Journal of Blood Medicine最新文献

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Immunohematological Outcome Among Adult HIV Patients Taking Highly Active Antiretroviral Therapy for at Least Six Months in Yabelo Hospital, Borana, Ethiopia. 埃塞俄比亚博拉纳亚贝洛医院接受高活性抗逆转录病毒治疗至少六个月的成年HIV患者的免疫血液学结果。
IF 2
Journal of Blood Medicine Pub Date : 2023-10-20 eCollection Date: 2023-01-01 DOI: 10.2147/JBM.S419414
Girma Ashenafi, Melatwork Tibebu, Dagnamyelew Tilahun, Aster Tsegaye
{"title":"Immunohematological Outcome Among Adult HIV Patients Taking Highly Active Antiretroviral Therapy for at Least Six Months in Yabelo Hospital, Borana, Ethiopia.","authors":"Girma Ashenafi,&nbsp;Melatwork Tibebu,&nbsp;Dagnamyelew Tilahun,&nbsp;Aster Tsegaye","doi":"10.2147/JBM.S419414","DOIUrl":"10.2147/JBM.S419414","url":null,"abstract":"<p><strong>Background: </strong>Immunohematological abnormalities among human immunodeficiency virus-infected patients are common abnormalities associated with severe depletion of the immune system, covering a stage of acute syndrome to an advanced disease. The greatest impact was observed in the low- and middle-income countries. However, in Ethiopia, little attention has been paid, and only limited published information exists regarding immunohematological abnormalities among individuals receiving highly active antiretroviral treatment.</p><p><strong>Objective: </strong>This study aimed to assess changes in immunological and hematological parameters in HIV-infected patients receiving HAART for at least six months at the antiretroviral therapy clinic of Yabelo Hospital, Borena, Ethiopia.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from February to July 2021 using convenient sampling to recruit 333 participants. Sociodemographic data and clinical characteristics were collected using a pretested questionnaire. Baseline data were extracted from medical records and after six month immunohematological measurements were performed on blood samples collected during the study period. Data analysis was performed using SPSS version 25. Descriptive analysis was performed, and the results are presented as numbers and percentages or means ± SD. A paired <i>t</i>-test was used to compare the mean values of the immunohematological parameters before and after six of taking HAART. Statistical significance was set at P < 0.05.</p><p><strong>Results: </strong>The prevalence of anemia, leucopenia, neutropenia, lymphopenia and thrombocytopenia were 47.4%, 73.3%, 58.3%, 76.9% and 3.3% before initiation of HAART and 23.1%, 36.4%, 23.4%, 35.7% and 2.4% after initiation of HAART, respectively; Compared to baseline, there was also a significant decrease in the rate of Immunosuppression (CD4 < 350) from 62.2% at base line to 20.7% after HAART initiation.</p><p><strong>Conclusion: </strong>Immunohematological profile of the patients improved after the initiation of HAART. The observation of large proportion of immunosuppressed individuals at baseline warrants advocating for HIV testing in the pastoralist community so that infected patients could benefit from early initiation of HAART.</p>","PeriodicalId":15166,"journal":{"name":"Journal of Blood Medicine","volume":"14 ","pages":"543-554"},"PeriodicalIF":2.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b6/d1/jbm-14-543.PMC10595970.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50161750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correlation Between Hypercoagulable State and Severity Level of Ischemic Stroke With Covid-19 Infection. 新冠肺炎感染缺血性卒中高凝状态与严重程度的相关性。
IF 2
Journal of Blood Medicine Pub Date : 2023-10-11 eCollection Date: 2023-01-01 DOI: 10.2147/JBM.S429357
Lisda Amalia
