scholarly journals Significance of Peripheral Blood Morphology With Granulocyte Distribution and Spirometry in Evaluation of Asthma and COPD Treatment

2021 ◽  
Author(s):  
Grzegorz Kardas ◽  
Alicja Zielińska ◽  
Adam Pancer ◽  
Piotr Kuna ◽  
Michał Panek
Keyword(s):  
Blood Cell ◽  
Cell Count ◽  
White Blood Cell Count ◽  
Blood Count ◽  
Complete Blood Count ◽  
Chronic Obstructive ◽  
Blood Cell Count ◽  
Treatment Groups ◽  
Copd Patients ◽  
Blood Morphology

The two main chronic obstructive diseases are asthma – affecting 1-18% of adult population – and chronic obstructive pulmonary disease (COPD) prevalent in up to 6% of adults. In both cases the treatment depends on diseases’ severity. In management of these conditions, spirometry and complete blood count are two major monitoring tests. Our aim was to compare blood morphology results and spirometry values between patients in groups of different treatment intensity in asthma and COPD. By measuring that, we expected to study whether asthma/COPD patients have a need of stepping-up their treatment steps. Methods A retrospective analysis of patients admitted in 2013-2019 to an outpatient pulmonology clinic in Łódź (Poland). Spirometry values, complete blood count and information on pharmacological treatment were obtained from archival data. Patients were assigned with disease severity according to present GINA/GOLD recommendations. The study included 125 patients – 47 with COPD (22 females) and 78 with asthma (57 females). Results Among patients with asthma, a positive correlation in white blood cell count (WBC) (r=0,236, p=0.038) and ascending GINA treatment steps was found. Significant negative correlations were shown between ascending GINA treatment steps and FEV1, FEV1%, FVC%, MEF50, MEF50, PEF%. In COPD patients, positive correlations between ascending GOLD treatment groups and white blood cell count, neutrophil count, basophil percentage, platelet count (r=0.346; 0.309; 0.321; 0.401 respectively) were found. Negative correlations were shown between ascending GOLD treatment groups and FEV1, FEV1%, FVC, FVC%, MEF50, MEF50%, PEF, PEF% (r=-0.732; -0.575; -0.705; -0.498; -0.632; -0.558; -0.688; -0.597 respectively). Conclusions Negative correlations between ascending GINA and GOLD treatment steps and spirometry values may suggest that asthma and COPD patients may benefit from stepping-up the treatment steps earlier. Potential advantages of that more intensive treatment needs to be examined in the future

scholarly journals Changes in the peripheral blood cell count in pediatric patients with Down syndrome

2019 ◽  
Vol 47 (8) ◽  
pp. 3757-3762
Author(s):  
Niculina Mang ◽  
Anda C. Vizitiu ◽  
Andrei Anghel
Keyword(s):  
Down Syndrome ◽  
Blood Cell ◽  
Cell Count ◽  
Peripheral Blood ◽  
Thyroid Dysfunction ◽  
Blood Count ◽  
Pediatric Patients ◽  
Complete Blood Count ◽  
Peripheral Blood Cell ◽  
Blood Cell Count

Objectives Down syndrome (DS) is associated with multiple complications, including a high risk of leukemia and thyroid dysfunction. This clinical study aimed to examine the complete blood cell count in patients with DS without leukemia or transient abnormal myelopoiesis. We also aimed to evaluate the effect of thyroid dysfunction on hematological anomalies in DS. Methods We analyzed the peripheral blood cell count in 23 pediatric patients with DS with and without thyroid dysfunction and in 17 pediatric patients without DS with thyroid dysfunction. Results Patients with DS showed greater neutrophilia and lymphopenia than did patients with DS and hypothyroidism and patients with hypothyroidism. Surprisingly, patients with DS showed a significant degree of eosinopenia in the peripheral blood. Interestingly, hypothyroidism had an attenuating effect on different lineages in the complete blood count. However, these anomalies were specific for DS. Conclusions Our clinical findings support previous data on DS-associated changes in the complete blood count. Our study also shows novel alterations in the complete blood count in leukemia-free patients with DS in association with hypothyroidism. The attenuating effect of thyroid dysfunction on changes in different lineages in the context of DS is novel and deserves further analysis in larger studies.

