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La sélection médicale consiste à sélectionner les donneurs sûrs pour minimiser le risque de la transfusion sanguine. Selon l’Organisation mondiale de la santé. Les donneurs bénévoles non rémunérés sont reconnus comme les donneurs les plus sûrs du don de sang, ils représentent 100% ou presque des donneurs dans les pays développés. Dans le Centre National de Transfusion Sanguine (CNTS) de Madagascar, situé à Antananarivo, les donneurs familiaux sont plus nombreux que les donneurs bénévoles. La sélection médicale garde son importance pour améliorer la sécurité transfusionnelle. La présente étude vise à analyser la sélection médicale afin de proposer des recommandations pour améliorer la sécurité transfusionnelle dans ce centre. Nous avons mené une étude rétrospective des donneurs enregistrés de janvier à décembre 2015 dans ce centre. Les résultats sont analysés selon les données de la littérature sur pub Med et OMS à partir de 2007. En 2015, le centre a enregistré 23945 donneurs à l’accueil. Parmi ces donneurs 31,06% ont été écartés pour des raisons médicales ou non. Les 16506 aptes à donner du sang sont constitués surtout par des sujets masculins (75%), et dont l’âge est de 25 à 44 ans dans 40,50ù. Les donneurs familiaux représentent 76,37% , 3,87% des poches prélevées ont été détruites à cause des tests de dépistage positifs aux maladies transmissibles. L’hépatite B tient le premier rang de ces maladies 3,09% suivie de la syphilis 0,4%.Dès lors, nous recommandons de réviser le questionnaire médical, de renforcer la formation du personnel, d’améliorer mes moyens de sensibilisation de la population générale sur l’importance du don du sang et d’encourager les donneurs familiaux à devenir des donneurs bénévoles.
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Donor Selection --- Pancreas Transplantation --- Islets of Langerhans Transplantation
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Biology. --- Liver Transplantation. --- Liver Diseases --- Tissue Donors. --- Donor Selection. --- Liver. --- therapy. --- Liver --- Transplantation.
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The establishment of systems to ensure that all donated blood is screened for transfusion-transmissible infections is a core component of every national blood program. Globally, however, there are significant variations in the extent to which donated blood is screened, the screening strategies adopted and the overall quality and effectiveness of the blood screening process. As a result, in many countries the recipients of blood and blood products remain at unacceptable risk of acquiring life-threatening infections that could easily be prevented.These recommendations are designed to support cou
Blood Transfusion -- standards. --- Disease Transmission, Infectious -- prevention & control. --- Donor Selection. --- National Health Programs. --- Blood --- Blood donors --- Tissue and Organ Harvesting --- Health Planning --- Tissue and Organ Procurement --- Public Health --- Biological Therapy --- Donor Selection --- National Health Programs --- Blood Transfusion --- Disease Transmission, Infectious --- Health Care Economics and Organizations --- Surgical Procedures, Operative --- Environment and Public Health --- Health Services --- Therapeutics --- Health Care --- Health Care Facilities, Manpower, and Services --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Medicine --- Hematologic Diseases --- Health & Biological Sciences --- Complications --- Transfusion --- Safety measures --- Diseases --- Blood banks --- Communicable diseases --- Standards. --- Safety measures. --- Prevention.
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Blood transfusion services (BTS) have the responsibility to collect blood only from donors who are at low risk for any infection that could be transmitted through transfusion and who are unlikely to jeopardize their own health by blood donation. A rigorous process to assess the suitability of prospective donors is therefore essential to protect the safety and sufficiency of the blood supply and safeguard the health of recipients of transfusion and blood donors themselves while ensuring that suitable donors are not deferred unnecessarily. These World Health Organization (WHO) guidelines Blood d
Blood -- Transfusion -- History. --- Blood -- Transfusion. --- Blood substitutes. --- Critical care medicine. --- Tissue and Organ Procurement --- Tissue and Organ Harvesting --- Tissue Donors --- Persons --- Health Services --- Surgical Procedures, Operative --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Named Groups --- Health Care Facilities, Manpower, and Services --- Health Care --- Donor Selection --- Blood Donors --- Blood Donors. --- standards.
