scholarly journals Reference Values of Hematological, Biochemical and Endocrinological Parameters in the Blood of Piglets Aged 1 and 21 Days

2020 ◽  
Vol 69 (3-4) ◽  
pp. 34-40
Author(s):  
Marko Cincović ◽  
Mile Mirkov ◽  
Ivan Radović ◽  
Branislava Belić ◽  
Ivana Lakić

SummaryThe purpose of this paper is to determine the reference ranges for hematological, biochemical and endocrinological parameters in the blood of the commercial F1 Landrace x Yorkshire and Yorkshire x Landrace piglets aged 1 and 21 days. A total of 72 animals were enrolled in this study. The following reference ranges were determined for the blood parameters considered (day 1 vs. day 21): WBC 10.0-12.4 vs. 11.5-13.7 × 109/L; RBC 3.72-4.06 vs. 5.25-5.73 × 1012/L; HGB 71.4-79.0 vs. 100-110 g/L; HCT 24.4-26.5 vs. 35.7-39.1 %; MCV 64.4-66.0 vs. 72.7-74.8 fL; MCH 20.9-21.7 vs. 24.7-25.6 pg; MCHC 321-329 vs. 367-378 g/L; AST 78.5-98.9 vs. 51.8-66 U/L; ALT 72.5-84.5 vs. 65.9-76.5 U/L; CHOL 2.41-2.71 vs. 3.81-4.27 mmol/L; TGC 1.55-1.93 vs. 1.85-2.25 mmol/L; GLU 5.58-6.24 vs. 5.97-6.67 mmol/L; TPROT 55.2-59.4 vs. 65-69.9 g/L; ALB 13.4-15.1 vs. 27.8-30.9 g/L, GLOB 41.3-44.8 vs. 35.3-40.9 g/L; UREA mmol/L; TBIL 36.6-44.5 vs. 29.4-40.8 μmol/L; ALFAAMYLASE 897-998 vs. 851-949 U/L; LIPASE 74.1-79.7 vs. 88.3-98.1 U/L; CORT 140-196 vs. 41.4-63.8 ng/mL; INSUL 4.04-5.68 vs. 1.71-2.41 μU/L. The RBC, HGB, HCT, MCV, MCH, and MCHC values recorded were found to be higher in the piglets aged 21 days than those in the piglets aged 1 day. The total leukocyte count did not differ between the experimental groups. Lower AST, ALT, globulin, cortisol and insulin values were detected in the piglets aged 21 days than those in the piglets aged 1 day. However, the values of triglycerides, cholesterol, total protein, albumin and lipase were found to be higher in the piglets aged 21 days than those in the piglets aged 1 day. The glucose, alpha amylase and total bilirubin (TBIL) values did not differ significantly between the experimental groups. The Kolmogorov-Smirnov test conducted shows that there are significant differences in the frequency distribution of most of the blood parameters tested in the pigs aged 1 and 21 days, which confirms that a separate reference interval must be determined and applied to the respective piglet ages considered. The establishment of reference values for different age categories can facilitate the assessment of health status and productive performance of farm piglets.

Author(s):  
Per Hyltoft Petersen ◽  
Ole Blaabjerg ◽  
Marianne Andersen ◽  
Lone G. M. Jørgensen ◽  
Karoline Schousboe ◽  
...  

AbstractA well-known transformation from the bell-shaped Gaussian (normal) curve to a straight line in the rankit plot is investigated, and a tool for evaluation of the distribution of reference groups is presented. It is based on the confidence intervals for percentiles of the calculated Gaussian distribution and the percentage of cumulative points exceeding these limits.The process is to rank the reference values and plot the cumulative frequency points in a rankit plot with a logarithmic (ln=logThis is a conservative validation, which is more demanding than the Kolmogorov-Smirnov test. The graphical presentation, however, makes it easy to disclose deviations from ln-Gaussianity, and to make other interpretations of the distributions, e.g., comparison to non-Gaussian distributions in the same plot, where the cumulative frequency percentage can be read from the ordinate. A long list of examples of ln-Gaussian distributions of subgroups of reference values from healthy individuals is presented. In addition, distributions of values from well-defined diseased individuals may showup as ln-Gaussian.It is evident from the examples that the rankit transformation and simple graphical evaluation for non-Gaussianity is a useful tool for the description of sub-groups.


