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The measurement of blood pH and gas analytes (BPGA), soon after birth, constitutes the first-line standard of care procedure in high-risk newborns. However, no data is available in capillary blood on perinatal bias such as gestational age (GA), weight at birth (BW), delivery mode, and gender. The aims of the present study were to investigate whether in a cohort of healthy preterm (PT) and term (T) infants BPGA were GA, BW, delivery mode and gender dependent, thus affecting BPGA reliability as diagnostic test. We performed a prospective case-control study in 560 healthy infants (PT: n=115, T: n=445). BPGA was measured within 24-h from birth. Perinatal characteristics, outcomes, and clinical examination were also recorded. PT infants showed higher (p<0.001) carbon dioxide partial pressure (pCO2), fraction of fetal hemoglobin (HbF), base excess (BE), bicarbonate (HCO3), and lower lactate (Lac) levels. When corrected for delivery mode, higher (p<0.001) HbF, BE, HCO3, and lower Lac levels were found. Similarly, higher (p<0.05, for all) pCO2, HbF, BE, HCO3 and lower Lac levels were found between female and male PT and T infants. Repeated multiple logistic regression analysis showed that BPGA was GA, BW, delivery mode and gender dependent. The present results showing that BPGA can be affected by a series of perinatal outcomes open the way to further investigations providing longitudinal BPGA reference curves in the transitional phase, thus empowering BPGA role as a reliable diagnostic and therapeutic strategies efficacy marker. [ABSTRACT FROM AUTHOR]

Dietary acid load is a known and important risk factor for noncommunicable diseases such as cancer. However, despite the link between cancer and acid load in the body, strategies related to this effect have not been properly investigated to reduce the risk of cancer. According to the Warburg Hypothesis, inadequate oxygen delivery to the tissues and an acidic cellular environment are the main causes of cancer. Hence, many cancers may be controlled by maintaining an optimal alkaline pH at the cellular level along with sufficient oxygenation and providing essential nutrients. An acid-forming diet may produce more acid than is excreted by the kidneys and lead to chronic acidosis and a significant increase in the risk of cancer. This unfavorable situation can be effectively managed by presence of sufficient alkaline compounds in the body and by neutralization of excess acids produced around the cells that can lead to the control of the growth and spread of cancer cells too. This review shows the correct and practical use of the Warburg hypothesis for more effective control of preventable cancers. considering Warburg hypothesis as a potential complementary strategy, it may help improve cancer treatment outcomes and increase survival rate.

Abstract Background Data on the factors affecting blood ionized calcium concentration (ciCa2+) and diagnostic performance of serum total calcium concentration (ctCa) measurements to detect abnormal blood iCa2+ status are lacking in sick adult cattle. Objective Assess the association of ciCa2+ with venous blood pH, plasma concentrations of chloride (cCl), sodium (cNa), and potassium (cK), and ctCa, and total protein, albumin, and globulin concentrations in sick adult cattle. Animals Two‐hundred and sixty‐five adult cattle (≥1‐year‐old) with different diseases. Methods Prospective study. Whole blood pH, ciCa2+, cNa, cK, and cCl were measured using a blood gas and electrolyte analyzer, whereas ctCa, and total protein, and albumin concentrations were determined using an autoanalyzer. The relationship between ciCa2+ and venous blood pH, plasma cCl, cNa, cK, and ctCa, and total protein, albumin, and globulin concentrations was investigated. Sensitivity and specificity were calculated for ctCa for diagnosis of abnormal ciCa2+. Results Sensitivity of ctCa measurements to detect abnormal ciCa2+ was 66.0% whereas specificity of ctCa measurements was 72.3%. Serum total calcium concentration measurements accounted for 42% of adjusted blood ionized calcium (iCa2+7.40) concentration variance. Plasma cCl, and cK had explanatory power of ciCa2+7.40, accounting for an additional 21% and 9% of the variance, respectively. Conclusions and Clinical Importance Serum tCa measurements failed to accurately predict blood iCa2+ status in ill adult cattle. Serum tCa concentrations and plasma cCl were the strongest predictors of ciCa2+ in sick adult cattle.

The advantages of optical fiber sensors include their miniaturization, strong anti-interference ability, high sensitivity, low cost, and fast response speed. They can be used for in situ detection in harsh environments, making them suitable for a wide range of applications such as blood detection and monitoring. This technology holds great potential for medical diagnosis and health monitoring, opening up new possibilities in the field. Coating technology plays a crucial role in enhancing the sensitivity and stability of optical fiber sensors, ultimately improving their measurement accuracy and reliability. This manuscript expounds the application status and progression of optical fiber sensors in the determination of blood glucose concentrations, blood pH, diverse proteins in blood, and physical properties of blood. The principle of optical fiber sensors and the application of coating technology for detecting varying targets are scrutinized in detail, with particular emphasis on the advantages and limitations of distinct design schemes. The adept amalgamation of optical fiber sensing technology and coating technology amplifies the adaptability of optical fiber sensors in diverse practical scenarios, thereby presenting novel instruments and methodologies for researchers in pertinent fields to augment their advancement and development. [ABSTRACT FROM AUTHOR]

Background: Data on the factors affecting blood ionized calcium concentration (ciCa2+) and diagnostic performance of serum total calcium concentration (ctCa) measurements to detect abnormal blood iCa2+ status are lacking in sick adult cattle. Objective: Assess the association of ciCa2+ with venous blood pH, plasma concentrations of chloride (cCl), sodium (cNa), and potassium (cK), and ctCa, and total protein, albumin, and globulin concentrations in sick adult cattle. Animals: Two‐hundred and sixty‐five adult cattle (≥1‐year‐old) with different diseases. Methods: Prospective study. Whole blood pH, ciCa2+, cNa, cK, and cCl were measured using a blood gas and electrolyte analyzer, whereas ctCa, and total protein, and albumin concentrations were determined using an autoanalyzer. The relationship between ciCa2+ and venous blood pH, plasma cCl, cNa, cK, and ctCa, and total protein, albumin, and globulin concentrations was investigated. Sensitivity and specificity were calculated for ctCa for diagnosis of abnormal ciCa2+. Results: Sensitivity of ctCa measurements to detect abnormal ciCa2+ was 66.0% whereas specificity of ctCa measurements was 72.3%. Serum total calcium concentration measurements accounted for 42% of adjusted blood ionized calcium (iCa2+7.40) concentration variance. Plasma cCl, and cK had explanatory power of ciCa2+7.40, accounting for an additional 21% and 9% of the variance, respectively. Conclusions and Clinical Importance: Serum tCa measurements failed to accurately predict blood iCa2+ status in ill adult cattle. Serum tCa concentrations and plasma cCl were the strongest predictors of ciCa2+ in sick adult cattle. [ABSTRACT FROM AUTHOR]

Background: Given that arterial blood gas is affected by altitude and ethnicity, establishing reliable reference standards for these values requires analysis of arterial blood at different elevations and locations. Our objective was to measure the arterial blood gases of healthy young volunteers in Huamachuco, Peru, at 3,164 m above sea level. This is likely the first study of arterial blood gas analysis of healthy Northern Peruvians living at high altitude. Methods: Healthy residents of Huamachuco were recruited for this cross-sectional convenience sample study and arterial blood was drawn by standard procedures. People with obesity, diabetes, high levels of physical activity and a history of using selected substances were excluded. The samples were analyzed on-site in less than 15 minutes using a Stat Profile Prime CCS analyzer (Nova Biomedical). Results: Data from 46 participants (17 male, 29 female) were included in the study. The median values for arterial blood pH, oxygen, carbon dioxide, ionized calcium, glucose, lactate, hematocrit, oxygen saturation, and bicarbonate were 7.42, 9.3 kPa (70 mmHg), 4.5 kPa (33.5 mmHg), 1.04 mM, 5.19 mM, 1.8 mM, 50 %, 94 %, and 21.6 mM, respectively. We also found a lower prevalence of diabetes among highlanders compared to the Peruvian population. Conclusions: The results determined here were comparable to other results determined at different altitudes in the Americas, although arterial blood oxygen was slightly higher than predicted. These results indicate that Northern Peruvians have an Andean-style adaptation to high altitude.

