C H A N D I G A R H   S T O R I E S


Stress laid on making blood components
A.S. Prashar
Tribune News Service

Chandigarh, June 9
Dr J.G. Jolly, Emeritus Professor, PGI, has emphasised the need for the provision of more and advanced facilities for the preparation of blood components which will go a long way in ensuring quality as well as economy in India’s blood programme.

Currently, the facility for component preparation is available only at a few centres, he said in a talk with TNS. The introduction of this facility can amount to considerable amount of saving in blood requirements. “There is no doubt that this will entail extra expenditure for the equipment and technical expertise.

But it is high time that serious efforts are made by the health authorities to make this facility available. While the practice of dependence on voluntary donors helps to improve the quality and safety of blood, the introduction of component preparation will bring in economy in blood.”

Blood banking, he says, has acquired significance in recent years owing to advances in technology, improved preservation for blood, availability of blood plastic bags, screening for transmissible infections, facilities for cryobiology and better technological procedures for grouping, typing and cross-matching. Blood components have become a reality since the development of sterile integrated plastic bags. These advances have contributed towards providing safe blood and blood components to sustain support during complicated and prolonged operative procedures.

The safety of transfusion practice begins with the type of donation available. A firm resolve to depend entirely on voluntary blood donors is essential for maintaining the safety of blood and blood components. It is equally important to strictly adhere to the criterion of donor selection and only those who fulfil the minimum requirements should be entertained. For this, any healthy volunteer in the age group of 18 to 60 years, weighing above 50 kg, free from disease, especially transmissible infections such as AIDS, hepatitis, syphilis and malaria, can safely donate 400 ml of blood every three months. The practice of dependence on professional blood sellers is unethical and technically hazardous. Thus, for ensuring safe blood, total dependence on voluntary donors and complete elimination of professional blood sellers is of paramount importance for a blood transfusion service.

Dr Jolly says that the availability of improved blood containers, blood plastic bags instead of glass bottles and preservative anticoagulant solutions have helped better the processing techniques. Thus, the storage period has been increased from 20 days to 49 days. While preservative solution ACD has a shelf life of 21 days, CPDAI and ADSOL have a shelf life of 35 and 49 days, respectively. In fact, frozen blood can be stored for three to 10 years.

This is possible by the addition of cryo-protective agents like glycerol to blood collected in a standard anticoagulant and freezing the same at ultra low temperature, below minus 65°C. Whereas the whole blood and packed cells are stored in a refrigerator at 4°C, platelets are stored at room temperature and the coagulation factors like cryoprecipitate and fresh frozen plasma are stored in a deep freeze below minus 20°C.

The availability of sensitive blood group reagents, enzymes and electronic gadgets have been of tremendous help in standardising, grouping, typing and cross-matching techniques for ensuring perfect compatibility between the blood of the donor and the recipient of transfusions. There are a large number of antigens of different blood group system on the red blood cell, but clinically the most significant belong to ABO and Rh system which determine the blood group and Rh type of the individual.

Transfusion practice, based primarily on use of whole blood has been now replaced by substitution therapy or blood component therapy. In this case, the patient is administered only that constituent in which he or she is deficient. By this, the patient gets maximum benefit of minimum risk and the components thus saved are conserved for other patients.

Modern technology for blood collection in double, triple or quadruple plastic bags has made it possible to utilise single donor’s blood for several patients suffering from different diseases.

A routine blood bank equipped with a refrigerated centrifuge, freezer, refrigerated water bath, refrigerator and plastic bags, can prepare all components. The most frequently used component consists of packed red blood cells and can be prepared by expressing the plasma from whole blood in which the red cells have been allowed to settle. Another component that is prepared frequently is platelet concentrate. Platelets must be separated from whole blood immediately after collection and constantly agitated during storage at 22°C to prevent aggregation. The plasma recovered as a result of preparation of paced cells and platelets may be frozen quickly and stored up to one year at minus 30°C, as a source of Factor VIII and other coagulation factors. Such plasma is popularly known as fresh frozen plasma (FFP).

Cryoprecipitate is prepared after freezing the plasma and thawing it at 4°C is an even richer source of Factor VIII. This can be removed and preserved, after which the remaining material can be fractionated into albumin, gamma globulin and other fractions.


Medicines at discount
Tribune News Service

Chandigarh, June 9
Here is some good news for patients living in and around Chandigarh. Fortis Heart Institute & Multi-Specialty Hospital, Mohali, has announced that all medicines would be available at a 5 per cent discount at its chemist shop located at Fortis Hospital in Mohali. The discount will be available to everyone, irrespective of whether they are being treated at Fortis or elsewhere.

According to Dr. Gurbir Singh, Medical Superintendent of the hospital, the hospital buys medicines directly from the companies or through their authorized representatives and hence quality of medicines is assured.


