Body Fluids

体液
  • 文章类型: Journal Article
    在怀孕期间,免疫系统需要维持胎儿的免疫耐受,同时也对感染做出反应。这可能导致炎症途径的过早激活,导致分娩和早产。阴道微生物群是早产风险的重要调节剂,妊娠期间乳杆菌优势与足月分娩相关,而高微生物多样性与早产风险增加相关。沿着下女性生殖道的糖蛋白上的聚糖是微生物群-宿主相互作用和炎症反应介导的基础。然而,这些过程中涉及的特定聚糖表位还没有被很好地理解。为了解决这个问题,我们对36例早产高危孕妇和4例非孕妇的宫颈阴道液(CVF)进行了血糖分析.我们对N-和O-聚糖的分析揭示了丰富的CVF糖。虽然O-聚糖被证明是ABO血型表位的主要载体,N-聚糖的主要特征是存在丰富的少糖和高甘露糖聚糖,复杂的生物多样性,三-,和用岩藻糖和唾液酸修饰的四触角聚糖。我们鉴定了免疫调节表位,比如Lewis抗原,发现岩藻糖基化与促炎因子呈负相关,如IL-1β,MMP-8,C3a和C5a,而仅具有唾液酸触角的聚糖与它们主要呈正相关。同样,paucimannose聚糖与促炎因子呈正相关。我们发现了高丰度的聚糖,这些聚糖先前已被鉴定为癌症和病毒糖基化的标志,如Man8和Man9高甘露糖聚糖。尽管每个孕妇都有独特的糖漫画特征,纵向研究表明,在足月分娩的妇女中,主要的糖基化特征在整个妊娠期间是一致的,而经历过极端早产的女性在分娩前不久表现出CVF糖的急剧变化。这些发现揭示了糖基化在维持健康的阴道微生物组和相关宿主免疫反应中的作用。此外,这些发现促进了我们对女性下生殖道的理解,这对女性的健康有着广泛的影响。
    During pregnancy the immune system needs to maintain immune tolerance of the foetus while also responding to infection, which can cause premature activation of the inflammatory pathways leading to the onset of labour and preterm birth. The vaginal microbiome is an important modifier of preterm birth risk, with Lactobacillus dominance during pregnancy associated with term delivery while high microbial diversity is associated with an increased risk of preterm birth. Glycans on glycoproteins along the lower female reproductive tract are fundamental to microbiota-host interactions and the mediation of inflammatory responses. However, the specific glycan epitopes involved in these processes are not well understood. To address this, we conducted glycomic analyses of cervicovaginal fluid (CVF) from 36 pregnant women at high risk of preterm birth and 4 non-pregnant women. Our analysis of N- and O-glycans revealed a rich CVF glycome. While O-glycans were shown to be the main carriers of ABO blood group epitopes, the main features of N-glycans were the presence of abundant paucimannose and high mannose glycans, and a remarkable diversity of complex bi-, tri-, and tetra-antennary glycans decorated with fucose and sialic acid. We identified immuno-regulatory epitopes, such as Lewis antigens, and found that fucosylation was negatively correlated to pro-inflammatory factors, such as IL-1β, MMP-8, C3a and C5a, while glycans with only sialylated antennae were mainly positively correlated to those. Similarly, paucimannose glycans showed a positive correlation to pro-inflammatory factors. We revealed a high abundance of glycans which have previously been identified as hallmarks of cancer and viral glycosylation, such as Man8 and Man9 high mannose glycans. Although each pregnant woman had a unique glycomic profile, longitudinal studies showed that the main glycosylation features were consistent throughout pregnancy in women who delivered at term, whereas women who experienced extreme preterm birth exhibited sharp changes in the CVF glycome shortly before delivery. These findings shed light on the processes underlying the role of glycosylation in maintaining a healthy vaginal microbiome and associated host immune responses. In addition, these discoveries facilitate our understanding of the lower female reproductive tract which has broad implications for women\'s health.
