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Impact of Single Dose Systemic Glucocorticoids on Blood Leukocytes In Hospitalized AdultsAlshehri, Samah, Alshehri, Samah January 2017 (has links)
Background: Glucocorticoids (GCs) may cause leukocytosis via several mechanisms. This study was conducted to examine the impact of a single dose of systemic GCs on total white blood cell count (WBC), absolute neutrophilic count (ANC), and absolute lymphocytic count (ALC) in hospitalized adults without bacterial infections.
Methods: This retrospective cohort study was carried out in a university hospital. Hospitalized patients 18 years of age or older who received a single dose of a systemic GC were included. Baseline blood cell counts prior to GC administration were required for subjects to be included in the study. Glucocorticoids included in this study were oral or intravenous methylprednisolone and hydrocortisone and oral prednisone.
Results: A total of 99 patients were included in the study. After the administration of a single GC dose, ALC began to drop significantly as early as the interval of 0 - <6 hours [median (IQR), 0.90 (0.60-1.10), P=0.011]. ANC increased significantly as early as the interval of 6 - <12 hours [median (IQR), 6.22 (4.45-7.33), P=0.049] and continued to be significantly increased from baseline up to 42 hours from GC administration. Total WBC counts significantly decreased in the 6 - <12 hours interval [median(IQR), 6.90 (5.15-8.85) P=0.03] and then increased significantly in the12 - <18 hours interval [median(IQR), 8.80 (6.50-11.95), P= 0.002]. This effect on total WBC count continued to be significant until the 36 - <42 hours interval [median (IQR), 10.55 (7.23-13.03), P<0.001]
Conclusion: ANC, followed by WBC count increase significantly after a single dose administration of GC in hospitalized patients within 12 hours of a single GC dose. Variability in timing and extent of leukocyte and ANC elevation was seen. A decrease in
WBC and ALC was seen within the first few hours of GC dose. High doses of GC and autoimmune disease were associated with greater elevation in WBC counts.
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The Effects of Acute Exercise on Neutrophils and Plasma Oxidative StressQuindry, John C., Stone, William L., King, Jeff, Broeder, Craig E. 01 July 2003 (has links)
Purpose: To investigate the influence of intensity versus total energy expenditure on neutrophilia and blood oxidative stress to acute exercise. Methods: Nine males (18-30 yr) completed one maximal (Max) and three submaximal exercise sessions: 1) 45 min at 10% above (LT+) lactate threshold (LT), 2) 45 min at 10% below (LT-) LT, and 3) 10% below LT until caloric expenditure equaled the 10%+ trial (LT-kcal). Blood was sampled before (PRE), immediately (POST), 1 h, and 2 h after exercise to measure neutrophils, myeloperoxidase, superoxide (O2-), neutrophil activation (O2-/neutrophils), ascorbic acid, uric acid, malondialdehyde, and lipid hydroperoxides. Results: Intensity-dependent neutrophilia occurred POST exercise with significant increases (P ≤ 0.05) after Max and LT+. A second neutrophilia wave occurred 2 h postexercise. Superoxide was elevated POST (Max) and 2 h post (Max and LT+). In contrast, O2-/neutrophils was increased at 2 h only (Max and LT +). These data indicate that immediately postexercise, total neutrophil number rather than activation best represents neutrophil-generated reactive species within blood. POST Max, ascorbic acid and uric acid were decreased indicating a blood oxidative stress occurred. Alternately, total energy expenditure was not related to any marker of neutrophilia or oxidative stress. Conclusion: Exercise intensity plays a major role in postexercise blood oxidative stress, whereas total exercise energy expenditure does not. Further, neutrophils recruited into circulation during exercise may impose a threshold dependent oxidative stress in blood plasma after exercise.
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A comparison of representations for digital simple closed curves in E <sup>2</sup>Hane, Lin January 1984 (has links)
No description available.
