Blood Donation

献血
  • 文章类型: Journal Article
    这项研究通过研究消除障碍的激励措施-一天的交通代金券-促进献血的有效性,解决了发展中国家献血率低的挑战。利用2018年3月至2020年5月期间收集的来自巴西血液采集机构(BCA)的23,750名捐赠者的纵向数据集,我们研究了这项运动对捐赠率的短期和长期影响。我们的结果表明,激励措施对运动当天的捐赠尝试和成功捐赠都有很大的积极影响。然而,干预的短期成功带来了意想不到的后果:在干预日期间,潜在捐赠者在BCA的等待时间显着增加,这可能有助于解释24个月随访对回报率的负面影响。尽管有这些相反的结果,一日献血奖励的净效果仍然是积极的,为BCA提供有价值的见解,旨在加强捐助者的招募和保留策略,并强调需要在眼前的利益与潜在的长期影响之间取得平衡。
    This study addresses the challenge of low blood donation rates in developing countries by examining the effectiveness of a barrier-removal incentive-a one-day transportation voucher-to promote blood donation. Utilizing a longitudinal dataset of 23,750 donors from a Brazilian blood collection agency (BCA) collected between March 2018 and May 2020, we examine the short and long-term effects of this campaign on donation rates. Our results show that the incentive had a large positive influence on both donation attempts and successful donations on the day of the campaign. However, the short-term success of the intervention had an unintended consequence: the significant increase in prospective donors\' waiting time at the BCA during the intervention day, which may help explain the negative impact on return rates in the 24-month follow-up. Despite these opposing outcomes, the net effect of the one-day blood donation incentive was still positive, offering valuable insights for BCAs aiming to enhance donor recruitment and retention strategies and emphasizing the need to balance immediate benefits with potential long-term impacts.
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  • 文章类型: Journal Article
    背景:血液供应和需求之间的差异需要对任何血库的血液供应进行准确的预测。准确的献血预测为血液管理者提供了血液库存管理的经验证据。该研究旨在使用分层时间序列对津巴布韦的献血进行建模和预测。建模技术允许人们识别,说,下降的捐助者类别,这样的话,该方法为血液管理者提供了可行和有针对性的解决方案。
    方法:使用从津巴布韦国家血液管理局(NBSZ)收集的2007年至2018年期间的每月献血数据。数据按性别和每个性别类别中的血型类型分类。模型验证涉及利用2019年和2020年的实际献血数据。通过平均绝对百分比误差(MAPE)评估模型的性能,仅在新冠肺炎大流行期间发现预期和显著的差异。
    结果:男性和女性献血者的O型血月平均产量最高,分别为1507.85和1230.03个血单位,分别。ARIMA下的自上而下的预测比例(TDFP),MAPE值为11.30,被选为最佳方法,然后将该模型用于预测未来的献血.2019年献血预测的MAPE值为14.80,表明与前几年的献血一致。然而,从2020年4月开始,Covid-19大流行扰乱了血液收集,导致献血显着减少,因此模型准确性降低。
    结论:预测显示未来献血的逐渐减少,要求津巴布韦的血液当局制定干预措施,鼓励献血者保留和定期献血。新冠肺炎大流行的影响扭曲了献血模式,以至于开发的模型没有捕捉到大流行期间献血量的显著下降。其他冲击,如,全球流行病和其他灾难的激增,将不可避免地影响献血制度。因此,高精度地预测未来的血液采集需要稳健的数学模型,各种冲击对系统的影响,在短时间内通知。
    BACKGROUND: The discrepancy between blood supply and demand requires accurate forecasts of the blood supply at any blood bank. Accurate blood donation forecasting gives blood managers empirical evidence in blood inventory management. The study aims to model and predict blood donations in Zimbabwe using hierarchical time series. The modelling technique allows one to identify, say, a declining donor category, and in that way, the method offers feasible and targeted solutions for blood managers to work on.