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  • 文章类型: Journal Article
    大多数现代血液学分析仪具有用于体液细胞计数的专用体液模式。许多分析仪还计算高荧光细胞(HF细胞)的数量。HF细胞具有大的核尺寸并且在用荧光染料染色时发射高荧光。由于它们的核尺寸很大,恶性细胞计数为HF细胞。
    我们的目标是确定HF细胞在预测浆液性积液中恶性细胞的存在中的诊断实用性。
    使用MindrayBC-6800加血液学分析仪的体液模式对209个浆液样品进行HF细胞计数。一组细胞病理学家检查了所有样品的Papanicilaou染色涂片中是否存在恶性细胞。ROC曲线分析确定HF细胞在恶性积液中的敏感性和特异性。
    在209个样品中,显微镜下发现恶性细胞97例(46.4%)。恶性积液中HF细胞的绝对数量和百分比显着增加(P<0.001)(HF#=24.9细胞/ul,HF%=10.4%)与非恶性样品(HF#=4.95细胞/ul,HF%=5.76%)。ROC曲线分析确定了预测恶性细胞的最佳临界值≥30个HF细胞/ul(灵敏度=73.91,特异性=55.66%)。
    浆液性积液中的HF细胞可能是帮助病理学家的有用工具,但由于其敏感性低(67.74%)和阴性似然比(0.5),在≥30个HF细胞/ul的临界值下,它不是理想的筛查测试.然而,由于在≥72个HF细胞/ul的临界值下具有83.18%的高特异性,应在显微镜下仔细搜索恶性细胞。
    UNASSIGNED: Most modern haematology analysers have a dedicated body fluid mode for cell counts of body fluids. Many analysers also count the number of high fluorescence cells (HF cells). HF cells have a large nuclear size and emit high fluorescence when stained with fluorescent dyes. Due to their large nuclear size, Malignant cells are counted as HF cells.
    UNASSIGNED: We aim to determine the diagnostic utility of HF cells in predicting the presence of malignant cells in serous effusions.
    UNASSIGNED: HF cell counts were done on 209 serous fluid samples using the body fluid mode of Mindray BC-6800 plus haematology analyser. Papanicilaou-stained smears of all samples were examined for the presence of malignant cells by a panel of cytopathologists. ROC curve analysis was done to determine the sensitivity and specificity of HF cells in malignant effusions.
    UNASSIGNED: Out of 209 samples, malignant cells were found by microscopy in 97 cases (46.4%). The absolute number and percentage of HF cells were significantly higher (P < 0.001) in malignant effusions (HF# = 24.9 cells/ul, HF% = 10.4%) when compared to non-malignant samples (HF# = 4.95 cells/ul, HF% = 5.76%). ROC curve analysis determined an optimal cut-off of ≥30 HF cells/ul (sensitivity = 73.91, specificity = 55.66%) for the prediction of malignant cells.
    UNASSIGNED: HF cells in serous effusions can be a helpful tool to aid the pathologist, but it is not an ideal screening test due to its low sensitivity (67.74%) and negative likelihood ratio (0.5) at a cut-off of ≥30 HF cells/ul. However, due to high specificity of 83.18% at a cut-off of ≥72 HF cells/ul, a meticulous search for malignant cells should be done on microscopy.
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  • 文章类型: Journal Article
    非洲猪瘟(ASF)是最致命的猪病之一,造成重大经济损失,威胁粮食安全,并限制受影响国家的生猪生产。在没有有效的ASF疫苗的情况下,ASF的预防和控制主要取决于有效的生物安全措施。在这项研究中,SAFER®的功效,含有粘土的粉末状消毒剂,一种酸性络合物,和活性成分百里香精油,对ASF病毒进行了测试。结果表明,在用SAFER®处理20和120分钟后,ASFV分离株(VNUA/HY/ASF1/越南/2019)被3.5和5Log10HAD50/ml灭活,分别。当体液被ASFV污染时,比如血,唾液,尿液,和粪便,用SAFER®处理20分钟,ASFV滴度降低1.6、2.2、2.0和2.2Log10HAD50/ml,分别。
    African swine fever (ASF) is one of the deadliest swine diseases, causing significant economic losses, threatening food security, and limiting pig production in affected countries. In the absence of an effective ASF vaccine, prevention and control of ASF depend mainly on effective biosecurity measures. In this study, the efficacy of SAFER®, a powdered disinfectant containing clay, an acid complex, and the active ingredient thyme essential oil, was tested against the ASF virus. The results showed that ASFV isolate (VNUA/HY/ASF1/Vietnam/2019) was inactivated by 3.5 and 5 Log10HAD50/ml after 20 and 120 min of treatment with SAFER®, respectively. When body fluids contaminated with ASFV, such as blood, saliva, urine, and feces, were treated with SAFER® for 20 min, the ASFV titer was reduced by 1.6, 2.2, 2.0, and 2.2 Log10HAD50/ml, respectively.