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The atmospheric part of the water cycle is accelerating, affecting hydrological dynamics, especially in tropical and Mediterranean areas, where landscapes, soils and territories are particularly vulnerable to global warming and land use changes. Across four continents and a dozen of different regions or basins, this SI strives to highlight the environmental and societal vulnerabilities and their links with the water cycle. The basins of three of the greatest basins in the world in terms of streamflows—the Amazon River, the Orinoco River and the Congo River—show their unexpected behaviors. This book aims to present past and present status to improve future land and water management.
Research & information: general --- Africa --- rainfall --- monthly grids --- database --- inverse distance weighted --- agroforestry --- catchment hydrology --- humid tropics --- hydrological modeling --- impact assessment --- land-cover change --- Montane Southeast Asia --- rubber --- trend detection --- water balance --- critical drought --- frequency analysis --- Mediterranean region --- precipitation deficit --- Seyhan River basin --- spatial drought analysis --- standardized precipitation index (SPI) --- Casiquiare --- Orinoco --- Amazon --- bifurcation --- hydro-sedimentary budget --- trends --- Senegal River Basin --- rainfall shift --- hydroclimatic variables --- streamflow --- climate change --- data preprocessing --- donor selection --- drainage area ratio --- Euphrates basin --- moving average --- physical similarity --- streamflow estimation --- ungauged basins --- water salinity --- inverse estuaries --- West Africa --- drought --- mangrove --- Mono basin --- extreme rainfall events --- ENSEMBLE --- regional climate models --- modeling --- MUSLE --- erosion --- solid transport --- dam --- Bouregreg --- Morocco --- overland flow --- inter-rill erosion --- teak tree plantation --- understory --- broom grass --- South-East Asia --- land management --- soil erosion --- flow recession model --- discharge forecast --- Senegal River --- Gambia River --- Niger River --- hydroclimatology --- hydrosedimentology --- hydrogeochemical --- Congo River Basin --- urbanization --- impervious area --- Cameroon --- runoff --- Rambla de Algeciras --- semi-arid --- lake --- lakeshores --- silting --- bank gullies --- UAV --- LiDAR --- DoD --- M3C2 --- Fouta Djallon --- water tower --- depletion (or recession) coefficient --- runoff coefficient --- soil water holding capacity --- basement --- sandstone --- Fula society --- Africa --- rainfall --- monthly grids --- database --- inverse distance weighted --- agroforestry --- catchment hydrology --- humid tropics --- hydrological modeling --- impact assessment --- land-cover change --- Montane Southeast Asia --- rubber --- trend detection --- water balance --- critical drought --- frequency analysis --- Mediterranean region --- precipitation deficit --- Seyhan River basin --- spatial drought analysis --- standardized precipitation index (SPI) --- Casiquiare --- Orinoco --- Amazon --- bifurcation --- hydro-sedimentary budget --- trends --- Senegal River Basin --- rainfall shift --- hydroclimatic variables --- streamflow --- climate change --- data preprocessing --- donor selection --- drainage area ratio --- Euphrates basin --- moving average --- physical similarity --- streamflow estimation --- ungauged basins --- water salinity --- inverse estuaries --- West Africa --- drought --- mangrove --- Mono basin --- extreme rainfall events --- ENSEMBLE --- regional climate models --- modeling --- MUSLE --- erosion --- solid transport --- dam --- Bouregreg --- Morocco --- overland flow --- inter-rill erosion --- teak tree plantation --- understory --- broom grass --- South-East Asia --- land management --- soil erosion --- flow recession model --- discharge forecast --- Senegal River --- Gambia River --- Niger River --- hydroclimatology --- hydrosedimentology --- hydrogeochemical --- Congo River Basin --- urbanization --- impervious area --- Cameroon --- runoff --- Rambla de Algeciras --- semi-arid --- lake --- lakeshores --- silting --- bank gullies --- UAV --- LiDAR --- DoD --- M3C2 --- Fouta Djallon --- water tower --- depletion (or recession) coefficient --- runoff coefficient --- soil water holding capacity --- basement --- sandstone --- Fula society
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The atmospheric part of the water cycle is accelerating, affecting hydrological dynamics, especially in tropical and Mediterranean areas, where landscapes, soils and territories are particularly vulnerable to global warming and land use changes. Across four continents and a dozen of different regions or basins, this SI strives to highlight the environmental and societal vulnerabilities and their links with the water cycle. The basins of three of the greatest basins in the world in terms of streamflows—the Amazon River, the Orinoco River and the Congo River—show their unexpected behaviors. This book aims to present past and present status to improve future land and water management.
