జర్నల్ ఆఫ్ బ్లడ్ & లింఫ్

?????????? ???????? ?????????, ?????? ????? ????????? ?????????? ?????????? ???????? ????????, ???????? ????? ??? ???? ?????? ????????????‌? ???????????? ???? ???‌???? ?????????? ???????????? ??????????? ????? ???????? ???????????? ?????? ?????? ??? ????? & ?????‌?? ?????? ????????? ???? ????????????????. ?????, ???? ????, ????? ????? ?????????? ????????? ???? ????????? ????? ????????? ??????? ???????????, ??? ????????, ??????? ????? ???????. ???? 2011 ?????????? ????????????? ?????? ??? ????? & ????? (ISSN: 2165-7831) ??????? ???????????. 2019 ??????????, ???????? 12 ????? ????? ??????? ???????? ???‌????‌?? ???????????????? ????? ??????? ???‌????‌?? ??????????? 30 ????????? ?????? ??????? ???? ????? ??????????? ?????????????.

CAS ?????? ???????? (CASSI), ???????? ??????????, ?????? ???????, ?????? ??????,  ??????? ???????? ???????? , ?????????? ??????‌????, ??????‌??????, ????‌???????, ??????? ???????????, ???????, ????????????? ????????, ? ?????? ????? ????? ????????????? ?????? ??????????? ????? ??????? ???????? ????????????. EBSCO AZ, ???????? ??? ???‌?????????? ??????????? ??? ????????, ?????? ??????? ??? ????????? ????????, OCLC- ?????? ??????, ???????‌??????, SWB ???‌???? ???????, ???????? ??????? ??? ?????? (vifabio), Publons, Dtufindit, ?????? ???????? ??? ??????? ?????????? ???? ????????.

2019 ?????????? ??????????, ?????? ??? ????? & ????? ?????? 30 ?????‌??? ?????????, ?????? 6 ?????? ?????? ???? ???????? ????? ???? ?????? ????????‌?? ??????? ??????????? ???????????‌?? ?????????????????. 2019?? ?????? 16 ???????? ???? ?????? ????????‌?? ??????????? ?????? ????????? ????? ???????. 2019 ?????????? ????????????? ???????? 10 ????? 2 ????????, ?????? 16 ?????? ???????????????? (????? ????? ??????? 3 ?????? ???????, ???????????????? ???? ?????? ????? ?????? ????????????????. ?????? 30 ???? ??????? ?????????????? ???????????????? 10? ???????? ????????????? 16 ??????? ????????????. ?? ?????? ????? ???? ??????? ?????? 14-21 ??????? ?????????????.

2019 ?????????? ??????????, ?????? ???????? ??????‌??, ??? ???? ?????????? IJAV ???????? ?????? ????? ???? ??????? ?????? ?????????????? ????? ????????? ?????????? ????? ???? ??????? ????????? ????????? ??????‌?? ???????? ???????? ??????????????? ???????????? ??????.

????????????? ????? ???? ???? ????? ??????? JBL ???????? ????????????? ??????-???-???? ????? ????????? ?????? ????? ?????????? ?????????????? ???? ? ?????????? ????????????????. ????? ?????????? (???????? 10) ?????? ??????? ????????? ???????, ??????????, ???????????, ???? ?????????, ???? ?????????, ????????? ???????? ????? JBL ????? ?????????? ??????, ????? ??????? ??????? ???? ?? ????????? ?????????????????. 2020 ?????????? ???????????? JBL ????? ?????? ??? ????? & ????? JBL ???? ??????? ???????? ??????? ?????? ?????? ????????? ???? ?????? ?????? ???? ?????????????????.

???????????????? ????? ?????????‌??? ???? ??????? ??????????? ????????? ????? HFE ?????? ?????? C282Y ???? ?????????‌?? ???? ?????????? ????? ???? ???? ??????? ????????. ???????? ???????? ?????????? ??? ??????? ????. ? ??????? ? ?????? ??????? ???????? ?????????? ????? ???????, ??? ?? ???????? ????????? ??????? ??????????? ????????? ????????? ????????. ?????? ???????????????? ????? ?????? ?????????? ?????? ????? ? ????? ????? ?????? ????????????? ?????????? ????????? ?????????. ??????? ?????? ? ?????????? ??????????? ??????. ????? ????????? ??????? ?????????????, ????? ???????? ????????? ????????????? ??????? ???????? ???????? ?????? ?????? ????. ??? ?????? ZHFE-??????? ???????????????? ???? ????? ????? ?????? ?????? ??????? ?????????? ???? ????????? ???????????? ?????????????? ???????, ?????? ????????????????‌?? ????? ???????? ???????????????????? ???????? ?????? ??????????????.