    METHODS: The monthly blood donation data covering the period 2007 to 2018, collected from the National Blood Service Zimbabwe (NBSZ) was used. The data was disaggregated by gender and blood groups types within each gender category. The model validation involved utilising actual blood donation data from 2019 and 2020. The model\'s performance was evaluated through the Mean Absolute Percentage Error (MAPE), uncovering expected and notable discrepancies during the Covid-19 pandemic period only.
    RESULTS: Blood group O had the highest monthly yield mean of 1507.85 and 1230.03 blood units for male and female donors, respectively. The top-down forecasting proportions (TDFP) under ARIMA, with a MAPE value of 11.30, was selected as the best approach and the model was then used to forecast future blood donations. The blood donation predictions for 2019 had a MAPE value of 14.80, suggesting alignment with previous years\' donations. However, starting in April 2020, the Covid-19 pandemic disrupted blood collection, leading to a significant decrease in blood donation and hence a decrease in model accuracy.
    CONCLUSIONS: The gradual decrease in future blood donations exhibited by the predictions calls for blood authorities in Zimbabwe to develop interventions that encourage blood donor retention and regular donations. The impact of the Covid-19 pandemic distorted the blood donation patterns such that the developed model did not capture the significant drop in blood donations during the pandemic period. Other shocks such as, a surge in global pandemics and other disasters, will inevitably affect the blood donation system. Thus, forecasting future blood collections with a high degree of accuracy requires robust mathematical models which factor in, the impact of various shocks to the system, on short notice.
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  • 文章类型: Case Reports
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  • 文章类型: Case Reports
    背景:皮下气肿是空气滞留在皮肤下的一种情况,通常由手术或皮肤创伤引起。它主要是局部的,并且在献血者中非常罕见。放血导致皮下气肿的风险最小,但是程序错误可能会导致这种并发症。
    方法:这是一例29岁重复献血者在献血后出现皮下气肿的病例报告。供体在捐献过程中大力挤压海绵球,导致针头移位,需要重新调整。捐赠后,供体报告在放血部位附近有爆裂感和轻度肿胀。非对比计算机断层扫描(NCCT)扫描证实皮下气肿,由于球阀机制,其发展归因于皮下平面中的空气捕集。
    结果:计算机断层扫描(CT)成像显示右肘部皮下气肿改变,没有血肿的证据。肿胀在10-12天内自发消退,没有任何干预。该病例强调了将皮下气肿与血肿等常见并发症区分开的重要性。
    结论:献血者的皮下气肿非常罕见,但应该通过明确的沟通进行管理。捐助者应该放心,虽然罕见,是良性的和自我解决的。医疗保健提供者应该有能力处理这种罕见的并发症,提供适当的护理和记录事件,以便将来预防。
    BACKGROUND: Subcutaneous emphysema is a condition where air becomes trapped under the skin, typically resulting from surgery or skin trauma. It is mostly localized and its occurrence in blood donors is exceedingly rare. Phlebotomy poses minimal risk of subcutaneous emphysema, but procedural errors may lead to such complications.
    METHODS: This is a case report of 29-year-old repeat blood donor who experienced subcutaneous emphysema following blood donation. The donor was vigorously squeezing sponge ball during donation resulting in displacement of the needle which required readjustment. Post-donation, the donor reported a crackling sensation and mild swelling near phlebotomy site. Non-contrast computed tomography (NCCT) scans confirmed subcutaneous emphysema, attributing its development to air trapping in subcutaneous plane due to ball valve mechanism.
    RESULTS: Computed tomography (CT) imaging revealed subcutaneous emphysematous changes in the right cubital region and no evidence of hematoma. The swelling spontaneously subsided in 10-12 days without any intervention. The case underscores the importance of differentiating subcutaneous emphysema from common complications like hematoma.
    CONCLUSIONS: Subcutaneous emphysema in blood donors is exceptionally rare but should be managed with clear communication. Donors should be reassured that the condition, although rare, is benign and self-resolving. Healthcare providers should be equipped to handle such rare complications, offering appropriate care and documenting incidents for future prevention.