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Dynamique de cellules sanguines dans des microécoulements / Dynamics of blood cells in microflowsDupire, Jules 19 December 2012 (has links)
Cette thèse traite de la dynamique de cellules sanguines dans la microcirculation. Cette appellation regroupe les deux thématiques de mon travail. La première est l'étude du mouvement de globules rouges soumis à un écoulement de cisaillement. Prenant la suite des travaux réalisés par Manouk Abkarian, Magalie Faivre et Annie Viallat, nous avons étudié le mouvement de cellules dans un flux oscillant et mis en évidence l'apparition de chaos (Dupire J. et al, PRL 104,168101 (2010)). Nous avons ensuite repris l'étude sous écoulement constant pour comprendre les régimes de mouvement encore non étudiés (article accepté à PNAS). Tous ces travaux se basent sur un modèle à forme ellipsoïdale constante (type Keller & Skalak) auquel a été rajouté un terme tenant compte de l'élasticité de la membrane. Pour mieux modéliser la mémoire de forme, nous avons recalculé les équations du modèle en tenant compte d'une nouvelle forme non contrainte du cytosquelette élastique. Elle nous permet entre autres d'ajuster le modèle aux données expérimentales en utilisant des valeurs de viscosité et de module élastique de cisaillement compatibles avec la littérature. Le deuxième partie traite de l'étude du mouvement de globules blancs dans un réseau de canaux microfluidiques. Ce réseau est régulier et possède des dimensions biomimétiques. Nous étudions comment la rhéologie des cellules influe sur leur mouvement à travers le dispositif. Nous montrons que l'entrée des cellules, et donc leur première déformation, peut être utilisée pour obtenir des informations sur leur rhéologie (viscosité, élasticité, tension). / This thesis deals with dynamics of blood cells in microflow. This title regroups two aspects of my work. The first one studies the movement of red blood cells (RBC) under flow. Continuing the work done by M. Abkarian, M. Faivre and A. Viallat, we looked at RBCs in an oscillating shear flow and showed the presence of chaos in the motion (Dupire J. et al, PRL 104,168101 (2010) ). Then we continued the study of RBC under constant flow to understand the regime of motion that were still to elucidate (PNAS, accepted for publication). These works use a ellipsoidal fixed shape model (based on Keller and Skalak's) to which we add an elastic membrane term. To take into account the shape memory, we calculated again the equations of motion considering a new stress-free shape of the elastic cytoskeleton. It allows us to fit the model on the experimental data using viscosity and elasticity coefficient compatible with the litterature. The second part deals with the motion of white blood cell (WBC) in a microfluidic channel network. The device has a regular geometry and has biomimetic shape characteristics matching the human lung mean values. We aim to study how the cell's rheology is related to their motion through the device. We show how the entry of the cell, and thus their first deformation, can be used to obtain information about a single cell rheology (viscosity, elasticity, tension). The motion is then decomposed in 2 phases : a transient regime right after the entrance and a final stationary regime. We study these regimes in terms of cellular deformation and wall friction.
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White blood cell count at diagnosis of acute lymphoblastic leukemia as a prognostic factor in children treated in Lithuania and the Nordic countries / Pradinio leukocitų skaičiaus prognostinė reikšmė gydant ūmine limfoblastine leukemija sergančius vaikus Lietuvoje ir Šiaurės šalyseVaitkevičienė, Goda Elizabeta 07 November 2013 (has links)
The thesis is based on three studies in which data on children with acute lymhpblastic leukemia (ALL) treated in Lithuania or the Nordic countries were analyzed. Study I. Epidemiological and survival data of 459 children treated in Lithuania in 1992-2012 were analyzed. Children with ALL were included for the first time into international clinical trial that was conducted by pediatric oncologists in the Nordic countries. This resulted in survival improval of childhood ALL by 20% reaching results reported by large international childhood ALL study groups. Study II. Study of 2636 childhood ALL patients treated in the Nordic countries in 1992-2008 revealed significant differences in white blood cell (WBC) distribution both among different biological ALL subsets defined by immunophenotype or cytogenetical aberrations of leukemic blasts, and among patients of different age or gender. WBC remained as a risk factor to have a significantly poorer prognosis for patients with a WBC ≥100 x 109/L, but only among slow-responding patients. Study III. A population-based multicenter study of 221 children aged <15 y. with ALL and WBC ≥200x109/L at diagnosis treated in Lithuania and the Nordic countries were analyzed for early mortality and the impact of initial treatment strategy to survival. The Nordic/Baltic guidelines for initial treatment of ALL patients with hyperleukocytosis and a high risk for the development of tumor lysis syndrome (WBC ≥100 x 109/L) were conducted. / Disertacijoje nagrinėjami Lietuvoje ir Šiaurės šalyse 1992-2012 m. ūmine limfoblastine leukemija (ŪLL) sirgusių vaikų duomenys.
