1.A Case of Donor Cell Leukemia after Allogenic Peripheral Blood Stem Cell Transplantation for Acute Promyelocytic Leukemia with PML-RARA
Woo Yong SHIN ; Hae In BANG ; Jieun KIM ; Kyoung Ha KIM ; Jong Ho WON ; Rojin PARK
Laboratory Medicine Online 2020;10(1):88-91
Bone Marrow
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Diagnosis
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Female
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Fluorescence
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Humans
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In Situ Hybridization
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Korea
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Leukemia
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Leukemia, Promyelocytic, Acute
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Male
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Microsatellite Repeats
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Peripheral Blood Stem Cell Transplantation
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Polymorphism, Single Nucleotide
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Stem Cell Transplantation
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Tandem Repeat Sequences
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Tissue Donors
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Y Chromosome
2.Anti-PP₁P(k) (Tj(a)) Antibody in a Korean Female Patient with p Phenotype Confirmed by Genotyping
Boyeon KIM ; Seung Jun CHOI ; Duck CHO ; Sinyoung KIM ; Hyun Ok KIM
Laboratory Medicine Online 2020;10(1):84-87
laboratory. To confirm the patient's p phenotype, polymerase chain reaction and sequencing of the A4GALT gene were performed on her blood sample. She was homozygous for c.301delG in the A4GALT gene, which finally confirmed that she had the anti-PP₁P(k) antibody with p phenotype. Fortunately, her anemia caused due to iron deficiency could be treated with iron supplementation without the need for any transfusion. However, it remains extremely difficult to find compatible red blood cells in such settings in Korea. Moreover, there has been very little research on the prevalence of the p phenotype in the Korean population. Therefore, additional research is needed on rare blood group antibodies and high-prevalence antigens, including anti-PP₁P(k) cases.]]>
Anemia
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Antibodies
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Blood Transfusion
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Erythrocytes
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Female
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Humans
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Intellectual Disability
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Iron
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Isoantibodies
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Korea
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Mass Screening
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P Blood-Group System
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Phenotype
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Polymerase Chain Reaction
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Prevalence
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Rehabilitation
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Serologic Tests
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Young Adult
3.Clinical Impact of Myeloid-Derived Suppressor Cells, Lymphocyte Subsets, and Neutrophil-to-Lymphocyte Ratio in Patients with Colorectal Cancer
Min Gu KANG ; Chang Hyun KIM ; Soo Hyun KIM ; Jong Hee SHIN ; Hye Ran KIM ; Myung Geun SHIN
Laboratory Medicine Online 2020;10(1):75-83
laboratory data were analyzed according to each blood parameter.RESULTS: The distribution of lymphocytes, MDSCs, and NLR were not associated with TNM stages. Large tumor sizes (P=0.042) and greater perineural invasion (P=0.031) were significantly associated with high CD19+ B-cell populations. Elevated granulocytic MDSCs (P=0.234), total MDSCs (P=0.234), and NLR (P=0.062) were associated with the poorly differentiated type of CRC, albeit without statistical significance. Additionally, patients in the high CD19+ B-cell group (P=0.012) revealed a moderately inferior relapse-free survival.CONCLUSIONS: Our findings indicate that preoperative evaluation of CD19+ B-cell proportion is recommended to predict the clinical outcomes of patients with stage II-III CRC.]]>
B-Lymphocytes
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Blood Cell Count
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Colorectal Neoplasms
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Humans
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Lymphocyte Subsets
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Lymphocytes
6.Performance Evaluation of MEDITAPE UC-11A Strip Test in Estimating the Urine Albumin-to-Creatinine Ratio and Urine Protein-to-Creatinine Ratio
Shinae YU ; Sae Am SONG ; Kyung Ran JUN ; Jeong Nyeo LEE
Laboratory Medicine Online 2020;10(1):52-57
30 mg/g), the concordance rate, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of UACR, analyzed using MEDITAPE UC-11A, were 80.5, 97.5, 67.0, 70.3, and 97.1%, respectively. Using UPCR, analyzed via quantitative assay, as a reference to estimate proteinuria (UPCR >0.15 g/g), the concordance rate, sensitivity, specificity, PPV, and NPV of UPCR, analyzed using MEDITAPE UC-11A, were 86.7, 94.4, 81.5, 77.6, and 95.6%, respectively.CONCLUSIONS: UACR and UPCR, analyzed using MEDITAPE UC-11A, exhibited relatively high sensitivity and NPV, which is beneficial for laboratory screening for both albuminuria and proteinuria.]]>
Albuminuria
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Chronic Disease
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Humans
