Application of blended learning in Clinical Biochemistry / 中华医学教育探索杂志

Objective:To explore the role of blended learning in the undergraduate teaching of Clinical Biochemistry. Methods:The Batch 2017 medical laboratory technology undergraduates ( n=134) were selected as research objects, and the effect and opinions of blended learning were statistically analyzed by questionnaire survey and online-offline platform data. SPSS 23.0 was used to conduct rank sum test. Results:The application of blended learning in the Clinical Biochemistry teaching affected the learning effect in an all-round way. The average score increased from 70 (64, 76) to 79 (71, 85), with statistical difference ( Z=6.69, P<0.001). Conclusion:The combined application of blended learning, problem-based learning, flipped classroom and formative assessment is conducive to teaching students in accordance with their aptitude and cultivating students' clinical thinking ability.

Cost accounting for diagnosis items based on virtual standardized clinical chemistry laboratory / 中华医院管理杂志

Objective:Cost accounting for its diagnosis items based on virtual standardized clinical chemistry laboratory.Methods:Relevant data of clinical chemistry laboratories from January to June 2019 were extracted from the laboratory information systems of 10 hospitals in Shanghai, and three health economic experts and the directors of their laboratory departments were interviewed in this regard.On such basis, a virtual standardized clinical chemistry laboratory was constructed. The project cost of the virtual laboratory was calculated from the aspects of supplies exhaust, labor and others. The routine clinical chemistry diagnosis items were clustered according to the principle of laboratory methods, and the cost differences of items in the same cluster were compared using paired t test. Results:The cost of rate method and dry chemical method in testing alanine aminotransferase was 5.12 and 11.63 respectively, and that of immune turbidimetry and immune scattering turbidimetry method in testing immunoglobulin G was 20.00 and 22.26 respectively. Cluster analysis was conducted on 214 routine clinical biochemical diagnostic items, of which 202 items were classified into 42 clusters. The average of clinical chemistry items accounted for 91.7%(4 493/4 900)of the total per day. Based on enzymology, the calculation costs of alanine aminotransferase(rate method), aspartate aminotransferase(rate method), cholesterol(enzyme method)and uric acid(enzyme method)was 5.12, 5.10, 5.24 and 5.14 respectively, presenting no statistical difference( P>0.05). Conclusions:Research on the cost accounting method of clinical chemistry laboratory diagnosis items constructed includes labor cost, reflects the technical labor value of medical staff. Cost accounting based on project clustering can provide references for medical service pricing and financial management of hospitals.

Effect of Haemolysis Interferences on Emergency Biochemistry Parameters in a Tertiary Care Hospital in New Delhi.

Haemolysis is the most common pre-analytical error encountered in biochemistry laboratories. Several clinical biochemistry laboratories have adopted individual policies regarding rejection of haemolysed samples. The aim of this study was to evaluate the effect of visible haemolysis on biochemistry parameters done in the emergency laboratory.METHODS150 blood samples (50 highly haemolysed, 50 slightly haemolysed and 50 no haemolysis) that were received in the Emergency Biochemistry laboratory of Safdarjung Hospital, New Delhi, were included in the current study. They were analysed for different biochemical parameters and the results compared. Statistical analysis was conducted using Microsoft Excel 2016. Data was presented as, number and median. Mann-U Whitney test was used to test any significant difference between the groups. p< 0.05 was considered to be significant.RESULTSNo significant change was seen in samples with slight haemolysis. However, values of potassium, total and direct bilirubin were significantly elevated (p-value-0.001, 0.002 and 0.015 respectively). Moreover, mean ALP was found to be 290±19.76 U/L in slightly haemolysed samples and 211±16.67 U/L in samples that are highly haemolysed (p=0.049). Therefore, there was a heterogeneous and unpredictable response to haemolysis observed for several parameters that prevents the adoption of reliable corrective measures for results on the basis of the visible haemolysis.CONCLUSIONSThe test values of slightly haemolysed samples can be reported as there is little interference seen. However, in case of highly haemolysed samples, values of ALP, potassium, total, and direct bilirubin should not be reported. Nevertheless, visual assessment is not a reliable method to identify haemolysis, free haemoglobin concentrations should be measured.

Metabolic dynamics of native lambs fed with Tifton 85 hay or Maniçoba hay associated with the spineless cactus / Dinâmica metabólica de cordeiros nativos alimentados com feno de capim-tifton 85 ou feno de maniçoba associados à palma forrageira

The objective of this study was to evaluate the metabolic response of native lambs fed Tifton 85 hay (Cynodon dactylon) or Maniçoba hay (Manihot pseudoglaziovii) associated with spineless cactus (Nopalea cochenillifera Salm Dyck). Sixteen Morada Nova lambs were used, with a mean initial weight of 19.36±1.48kg, distributed in a randomized block design, with two treatments and eight replications. Dry matter intake was higher for lambs fed Maniçoba hay compared to Tifton hay, while the body weight at slaughter was not influenced by diets. Regarding the blood metabolites, only the serum concentration of urea was influenced, with higher value observed in the lambs that fed the diet containing Tifton hay. When analyzing blood biomarkers, in the different biweekly collections, a linear increase in the blood concentration of urea, glucose, fructosamine, alkaline phosphatase and sodium was observed, as well as a quadratic effect for serum potassium. The other blood metabolites were not influenced in function of the collection days. The replacement of Tifton 85 hay for Maniçoba hay does not cause negative changes in the dynamics of different biomarkers and presents itself as a promising forage resource.(AU)