I tyrimas. Surinkti ir išanalizuoti 1992-2012 m. Lietuvoje gydytų ŪLL sirgusių vaikų (N=459) epidemiologija ir gydymo rezultatai, įsitraukta į tarptautinio (kartu su Šiaurės šalių vaikų onkohematologais) vaikų ŪLL gydymo protokolą. ŪLL sergančių vaikų išgyvenamumas Lietuvoje pagerėjo apie 20% ir pasiekė tarptautinį lygį.
II tyrimas. Išanalizavus Šiaurės šalyse 1992-2008 m. dėl ŪLL gydytų vaikų duomenis (N=2363) nustatytos leukeminių blastų citogenetinės aberacijos ir ligonio biologiniai veiksniai, lemiantys skirtingą LS diagnozuojant ŪLL. Nustatyta, kad LS buvo reikšmingas išgyvenamumo rizikos veiksnys tiek pre-B ŪLL, tiek T-ŪLL ligoniams, kuriems pradinis LS buvo ≥100 x 109/L, tačiau tik tais atvejais, kai atsakas į gydymą buvo lėtas.
III tyrimas. Populiaciniame tyrime išanalizuoti 1992-2011 m. Lietuvoje ar Šiaurės šalyse ŪLL sirgusių vaikų, kurių pradinis LS≥200 x 109/L, duomenys (N=221). Nustatyta, kad didelis leukocitų skaičius, o ne naviko lizės sindromas buvo pagrindinis ankstyvo mirtingumo rizikos veiksnys. Uždelstas specifinis ŪLL gydymas ar sumažintos pradinės chemopreparatų dozės galėjo turėti neigiamos reikšmės ankstyvų mirčių išsivystymui. Sudarytos bendros Baltijos ir Šiaurės šalių centrams skirtos rekomendacijos dėl pradinės ligonių su ŪLL ir hiperleukocitoze bei didele naviko lizės išsivystymo rizika (LS ≥100 x 109/L), gydymo taktikos... [toliau žr. visą tekstą]
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Pradinio leukocitų skaičiaus prognostinė reikšmė gydant ūmine limfoblastine leukemija sergančius vaikus Lietuvoje ir Šiaurės šalyse / White blood cell count at diagnosis of acute lymphoblastic leukemia as a prognostic factor in children treated in Lithuania and the Nordic countriesVaitkevičienė, Goda Elizabeta 07 November 2013 (has links)
Disertacijoje nagrinėjami Lietuvoje ir Šiaurės šalyse 1992-2012 m. ūmine limfoblastine leukemija (ŪLL) sirgusių vaikų duomenys.
I tyrimas. Surinkti ir išanalizuoti 1992-2012 m. Lietuvoje gydytų ŪLL sirgusių vaikų (N=459) epidemiologija ir gydymo rezultatai, įsitraukta į tarptautinio (kartu su Šiaurės šalių vaikų onkohematologais) vaikų ŪLL gydymo protokolą. ŪLL sergančių vaikų išgyvenamumas Lietuvoje pagerėjo apie 20% ir pasiekė tarptautinį lygį.
II tyrimas. Išanalizavus Šiaurės šalyse 1992-2008 m. dėl ŪLL gydytų vaikų duomenis (N=2363) nustatytos leukeminių blastų citogenetinės aberacijos ir ligonio biologiniai veiksniai, lemiantys skirtingą LS diagnozuojant ŪLL. Nustatyta, kad LS buvo reikšmingas išgyvenamumo rizikos veiksnys tiek pre-B ŪLL, tiek T-ŪLL ligoniams, kuriems pradinis LS buvo ≥100 x 109/L, tačiau tik tais atvejais, kai atsakas į gydymą buvo lėtas.