Background: Given that arterial blood gas is affected by altitude and ethnicity, establishing reliable reference standards for these values requires analysis of arterial blood at different elevations and locations. Our objective was to measure the arterial blood gases of healthy young volunteers in Huamachuco, Peru, at 3,164 m above sea level. This is likely the first study of arterial blood gas analysis of healthy Northern Peruvians living at high altitude. Methods: Healthy residents of Huamachuco were recruited for this cross-sectional convenience sample study and arterial blood was drawn by standard procedures. People with obesity, diabetes, high levels of physical activity and a history of using selected substances were excluded. The samples were analyzed on-site in less than 15 minutes using a Stat Profile Prime CCS analyzer (Nova Biomedical). Results: Data from 46 participants (17 male, 29 female) were included in the study. The median values for arterial blood pH, oxygen, carbon dioxide, ionized calcium, glucose, lactate, hematocrit, oxygen saturation, and bicarbonate were 7.42, 9.3 kPa (70 mmHg), 4.5 kPa (33.5 mmHg), 1.04 mM, 5.19 mM, 1.8 mM, 50 %, 94 %, and 21.6 mM, respectively. We also found a lower prevalence of diabetes among highlanders compared to the Peruvian population. Conclusions: The results determined here were comparable to other results determined at different altitudes in the Americas, although arterial blood oxygen was slightly higher than predicted. These results indicate that Northern Peruvians have an Andean-style adaptation to high altitude.

Background: Contraction alkalosis is characterized by low serum sodium and chloride and high serum carbon dioxide and bicarbonate levels. Case Report: A 28-year-old Caucasian active-duty male with a history of autosomal dominant polycystic kidney disease and diarrhea-predominant Irritable Bowel Syndrome (D-IBS) presented to his primary care provider (PCP) with elevated blood pressure (136/96 mmHg), was diagnosed with stage-2 hypertension, and started oral HCTZ (25 mg/day). His medications included dicyclomine (10 mg oral three times daily). Subsequently, (Visit 1), his blood pressure was 130/91 mmHg and he was started on telmisartan (20 mg/day). At Visit 2, 4 weeks later, his blood pressure improved (121/73 mmHg); however, blood chemistry revealed elevated serum CO2 (32 mEq/L) and chloride (94 mmol/L). Four days later, the patient presented to the Emergency Department with dyspnea and swallowing difficulty. The patient returned to his PCP 3 days later complaining of cough, congestion, vomiting, and mild dyspnea, blood pressure of 124/84 mmHg. Two months later, sudden onset of projectile vomiting and abdominal pain while running was reported, resolved by rehydration and a single oral dose of prochlorperazine 25 mg. Three months later, (Visit 3), he complained of lightheadedness and cloudy judgment, suggesting contraction alkalosis. HCTZ was discontinued and telmisartan was increased to 20 mg twice daily. A follow-up blood chemistry panel 2 weeks later revealed serum chloride and CO2 levels within normal limits and blood pressure under 130/80 mmHg. Conclusion: This is the first known report of contraction alkalosis driven by drug–drug interaction between dicyclomine and HCTZ. [ABSTRACT FROM AUTHOR]

The article presents the results of a study on the correlation of different quality parameters in quail eggs. A positive correlation was found between egg weight and other parameters such as length, width, shell weight, dense albumen height, and albumen volume. It was also observed that the yolk pH increases along with the albumen pH, while it decreases with length and albumen volume. The Haugh index was positive in relation to dense albumen height and yolk height, but negative in relation to yolk diameter. In conclusion, most indicators of good quality showed a positive correlation among themselves, while indicators of low quality showed a positive correlation among themselves. [Extracted from the article]

The global outbreak of SARS-CoV-2/COVID-19 provided the stage to accumulate an enormous biomedical data set and an opportunity as well as a challenge to test new concepts and strategies to combat the pandemic. New research and molecular medical protocols may be deployed in different scientific fields, e.g., glycobiology, nanopharmacology, or nanomedicine. We correlated clinical biomedical data derived from patients in intensive care units with structural biology and biophysical data from NMR and/or CAMM (computer-aided molecular modeling). Consequently, new diagnostic and therapeutic approaches against SARS-CoV-2 were evaluated. Specifically, we tested the suitability of incretin mimetics with one or two pH-sensitive amino acid residues as potential drugs to prevent or cure long-COVID symptoms. Blood pH values in correlation with temperature alterations in patient bodies were of clinical importance. The effects of biophysical parameters such as temperature and pH value variation in relation to physical-chemical membrane properties (e.g., glycosylation state, affinity of certain amino acid sequences to sialic acids as well as other carbohydrate residues and lipid structures) provided helpful hints in identifying a potential Achilles heel against long COVID. In silico CAMM methods and in vitro NMR experiments (including 31P NMR measurements) were applied to analyze the structural behavior of incretin mimetics and SARS-CoV fusion peptides interacting with dodecylphosphocholine (DPC) micelles. These supramolecular complexes were analyzed under physiological conditions by 1H and 31P NMR techniques. We were able to observe characteristic interaction states of incretin mimetics, SARS-CoV fusion peptides and DPC membranes. Novel interaction profiles (indicated, e.g., by 31P NMR signal splitting) were detected. Furthermore, we evaluated GM1 gangliosides and sialic acid-coated silica nanoparticles in complex with DPC micelles in order to create a simple virus host cell membrane model. This is a first step in exploring the structure–function relationship between the SARS-CoV-2 spike protein and incretin mimetics with conserved pH-sensitive histidine residues in their carbohydrate recognition domains as found in galectins. The applied methods were effective in identifying peptide sequences as well as certain carbohydrate moieties with the potential to protect the blood–brain barrier (BBB). These clinically relevant observations on low blood pH values in fatal COVID-19 cases open routes for new therapeutic approaches, especially against long-COVID symptoms. [ABSTRACT FROM AUTHOR]

Background: Organic acids and ammonium salts added to drinking water can optimize productivity of broiler chickens. Objective: To evaluate the effect of acidifying drinking water on productive performance, blood and intestinal pH, and intestinal morphology of broilers. Methods: 1,400 one-day-old broiler chicks were used to evaluate two pH levels (4 and 6) of drinking water during three periods (1-21, 1-28, and 1-42 days of age). The treatments consisted of water added with a blend of formic acid (31%), propionic acid (19%), and their salts ammonium formate (26%), and ammonium propionate (6%) compared to a control group (pH 8). Results: Compared to the control, the groups consuming water at pH 6 (0.038 moles) continuously for 42 days improved (p≤0.01) live weight (2.785 vs 2.691 kg), feed conversion ratio (1.430 vs 1.463 kg/kg), and increased the number of intestinal villi (59.0 vs 55.7). Additionally, blood and intestinal pH was reduced vs the control group (7.75 vs 7.89; 6.32 vs 6.41, respectively). Conclusion: The blend of formic and propionic acids and their ammonium salts in drinking water at pH 6 during the complete production cycle of broilers improves performance, increases the number of intestinal villi, and reduces the pH of blood, duodenum, and ileum. [ABSTRACT FROM AUTHOR]