O objetivo deste trabalho foi avaliar a resposta metabólica de cordeiros nativos alimentados com feno de capim-tifton 85 (Cynodon dactylon) ou feno de maniçoba (Manihot pseudoglaziovii) associados à palma forrageira (Nopalea cochenillifera Salm Dyck). Foram utilizados 16 cordeiros Morada Nova, com peso inicial médio de 19,36±1,48kg, distribuídos em delineamento de blocos ao acaso, com dois tratamentos e oito repetições. O consumo de matéria seca foi maior nos cordeiros alimentados com feno de maniçoba em comparação ao feno de tifton, enquanto o peso corporal ao abate não foi influenciado pelas dietas. Em relação aos metabólitos sanguíneos, apenas a concentração sérica de ureia foi influenciada, com maior valor observado nos cordeiros que ingeriram a dieta contendo feno de capim-tifton. Quando foi realizada a análise dos biomarcadores sanguíneos nas diferentes coletas quinzenais, foi observado aumento linear nas concentrações sanguíneas de ureia, glicose, frutosamina, fosfatase alcalina e sódio, e efeito quadrático para o potássio sérico. Os demais metabólitos sanguíneos não foram influenciados em função dos dias de coleta. A substituição do feno de tifton 85 por feno de maniçoba influencia positivamente o metabolismo de cordeiros sem causar alterações na dinâmica dos diferentes biomarcadores e se apresenta como um promissor recurso forrageiro.(AU)

Variações fisiológicas, influência da idade e sexo no perfil bioquímico sanguíneo de aves da linhagem pesada de frango de corte na fase de recria / Physiological variations and influence of age and gender on poultry of heavy lineage of chicken´s biochemical profile during the rearing stage

Este estudo teve o objetivo de comparar o perfil bioquímico sérico de machos e fêmeas da linhagem pesada de frango de corte, nas idades de quatro, 12 e 20 semanas, em uma unidade de produção industrial, no município de Uberlândia-MG. Após a pesagem das aves, foram coletadas amostras de sangue de 15 aves de cada sexo de cada faixa etária. Os soros obtidos foram avaliados em analisador automático para os seguintes parâmetros bioquímicos: proteína total, albumina, globulinas, ácido úrico, colesterol, triglicérides, gamaglutamiltransferase, aspartato aminotransferase, alanina aminotransferase, creatina quinase, fosfatase alcalina, cálcio e fósforo. Imediatamente após a coleta de cada amostra, avaliou-se a glicemia no sangue total, utilizando-se um glicosímetro. As alterações fisiológicas e metabólicas que as aves apresentaram na fase de recria refletiram na variação dos níveis bioquímicos séricos na maioria dos constituintes avaliados, os quais exibiram diferenças significativas (P<0,05), comparando-se sexo e idade.(AU)

This study aimed to compare the levels of glucose in the blood and serum´s metabolites enzymes and minerals of poultry of heavy lineage of chicken at the age of four, twelve and twenty weeks in an industrial production unit in the city of Uberlândia-MG. After weighing the birds, blood samples were collected from 15 birds of each gender in the three ages. The serum obtained was evaluated in an automatic biochemical analyzer for the following parameters: total protein, albumin, globulin, uric acid, cholesterol, triglycerides, alkaline phosphatase, gamma-glutamyl transferase, aspartate aminotransferase, alanine aminotransferase, creatine kinase, calcium and phosphorus. Immediately after the collection of each sample, we evaluated glucose levels by means of a glycosimeter. The physiological and metabolic changes that birds present in the rearing age reflected in the variation of serum biochemical levels in most constituents evaluated, showing significant differences (P< 0.05) comparing age and gender.(AU)

Biochemical, endocrine, and histopathological profile of liver and kidneys of sheep with pregnancy toxemia / Perfil bioquímico, endócrino e histopatológico do fígado e rins de ovelhas com toxemia na prenhez

The objective of the present study was to characterize the biochemical, hormonal, and mineral profile, and histopathology of the liver and kidneys, related to the severity of natural cases of pregnancy toxemia (PT) in sheep. A total of 45 sheep with PT were analyzed at the "Clínica de Bovinos", Campus Garanhuns-UFRPE. The animals were submitted to clinical examination, followed by the collection of blood and urine. A necropsy was performed on thirteen animals that died and a histopathological examination was performed on samples of liver and kidneys. Increased creatinine, urea, glucose, fructosamine, non-esterified fatty acids, β-hydroxybutyrate, cortisol, chlorine, amylase, aspartate aminotransferase, gamma-glutamyltransferase, and folic acid were found, whereas insulin, potassium, and total and ionizable calcium presented low values for the species. Total protein, albumin, globulin, sodium, magnesium, and vitamin B12 remained within the normal range. In the macroscopic analysis of the liver, it was possible to observe an increase in organ and border size, yellowish coloration and parenchyma that varied from firm to friable. Vacuolation of the hepatocytes and renal tubular cells was observed. Metabolic disorders in sheep associated with hepatic and renal lesions are more apparent in overweight animals. With the greater impairment in hepatic and renal function, the clinical prognosis of animals with a high body score should be considered reserved.(AU)