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  • 文章类型: Journal Article
    骨移植对于骨再生至关重要。最近的研究已经提出使用柠檬酸钙(CC)作为潜在的移植材料。值得注意的是,在特定的钙与柠檬酸盐摩尔比下,柠檬酸盐不会抑制羟基磷灰石(HAp)的形成。磷酸八钙(OCP)/明胶(凝胶)复合材料,通常由猪凝胶产生,因其生物降解性和骨替代能力而受到重视。这项研究引入了鱼凝胶作为猪凝胶的替代品,因为它具有广泛的接受度和生态友好性。这是第一个检查两种成骨材料之间相互作用的研究,OCP/CC,以及不同明胶基质成分对SBF中HAp形成的影响。将具有不同CC含量的样品浸入SBF中7d,并使用各种技术进行分析。确认高CC剂量可防止HAp形成,而较低的剂量有助于它。值得注意的是,小尺寸的OCP/CC/猪凝胶复合材料表现出高HAp生成率。猪凝胶复合材料形成更致密的HAp簇,而鱼凝胶复合材料形成更大的球形HAps。这表明较低的CC剂量不仅避免抑制HAp形成,而且用OCP/凝胶复合物增强它。与猪凝胶相比,鱼凝胶复合材料显示出较少的成核,但HAp的晶体生长增加。
    Bone grafting is crucial for bone regeneration. Recent studies have proposed the use of calcium citrate (CC) as a potential graft material. Notably, citrate does not inhibit hydroxyapatite (HAp) formation at specific calcium-to-citrate molar ratios. Octacalcium phosphate (OCP)/gelatine (Gel) composites, which are commonly produced from porcine Gel, are valued for their biodegradability and bone replacement capability. This study introduces fish Gel as an alternative to porcine Gel because of its wide acceptance and eco-friendliness. This is the first study to examine the interaction effects between two osteogenic materials, OCP/CC, and the influence of different gelatine matrix components on HAp formation in an SBF. Samples with varying CC contents were immersed in an SBF for 7 d and analysed using various techniques, confirming that high CC doses prevent HAp formation, whereas lower doses facilitate it. Notably, small-sized OCP/CC/porcine Gel composites exhibit a high HAp generation rate. Porcine Gel composites form denser HAp clusters, whereas fish Gel composites form larger spherical HAps. This suggests that lower CC doses not only avoid inhibiting HAp formation but also enhance it with the OCP/Gel composite. Compared with porcine Gel, fish Gel composites show less nucleation but an increased crystal growth for HAp.
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  • 文章类型: Journal Article
    在狭小的空间中取样液体以检索化学物质和微生物组可以实现微创监测人体生理状况,以了解疾病的发展并进行早期筛查。然而,现有的工具要么是侵入性的,要么太大,不能在曲折和狭窄的空间中采样液体。在这里,我们报告了一种基本的液体采样机制,该机制使毫米级软胶囊能够在密闭空间中采样液体。微型胶囊是由灵活的电磁阀和超吸收聚合物,完全无线控制按需流体采样。一组微型胶囊可以使用滚动运动安全地在充满液体和狭窄的空间中导航。按需触发的整合,采样,密封机制和敏捷的团队运动使我们能够展示对软胶囊的精确控制,在体模和离体动物器官中导航和采样体液,由超声和X射线医学成像引导。所提出的机制和无线控制设备刺激了用于微创疾病诊断的下一代技术。
    Sampling liquids in small and confined spaces to retrieve chemicals and microbiomes could enable minimally invasive monitoring human physiological conditions for understanding disease development and allowing early screening. However, existing tools are either invasive or too large for sampling liquids in tortuous and narrow spaces. Here we report a fundamental liquid sampling mechanism that enables millimeter-scale soft capsules for sampling liquids in confined spaces. The miniature capsule is enabled by flexible magnetic valves and superabsorbent polymer, fully wirelessly controlled for on-demand fluid sampling. A group of miniature capsules could navigate in fluid-filled and confined spaces safely using a rolling locomotion. The integration of on-demand triggering, sampling, and sealing mechanism and the agile group locomotion allows us to demonstrate precise control of the soft capsules, navigating and sampling body fluids in a phantom and animal organ ex vivo, guided by ultrasound and x-ray medical imaging. The proposed mechanism and wirelessly controlled devices spur the next-generation technologies for minimally invasive disease diagnosis.
