% （1053/2240） of the total isolates,followed byKlebsiella spp.（26.3%）,Sahnonella spp.（10.4%）,and Enterobacter spp.（9.2%）.The detection rates of extended-spectrum β-lactamases （ESBLs） among E.coli were 68.9% （2004-2005）,73.2% （2007-2008）,67.9% （2009-2010）,72.6% （2011-2012）,and 58.4% （2013-2014）,whereas those in ESBL-producing Klebsiellapneumoniae were slightly decreased （75.9%,50.0%,41.4%,40.2%,and 43.0%,respectively）.Carbapenems were the most potent agents against the Enterobacteriaceae isolates,followed by moxalactam,tigecycline,and amikacin.However,there was a decrease in the susceptibility rates for carbapenems in all species,particularly K.pneumoniae （decreased by 10.6% for imipenem） and Enterobacter aerogenes （decreased by 2 l.1% for imipenem）.Reviving antibiotics （tigecycline and polymyxins） showed good in vitro activity against Enterobacteriaceae.Conclusions：The activity of antibiotics against Enterobacteriaceae isolated from blood was decreased overall.Large proportions of ESBL-producing isolates were identified among E.coli and Klebsiella spp.Carbapenem-resistant isolates have become a major challenge in the treatment of infections.展开更多
Sensitive detection and accurate diagnosis/prognosis of glioma remain urgent challenges.Herein,dispersed magnetic covalent organic framework nanospheres(MCOF)with uniformed Fe3O4 nano-assembly as cores and high-crysta...Sensitive detection and accurate diagnosis/prognosis of glioma remain urgent challenges.Herein,dispersed magnetic covalent organic framework nanospheres(MCOF)with uniformed Fe3O4 nano-assembly as cores and high-crystalline COF as shells were prepared by monomer-mediated in-situ interface growth strategy.Based on the unique interaction between MCOF and hairpin DNA,a fluorescent signal amplified miRNA biosensor was constructed.It could realize the sensitive detection of miRNA-182 in different matrixes,where the detection limit,linearity range and determination coefficient(R^(2))in real blood samples reached 20 fM,0.1 pM-10 pM and 0.991,respectively.Also,it possessed good stability and precision as observed from the low intra-day/inter-day RSD and high extraction recovery.As a result,it could quantify miRNA-182 in serum of glioma patients,the concentration of which was significantly higher than that of healthy people and obviously decreased after surgery.Finally,a proof-of-concept capillary chip system using this biosensor was proposed to realize the visualized detection of miRNA-182 in microsample.These findings suggest a robust way for sensitive detection and accurate diagnosis/prognosis of glioma.展开更多
Magnesium chloride compound nanoparticles(MgCl_(2) NPs)were chosen as alternative contrast medium in magnetic resonance imaging(MRI).The solution of MgCl_(2) NPs was a good electrochemical property especially in the b...Magnesium chloride compound nanoparticles(MgCl_(2) NPs)were chosen as alternative contrast medium in magnetic resonance imaging(MRI).The solution of MgCl_(2) NPs was a good electrochemical property especially in the blood medium.It was found that MgCl_(2) NPs in blood medium served as an antioxidant reagent because cyclic voltammogram had only one reduction current peak at 0.9 V.Gadolinium compounds were used as a common contrast medium in MRI technique;they had two oxidation current peaks in the blood medium at 0.73 V and 0.23 V.In addition,the gadolinium compounds caused many problems when used as a contrast medium,but they were the only contrast media used for this purpose.It was found that using MgCl_(2) NPs solution as an alternative contrast medium in rabbits enhanced MR imaging of kidney organ,as compared with that using gadolinium at the same dose.展开更多
文摘In this paper,in vivo spectra from 23 patients'blood samples with various Creatinine(Cr)concentration levels ranging from 0.96 to 12.5 mg/dL were measured using Fourier transform near-infrared spectrometer(FT-NIRS)and spectrum quantitative analysis method.Since Cr undergoes passive filtration,it serves as a key biomarker of kidneys function via the estimation of glomerular filtration rate.Thus,increased blood Cr concentration reflects impaired renal func-tion.After spectra pre processing and outlier exclusion,a spectral model was developed based on partial least squares regression(PLSR)method,wherein Cr concentrations correlated with filtered NIR spectra across several peaks,where Cr is know n to absorb NIR light.Several statistical metrics were applied to estimate the model efficiency during data analysis.Comparison of spectra-derived concentrations to reference Cr measurements by the current gold-standard Jaffe's method held in hospital lab revealed a Cr prediction accuracy of 1.64 mg/dL with good corre-lation of R=0.9.Bland-Altman plots were used to compare between our calculations and ref-erence lab values and reveal minimal bias between the two.The finding presented the potential of FT-NIRS coupled with PLSR technique for Cr determination.
