scholarly journals Retrospective analysis of donor deferral for plateletpheresis at a regional transfusion center, in North-West India

Author(s):  
Ashok Pal ◽  
Sunita Bundas ◽  
Anjali Handa

 Background: Single donor platelet (SDP) is one of the valuable component for thrombocytopenic patients for obtaining good post transfusion count increment, good yield of product is required. Proper donor selection has a crucial role in in safety and quality of product therefore proper screening of donor is mandatory. The aim was to find out reasons and frequency of plateletpheresis donor deferral and to encourage safety of donor for recruitment of new SDP donors.Methods: A retrospective analysis of data was done over a period of 1 year from June 2018 to May 2019 from the data centre of the institute.Results: Out of 1365 donors, 1200 were selected for plateletpheresis procedure and remaining 165 donors were deferred for various reasons. The predominant age of donors ranges from 25-35 years. Among the deferred donors temporary donors accounted for 93.33% and permanently deferred donors were 6.61. Most common cause for deferral were poor venous access 52 (31.51%). Low platelet counts 32 (19.39), low Hb 26 (15.75%), underweight 24 (14.54%), under medication 9 (5.45%), alcohol intake within 24 hours 6 (3.63%) and others like tattoos, infections/inflammations at phlebotomy sites 5 (3.03%) and most common reason for permanent deferral were sero-positivity for HbsAg 6 (3.63%), chronic diseases 4 (2.42%) (cardiovascular diseases bronchial asthma), others 1 (0.6%).Conclusions: For obtaining good yield of product, proper donor screening is required. Temporary deferred donors should be counselled properly and encouraged for further donation when comes under selection criteria. Donor selection criteria for apheresis may be revised.

Author(s):  
Chitra Chauhan ◽  
Rashmi Chauhan ◽  
Seema Awasthi ◽  
S. Dutta ◽  
Himanshu Joshi

Background: To analyze various reasons for blood donor deferral and to study its long term impact on potential prospective blood donors.Methods: A total of 26029, otherwise healthy, prospective blood donors were studied retrospectively over a period of 5 years. WHO blood donor selection criteria and counseling guidelines were used for donor selection. Donor deferral data was evaluated with respect to age, sex and cause of deferral which was further analyzed as temporary or permanent deferral.Results: 1448 (5.56%) blood donors were deferred for various reasons. 1232 (4.89%) of total male donors and 216 (26.83%) of total female blood donors were deferred.1378 (95.16%) donors were deferred on temporary basis and only 70 (4.84 %) donors were permanently deferred. Anemia (42.26%) was observed to be the most common cause of temporary donor deferral while hypertension with cardiac disorder (1.93%) was the most common cause of permanent deferral. All the temporary deferred donors (1378) were called after the period of deferment. Out of total 1378 temporarily deferred donors, only 129 donors returned later for voluntary donation.Conclusions: Establishment of effective measures is needed in regard to consider the effect of donor deferrals on future availability of donor and donor return and to monitor necessity and effectiveness of deferrals and their reasons. As percentage of temporary deferral is higher, they should be efficiently managed, counseled, educated and encouraged for future donation which can compensate the increasing demand of blood donors.


Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 393-P
Author(s):  
KHAWLA F. ALI ◽  
LIMA LAWRENCE ◽  
LAUREN A. BUEHLER ◽  
RONALD R. GAMBINO ◽  
MARWAN HAMATY

2021 ◽  
Vol 28 (2) ◽  
pp. 1495-1506
Author(s):  
Brent Burbridge ◽  
Hyun Lim ◽  
Lynn Dwernychuk ◽  
Ha Le ◽  
Tehmina Asif ◽  
...  

Introduction: Venous access is a crucial element in chemotherapy delivery. It remains unclear whether cancer patients prefer a port to a peripherally inserted central catheter (PICC). Our study aimed to assess cancer patients’ satisfaction with their venous access device and to compare the quality of life (QoL) of subjects with a PICC to those with a port. Methods: In this prospective cohort study, EORTC QLQ-C30, and a locally developed quality of life survey (QLAVD), designed to assess satisfaction with venous access devices, were administered to breast or colorectal cancer patients over a one-year period following the device insertion. Mixed effects models were used to assess changes on mean scores at different time points. Results: A total of 101 patients were recruited over a three-year period, (PICC group, n = 50; port group, n = 51). Survey response rates for months one and three were 72% and 48%, respectively. Overall, no significant differences were noted between the two groups in relation to EORTC QOL. At three months, the mean pain scores were 3.5 ± 2.3 for the port and 1.3 ± 0.75 for PICC (<0.001). The mean score for a negative effect of the venous access device on psychosocial well-being was 6.0 ± 4.1 for PICC and 3.0 ± 2.7 for the port (p = 0.005). Complications related to PICCs occurred in 38% patients versus 41% with a port (p > 0.24). Conclusions: Although subjects with a port experienced more pain during the device insertion or access for chemotherapy, it had a smaller negative impact on psychosocial scores than the PICC. No significant differences in complications rates were observed between the two devices.


Author(s):  
Kamohelo Nthebe ◽  
Nicolene Barkhuizen ◽  
Nico Schutte

Orientation: School principals have an important role to play in the quality of service delivery in schools. Evidence suggests that school principals are generally poorly compensated, which has an adverse impact on their well-being and subsequent service quality orientation.Research purpose: This study investigated whether rewards are a predictor of well-being and service orientation of school principals in the North-West province.Motivation for the study: Effective school principals are fundamental to the success of any school, which necessitates the establishment of an effective reward and remuneration system.Research design, approach and method: Quantitative research was carried out among school principals (N = 155) in four districts of the North-West province. The Total Rewards Scale, Maslach’s Burnout Inventory – General Survey, the Utrecht Work Engagement Scale and the SERVQUAL measure were administered among the principals.Main findings: The results showed that rewards are a significant predictor of the well-being and service quality of school principals. The results further showed that burnout significantly reduces the service quality of school principals. No significant relationships were found between work engagement and the service quality of school principals.Practical/managerial implications: An effective total rewards system enhances the well-being of school principals and, subsequently, their willingness and commitment to delivering quality services.Contribution: The results of this study point out some key elements that need to be considered by the Department of Education to enable quality service delivery in South African schools.


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