Objetivou-se caracterizar o perfil bioquímico, hormonal, mineral e a histopatologia hepática e renal, relacionando com a severidade de casos naturais de toxemia da prenhez (TP) em ovelhas. Analisou-se 45 ovelhas na Clínica de Bovinos, Campus Garanhuns-UFRPE, com TP. Foram submetidas ao exame clínico, seguido de coleta de sangue e urina. Treze animais que vieram a óbito foram necropsiados, nas amostras de fígado e rins realizou-se exame histopatológico. Revelou-se elevação de creatinina, ureia, glicose, frutosamina, ácidos graxos não esterificados, β-hidroxibutirato, cortisol, cloro, amilase, aspartato aminotransferase, gama glutamiltransferase e ácido fólico, enquanto insulina, potássio, cálcio total e ionizável apresentaram valores abaixo para os da espécie. A proteína total, albumina, globulina, sódio, magnésio e vitamina B12 mantiveram-se dentro da normalidade. Na análise macroscópica do fígado, pôde-se observar aumento de tamanho do órgão e dos bordos, coloração amarelada e parênquima que variava de firme a friável. Observou-se vacuolização dos hepatócitos e das células tubulares renais. Os transtornos metabólicos nas ovelhas associados às lesões hepáticas e renais são mais aparentes nos animais com sobrepeso. Com o maior comprometimento da função hepática e renal, o prognóstico clínico dos animais com escore corporal elevado há de ser considerado reservado.(AU)

Investigation on the trueness and precision of routine clinical biochemistry tests in the third-grade class-A hospitals of Chongqing City / 临床检验杂志

Objective@#To investigate the trueness and precision of routine clinical biochemistry tests in the third-grade class-A hospitals of Chongqing city. @*Methods@#The fresh frozen serum samples were assigned the target values with reference methods, and then allocated to the clinical laboratories of the third-grade class-A hospitals in Chongqing city for testing. The trueness and precision were analyzed and evaluated. @*Results@#The pass rates of trueness of creatinine (Cr), total protein (TP), total bilirubin (T-Bil), uric acid (UA) and glucose (Glu) in 33 clinical laboratories were below 50%. The pass rate of trueness of UA (33%) in the closed detection system was lower than that in the opening detection system (79%, P=0.033). In the opening detection system, the pass rate of trueness of Cr in the mode with the same brand of reagents and calibration materials was higher than that with different brands (P=0.014). The precisions of level 1 of T-Bil and Urea in the closed detection system were better than that in the opening detection system (P=0.043 for T-Bil; P=0.031 for Urea). @*Conclusion@#The trueness of clinical biochemistry tests in the third-grade class-A hospitals of Chongqing city needs to be further improved. There is no significant difference in trueness and precision between the opening detection system and the closed detection system, even the performance of some tests in the opening detection system is better than that in the closed detection system.

Validation of reference intervals for common clinical biochemistry tests / 国际检验医学杂志

Objective To verify the Standards Reference Intervals for Common Clinical Biochemistry Tests and to determine if the standards are suitable for Jilin area.Methods Healthy Han reference individuals at 20-＜80years old were selected as reference individuals and there were more than 30cases for each sex in every 10years old group.The blood samples were detected by HITACHI 7600-210automatic biochemical analyzer.Differences between sex and age for 8clinical chemistry parameters were evaluated and distribution in range of reference individuals were analyzed.Results The levels of albumin among different age periods of male were shown a downward trend.The levels of AST in male, ALP and GGT in female were shown a upward trend with the growth of age.The levels of ALT in female, ALT and GGT in male were shown an upward trend at 20-＜60years old, while a downward trend was shown at 60-＜80years old.Nevertheless, the average levels of all the groups were within the recommended reference intervals.Over 94％of verification for eight common clinical biochemistry tests (6subgroups for male and 6subgroups for female) were in the reference range and all passed validation.Conclusion Standards Reference Intervals for Common Clinical Biochemistry Tests are applicable to Chinese Han population in Jilin area.