文摘In this study, one hundred urine samples and one hundred blood samples of abusers were examined for the presence of alkaloid substances and abuse drugs in urines and bloods. These numbers of blood and urine samples referred who addicts in clinics of Welfare Organization, during of detoxification treatment or maintenance treatment were screened for abuse drugs presence. Age ranges of female patients were 35 ± 15 and age range of males patients were 42 ± 18. All patients filled questionnaire and satisfy forms too. All data were analyzed by t-test and were Anowa one way, and P 〈 0.05 was considered significant. The P value of this study was P = 0.000. In this study we conclude that among all drug analytical methods the cheapest and easiest test to screening opioids and other abuse drugs in urine and blood samples is strip test for rapid diagnosis and TLC （thin-layer chromatography） is appropriate confirmation method to drug abuse distinguishing. Also tests on blood samples have high importance as a view point of accuracy to distinguishing of drugs abuse.
文摘Breast cancer is the second leading cancer in the world. <span style="font-family:Verdana;">The long-term</span><span style="font-family:Verdana;"> exposure </span><span style="font-family:Verdana;">of</span><span style="font-family:Verdana;"> some metallic compounds induces different forms of cancer, including breast cancer. Trace elements are essential metals for the physiological functions of the cell on a molecular level and also contribute </span><span style="font-family:Verdana;">in</span> <span style="font-family:Verdana;">treatment</span><span style="font-family:Verdana;"> of many diseases. </span><span style="font-family:Verdana;">The aim of study was</span><span style="font-family:Verdana;"> to compare the level of essential trace elements, sodium, potassium, calcium, iron, and zinc in breast cancer patients with normal healthy adult women. Total forty-five patients (age range from 25</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">-</span><span style="font-family:;" "=""> </span><span style="font-family:;" "=""><span style="font-family:Verdana;">73 years) were included in this study and divided into three groups according to three different stages of breast cancer including tumor-II, tumor-III </span><span style="font-family:Verdana;">and</span><span style="font-family:Verdana;"> tumor-IV. Blood was collected from all participants after taking history, clinical data </span><span style="font-family:Verdana;">and</span><span style="font-family:Verdana;"> taking consent. However, about fifteen non-cancer healthy women in </span><span style="font-family:Verdana;">age</span><span style="font-family:Verdana;"> range from 26</span></span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">-</span><span style="font-family:;" "=""> </span><span style="font-family:;" "=""><span style="font-family:Verdana;">69 years were subjected to this study. The elemental concentrations were determined through atomic absorption spectrophotometer </span><span style="font-family:Verdana;">subsequent to</span><span style="font-family:Verdana;"> microwave-induced acid digestion. The results of Na, K, Zn, Fe, Ca, were observed </span></span><span style="font-family:Verdana;">to </span><span style="font-family:Verdana;">decrease in blood samples of breast cancer patients as compared to non-cancer subjects. The results are reliable with other numerous literature reported studies, the efficiency, and deficiency of these trace metals may contribute </span><span style="font-family:Verdana;">an </span><span style="font-family:Verdana;">important</span><span style="font-family:Verdana;"> role in the progress of breast cancer.</span>
