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1.
aBIOTECH ; 5(2): 239-246, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38974855

ABSTRACT

Plants edited with new genomic techniques (NGTs) currently fall under the Genetically Modified Organisms Directive (2001/18/EC) in the European Union. In the proposal of the European Commission, NGT plants are partially exempted from the regulations of this directive. The proposal makes a distinction between two categories of NGT plants: NGT-1 and NGT-2. NGT-1 category plants are considered equal to plants obtained through conventional breeding methods. These plants will not be labelled for the consumer, although they will be labelled as seeds. NGT-2 category plants may be labelled with additional information as a positive incentive. Labelling of seeds of varieties made with gene editing, but not the products, would mean that most steps in the production chain are transparent, but not the last step towards consumers. The "right to know" and increasing knowledge of gene-edited food is a common theme in food labelling towards consumers. Here, we describe current labelling regimes and registers and how these may be applied to provide transparency on gene-edited products to consumers. Furthermore, we also look into consumer studies, which indicate a greater acceptance of gene-edited food among consumers, especially when additional benefits such as sustainability are mentioned.

2.
Hum Reprod ; 37(12): 2787-2796, 2022 11 24.
Article in English | MEDLINE | ID: mdl-36272106

ABSTRACT

STUDY QUESTION: What are the pregnancy and live birth rates for ovarian tissue transplantation and which factors are associated with the success rate? SUMMARY ANSWER: Pregnancy and live birth rates per transplanted woman are 32.7% and 26.5% and success rate is associated with female age and first versus repeated transplantation. WHAT IS KNOWN ALREADY: Live birth rates after ovarian tissue transplantations have been reported to be between around 24% and 41% per patient. Success rates seem to be negatively associated with increasing female age at the time of tissue cryopreservation and with pelvic radiation. Success rates are apparently not reduced after overnight transportation of ovarian tissue before freezing. STUDY DESIGN, SIZE, DURATION: Registry analysis of 244 transplantations in 196 women, performed by 26 FertiPROTEKT network centres from 2007 to 2019 with follow-up till December 2020. PARTICIPANTS/MATERIALS, SETTING, METHODS: Orthotopic ovarian tissue transplantations were performed in 196 women, 191 with previous malignant and 5 with previous non-malignant diseases. Size of transplanting centres varied between 1 and 100 transplantations per centre (median: 2). Factors possibly associated with success rate such as female age, first and repeated transplantation, experience of the transplanting centre and overnight transportation of the ovarian tissue before freezing were analysed. MAIN RESULTS AND THE ROLE OF CHANCE: Average age of all 196 transplanted women was 31.3 years (SD 5.2; range 17-44) at the time of cryopreservation of tissue and 35.9 years (SD 4.8; range 23-47) at the time of transplantation. Pregnancy rate was 30.6% (95% CI, 24.2-37.6%) per first transplantation and 32.7% (95% CI, 26.1-39.7%) per patient. Pregnancy rate was higher after first transplantation (30.6% (95% CI, 24.2-37.6%)) compared to second and subsequent transplantations (11.8% (95% CI, 3.3-27.5%)). Live birth rate per first transplantation was 25.0% (95% CI, 19.1-31.7%) and per patient 26.5% (95% CI, 20.5-33.3%). Success rate decreased with increasing age at the time of ovarian tissue freezing. Live birth rate was 28.2% (95% CI, 20.9-36.3%) in women <35 years and 16.7% (95% CI, 7.9-29.3%) in women >35 years. Pregnancy rates after first transplantation were higher in centres who had performed ≥10 transplantations (35.1%) compared to centres with <10 transplantation (25.4%) (P = 0.12). Corresponding live birth rates were 27.0% and 18.6%. Success rates were not different in women with and without overnight transportation of tissue before cryopreservation. LIMITATIONS, REASONS FOR CAUTION: The data were drawn from a registry analysis. Data such as ovarian reserve and premature ovarian insufficiency were not available for all women. Data might be influenced by different follow-up policies of the centres. WIDER IMPLICATIONS OF THE FINDINGS: The study reveals the high potential of ovarian tissue freezing and transplantation, but only if freezing is performed in younger women. The study suggests focus should be placed on the first and not on repeated transplantations. It also opens the discussion of whether transplantation should rather be performed by experienced centres. STUDY FUNDING/COMPETING INTEREST(S): No funding. No competing interests. TRIAL REGISTRATION NUMBER: N/A.