III tyrimas. Populiaciniame tyrime išanalizuoti 1992-2011 m. Lietuvoje ar Šiaurės šalyse ŪLL sirgusių vaikų, kurių pradinis LS≥200 x 109/L, duomenys (N=221). Nustatyta, kad didelis leukocitų skaičius, o ne naviko lizės sindromas buvo pagrindinis ankstyvo mirtingumo rizikos veiksnys. Uždelstas specifinis ŪLL gydymas ar sumažintos pradinės chemopreparatų dozės galėjo turėti neigiamos reikšmės ankstyvų mirčių išsivystymui. Sudarytos bendros Baltijos ir Šiaurės šalių centrams skirtos rekomendacijos dėl pradinės ligonių su ŪLL ir hiperleukocitoze bei didele naviko lizės išsivystymo rizika (LS ≥100 x 109/L), gydymo taktikos... [toliau žr. visą tekstą] / The thesis is based on three studies in which data on children with acute lymhpblastic leukemia (ALL) treated in Lithuania or the Nordic countries were analyzed. Study I. Epidemiological and survival data of 459 children treated in Lithuania in 1992-2012 were analyzed. Children with ALL were included for the first time into international clinical trial that was conducted by pediatric oncologists in the Nordic countries. This resulted in survival improval of childhood ALL by 20% reaching results reported by large international childhood ALL study groups. Study II. Study of 2636 childhood ALL patients treated in the Nordic countries in 1992-2008 revealed significant differences in white blood cell (WBC) distribution both among different biological ALL subsets defined by immunophenotype or cytogenetical aberrations of leukemic blasts, and among patients of different age or gender. WBC remained as a risk factor to have a significantly poorer prognosis for patients with a WBC ≥100 x 109/L, but only among slow-responding patients. Study III. A population-based multicenter study of 221 children aged <15 y. with ALL and WBC ≥200x109/L at diagnosis treated in Lithuania and the Nordic countries were analyzed for early mortality and the impact of initial treatment strategy to survival. The Nordic/Baltic guidelines for initial treatment of ALL patients with hyperleukocytosis and a high risk for the development of tumor lysis syndrome (WBC ≥100 x 109/L) were conducted.
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EN JÄMFÖRELSESTUDIE AV PLAST- OCH GLASHEMOCYTOMETRAR FÖR BERÄKNING AV BLODCELLER I VENÖST OCH KAPILLÄRT HELBLODIstrefi, Linda January 2015 (has links)
Hematology-instruments that analyze blood cells can at specific casesbe followed by manual counting with a hemocytometer. The plastic hemocytometer which has a fixed coverslip and is assigned for disposable use, appears to reduce the problems arising from the use of the traditional glass hemocytometer, for instance coverslip-application difficulty and dust particles. Capillary whole blood sampling may be useful for patients at the emergency department and in addition, a smaller volume of blood is taken compared to venous blood sampling. This study will focus on the platelet- and leukocyte count (PLT and WBC) in venous and capillary blood, in order to compare the plastic- and glass hemocytometers with Sysmex XN-2000 (Sysmex Corporation, Kobe, Japan), and verify if capillary whole blood sampling can be used for the measurement of these hematological parameters. 30 subjects donated both capillary- and venous blood samples and these blood samples were analyzed with glass- and plastic hemocytometers with Sysmex XN-2000 as the reference method. The study results showed high correlation between the reference method and plastic hemocytometer at low PLT but were not suitable for WBC-determination. The capillary whole blood showed high correlation to the reference method at WBC-determination, but was unusable at PLT-determination. Glass hemocytometer was closer to the reference method results than plastic hemocytometer was.
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Inflammatory Responses to Combinations of: Mental Load, Repetitive Lifting and Subject Personality.Splittstoesser, Riley Emiel January 2016 (has links)
No description available.
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Adhesion of Rolling Cell to Deformable Substrates in Shear FlowMoshaei, Mohammad Hossein 01 October 2018 (has links)
No description available.
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A Pedagogy of Holistic Media Literacy: Reflections on Culture Jamming as Transformative Learning and HealingStasko, Carly 14 December 2009 (has links)
This qualitative study uses narrative inquiry (Connelly & Clandinin, 1988, 1990, 2001) and self-study to investigate ways to further understand and facilitate the integration of holistic philosophies of education with media literacy pedagogies. As founder and director of the Youth Media Literacy Project and a self-titled Imagitator (one who agitates imagination), I have spent over 10 years teaching media literacy in various high schools, universities, and community centres across North America. This study will focus on my own personal practical knowledge (Connelly & Clandinin, 1982) as a culture jammer, educator and cancer survivor to illustrate my original vision of a ‘holistic media literacy pedagogy’. This research reflects on the emergence and impact of holistic media literacy in my personal and professional life and also draws from relevant interdisciplinary literature to challenge and synthesize current insights and theories of media literacy, holistic education and culture jamming.
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