{"title":"Correlation Between Hypercoagulable State and Severity Level of Ischemic Stroke With Covid-19 Infection.","authors":"Lisda Amalia","doi":"10.2147/JBM.S429357","DOIUrl":"10.2147/JBM.S429357","url":null,"abstract":"<p><strong>Background: </strong>Hypercoagulable state in acute ischemic stroke patients with COVID-19, was found to occur in most cases, may affect the severity and clinical outcome of acute ischemic stroke with COVID-19. Ischemic stroke patients with COVID-19 infection have worsen prognosis in mortality regarding hypercoagulable state condition.</p><p><strong>Objective: </strong>The study aims to determine the relationship between the hypercoagulable state and the severity of acute ischemic stroke patients with COVID-19.</p><p><strong>Methods: </strong>This study is a retrospective analytic study using a cross-sectional method in acute ischemic stroke who meet the criteria must have focal clinical symptoms or global dysfunction lasting more than 24 hours, be caused by vascular factors, be confirmed positive for COVID-19, NIHSS (admission and discharge), and have an examination of D-dimer and/or fibrinogen. Chi-Square is used for data processing relationship analysis.</p><p><strong>Results: </strong>A total of 32 patients met the inclusion and exclusion criteria of this study. Elevated D-dimer and/or fibrinogen were found in 28 patients (87.5%), confirming a hypercoagulable state. In this study, the average value of D-dimer was 5.3 mg/mL, and fibrinogen was 479 mg/dL. Based on the admission NIHSS score, it was found that most of the patients had moderate strokes with an average NIHSS score of 12. The chi-square test results showed no relationship between the hypercoagulable state and the severity of acute ischemic stroke as measured by NIHSS admission (p=0.333), but it was closely related to NIHSS exit (p=0.02). The finding supports that 40.62% of acute ischemic stroke patients with COVID-19 confirmed to have a hypercoagulable state had a death discharge status.</p><p><strong>Conclusion: </strong>There is no significant relationship between hypercoagulable state and stroke severity on admission, but it closely related to NIHSS on discharge and high mortality in acute ischemic stroke patients with COVID-19.</p>","PeriodicalId":15166,"journal":{"name":"Journal of Blood Medicine","volume":"14 ","pages":"537-542"},"PeriodicalIF":2.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ba/65/jbm-14-537.PMC10577248.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41235527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Flow Cytometric Enumeration of Peripheral Blood CD34+ Cells Predicts Bone Marrow Pathology in Patients with Less Than 1% Blasts by Manual Count. 外周血CD34+细胞的流式细胞计数通过手动计数预测小于1%芽细胞患者的骨髓病理学。
IF 2
Journal of Blood Medicine Pub Date : 2023-09-21 eCollection Date: 2023-01-01 DOI: 10.2147/JBM.S417432
Tomislav M Jelic, Oscar C Estalilla, Jeffrey A Vos, Gary Harvey, Caitlin J Stricker, Ayodele O Adelanwa, Ahmed A Khalid, Milton J Plata
{"title":"Flow Cytometric Enumeration of Peripheral Blood CD34<sup>+</sup> Cells Predicts Bone Marrow Pathology in Patients with Less Than 1% Blasts by Manual Count.","authors":"Tomislav M Jelic,&nbsp;Oscar C Estalilla,&nbsp;Jeffrey A Vos,&nbsp;Gary Harvey,&nbsp;Caitlin J Stricker,&nbsp;Ayodele O Adelanwa,&nbsp;Ahmed A Khalid,&nbsp;Milton J Plata","doi":"10.2147/JBM.S417432","DOIUrl":"https://doi.org/10.2147/JBM.S417432","url":null,"abstract":"<p><strong>Background and aims: </strong>Significance of absolute number of CD34<sup>+</sup> cells in the peripheral blood of patients with less than 1% myeloblasts by manual differential count is unknown and our aim is to study its relevance in clinical practice.</p><p><strong>Methods: </strong>We studied 138 peripheral bloods flow cytometric analyses in patients with less than 1% myeloblasts by manual differential, when CD34<sup>+</sup> events were present in the gate that encompassed lymphocytes, monocytes, stem cells, and blasts.