Subject(s)
Cryopreservation , Fertility Preservation , Pregnancy , Female , Humans , Adult , Retrospective Studies , Cryopreservation/methods , Ovary/transplantation , Pregnancy Rate , Fertility Preservation/methods , Birth Rate , Live Birth , Fertilization in Vitro/methods
3.
Plant Biotechnol Rep ; 12(5): 375, 2018.
Article in English | MEDLINE | ID: mdl-31186814

ABSTRACT

[This corrects the article DOI: 10.1007/s11816-017-0425-z.].

4.
Zootaxa ; 4341(4): 475-494, 2017 Nov 01.
Article in English | MEDLINE | ID: mdl-29245673

ABSTRACT

In this paper the present state of knowledge of the genus Loxosceles Heineken & Lowe, 1832 from the Afrotropical region is discussed. The distribution of nine of the 16 described Afrotropical species of Loxosceles is updated and the status of the types of L. bergeri Strand, 1906b and L. pilosa Purcell, 1908 are discussed. A further four new species from South Africa: L. cederbergensis sp. nov.; L. dejagerae sp. nov.; L. haddadi sp. nov.; L. makapanensis sp. nov.; and three from Namibia: L. griffinae sp. nov.; L. irishi sp. nov.; and L. maraisi sp. nov., are described. The female of L. smithi Simon, 1897 is described for the first time. A new taxonomic key to all the Afrotropical species is given.


Subject(s)
Spiders , Animal Distribution , Animal Structures , Animals , Female , Namibia , Organ Size , South Africa , Xenarthra
5.
Plant Biotechnol Rep ; 11(1): 1-8, 2017.
Article in English | MEDLINE | ID: mdl-28386301

ABSTRACT

One of the most promising New Plant Breeding Techniques is genome editing (also called gene editing) with the help of a programmable site-directed nuclease (SDN). In this review, we focus on SDN-1, which is the generation of small deletions or insertions (indels) at a precisely defined location in the genome with zinc finger nucleases (ZFN), TALENs, or CRISPR-Cas9. The programmable nuclease is used to induce a double-strand break in the DNA, while the repair is left to the plant cell itself, and mistakes are introduced, while the cell is repairing the double-strand break using the relatively error-prone NHEJ pathway. From a biological point of view, it could be considered as a form of targeted mutagenesis. We first discuss improvements and new technical variants for SDN-1, in particular employing CRISPR-Cas, and subsequently explore the effectiveness of targeted deletions that eliminate the function of a gene, as an approach to generate novel traits useful for improving agricultural sustainability, including disease resistances. We compare them with examples of deletions that resulted in novel functionality as known from crop domestication and classical mutation breeding (both using radiation and chemical mutagens). Finally, we touch upon regulatory and access and benefit sharing issues regarding the plants produced.

6.
Geburtshilfe Frauenheilkd ; 76(11): 1189-1193, 2016 Nov.
Article in English | MEDLINE | ID: mdl-27904170

ABSTRACT

Borderline ovarian tumours are semimalignant tumours occurring unilaterally or bilaterally with a peak incidence among women of reproductive age. Since the affected women often wish to preserve fertility, particular precautions must be taken when counselling the patient and obtaining consent prior to planning an individual treatment. Options for preserving fertility include an organ-sparing surgical procedure and cryopreservation of oocytes and/or ovarian tissue. In this article, we report on a 25-year-old patient with a bilateral seromucinous borderline tumour who desired all fertility-preserving options. In order to perform the procedure without delay, we opted to perform luteal phase stimulation prior to oocyte retrieval. We conclude by discussing the current literature on the state of fertility preservation in the treatment of borderline ovarian tumours.