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  • 文章类型: Journal Article
    物理证据中染料的确证鉴定,如头发和织物,在法医中至关重要。该信息可用于证明感兴趣的人与犯罪现场之间的联系。高效液相色谱法广泛用于染料分析。然而,这项技术是破坏性和费力的。这个问题可以通过近红外激发拉曼光谱(NIeRS)来克服,非侵入性和非破坏性技术,可用于确定高荧光染料的化学结构。分析的织物材料通常具有体液污渍,这可能会掩盖基于NIeRS的染料鉴定的准确性。在这项研究中,我们调查了织物污染体液会改变NIeRS准确性的程度。我们的结果表明,NIeRS与偏最小二乘判别分析(PLS-DA)相结合,可以平均准确地鉴定干血污染的织物上的染料97.6%,尿液和精液.我们还发现NIeRS可以用来鉴别血液,尿液和精液在这种织物上的准确率为99.4%。此外,NIeRS可用于区分干湿血液,以及显示洗过的织物上存在血液。这些结果表明,NIeRS与PLS-DA耦合可以作为一种可靠可靠的分析方法用于织物的法医分析。
    Confirmatory identification of dyes in the physical pieces of evidence, such as hair and fabric, is critically important in forensics. This information can be used to demonstrate the link between a person of interest and a crime scene. High performance liquid chromatography is broadly used for dye analysis. However, this technique is destructive and laborious. This problem can be overcome by near-Infrared excitation Raman spectroscopy (NIeRS), non-invasive and non-destructive technique that can be used to determine chemical structure of highly fluorescent dyes. Analyzed fabric materials often possess body fluid stains, which may obscure the accuracy of NIeRS-based identification of dyes. In this study, we investigate the extent to which fabric contamination with body fluids can alter the accuracy of NIeRS. Our results showed that NIeRS coupled with partial-least squared discriminant analysis (PLS-DA) enabled on average 97.6% accurate identification of dyes on fabric contaminated with dry blood, urine and semen. We also found that NIeRS could be used to identify blood, urine and semen on such fabric with 99.4% accuracy. Furthermore, NIeRS could be used to differentiate between wet and dry blood, as well as reveal the presence of blood on washed fabric. These results indicate that NIeRS coupled with PLS-DA could be used as a robust and reliable analytical approach in forensic analysis of fabric.
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  • 文章类型: Journal Article
    反思性写作在学生中发展元认知。因此,将演讲后反思性写作的有效性与个人和小组反思性写作之间的说教性演讲进行比较是有意义的。因此,我们包括124名来自博帕尔的一年级学生,印度将他们分成两组,每组62名学生。两组都使用反思问卷进行了预测测试。学生被教导反思性写作。两组都参加了关于两个不同主题的生理学讲座。关于体液的第一次演讲,其中A组单独写反射,B组在子组(B1至B6)中这样做。在又一次关于水肿的病理生理学的讲座之后,A组以小组书写反射,B组单独书写(A1至A6)。两组都以MCQ的形式进行了关于课堂反思写作的测试。干预后,两组都使用反思问卷进行了后期测试。试验前的平均值和标准偏差分别为3.86±0.86和试验后的平均值和标准偏差分别为7.58±1.01。单独书写的反射的平均值和标准偏差为38.05±4.41,组中分别为27.45±3.93,p值<0.05。第二课后分组写反思的学生的评价,分别写反思的平均值和标准差分别为38.22±4.64和27.03±2.87,p值<0.05。与单独写反思的学生相比,小组写反思的学生的表现并不令人满意。
    Reflective writing develops meta-cognition among students. Therefore, it is of interest to compare effectiveness of post lecture reflective writing to didactic lecture between individual and group reflective writing. Hence, we included 124 first-year students from AIIMS Bhopal, India and divided them in two groups of 62 students. Both groups took a pre-test using a reflection questionnaire. Students were taught reflective writing. Both groups attended physiology lectures on two different topics. First lecture on body fluids where Group A wrote reflections individually and Group B did so in sub-groups (B1 to B6). After another lecture on Pathophysiology of oedema, Group A wrote reflections in groups and Group B wrote individually (A1 to A6). Both groups took a test in the form of MCQ about reflective writing on lectures. After intervention both groups took a post-test using a reflection questionnaire. Mean and standard deviation of Pre-test is 3.86 ± 0.86 and Post-test is 7.58 ± 1.01, respectively. The Mean and standard deviation of reflection who wrote individually is 38.05 ± 4.41 and in group is 27.45 ± 3.93, respectively with p-value < 0.05. Evaluation of students who wrote reflection in groups after second lecture the mean and standard deviation of reflection who wrote individually is 38.22 ± 4.64 and in group is 27.03 ± 2.87 respectively with p-value < 0.05. The performance of students who wrote reflection in groups is not satisfactory as compared to students who wrote their reflection individually.
