• Title/Summary/Keyword: ABO혈액형

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Evaluation for the Usefulness of Automated Blood Typing Analyzer (혈액은행 자동화 장비 도입의 유용성 평가)

  • Kim, Ha-na;Kim, Hee-Bum;Park, Hyun-Sang;Lee, Hyun-Im;Hong, Myung-Kook;Shin, Gyoung-Sook;Suh, In-Bum
    • The Journal of the Korea Contents Association
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    • v.19 no.6
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    • pp.565-574
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    • 2019
  • In this study, we evaluated the usefulness of an automatic blood typing analyzer using QWALYS-2 up (Diagast, Loos Cedex, France). During a month( 01OCT2013 - 31OCT2013) we performed 1,636 tests for ABO & RhD blood typing, 1,374 tests for antibody screen & identification tests and compared the results by automatic blood type analyzer with previous manual methods and column agglutination tests. And we analyzed the economic performance by comparison the test unit price between automatic blood type analyzer and manual methods. In ABO & RhD blood typing tests, there were complete concordances between manual and automated blood typing analyzer for 200 clinical samples. In Antibody screen tests, the concordance rate between manual and automated blood typing analyzer was 98.5% and more strong reaction in automated blood typing analyzer than manual methods. Therefore, the introduction of an automated blood typing analyzer, reagents costs were increased but labor costs were decreased. Considering the importance of transfusion safety and economic advantages, the introduction of an automated blood typing analyzer was very useful.

The Distributions of Blood Groups in Korean Population (한국인집단의 혈액형 분포)

  • Kang, Yung Sun;Lee, Chung Choo
    • The Korean Journal of Zoology
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    • v.21 no.1
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    • pp.9-17
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    • 1978
  • The blood samples collected from 863 school boys living in Seoul, Kwangju, Pusan and Cheju were tested for studies on the distributions and frequencies of ABO, MNSs, Rh, Diego, Duffy, Kell, Kidd and P blood groups. The $I^B$ gene frequencies appeared to be a cline, and this is decreased gradually from north to south except the Cheju population, but on the other hand those of $I^A$ gene increased oppositely. In Koreans A type of ABO group increased during past fifty years while B type decreased. $Ig^M$ gene frequencies also decreased from north to south district in Korea except Cheju. And the frequency of $Ig^M$ in Koreans was 0.518 which is between those of the north Chinese and the Japanese. In general Rh negative was 0.26 percent, and CCDee phenotype was of the highest frequency among all phenotypes, showing 42.41 percent, CcDEe, about 34% and ccdee, 0.087%. The frequencies of most Rh phenotypes in Koreans were close to those of the Japanese rather than to those of the Chinese and the Thais. Di(a+) type was 6.633 percent, and Fy(a+) and Fy(b+) type were 99.267 percent and 13.832 percent respectively. K+ type was observed only one case in Seoul. The frequencies of Jk(a+) and P+ type were the most varied depending on the populations studied.

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The maximum likelihood estimation and testing of gene frequencies of generalized ABO-like blood group systems (일반화된 ABO-식 혈액형의 유전자 빈도에 대한 최우추정 및 검정)

  • 이준영;신한풍
    • The Korean Journal of Applied Statistics
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    • v.2 no.1
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    • pp.35-47
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    • 1989
  • This article deals with the method of ML among the methods of estimating m gene frequenecies in the Generalized ABO-like Blood Group Systems and with the statistical testing about the differencies of gene frequencies by using these estimators. Especially, the generalization about the Homogeneity testing problem is tried and thus it enables us to test of Homogeneity of m gene frequencies. Finally, in the example, ML estimator is compared with other estimators suggested by Bernstein method, by adjusted Bernstein method and by modified Bernstein method, and statistical testing in the above is carried out by using orthogonal partitioning.