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  • 文章类型: Journal Article
    促进献血需要了解和确定促使献血的因素,以便制定保留和增加忠诚度的策略。可以通过以学校为基础的教学以及有关给予和团结的信息来提高输血素养,以促进未来捐助者的发展。为了调整任何策略和动机动态,以促进科英布拉市学生对知情捐赠和忠诚度的坚持。这项研究旨在评估中学教师对学生献血知识的看法。对科英布拉七所公立学校的教师进行了一项关于第三和中等教育周期的调查。根据数据,人们为个人满足感和同伴影响而献血,以及帮助他人的满足感。献血应成为学校社区的重要和关注焦点,通过实施方案,项目,以及针对这一目标群体的传播行动。我们非常高兴和最热情地被邀请通过与全球读者分享我们的研究。
    Promoting blood donation requires understanding and identifying the factors that motivate donations so that strategies for retaining and increasing loyalty can be developed. Transfusion literacy can be improved through school-based teaching and information about giving and solidarity to promote the development of future donors. For the purpose of aligning any strategies and motivational dynamics that promote adherence to informed donation and loyalty among students in the municipality of Coimbra. This study was undertaken to assess the perception of secondary school teachers regarding the students\' knowledge of blood donation. A survey was conducted among teachers from seven public schools in Coimbra with regard to the 3rd and Secondary cycles. Based on the data, people give blood for a feeling of personal satisfaction and peer influence, as well as for the satisfaction of helping others. Blood donation should be made a focal point of relevance and interest in the school community, by implementing programs, projects, and dissemination actions targeting this target group. We are extremely glad and most enthusiastic to be invited to share our study through what\'s happening with the readers globally.
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  • 文章类型: Journal Article
    鉴于目前美国献血者短缺,研究人员试图找出不同的策略来吸引更多的年轻人,并传播捐赠者需求的声音。
    进行了系统的文献综述,以调查用于跟踪的当前移动应用程序,吸引,留住捐赠者。我们还提供了一些试点研究的初步结果,根据对952名参与者(18至39岁)的横断面调查,关于捐献者愿意使用移动应用程序作为鼓励献血的工具。数据是使用20项问卷收集的,其中包括计划行为理论的四个结构,以评估受访者的献血意愿。一系列统计技术,包括单变量分析,多变量分析,和结构方程建模,用于分析收集的数据。
    37篇研究文章,在应用几个排除标准后选择,分为五大类。大部分研究(44.1%)是关于使用移动应用程序来寻找献血者和血液中心,其次是使用移动应用程序鼓励献血(26.4%)和招募献血者(14.7%)的出版物。其余的研究是关于保留献血者(8.8%)和使用移动应用程序安排捐赠(5.8%)。我们的试点案例研究表明,73%的参与者对献血移动应用程序有良好的看法。
    已经进行了许多努力,以使用移动应用程序使献血更加方便,并围绕献血创建社区。案例研究结果表明,年轻一代非常愿意使用移动应用程序进行献血。
    UNASSIGNED: Given the current shortage of blood donors in the USA, researchers have tried to identify different strategies to attract more young people and spread the voice of donors\' needs.
    UNASSIGNED: A systematic literature review is conducted to investigate the current mobile applications used to track, attract, and retain donors. We also provide some preliminary results of a pilot study, based on a cross-sectional survey of 952 participants (aged 18 to 39), about the willingness of donors to use mobile apps as tools for encouraging blood donation. The data is collected using a 20-item questionnaire, which includes four constructs of the Theory of Planned Behavior to assess the respondents\' willingness to donate blood. A range of statistical techniques, including univariate analysis, multivariate analysis, and structural equation modeling, were utilized to analyze the collected data.
    UNASSIGNED: The 37 research articles, selected after applying several exclusion criteria, are classified into five main categories. The majority of the research (44.1%) is about using mobile apps to find blood donors and blood centers, followed by publications on using mobile apps to encourage blood donation (26.4%) and to recruit blood donors (14.7%). The remaining studies are about retaining blood donors (8.8%) and using mobile apps for scheduling donations (5.8%). Our pilot case study suggests that 73% of participants have favorable perceptions toward a blood donation mobile app.