文摘<b>Objective:</b> Almost all year round occurrence of typhoid fever remains a major public health issue in Bangladesh. In recent years, there has been a significant rise in the prevalence of multi-drug resistance <i>Salmonella typhi</i> in Dhaka city. The major objective of this study was to observe the prevalence of multi-drug and Extended drug-resistant patterns of typhoidal <i>Salmonella typhi</i> among the patients attending a tertiary medical center by conventional culture and serologic test. <b>Materials and Methods:</b> Blood was collected by syringe and equally divided between aerobic & anaerobic BacT Alert bottle, 10 mL for paediatrics. Post isolation <i>Salmonella</i> strains were identified and were tested for antibiotic resistance. <b>Results:</b> A total of 600 blood samples of typhoid suspected patients were tested, where 32.5% came out positive, which were identified as <i>Salmonella typhi</i>. These isolates were susceptible to carbapenem drugs but highly resistant to Fluoroquinolones and Aminoglycosides antibiotics. <b>Discussion:</b> It was seen that 73.23% of isolates among male patients were extensively drug-resistant (XDR) meaning that isolates were sensitive against only one or two antibiotics while in the female it was 58.46%. Isolates from Female patients showed higher multi-drug resistant (MDR) (26.15%) isolates resistance to multiple antibiotics in comparison to isolates from the male (16.54%). 87.19% of the strains showed high drug resistance (XDR and MDR). <b>Conclusion:</b> The emergence of XDR and MDR strains of <i>S. typhi</i> in recent years is becoming a significant threat. Although no PAN-Drug resistance (resistant against all tested drugs) was observed in the current study, a high level of XDR and MDR isolates are indicating that the scenario might take place sooner than later.
基金supported by Beijing Municipal Science and Technology Commission(Z211100007021007)the earmarked fund for CARS36,the Key R&D Program of Ningxia Hui Autonomous Region(2021BBF02036)the program of Beijing Municipal Education Commission(KM202212448002).
文摘Fluoroacetamide(FAM)has been employed as a rodenticide for an extended duration,leading to a multitude of inci-dents involving human ingestion poisoning.Currently,FAMs have been prohibited by nations globally;however,there are still instances of their illegal usage.Conventional instrument methods are characterized by their time-consuming nature and complex operational procedures,rendering them inadequate for meeting urgent diagnostic needs in patients with acute FAM poisoning.Therefore,there is an immediate need to develop a prompt,user-friendly,and precise immunoassay method for the diagnosis of acute poisoning induced by FAM.A lateral flow immunochro-matography assay(LFIA)was developed in this study for the visual detection of FAMs in blood samples,representing the first report of such an approach.The method exhibited a cut-off value of 0.5 mg/mL under the optimized condi-tions,enabling the entire FAM detection process in blood samples to be completed within a mere 8 min without any pretreatment requirements.Notably,the results were easily discernible by visual inspection alone.These results indi-cate that the developed LFIA holds great promise as a convenient and rapid diagnostic tool for FAM poisoning diag-nosis,thereby offering valuable support for subsequent treatment strategies.
