Research Article
The Auxiliary Diagnostic Value of Serum Total Bile Acids in Liver Cirrhosis at Clinical Test
Changxiu Sun
,
Qi Zhu*
Issue:
Volume 10, Issue 2, April 2025
Pages:
32-39
Received:
30 April 2025
Accepted:
12 May 2025
Published:
16 June 2025
DOI:
10.11648/j.ajlm.20251002.11
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Views:
Abstract: Objective: To investigate the auxiliary diagnostic value of serum total bile acid (TBA) in clinical testing of liver cirrhosis (LC). Methods: A total of 85 patients with LC and 77 patients with hepatitis who were treated in the Affiliated People's Hospital of Jiangsu University from June 2023 to April 2025 were included as the observation group, and 81 healthy people who underwent physical examination in this hospital during the same period were randomly selected as the control group. LC patients comprise 44 cases in the compensated stage and 41 cases in the decompensated stage. The general information of the respondents was collected, and the serum levels of TBA, Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Prealbumin (PA), Gamma-Glutamyltransferase (GGT), Alkaline Phosphatase (ALP), and Adenosine Deaminase (ADA) were measured for patients in each group. Logistic regression was used to analyze the influencing factors of LC. The receiver operating characteristic (ROC) curve was used to evaluate the auxiliary diagnostic value of serum TBA level for LC. Results: Compared with the control group, the levels of TBA, AST, GGT, ALT, ALP, ADA in the LC group were significantly increased, while the level of PA was significantly decreased (p<0.05). Compared with patients in the compensated stage of LC, those in the decompensated stage exhibited a significantly elevated level of serum TBA and a notably reduced level of serum Prealbumin (PA) (P<0.05), while no significant differences were observed in the levels of other serum indicators. Logistic regression showed that TBA (OR=1.018, 95%CI: 1.002~1.034, P<0.05) was an independent risk factor for LC, while PA (OR=0.984, 95%CI: 0.978~0.989, P<0.01) was an independent protective factor for LC. The area under the receiver operating characteristic (ROC) curve (AUC) of serum TBA level in LC patients was 0.892, the 95% confidence interval (CI) was 0.851 to 0.933, and the corresponding sensitivity and specificity were 88.2% and 76.6%, respectively. The AUC of serum TBA level in patients with decompensated cirrhosis was 0.924, the 95% CI was 0.887-0.961, and the corresponding sensitivity and specificity were 97.6% and 74.1%, respectively. Conclusion: The detection of TBA in serum can be used as an auxiliary examination for patients with liver disease, which can provide a certain value for the diagnosis of LC.
Abstract: Objective: To investigate the auxiliary diagnostic value of serum total bile acid (TBA) in clinical testing of liver cirrhosis (LC). Methods: A total of 85 patients with LC and 77 patients with hepatitis who were treated in the Affiliated People's Hospital of Jiangsu University from June 2023 to April 2025 were included as the observation group, an...
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Research Article
Laboratory Professionals' Satisfaction Level and Determinant of Quality Laboratory Service Among Health Facilities in Hossana Town, Central Ethiopia: A Facility-based Cross-sectional Study
Issue:
Volume 10, Issue 2, April 2025
Pages:
40-48
Received:
11 May 2025
Accepted:
3 June 2025
Published:
25 June 2025
DOI:
10.11648/j.ajlm.20251002.12
Downloads:
Views:
Abstract: Background: Clinical laboratories are essential healthcare systems that provide important data for patient care and public health surveillance. Therefore, data from laboratory services should be reliable and reported on time. Methods: A facility-based cross-sectional study was conducted among laboratory professionals working in government and private health facilities in Hossana Town from September 1, 2024, to November 2, 2024. All laboratory professionals employed at these health facilities were included in the study. A structured questionnaire was utilized to collect data on socio-demographics, educational background, job experience, professional motivation, communication with physicians, training availability, quality assurance activities, and other factors influencing laboratory services. All raw data were coded and entered into SPSS version 27 for analysis, using descriptive statistics, chi-square, and logistic regression. Statistical significance was established at a p-value of 0.05. Results: There were 150 laboratory health professionals in this study, resulting in a response rate of 97.4%. Males accounted for 70.7%(104/150) of the study participants. In the present study, 65.3%(98/150) of the laboratory professionals were dissatisfied with their work. Satisfaction was significantly associated with the presence of a continuous professional development program (χ2=6.6, p =0.01), staff recognition (χ2=5.13, p =0.023), and salary (χ2=6.29, p =0.012). In multivariate analysis, communication with physicians (AOR = 3.30, CI: 1.44-7.54, p=0.005), workload (AOR = 6.68, CI: 2.36-18.86, p=0.00), training availability (AOR = 2.33, CI: 1.03-5.24, p=0.042), laboratory result verification (AOR = 2.69, CI: 1.15-6.25, p=0.022), regular internal quality control (AOR = 3.56, CI: 1.43-8.83, p=0.006), and participation in external quality assurance (AOR = 4.39, CI: 1.62-11.93, p=0.004)were found to be significant risk factors for provision of quality laboratory services. Conclusion: Laboratory professional satisfaction is determined by the presence of a continuous professional development program, staff recognition, and salary. In the study area, prominent factors determining the quality of laboratory services are communication with physicians, the presence of training opportunities, workload, result verification, participation in external quality assurance programs, and regular internal quality control.
Abstract: Background: Clinical laboratories are essential healthcare systems that provide important data for patient care and public health surveillance. Therefore, data from laboratory services should be reliable and reported on time. Methods: A facility-based cross-sectional study was conducted among laboratory professionals working in government and priva...
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