Hospital Paediatrics with Consultative Outpatient Work, Including Outpatient Paediatrics/Transfusiology
Study Course Implementer
Residency Speciality
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About Study Course
Objective
Assure theoretical knowledge and practical skills acquisition in transfusiology.
Learning Outcomes
Knowledge
1.Use of knowledge about principles of replacement haemocomponent therapy in patients of any age, newborn transfusiology principles, specific requirement for blood components in of neonatal transfusiology. List indications for blood products in case of different transfusion policy.
Skills
1.Determining of blood group and rhesus, determining of HLA antigens, principles of therapeutic cytapheresis, to participate in the performance of cytapheresis procedures.
Competences
1.Students must master the requirements for selection of donors, to know transfusion reactions, to learn the ABO and HLA system, to learn the requirements for blood components in paediatric haematology, their relatives, to collect necessary information – patient history.
Assessment
Individual work
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Title
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% from total grade
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Grade
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1.
Individual work |
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Preparation of a presentation.
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Examination
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Title
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% from total grade
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Grade
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1.
Examination |
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-
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After each module (rotation cycle) medical resident’s theoretical and practical knowledge is assessed in a 10-point grade system by the medical resident's supervisor of the rotation cycle by making a respective record in the medical resident’s book.
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Study Course Theme Plan
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Blood transfusion methods. Selection of donors.
Preparation, conditions of storage and transportation of blood components. Therapeutic plasmapheresis and cytapheresis. Application in paediatric onco-haematology.
Transfusion reactions – classification, aetiology, pathogenesis, clinic, treatment, prevention.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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ABO system, genetics. Determination of blood groups in the ABO system with forward and reverse reaction. Sub-groups, extraagglutinins and their clinical significance. Immune agglutinins anti – A and anti – B.
Errors and potential problems, when performing forward and reverse reaction. Acquired B antigen.
Donor and recipient blood compatibility tests.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Immunological relationship between the mother and the foetus. Haemolytic disease of the new-born, prevention and anti Rh (D) immunoglobulin. Rhesus antigen system, characteristics of antigens, tests to determine rhesus compatibility.
Potential errors in determining D antigen.
Haemolytic anaemias caused by antibodies. Cold haemagglutinin disease and paroxysmal cold haemoglobinuria.
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Bibliography
Required Reading
Practical Transfusion Medicine. Michael F. Murphy, Derwood H. Pamphilon, and Nancy M. Heddle. 2022, 578 lpp (ebook central)
Blood Guide. 20th Edition of the Guide to the preparation, use and quality assurance of blood components
Essential Guide to Blood Groups. 3rd Edition. 2013. Geoff Daniels and Imelda Bromilow. 133 lpp. (ebook central) (akceptējams izdevums)
27.12.2005. MK noteikumu Nr. 1037 „Noteikumi par cilvēka asiņu un asins komponentu savākšanas, testēšanas, apstrādes, uzglabāšanas un izplatīšanas kvalitātes un drošības standartiem, ievešanas un izvešanas nosacījumiem, kā arī kompensāciju par izdevumiem zaudētā asins apjoma atjaunošanai”
Lejniece S. Klīniskā hematoloģija. Rīga: Medicīnas apgāds, 2020. latv.-439.lpp
Paula R. Howard. Basic & Applied Concepts of Blood Banking and Transfusion Practices. 5th Edition. Elsevier, 2025, 420 lpp.
Robert W. Maitta. Immunologic Concepts in Transfusion Medicine. Elseiver, 2020, 367 lpp.
Milenko Jovan Tanasijevic. Topics in pediatric transfusion medicine. Elseiver, 2021, 171 lpp.
George P. Canellos, H. Franklin Bunn. Transfusion medicine. Elseiver, October 2019, Volume 33, Number 5
A. Lejnieka red. Kliniskā medicīna. trešā grāmata. Medicīnas apgāds, 2012, 537 lpp. (akceptējams izdevums)
Johns, Gockel-Blessing, Zundel, Denesiuk. Clinical Laboratory Blood banking and Transfusion Medicine. Principles and Practice, Pearson, 2015, 455 lpp.
Mark T. Friedman, Kamille A. West, Peyman Bizargity. Immunohematology and Transfusion Medicine. A case stude Approach. Springer, 2023, 180 lpp.
Marion E. Reid, Christine Lomas-Francis and Martin L. Olsson. The Blood group antigen. 3rd Edition. 2012, 731 lpp. (akceptējams izdevums)