文摘In this study, five hundred urine samples and five hundred blood samples of abusers were examined for the presence of alkaloid substances and abuse drugs in urines and bloods. These numbers of blood and urine samples of addicts in clinics of welfare organization, during detoxification treatment or maintenance treatment were screened for abuse drugs presence. The all of samples were tested through as a view of clinical laboratory methods. Age ranges of female patients were 35 ~ 15 and age range of males patients were 45 ~ 15. All patients filled questionnaire and satisfy forms too. First, all fresh urine and blood samples were examined to confirm presence drugs abuses, depend on their addiction and treatment, so all samples were confirmed by two tests. Then they were examined to other clinical laboratory tests. All data were analyzed by t-test and were Anova one way and two ways of Anova Turkey, and p 〈 0.05 was considered significant. The p-value of this study was p = 0.0001. The results of this study were showed that 4% of abusers had mild increase in hematocrite level and 2% of narcotic drugs abusers had mild lower level of blood sugars than normal range and 4% of participants had increase liver enzymes such ALT （alanine transferase）, AST （aspartat transferase）, ALP （alkaline phosphatease） and 1% of them had renal failure. Although blood level BUN （blood urea nitrogen） and creatinin were examined to evaluation of their renal failure .The results in Tabriz/Iran undrevision of welfare organization clinics were approximately showed that positive results of addiction are in each of urine and blood samples. Because some of abusers directly consumed full long time agonist or partial agonists＇ drugs such as methadone and buprenorphine for their maintenance therapy in clinics. Also doing test on blood samples has high importance in distinguishing and confirmation of drugs abuse in samples. Also in this study we conclude that among all drug analytical methods the cheapest and easiest test to screening opioids and other abuse drugs in urine and blood samples is strip test for rapid diagnosis, also tests on blood samples have high importance as a view point of accuracy to distinguishing of drugs abuse, and serum levels of some other parameters showed all abusers patients situation such as liver and renal dysfimction through clinical laboratory tests.
基金Funded by the Ministry of Health and Science and Technology (WKJ2007‐2‐006), China
文摘Objective To study correlations of polychlorinated biphenyls （PCBs）, DIOXIN, and polybrominated diphenyl ethers （PBDE） with thyroid stimulating hormone（TSH） in children, and assess the impact on children＇s health. Methods Three hundred and sixty nine children aged from 6 to 8, including 195 from Luqiao, the computer E‐waste recycling area, and 174 from Longyou, the control area, were selected for this investigation to elucidate the correlation of PCBs, DIOXIN, and PBDE with TSH in children’s blood samples. The children had a physical examination and their blood levels of PCBs, DIOXIN, PBDE, and TSH were detected after sample collection. Results In the E‐waste recycling area, the contents of PCBs, PBDE, DIOXIN, and TSH in the blood samples of children were 484.00±84.86 ng·g ‐1 lipid weight, 664.28±262.38 ng·g ‐1 lipid weight, 26.00±19.58 ng·g ‐1 lipid weight and 1.88±0.42 μIU/mL （serum） respectively, while in the control area, the PCBs, PBDE, DIOXIN, and TSH contents were 255.38±95 ng·g ‐1 lipid weight, 375.81±262.43 ng·g ‐1 lipid weight, 39.64±31.86 ng·g ‐1 lipid weight, and 3.31±1.04 μIU/mL respectively. Conclusion The health status of children in the control area are better than that in the contaminated area. Among children who are exposed to persistent organic pollutants, the pollutant content increases significantly in their serum, and the distribution of TSH levels in their bodies are also affected.
基金the“Metropolitan Mosquitoes Project”funded by the Swedish Research Council for Environment,Agricultural Sciences and Spatial Planning(Formas,grant number 2016-00364).
文摘Dengue virus(DENV)is a positive-sense single-stranded RNA virus belonging to the genus Flavivirus within the Flaviviridae family.Four serotypes,DENV 1-4,are distributed globally[1].Hanoi metropolitan city is an endemic hotspot for DENV transmission in Vietnam[2,3].The largest outbreak occurred in 2017,with more than 36000 cases and 7 deaths reported,causing by all four serotypes with the predominance of DENV1,following by DENV2[4,5].During the following dengue season,we collected 390 blood and serum samples from 197 hospitalized patients in a national hospital in Hanoi city,Northern Vietnam to identify the circulating DENV serotypes responsible for the 2018-2019 outbreak.