</p><p><strong>Results: </strong>The average absolute number of CD34<sup>+</sup>cells in the peripheral blood was 11 CD34<sup>+</sup>cells/µL ranging from less than 1 cell/µL to 147 cells/µL. The average absolute number of CD34<sup>+</sup> cells in patients with an abnormal expansive process involving bone marrow (metastases, myelodysplasia, granulomas, marrow infections) or if bone marrow biopsy not performed, presumed expansive marrow process was 25 cells/µL, and in patients without an expansive marrow process (or presumed negative) was 4 cells/µL (<i>P</i><0.00007). Cutoff 12 CD34<sup>+</sup> cells/μL had 93% positive predictive value for bone marrow involvement by an expansive process and 78% negative predictive value.</p><p><strong>Conclusion: </strong>Flow cytometric testing of the peripheral blood is extremely sensitive method for enumerating CD34<sup>+</sup> cells and can detect fewer than one CD34<sup>+</sup> cell/µL. The absolute number of CD34<sup>+</sup> cells in the peripheral blood is a useful parameter in determining marrow involvement by an expansive process and may provide guidance with respect to the necessity for bone marrow biopsy.</p>","PeriodicalId":15166,"journal":{"name":"Journal of Blood Medicine","volume":"14 ","pages":"519-535"},"PeriodicalIF":2.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b6/af/jbm-14-519.PMC10519426.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41146368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
D-Dimer Level Associated with Amount of Sinus involvement Using Digital Subtraction Angiography on Cerebral Venous Thrombosis Patients. 使用数字减影血管造影术观察脑静脉血栓患者的 D-二聚体水平与窦道受累程度的关系
IF 2.1
Journal of Blood Medicine Pub Date : 2023-04-17 eCollection Date: 2023-01-01 DOI: 10.2147/JBM.S399661
Lisda Amalia
{"title":"D-Dimer Level Associated with Amount of Sinus involvement Using Digital Subtraction Angiography on Cerebral Venous Thrombosis Patients.","authors":"Lisda Amalia","doi":"10.2147/JBM.S399661","DOIUrl":"10.2147/JBM.S399661","url":null,"abstract":"<p><strong>Background: </strong>Cerebral venous sinus thrombosis (CVST) is a form of the cerebrovascular disease characterized by varying degrees of obstruction of veins and cerebral sinuses caused by thrombus. Diagnosis is incredibly challenging due to the wide variety of symptoms and the distinct radiological aspects of affected vessels. In patients with venous thrombosis, the presence of D-Dimer is used as an indicator of the presence of endogenous fibrinolysis. D-Dimer is a by-product of fibrin polymer fragmentation.</p><p><strong>Objective: </strong>To investigate the relationship between the level of D-Dimer and the number of sinuses in CVST by Digital Subtraction Angiography (DSA).</p><p><strong>Methods: </strong>Retrospective data from September 2021 to September 2022 were used in this analytical observational with a cross-sectional study design. Chi-Square is used for data processing relationship analysis.</p><p><strong>Results: </strong>Out of the 54 subjects with elevated levels of D-Dimer, 38 (70.4%) are females, whereas 16 (29.6%) are males. High levels of D-Dimer have been related to a greater risk of sinus thrombosis (p < 0.001). D-Dimer levels were similarly shown to rise in conjunction with the number of sinuses most severely damaged by thrombosis. The most common site for thrombosis to develop in this study were the left sigmoid and left transverse sinuses. Most risk factors were hormonal.</p><p><strong>Conclusion: </strong>There is a statistically significant relationship between an increase in the D-Dimer level and the greater number of sinuses involved as determined by DSA in individuals diagnosed with CVST.</p>","PeriodicalId":15166,"journal":{"name":"Journal of Blood Medicine","volume":"14 ","pages":"303-308"},"PeriodicalIF":2.1,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/72/5d/jbm-14-303.PMC10120830.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9387875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pegcetacoplan: A New Opportunity for Complement Inhibition in PNH. Pegcetacoplan:PNH补体抑制的新机遇。
IF 2.1
Journal of Blood Medicine Pub Date : 2023-03-29 eCollection Date: 2023-01-01 DOI: 10.2147/JBM.S362220
Ilene Ceil Weitz