    UNASSIGNED: Many efforts have been undertaken to employ mobile apps to make blood donations more convenient and create communities around donating blood. The case study findings suggest a high level of readiness of using mobile apps for blood donation among the younger generation.
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  • 文章类型: Journal Article
    献血是一种从健康个体中收集血液以输血给他人的技术。世卫组织估计,有必要向该国2%至3%的人口献血,以满足血液需求。然而,在发展中国家,献血仍然具有挑战性。
    本研究旨在确定影响巴希尔达尔市公立医院医疗服务提供者献血行为的因素。
    这项基于机构的无匹配病例对照研究于2022年5月01日至5月25日在BahirDar市公立医院进行。总样本量为491例(123例,368例对照),然后使用简单随机抽样技术选择研究对象,并通过自编问卷收集数据。使用双变量和多变量二元逻辑回归分析来确定因变量和自变量之间的关联。最后,结果以图表和表格的形式显示,并报告了AOR和CI。P<0.05时具有统计学意义。
    对贫血的恐惧(调整后比值比(AOR):0.02;95%CI0.007-0.078),缺乏机会(AOR:0.42;95%CI0.22-0.83),缺乏时间(AOR:0.03;95%CI,0.005-0.199),职业(AOR:0.15;95%CI,0.05-0.42),了解免费体检(AOR:31.79;95%CI13.13-76.94),献血意愿(AOR:5.09;95%CI2.25-11.50),血型(AOR:5.67;95%CI1.42-22.68),和较高的工作经验(AOR:7.99;95%CI2.59-24.67)被发现与献血实践显著相关。
    这项研究表明,多种因素影响了医疗保健提供者的献血行为。因此,进入献血区和强调献血者献血的重要性对于促进献血很重要。
    UNASSIGNED: Blood donation is a technique in which blood is collected from a healthy individual for transfusion to someone else. WHO estimates that it is necessary to donate blood to 2% to 3% of the country\'s population to meet blood needs. However, blood donation remains challenging in developing countries.
    UNASSIGNED: This study aimed to identify factors influencing blood donation practices among healthcare providers in public hospitals in Bahir Dar City.
    UNASSIGNED: This institution-based unmatched case-control study was conducted in Bahir Dar City Public Hospitals from May 01 to May 25, 2022. Total sample size was 491 (123 cases and 368 controls) and then the study subject was selected by using simple random sampling technic and collect data through self-administered questionnaire. Bi-variable and multi-variable binary logistic regression analyses were used to determine the association between dependent and independent variables. Finally, the results are presented in charts and tables, and the AOR and CI are reported. Statistical significance was set at P < 0.05.
    UNASSIGNED: Fear of anemia (adjusted odds ratio (AOR): 0.02; 95% CI 0.007-0.078), lack of opportunity (AOR: 0.42; 95% CI 0.22-0.83), lack of time (AOR: 0.03; 95% CI, 0.005-0.199), profession (AOR: 0.15; 95% CI, 0.05-0.42), aware of free medical checkup (AOR: 31.79; 95% CI 13.13-76.94), willingness to donate blood (AOR: 5.09; 95% CI 2.25-11.50), blood group type (AOR: 5.67; 95% CI 1.42-22.68), and higher work experience (AOR: 7.99; 95% CI 2.59-24.67) were found to be significantly associated with blood donation practice.
    UNASSIGNED: This study revealed that multiple factors influenced the practice of blood donation among healthcare providers. Therefore, access to blood donation areas and emphasizing the importance of donor blood donation are important for facilitating blood donation.
