全球血液供应:文献综述
Katherine E Kralievits1, Nakul P Raykar2, Sarah L M Greenberg3
1Eck Institute for Global Health, University of Notre Dame, Notre Dame, IN, USA.
Lancet (London, England)
|August 28, 2015
概括
低收入和中等收入国家 (LMICs) 的血液供应不足,原因是基础设施不足,认识不足和污名化. 解决这些多因素问题需要全球和地方努力,优先考虑公平和创新的血液安全解决方案.
科学领域:
- 全球健康
- 公共卫生
- 加强卫生系统
背景情况:
- 一个有效的手术系统依赖于安全和充足的血液供应.
- 高收入国家和低收入和中等收入国家 (LMICs) 的献血率存在差异.
- 了解这些不平等的根本原因对于有效的干预至关重要.
研究的目的:
- 审查全球血液供应情况.
- 确定影响献血和安全的特定国家挑战.
- 分析不同收入水平国家的血液供应不平等的因素.
主要方法:
- 使用PubMed,MEDLINE,谷歌学者和WHO报告进行了全面的文献搜索.
- 搜索国家特定数据,包括捐献率,自愿无偿捐献者百分比,血液库位置和国家政策.
- 包括来自188个国家的定量和描述数据.
主要成果:
- 由于卫生基础设施不完善,公众意识不足和耻辱感, 低收入国家献血的数量有限.
- 在LMIC中,输血传染性感染的发病率更高,导致丢弃率和风险增加.
- 国家血液政策往往没有得到充分的协调和监管.
结论:
- 由于复杂的多因素,LMIC的血液供应在数量和质量上是不够的.
- 解决血液供应短缺需要地方和全球关注,政治优先考虑和创新解决方案.
- 为了改善全球血液供应,必须采取文化认知,支持贫困和平等的方法,并从成功的国家战略中吸取教训.
相关概念视频
Overview of Blood Vessels
12.9K
The human cardiovascular system comprises five primary types of blood vessels: arteries, arterioles, veins, venules, and capillaries, each serving unique functions.
Arteries and Arterioles: Arteries are muscular and elastic vessels that primarily carry oxygenated blood from the heart to body tissues, except for the pulmonary artery, which carries deoxygenated blood. They have thick walls to withstand high pressure and contain a layer of muscle tissue, allowing them to expand or contract as...
Arteries and Arterioles: Arteries are muscular and elastic vessels that primarily carry oxygenated blood from the heart to body tissues, except for the pulmonary artery, which carries deoxygenated blood. They have thick walls to withstand high pressure and contain a layer of muscle tissue, allowing them to expand or contract as...
12.9K
Blood Flow
78.6K
Blood is pumped by the heart into the aorta, the largest artery in the body, and then into increasingly smaller arteries, arterioles, and capillaries. The velocity of blood flow decreases with increased cross-sectional blood vessel area. As blood returns to the heart through venules and veins, its velocity increases. The movement of blood is encouraged by smooth muscle in the vessel walls, the movement of skeletal muscle surrounding the vessels, and one-way valves that prevent backflow.
78.6K
Blood Supply to the Digestive System
6.5K
Splanchnic circulation refers to the network of blood vessels that supply and drain blood from the abdominal organs involved in digestion, including the stomach, liver, pancreas, intestines, and spleen. This circulation delivers essential nutrients and oxygen while removing waste products from these organs.
Blood Supply to the Digestive System: The splanchnic circulation involves three main arteries: the celiac artery (also known as the celiac trunk) and the superior and inferior mesenteric...
Blood Supply to the Digestive System: The splanchnic circulation involves three main arteries: the celiac artery (also known as the celiac trunk) and the superior and inferior mesenteric...
6.5K
Overview of the Vascular System
3.7K
The vascular system comprises an extensive network of arteries, capillaries, and veins. The vascular system can be broadly divided into the blood and lymphatic systems. Typically, blood vessels can be categorized into three histological regions: tunica intima, tunica media, and tunica adventitia. The tunica intima consists of a single layer of endothelial cells attached to the basal lamina. Underlying the basal lamina is a connective tissue layer and an elastic lamina that gives stability and...
3.7K
Regulation of Angiogenesis and Blood Supply
4.0K
Rapidly dividing tumors, embryos, and wounded tissues require more oxygen than usual, lowering the oxygen concentration in the blood. At low oxygen or hypoxic conditions, an oxygen-sensitive transcription factor called the hypoxia-inducible factor 1 or HIF1 is activated. HIF1 is a dimeric protein of alpha (ɑ) and beta (β) subunits. Under optimal oxygen conditions, HIF1β is present in the nucleus while HIF1ɑ remains in the cytosol. HIF1ɑ is hydroxylated by prolyl...
4.0K
Blood Studies I: ABG and VBG
1.6K
Blood studies are critical in the medical field, enabling healthcare professionals to assess a patient's health status accurately. This page will focus on two significant blood studies: Arterial Blood Gas (ABG) and Venous Blood Gas (VBG).
Arterial Blood Gas (ABG)
Arterial Blood Gas (ABG) studies are crucial for assessing the lungs' ability to supply oxygen and remove carbon dioxide, reflecting the patient's ventilation status. They also help understand the kidneys' capacity to...
Arterial Blood Gas (ABG)
Arterial Blood Gas (ABG) studies are crucial for assessing the lungs' ability to supply oxygen and remove carbon dioxide, reflecting the patient's ventilation status. They also help understand the kidneys' capacity to...
1.6K