Evaluation of IH-1000 for Automated ABO-Rh Typing and Irregular Antibody Screening (ABO 및 RhD 혈액형 검사와 비예기항체 선별검사를 위한 자동화장비 IH-1000의 평가)

  • Park, Youngchun;Lim, Jinsook;Ko, Younghuyn;Kwon, Kyechul;Koo, Sunhoe;Kim, Jimyung
    • The Korean Journal of Blood Transfusion
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    • v.23 no.2
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    • pp.127-135
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    • 2012
  • Background: Despite modern advances in laboratory automated medicine, work-process in the blood bank is still handled manually. Several automated immunohematological instruments have been developed and are available in the market. The IH-1000 (Bio-Rad Laboratories, Hercules, CA, USA), a fully automated instrument for immunohematology, was recently introduced. In this study, we evaluated the performance of the IH-1000 for ABO/Rh typing and irregular antibody screening. Methods: In October 2011, a total of 373 blood samples for ABO/Rh typing and 303 cases for unexpected antibody screening were collected. The IH-1000 was compared to the manual tube and slide methods for ABO/Rh typing and to the microcolumn agglutination method (DiaMed-ID system) for antibody screening. Results: For ABO/Rh typing, concordance rate was 100%. For unexpected antibody screening, positive results for both column agglutination and IH-1000 were observed in 10 cases (four cases of anti-E and c, three of anti-E, one of anti-D, one of anti-M, and one of anti-Xg) and negative results for both were observed in 289 cases. The concordance rate between IH-1000 and column agglutination was 98.7%. Sensitivity and specificity were 90.9% and 99.3%, respectively. Conclusion: The automated IH-1000 showed good correlation with the manual tube and slide methods and the microcolumn agglutination method for ABO-RhD typing and irregular antibody screening. The IH-1000 can be used for routine pre-transfusion testing in the blood bank.

College Students' Preferences of Web-based OPAC Retrieval Techniques and their Blood Types: An Empirical Study (대학생들의 웹 기반 OPAC 검색기법 선호도와 혈액형에 대한 실험적 연구)

  • Kim, Hee-Sop
    • Journal of the Korean Society for Library and Information Science
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    • v.44 no.3
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    • pp.81-102
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    • 2010
  • The purpose of this study was to investigate college students' preferences of Web-based OPAC retrieval techniques and their ABO blood types as an empirical survey. Data was collected through a self-designed questionnaire with a total of 101 undergraduate students from the College of Social Sciences responding. The collected data was analyzed using descriptive statistics, and One-way ANOVA. The results show that 'title' was most preferred among the access points, 'AND' was the most preferred Boolean operator, 'publication year' and 'subject' were the most favored techniques in limiting the scope of retrieval, and 'record number limit per page' was the most frequently used for displaying retrieval results. The results also show that there were little(3 out of 22, i.e. 13.6%) statistically significant differences between the college students' preferences of Web-based OPAC techniques and their blood type.

Development and Evaluation of the Reader for Blood Typing using Column Agglutination Method (원주응집법을 이용한 혈액형 검사 판독기의 개발 및 평가)

  • Kim, Jin;Jeon, Wooram;Park, Seoung Woo;Lee, Chang Youl;Lee, Da-Hyeon;Choi, In-Taek;Kim, Ju Yeon;Suh, In Bum
    • The Journal of the Korea Contents Association
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    • v.14 no.3
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    • pp.346-351
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    • 2014
  • Accurate blood typing tests are essential for safe blood transfusion. Recently many automated test equipments have been introduced to reduce errors and increase the efficiency of the test. However, those equipments being high in price, it is difficult to introduce automated test equipment for every hospital. In this study, we developed a reader for blood typing using column agglutination test. In the process, the results, read out by the image processing, are stored and reaffirmed. To evaluate the reader, 148 samples for ABO and RhD blood typing tests and 154 samples for unexpected antibody test were used. The positive and negative intensity of the reading and the reading of the reaction were 100% in agreement with the result of traditional manual method. If additional verification is completed, this reader can be efficiently and economically used in small-and medium-sized hospitals.

Lung Transplantation in ABO Compatible but Nonidentical Patients (이형 혈액형에서 시행한 폐이식술)

  • 류송현;김해균;이두연;백효채;신화균
    • Journal of Chest Surgery
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    • v.34 no.1
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    • pp.94-96
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    • 2001
  • 말기 폐기종 환자의 치료에 있어서 폐이식술은 최근 5년 생존율의 향상으로 점점 확대외어 가는 추세이다. 또한 이식폐의 부족으로 일측 폐이식술이나 이형 혈액형에서의 폐이식술의 시행이 늘고 있는 추세이다. 이형 혈액형에서의 폐이식은 술후 적절한 면역 억제제의 투여로 동형 혈액형에서의 폐이식술에서와 마찬가지로 좋은 결과를 보이고 있다. 저자들은 말기 폐기종으로 호흡 곤란이 심해져 가는 35세 A형 여자 환자에 O형 남자 환자의 좌측 폐를 이식하였다. 술후 면역 억제를 위해 3제 치료(싸이클로스포린, 아자씨오프린, 프레드니졸론)를 실행하였고 수술 중에 항CD3항체(OKT3)를 1회 투여하여 이식 거부 반응을 억제할 수 있었다. 환자는 술후 특별한 문제 없이 18일째에 퇴원할 수 있었다.