????????? ????? ???????? ????? ?????? ???? ????? ?????? ?? ??????? ?????? ????????. ? ????? ????? ????? ????? ?????????? ??????? ?????? ????? ?????????????????? ????? ?????? ?????????? ???????????. ????????????????‌?? ?????????? ????????? ??????????? ? ????????? ??? ???????????? ?????? ???????? ????? ?????? ????? ???? ??????. ??????? ??????? ?????? ????????? ????? ???????????, ???????? ? ??????? ??? ??????????. ???????????????? ???????????????? ?????? ????????? ?????????????? ????????? ????????????????. ????? ?????????? ?????????? ????????‌?? ???????? ????? HFE C282Y ??? ??????? ???????? ????? ??????? ?????? ? ?????? ????????. ???????????????? ????? ???? ?? ???????? ???? ???? ?????? ????? ?????????, ????? ????? ????????? ?????????? 2,890 ???????? ???????? ??????????? ????? ???????. ? ??????????? ????? ??????? ????????? ???? ????? 10 ???? ???????? ????, ???????? ???? ?????? ??????????, ????? ????????????? ????? ???????????? ?????????????? ???? ???????????. ???????????????? ???????? ???? ???????? ?????? ????? ??????, ?????? ?????? ???????? ????? ?????? ????? ???? ???????? ???????????????? ?????????? ??????.

???????????????? ????????????, ????????, ???? ????? ??????? ????? ????? ??????, ?????? ?????????? ?????????? ?????? ?????? ???????????? ?????? ????? ???? ?????? ???? ??????? ????? ????????? ????????????. ????????‌?? ???????? ???? ??? ??????????, ????? ??????? ????????? ???????. 300 US ????-?????????? ?????????????? ???? ????? ???????? ?????????? ????? ???????? ????? ??????? ????? ?????? 10 ???? ???? ???????????. ??????? ????? ????? ????????????? ?????? ????????? ??????? ?????????? ???????, ???????? ???????? ???????? ???? ???? ???? ? ??????????? ?????? ??????? ????? ??????. ????????????? ????????????????‌?? ????????? ??????? ?????? ????????????? ????? ????????? ??????????????? ?????? ???????? ?????????. ???????? ? ????????? ???????? ?????????? ?????? ????? ????????? ??????????? ????????????? ?????????????, ??? ????????? ?????????? ???????????????? ????? ????????????????‌?? ?????????????? ????? ??????? ?????????? ?????? ????? ??????? ?????? ????????????. ?????? ?????????? ? ??????????? ????? ???? ?????? ???? PCP?? ??????????? ????? ????????? ????, ??????????? ??????????, ????? ????, ????? ????, ???????, ????? ??????? ???? ????????? ??????????? ???? ?????? ????????? ?????? ???????????, ?????????? ???????????????? ???? ???????????????? ???????????.

?????????? ???????? ?? ?????? ?????? ?????. ???????????? ?????? ????????? ???????????. ????????????-?????? ??????? ???? ???? ???? ???????????????? ?? ???????? ?????. ???????????????? ????????????? ?????????????? ????? ? ??????? ????????????-??????? ?????????? ????????????? ????????? ??????????????? ????????????????‌?? ????????? ???? ?????? ???????? ????? ????????? ? ??????? ???????????????. ?? ?????????? 400 ???? ???????? ????? ?????????, ????????????, ????? ????? ??????????? ?????? ????? ???????????? ?????????? ??????? ??????????. ?????????????? ???? ????? ???? ??????? ??????, ?????, ????, ?????? ???????????? ????? ????????????? ?????????? ?????? ???? ???????? ??????? ???????????? ????????. ?????? ??? (9%) 42 ?????????? ???????? ??????????????? ????????? ???????. ????????, 27 (65 %) ?????????????? Rh ????????? ????????. 400 ???? ??????? ???? ?????? (5.5%) ?????????????? ????????? ??????. ????????????? ????? ????? ???? ????????????? ??????? ??????? ???? ?????? ???????? ???????? ???????? ????????????. ???????????? ????? ??????? ??????? ???????????????? ???? ?????????. ?????????? ???????????????? ????????? ?????? ?????? ????????, ??????? ????? ????????? ?????? ?????? ???? ???????????????? ?????? ????? ???????. ????????????? ???????????? ??????? ????????????? ???? ?????? ???????? ???? ???????????????? ???? ????. ?? ??????? ????? ???????? ??????? ???? ???? ???????????????? ????? ???????????? ?????? ???????. ?????????? ?????????????? ?????????? ???? ????? ???? ????????????????‌?? ??????????? ???????????. ???????????, ?????????????? ???????? ?????? ????? ????????? ???????? ???? ??????????? ??????? ??????? ?? ?????????‌?? ?????????? ???????? ???????? ????????? ??????? ?????? ?????? ??????? ??????????? ????.