Author(s):  
C. Quentin Davis ◽  
Ruth Hamilton

Abstract Introduction Establishing robust reference intervals for clinical procedures has received much attention from international clinical laboratories, with approved guidelines. Physiological measurement laboratories have given this topic less attention; however, most of the principles are transferable. Methods Herein, we summarise those principles and expand them to cover bilateral measurements and one-tailed reference intervals, which are common issues for those interpreting clinical visual electrophysiology tests such as electroretinograms (ERGs), visual evoked potentials (VEPs) and electrooculograms (EOGs). Results The gold standard process of establishing and defining reference intervals, which are adequately reliable, entails collecting data from a minimum of 120 suitable reference individuals for each partition (e.g. sex, age) and defining limits with nonparametric methods. Parametric techniques may be used under some conditions. A brief outline of methods for defining reference limits from patient data (indirect sampling) is given. Reference intervals established elsewhere, or with older protocols, can be transferred or verified with as few as 40 and 20 suitable reference individuals, respectively. Consideration is given to small numbers of reference subjects, interpretation of serial measurements using subject-based reference values, multidimensional reference regions and age-dependent reference values. Bilateral measurements, despite their correlation, can be used to improve reference intervals although additional care is required in computing the confidence in the reference interval or the reference interval itself when bilateral measurements are only available from some of subjects. Discussion Good quality reference limits minimise false-positive and false-negative results, thereby maximising the clinical utility and patient benefit. Quality indicators include using appropriately sized reference datasets with appropriate numerical handling for reporting; using subject-based reference limits where appropriate; and limiting tests for each patient to only those which are clinically indicated, independent and highly discriminating.


Author(s):  
Luca Giovanella ◽  
Mauro Imperiali ◽  
Anna Ferrari ◽  
Alessia Palumbo ◽  
Lino Furlani ◽  
...  

AbstractThe present study was undertaken to establish serum thyroglobulin (Tg) normal reference values in a large group of healthy subjects.Four hundred and thirty-eight non-smoking healthy subjects were selected to assess the Tg reference values (209 males, 229 non-pregnant females, age 34.7±13.1 years). Inclusion criteria were: no personal or familial history of thyroid disease, thyrotropin levels from 0.5 to 2.00 mUI/L, negative thyroperoxidase and thyroglobulin antibodies. In addition, the patients had a normal size thyroid (females ≤18 mL, males ≤25 mL) without nodules on the thyroid ultrasound (TUS). According to National Academy of Clinical Biochemistry (NACB) criteria the Tg results were transformed to a logarithmic scale and reference ranges were calculated as mean±2 SD.Serum Tg was measured on the Beckman Coulter UniCel DxI 800 automated platform by the simultaneous 1-step immunoenzymatic Access Thyroglobulin assay (Beckmann-Coulter SA, Nyon, Switzerland). Serum Tg levels were higher in females than in males (p=0.0022). Accordingly, gender-specific reference values were calculated (i.e., males: 1.40–29.2 ng/mL; females: 1.50–38.5 ng/mL).To the best of the authors’ knowledge, the first reference interval study for Tg that integrates NACB criteria and TUS assessment for the selection of the reference population is provided here.


2019 ◽  
Vol 12 (9) ◽  
pp. 1514-1518
Author(s):  
Md. Kaisar Rahman ◽  
Shariful Islam ◽  
Mizanur Rahman ◽  
Jinnat Ferdous ◽  
Sazeda Akter ◽  
...  

Background and Aim: Determining reference values for hematological and biochemical parameters of Asian house shrew (Suncus murinus) is important for wildlife research to protect human health in surrounding communities. This study aimed to establish the reference values for selected hematology and serum clinical chemistry analyses that may contribute to research on shrew in future. Materials and Methods: Blood samples (n=51) were collected from shrews between July and December 2015, Bangladesh, to estimate the levels of hemoglobin (Hb), packed cell volume (PCV), total leukocyte count (TLC), total erythrocyte count (TEC), lymphocyte, monocyte, neutrophil, eosinophil, basophil, calcium, phosphorus (P), sodium (Na), chloride (Cl), urea, glucose, total protein (TP), creatinine, and alanine transaminase (ALT). Results: Although the values did not differ significantly among sexes, age was found to be a significant factor. Hb, PCV, TEC, glucose, and P were higher in males; eosinophil, Na, Cl, TP, and ALT were higher among females. Adults had significantly greater urea and glucose (p<0.05) while juveniles had insignificantly higher values for TLC, PCV, neutrophil, P, and TP. Conclusion: This study provides the first reference values for this species in Bangladesh and can be used to guide wildlife research studies.