scholarly journals Importance of haemogram parameters for prediction of the time of birth in women diagnosed with threatened preterm labour

2020 ◽  
Vol 48 (4) ◽  
pp. 030006052091843
Author(s):  
Harun Egemen Tolunay ◽  
Erkan Elci
Keyword(s):  
Blood Cell ◽  
Cell Count ◽  
Blood Count ◽  
Complete Blood Count ◽  
Preterm Labour ◽  
Blood Cell Count ◽  
Group 2 ◽  
Lymphocyte Cell ◽  
Neutrophil Cell ◽  
Group 1

Objective This study aimed to estimate the importance of complete blood count parameters for predicting the timing of birth in threatened preterm labour cases. Methods We performed a retrospective study of 92 patients who were diagnosed with threatened preterm labour (24–34 gestational weeks). The patients were divided into two groups according to the time of birth (group 1: delivered within the first week after diagnosis; group 2: delivered later than 1 week). We compared characteristics and complete blood count parameters between these two groups. Results There were no significant differences in maternal age, body mass index, gravida, parity, haemoglobin levels, and gestational weeks between the two groups. The mean cervical length was 24.24 ± 3.60 mm in group 1 and 30.70 ± 5.32 mm in group 2. There were significant differences in the neutrophil to lymphocyte ratio, white blood cell count, red cell distribution width (RDW), absolute lymphocyte cell count, and absolute neutrophil cell count between the two groups. Conclusion Maternal serum RDW, the neutrophil to lymphocyte ratio, white blood cell count, absolute lymphocyte cell count, and the absolute neutrophil cell count profile could guide clinicians in predicting the time of birth in threatened preterm labour cases.

scholarly journals Reference Ranges for Hematological Values in Umbilical Cord Blood in Pokhara, Nepal

2016 ◽  
Vol 36 (2) ◽  
pp. 160-164 ◽  
Author(s):  
Sahisnuta Basnet ◽  
Sandip Kumar Singh ◽  
Brijesh Sathian ◽  
Rajnish Mishra
Keyword(s):  
Blood Cell ◽  
Cord Blood ◽  
Cell Count ◽  
Umbilical Cord ◽  
Umbilical Cord Blood ◽  
Blood Count ◽  
Complete Blood Count ◽  
Reference Ranges ◽  
Blood Cell Count ◽  
Hematological Values

Correction: Due to an error in loading the metadata, the author Sahisnuta Basnet was omitted. Sahisnuta Basnet was therefore added to the metadata on 9th January 2017. The PDF was correct.Introduction: Reference hematological values in newborns are informative in evaluation of newborns to determine state of health or disease. For a given population, reference values may differ in accordance with various factors such as age, sex, race, diet, drug intake, altitude, socio-economic status and also the method employed for determination of the values. The aim of this study was to establish reference ranges of complete blood count using umbilical cord blood of normal, healthy, full term neonates born in Manipal Teaching Hospital (MTH), Pokhara, Nepal.Material and Method: The study was conducted in 210 full term, healthy newborns delivered in MTH between Jan 2014 to Feb 2015. Cord blood was collected and a complete blood count was obtained using an automated hematology analyzer.Result: Mean hemoglobin was 15.24 ± 1.96 gm/dl and mean red blood cell count was 4.30 ± 0.63 (range 3.05 – 6.36) X 1012/L. Mean white blood cell count was 14.93 ± 4.44 (range 6.10 ± 31.7) X 109/L and platelet count was 226.88 ± 61.28 (range 105 ± 392) X 109/L. There was no significant difference found in hemoglobin, red cell, white cell and platelet counts between males and females in this study.Conclusion: The values obtained from our study provide ranges for some hematological values in healthy newborns of Pokhara Nepal. However, the hematological reference values for Nepalese cord blood needs to be confirmed by larger numbers of samples from different centers of Nepal.J Nepal Paediatr Soc 2016;36(2):160-164.

scholarly journals Successful Treatment For Chronic Eosinophilic Leukemia (CEL) With Imatinib Mesylate