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A Case of Hemolysis after Minor ABO Mismatched Kidney Transplantation (ABO 부적합 신이식 후 발생한 용혈 1례)

  • Hahn HyeWon;Ha Il Soo;Cheong Hae Il;Choi Yong
    • Childhood Kidney Diseases
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    • v.6 no.1
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    • pp.120-122
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    • 2002
  • A 9-year-old boy of B blood group with end-stage renal disease due to IgA nephropathy received group O kidney transplantation from his father On day 9, he developed intravascular hemolysis, and anti-B autoantibody formation was confirmed. We diagnosed as immune hemolytic anemia due to passenger lymphocyte from donor, and cyclosporine withdrawl was done. Anemia resolved spontaneously, but on day 18, graft dysfunction developed, and graft biopsy revealed acute allograft rejection. Although hemolysis due to autoantibody is very rare and often mild, and the role of hemoglobinuria on acute rejection in this case is not certain, we recommend consideration of aggressive management on severe hemolysis after minor mismatched kidney transplantation. (J Korean Soc Pediatr Nephrol 2002 ; 6 : 120-2)

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ABO Incompatible Living Donor Liver Transplantation: A Single Center Experience

  • Lee, Seung Hoon;Choi, Ho Joong;You, Young Kyoung;Kim, Dong Goo;Na, Gun Hyung
    • Korean Journal of Transplantation
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    • v.32 no.4
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    • pp.84-91
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    • 2018
  • Background: This study examined the outcomes of ABO incompatible living donor liver transplantation (LDLT). The changes in the immunologic factors that might help predict the long term outcomes were also studied. Methods: Twenty-three patients, who underwent ABO incompatible LDLT from 2010 to 2015, were reviewed retrospectively. The protocol was the same as for ABO compatible LDLT except for the administration of rituximab and plasma exchange. The clinical outcomes and immunologic factors, such as isoagglutinin titer and cluster of differentiation 20+ (CD20+) lymphocyte levels were reviewed. Results: The center showed a 3-year survival of 64% with no case of antibody-mediated rejection. When transplantation-unrelated mortalities (for example, traffic accidents and myocardial infarction) were removed from statistical analysis, the 3-year survival was 77.8%. Although isoagglutinin titers continued to remain at low levels, the CD20+ lymphocyte levels recovered to the pre-Rituximab levels at postoperative one year. Conclusions: As donor shortages continue, ABO incompatible liver transplantation is a feasible method to expand the donor pool. On the other hand, caution is still needed until more long-term outcomes are reported. Because CD20+ lymphocytes are recovered with time, more immunologic studies will be needed in the future.

Allograft Immune Reaction of Kidney Transp lantation Part 2. Immunosuppression and Methods to Assess Alloimmunity (신이식 후 면역반응의 이해 2부 이식면역검사와 면역억제제)

  • Kang, Hee-Gyung
    • Childhood Kidney Diseases
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    • v.12 no.2
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    • pp.133-142
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    • 2008
  • For solid organ transplant, ABO blood type of donor and recipient should be compatible in principle. Recent improvement of immunosuppressant made HLA typing not so important while no-mismatch transplant still shows the longest graft survival. PRA(panel reactive antibody) test is to screen and identify recipients with HLA sensitization. When solid organ transplant is scheduled, cross-match test of donor cell and recipient serum should be performed and positive result of cross-match prohibits transplantation. Donor specific antibody(DSA) test can predict the severity of recipient immune reaction against donor organ. Today's mainstay of allograft immunosuppressant regimen is triple therapy of steroid, calcineurin inhibitor(cyclosporine, tacrolimus), azathioprine or mycophenolate mofetil(MMF). Antibody induction using Thymoglobulin or anti-IL-2 receptor antibody(basiliximab or daclizumab) is frequently practiced as well.