文摘Objective: the main causes of unqualified blood samples in community clinical examination and the related countermeasures. It is mainly a system to analyze the information of blood samples throughout 2020, to carry out regression statistical analysis on unqualified samples, and to summarize the relevant specific factors affecting the unqualified blood samples, and to formulate qualified countermeasures based on the relevant specific factors. Results: the main purpose is to analyze the specific conditions of unqualified blood samples in community clinical tests and the possible specific reasons. Relevant unqualified blood samples are counted, and relevant specific factors of unqualified blood samples are analyzed by regression. Meanwhile, according to relevant factors, experts are invited to give specific introduction and formulate relevant solutions. Among the samples found so far, 51 samples failed, with a failure rate of 0.51%. Conclusion: blood samples are susceptible to the interference of patient factors, blood collection operation factors, sample transportation and inspection factors and inspection operation factors. It is very important to adopt relevant prevention strategies to ensure the qualified samples.
文摘Objective: to analyze the application effect of self-made artery puncture pillow in radial artery blood collection, so as to provide convenience for clinical nursing work. Methods: using convenience sampling method, 240 patients hospitalized in the department of Cardiovascular Medicine of our hospital from January to August 2021 were selected as research objects, and divided into groups according to the odd and even number of bed numbers, with 120 patients in each group. In the control group, the traditional wrist pillow was used to pad the expert wrist, and after puncture, cotton swab was pressed to stop bleeding. Patients in the study group used self-made arterial puncture pillow on expert wrist, and then used elastic compression band to stop bleeding after puncture. The success rate of one puncture, incidence of local moderate to severe pain, bleeding and ecchymosis, effective hemostasis rate and patient satisfaction were compared between the two groups. Results: the success rate of one puncture in the study group was 95.8%(115/120), higher than that in the control group (87.5%(105/120). Moderate-severe pain, bleeding, and hematoma rates were lower in the study group than in the control group. The patient satisfaction in the study group was 98.3%, higher than 90% in the control group. Conclusion: application of homemade artery puncture pillow can fully expose of puncture, greatly improve the success rate of puncture, blood after use elastic pressure with oppression hemostasis replaces the artificial pressure, saves the manpower, dynamic MaiZhen timer set 5-10 minutes of press time remind, improves the hemostatic effect, reduce the incidence of complications after the biopsy, worth clinical promotion.
文摘Objective: this article mainly analyzes the causes of unqualified clinical blood samples and studies the corresponding optimization measures. Methods: 150 unqualified blood samples received blood test in our hospital from May 2019 to May 2020 were selected as the research object. The causes of unqualified blood samples in clinical test were analyzed according to the quality evaluation standard and the corresponding optimization measures were studied based on the analysis. Results: among the 150 blood samples, the causes and the number of cases of unqualified clinical examination are mainly as follows: 69 cases are unqualified due to the influence of hemolysis, 46 cases are unqualified due to coagulation, and 7 cases are unqualified due to incorrect use of anticoagulants. In addition, there are 28 cases of unqualified examination due to other reasons such as untimely submission, wrong label or deviation of blood collection position. Conclusion: during the whole process of clinical examination of blood samples, attention should be paid to the comprehensive quality of the operators, and the training should be strengthened. At the same time, attention should also be paid to the collection of blood samples by skilled personnel and timely inspection.
文摘Objective To explore the complement deposition levels on blood cell surfaces in patients with paroxysmal nocturnal hemoglobinuria(PNH)and evaluate their association with clinical manifestations.Methods This study enrolled patients with PNH,who had not been treated with complement inhibitors and appeared at Peking Union Medical College Hospital from February 2021 to February 2023.The clinical information of participants was retrospectively recorded,and peripheral blood samples were collected.Gender-and age-matched normal controls(NC)were recruited accordingly.