10.3823/2539 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Rayane Da Silva Souza ◽  
Nathalia De Alencar Cunha Tavares ◽  
Martina Bragante Fernandes Pimenta ◽  
Marcelle Bragante Fernandes Pimenta ◽  
Matheus Cartaxo Eloy Fialho ◽  
...  
Keyword(s):  
Growth Factor ◽  
Blood Cell ◽  
Cell Count ◽  
Imatinib Mesylate ◽  
White Blood Cell Count ◽  
Blood Count ◽  
Platelet Derived Growth Factor ◽  
Blood Cell Count ◽  
Chronic Eosinophilic Leukemia ◽  
Normal Ranges

We report a case of a patient with Chronic Eosinophilic Leukemia (CEL) with mutation in alfa PDGFR gene exhibiting a satisfactory response to treatment with imatinib mesylate. A 25-year-old man presented in a hematology service with a persistent cough and hemogram alterations. His blood count showed a hemoglobin level of 12.5 g/dL and a white blood cell count of 94,030/mm3, eosinophils were 68% of all cells. Bone marrow aspiration and biopsy showed hypercellularity with marked eosinophilia (77%) and erythroid differentiation series was hypocellular with normoblast maturation. The immunohistochemically of the bone biopsy was positive for myeloperoxidase and negative for CD34/CD99, consistent with CEL. Fluorescence in situ hybridization (FISH) for the beta-fraction of platelet-derived growth factor (PDGFRβ) and Philadelphia chromosome (Ph 1) were negative and the alfa PDGFR (Platelet-Derived Growth Factor) was positive and showed heterozygosis in c.2531T>C on 18 Exon and homozygous in C.2562+1G>A at the region of the splicing site at the 18 intron. Treatment was initiated and maintained by administering 400mg/day imatinib mesylate. Laboratory findings returned to normal ranges, with clinical improvement and a hematological response observed after the second month of therapy. Currently, the patient’s blood count shows the white blood cell count (5,400 total leukocytes), eosinophils (8.6/mm3), hemoglobin (15.5 g/dl), hematocrit (45.4%) and platelets (298,000/mm3) within normal ranges. The mutation search was negative in in peripheral blood one year after the initial treatment. Our work corroborates other studies on the efficacy of imatinib mesylate in the treatment of patients with CSF PDGFR alpha positive. We emphasize the importance of molecular studies, considering its relevance for the correct staging of the disease. Since CEL is a rare disease, it is important to define its etiology and anticipate its treatment, thus minimizing the damage induced by the disease.

scholarly journals The Effect of High-Intensity Exercise on Changes of Blood Concentration Components in Algerian National Judo Athletes

2019 ◽  
Vol 59 (2) ◽  
pp. 148-160
Author(s):  
Belkadi Adel ◽  
Benchehida Abdelkader ◽  
Cherara Alia ◽  
Benbernou Othman ◽  
Sebbane Mohamed ◽  
...  
Keyword(s):  
Blood Cell ◽  
Cell Count ◽  
Blood Count ◽  
Complete Blood Count ◽  
Blood Platelets ◽  
Blood Cell Count ◽  
Mean Cell Volume ◽  
Weight Category ◽  
Judo Athletes ◽  
The Impact

Summary The aim of the present study to verify the impact of judo competition on changes in the blood count of judo athletes during an official competition. Also to compare these results with the different weight category. Methods: fifteen youth trained athletes were included in the study were divided into three groups according to weight category (light, medial, and heavy) weight. All subjects performed a 5×4mn round of competition with 15mn of rest between rounds and Complete Blood Count (CBC) were collected before, immediately after the competition, Data are reported as mean and standard deviation. The Shapiro-Wilk test was performed to verify the normality of the data, and the significance level was set at P < 0.05. Blood sample count was tested by a paired Student’s t-test to compare the pre-test and post-test for the three groups. The results showed that blood cell count was significantly decreased immediately after judo competition (p < 0.05). However, red blood cell, White blood cell Blood platelets, Mean Cell Volume were significantly increased after the performance (p < 0.05). The current study showed that the judo competition (Rondori) effectively enhance some blood cell count; these changes are transient and probably due to the adaptation to efforts related to judo competition in highly-trained athletes.

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