Introduction: The validity of adjusting dialysate bicarbonate based on pre‐hemodialysis (HD) serum bicarbonate is unclear. There are no studies of the impact of dialysate sodium on blood pH. Aims: To understand the impact of dialysate bicarbonate and sodium on blood pH. Methods: Two hundred arterialized blood samples were obtained on the third session of HD with four configurations of dialysate: sodium (140, 137 mEq/L) and bicarbonate (38, 32 mEq/L). Results: The correlation between pre‐HD serum bicarbonate and pH was modest (r = 0.6). A lower dialysate sodium (p = 0.035) and a higher bicarbonate (p = 0.02) associated with a higher post‐HD blood pH. The frequency of pre‐HD blood pH of <7.4 and a post‐HD blood pH of >7.5 did not differ for samples with serum bicarbonate <22, 22–26, or >26 mEq/L. Discussion/Conclusions: Adjusting dialysate buffer based on pre‐HD serum bicarbonate is unnecessary. A higher bicarbonate and lower dialysate sodium associate with post‐HD alkalemia. [ABSTRACT FROM AUTHOR]

Background: Given that arterial blood gas is affected by altitude and ethnicity, establishing reliable reference standards for these values requires analysis of arterial blood at different elevations and locations. Our objective was to measure the arterial blood gases of healthy young volunteers in Huamachuco, Peru, at 3,164 m above sea level. This is likely the first study of arterial blood gas analysis of healthy Northern Peruvians living at high altitude. Methods: Healthy residents of Huamachuco were recruited for this cross-sectional convenience sample study and arterial blood was drawn by standard procedures. People with obesity, diabetes, high levels of physical activity and a history of using selected substances were excluded. The samples were analyzed on-site in less than 15 minutes using a Stat Profile Prime CCS analyzer (Nova Biomedical). Results: Data from 46 participants (17 male, 29 female) were included in the study. The median values for arterial blood pH, oxygen, carbon dioxide, ionized calcium, glucose, lactate, hematocrit, oxygen saturation, and bicarbonate were 7.42, 9.3 kPa (70 mmHg), 4.5 kPa (33.5 mmHg), 1.04 mM, 5.19 mM, 1.8 mM, 50 %, 94 %, and 21.6 mM, respectively. We also found a lower prevalence of diabetes among highlanders compared to the Peruvian population. Conclusions: The results determined here were comparable to other results determined at different altitudes in the Americas, although arterial blood oxygen was slightly higher than predicted. These results suggest a pattern of adaptations similar to those seen among Andean high-altitude natives.

Background: Organic acids and ammonium salts added to drinking water can optimize productivity of broiler chickens. Objective: To evaluate the effect of acidifying drinking water on productive performance, blood and intestinal pH, and intestinal morphology of broilers. Methods: 1,400 one-day-old broiler chicks were used to evaluate two pH levels (4 and 6) of drinking water during three periods (1-21, 1-28, and 1-42 days of age). The treatments consisted of water added with a blend of formic acid (31%), propionic acid (19%), and their salts ammonium formate (26%), and ammonium propionate (6%) compared to a control group (pH 8). Results: Compared to the control, the groups consuming water at pH 6 (0.038 moles) continuously for 42 days improved (p≤0.01) live weight (2.785 vs 2.691 kg), feed conversion ratio (1.430 vs 1.463 kg/kg), and increased the number of intestinal villi (59.0 vs 55.7). Additionally, blood and intestinal pH was reduced vs the control group (7.75 vs 7.89; 6.32 vs 6.41, respectively). Conclusion: The blend of formic and propionic acids and their ammonium salts in drinking water at pH 6 during the complete production cycle of broilers improves performance, increases the number of intestinal villi, and reduces the pH of blood, duodenum, and ileum.

We aimed to identify potential physiological and performance differences of trained cross-country skiers (V˙o2max =60±4 ml ∙ kg–1 ∙ min–1) following two, 3-week long altitude modalities: 1) training at moderate altitudes (600–1700 m) and living at 1500 m (LMTM;N=8); and 2) training at moderate altitudes (600–1700 m) and living at 1500 m with additional nocturnal normobaric hypoxic exposures (FiO2 =0.17;LHTM; N=8). All participants conducted the same training throughout the altitude training phase and underwent maximal roller ski trials and submaximal cyclo-ergometery before, during and one week after the training camps. No exercise performance or hematological differences were observed between the two modalities. The average roller ski velocities were increased one week after the training camps following both LMTM (p=0.03) and LHTM (p=0.04) with no difference between the two (p=0.68). During the submaximal test, LMTM increased the Tissue Oxygenation Index (11.5±6.5 to 1.0±8.5%; p=0.04), decreased the total hemoglobin concentration (15.1±6.5 to 1.7±12.9 a.u.;p=0.02), and increased blood pH (7.36±0.03 to 7.39±0.03;p=0.03). On the other hand, LHTM augmented minute ventilation (76±14 to 88±10 l·min−1 ;p=0.04) and systemic blood oxygen saturation by 2±1%; (p=0.02) with no such differences observed following the LMTM. Collectively, despite minor physiological differences observed between the two tested altitude training modalities both induced comparable exercise performance modulation. [ABSTRACT FROM AUTHOR]

The onset of lactation is characterized by marked increases in calcium (Ca) metabolism. Recently emphasis was placed on understanding the profile and dynamics of blood Ca and serotonin in the peripartal cow in response to this change using a randomized 2x2 factorial design. The aims of our study were to determine i) how a prepartum dietary cation anion difference (DCAD) diet and the magnitude of Ca decline at the onset of lactation alter circulating blood serotonin and iCa concentrations dynamics in the periparturient cow, and ii) the relationship Ca versus serotonin during the peripartal period. Thirty-two multiparous Holstein cows were blocked by parity (2 vs > 2) to ensure equal parity number across the experiment, previous 305 d milk yield and expected parturition date and randomly allocated to either positive (+120 mEq/kg; +DCAD) or negative (-120 mEq/kg; -DCAD) DCAD diets from 251 d of gestation until parturition (n = 16/diet). Immediately after calving cows were continuously infused for 24 h with i) an intravenous solution of 10% dextrose or ii) calcium gluconate (CaGlc) to maintain blood ionized Ca concentrations at 1.2 mM (normocalcemia); forming the following 4 treatment groups: negative DCAD and CaGlc (NCa), negative DCAD and dextrose (NDex), positive DCAD and CaGlc (PCa), and positive DCAD and dextrose (PDex) (n = 8/treatment). Blood was sampled every 6 h from 102 h before parturition until 96 h post parturition. During the continuous infusion period (the 24 h immediately following parturition) cows were sampled every 30 min. Cows fed a -DCAD diet prepartum had greater circulating serotonin concentrations pre and postpartum. Time series analyses demonstrated that the pooled mean effect size (ES) of the relationship between ionized Ca and serotonin 36 h before parturition was significantly positive (ES = 0.164) prepartum. We also observed that the overall pooled mean ES of the relationship between prepartum blood pH 24 h prior and serotonin was significantly positive (ES = 0.111); however, for individual treatment groups, relationships were identified between blood pH and serotonin 18 and 6 h before only for the NDex group. Our data suggest that serotonin is an important factor in the regulation of Ca homeostasis during the prepartal period and that the mechanism may be integrated with blood pH., (© 2025, The Authors. Published by Elsevier Inc. on behalf of the American Dairy Science Association®. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).)

Maintaining mineral homeostasis as well as the secretion and metabolism of mineralotropic hormones is important for healthy of periparturient dairy cows. To increase the activity of mineralotropic hormones, blood pH can be adjusted. The purpose of this study was to investigate changes in blood pH and the mechanism of action of this change in induced hypercalcaemic cows.