{"title":"Pegcetacoplan: A New Opportunity for Complement Inhibition in PNH.","authors":"Ilene Ceil Weitz","doi":"10.2147/JBM.S362220","DOIUrl":"10.2147/JBM.S362220","url":null,"abstract":"<p><p>Pegcetacoplan is the newest inhibitor of the complement system to be approved by the FDA and EMA for the treatment of Paroxysmal Nocturnal Hemoglobinuria (PNH). The cyclic peptide inhibitor of C3 was evaluated in several clinical trials in PHN leading to its approval. The focus of this paper will review the efficacy and safety of Pegcetacoplan (PEG), and considerations for use in patients with PNH.</p>","PeriodicalId":15166,"journal":{"name":"Journal of Blood Medicine","volume":"14 ","pages":"239-245"},"PeriodicalIF":2.1,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/36/4a/jbm-14-239.PMC10066888.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9306728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Critical Assessment of Transfusional Practices in the Obstetrics and Gynecology Department At the University Hospital of Kinshasa. 金沙萨大学医院妇产科输血实践的关键评估。
IF 2
Journal of Blood Medicine Pub Date : 2023-03-27 eCollection Date: 2023-01-01 DOI: 10.2147/JBM.S381016
Yvon Wangi Ngoy, Mireille Solange Nganga Nkanga, Guy Ndelembo Baina, Audrey Katende Katende, Jacques Bikaula Ngwidiwo, Lethy Mpudi Massamba, Fanny Walo Diessa, Bienvenu Kuyangisa Boloko, Héritier Mawalala Malengele, Benjamin Longo-Mbenza
{"title":"Critical Assessment of Transfusional Practices in the Obstetrics and Gynecology Department At the University Hospital of Kinshasa.","authors":"Yvon Wangi Ngoy,&nbsp;Mireille Solange Nganga Nkanga,&nbsp;Guy Ndelembo Baina,&nbsp;Audrey Katende Katende,&nbsp;Jacques Bikaula Ngwidiwo,&nbsp;Lethy Mpudi Massamba,&nbsp;Fanny Walo Diessa,&nbsp;Bienvenu Kuyangisa Boloko,&nbsp;Héritier Mawalala Malengele,&nbsp;Benjamin Longo-Mbenza","doi":"10.2147/JBM.S381016","DOIUrl":"10.2147/JBM.S381016","url":null,"abstract":"<p><strong>Introduction: </strong>Gynecology and obstetrics are among the specialties where blood transfusion is most practiced. This situation requires the use of good transfusion practices. The objective of this study was to assess the quality of transfusion practice in the Gynecology and Obstetrics Department of the University Hospital of Kinshasa (UHK).</p><p><strong>Methods: </strong>This is a prospective, evaluative and descriptive study performed at the Department of Gyneco-Obstetrics of the University Hospital of Kinshasa from February 25 to June 25, 2020; which dealt with patients who received at least one blood transfusion.</p><p><strong>Results: </strong>About 498 patients, 54 patients were transfused and their average age was 36.4 years, with the extremes of 14 and 60 years, the transfusion rate was 10.8%. Most of patients (n=36: 2/3) were transfused during weekend days, sachets were used as delivery materials of blood product in 57.4% of cases (n = 31). Among the prescribers of blood products, 70.4% were nurses. All transfusions were carried out in type-specific and cross-matched Rh. All the transfused patients were not aware of the disadvantages of transfusion. Compatibility tests at the patient's bedside were not performed in 61.1% of cases and the concordance control between the patient and the blood component to be transfused was not performed in 70.4% of cases. Close monitoring of blood transfusion in the first ten minutes was not performed in 59.3% of cases.</p><p><strong>Conclusion: </strong>Transfusion encounters real practical problems in the gyneco-obstetrical environment of countries with limited resources. However, an assessment and multidisciplinary collaboration would be necessary to improve transfusion practice in medical field.</p>","PeriodicalId":15166,"journal":{"name":"Journal of Blood Medicine","volume":"14 ","pages":"221-231"},"PeriodicalIF":2.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/02/e2/jbm-14-221.PMC10065013.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9247943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Von Willebrand Disease Epidemiology, Burden of Illness and Management: A Systematic Review. 冯-威廉氏病流行病学、疾病负担和管理:系统回顾。