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Hypertension
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Kidney Diseases
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Mass Screening
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Proteinuria
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Renal Insufficiency, Chronic
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Sensitivity and Specificity
7.Evaluation of Analytical Performance of an Automated Glycated Hemoglobin Analyzer, HLC-723 G11
Yoo Na CHUNG ; Seung Gyu YUN ; Yunjung CHO
Laboratory Medicine Online 2020;10(1):46-51
Laboratory Standard Institute's guidelines. Test results from clinical samples were compared between Tosoh G11 and the routine testing systems, Tosoh G8 and Capillarys 2 Flex Piercing.RESULTS: With respect to the precision of Tosoh G11, the test results for low- and high-concentration controls showed a coefficient of variation of less than 1.1%. Furthermore, the new device exhibited good linearity for HbA(1c) values ranging from 3.4% to 18.8%, and carry-over was not observed. HbA(1c) results for Tosoh G11 (N=143) correlated well with those for Tosoh G8 (r=0.9971) and Capillarys 2 Flex Piercing (r=0.9918).CONCLUSIONS: Tosoh G11 demonstrated reliable analytical performance with good precision and linearity, and no carry-over results. In addition, its results were comparable to those of the existing instruments. Thus, the results of this evaluation suggest that Tosoh G11 is suitable for the routine diagnostic testing of HbA(1c) levels in clinical chemistry laboratories.]]>
Chemistry, Clinical
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Diagnostic Tests, Routine
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Hemoglobin A, Glycosylated
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Humans
8.Comparison of Serum Creatinine Measurements among Roche Modular D, Cobas 8000 c702, and Beckman Coulter AU5800, by Jaffe and Enzymatic Methods
Laboratory Medicine Online 2020;10(1):39-45
0.99, slope: 0.965 and 0.955). When Modular D and Cobas 8000c 702 were compared, the slope and y-intercept were 0.9928 (95% confidence interval [CI]: 0.9802 to 1.000) and -0.0156 (95% CI: −0.0200 to −0.0054), respectively. The slope and y-intercept were 0.9811 (95% CI: 0.9570 to 0.9951) and -0.0484 (95% CI: −0.0638 to −0.0297) when Modular D and Au5800 were compared. Serum Cr measured by Cobas 8000 c702 and AU5800 using the Jaffe method were 3.2% and 6.9% lower than the values measured by Modular D, respectively. Both Modular D and Cobas 8000 c702 showed acceptable accuracies.CONCLUSIONS: Serum Cr measurements using Cobas 8000 c702 and AU5800 were comparable to those measured by Modular D, and showed satisfactory precision and linearity; thus, these techniques could be useful for clinical laboratories.]]>
Creatinine
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Methods
9.Performance Evaluation and Clinical Usefulness of α-fetoprotein Test Measured on Sysmex HISCL-5000
Jaewan JUNG ; Eun Suk KANG ; Hyung Doo PARK
Laboratory Medicine Online 2020;10(1):33-38
Laboratory Standards Institute) guidelines. For precision assessment, two control materials and one pooled human serum were measured twice a day for 20 days in duplicate. For linearity, five levels of material were produced covering the upper and lower limits of the measurable range and each of these was measured four times. Method comparison was conducted between HISCL-5000 and ADVIA Centaur XP (Siemens, Germany) with 500 samples consisting of 315 HCC, 57 benign liver disease, and 128 healthy subjects.RESULTS: Repeatability was between 2.44% and 9.19%, and within-laboratory precision was between 6.47% and 9.53%. Coefficient of determination (R²) was 0.9975, with the range of 1.2-1824.3 ng/mL. Correlation coefficient (r) was 0.9862 between HISCL-5000 and Centaur XP. Overall percent agreement was 95.2% and difference percentage between the two instruments was 7.0%. Reference interval from healthy subjects was 1.30-11.42 ng/mL.CONCLUSIONS: The HISCL-5000 showed adequate analytical performance for AFP measurement and is expected to be useful in clinical laboratories.]]>
Carcinoma, Hepatocellular
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Diagnosis
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Healthy Volunteers
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Humans
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Korea
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Liver Diseases
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Mass Screening
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Methods
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Recurrence
10.Performance Evaluation of the CS-5100 Coagulation Analyzer for Special Coagulation Parameters
Bohyun KIM ; Seongsoo JANG ; Yu Jin LEE ; Nuree PARK ; Young Uk CHO ; Chan Jeong PARK
Laboratory Medicine Online 2020;10(1):25-32
Laboratory Standards Institute guidelines.RESULTS: CS-5100 displayed good precision, linearity, and carryover rate for measuring FDP, UFH, LMWH, and DOACs. The FDP level measured with the CS-5100 and STA-R coagulometers correlated well. The reference range of FDP with CS-5100 was 0.0 to 3.48 µg/mL.CONCLUSIONS: The CS-5100 coagulometer has acceptable analytical performance in measuring special coagulation parameters. It is suitable for the reliable measurement of plasma FDP and anticoagulant levels in clinical laboratories.]]>
Anticoagulants
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Fibrinogen
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Heparin
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Heparin, Low-Molecular-Weight
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Plasma
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Reference Values

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