Coaches get lessons in cricket
Our Sports Reporter

Chandigarh, June 9
The final examination of the continuing level I coaches course in cricket initiated by the Board of Control for Cricket in India (BCCI), will be held on June 12. Nearly 40 trainers and coaches are attending the course which aimed to bring uniformity in the system of coaching. The PCA, Mohali, was chosen for this zone and out of 40 persons, 10 are from Himachal, one from Haryana and rest from Punjab.

Lal Chand Rajput is the chief coordinator of the course. He is being assisted by various experts, like K.S. Suratwala on fitness, Bhupinder Singh Senior on bowling and Munish Bali on fielding.

The trainers and coaches are getting lessons in both theory and practical aspects of cricket. Few coaches from the Sports Authority of India and state sports department were also updating their knowledge and skills in this course. After the level I course, level II and level III courses would also be conducted before a coach gradually improved to join National Cricket Academy (NCA).

City shuttlers

A four-member badminton team of the Panjab University Coaching Centre, Sector 14, led by coach Surinder Mahajan, will take part in the International Youths Badminton Tournament (under-15) going to be held from June 12 to 15 at Cesky Krumlov (Czech Republic). The meet will be followed by a joint coaching camp involving all participating countries. The countries which are likely to take part in the tournament and camp are Croatia, Austria, Poland, Slovakia, Slovenia, Germany, Hungary, India including Czech Republic.

The players are: Oscar Bansal of Vivek High School, Sector 38, who was attending the national camp at Goa, Tushar Badechha of Moti Ram Arya Public school, Sector 27, Rohit Lakhanpal of Delhi Public School, Sector 40, and Akriti of St Anne’s School, Sector 32.

Mr Mukul Bansal, president of the Chandigarh Shuttler’s Club, said most of the badminton tournaments organised at the world level are normally for seniors and below-18. So the under-15 age group is left out. Mr Bansal added that it would help in sharpening the skills of the youngsters when they take on other top ranked players from other countries.


Summer sports camp a big success
Our Sports Reporter

Chandigarh, June 9
The ongoing sub-junior and junior summer sports camp being organised by the UT Sports Department have also turned out to be a talent hunt camp. The camp which will end on June 21, has been arranged in all sport disciplines at different coaching centres. According to Dr JPS Sidhu, after the conclusion of this camp another camp for senior players will also be organised. He said each coach has been asked to motivate the children in their respective discipline so that more and more youngsters could take part in sports activities.

Dr Sidhu said the trainees of the Chandigarh Hockey Academy would be taken to Patnitop in Jammu and Kashmir for a training camp in another few days. He said talks were on with the Sports Authority of India for another training camp at the High Altitude Training Centre, Shilaru (Shimla). The trainees need to go in for endurance training so as to build stamina and hill training was considered to be best to make the boys physically strong, he added.

Dr Sidhu said the football trainees of the Chandigarh Football Academy, however, would not attend the hill camps since some of the boys were inducted only recently. Moreover, they also have to play certain matches here this month, so cannot attend camps. Meanwhile, the Adviser to the UT Administrator, Mr Lalit Sharma, will interact with the trainees of both football and hockey at the Lake Club on June 11 at 11 am.

Selection trials

The Netball Association of Chandigarh will hold the trials to select the North Zone netball team (women) for their participation in the All-India Inter-Zone Netball Tournament to be held in Bareilly from June 27 to 29. The said trials will be held on June 11 at 4 pm on the grounds of Government Senior Secondary School, Sector 27. This was stated by Mr R Sharan, secretary of the association.


Chandigarh boxing teams
Tribune News Service

Chandigarh, June 9
The Chandigarh Boxing Association has selected its teams which will take part in the Northern India Boxing Championships for men and women scheduled to be held here at the Sector 42 sports complex from June 11 to 13. The teams were announced by Dr C.K. Jerath, secretary of the Chandigarh association. While the men's team will have 11 boxers, eight women have been included in the team.

The following are the teams —

Men: Ramesh Singh (48 kg), Tarun Sharma (51 kg), Jatinder Singh (54 kg), Satish Sharma (57 kg), Nikhil (60 kg), Dinesh (64 kg), Ajay Singh (69 kg), Ravi Charan (75 kg), Asish Jerath (81 kg), Abhey Kapoor (91 kg) and Pradeep Kumar (over 91 kg). Mr J.D. Singh will be the manager of the contingent while Mr Bhagwant Singh will be the coach of the team.

Women : Bandna (48 kg), Rama (50 kg), Mandeep (52 kg), Gulnaz (54 kg), Kiranjeet (60 kg), Vanita (66 kg), Renu Deepak (70 kg) and Deep Sikha (75 kg). Ms komal Dhul will be the manager of the team and Ms Sangeeta will be the coach of the squad.

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