Preservation of blood pH within a narrow range is essential to optimal physiological function. This narrow pH range is maintained via the interactions of various buffer systems. Blood gas analysis is thus essential in the diagnosis and management of disorders affecting blood pH. Common methods of acid-base interpretation in veterinary science are the traditional approach, the physicochemical approach and the semiquantitative approach. However, blood gas analysis is prone to error during the preanalytical, analytical and post-analytical phases of the laboratory process. The pre-analytical phase incorporates steps in obtaining the sample, thus sources of pre-analytical error are related to operator technique. Most errors occur during the pre-analytical phase. Pre-analytical errors include entrainment of air bubbles into the sample and delays between sampling and analysis, both of which cause inaccurate measurement of oxygen and carbon dioxide tensions. The analytical phase outlines processes within the analyser. Common analytical errors are related to substances confounding analyte measurements. The post-analytical phase mainly describes interpretation of the results. Some of the approaches to acid-base interpretation require extensive post-analytical calculations, thus lending themselves to error. Errors occurring during the prior phases will be amplified. Errors in the measurement of the carbon dioxide tension (from which bicarbonate concentration and base excess are calculated) will introduce error into all three methods of acid-base interpretation. Furthermore, errors occurring in the measurements of electrolytes and lactate will result in incorrect interpretations if the physicochemical and semiquantitative approaches are applied. The potential sources of error during the various phases are reviewed. [ABSTRACT FROM AUTHOR]

The global outbreak of SARS-CoV-2/COVID-19 provided the stage to accumulate an enormous biomedical data set and an opportunity as well as a challenge to test new concepts and strategies to combat the pandemic. New research and molecular medical protocols may be deployed in different scientific fields, e.g., glycobiology, nanopharmacology, or nanomedicine. We correlated clinical biomedical data derived from patients in intensive care units with structural biology and biophysical data from NMR and/or CAMM (computer-aided molecular modeling). Consequently, new diagnostic and therapeutic approaches against SARS-CoV-2 were evaluated. Specifically, we tested the suitability of incretin mimetics with one or two pH-sensitive amino acid residues as potential drugs to prevent or cure long-COVID symptoms. Blood pH values in correlation with temperature alterations in patient bodies were of clinical importance. The effects of biophysical parameters such as temperature and pH value variation in relation to physical-chemical membrane properties (e.g., glycosylation state, affinity of certain amino acid sequences to sialic acids as well as other carbohydrate residues and lipid structures) provided helpful hints in identifying a potential Achilles heel against long COVID. In silico CAMM methods and in vitro NMR experiments (including 31P NMR measurements) were applied to analyze the structural behavior of incretin mimetics and SARS-CoV fusion peptides interacting with dodecylphosphocholine (DPC) micelles. These supramolecular complexes were analyzed under physiological conditions by 1H and 31P NMR techniques. We were able to observe characteristic interaction states of incretin mimetics, SARS-CoV fusion peptides and DPC membranes. Novel interaction profiles (indicated, e.g., by 31P NMR signal splitting) were detected. Furthermore, we evaluated GM1 gangliosides and sialic acid-coated silica nanoparticles in complex with DPC micelles in order to create a simple virus host cell membrane model. This is a first step in exploring the structure–function relationship between the SARS-CoV-2 spike protein and incretin mimetics with conserved pH-sensitive histidine residues in their carbohydrate recognition domains as found in galectins. The applied methods were effective in identifying peptide sequences as well as certain carbohydrate moieties with the potential to protect the blood–brain barrier (BBB). These clinically relevant observations on low blood pH values in fatal COVID-19 cases open routes for new therapeutic approaches, especially against long-COVID symptoms.

Among the various diagnostic tests for the detection of malarial parasites, peripheral blood smear examination is the most common test performed for species identification by assessing the morphology of various developmental stages. The stages usually seen on the peripheral blood smear of a patient with Plasmodium vivax infection include schizonts, trophozoite forms and gametocytes. In the lifecycle of malarial parasites, exflagellation of microgametes usually occurs within the mosquito and is an extremely rare finding in human blood. Here, the author report a case of a 24-year-old female patient, who presented with Plasmodium vivax infection and exflagellated microgametes in the peripheral blood smear. To date, there have been only three cases reported from India that demonstrated similar findings. Due to it's rarity, it is crucial to be aware of such unusual exflagellated forms in the context of diagnostics to differentiate between malaria and coinfection with haemoparasites such as spirochetes and trypanosomes.

The present study was designed to determine the acute effect of sodium bicarbonate (NaHCO3) on the number of sprint repetitions during sprint high-intensity intermittent testing. In addition, blood biochemical (pH, HCO3-, and lactate) responses measured in three occasions were investigated. Thirteen male well-trained sprinters (24.65±3.44 yrs) performed two consecutive trials (7 days apart). Athletes were assigned randomly either to ingest a single dose of NaHCO3 (0.3 g/kg) 1 h prior to exercise or placebo using a double-blind crossover design. The intermittent sprint test consisted of 60 s treadmill sprints (90% of maximal work done) and 30-s recovery repeated intermittently until volitional exhaustion. Blood samples were collected from all athletes before exercise, after 1 h of dose intake, and after exercise in each trial. Paired sample t-testing showed that athletes complete significantly more sprint repetitions (p=0.036) during the intermittent sprint test with NaHCO3 (6.846±3.114) than with the placebo (5.538±3.872). Data also revealed no differences between trials in all blood responses at pre-exercise. After 1 h of dose consumption, however, blood pH and HCO3- were higher with NaHCO3 than with placebo (p0.05). After completion of the test, all blood responses were significantly higher with NaHCO3 than with placebo (p

Objectives: The artificial neural network (ANN) analysis was used to predict the exact staying period of patients with sepsis have undergone hemoadsorption hospitalized in the General Intensive Care Unit (ICU) of X University Hospital. Methods: ANN model was successfully developed having 21 neurons in total (11 neurons at the first level, 9 neurons at the second level, and 1 neuron at the third level) using a computer program. The created network was trained using our real data and the fermi function of the system was determined by the program and then the program was able to predict possible staying time prior to real-time. Main variables of interest: Staying periods (days), ages, number of comorbidities, hemoperfusion periods (days), blood pH, C-Reactive Protein, procalcitonin, and blood lactate levels were inputs. Results: Predicted values were plotted to real data and the determination coefficient was found to be r2= 0.802. This relation was found to be good to predict the possible staying times of patients with sepsis treated using hemoadsorption in the ICU for a better organization and reducing the total cost. Conclusion: The artificial neural network modeling and this prediction were found to be useful for predicting patients staying time at ICU. [ABSTRACT FROM AUTHOR]

Objective: At present, the entire world is fighting against the coronavirus disease 2019 (COVID-19) pandemic. Despite all the possible efforts, there is no proven and effective medicine or vaccine discovered till date. There are strong reasons for demanding alternative therapies that could be used in the prevention and treatment of COVID-19. Data Source and Review methods: An extensive literary and multiple database (Science Direct, PubMed, Springer, and Google Scholar) search was carried out for related published works on kshara and alkali in the domains of Ayurvedic, traditional, and modern knowledge. Kshara (alkali) made of aswagandha, tulasi, and pippali is used as a medicine and a dietetic adjuvant in respiratory diseases in Ayurveda. “Khar” is one of the popular traditional food items of Northeast India, well known for different therapeutics. Kshara (alkaline water), prepared from banana and black gram, contains a rich amount of potassium (K), chloride (Cl), calcium (Ca), magnesium (Mg), and iron (Fe), with pH of 10.22–13.00 and 10.02, respectively. Kolakhar (alkali made of banana) has been found to inhibit the growth of different pathogens in in vitro studies. Result and Discussion: Alkaline environment within the normal range of blood pH positively influences the inflammatory, immune, and antiviral mechanisms of the body, which is said to be one of the reasons to keep the body healthy and immune to disease. There is scientific evidence regarding the effectiveness of kshara in treating viral respiratory infections. In vitro studies have demonstrated the inactivation effect of alkaline medium on respiratory viruses. Conclusion: Kshara could be a potential pharmacotherapy and food adjuvant in the prevention and treatment of COVID-19.