7.
Geburtshilfe Frauenheilkd ; 76(10): 1057-1064, 2016 Oct.
Article in English | MEDLINE | ID: mdl-27761026

ABSTRACT

Introduction: The removal of ovarian tissue prior to starting oncologic treatment and the subsequent transplantation of this tissue after completing therapy have become increasingly important surgical fertility-preserving techniques. The aim of this review was to investigate the different surgical techniques used for this method reported in the literature to date and to discuss the advantages and disadvantages of the respective techniques. Review: A search was done in MEDLINE using a defined algorithm to find studies published between January 2004 and December 2015. All study designs were included in our review if they contained statements on the surgical technique used. We found 16 publications (8 retrospective cohort studies, 6 case reports and 2 systematic reviews) with a total of 1898 female patients which reported on the surgical technique used for ovarian biopsy and 15 publications (7 retrospective cohort studies, 6 case reports and 2 systematic reviews) with a total of 455 women which mentioned the surgical technique used for ovarian transplantation. Different surgical techniques can be used both for ovarian biopsy and for the transplantation of ovarian tissue. A number of different surgical routes have been used, and the amount of tissue extracted, the instruments used, the treatment of the ovary, the transplantation site, the blood supply to the transplanted ovarian tissue and the procedure used for simultaneous surgical interventions vary. Conclusion: In future, one of the tasks will be to establish a standard surgical method for ovarian extraction and transplantation which will have a low rate of complications and a high pregnancy and birth rate while ensuring that the transplanted tissue is fully functional.

8.
Reprod Domest Anim ; 50(6): 958-64, 2015 Dec.
Article in English | MEDLINE | ID: mdl-26446780

ABSTRACT

The goal of this study was to compare a traditional slow-freeze method (TF) with an open unidirectional slow freeze cooling system (UF) for whole ovary cryopreservation. Therefore, whole pig ovaries were randomly assigned to (A) fresh control, (B) traditional slow freeze (TF) or (C) unidirectional slow freeze (UF). Ovaries were perfused with 10% DMSO in Krebs-Ringer. For TF, whole ovaries were placed in specimen jars containing 10% DMSO and placed into a specialized container for freezing filled with propan-2-ol. For UF, whole ovaries were placed within a specially designed container containing 10% DMSO and transferred to a specialized freezing machine (CTE 920). Histological evaluation demonstrated intact morphology of follicles in all groups; however, an overall decrease of follicle numbers in TF (46%) and UF (50%) compared to fresh control. Live/dead assay indicated significantly lower populations of live cells in both TF (60%) and UF (58%) compared to fresh tissue (74%). TUNEL assay confirmed a difference in percentage of apoptotic follicles between fresh and TF, but there was no significant difference between fresh and UF. To improve the structural and functional integrity of whole ovaries, further investigation, especially into directional freezing, is needed. Whole ovary cryopreservation could provide opportunities for women facing fertility loss due to chemo- or radiotherapy treatment.


Subject(s)
Cryopreservation/methods , Fertility Preservation/methods , Fertility Preservation/veterinary , Ovarian Follicle/physiology , Swine , Animals , Female
9.
Zootaxa ; 3973(2): 321-36, 2015 Jun 17.
Article in English | MEDLINE | ID: mdl-26249862

ABSTRACT

Eleven new species of Cheiracanthium, C. boendense sp. nov. (Democratic Republic of Congo), C. falcis sp. nov. (Gabon), C. foordi sp. nov. (South Africa), C. ghanaense sp. nov. (Ghana), C. kabalense sp. nov. (Uganda), C. kakamega sp. nov. (Kenya), C. kakumense sp. nov. (Democratic Republic of Congo, Ivory Coast, Ghana), C. lukiense sp. nov. (Democratic Republic of Congo), C. mayombense sp. nov. (Democratic Republic of Congo), C. shilabira sp. nov. (Democratic Republic of Congo, Kenya) and C. tanzanense sp. nov. (Tanzania) are described. Males of C. punctipedellum Caporiacco, 1949, C. sansibaricum Strand, 1907 and C. schenkeli Caporiacco, 1949 are described for the first time.


Subject(s)
Spiders/classification , Africa , Animal Distribution , Animal Structures/anatomy & histology , Animal Structures/growth & development , Animals , Body Size , Ecosystem , Female , Male , Organ Size , Spiders/anatomy & histology , Spiders/growth & development
10.
Zootaxa ; 3981(1): 71-94, 2015 Jul 02.
Article in English | MEDLINE | ID: mdl-26249979