?????????????? ???????? ???????? ??????? ???? ???? ??? (RBC) ???????????????? ????? ??? ???????????? ?????? ??????? ?????????????. ????????????‌??????? ????????? ??????????? ???????? ????????????????, ???????????? ?????? ???????? ?????????? ??????? RBC ??????????????? ????? ??????????????? ????? ??????? ???? ???? ????. ?????????. ?????? ???????????? ?????????????? ???????? ???????? ??????? RBC ???????????????? ????? ??????????????? ????? ????? ?????????. ??????????? ????? ????????. ?????? 500 ???????? ?????? ?????????? ??????????. ????????? ??????????? ????? ????????????? ???????????? ?????? ???????? ????‌??? (????????, ???-????, ??????????????) ????? ???????????? ?????? ?????? ????????????????. ?????????????? ??????????????, ??????????? ?????????????? ??????? (IgG + C3d) ???? ??????‌??? ????????? ??????????? ????? ???????? ??????????????? ???????? ???????. ???????. ?????? 28 ???? ?????? RBC ???????????????? (5.6%) ????????? ?????? ????? 5 ???? ??????? ????????????? (1%) ???????. ???? ??????????? ???????????? ??????? ????? (28.57%) ?????? E (21.42%) ????? ????. 28 (17.85%) ??????? ??????? c ????? E. ??????? ?????????? ??????????? ????????????? ????????? ??????. ? ??????? ????? ?????? ???? ?? ????????? RBC ???????????? ????? ??????????? ????????? ?????? ???????? ???????? ?????????????. ????????, ??????????? ???????????? ??????????? ???????????????? ?????? ?????????? ????????????‌??????? ????????? ??????????? ???????????????? ????? ????.

?????? 500 ???? ?????????? ?????? 2 ????? 40 ????????? ???????? ?????? ??????????. ????? ????????? ?????????????? ???????? ?????? ????? ????? ????? ????? ?????? ???????????? ???????? ????? ??????. ?????????? ????????? ?????????????? ???????? ?????? ??????, ????? Rh ??????????????? ???? ????? ?????????? ?????? ????? ???????. ????? ????? ???? ????? ????? ???? ????????? (???? ???????? ????? ????? ?-???? ????????) ??????? ????????? ?????????? ?????????????????/??????????????? ????? ???? ??????????? ????????? ????? ????????‌??????? ?????????? ?????????????????. ???????? ??????????? 2-4 ????? ???????? ?????? (??????? ?????? 3 ??????)?? ??????? Hb ?????? 9–11.5 g/dL ?????? ???????? ???????? ?????? ??????? ???????????? ??????????. ?? ????? ????? ????????‌??????? ????????? ???????, AHG ???? (??? ????? ??????‌?????? ??????) ???? ?????? ???????? ?????? ??????? ?????? ?????? ???????? ??????????? ABO ????? Rh(D) ???????? ???????? ???? ?????? ???????????. ????? ??????? ?????????????? ???????? ???????????????????, ? ?????? ABO & Rh(D)?? ???????? ????????? ????????? ??????? (?????? ??????????? ???? ?????????????? ????? ???????) ???????????? ???? ?????? ??????‌??? ???????. ?????????????? ????????? ????? ?????? "????????? ????????" ????????? ?????????????? ???????.