Physiological variations of serum biochemical profile in quarter horse mares at peripartum and in their neonatal foals / Variações fisiológicas no perfil bioquímico sérico de éguas quarto de milha no periparto e potros neonatos

The objectives of this study were to evaluate the serum biochemical profile in Quarter Horse mares in their peripartum, and neonates on their birth date, and to compare the values obtained for male and female foals, as well as values obtained for foals and mares on the day of delivery. Forty one adult, pregnant mares and their respective offspring on the day of delivery were analyzed, totaling 82 animals. Two samples of blood were collected from the mares, seven days before and on the day of delivery. From the foals, blood collection was performed on the day of their birth about 12 h after colostrum ingestion. The samples were centrifuged and the serum stored at -20 ºC for analyses. Each sample was used to determine the serum concentrations proteins, metabolites, minerals and enzymes. Physiological changes caused by peripartum led to higher serum total protein, albumin, and globulins on the day of delivery. Serum concentration of triglycerides and calcium /phosphorus ratio were greater seven days before delivery; iron concentration was higher than reference ranges in both moments of evaluation. In foals, albumin serum concentrations, albumin/globulins ratio, and aspartate aminotransferase remained below reference ranges. In foals, there was no influence of sex in the serum biochemical profile. When results obtained for foals on their birth date were compared with those obtained for the mares on the delivery day, cholesterol, triglycerides, phosphorus, iron, alkaline phosphatase, and gamma glutamyltransferase were higher in foals, and total protein, albumin, globulins, urea nitrogen, calcium/phosphorus ratio, and aspartate aminotransferase were higher in mares. Results showed variations in serum biochemistry in peripartum mares and neonates, as well as in the comparison between foals and mares on the day of delivery. Clinically, serum biochemistry values for peripartum mares and neonates should be considered in the analysis of laboratory results of tests carried out in this period.

Os objetivos deste estudo foram avaliar o perfil bioquímico sérico de éguas no periparto e potros no dia do nascimento, e confrontar os valores obtidos para potros machos e fêmeas, e desses com as éguas no dia do parto. Foram utilizadas 41 éguas adultas, gestantes, e suas respectivas crias no dia do nascimento, totalizando 82 animais. Das éguas foram coletadas duas amostras de sangue, sete dias antes do parto e no dia do parto. Dos potros, no dia do nascimento, aproximadamente 12 h após ingestão do colostro. As amostras foram centrifugadas e o soro estocado à ­ 20º C para análises. De cada amostra foram determinadas as concentrações séricas de proteínas, metabólitos, minerais e enzimas. Alterações fisiológicas decorrentes do periparto determinaram um quadro com maiores valores sérico das proteínas totais, albumina e globulinas no dia do parto. A concentração sérica dos triglicérides e a relação cálcio/fósforo foi maior aos sete dias antes do parto e, o ferro com valores superiores aos de referência, nos dois momentos avaliados. Nos potros as concentrações séricas da albumina, relação albumina/globulinas e aspartato aminotransferase permaneceram abaixo dos valores de referência. Não houve influencia do sexo nos valores dos constituintes bioquímicos séricos avaliados. Quando confrontados os resultados obtidos para potros, no dia do nascimento, com os das éguas no dia do parto, observou-se maiores valores do colesterol, triglicérides, fósforo, ferro, fosfatase alcalina e gama glutamiltransferase nos potros, e nas éguas maiores valores para proteínas totais, albumina, globulinas, nitrogênio ureico, relação cálcio/fósforo e aspartato aminotransferase. Os resultados revelaram variações nos valores dos constituintes bioquímicos séricos nas éguas no peripato, nos potros neonatos e dos potros em relação as éguas no dia do parto. Clinicamente, os valores dos constituintes bioquímicos séricos nas éguas no periparto e potros neonatos, devem ser considerados no momento da interpretação de resultados de análises laboratoriais nesses períodos.

Acute toxicity study of a polysaccharide based hydrogel from linseed for potential use in drug delivery system

ABSTRACT Linseed hydrogel (LSH) was evaluated by acute toxicity for its potential application in oral drug delivery design. White albino mice and rabbits were divided in four groups (I-IV) and different doses of LSH (1, 2 and 5 g/kg body weight) were given except to the control group (I) that was left untreated. Rabbits were monitored for eye irritation, acute dermal toxicity and primary dermal irritation, whereas, body weight, food and water consumption, hematology and clinical biochemistry, gross necropsy and histopathology of vital organs were scrutinized in mice. LSH was considered safe after eye irritation test as no adverse signs or symptoms were seen in the eye. In dermal toxicity and irritation study, skin of treated rabbits was found normal in color without any edema or erythema. After oral administration, there was no sign of any abnormalities in treated group animals (II-IV). The hematology and clinical biochemistry of treated group animals was comparable with the control group. Histopathology of vital organs has not shown any lesion or abnormalities. In the light of these outcomes, it can be concluded that LSH is not a hazardous biomaterial and could be incorporated as an excipient in oral and dermal preparations.

Automation and productivity in the clinical laboratory: experience of a tertiary healthcare facility

Clinical laboratories for in vitro diagnostics are facing pressure to preserve cost control while providing better services through new initiatives. Laboratory automation is a partial answer to this problem, having come a long way from the early days of clinical laboratory testing. The journey and implementation of automation in the Singapore General Hospital's Clinical Biochemistry Laboratory has allowed for sustained performance in the light of increasing workload and service commitments amid an evolving healthcare environment. Key to realising predicted outcomes is the optimisation of workflow processes, reduction of errors, and spatial placement of specimen reception and analytical areas. This paper gives an overview of our experience with automation in the clinical laboratory and its subsequent impact on service standards.