ABSTRACT

Twenty-three new species of the Afrotropical sac spider genus Cheiramiona Lotz & Dippenaar-Schoeman, 1999 are described: C. baviaan sp. nov. (♀, South Africa), C. boschrandensis sp. nov. (♀, South Africa), C. debeeri sp. nov. (♂, South Africa), C. haddadi sp. nov. (♂, South Africa), C. hlathikulu sp. nov. (♂, South Africa), C. hogsbackensis sp. nov. (♀, ♂, South Africa), C. ibayaensis sp. nov. (♂, Tanzania), C. jakobsbaaiensis sp. nov. (♂, South Africa), C. kirkspriggsi sp. nov. (♀, ♂, South Africa), C. kivuensis sp. nov. (♀, ♂, Democratic Republic of Congo & Rwanda), C. lamorali sp. nov. (♂, Namibia), C. lindae sp. nov. (♂, South Africa), C. malawiensis sp. nov. (♀, ♂, Malawi), C. mkhambathi sp. nov. (♀, ♂, South Africa), C. mohalensis sp. nov. (♀, Lesotho), C. musosaensis sp. nov. (♀, Democratic Republic of Congo), C. nyungwensis sp. nov. (♂, Rwanda), C. plaatbosensis sp. nov. (♀, ♂, South Africa), C. qachasneki sp. nov. (♂, South Africa), C. robinae sp. nov. (♂, South Africa), C. saniensis sp. nov. (♀, ♂, South Africa), C. tembensis sp. nov. (♂, South Africa) and C. upperbyensis sp. nov. (♀, South Africa). The females of C. lajuma Lotz, 2002 and C. mlawula Lotz, 2002 are described for the first time.


Subject(s)
Spiders , Africa South of the Sahara , Animals , Ecosystem , Female , Forests , Grassland , Male , Spiders/anatomy & histology , Spiders/classification , Spiders/physiology
11.
Geburtshilfe Frauenheilkd ; 75(12): 1243-1249, 2015 Dec.
Article in English | MEDLINE | ID: mdl-26726265

ABSTRACT

Protecting the fertility of patients with oncologic disease is becoming more and more important, as fulfilling the wish to have children is increasingly occurring at a later stage in life and long-term survival rates after cancer are continuing to improve. A number of fertility-preserving options exist. In addition to techniques which have been around for some time such as medical ovarian suppression, ovarian transposition, and organ-preserving surgery, there are other, more recent, innovative methods which have developed over the last few years such as cryopreservation of oocytes or ovarian tissue transplantation after completing cancer therapy. As every procedure has its specific advantages and disadvantages, informed patient consent is essential. The physician's aim must be to select the optimal procedure for each patient. The extent of patients' information about the options to preserve fertility in women with oncologic disease remains limited. One of the main reasons for this is that clinicians are not sure how to inform patients about existing procedures and methods. The aim of this review article is to provide help in clinical practice.

12.
Zootaxa ; 3857(3): 301-32, 2014 Aug 29.
Article in English | MEDLINE | ID: mdl-25283111

ABSTRACT

The Afrotropical representatives of the spider genus Cheiracanthium C.L. Koch, 1839 from Madagascar and the Comoros Islands are revised, and new species are described. Five described species are recognized: C. africanum Lessert, 1921, C. furculatum Karsch, 1879, C. insulare (Vinson, 1863), C. leucophaeum Simon, 1896, and C. ludovici Lessert, 1921. The internal genitalia of the female of C. insulare, and the female of C. ludovici, are described for the first time. Thirteen new species, C. ambrense sp. nov. (♂♀), C. ampijoroa sp. nov. (♀), C. andranomay sp. nov. (♀), C. anjozorobe sp. nov. (♂♀), C. ashleyi sp. nov. (♂♀), C. fisheri sp. nov. (♂♀), C. foulpointense sp. nov. (♂♀), C. griswoldi sp. nov. (♂♀), C. jocquei sp. nov. (♂♀), C. madagascarense sp. nov. (♂♀), C. mahajanga sp. nov. (♀), C. ransoni sp. nov. (♂♀) and C. rothi sp. nov. (♂♀), are described. In most of the endemic Madagascan species the female genital depression is divided by a central septum and the male cymbial apophysis is bent distally.


