The value of anti-rods and rings antibodies in patients with nonhepatitis virus infection: A single-center retrospective study from Southwest China.

ABSTRACT: The aim of this study was to retrospectively investigate the clinical significance of anti-rods and rings (anti-RR) antibodies in nonhepatitis virus infection patients from Southwest China.Anti-RR antibodies were determined by indirect immunofluorescence assay in a group of 19,935 individuals with antinuclear antibodies test from January 2017 to December 2019. The laboratory and clinical data were collected. Finally, 66 samples with anti-RR antibodies (0.33%) were detected.In Wilcoxon rank sum test, gamma glutamyl transferase (Z = -3.364, P = .001), alpha-l-fucosidase (AFU) (Z = -2.312, P = .021), uric acid (Z = -1.634, P = .047) and red blood cell distribution width (Z = -2.285, P = .022) were higher in metabolic disease group than nonmetabolic disease group. In independent-samples t test, endogenous creatinine clearance was higher in metabolic disease group than nonmetabolic disease group (t = 2.061, P = .045). During the follow-up period of 37 patients with anti-RR antibodies for 1 to 60 months, the titers of anti-RR were significantly increased in the metabolic disease group (Z = -2.346, P = .019). In binary logistic regression analysis, triglycerides (odds ratio 3.679, 95% confidence interval 1.467-24.779, P = .048) was associated with elevated titers of anti-RR antibodies.In summary, anti-RR in non-hepatitis patients may be a manifestation of metabolic disorders, and has a certain correlation with routine laboratory indicators, which is worthy of the attention from clinicians.

Clinical significance and influencing factors of fibrinogen in ANCA-associated vasculitis: A single-center retrospective study from Southwest China.

Hypercoagulable is an important pathological state in anti-neutrophil cytoplasmic antibody-associated vasculitis (AAV). Fibrinogen (FIB) is the main protein in coagulation process. In this study, we aimed to investigate the clinical significance and influencing factors of FIB in AAV from Southwest China.A retrospective study was performed on AAV patients from Peoples Hospital of Deyang City from January 2007 to December 2018. Demographic and clinical characteristics were collected.A total of 463 AAV patients were included. In Wilcoxon rank sum test, FIB was significantly higher in AAV active group than inactive group (P = .005). FIB was also higher in bacterial infection group than in non-infection group both in active group (P = .008) and inactive group (P = .017). In receiver operating characteristic (ROC) curve analysis, the critical value of FIB for diagnosis of bacterial infection between AAV active and inactive groups was 3.385 g/L (P = .030), with sensitivity of 70.2% and specificity of 52.9%. In the multivariate analysis of variance (MANOVA), estimated glomerular filtration rate (eGFR) was shown to be an independent factor for FIB (P = .001). Least-significant difference showed the concentration of FIB (P < .05) increased with renal impairment, especially in endstage kidney disease (ESKD).FIB identified a certain reference value in distinguishing AAV activity from bacterial infection. ESKD had a statistical effect on it. Influencing factors of FIB should be evaluated based on the renal function impairment of patients.

Cellulose decomposition and larval biomass production from the co-digestion of dairy manure and chicken manure by mini-livestock (Hermetia illucens L.).

World trends toward the modern dairies intensification on large production units cause massive animal manure production and accumulation. Improper handling of manure produced by industrial farm operation greatly deteriorates the major environmental media including air, water and soil. The black soldier fly utilizes organic waste and converts it into larvae biomass to be used as livestock feed and into residues to be used as bio-fertilizer. However, due to the high ratio of cellulose, hemicellulose and lignin in dairy manure, this conversion is difficult. Therefore, dairy manure treated with chicken manure was digested by Hermetia illucens. In this paper, we found that the co-digestion process significantly enhanced the larval production, waste mass reduction, rate of larvae conversion, feed conversion ratio, nutrient reduction and fibers utilization. Whereas 40% dairy manure and 60% chicken manure group show better results than other manure mixtures and had a significantly increased the cellulose consumption by 61.19%, hemicellulose consumption by 53.22% and lignin consumption by 42.23% compared with 49.89%, 49.77% and 31.95%, respectively, in the dairy-only manure group. Finally, scanning electron microscopy was used to analyze the structural changes of dairy manure, chicken manure and their co-digestion mixtures. The scan electron microscopy showed the deterioration in the structure of dairy and chicken manure fibers by Hermetia illucens. Moreover, the carbon-nitrogen ratio was decreased in all end products of post vermicomposting. The results suggest that the co-digestion of 40% dairy manure with 60% chicken manure is an appropriate proportion for dairy manure management with the black soldier fly.