Research & information: general --- Africa --- rainfall --- monthly grids --- database --- inverse distance weighted --- agroforestry --- catchment hydrology --- humid tropics --- hydrological modeling --- impact assessment --- land-cover change --- Montane Southeast Asia --- rubber --- trend detection --- water balance --- critical drought --- frequency analysis --- Mediterranean region --- precipitation deficit --- Seyhan River basin --- spatial drought analysis --- standardized precipitation index (SPI) --- Casiquiare --- Orinoco --- Amazon --- bifurcation --- hydro-sedimentary budget --- trends --- Senegal River Basin --- rainfall shift --- hydroclimatic variables --- streamflow --- climate change --- data preprocessing --- donor selection --- drainage area ratio --- Euphrates basin --- moving average --- physical similarity --- streamflow estimation --- ungauged basins --- water salinity --- inverse estuaries --- West Africa --- drought --- mangrove --- Mono basin --- extreme rainfall events --- ENSEMBLE --- regional climate models --- modeling --- MUSLE --- erosion --- solid transport --- dam --- Bouregreg --- Morocco --- overland flow --- inter-rill erosion --- teak tree plantation --- understory --- broom grass --- South–East Asia --- land management --- soil erosion --- flow recession model --- discharge forecast --- Senegal River --- Gambia River --- Niger River --- hydroclimatology --- hydrosedimentology --- hydrogeochemical --- Congo River Basin --- urbanization --- impervious area --- Cameroon --- runoff --- Rambla de Algeciras --- semi-arid --- lake --- lakeshores --- silting --- bank gullies --- UAV --- LiDAR --- DoD --- M3C2 --- Fouta Djallon --- water tower --- depletion (or recession) coefficient --- runoff coefficient --- soil water holding capacity --- basement --- sandstone --- Fula society --- n/a --- South-East Asia
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The atmospheric part of the water cycle is accelerating, affecting hydrological dynamics, especially in tropical and Mediterranean areas, where landscapes, soils and territories are particularly vulnerable to global warming and land use changes. Across four continents and a dozen of different regions or basins, this SI strives to highlight the environmental and societal vulnerabilities and their links with the water cycle. The basins of three of the greatest basins in the world in terms of streamflows—the Amazon River, the Orinoco River and the Congo River—show their unexpected behaviors. This book aims to present past and present status to improve future land and water management.
Africa --- rainfall --- monthly grids --- database --- inverse distance weighted --- agroforestry --- catchment hydrology --- humid tropics --- hydrological modeling --- impact assessment --- land-cover change --- Montane Southeast Asia --- rubber --- trend detection --- water balance --- critical drought --- frequency analysis --- Mediterranean region --- precipitation deficit --- Seyhan River basin --- spatial drought analysis --- standardized precipitation index (SPI) --- Casiquiare --- Orinoco --- Amazon --- bifurcation --- hydro-sedimentary budget --- trends --- Senegal River Basin --- rainfall shift --- hydroclimatic variables --- streamflow --- climate change --- data preprocessing --- donor selection --- drainage area ratio --- Euphrates basin --- moving average --- physical similarity --- streamflow estimation --- ungauged basins --- water salinity --- inverse estuaries --- West Africa --- drought --- mangrove --- Mono basin --- extreme rainfall events --- ENSEMBLE --- regional climate models --- modeling --- MUSLE --- erosion --- solid transport --- dam --- Bouregreg --- Morocco --- overland flow --- inter-rill erosion --- teak tree plantation --- understory --- broom grass --- South–East Asia --- land management --- soil erosion --- flow recession model --- discharge forecast --- Senegal River --- Gambia River --- Niger River --- hydroclimatology --- hydrosedimentology --- hydrogeochemical --- Congo River Basin --- urbanization --- impervious area --- Cameroon --- runoff --- Rambla de Algeciras --- semi-arid --- lake --- lakeshores --- silting --- bank gullies --- UAV --- LiDAR --- DoD --- M3C2 --- Fouta Djallon --- water tower --- depletion (or recession) coefficient --- runoff coefficient --- soil water holding capacity --- basement --- sandstone --- Fula society --- n/a --- South-East Asia
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