Determinação de valores de referência séricos para os eletrólitos magnésio, cloretos, cálcio e fósforo em ovinos das raças Dorper e Santa Inês / Determination of magnesium, chloride, calcium and phosphorus serum reference values for Dorper and Santa Inês sheep breeds

A ovinocultura no Brasil é uma atividade em grande expansão e, com o aumento da demanda mundial por carne ovina, aumentou-se o interesse no monitoramento da sanidade do rebanho, utilizando diversas ferramentas como auxiliares no diagnóstico clínico, tais como os intervalos de referência séricos. Os elementos minerais constituem 2 a 5,5% do corpo dos vertebrados, exercendo diversas funções no organismo. O objetivo deste trabalho foi obter intervalos de referência para os eletrólitos magnésio, fósforo, cloreto e cálcio para ovinos das raças Dorper e Santa Inês. Foram coletados soros de 487 animais clinicamente sadios, sendo 146 da raça Dorper e 341 da raça Santa Inês. Os eletrólitos foram mensurados utilizando-se kits comerciais. Os dados foram analisados quanto à raça, sexo e idade, e os intervalos de referência determinados. Os resultados revelaram diferenças significativas nos intervalos de referência obtidos para os eletrólitos cálcio e magnésio na variável raça, e para o eletrólito fósforo na variável faixa etária e, quando confrontados com valores de referência já publicados, comprovou-se a existência de diferença estatística significativa entre os mesmos em todos os analitos estudados.

The sheep industry in Brazil is an important economic activity, and with the increasing global demand for sheep meat there is a great interest in the monitoring of the herd health, and serum reference ranges are basic tools for veterinary clinical pathology assays. Mineral elements correspond to 2-5.5% of the body of vertebrates, holding different functions in their physiology. The objective of this study was to obtain reference intervals of the electrolytes magnesium, phosphorus, chloride and calcium for the Dorper and Saint Ines sheep breeds. Sera samples were collected from 487 clinically healthy sheep, 146 from Dorper and 341 from Santa Ines breed. Electrolytes were measured using commercial kits. Data were analyzed taking the race, sex and age variables in account, and reference ranges were established. The results revealed significant statistical differences in reference ranges obtained for the electrolytes calcium and magnesium concerning the variable race, and for the electrolyte phosphorus in the variable age and, when compared with reference values already published, proved the existence of significant differences.

Perfil metabólico de ovinos em crescimento alimentados com dietas constituídas de feno ou silagem de maniçoba e palma forrageira / Substitution of Tifton 85 hay by hay or silage maniçoba in diets based on spineless cactus on metabolic profile of sheep

Objetivando-se avaliar o efeito da adição de palma forrageira associado à maniçoba na dieta de ovinos sobre o perfil de indicadores bioquímicos do metabolismo energético e proteico, foi realizado um delineamento em blocos casualizados onde foram utilizados 24 ovinos machos, sem padrão racial definido, com peso corporal médio de 19,77±1,95 kg e idade média de seis meses, divididos igualmente em três tratamentos: concentrado + feno Tifton 85, concentrado + feno de maniçoba e concentrado + silagem de maniçoba, e semelhantes partes de palma forrageira. Realizaram-se quatro coletas de sangue, que constituíram as repetições, com intervalos de 15 dias (0d, 15d, 3d0 e 45d). Em seguida, procederam-se as análises dos seguintes indicadores bioquímicos: creatinina sérica, ureia, proteína total, albumina, globulina, glicose, frutosamina, aspartato aminotransferase, fosfatase alcalina, gama glutamiltransferase, sódio, potássio, cloro, cálcio e fósforo. Maior consumo de matéria seca foi observado no grupo com feno de maniçoba. O tratamento com silagem de maniçoba apresentou diferença (P<0,05) no consumo de fibra em detergente neutro. Houve variações significativas na concentração de ureia nos animais que receberam a dieta composta de feno de maniçoba. Tanto o feno como a silagem de maniçoba, em até 30%, pode substituir o feno de Tifton 85 na alimentação de ovinos em terminação, mantendo efetivamente o consumo de matéria seca, rendimento de carcaça, os metabolismos proteico, energético e mineral, além de ser uma boa alternativa para a alimentação de ovinos.(AU)

Aiming to evaluate the effect of addition of cactus pear associated with maniçoba in the diet of sheep on the profile of biochemical indicators of energy metabolism and protein, we performed a randomized block design was used in which 24 male sheep without defined breed (SPRD), mean weight of 19.77±1.95 kg and average age of six months, divided equally into three treatments: concentrate + Tifton hay, concentrate + maniçoba hay and concentrate + maniçoba silage, and similar parts of cactus pear. There were four blood samples, which were repetitions at intervals of 15 days (0d, 15d, 3d and 45d). Then proceeded to the analysis of the following biochemical parameters: serum creatinine, urea, total protein, albumin, globulin, glucose, fructosamine, aspartate aminotransferase, alkaline phosphatase, gamma glutamyl transferase, sodium, potassium, chlorine, calcium and phosphorus. Higher dry matter intake was observed in the group with maniçoba hay. Treatment with maniçoba silage showed statistical differences (P<0.05) in the consumption of neutral detergent fiber. Significant variations were found in the concentration of urea in the animals fed the diet composed of maniçoba hay. Both hay and silage maniçoba, up to 30%, can replace the Tifton 85 hay for feeding finishing animals, effectively keeping the dry matter intake, carcass yield, the protein metabolism, energy and mineral, plus be a good alternative for feeding sheep.(AU)