Objectives: The measurement of blood pH and gas analytes (BPGA), soon after birth, constitutes the first-line standard of care procedure in high-risk newborns. However, no data is available in capillary blood on perinatal bias such as gestational age (GA), weight at birth (BW), delivery mode, and gender. The aims of the present study were to investigate whether in a cohort of healthy preterm (PT) and term (T) infants BPGA were GA, BW, delivery mode and gender dependent, thus affecting BPGA reliability as diagnostic test., Methods: We performed a prospective case-control study in 560 healthy infants (PT: n=115, T: n=445). BPGA was measured within 24-h from birth. Perinatal characteristics, outcomes, and clinical examination were also recorded., Results: PT infants showed higher (p<0.001) carbon dioxide partial pressure (pCO 2 ), fraction of fetal hemoglobin (HbF), base excess (BE), bicarbonate (HCO 3 ), and lower lactate (Lac) levels. When corrected for delivery mode, higher (p<0.001) HbF, BE, HCO 3 , and lower Lac levels were found. Similarly, higher (p<0.05, for all) pCO 2 , HbF, BE, HCO 3 and lower Lac levels were found between female and male PT and T infants. Repeated multiple logistic regression analysis showed that BPGA was GA, BW, delivery mode and gender dependent., Conclusions: The present results showing that BPGA can be affected by a series of perinatal outcomes open the way to further investigations providing longitudinal BPGA reference curves in the transitional phase, thus empowering BPGA role as a reliable diagnostic and therapeutic strategies efficacy marker., (© 2024 Walter de Gruyter GmbH, Berlin/Boston.)

Background and Objectives: In the intensive care unit (ICU), renal failure and respiratory failure are two of the most common organ failures in patients with systemic inflammatory response syndrome (SIRS). These clinical symptoms usually result from sepsis, trauma, hypermetabolism or shock. If this syndrome is caused by septic shock, the Surviving Sepsis Campaign Bundle suggests that vasopressin be given to maintain mean arterial pressure (MAP) > 65 mmHg if the patient is hypotensive after fluid resuscitation. Nevertheless, it is important to note that some studies found an effect of various mean arterial pressures on organ function; for example, a MAP of less than 75 mmHg was associated with the risk of acute kidney injury (AKI). However, no published study has evaluated the risk factors of mortality in the subgroup of acute kidney injury with respiratory failure, and little is known of the impact of general risk factors that may increase the mortality rate. Materials and Methods: The objective of this study was to determine the risk factors that might directly affect survival in critically ill patients with multiple organ failure in this subgroup. We retrospectively constructed a cohort study of patients who were admitted to the ICUs, including medical, surgical, and neurological, over 24 months (2015.1 to 2016.12) at Chiayi Chang Gung Memorial Hospital. We only considered patients who met the criteria of acute renal injury according to the Acute Kidney Injury Network (AKIN) and were undergoing mechanical ventilator support due to acute respiratory failure at admission. Results: Data showed that the overall ICU and hospital mortality rate was 63.5%. The most common cause of ICU admission in this cohort study was cardiovascular disease (31.7%) followed by respiratory disease (28.6%). Most patients (73%) suffered sepsis during their ICU admission and the mean length of hospital stay was 24.32 ± 25.73 days. In general, the factors independently associated with in-hospital mortality were lactate > 51.8 mg/dL, MAP ≤ 77.16 mmHg, and pH ≤ 7.22. The risk of in-patient mortality was analyzed using a multivariable Cox regression survival model. Adjusting for other covariates, MAP ≤ 77.16 mmHg was associated with higher probability of in-hospital death [OR = 3.06 (1.374–6.853), p = 0.006]. The other independent outcome predictor of mortality was pH ≤ 7.22 [OR = 2.40 (1.122–5.147), p = 0.024]. Kaplan-Meier survival curves were calculated and the log rank statistic was highly significant. Conclusions: Acute kidney injury combined with respiratory failure is associated with high mortality. High mean arterial pressure and normal blood pH might improve these outcomes. Therefore, the acid–base status and MAP should be considered when attempting to predict outcome. Moreover, the blood pressure targets for acute kidney injury in critical care should not be similar to those recommended for the general population and might prevent mortality. [ABSTRACT FROM AUTHOR]

Purpose: To evaluate the influence of warm-up exercise intensity and subsequent recovery on intense endurance performance, selected blood variables, and the oxygen-uptake (VO2) response. Methods: Twelve highly trained male cyclists (VO2max 72.4 ± 8.0 mL • min–1 • kg–1, incremental-test peak power output (iPPO) 432 ± 31 W; mean ± SD) performed 3 warm-up strategies lasting 20 min before a 4-min maximal-performance test (PT). Strategies consisted of moderate-intensity exercise (50%iPPO) followed by 6 min of recovery (MOD6) or progressive high-intensity exercise (10–100%iPPO and 2 × 20-s sprints) followed by recovery for 6 min (HI6) or 20 min (HI20). Results: Before PT venous pH was lower (P < .001) in HI6 (7.27 ± 0.05) than in HI20 (7.34 ± 0.04) and MOD6 (7.35 ± 0.03). At the same time, differences (P < .001) existed for venous lactate in HI6 (8.2 ± 2.0 mmol/L), HI20 (5.1 ± 1.7 mmol/L), and MOD6 (1.4 ± 0.4 mmol/L), as well as for venous bicarbonate in HI6 (19.3 ± 2.6 mmol/L), HI20 (22.6 ± 2.3 mmol/L), and MOD6 (26.0 ± 1.4 mmol/L). Mean power in PT in HI6 (402 ± 38 W) tended to be lower (P = .11) than in HI20 (409 ± 34 W) and was lower (P = .007) than in MOD6 (416 ± 32 W). Total VO2 (15–120 s in PT) was higher in HI6 (8.18 ± 0.86 L) than in HI20 (7.85 ± 0.82 L, P = .008) and MOD6 (7.90 ± 0.74 L, P = .012). Conclusions: Warm-up exercise including race-pace and sprint intervals combined with short recovery can reduce subsequent performance in a 4-min maximal test in highly trained cyclists. Thus, a reduced time at high exercise intensity, a reduced intensity in the warm-up, or an extension of the recovery period after an intense warm-up is advocated. [ABSTRACT FROM AUTHOR]

Background: In cardiac arrest survivors, metabolic parameters [pH value, lactate concentration, and base deficit (BD)] are routinely added to peri-arrest factors (including age, sex, bystander cardiopulmonary resuscitation, shockable first rhythm, resuscitation duration, adrenaline dose) to enhance early outcome prediction. However, the additional value of this strategy remains unclear.Methods: We used our resuscitation database to screen all patients ≥18 years who had suffered in- or out-of-hospital cardiac arrest (IHCA, OHCA) between January 1st, 2005 and May 1st, 2019. Patients with incomplete data, without return of spontaneous circulation or treatment with sodium bicarbonate were excluded. To analyse the added value of metabolic parameters to prognosticate neurological function, we built three models using logistic regression. These models included: (1) Peri-arrest factors only, (2) peri-arrest factors plus metabolic parameters and (3) metabolic parameters only. Receiver operating characteristics curves regarding 30-day good neurological function (Cerebral Performance Category 1-2) were analysed.Results: A total of 2,317 patients (OHCA: n = 1842) were included. In patients with OHCA, model 1 and 2 had comparable predictive value. Model 3 was inferior compared to model 1. In IHCA patients, model 2 performed best, whereas both metabolic (model 3) and peri-arrest factors (model 1) demonstrated similar power. PH, lactate and BD had interchangeable areas under the curve in both IHCA and OHCA.Conclusion: Although metabolic parameters may play a role in IHCA, no additional value in the prediction of good neurological outcome could be found in patients with OHCA. This highlights the importance of accurate anamnesis especially in patients with OHCA.