基金Supported by Canakkale Onsekiz Mart University(COMU)Scientific Research Projects Coordination Unit(SRPCU)grant"TYL 2017/1360"。
文摘OBJECTIVE:To investigate the effect of acupressure applied to UB60 and K3 acupuncture points in order to relieve the procedural pain caused by heel lancing blood sampling process in the term newborns.METHODS:The data were collected by using the Information Form and the Neonatal Infant Pain Scale.Acupressure applied for 3 min before heel lancing blood sampling in the newborns in the experimental group(n=31).No intervention was applied to newborns in the control group(n=32).RESULTS:A significant difference was found between mean scores of the newborns in the control and acupressure group in favor of the acupressure group in terms of heart rate during and after the procedure,oxygen saturation before,during and after the procedure,duration of crying during and after the procedure(P<0.05).It was found that there was a significant difference between groups in terms of Neonatal Infant Pain Scale mean scores during(P=0.001)and after the procedure(P<0.05),and the difference was found to be in favor of the acupressure group.CONCLUSION:As a result,acupressure was found to be an effective method in relieving pain caused by heel lancing blood sampling in newborns.
文摘Objective:To explore the feasibility of enzyme-linked immunosorbent assay(ELISA)in detecting syphilis dry blood spots.Methods:Based on dry blood spot samples,laboratory linear dial,laboratory basic dial,laboratory interference dial,and laboratory precision dial were constructed.The linear range,sensitivity,specificity,precision and other performances of ELISA for detecting syphilis dry blood spot samples were comprehensively evaluated,and the stability of dry blood spot samples at 37℃was detected.In addition,112 suspected syphilis antibody-positive plasma samples were selected as the control,and dry blood spot samples were prepared accordingly.The clinical sensitivity,clinical specificity,positive predictive value and negative predictive value of dry blood spot samples and plasma samples in ELISA for syphilis detection were compared,and the consistency and correlation between the two samples were analyzed by the Kappa consistency test and Spearman rank correlation analysis.Results:The results of the linear analysis showed that the serial dilution of dry blood spot samples in ELISA for syphilis antibody ranged from 23to 27,and there was a good linear range[R2=0.9862(P<0.05)].Sensitivity and specificity analysis showed that the positive coincidence rate and negative coincidence rate of the two detection methods were 100%(15/15).The results of the interference dial test showed that ELISA based on dry blood spot samples could accurately detect 6 syphilis antibody samples from 18samples,and the detection accuracy rate was 100.00%(6/6).The results of the precision test showed that the RSD of syphilis antibody detection in dry blood spot samples with different dilution times(23,25and 27)was 0.24%to 3.87%between spots,0.06%to4.07%between batches and 0.49%to 3.88%between days.Within 7 days,the inter-day RSD of dry blood spots with different dilution times(23,25,27)were 0.27%,0.65%and 0.95%,respectively.The clinical sensitivity,clinical specificity,positive predictive value and negative predictive value of dry blood spot samples in ELISA detection of syphilis antibody were 96.00%(72/75),100.00%(37/37),100.00%(72/72)and 92.50%,respectively.The results of the Kappa consistency test and Spearman rank correlation analysis showed that the Kappa value of the two methods was 0.941(P<0.01),and the correlation coefficientρbetween the S/CO ratios of the two methods was 0.211(P<0.01).The comparison of S/CO ratio results showed that the distribution characteristics of the S/CO ratio between the two methods were similar,and the ratio distribution was relatively concentrated.Conclusion:using dry blood spot samples to perform ELISA for syphilis detection has good precision,strong anti-interference ability and excellent stability.Although false-positive results appear in weak positive samples,it still has a high application value in ELISA for syphilis antibody detection,which can provide an important reference for disease diagnosis.
文摘Diabetes is spreading at an alarming rate worldwide,becoming one of the most significant public health challenges[1].Effective diabetes management requires precise,dynamic,and personalized monitoring strategies to capture the multi-system physiological responses triggered by factors such as diet,exercise,and emotional fluctuations[2,3].Traditional diabetes monitoring relies on fingerstick blood sampling to assess blood glucose levels,which not only requires frequent skin punctures to obtain blood samples but also has a certain degree of lag.
