Exploring the educative role of judges' sentencing remarks: an analysis of remarks on child exploitation material.

The online viewing of child exploitation material (CEM) is a seemingly intractable problem. Evidence suggests that CEM is viewed not only by the paedophilic 'other', but by people without prior offending histories or pre-existing sexual interests in children. Studies emphasise the role of offence-supportive attitudes in enabling first-time offending.

Which groups of patients are transfused? A study of red cell usage in London and southeast England.

Background And Objectives: There are few published data on the use of red blood cells (RBC) by specialty in the United Kingdom. The aim of this survey was to identify major specialty users of blood to target for audit of transfusion practice with a view to minimizing inappropriate use and to support planning of blood supply needs for the future.

Materials And Methods: Data were collected retrospectively of RBC units transfused at 62 hospitals/trusts in London and southeast England between April 1997 and March 1998.

RBC T activation and hemolysis in a neonatal intensive care population: implications for transfusion practice.

Background: Reports of transfusion-associated hemolysis in infants with T-activated RBCs have led to the suggestion that infants should be screened and provided with low-titer anti-T blood components. T-activated RBCs react with the lectins Arachis hypogea and Glycine soja; variants of T (Th and Tx) and Tk also react with A. hypogea, but not G.

Retrospective study on red cell usage in primary total knee replacement surgery.

Background And Objectives: There is wide variation in the use of red cell transfusions for the same clinical indication. The purpose of the study was to comment on preoperative and discharge haemoglobin (Hb) levels and perioperative blood loss, and to project the Hb level if transfusions were not administered.

Materials And Methods: The case notes of 187 patients who underwent primary total knee replacement were reviewed retrospectively.

Current practice in neonatal exchange transfusions: a retrospective audit based at one transfusion centre.

As a result of the widespread use of phototherapy, the need for neonatal exchange transfusion has declined markedly over the last 25 years. However, in spite of this, we have discovered a marked disparity in the number of requests for units of blood suitable for exchange transfusion made by neonatal units of similar size. A retrospective audit was therefore performed to establish current practice.