Background: Data of critically ill COVID-19 patients are being evaluated worldwide, not only to understand the various aspects of the disease and to refine treatment strategies but also to improve clinical decision-making. For clinical decision-making in particular, prognostic factors of a lethal course of the disease would be highly relevant. Methods: In this retrospective cohort study, we analyzed the first 59 adult critically ill Covid-19 patients treated in one of the intensive care units of the University Medical Center Regensburg, Germany. Using uni- and multivariable regression models, we extracted a set of parameters that allowed for prognosing in-hospital mortality. Results: Within the cohort, 19 patients died (mortality 32.2%). Blood pH value, mean arterial pressure, base excess, troponin, and procalcitonin were identified as highly significant prognostic factors of in-hospital mortality. However, no significant differences were found for other parameters expected to be relevant prognostic factors, like low arterial partial pressure of oxygen or high lactate levels. In the multivariable logistic regression analysis, the pH value and the mean arterial pressure turned out to be the most influential prognostic factors for a lethal course. [ABSTRACT FROM AUTHOR]

The aim of study was to evaluate whether butafosfan, associated or not with cyanocobalamin, alters the metabolic profile, hemogasometrics and acute phase proteins in recent postpartum dairy cows. Twenty-five cows (n = 25) were selected for study and divided into three groups: Butafosfan (BUT, n = 9); Butafosfan + Cyanocobalamin (BUTC, n = 9); and Control (CTL, n = 7). Treatments were applied daily from calving until 5 days postpartum. Blood samples for hemogasometry were performed on days 0, 1, 2 and 3, and for other metabolites on days 0, 1, 2, 3, 4, 5, 10, 15, 20 and 28 postpartum. Blood pH was lower in the BUT and BUTC groups than in the CTL group (p = .03) and carbon dioxide pressure was higher in the BUT and BUTC groups compared to CTL (p = .01). In addition, ionised calcium levels were higher in the BUT and BUTC groups (p = .0003) in comparison to CTL, whereas the BUT group had higher levels. The BUT group had the lowest levels of paraoxonase (p = .03). On the other hand, glucose levels tended to be highest in the BUT group (p = .08). The butafosfan with or without cyanocobalamin increased ionised calcium levels and tended to stabilise blood pH in the early post-partum cows, and butafosfan without cyanocobalamin tended to increase blood glucose levels.Highlights Treated animals increase serum ionised calcium; Treated animals have a reduction in blood pH; Butafosfan tends to increase the glucose concentration.

The present study was designed to determine the acute effect of sodium bicarbonate (NaHCO3) on the number of sprint repetitions during sprint high-intensity intermittent testing. In addition, blood biochemical (pH, HCO3-, and lactate) responses measured in three occasions were investigated. Thirteen male well-trained sprinters (24.65±3.44 yrs) performed two consecutive trials (7 days apart). Athletes were assigned randomly either to ingest a single dose of NaHCO3 (0.3 g/kg) 1 h prior to exercise or placebo using a double-blind crossover design. The intermittent sprint test consisted of 60 s treadmill sprints (90% of maximal work done) and 30-s recovery repeated intermittently until volitional exhaustion. Blood samples were collected from all athletes before exercise, after 1 h of dose intake, and after exercise in each trial. Paired sample t-testing showed that athletes complete significantly more sprint repetitions (p=0.036) during the intermittent sprint test with NaHCO3 (6.846±3.114) than with the placebo (5.538±3.872). Data also revealed no differences between trials in all blood responses at pre-exercise. After 1 h of dose consumption, however, blood pH and HCO3- were higher with NaHCO3 than with placebo (p<0.05), but no differences were noted in lactate between trials (p>0.05). After completion of the test, all blood responses were significantly higher with NaHCO3 than with placebo (p<0.05). In conclusion, intake of 0.3 g/kg of NaHCO3 1 h prior to treadmill sprint-intermittent performance increased sprint repetitions in well-trained sprinters, probably due to activated glycolysis caused by intracellular protons efflux into the blood. [ABSTRACT FROM AUTHOR]

Introduction: The purpose of this investigation was to determine the effect of ingested caffeine, sodium bicarbonate, and their combination on 2,000-m rowing performance, as well as on induced alkalosis (blood and urine pH and blood bicarbonate concentration [HCO3 -]), blood lactate concentration ([La-]), gastrointestinal symptoms, and rating of perceived exertion (RPE). Methods: In a double-blind, crossover study, 8 well-trained rowers performed 2 baseline tests and 4 × 2,000-m rowing-ergometer tests after ingesting 6 mg/kg caffeine, 0.3 g/kg body mass (BM) sodium bicarbonate, both supplements combined, or a placebo. Capillary blood samples were collected at preingestion, pretest, and posttest time points. Pairwise comparisons were made between protocols, and differences were interpreted in relation to the likelihood of exceeding the smallest-worthwhile- change thresholds for each variable. A likelihood of >75% was considered a substantial change. Results: Caffeine supplementation elicited a substantial improvement in 2,000-m mean power, with mean (± SD) values of 354 ± 67 W vs. placebo with 346 ± 61 W. Pretest [HCO3 -] reached 29.2 ± 2.9 mmol/L with caffeine + bicarbonate and 29.1 ± 1.9 mmol/L with bicarbonate. There were substantial increases in pretest [HCO3 -] and pH and posttest urine pH after bicarbonate and caffeine + bicarbonate supplementation compared with placebo, but unclear performance effects. Conclusions: Rowers' performance in 2,000-m efforts can improve by ~2% with 6 mg/kg BM caffeine supplementation. When caffeine is combined with sodium bicarbonate, gastrointestinal symptoms may prevent performance enhancement, so further investigation of ingestion protocols that minimize side effects is required. [ABSTRACT FROM AUTHOR]

The purpose of this study was to investigate the effects of sodium bicarbonate (NaHCO3), caffeine, and their combination on repeated 200-m freestyle performance. Six elite male freestyle swimmers ingested NaHCO3 (0.3 g/kg; B), caffeine (6.2 ± 0.3 mg/kg; C), a combination of both (B+C), and placebo (P) on 4 separate occasions before completing 2 maximal 200-m freestyle time trials (TT1 and TT2) separated by 30 min. No significant differences (p = .06) were observed for performance in TT1 (B 2:03.01 ± 0:03.68 min, C 2:02.42 ± 0:03.17 min, B+C 2:01.69 ± 0:03.19 min, P 2:03.77 ± 0:03.21 min) or TT2 (B 2:02.62 ± 0:04.16 min, C 2:03.90 ± 0:03.58 min, B+C 2:01.70 ± 0:02.84 min, P 2:04.22 ± 0:03.75 min). The drop-off in performance time from TT1 to TT2, however, was significantly greater when C was ingested than with B (-1.5%, p = .002) or B+C (-1.2%, p = .024). This is likely because of the lower blood pH and slower recovery of blood HCO3 post-TT1 after C ingestion. These findings suggest that the ergogenic benefit of taking C alone for repeated 200-m swimming performance appears limited. When combined with NaHCO3, however, its negative impact on repeated maximal exercise performance is reversed. [ABSTRACT FROM AUTHOR]