Perfil metabólico de ovinos em crescimento alimentados com dietas constituídas de feno ou silagem de maniçoba e palma forrageira

Abstract: Aiming to evaluate the effect of addition of cactus pear associated with maniçoba in the diet of sheep on the profile of biochemical indicators of energy metabolism and protein, we performed a randomized block design was used in which 24 male sheep without defined breed (SPRD), mean weight of 19.77±1.95 kg and average age of six months, divided equally into three treatments: concentrate + Tifton hay, concentrate + maniçoba hay and concentrate + maniçoba silage, and similar parts of cactus pear. There were four blood samples, which were repetitions at intervals of 15 days (0d, 15d, 3d and 45d). Then proceeded to the analysis of the following biochemical parameters: serum creatinine, urea, total protein, albumin, globulin, glucose, fructosamine, aspartate aminotransferase, alkaline phosphatase, gamma glutamyl transferase, sodium, potassium, chlorine, calcium and phosphorus. Higher dry matter intake was observed in the group with maniçoba hay. Treatment with maniçoba silage showed statistical differences (P 0.05) in the consumption of neutral detergent fiber. Significant variations were found in the concentration of urea in the animals fed the diet composed of maniçoba hay. Both hay and silage maniçoba, up to 30%, can replace the Tifton 85 hay for feeding finishing animals, effectively keeping the dry matter intake, carcass yield, the protein metabolism, energy and mineral, plus be a good alternative for feeding sheep.

Resumo: Objetivando-se avaliar o efeito da adição de palma forrageira associado à maniçoba na dieta de ovinos sobre o perfil de indicadores bioquímicos do metabolismo energético e proteico, foi realizado um delineamento em blocos casualizados onde foram utilizados 24 ovinos machos, sem padrão racial definido, com peso corporal médio de 19,77±1,95 kg e idade média de seis meses, divididos igualmente em três tratamentos: concentrado + feno Tifton 85, concentrado + feno de maniçoba e concentrado + silagem de maniçoba, e semelhantes partes de palma forrageira. Realizaram-se quatro coletas de sangue, que constituíram as repetições, com intervalos de 15 dias (0d, 15d, 3d0 e 45d). Em seguida, procederam-se as análises dos seguintes indicadores bioquímicos: creatinina sérica, ureia, proteína total, albumina, globulina, glicose, frutosamina, aspartato aminotransferase, fosfatase alcalina, gama glutamiltransferase, sódio, potássio, cloro, cálcio e fósforo. Maior consumo de matéria seca foi observado no grupo com feno de maniçoba. O tratamento com silagem de maniçoba apresentou diferença (P 0,05) no consumo de fibra em detergente neutro. Houve variações significativas na concentração de ureia nos animais que receberam a dieta composta de feno de maniçoba. Tanto o feno como a silagem de maniçoba, em até 30%, pode substituir o feno de Tifton 85 na alimentação de ovinos em terminação, mantendo efetivamente o consumo de matéria seca, rendimento de carcaça, os metabolismos proteico, energético e mineral, além de ser uma boa alternativa para a alimentação de ovinos.

An Analytical Study of Retesting of Retained Sample Results.

Aims: The sample retention policy for Clinical Chemistry analytes in accredited medical laboratories as per ISO 15189:2012 is 24 hrs. Serum/ plasma to be separated in aliquot within 20 minutes of collection unless the primary containers are gel vacutainers. Rigorous maintenance of such procedure is difficult and as a result the possibility of deviation from such schedule may not be very uncommon. The 1 year Turn Around Time (TAT) analysis of the laboratory is a good guide to find out time lag from sample collection to sample processing & average time of collecting samples in aliquot for retained sample testing. The laboratory retested 22 common analytes on the basis of such time lag and evaluated the deviation from 1st observation. The accumulated data has helped to evaluate and implement sample retention policy. Study Design: The average time lag from collection to completion of test performance of a batch is 4hrs± 30 minutes. The analytes were retested in the time lag. After accumulation of sufficient data the time lag increased to 6 hours±30 minutes which is the average lag from sample collection to end of the day duty personnel. In the 3rd phase total retention time ie, 24 hrs has been considered as time interval of retained sample retesting. But the samples remained at room temperature for 6hrs±30minutes before being preserved at 2°C-8°C. Hence time lag was (6hrs±30min) at room temperature and 17hrs ±30min at 2°C-8°C. The samples always retested from primary container. Place and Duration of Study: The study took place in JMD Diagnostics Private Limited, Kolkata, India. The duration of study is 2 yrs. Methodology: The analytes were tested in Cobas Integra 400plus system. The tests have been performed as routine tests and considered as 1st observation. 2nd observation values obtained after the specified time lag. The results obtained were compared using statistical software. Comparison of 1st and 2nd results and bias of all analytes were studied. Electrolytes have been eliminated from the study as the electrolytes are preferred to be retested from freshly collected sample. Labile parameters like L-Lactate, ammonia, bicarbonate were also not considered for the same reason. Conclusion: Only 3 analytes, total protein, total calcium and inorganic phosphorus cannot be preserved in primary containers. The analytes also need not to be separated within 20 minutes of collection. Upto 4hrs±30 minutes all the parameters have shown excellent correlation coefficient. Hence, the laboratory earns a time lag between collection to preservation of samples for these analytes. For other 19 analytes sample may be kept in primary container.