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  • 文章类型: Journal Article
    Zr-50Ti合金由于其优异的力学性能和低磁化率而成为有前途的生物材料。然而,Zr-50Ti合金本身不能很好地与骨结合。本研究旨在提高用于骨科植入材料的Zr-50Ti合金的生物活性和结合强度。最初,Zr-50Ti合金的表面用硫酸溶液处理以产生微孔结构,增加表面粗糙度和面积。随后,通过在改性的模拟体液(m-SBF)中添加Mg2和/或CO32-离子来控制低结晶磷酸钙(L-CaP)的沉淀。然后对处理过的Zr-50Ti合金进行冷等静压,迫使m-SBF进入微孔,然后孵育以允许L-CaP形成。在模拟体液(SBF)中测试了磷灰石的形成过程。结果表明,Mg2和/或CO32-离子的掺入使L-CaP能够在仅一天内覆盖Zr-50Ti合金的整个表面。在SBF中短期浸泡后,L-CaP层,由Mg2+和/或CO32-离子调制,在Zr-50Ti合金表面形成均匀的羟基磷灰石(HA)涂层,显示出优化骨整合的潜力。在SBF中浸泡14天后,磷灰石层与合金之间的结合强度有可能满足22MPa的骨科应用要求。这项研究证明了一种有效的方法来提高用于骨科应用的Zr-50Ti合金的生物活性和结合强度。
    Zr-50Ti alloys are promising biomaterials due to their excellent mechanical properties and low magnetic susceptibility. However, Zr-50Ti alloys do not inherently bond well with bone. This study aims to enhance the bioactivity and bonding strength of Zr-50Ti alloys for orthopedic implant materials. Initially, the surface of Zr-50Ti alloys was treated with a sulfuric acid solution to create a microporous structure, increasing surface roughness and area. Subsequently, low crystalline calcium phosphate (L-CaP) precipitation was controlled by adding Mg2+ and/or CO32- ions in modified simulated body fluid (m-SBF). The treated Zr-50Ti alloys were then subjected to cold isostatic pressing to force m-SBF into the micropores, followed by incubation to allow L-CaP formation. The apatite-forming process was tested in simulated body fluid (SBF). The results demonstrated that the incorporation of Mg2+ and/or CO32- ions enabled the L-CaP to cover the entire surface of Zr-50Ti alloys within only one day. After short-term soaking in SBF, the L-CaP layer, modulated by Mg2+ and/or CO32- ions, formed a uniform hydroxyapatite (HA) coating on the surface of the Zr-50Ti alloys, showing potential for optimized bone integration. After soaking in SBF for 14 days, the bonding strength between the apatite layer and alloy has the potential to meet the orthopedic application requirement of 22 MPa. This study demonstrates an effective method to enhance the bioactivity and bonding strength of Zr-50Ti alloys for orthopedic applications.