2021 ◽  
Vol 63 (1) ◽  
Author(s):  
Ueli Braun ◽  
Christian Gerspach ◽  
Barbara Riond ◽  
Carina Oschlies ◽  
Sabrina Corti ◽  
...  

Abstract Background In cows with acute toxic mastitis (ATM), the leukogram aids in the assessment of the severity of disease. The goal of our study was to compare the leukogram of 158 cows with ATM (cases) and 168 clinically healthy cows (controls). We hypothesised that the leukograms of surviving and non-surviving cows differ and that there are variables of the leukogram with sufficient prognostic potential to be used in the decision to treat or not to treat a cow with ATM. The cows were examined clinically and underwent haematological and biochemical examination of blood and bacteriological culture of milk samples. Results All cows with ATM had a poor appetite or anorexia, and 34 cows (21.5%) were recumbent. A single quarter was affected in 119 cows (75.3%), two quarters in 37 cows (23.4%) and three quarters in two cows (1.3%). Bacteriological culture showed Gram-negative pathogens in 100 cows (63.3%), Gram-positive in 15 (9.5%) and yeast in 4 (2.5%). The median total leukocyte count of cases was 4300 cells/µL (interquartile range = 2300–8200/µL), which was significantly lower than 8000 cells/µL (6525–9300/µL) in controls. Except for band neutrophils and metamyelocytes, the counts of all components of the leukogram were lower in cases compared with controls. Significantly more cows with ATM had leukopenia (60.1 vs. 4.1%) or leukocytosis (10.1 vs. 3.0%) than controls. Diseased cows had significantly lower segmented neutrophil counts than controls (860 vs. 2598 cells/µL), and 69.5 and 17.3%, respectively, had counts below the reference interval. Cases had increased band (77.3%) and metamyelocyte (25.0%) counts compared with controls (0.6 and 0%, respectively). In diseased cows, eosinopenia occurred in 66.4% (controls, 1.8%), monocytopenia in 40.6% (4.2%) and lymphopenia in 60.2% (1.8%). Twenty-one diseased cows (16.4%) had a regenerative and 57 (44.5%) had a degenerative left shift. The median neutrophil-to-lymphocyte ratio was 0.97 in diseased cows and 0.63 in controls. Toxic changes in neutrophils including cytoplasmic basophilia and vacuolisation were seen in 101 (91.8%) of 110 blood smears of diseased cows. The leukogram of the surviving and non-surviving cows did not differ significantly, and the hypothesis was rejected. Conclusions ATM results in severe changes in the leukogram particularly leukopenia, lymphopenia, and degenerative left shift. The hypothesis that the leukograms of surviving and non-surviving cows differ was rejected. The leukogram has not sufficient prognostic potential to be used in the decision to treat or not to treat a cow with ATM.


2014 ◽  
Vol 38 (5) ◽  
Author(s):  
Mira Ganslmeier ◽  
Claudia Castrop ◽  
Klemens Scheidhauer ◽  
Ina-Christine Rondak ◽  
Peter B. Luppa

AbstractWe conducted a study in a metropolitan area to establish regional reference intervals for thyreotropin (TSH) and the thyroid hormones free triiodthyronine (fT3) and free thyroxine (fT4). This was due to the different reference ranges, based on varying regional trials, presented for a widely used electrochemiluminescence immunoassay system.We investigated 292 apparently healthy adult subjects and excluded those with known history of thyroid disease, abnormal findings in the ultrasonographic examination of the thyroid gland, or elevated thyroid autoantibodies in serum. Accordingly, 204 of 292 subjects were included as the reference collective. We measured serum concentrations of TSH, fT3, and fT4 using the Elecsys assays from Roche Diagnostics and calculated the 2.5th and 97.5th percentiles.The nonparametrically calculated reference values for TSH and fT4 were 0.58–3.49 mIU/L and 11.58–20.46 pmol/L, respectively. Statistically remarkable is the finding of a normal Gaussian distribution of the fT3 serum concentration, leading to the parametric reference interval of 3.56–5.88 pmol/L.The established reference values for this regional collective showed tighter intervals than the reference ranges provided by the manufacturer. A carefully selected study population, based on the correspondent National Academy of Clinical Biochemistry criteria, ensured a valid set of reference ranges for TSH, fT3, and fT4, providing a basis for accurate in vitro thyroid testing. The 2.5th percentile for the fT3 is now in better accordance with clinical findings.