Effect of Replacement of New Reverse Osmosis Film of Water Purification System to Clinical Biochemistry / 现代检验医学杂志

Objective To test if the quality of produced water could come up to the standards of clinical biochemistry,and e-valuate the effect of the produced water after replacement of a new reverse osmosis film of the laboratory water purification system.Methods The ion concentration of the produced water was tested by ohmmeter in Beckman Coulter supporting TianChuang water purification system TCHS-RO/100A and HM COM-100 conductivity meter.The biochemical index ALT,AST,TBIL,ALP,GGT,TP,ALB,BUN,CR,UA,GLU,TC,TG,HDL,LDL,CK,LDH,P,Ca of mixed serum were tested 20 times by AU680 under the condition of normal purified water(control group),and the same operation were repeat-ed after changing to newly produced water(experimental group)to evaluate the effect of newly produced water to biochemi-cal analysis.The triglyceride (TG)reagent blank was tested 3times/d for 5 days to evaluate the glycerin level in the pro-duced water.Results The conductivity of purified water was reduced to (0.1±0.0)μS/cm 30 min after starting up by HM COM-100,and the electric resistance of purified water remained stable at 18.25MΩcm 50min after starting up.During the bi-ochemical analysis by AU680,the value of TG in control group=1.04 mmol/L,in experimental group=21.39 mmol/L,the differences showed statistical significance (P0.05).The reagent blank was stable at A660nm=0.015 6±0.000 4 in the fifth day.Conclusion After produced approximately 2 800 L purified water in the system,glycerine could be cleaned up in produced water.It is needed to continuously test the quality of produced water to evaluate the effect of which to clinical bio-chemistry after replacement of a new reverse osmosis film.

Applying ISO15189 related factors into clinical biochemistry teaching of undergraduate students / 中华医学教育探索杂志

In-depth application of the combination of theory and practice is one of the keys to improve the clinical undergraduate teaching quality of clinical laboratory diagnosis.Xuanwu Hospital used ISO15189 standards as a guide to make students fully participate in establishing performance verification and recording registration form,partly participate in the gage calibration,external quality assessment and inter-laboratory comparison etc.It also used the combined form of practice with teaching to make students learn the file writing and the equipment calibration.An orderly teaching model composed of knowledge reserve,file learning,calibration and verification was established,which was a closed-loop system that enabled students to become more deeply and extensively involved in the system and more deeply understand the connotation of clinical laboratory quality.

Achados bioquímicos, eletrolíticos e hormonais de cabras acometidas com toxemia da prenhez / Biochemical, electrolytic and hormonal findings in goats affected with pregnancy toxemia

A abrangência dos estudos sobre a toxemia da prenhez (TP) tem sido constante e inovadora em alguns conceitos, porém o estudo dos casos clínicos naturais em cabras é inexistente no Brasil. Diante disso, realizou-se análise das alterações clínicas, do perfil bioquímico, eletrolítico e hormonal com o objetivo de compreender a fisiopatogenia da enfermidade. Foram avaliadas 22 cabras atendidas na Clínica de Bovinos, Campus Garanhuns/UFRPE, diagnosticadas com TP, no período de 2007 a 2012. Realizou-se exame clínico e coleta de sangue e urina, para análise do perfil bioquímico e hormonal. Acentuadas alterações clínicas foram observadas, como decúbito, apatia, dispneia, aumento da temperatura corpórea, mucosas congestas, vasos episclerais injetados, desidratação, anorexia, hipomotilidade ou atonia ruminal, edema nos membros. Os resultados laboratoriais revelaram valores elevados para ureia, creatinina, ácidos graxos não esterificados (AGNE), β-hidroxibutirato, amilase e cortisol, enquanto as variáveis: proteína total, albumina, cálcio total, cálcio ionizado, fósforo, a relação cálcio e fósforo, sódio e insulina encontraram-se diminuídos. Outros parâmetros bioquímicos e eletrolíticos, como frutosamina, globulina, cloro, potássio e magnésio mantiveram-se dentro da faixa de normalidade. Quanto a glicemia, foram constatados três condições nas cabras com TP, normoglicêmicas (50%), hiperglicêmicas (27,28%) e hipoglicêmicas (22,72%). Dos 17 (77,27%) animais que obtiveram alta 10 (58,82%) eram normoglicêmicos. Vieram a óbito 22,8 % (5/22), no qual 60% (3/5) delas estavam hiperglicêmicas. A média de nascimento por cabra foi superior a duas crias. Verificou-se existir associação fortemente positiva dos AGNE's com a albumina (r=0,60), fraca com o β-hidroxibutirato (r=0,10) e glicose (r=0,03). Porém, existiu relação fortemente negativa dos AGNE's com a insulina (r= -0,70), moderada com o cortisol (r= -0,52) e amilase (r= -0,30). Marcadas alterações clínicas e metabólicas ...