IF 2.1
Journal of Blood Medicine Pub Date : 2023-03-02 eCollection Date: 2023-01-01 DOI: 10.2147/JBM.S389241
Ping Du, Aurore Bergamasco, Yola Moride, Françoise Truong Berthoz, Gülden Özen, Spiros Tzivelekis
{"title":"Von Willebrand Disease Epidemiology, Burden of Illness and Management: A Systematic Review.","authors":"Ping Du, Aurore Bergamasco, Yola Moride, Françoise Truong Berthoz, Gülden Özen, Spiros Tzivelekis","doi":"10.2147/JBM.S389241","DOIUrl":"10.2147/JBM.S389241","url":null,"abstract":"<p><strong>Introduction: </strong>Although hereditary von Willebrand disease (VWD) is the most common bleeding disorder, its epidemiology is not well understood. A systematic review (PROSPERO CRD42020197674/CRD42021244374) on the epidemiology/burden of illness of VWD was conducted to better understand patients' unmet needs.</p><p><strong>Methods: </strong>Observational studies (published January 1, 2010 to April 14, 2021) were identified in MEDLINE and Embase databases, using free-text keywords and thesaurus terms for VWD and outcomes of interest. Pragmatic web-based searches of the gray literature, including conference abstracts, were performed, and reference lists of retained publications were manually searched for additional sources. Case reports and clinical trials (phase 1-3) were excluded. Outcomes of interest were incidence, prevalence, mortality, patient characteristics, burden of illness, and therapeutic management/treatments currently used for VWD.</p><p><strong>Results: </strong>Of the 3095 identified sources, 168 were included in this systematic review. Reported VWD prevalence (22 sources) ranged from 108.9 to 2200 per 100,000 in population-based studies and from 0.3 to 16.5 per 100,000 in referral-based studies. Reported times between first symptom onset and diagnosis (two sources; mean 669 days; median 3 years) highlighted gaps in timely VWD diagnosis. Bleeding events reported in 72-94% of the patients with VWD (all types; 27 sources) were mostly mucocutaneous including epistaxis, menorrhagia, and oral/gum bleeding. Poorer health-related quality of life (three sources) and greater health care resource utilization (three sources) were reported for patients with VWD than in general populations.</p><p><strong>Conclusion: </strong>Available data suggest that patients with VWD experience high disease burden in terms of bleeding, poor quality of life, and health care resource utilization.</p>","PeriodicalId":15166,"journal":{"name":"Journal of Blood Medicine","volume":"14 ","pages":"189-208"},"PeriodicalIF":2.1,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c9/19/jbm-14-189.PMC9987238.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9084123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of COVID-19 Convalescent Plasma (CCP) During the Pandemic Era: A Literature Review. COVID-19恢复期血浆(CCP)在大流行时期的有效性:文献综述
IF 2
Journal of Blood Medicine Pub Date : 2023-02-22 eCollection Date: 2023-01-01 DOI: 10.2147/JBM.S397722
Usha Rani Kandula, Techane Sisay Tuji, Dinkinesh Begna Gudeta, Kassech Leta Bulbula, Anwar Abdulwahed Mohammad, Ketema Diriba Wari, Ahmad Abbas
{"title":"Effectiveness of COVID-19 Convalescent Plasma (CCP) During the Pandemic Era: A Literature Review.","authors":"Usha Rani Kandula,&nbsp;Techane Sisay Tuji,&nbsp;Dinkinesh Begna Gudeta,&nbsp;Kassech Leta Bulbula,&nbsp;Anwar Abdulwahed Mohammad,&nbsp;Ketema Diriba Wari,&nbsp;Ahmad Abbas","doi":"10.2147/JBM.S397722","DOIUrl":"10.2147/JBM.S397722","url":null,"abstract":"<p><p>Worldwide pandemic with coronavirus disease-2019 (COVID-19) was caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). As November 2, 2022, World Health Organization (WHO) received 628,035,553 reported incidents on COVID-19, with 6,572,800 mortalities and, with a total 12,850,970,971 