Buckleykoch6702
The prevalence of anemia and thrombocytopenia in malaria patients were 39.5% and 56.3%, respectively. Being female, and having high malaria parasitemia were found significantly associated with thrombocytopenia. The odds of developing thrombocytopenia was 8.4-fold higher in malaria patients with high malaria parasitemia.
Anemia and thrombocytopenia were the common hematological abnormalities observed in malaria patients. Therefore, malaria patients should be assessed for the presence of such hematological abnormalities and need to be managed timely.
Anemia and thrombocytopenia were the common hematological abnormalities observed in malaria patients. Therefore, malaria patients should be assessed for the presence of such hematological abnormalities and need to be managed timely.
The current study aims to investigate the clinical significance of serum macrophage migration inhib-itory factor (MIF) and C-C motif chemokine living 23 (CCL23) in patients with acute cerebral infarction (ACI).
Seventy-nine patients with ACI were selected and divided into three types, including large-area atherosclerosis (LAA), cardiovascular central embolism (CCE), and small-area occlusion (SAO) according to the Trial of Org 10172 in Acute Stroke Treatment or TOAST. At the same time, 79 healthy people were selected as the control group. The concentrations of MIF and CCL23 were measured by ELISA. Pearson's correlation assay was carried out to explore the correlation between MIF, CCL23, and clinical index. The diagnostic value of MIF and CCL23 was evaluated using ROC analysis.
Our data showed that both of MIF and CCL23 levels were significantly enhanced in the serum of ACI patients compared to controls. Pearson's correlation assay indicated that serum MIF and CCL23 levels were positively correlated with NIHSS score, but negatively correlated with Barthel index. Moreover, the concentrations of MIF and CCL23 in CCE and LAA subgroups were significantly higher than those in SAO subgroups, while there was no statistical significance between CCE and LAA subgroups. ROC curve showed that combined use of MIF and CCL-23 demonstrated a better AUC of 0.903 (95% CI 0.840 - 0.966), with the sensitivity and specificity of 0.91 and 0.87, respectively.
In summary, both MIF and CCL23 were significantly increased in ACI patients. Combined use of MIF and CCL23 may be helpful in the diagnosis of ACI.
In summary, both MIF and CCL23 were significantly increased in ACI patients. Combined use of MIF and CCL23 may be helpful in the diagnosis of ACI.
This study aimed to develop a method for assessing the sensitivity and diagnostic performance of the neutrophil surface CD64 stimulation index (SI) in tuberculosis infection.
A total of 149 samples were divided into three groups (tuberculosis group, n = 51; nontuberculosis infection group, n = 50; and healthy control group, n = 48). Flow cytometry was used to detect the sensitivity of CD64 SI on the surface of neutrophils. check details The sensitivities of CD64 SI before and after stimulation with ESAT-6 and CFP-10 antigens were compared using interferon-gamma release assay-enzyme-linked immunosorbent assay (IGRA-ELISA).
The diagnostic threshold for CD64 SI based on the receiver operating characteristic curve was found to be 2.025, which is the standard for judging tuberculosis infection. The IGRA-ELISA and the CD64 SI assays were highly consistent with a kappa value of 0.635 (p < 0.003, 95% CI 0.002 - 0.003).
The neutrophil surface CD64 SI value detection method may serve as one of the new diagnostic methods for active Mycobacterium tuberculosis infection.
The neutrophil surface CD64 SI value detection method may serve as one of the new diagnostic methods for active Mycobacterium tuberculosis infection.
The Norudia glycated albumin (GA) assay was evaluated for analytical performance and assay applicability on multiple analytical platforms.
The evaluation included precision, linearity, reference interval, and comparison with Lucica GA assay. A multicenter study was conducted to compare the results of Norudia GA assay on five kinds of widely used automated clinical chemistry analyzers.
Within-laboratory imprecisions for GA% presented 1.3 - 3.3% and 0.8 - 2.6% for low- and high-level control materials, respectively, on different analyzers. GA assay was linear from 20.0 to 680.0 µmol/L of GA. The claimed reference range (12 - 16 GA%) was verified. Norudia GA showed a good GA% correlation with Lucica GA (correlation coefficient 0.999). GA% from each analyzer showed good correlation with the consensus mean of the results of five analyzers (correlation coefficient 0.997 - 0.999).
The Norudia GA assay can successfully be implemented in all the tested platforms, with good GA% correlation.
The Norudia GA assay can successfully be implemented in all the tested platforms, with good GA% correlation.
Epstein-Barr virus infection is common in children. The aim of this study was to find new laboratory indices of infectious mononucleosis in children.
In this prospective study, a total of 141 children with infectious mononucleosis and 146 children without signs of infectious mononucleosis were enrolled. The number of white blood cell count (WBC) and red blood cell count (RBC), levels of hemoglobin (HB), mean blood cell volume (MCV), red blood cell distribution width (RDW), alanine aminotransferase (ALT), aspartate aminotransferase (AST), γ-glutamyl transferase (GGT), uric acid (UA), and creatinine (CREA) in the peripheral blood were evaluated.
WBC, RDW, ALT, AST, GGT, and UA in patients were significantly higher compared to controls (p < 0.01, for all), while RBC and HB were significantly lower in patients (p < 0.01, for each). In the stepwise regression analysis, we found that RDW had the highest ratio compared to other parameters, and its 95% confidence interval was 1.362 - 7.929 (p < 0.01). RDW was positively correlated with ALT, AST, and GGT elevations (p < 0.01). While RDW was negatively correlated with HB (p = 0.01). When using the criteria of RDW (%) = 12.55, the sensitivity was 80.9%, and the specificity was 78.8% in IM patients.
RDW may be used as a further indicator supporting early IM diagnosis and indirectly predicting the degree of liver cell damage in EBV infectious mononucleosis.
RDW may be used as a further indicator supporting early IM diagnosis and indirectly predicting the degree of liver cell damage in EBV infectious mononucleosis.