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Risk Management in Blood Transfusion: The Virtue of Reality: Proceedings of the Twenty-Third International Symposium on Blood Transfusion, Groningen 1998, organized by the Blood Bank Noord Nederland / Edition 1

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More About This Textbook


This book is composed of four major sections:

• The perception of risk, where authorities from the field of environmental psychology and risk analysis describe the backgrounds and mechanisms of cognitive behavior and the effects of emotional and publicity factors on perception and acceptance of risk.
• The management of infection-defined risk, the core of public and political anxiety. Here the book illustrates how safe the current blood supply has become over the past decade in at least the majority of industrialized countries in the world.
• The management of immune-defined risks has been the Cinderella of blood transfusion and transfusion medicine up till now.
• Risk management in clinical practice: optimal versus maximal is the section where the real virtue of reality comes to life through valuable contributors by authors from the field of clinical blood banking, heavily involved consumers organizations (WFH), the Cochrane Institute of Medical Sciences and National Health Services Center for reviews and dissemination, and international policy makers and regulative bodies like the Council of Europe and the European Commission.

When the reader is first confronted with a poem illustrating the reality of virtue, written by one of the editors noted for his talent in anecdotal medical poetry, the scene is set for the virtue of reality in the management of risk in blood transfusion.

Disc. perception of risk, mgmt of infection defined risks & immune defined risks, etc.

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Product Details

Table of Contents

Moderators and Speakers
Does Perceived Risk Withhold People from Donating Blood? 3
Managing Risks from an Insurer's Perceptive 23
Bad Blood or the Elixir of Life? Perceived Risk of Blood Transfusions 27
The Role of Cost-Effectiveness Analysis in Defining Transfusion Medicine Policy 47
Discussion 59
Risks of Transfusion-Transmitted Infection: A Comparative Analysis of Then and Now 69
Prevention of Transfusion Transmissible Infections: The Impact of the Recent Past on Current Decision Making 81
Management of Infection-Defined Risks 95
Closing the Window of Early HIV Infection by Incorporation of HIV p24 Ag Detection 105
GAT Testing: Added Value? 109
Discussion 119
The Role of T and B Cells in Transfusion-Related Immune Reactions: Cytokines and the Removal of Apoptic Material 131
Involvement of B-cells in Peripheral Scrapie Pathogenesis 133
Alternative Approaches to Prevention of Alloimmunisation: A Virtue of Reality? 141
Transfusion-Associated Immunomodulation in Cancer Recurrence and Postoperative Infection: Meta-Analysis of Randomised Controlled Trials 147
Does General Leukodepletion Provide Any Better Outcome? 163
Discussion 169
Haemovigilance: An Approach to Risk Management and Control 181
Evidence-Based Transfusion Medicine: A Fundamental Part of Risk Management 191
Safety and Supply Issues from Consumers Point of View 201
The Value of Education to Improve Perception, Acceptance and Communication of Transfusion-Related Risk 207
This is the Bloody Limit 213
The Virtue of Reality: Global Strategies in the Management of Transfusion-Related Risks 219
Discussion 223
Index 231
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