vaccine doses have been delivered as of October 31, 2022. The infection can cause mild or self-limiting symptoms of pulmonary and severe infections or death may be caused by SARS-CoV-2 infection. Simultaneously, antivirals, corticosteroids, immunological treatments, antibiotics, and anticoagulants have been proposed as potential medicines to cure COVID-19 affected patients. Among these initial treatments, COVID-19 convalescent plasma (CCP), which was retrieved from COVID-19 recovered patients to be used as passive immune therapy, in which antibodies from cured patients were given to infected patients to prevent illness. Such treatment has yielded the best results in earlier with preventative or early stages of illness. Convalescent plasma (CP) is the first treatment available when infectious disease initially appears, although few randomized controlled trials (RCTs) were conducted to evaluate its effectiveness. The historical record suggests with potential benefit for other respiratory infections, as coronaviruses like Severe Acute Respiratory Syndrome-CoV-I (SARS-CoV-I) and Middle Eastern Respiratory Syndrome (MERS), though the analysis of such research is constrained by some non-randomized experiments (NREs). Rigorous studies on CP are made more demanding by the following with the immediacy of the epidemics, CP use may restrict the ability to utilize it for clinical testing, non-homogenous nature of product, highly decentralized manufacturing process; constraints with capacity to measure biologic function, ultimate availability of substitute therapies, as antivirals, purified immune globulins, or monoclonal antibodies. Though, it is still not clear how effectively CCP works among hospitalized COVID-19 patients. The current review tries to focus on its efficiency and usage in clinical scenarios and identifying existing benefits of implementation during pandemic or how it may assist with future pandemic preventions.</p>","PeriodicalId":15166,"journal":{"name":"Journal of Blood Medicine","volume":"14 ","pages":"159-187"},"PeriodicalIF":2.0,"publicationDate":"2023-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/09/e1/jbm-14-159.PMC9968437.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9362609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anticoagulation Management in Patients Receiving Warfarin at Private Cardiac Centers in Addis Ababa, Ethiopia. 埃塞俄比亚亚的斯亚贝巴私立心脏中心接受华法林治疗患者的抗凝管理。
IF 2.1
Journal of Blood Medicine Pub Date : 2023-02-10 eCollection Date: 2023-01-01 DOI: 10.2147/JBM.S397189
Roza Getachew, Tamrat Assefa Tadesse, Bekele Alemayehu Shashu, Amsalu Degu, Getachew Alemkere
{"title":"Anticoagulation Management in Patients Receiving Warfarin at Private Cardiac Centers in Addis Ababa, Ethiopia.","authors":"Roza Getachew, Tamrat Assefa Tadesse, Bekele Alemayehu Shashu, Amsalu Degu, Getachew Alemkere","doi":"10.2147/JBM.S397189","DOIUrl":"10.2147/JBM.S397189","url":null,"abstract":"<p><strong>Introduction: </strong>Anticoagulants are the cornerstone therapy for thromboembolism prevention and treatment. Warfarin is the frequently prescribed drug and remains the oral anticoagulant of choice in low- and middle-income countries, including Ethiopia. It is a narrow therapeutic index drug that needs high-quality anticoagulation monitoring with frequent international normalization ratio (INR) testing.</p><p><strong>Objective: </strong>The study aimed to assess anticoagulation management with warfarin among adult outpatients at two selected private cardiac centers in Addis Ababa, Ethiopia.</p><p><strong>Methods: </strong>A hospital-based retrospective study design that enrolled 374 patients receiving warfarin was employed at two private cardiac centres in Addis Ababa, Ethiopia. The time in the therapeutic range (TTR) was calculated using the Rosendaal method. The data were analyzed using Statistical Package for Social Science version 25.