Studies on pregnancy toxemia (PT) have been constant and innovative with regard to some concepts. However, no studies have been carried out on natural clinical cases in Brazil. Thus, the aim of the present study was to perform an analysis of clinical, biochemical, electrolytic and hormonal findings in goats with PT to gain an understanding of the physiopathology of this metabolic disease. Twenty-two goats with a diagnosis of PT were analyzed at the Bovine Clinic of the Federal Rural University of Pernambuco (Garanhuns Campus, Brazil) between 2007 and 2012. Clinical exams were performed and both blood and urine were collected for the biochemical and hormonal analyses. Accentuated clinical changes were found, such as decubitus, apathy, dyspnea, increased body temperature, congested mucous membranes, dilated episcleral vessels, dehydration, anorexia, ruminal stasis and edema in the limbs. The laboratory findings revealed high concentrations of urea, creatinine, non-esterified fatty acids, β-hydroxybutyrate, amylase and cortisol as well as reductions in total proteins, albumin, total calcium, ionized calcium, phosphorus the calcium to phosphorus ratio, sodium and insulin. Fructosamine, globulin, chlorine, potassium and magnesium were within the range of normality. Regarding blood sugar, 50% of the goats were within the normal range, 27.28% were hyperglycemic and 22.72% were hypoglycemic; among the 17 animals (77.27%) discharged with life, ten (58.82%) had normal blood sugar levels. Five goats (22.8%) died, 60% (3/5) of which were hyperglycemic. The mean birth rate per goat was more than two offspring. Non-esterified fatty acids were strongly associated with albumin (r = 0.60) and weakly associated with both β-hydroxybutyrate (r=0.10) and glucose (r=0.03). Moreover, non-esterified fatty acids were negatively associated with insulin (r= -0.70; strong association), cortisol (r= -0.52; moderate association) and amylase (r= -0.30; moderate association)...

Evaluation and comparison of automated analysers on hepatic enzymes.

Background: Clinical Biochemistry tests comprise over one third of all hospital laboratory investigation. The laboratory accreditation requirement has become an important aspect in selecting the analysers for analysing and evaluating the samples. Recently accrediting bodies are focusing on the importance of total quality management and assessment of trueness of laboratory measurements. The present study aimed to evaluate the hepatic enzymes using a single analytical methodology in 2 different automated analysers (semi autoanalyser and fully automated analyser) to understand the reliability of instrumentation on analytical methodology that would fit the laboratory performance standard. Methods: A total number of 50 serum samples from adult patients requested for liver function tests at Shri Sathya Sai medical college and research institute were analysed. The samples were evaluated for hepatic enzymes on (Cobasmira) Autoanalyser and (Biosystems) Semi Autoanalyser using the same analytical methodology and the values were compared between the 2 automated analysers. Data analysis was done by appropriate statistical methods. Results: No large differences were obtained in the values between the 2 automated analysers. Mean ± SD of each of the hepatic enzyme analysed by automated analysers were very close to each other indicating a minimum bias. Pearson’s correlation and scattered diagram showed significant positive correlation at 95% confidence interval between 2 automated analysers. Conclusion: The findings of this study confirm that both the automated analysers were reliable for evaluation of hepatic enzymes.

Obesity-related complications: few biochemical phenomena with reference to tumorigenesis

Overweight or obesity is currently a common health problem in westernized societies globally. Obesity is linked with a sizeable number of disease aetiologies, notably type-2 diabetes, cardiovascular disorders and certain cancers, perhaps through some common mechanisms that favor persistent low-grade infl ammation. Both epidemiological and laboratory studies have demonstrated that the pathogenesis of certain cancers and the related prognosis are infl uenced by obesity. Clinically, a complex situation is present in obesity, which usually shows higher blood levels of various biomolecules, e.g., lipids like triglycerides, hormones like insulin, and fat cell-secreted adipokines like leptin. On the contrary, obesity is associated with lower concentrations of substances like sex hormone-binding globulin and adiponectin. Many of these biochemical compounds are used routinely for clinical diagnosis and assessment during the follow-up period. Nonetheless, approximately one-fi fth of the total cancer burden is associated with obesity. Excess adipose tissue and different hormonal substances possibly play a signifi cant role in this complex obesity-related carcinogenesis. A precise understanding of the pertinent pathological processes is defi nitely useful in early diagnosis, clinical management, and designing of novel pharmaceutical agents.