Abstract Background In mammals, homeostasis and survival are dependent on effective trans-membrane movement of ions and enzyme function, which are labile to extreme acid-base changes, but operate efficiently within a narrow regulated pH range. Research in patients demonstrating a pH shifts outside the narrow regulated range decreased the cardiac output and systemic vascular resistance and altered the oxygen binding to haemoglobin. These cardiopulmonary observations may be applicable to the risks associated with anaesthesia and performance of wildlife ungulates on game farms. The aim of this study was to compare blood pH changes over time in impala immobilised and anaesthetised with two different drug protocols (P-TMP - immobilisation: thiafentanil-medetomidine; maintenance: propofol-ketamine-medetomidine; P-EME – immobilisation: etorphine-medetomidine; maintenance: etorphine-ketamine-medetomidine). Additionally, we discuss the resultant blood pH using both the Henderson-Hasselbalch and the Stewart approaches. Two data collection time points were defined, Time1 before maintenance of general anaesthesia and Time 2 at end of maintenance of general anaesthesia. We hypothesise that blood pH would not be different between drug protocols and would not change over time. Results Significant differences were detected over time but not between the two drug protocols. Overall, the blood pH decreased over time from 7.37 ± 0.04 to 7.31 ± 0.05 (p = 0.001). Overall, over time arterial partial pressure of carbon dioxide changed from 51.3 ± 7.5 mmHg to 72.6 ± 12.4 mmHg (p

Tracking physiological parameters in different organs within the same organism simultaneously and in real time can provide an outstanding representation of the organism's physiological status. The state-of-the-art technique of using encapsulated fluorescent molecular probes (microencapsulated biomarkers) is a unique tool that can serve as a platform for the development of new methods to obtain in vivo physiological measurements and is applicable to a broad range of organisms. Here, we describe a novel technique to monitor the pH of blood inside the gill capillaries and interstitial fluid of muscles by using microencapsulated biomarkers in a zebrafish model. The functionality of the proposed technique is shown by the identification of acidification under anesthesia-induced coma and after death. The pH in muscles reacts to hypoxia faster than that in the gill bloodstream, which makes both parameters applicable as markers of either local or bodily reactions.

The purpose of this study was to compare the effects of sodium bicarbonate and sodium citrate in increasing lactate concentration, blood pH, HCO3-, and time to exhaustion. Increased time to exhaustion is an advantage since the athletes can do more anaerobic work. Exhaustion could be delayed by increasing HCO3- to catch H+ produced by lactate metabolism to form H2O and CO2. The design of this research was randomized pretest posttest control group design. Thirty badminton student players were randomly selected and randomly assigned to three groups. The first group (the control group) was given placebo, NaCl .9 g/dl, the second group was given sodium bicarbonate 300 mg/kg in 500 ml aqua, and the third group was given sodium citrate 300 mg/kg in 500 ml aqua. Blood pH and bicarbonate ion (HCO3-) were measured through Opti Medical Blood gas Analyzer. Lactate was measured by Cobas Roche lactate Analyzer. Data was analyzed using Manova with .05 significant level. Blood pH of the groups taking sodium bicarbonate and sodium citrate were higher significantly against control group (p.05). Sodium bicarbonate is better than sodium citrate, although both were better than control (p

Aim: A laboratory finding in critically ill COVID-19 patients is blood academia (pH <7.35). We investigated its cause in connection with the admission baseline blood pH homeostasis. Patients & methods: We retrospectively monitored the baseline blood pH homeostasis of 1215 COVID-19 patients who were admitted with pneumonia using data-driven knowledge. Two categories of patients were identified: non-survivors (107) and survivors (1108). Results: Non-survivors showed greater levels of lactate and lower blood pH, saturation, and partial pressure of oxygen than survivors. A bivariate Spearman's correlation matrix showed that the [HCO 3 - ]/pCO 2 of non-survivors exhibited an unmatched connection, but not in the survivor group. When comparing non-survivors to survivors, the dendrograms derived from the bivariate comparison matrix showed differences in gasometry parameters like blood pH, [HCO 2 of non-survivors exhibited an unmatched connection, but not in the survivor group. When comparing non-survivors to survivors, the dendrograms derived from the bivariate comparison matrix showed differences in gasometry parameters like blood pH, [HCO 3 - ]/pCO 2 The little variations in the gasometry readings between survivors and non-survivors upon admission suggested abnormal changes in the complementary renal and respiratory systems that bring blood pH back to normal. In advanced COVID-19, modest blood acid-base imbalances could become blood acidemia if these compensatory strategies were overused. Data-driven monitoring of acid-base parameters may help predict abnormal blood pH and the advancement of metabolic acidemia before it is too late.2 . Conclusion: The little variations in the gasometry readings between survivors and non-survivors upon admission suggested abnormal changes in the complementary renal and respiratory systems that bring blood pH back to normal. In advanced COVID-19, modest blood acid-base imbalances could become blood acidemia if these compensatory strategies were overused. Data-driven monitoring of acid-base parameters may help predict abnormal blood pH and the advancement of metabolic acidemia before it is too late.

Portable clinical analysers are gradually being involved in on-site assessment of haematic parameters in fish. The purpose of this study was to evaluate the i-STAT portable clinical analyser (i-STAT PCA) for accuracy and reliability of measuring blood pH, partial pressure of oxygen (pO2), haematocrit, haemoglobin, sodium, potassium and calcium in Atlantic cod (Gadus morhua). Haematological parameters detected with the i-STAT PCA were compared with conventional laboratory techniques (CLTs). Two types of disposable cartridges were used (CHEM8+ and CG4+) with the i-STAT PCA, and experiments were performed at two different temperature regimes (5 °C and 15 °C) and four different carbon dioxide (CO2) levels (0%, 0.1%, 0.5% and 1%). All blood parameters measured with the i-STAT PCA showed heterogeneous inaccuracy under the tested conditions, but the highest discrepancies were registered in blood pO2. The i-STAT PCA systematically overestimated the pO2 measurements. Our research suggests that i-STAT PCA is not an appropriate tool for pO2 measurements especially in coldwater fish species. The i-STAT PCA consistently underestimated the pH and haematocrit values especially at a lower temperature, although those parameters indicate significant high correlation at 15 °C. Furthermore, the analysed ions showed overestimation of sodium and underestimation of potassium and calcium. [ABSTRACT FROM AUTHOR]

We created a neck trauma model by injecting blood into the sheath of rabbits' carotid bodies (CBs). Then we determined the relationship between neuronal degeneration of the CB due to hemorrhage of this organ and its clinical effects such as blood pH and heart rhythm. The present study included 24 adult male New Zealand rabbits. The animals were divided into 3 groups: control (n = 5); sham (0.5 mL saline injected into CBs; n = 5); and study (CB trauma model; n = 14). pH values and heart rhythms were recorded before the experiment to determine the values under normal conditions, and measurements were repeated thrice in the days following the experiment. The number of normal and degenerated neuron density of CBs was counted. The relationship between the blood pH values, heart rhythms, and degenerated neuron densities was analyzed. Heart rhythms were 218 ± 20 in the control group, 197 ± 16 in the sham group (P = 0.09), and 167 ± 13 in the study group (P < 0.0005). pH values were 7.40 ± 0.041 in the control group, 7.321 ± 0.062 in the sham group (P = 0.203), and 7.23 ± 0.02 in study group (P < 0.0005). Degenerated neuron densities were 12 ± 4/mm3 in the control group, 430 ± 74/mm3 in the sham group (P < 0.005), and 7434 ± 810/mm3 in the study group (P < 0.0001). A high degenerate neuron density in the CB can decrease blood pH and hearth rhythm after neck trauma, and there might be a close relationship between the number of degenerated neurons and clinical findings (such as heart rhythm and blood pH). This relationship suggests that injury to the glossopharyngeal nerve−CB network can cause acidosis by disturbing the breathing-circulating reflex and results in respiratory acidosis. [ABSTRACT FROM AUTHOR]

