Background: Inventory of blood/blood components suffer due to outdating of Rh Negative units. Rationale of this article is strategy of transfusion of O Rh Negative red cells to all. A Rh Negative red cells can be given to A Rh Positive, AB Rh Positive. B Rh Negative red cells can be given to B Rh Positive, AB Rh Positive. AB Rh Negative red cells to AB Rh Positive recipients. AB Rh Negative FFP/PRP can be given to all. Objective was to avoid out dating of Rh Negatives by studying the percentage of outdated Rh Negative units amongst the all outdated.Methods: This was 9 years observational, retrospective, cross sectional and descriptive study conducted at tertiary care hospital. Outdated units of Rh Negative blood and components were analysed from the year wise discard registers of blood bank. Percentage of Rh Negative units within all outdated units were calculated.Results: 198 Rh Negative units of whole blood and blood components within all outdated units was 29.11%. Out of 198 the 20 Rh Negative blood components were discarded.Conclusions: Adopt type and screen protocol to prevent outdating. Avoid to bleed the rare blood groups. Audit by hospital transfusion committee and implementation of MSBOS. Track O Rh Negative red cells transfusion to Rh Positive as quality indicator. Track/review transfusion of O Rh negative red cells to Non O Rh negative recipients. Track AB Rh Negative FFP/PRP transfusions to all.
International Classification of Diseases-Oncology 9(ICD-O) uses only a set of 4 characters for topography .Topography code remains same for all neoplasms of that site. Topography run from C00.0-C80.9.A decimal point (.) separates subdivisions of 3 character categories. Mapping patterns of head and neck cancers of 18 months prospective study are conducted at tertiary care centre of state government run medical college and hospital at Nanded, Maharashtra, India. where 378 patients were selected out of that 60 patients have been diagnosed and confirmed histopathologically as cancers, these cases were plotted as per topographic codes and the leading topographic site was upper aero digestive tract, followed by thyroid cancers, this was also a follow up study, this similar study was done 7 years back in the same institute where the results were more or less same except the emergence of thyroid gland cancers. In present study in addition to thyroid cancers very few miscellaneous leading sites are added which are salivary gland cancers, skin +subcutaneous cancers and lymphatic cancers, so the group of topographic sub sites known as aerodigestive tract is seen in present study and is reduced to 66.67% while in previous study it was about 100%.Presence of a group of topographic sub sites of aero digestive tract cancers is a common finding in all studies by using topography mapping.
BACKGROUND Fundamental part of preventing transfusion transmitted infections (TTI) is to notify and counsel reactive donors. Policy advocates notification to all reactive blood donors, blood banks are now required to obtain written consent from donors at the time of donation for screening blood for TTI whether they wish to be informed about their abnormal test results. If any tests are abnormal test results before notification to the donors, the tests are repeated either using 2 assays of different principles or in duplicate with same assay. METHODS This is a retrospective study of the 12 years from the year 2003 to 2014 of district Solapur of India, so this data is being analysed in respect to 'Transfusion Transmitted Infections'. The study is aimed to determine the prevalence of TTI among the blood donors of district Solapur and to determine the trend of TTI and also to know the preventive measures of TTI. Statistical analysis by comparing the blood collection (manufacturing) of 12 years and discard due to TTI in the form of percentage. Area graph of TTI discard percentage and line graph of manufacturing of blood is prepared. RESULTS TTI discard% is declined from 5.68% to 3.10% while blood collection is climbed up by 62.55% in 12 years, average TTI discard units% of 12 years was 3.98%. CONCLUSION Seroprevalence for TTI further can be reduced by strict adherence to WHO selection and deferral criteria of donors. Properly conducting donor interviews, notification of permanently deferred donors will help in discarding less number of blood bags from collected units.
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