文摘Background：Antimicrobial resistance is a serious problem that compromises the empirical treatment of infections,resulting in a lack of effective antibiotics and high medical expenses.Here,we aimed to monitor the trends in antimicrobial resistance among Enterobacteriaceae isolated from blood samples in China's Mainland.Methods：A total of 2240 Enterobacteriaceae isolates from blood were collected from hospitalized patients at 19 tertiary hospitals between October 2004 and June 2014.The minimum inhibitory concentrations of all isolates were determined using the agar dilution method according to the Clinical and Laboratory Standards Institute 2016 guidelines.Results：The most commonly isolated bacteria were Escherichia coli,compromising 47.0% （1053/2240） of the total isolates,followed byKlebsiella spp.（26.3%）,Sahnonella spp.（10.4%）,and Enterobacter spp.（9.2%）.The detection rates of extended-spectrum β-lactamases （ESBLs） among E.coli were 68.9% （2004-2005）,73.2% （2007-2008）,67.9% （2009-2010）,72.6% （2011-2012）,and 58.4% （2013-2014）,whereas those in ESBL-producing Klebsiellapneumoniae were slightly decreased （75.9%,50.0%,41.4%,40.2%,and 43.0%,respectively）.Carbapenems were the most potent agents against the Enterobacteriaceae isolates,followed by moxalactam,tigecycline,and amikacin.However,there was a decrease in the susceptibility rates for carbapenems in all species,particularly K.pneumoniae （decreased by 10.6% for imipenem） and Enterobacter aerogenes （decreased by 2 l.1% for imipenem）.Reviving antibiotics （tigecycline and polymyxins） showed good in vitro activity against Enterobacteriaceae.Conclusions：The activity of antibiotics against Enterobacteriaceae isolated from blood was decreased overall.Large proportions of ESBL-producing isolates were identified among E.coli and Klebsiella spp.Carbapenem-resistant isolates have become a major challenge in the treatment of infections.
基金supported by National Natural Science Foundation of China(31922044,81861138040,81773280,82172746 and 81974453)Program of Shanghai Academic Research Leader(20XD1420500)+1 种基金Natural Science Foundation of Shanghai(19ZR1471600)Jiangsu Provincial Science and Technology Department Social Development-Clinical Frontier Technology(BE2020769).
文摘Sensitive detection and accurate diagnosis/prognosis of glioma remain urgent challenges.Herein,dispersed magnetic covalent organic framework nanospheres(MCOF)with uniformed Fe3O4 nano-assembly as cores and high-crystalline COF as shells were prepared by monomer-mediated in-situ interface growth strategy.Based on the unique interaction between MCOF and hairpin DNA,a fluorescent signal amplified miRNA biosensor was constructed.It could realize the sensitive detection of miRNA-182 in different matrixes,where the detection limit,linearity range and determination coefficient(R^(2))in real blood samples reached 20 fM,0.1 pM-10 pM and 0.991,respectively.Also,it possessed good stability and precision as observed from the low intra-day/inter-day RSD and high extraction recovery.As a result,it could quantify miRNA-182 in serum of glioma patients,the concentration of which was significantly higher than that of healthy people and obviously decreased after surgery.Finally,a proof-of-concept capillary chip system using this biosensor was proposed to realize the visualized detection of miRNA-182 in microsample.These findings suggest a robust way for sensitive detection and accurate diagnosis/prognosis of glioma.
文摘Magnesium chloride compound nanoparticles(MgCl_(2) NPs)were chosen as alternative contrast medium in magnetic resonance imaging(MRI).The solution of MgCl_(2) NPs was a good electrochemical property especially in the blood medium.It was found that MgCl_(2) NPs in blood medium served as an antioxidant reagent because cyclic voltammogram had only one reduction current peak at 0.9 V.Gadolinium compounds were used as a common contrast medium in MRI technique;they had two oxidation current peaks in the blood medium at 0.73 V and 0.23 V.In addition,the gadolinium compounds caused many problems when used as a contrast medium,but they were the only contrast media used for this purpose.It was found that using MgCl_(2) NPs solution as an alternative contrast medium in rabbits enhanced MR imaging of kidney organ,as compared with that using gadolinium at the same dose.
