20 research outputs found

    An international investigation into O red blood cell unit administration in hospitals: The GRoup O Utilization Patterns (GROUP) study

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    Background: Transfusion of group O blood to non‐O recipients, or transfusion of D– blood to D+ recipients, can result in shortages of group O or D– blood, respectively. This study investigated RBC utilization patterns at hospitals around the world and explored the context and policies that guide ABO blood group and D type selection practices. Study design and methods: This was a retrospective study on transfusion data from the 2013 calendar year. This study included a survey component that asked about hospital RBC selection and transfusion practices and a data collection component where participants submitted information on RBC unit disposition including blood group and D type of unit and recipient. Units administered to recipients of unknown ABO or D group were excluded. Results: Thirty‐eight hospitals in 11 countries responded to the survey, 30 of which provided specific RBC unit disposition data. Overall, 11.1% (21,235/191,397) of group O units were transfused to non‐O recipients; 22.6% (8777/38,911) of group O D– RBC units were transfused to O D+ recipients, and 43.2% (16,800/38,911) of group O D– RBC units were transfused to recipients that were not group O D–. Disposition of units and hospital transfusion policy varied within and across hospitals of different sizes, with transfusion of group O D– units to non‐group O D– patients ranging from 0% to 33%. Conclusion: A significant proportion of group O and D– RBC units were transfused to compatible, nonidentical recipients, although the frequency of this practice varied across sites

    Forty years on and still going strong: the use of hominin-cercopithecid comparisons in palaeoanthropology

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    Hominin-cercopithecid comparisons have been used in palaeoanthropology for over forty years. Fossil cercopithecids can be used as a ‘control group’ to contextualize the adaptations and evolutionary trends of hominins. Observations made on modern cercopithecids can also be applied to questions about human evolution. This article reviews the history of hominin-cercopithecid comparisons, assesses the strengths and weaknesses of cercopithecids as comparators in studies of human evolution, and uses cercopithecid models to explore hominin inter-specific dynamics. Cercopithecids appear to be excellent ecological referents, but may be less good when considering the cognitive abilities and cultural adaptations of hominins. Comparison of cercopithecid and hominin adaptations at Koobi Fora in East Africa indicates that, whereas the cercopithecids were largely grass- or leaf-eating, the hominins occupied a generalist niche, apparently excluding other primate generalist-frugivores. If any of the hominin species at Koobi Fora were sympatric, analogies with modern cercopithecids suggest that inter-specific contact cannot be discounted and may even have been beneficial
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