</p><p><strong>Results: </strong>The mean age of the patients was 57 years, and 218 (58.3%) participants were females. Out of 3384 INR tests, 1562 (46.5%) were within the therapeutic range and the mean percentage of TTR was 47.24%. Only 25.67% of the patients spent their TTR ≥ 65%. The present study revealed that dose adjustments were required 1764 times. In non-therapeutic INR values of 1764 that required warfarin dose adjustment, 59.7% of the doses were adjusted. About 262 (70.1%) of co-prescribed medications had interaction with warfarin. Sixty-four patients (17.11%) experienced bleeding events.</p><p><strong>Conclusion: </strong>Anticoagulation management with warfarin was suboptimal in private cardiac Addis Ababa, Ethiopia, private cardiac centers. Warfarin adjustment practice for nontherapeutic INR values was not minimal, and many patients encountered bleeding during their course of therapy.</p>","PeriodicalId":15166,"journal":{"name":"Journal of Blood Medicine","volume":"14 ","pages":"107-117"},"PeriodicalIF":2.1,"publicationDate":"2023-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/45/01/jbm-14-107.PMC9926997.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10742790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
MicroRNAs as Quality Assessment Tool in Stored Packed Red Blood Cell in Blood Banks. 将微RNAs作为血库中储存的包装红细胞的质量评估工具。
IF 2.1
Journal of Blood Medicine Pub Date : 2023-02-08 eCollection Date: 2023-01-01 DOI: 10.2147/JBM.S397139
Zewudu Mulatie, Melak Aynalem, Solomon Getawa
{"title":"MicroRNAs as Quality Assessment Tool in Stored Packed Red Blood Cell in Blood Banks.","authors":"Zewudu Mulatie, Melak Aynalem, Solomon Getawa","doi":"10.2147/JBM.S397139","DOIUrl":"10.2147/JBM.S397139","url":null,"abstract":"<p><p>Micro-ribonucleic acids are control gene expression in cells. They represent the changed cellular states that occur can be employed as biomarkers. Red blood cells alter biochemically and morphologically while they are being stored, which could be detrimental to transfusion. The effect of storage on the erythrocyte transcriptome is not mostly investigated. Because adult erythrocytes lack a nucleus, it has long been assumed that they lack deoxyribonucleic acid and ribonucleic acid. On the other hand, erythrocytes contain a diverse range of ribonucleic acids, of which micro-ribonucleic acids are key component. Changes in this micro-ribonucleic acid protect cells from death and adenine triphosphate depletion, and they are linked to specific storage lesions. As a result, changes in micro-ribonucleic acid in stored erythrocytes may be used as a marker to assess the quality and safety of stored erythrocytes. Therefore, this review ams to review the role of microRNA in stored packed red blood cells as quality indicator. Google Scholar, PubMed, Scopus, and Z-libraries are used for searching articles and books. The article included in this paper was written in the English language and had the full article. During long storage of RBCs, miR-16-2-3p, miR-1260a, miR-1260b, miR-4443, miR-4695-3p, miR-5100, let-7b, miR-16, miRNA-1246, MiR-31-5p, miR-203a, miR-654-3p, miR-769-3p, miR-4454, miR-451a and miR-125b- 5p are up regulated. However, miR-96, miR-150, miR-196a, miR-197, miR-381 and miR-1245a are down regulated after long storage of RBCs. The changes of this microRNAs are linked to red blood cell lesions. Therefore, micro-ribonucleic acids are the potential quality indicator in stored packed red blood cells in the blood bank. Particularly, micro-ribonucleic acid-96 is the most suitable biomarker for monitoring red blood cell quality in stored packed red blood units.</p>","PeriodicalId":15166,"journal":{"name":"Journal of Blood Medicine","volume":"14 ","pages":"99-106"},"PeriodicalIF":2.1,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/dc/ba/jbm-14-99.PMC9922504.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10794026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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