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  • 文章类型: Journal Article
    人体液中的分泌蛋白具有作为疾病生物标志物的潜力。这些生物标志物可用于疾病的早期诊断和风险预测。因此对人体体液分泌蛋白的研究具有很大的应用价值。近年来,基于深度学习的转换语言模型已经从自然语言处理(NLP)领域转移到蛋白质组学领域,导致用于蛋白质序列表示的蛋白质语言模型(PLMs)的发展。这里,我们提出了一个名为ESM预测分泌蛋白质(ESMSec)的深度学习框架,以预测人体体液中分泌的三种蛋白质。ESMSec基于ESM2模型和注意力架构。具体来说,首先将蛋白质序列数据放入ESM2模型,从最后一个隐藏层提取特征信息,所有的输入蛋白质都被编码成一个固定的1000×480矩阵。其次,采用具有完全连接的神经网络的多头注意力作为分类器,根据它们是否被分泌到每个体液中进行二元分类。我们的实验利用了三种人体体液,它们是重要且普遍存在的标志物。实验结果表明,EMSec在等离子体测试数据集上达到了0.8486、0.8358和0.8325的平均精度,脑脊液(CSF),和精液,平均而言,它的表现优于最先进的(SOTA)方法。ESMSec的出色性能结果表明,ESM可以提高模型的预测性能,并且在筛选人体体液蛋白质的分泌信息方面具有很大的潜力。
    The secreted proteins of human body fluid have the potential to be used as biomarkers for diseases. These biomarkers can be used for early diagnosis and risk prediction of diseases, so the study of secreted proteins of human body fluid has great application value. In recent years, the deep-learning-based transformer language model has transferred from the field of natural language processing (NLP) to the field of proteomics, leading to the development of protein language models (PLMs) for protein sequence representation. Here, we propose a deep learning framework called ESM Predict Secreted Proteins (ESMSec) to predict three types of proteins secreted in human body fluid. The ESMSec is based on the ESM2 model and attention architecture. Specifically, the protein sequence data are firstly put into the ESM2 model to extract the feature information from the last hidden layer, and all the input proteins are encoded into a fixed 1000 × 480 matrix. Secondly, multi-head attention with a fully connected neural network is employed as the classifier to perform binary classification according to whether they are secreted into each body fluid. Our experiment utilized three human body fluids that are important and ubiquitous markers. Experimental results show that ESMSec achieved average accuracy of 0.8486, 0.8358, and 0.8325 on the testing datasets for plasma, cerebrospinal fluid (CSF), and seminal fluid, which on average outperform the state-of-the-art (SOTA) methods. The outstanding performance results of ESMSec demonstrate that the ESM can improve the prediction performance of the model and has great potential to screen the secretion information of human body fluid proteins.
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  • 文章类型: Journal Article
    该研究评估了程序错误对遥感系统(ReDS)的影响,非侵入性肺液评估技术,在亚洲队列中。健康志愿者按照制造商的说明进行了ReDS测量,间隔一分钟进行两次连续测量。20名参与者的子集修改了手术设置。使用组内相关系数(ICC)测量可靠性。这项研究包括86名健康志愿者,所有ReDS测量值均在推荐的正常范围内。ReDS测量的内部评估者可靠性非常好,ICC为0.968。在20个受试者的子集中,身高和体重的偏差对ReDS值没有显著影响.然而,胸部大小偏差±3厘米对ReDS测量有明显影响,错误的电台选择导致ReDS读数波动。总之,ReDS系统在亚洲队列中显示了出色的评分者内部可靠性和适用性。程序错误,如胸部尺寸测量和工位选择,显著影响ReDS测量。遵守标准化操作程序对于确保准确和一致的结果至关重要。这些发现强调了在使用ReDS进行肺液评估时遵守制造商说明的重要性,从而提高其可靠性和临床适用性。
    The study assessed the impact of procedural errors on the remote dielectric sensing system (ReDS), a non-invasive lung fluid assessment technology, in an Asian cohort. Healthy volunteers underwent ReDS measurements following manufacturer\'s instructions, with two consecutive measurements one minute apart. A subset of 20 participants had modified procedure settings. Reliability was measured using intraclass correlation coefficient (ICC). The study included 86 healthy volunteers, and all ReDS measurements fell within the recommended normal range. The intra-rater reliability of ReDS measurements was excellent, with an ICC of 0.968. Among the subset of 20 subjects, deviations in height and weight did not significantly affect ReDS values. However, deviations in chest size by ± 3 cm had a noticeable impact on ReDS measures, and incorrect station selection led to fluctuations in ReDS readings. In conclusion, the ReDS system demonstrated excellent intra-rater reliability and applicability in an Asian cohort. Procedural errors, such as chest size measurement and station selection, significantly influenced ReDS measurements. Adherence to standardized operating procedures is crucial to ensure accurate and consistent results. These findings highlight the importance of adherence to manufacturer instructions when utilizing ReDS for lung fluid assessment, thereby enhancing its reliability and clinical applicability.
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