Subject(s)
Spiders/classification , Animal Distribution , Animal Structures/anatomy & histology , Animal Structures/growth & development , Animals , Body Size , Comoros , Ecosystem , Female , Islands , Madagascar , Male , Organ Size , Spiders/anatomy & histology , Spiders/growth & development
13.
Water Sci Technol ; 49(3): 135-8, 2004.
Article in English | MEDLINE | ID: mdl-15053108

ABSTRACT

Highlights of a multidisciplinary research program on innovative weed control are presented and discussed in this paper. The program was carried out from 1999 to 2002, and dovetailed most fundamental-strategic and applied research aspects in The Netherlands in that period with respect to weed management. The program was focused on both developing and implementing sustainable weed control strategies for agricultural and non-agricultural areas. Some projects in the program were on (1) developing and improving weed preventive and non-chemical methods, (2) methods that allow the farmer to apply lower dosage of herbicides than indicated on the label, e.g. the so-called "Minimum Lethal Herbicide Dose method" (MLHD), and (3) rational weed control on hard surfaces. The main results of these projects are presented. A successful development and implementation of new methods and systems of weed control that use considerably less herbicides, is determined by many factors. The role that these success factors played in the aforementioned projects is shortly discussed.


Subject(s)
Agriculture , Environment , Environmental Pollution/prevention & control , Herbicides , Netherlands , Pest Control
14.
Ciba Found Symp ; 210: 182-200; discussion 200-4, 1997.
Article in English | MEDLINE | ID: mdl-9573477

ABSTRACT

Recently, the need for the development of weed management systems with a reduced dependency on herbicides has increased because of concern about environmental side-effects and cost. The development of such systems requires new strategies based on improvements with respect to (1) prevention, (2) decision making and (3) weed control technology. For the development of improvements in all three aspects, quantitative understanding of weed population dynamics and crop-weed interactions is needed. Models that integrate the available quantitative knowledge can be used to design preventive measures, to develop long-term and short-term strategies for weed management, to assist in decision making to determine if, when, where and how weeds should be controlled and to identify new opportunities for weed control. Ecophysiological simulation models for crop-weed competition simulate growth and production of species in mixtures, based on ecophysiological processes in plants and their response to the environment. Such models help improve insight into the crop-weed system and can be used for purposes such as the development of simple predictive yield-loss models, threshold levels or the design of competitive crop plant types. For strategic weed management decisions, preventive measures and the identification of new opportunities for weed control, quantitative insight into the dynamics and spatial patterns of weed populations is also required. The complexity of the process and the long-term character of weed population dynamics make the use of models necessary. Different modelling approaches have been developed and are described briefly. Opportunities to use the available knowledge and models to improve weed management are discussed. Weeds occur in patches and their sensitivity to herbicides changes strongly with developmental stage, making precision techniques for herbicide application in time and space an option for reducing herbicide use. Limitations related to insight in biological processes as well as the state of technological development are discussed.


Subject(s)
Agriculture/methods , Crops, Agricultural/growth & development , Models, Biological , Models, Statistical , Poaceae , Ecosystem
15.
Oecologia ; 84(3): 404-410, 1990 Oct.
Article in English | MEDLINE | ID: mdl-28313033

ABSTRACT

An attempt was made to relate variation in life-history characteristics within a population of Plantago major ssp. pleiosperma to small-scale environmental variability. At a beach plain, embanked in 1966, a mosaic environment was distinguished with spatial variability in vegetation structure as well as in nutrient availability and water content of the soil. Differences between three subsites in comtemporary selection were demonstrated, e.g. in shoot morphology and allocation to reproductive tissue. The effects of nutrient supply and waterlogging on morphology and life history were studied on lines from the three subsites in a greenhouse. For most of the traits high levels of phenotypic plasticity were observed, covering almost entirely the observed phenotypic variability at the beach plain. In all treatments lines from the shrubs had, however, a higher leaf-area ratio as well as delayed flowering when compared to lines from more open subsites. In addition, in a reciprocal transplant experiment it was demonstrated that lines from the shrubs had larger shoots with e.g. broader leaves in the shady environment of the shrubs than other lines.From the experiments no indications were obtained that lines from any subsite were especially adapted to specific levels of nutrient supply or water content of the soil. With respect to these environmental factors P. major ssp. pleisoperma might occur and reproduce at all subsites by means of phenotypic plasticity, e.g. in plant form. However, it is suggested that spatial variability in vegetation structure caused a population subdivision in allocation patterns, leaf form and life history at the beach plain, over distances of about 15-25 m. This differentation occurred during primary succession over a period of twenty years.