The aim of this study was to compare the effect of drinking water that contains various levels of ascorbic acid (AA) and betaine (BT) on growth performance and blood biomarkers in meat ducks exposed to heat stress. Six hundred and forty one-day-old Cherry Valley ducks were randomly assigned to one of seven treatment groups: i) control group, drinking water without ascorbic acid or betaine, ii) AA100, drinking water containing ascorbic acid at 100 milligrams per litre, iii) AA200, drinking water containing ascorbic acid at 200 milligrams per litre, iv) AA300, drinking water containing ascorbic acid at 300 milligrams per litre, v) BT400, drinking water containing betaine at 400 milligrams per litre, vi) BT800, drinking water containing betaine at 800 milligrams per litre, and vii) BT1200, drinking water containing betaine at 1200 milligrams per litre. The ducks were exposed to heat stress (11:00 to 17:00, 33 °C to 43 °C, relative humidity 70%, artificially controlled-environment houses) from the 22nd to 42nd days. Ducks from treatment groups AA300 and BT1200 displayed significantly increased bodyweight gains compared with those in the control group. Blood levels of glucose, and activities of aspartate aminotransferase and alanine aminotransferase in all treatment groups were significantly lower than those observed in the control group. Red blood cell count, platelet number, electrolytes and blood gas concentrations were significantly higher in all treatment groups compared with those in the control group. Blood pH levels in all treatment groups were lower than those in the control group. In conclusion, drinking water containing ascorbic acid or betaine improved the growth performance via biomarker homeostasis in blood of meat ducks exposed to heat stress. [ABSTRACT FROM AUTHOR]

The aim of study was to evaluate whether butafosfan, associated or not with cyanocobalamin, alters the metabolic profile, hemogasometrics and acute phase proteins in recent postpartum dairy cows. Twenty-five cows (n = 25) were selected for study and divided into three groups: Butafosfan (BUT, n = 9); Butafosfan + Cyanocobalamin (BUTC, n = 9); and Control (CTL, n = 7). Treatments were applied daily from calving until 5 days postpartum. Blood samples for hemogasometry were performed on days 0, 1, 2 and 3, and for other metabolites on days 0, 1, 2, 3, 4, 5, 10, 15, 20 and 28 postpartum. Blood pH was lower in the BUT and BUTC groups than in the CTL group (p =.03) and carbon dioxide pressure was higher in the BUT and BUTC groups compared to CTL (p =.01). In addition, ionised calcium levels were higher in the BUT and BUTC groups (p =.0003) in comparison to CTL, whereas the BUT group had higher levels. The BUT group had the lowest levels of paraoxonase (p =.03). On the other hand, glucose levels tended to be highest in the BUT group (p =.08). The butafosfan with or without cyanocobalamin increased ionised calcium levels and tended to stabilise blood pH in the early post-partum cows, and butafosfan without cyanocobalamin tended to increase blood glucose levels. Treated animals increase serum ionised calcium; Treated animals have a reduction in blood pH; Butafosfan tends to increase the glucose concentration. [ABSTRACT FROM AUTHOR]

BackgroundAnimal models are necessary to study the mechanism underlying the effects of exercise on depression but an effective procedure for exercise treatment and exercise effects on physiological parameters in a specific depression model need to be characterized.MethodsPhysiological parameters including lactate, partial pressue of O2 (pO2) and CO2 (pCO2) saturated O2 (sO2), pH, HCO3, total CO2 (TCO2), and base excess extracellular fluid (BEecf) levels in the blood were measured after treatment with passive exercise in normal mice and a stress-induced depression model.ResultsNormal mice or mice that were subjected to daily 2-hour restraint for 14 days (2 hours×14 days of restraint) were placed on a running wheel that was rotating at a speed of 9 m/min for 1 hour per day for 1 to 21 days. After repeated exercise in mice that were previously subjected to 2 hours×14 days restraint, plasma lactate levels decreased, the levels of pO2, sO2, and pH tended to increase, and the levels of pCO2 decreased in the absence of significant changes in HCO3, TCO2, and BEecf. However, none of these changes were additive to the stress effects or were much more severe than those induced after repeated passive exercise in normal mice.ConclusionThese results suggest that passive exercise for 1 hour daily for 14 to 21 consecutive days on a running wheel rotating at a speed of 9 m/min may be used as an exercise protocol without inducing severe additive effects on physiological burdens.

Objective: To evaluate a portable electronic pH meter and to put its accuracy in perspective with reagent strips read by a layperson, a healthcare professional, and an electronic reading device. Materials and Methods: Based on a preanalysis on 20 patients, a sample size of 77 urine aliquots from healthy volunteers was necessary to obtain sufficient study power. Measurements of urinary pH were obtained by use of reagent strips, a portable pH meter and a laboratory pH meter (gold standard). Reagents strips were read by a professional experienced in interpreting strips, a layperson, and an electronic strip reader. The mean matched pair difference between measurement methods was analyzed by the paired t -test. The degree of correlation and agreement were evaluated by the Pearson's correlation coefficient and Bland–Altman plots, respectively. Results: The mean matched pair difference between the gold standard and all other pH measurement methods was the smallest with the portable electronic pH meter (bias 0.01, 95% confidence interval [CI] −0.07 to 0.08; p  = 0.89), followed by strips read by a professional (bias −0.09, 95% CI −0.21 to 0.02; p  = 0.10), layperson (bias −0.17, 95% CI −0.31 to −0.04; p  = 0.015), and electronic strip reader (bias −0.29, 95% CI −0.41 to −0.16; p  < 0.001). The portable electronic pH meter achieved the highest Pearson's correlation coefficient and narrowest 95% limits of agreement, followed by strip interpretation by a professional, electronic strip reader, and layperson. To quantify the ability of pH measurement methods to correctly classify values within a predefined urinary pH target range, we performed classification tests for several stones. The portable electronic pH meter outperformed all other measurement methods for negative predictive values. Conclusions: Findings of this study support that the portable electronic pH meter is a reliable pH measuring device. It appears to be more accurate compared to reagent strips readings. [ABSTRACT FROM AUTHOR]

Currently, there is an urgent need to establish the optimal dosing of TREO in conditioning prior to hematopoietic stem cell transplantation, especially in children. For that purpose, pharmacokinetic analyses are ongoing within clinical phase II and III trials. In this paper, HPLC methods for determination of prodrug treosulfan and/or its biologically active epoxides in human plasma or serum are reviewed for the first time, including the spectrum of analytes being quantified, detection type, and derivatization methodology. The major focus is addressed to the stability of TREO and its monoepoxide related with different strategies of patients’ blood processing, e.g. blood pH lowering to different values, no pH adjustment; centrifugation of blood immediately after collection or within a few hours later. This issue is crucially important for the robust bioanalysis because the epoxytransformation of TREO is a nonenzymatic, highly pH and temperature-dependent reaction. In-depth analysis of the literature results demonstrates that some methodologies of blood treatment could produce the systematic underestimation of TREO concentrations. Consequently, the drug clearance and volume of distribution will be overestimated, which might false the association of the drug exposure with the regimen-related toxicity and clinical outcomes. The paper indicates the deficiencies of the blood processing strategies and offers hints for their refinement. The provided information ought to be important in the current investigations of the personalized TREO pharmacokinetics. [ABSTRACT FROM AUTHOR]

Background: Hooch tragedies are very common in India, especially in the low socioeconomic group resulting in varying mortality and morbidity. Various biochemical changes occur following methanol poisoning. An attempt is made to follow up such patients to correlate these biochemical changes and clinical presentations to the final visual outcome. Aim: To study the visual problems in the victims of acute methanol poisoning and its correlation with biochemical changes. We also studied the visual prognosis and sequel of acute methanol poisoning in correlation with the initial presentation, biochemical changes and treatment modalities. Study Design: Observational study. Materials and Methods: Twenty-nine patients attended in ophthalmology casualty of a tertiary center with history of blurring of vision after consuming illicit liquor were included in the study. Four patients presented with no perception of light, 15 patients were having poor vision (