2020 ◽  
Vol 2020 (1) ◽  
pp. 114-128
Author(s):  
Carmen Hové ◽  
Benjamin C Trumble ◽  
Amy S Anderson ◽  
Jonathan Stieglitz ◽  
Hillard Kaplan ◽  
...  

Abstract Background and objectives Among placental mammals, females undergo immunological shifts during pregnancy to accommodate the fetus (i.e. fetal tolerance). Fetal tolerance has primarily been characterized within post-industrial populations experiencing evolutionarily novel conditions (e.g. reduced pathogen exposure), which may shape maternal response to fetal antigens. This study investigates how ecological conditions affect maternal immune status during pregnancy by comparing the direction and magnitude of immunological changes associated with each trimester among the Tsimane (a subsistence population subjected to high pathogen load) and women in the USA. Methodology Data from the Tsimane Health and Life History Project (N = 935) and the National Health and Nutrition Examination Survey (N = 1395) were used to estimate population-specific effects of trimester on differential leukocyte count and C-reactive protein (CRP), a marker of systemic inflammation. Results In both populations, pregnancy was associated with increased neutrophil prevalence, reduced lymphocyte and eosinophil count and elevated CRP. Compared to their US counterparts, pregnant Tsimane women exhibited elevated lymphocyte and eosinophil counts, fewer neutrophils and monocytes and lower CRP. Total leukocyte count remained high and unchanged among pregnant Tsimane women while pregnant US women exhibited substantially elevated counts, resulting in overlapping leukocyte prevalence among all third-trimester individuals. Conclusions and implications Our findings indicate that ecological conditions shape non-pregnant immune baselines and the magnitude of immunological shifts during pregnancy via developmental constraints and current trade-offs. Future research should investigate how such flexibility impacts maternal health and disease susceptibility, particularly the degree to which chronic pathogen exposure might dampen inflammatory response to fetal antigens. Lay Summary This study compares immunological changes associated with pregnancy between the Tsimane (an Amazonian subsistence population) and individuals in the USA. Results suggest that while pregnancy enhances non-specific defenses and dampens both antigen-specific immunity and parasite/allergy response, ecological conditions strongly influence immune baselines and the magnitude of shifts during gestation.


2019 ◽  
Vol 105 (4) ◽  
pp. e1299-e1306 ◽  
Author(s):  
Salman Razvi ◽  
Owain Leng ◽  
Avais Jabbar ◽  
Arjola Bano ◽  
Lorna Ingoe ◽  
...  

Abstract Objective The objective of this study was to determine the impact of blood sample timing on the diagnosis of subclinical thyroid dysfunction (SCTD) and mortality in patients with acute myocardial infarction (AMI). Patients, Design, and Main Outcome Measures Patients with AMI had thyroid function evaluated on admission between December 2014 and December 2016 and those with abnormal serum thyrotropin (TSH) had repeat thyroid function assessed at least a week later. The association between sample timing and SCTD was evaluated by logistic regression analysis. Secondary outcomes were confirmation of SCTD on repeat testing and all-cause mortality up to June 2018. Results Of the 1806 patients [29.2% women, mean (± standard deviation) age of 64.2 (±12.1) years] analyzed, the prevalence of subclinical hypothyroidism (SCH) was 17.2% (n = 311) and subclinical hyperthyroidism (SHyper) was 1.2% (n = 22) using a uniform TSH reference interval. The risk of being diagnosed with SCTD varied by sample timing in fully-adjusted models. The risk of SCH was highest between 00.01 and 06.00 hours and lowest between 12.01 and 18.00 hours, P for trend &lt;.001, and risk of SHyper was highest between 12.01 hours and 18.00 hours and lowest between 00.01 hours and 06.00 hours. Furthermore, time of the initial sample was associated with the risk of remaining in a SCH state subsequently. Mortality in SCH patients was not elevated when a uniform TSH reference interval was utilized. However, when time period–specific TSH reference ranges were utilized, the mortality risk was significantly higher in SCH patients with HR (95% CI) of 2.26 (1.01–5.19), P = .04. Conclusions Sample timing impacts on the diagnosis and prognosis of SCH in AMI patients. If sample timing is not accounted for, SCH is systemically misclassified, and its measurable influence on mortality is lost.


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