16.
Oecologia ; 69(1): 25-30, 1986 Apr.
Article in English | MEDLINE | ID: mdl-28311680

ABSTRACT

Plasticity in life-history characteristics was investigated in three populations of Plantago major L. ssp. pleiosperma (Pilger), a self-compatible, wind pollinated species with a high self-fertilization rate. The populations studied were selected for their marked differences in biomass accumulation and habitat characteristics such as nutrient availability and interspecific interaction. Plants, raised from seeds collected at three sites, were grown in a greenhouse at three nutrient levels. In addition, a reciprocal transplant experiment was carried out. In both experiments variances in variables of growth and reproduction were largely due to environmental factors. Besides this overall result, population and population x environment interaction effects existed for most of the variables. Differences in plasticity between populations were further analysed. In the greenhouse experiment plants from a river-side population showed a high degree of plasticity in reproductive effort, whereas plants from two other populations, one series from a beach plain and the other from a salt meadow, showed a high degree of plasticity in shoot-root ratio. Plasticity in biomass allocation to either vegetative or generative parts is suggested to be an important response to selective forces related to either interspecific competition or temporal variability.

17.
Br J Exp Pathol ; 65(2): 275-81, 1984 Apr.
Article in English | MEDLINE | ID: mdl-6424696

ABSTRACT

Mice, injected with either live cells of Pseudomonas aeruginosa, or its slime glycolipoprotein (GLP), developed similar lethal syndromes. Within 14 h, biochemical changes in the sera, such as increased urea, aspartate aminotransferase, alanine aminotransferase, and creatinine, as well as decreased glucose, albumin, total protein, uric acid, and alkaline phosphatase, indicated liver and renal dysfunction. These marked alterations were in contrast with the minimal histopathological changes that occurred in these organs. Either live cell or GLP challenge also induced haemolysis in vivo. Immunization with GLP protected mice against most biochemical changes when challenged with live cells but did not protect GLP-challenged mice against the biochemical alterations assayed in the sera.


Subject(s)
Bacterial Proteins , Glycoproteins/toxicity , Lipoproteins/toxicity , Pseudomonas Infections/metabolism , Animals , Erythrocyte Count , Glycoproteins/immunology , Kidney/pathology , Lipoproteins/immunology , Liver/pathology , Male , Mice , Pseudomonas Infections/immunology , Pseudomonas Infections/pathology , Pseudomonas aeruginosa/immunology
18.
Transfusion ; 19(5): 577-80, 1979.
Article in English | MEDLINE | ID: mdl-505529

ABSTRACT

A walking donor transfusion program is outlined in detail. A total of 205 transfusions from 72 walking donors were given to 57 newborns in a Newborn Intensive Care Unit over a nine-month period. The average recipient weighed 1,762 g and the average transfusion was 15 ml of blood. Because a suitable walking donor was not always available when a transfusion was needed, 19 units of regular adult blood were also used to support the program. No immediate or delayed transfusion reactions were noted, but one fatal incident of serum hepatitis transmission occurred. Our experience suggests that a walking donor program carries an inherent significant risk of transmission of hepatitis and alternative methods with strict blood bank control are needed to assure maximum safety in neonatal transfusion.


Subject(s)
Blood Donors , Blood Transfusion , Infant, Newborn , Adult , Ambulatory Care , Female , Humans , Infant, Premature , Pregnancy
19.
Transfusion ; 19(1): 19-24, 1979.
Article in English | MEDLINE | ID: mdl-432909

ABSTRACT

Two hundred and ninety-one transfusions using 221 pediatric frozen red blood cell packs (Pedi-Packs) were given to 141 newborn babies and infants in the newborn intensive care unit. In 18 patients, 47 transfusions were studied for transfusion and clinical characteristics. Two possible hemolytic episodes are described in detail and remain unexplained. Blood loss for laboratory tests was found to average 3.1 ml/kg per day spent in the newborn intensive care unit. The rise in hematocrit was found to be excellent. Overall, the transfusion of thawed pediatric red blood cell packs was found to be convenient, safe and effective. Because of pretesting possibilities with the use of this source of red blood cells, one of the problems associated with a walking donor program is eliminated.


Subject(s)
Blood Preservation/instrumentation , Blood Transfusion/methods , Infant, Newborn , Anemia/complications , Anemia/therapy , Blood Specimen Collection , Bloodletting/adverse effects , Humans , Infant , Male , Pneumonia/complications , Postoperative Complications/therapy , Retrospective Studies
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