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  • 文章类型: Case Reports
    背景:西班牙很少有输血传播的戊型肝炎病毒(HEV)病例。这里,我们描述了在阿斯图里亚斯(西班牙)社区血液和组织中心对输血传播的HEV病例进行的特征明确的回顾调查。
    方法:一名女性慢性粒细胞白血病患者于2019年3月接受了同种异体骨髓移植,此后不久肝功能发生改变。该患者在移植前3个月接受了来自30个不同供体的血液成分。研究来自这些捐赠物的冷冻血浆样品中HEV-RNA的存在。一名频繁的献血者在他的全血捐献时被鉴定为无症状的HEVRNA阳性。调查显示这个捐献者的血浆单位,最初用于分馏行业,病毒RNA浓度为1.9×104拷贝/mL。最初在输血后25天接受来自该供体的红细胞浓缩物的索引患者中检测到HEVRNA。从供体和受体分离的HEVRNA被鉴定为3f亚型。血小板浓缩物(PC)的接受者,用基于核黄素的病原体减少技术(PRT)治疗没有感染,对HEVIgM的存在呈阴性,IgG,输血前后的HEVRNA。
    结论:本案例研究表明,HEV是通过红细胞输注传播给接受者的,而接受核黄素/紫外线治疗的PC患者未出现感染迹象。PC的PRT治疗与HEV的不传输之间的因果关系尚待确定。
    Few cases of transfusion-transmitted hepatitis E virus (HEV) have been published in Spain. Here, we describe a well-characterized lookback investigation of a transfusion-transmitted HEV case at the Community Centre for Blood and Tissues of Asturias (Spain).
    A female patient with chronic myeloid leukemia underwent an allogeneic bone marrow transplant in March 2019 and showed alterations in liver function shortly afterwards. This patient received blood components from 30 different donors in the 3 months before the transplant. Frozen plasma samples from these donations were investigated for the presence of HEV-RNA. One frequent donor was identified as asymptomatic HEV RNA-positive at the time of his whole blood donation. The investigation revealed that this donor\'s plasma unit, originally intended for the fractionation industry, had a viral RNA concentration of 1.9 × 104 copies/mL. HEV RNA was detected initially in the index patient who received the red cell concentrate from this donor 25 days after the transfusion. HEV RNA isolated from both donor and recipient were identified as subtype 3f. The recipient of platelet concentrate (PC), treated with a riboflavin-based pathogen reduction technology (PRT) was not infected, being negative for the presence of HEV IgM, IgG, and HEV RNA before and after the transfusion.
    This case study shows that HEV was transmitted through red cell transfusion to a recipient, while the patient who received riboflavin/UV light treated PC did not develop signs of infection. A causal relationship between PRT treatment of the PC and the non-transmission of HEV remains to be established.
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  • 文章类型: Case Reports
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  • 文章类型: Journal Article
    戊型肝炎病毒(HEV)是英国急性病毒性肝炎的最常见原因。在2003-2016年和2017-2019年期间,观察到本地感染的逐年大幅增加。先前的研究将急性HEV病例与食用加工猪肉产品相关,我们调查了英格兰献血者人群中自体HEV感染的危险因素.研究参与者是117个HEVRNA阳性献血者和564个HEVRNA阴性献血者。没有阳性结果的人是素食主义者;97.4%的阳性结果的人报告食用猪肉产品。食用培根(OR3.0,95%CI1.7-5.5;p<0.0001),腌制猪肉(OR3.5,95%CI2.2-5.4;p<0.0001),猪肝脏(OR2.9,95%CI1.0-8.3;p=0.04)与HEV感染显著相关。我们的发现证实了以前与猪肉产品的联系,并表明适当的畜牧业对于降低HEV感染的风险至关重要。
    Hepatitis E virus (HEV) is the most common cause of acute viral hepatitis in England. Substantial yearly increases of autochthonous infections were observed during 2003-2016 and again during 2017-2019. Previous studies associated acute HEV cases with consumption of processed pork products, we investigated risk factors for autochthonous HEV infections in the blood donor population in England. Study participants were 117 HEV RNA-positive blood donors and 564 HEV RNA-negative blood donors. No persons with positive results were vegetarian; 97.4% of persons with positive results reported eating pork products. Consuming bacon (OR 3.0, 95% CI 1.7-5.5; p<0.0001), cured pork meats (OR 3.5, 95% CI 2.2-5.4; p<0.0001), and pigs\' liver (OR 2.9, 95% CI 1.0-8.3; p = 0.04) were significantly associated with HEV infection. Our findings confirm previous links to pork products and suggest that appropriate animal husbandry is essential to reduce the risk for HEV infection.
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