???????????? ???????? ???????? ??????????????? ???????? ?? ????? ?????? ?????? ?????????????? ????? ?????? ?????? ??????? ?????????? ????????? ????? ???? ??????? ????? ?????? ????? ?????? ???????? ????????????. ? ?????? ???????? ??????? ????? ????? ????????? ????? ??????????? ?????????????????? ????? ????, ???? ???????????? ???????????, ????? ??????? ????? ???????????? ??????? ????? ????-??????????? ???????, ????? ????? ???? ???????. ??????????? ?????‌?????? ???? ????? ????????????? ????? ???????????‌?? ????????? ???????? ???????? ???? ????? ?????????? ????? ???-????-??????? ?????? ?????????? ??????? ???????? ?????‌??? ????????? ?????????????? ??????? ???????? ????? ?????????? ???????? ???? ?????? ?????. ???????? ??????????????? ???????? ????? ???? ??????? ?????? ??????????? ????????? ????? ????????? ?????????? ?????????? ????????? ????? ?????????????/?????????? ????????? ????????????????.

On account of a developing pattern in outpatient malignancy the executives, center around the experiences among patients and HCPs during oncology treatment has gotten progressively significant. Human services proficient relational abilities have been seen as progressively fundamental in meeting the difficulties inside the social insurance framework. Clinical rules are essential for the advancement of proof based practice; in any case, current suggestions are basically founded on the HCPs' viewpoint and, less significantly, on the patients' point of view, and they don't consider the treatment setting and setting, that is, outpatient. Persistent encounters can help recognize regions for development in malignancy care, prompting gains in clinical quality and effectiveness. Besides, the patients' experience is a key factor in persistent focused consideration. Nursing in The Gill Center adopts in a group strategy as both inpatient and outpatient medical caretakers cooperate with all controls including youngster life, social work, peaceful consideration and other integral projects to guarantee patients and families have a perfect medicinal services understanding. The medical caretakers on the inpatient floor total a broad direction before thinking about patients freely. New alumni complete a 18-week temporary position. All attendants must pass the Association of Pediatric Hematology/Oncology Nurses (APHON) biotherapy supplier course and test, which originates from a normalized national educational program that is refreshed all the time. Inpatient nurture for the most part care for hematology and oncology patients in the Gill Center for a half year to a year prior finishing extra direction to think about undifferentiated organism relocate patients.

????? ????? PRISMA ?????????????30 ??????? PICO ??????‌????? 30, 31 ????? ?? ??????????‌?? ??????? ??????? ????????? ????? ?????????????. MEDLINE, CINAHL, ?? ???????? ??????? ????? ??????? ???????? ???‌?????????? ????????? ?????? ?????????? ????????‌?? ???????????? ??????? ????????. ??? ??????????? ???? 6 ????? 7, 2016 ???? ???????????????. ???????? MESH ???????? ????? ????‌?????‌?? ??????? ????? ????? ??????‌?????? ??????? ???????????? (?????, ????, ????); ????‌? ??????????? ?????????? ??????????? ??????????????. ??????, ????????? ????? ????? ???? ????????? ?????? ?????????????, 32 ????? ????? ????? ???????????. ?????? ??????????? ???‌????‌?? ???????????? ?????? ?????????: (???????????‌?? ???? ????????? ????????) ????? ("??????? ????????? ???? ????????" ???? "??????? ???? ????????" ???? "?????? ??????? ??????" ???? ????????????? ???? "????? ???????" ???? "???????? ???????????? ") ???? ?????????? ????????) ????? (??? ????????? ???? "??? ??????? ?????????" ???? "?? ????" ???? "??????? ????" ???? ????????? ???? "??? ???????" ???? "?????????????‌? ????" ???? "????? ?????? ???? ????" ???? "????? ????????") ???? ("??????? ????") ????? ???????) ????? (??????????? ???? ??????? ????? ???? "??????? ????? ???????" ???? "????????? ????????" ???? "???????? ???????" ???? "???? ????????" ???? "???? ?????????" ???? "?????? ??????" ???? "????? ?????").

????? ??????? ?????????? (≥18 ??????????) ???? ?????? ??????? ?????? ??????? (?????? ???? ????? ???????), ??????? ??? ??????? ????????? ????????? ??????????? ??????????? ?????? ???? ??????? ???????; ???? ??????? ??? ????????? ???????????. ????? ???‌??????‌?? ????? ??????? ????? "???????? ????‌????" ??????????‌? ???????? ????? ???????, ?????? ????? ??????? ???? ????-?????????? ?????? ?????? ??????????? ????????? ????????????. ????????, ????????, ??????????? ????? ?????? ?????? ?????? ??????? ????????? ????????????. ??????? ???????? ?????????‌?? ????? ????????, ???????????? ????????????? ????? ???? ????? ??????? ????????? ?????? ???????????????. ??? ??????? ????, ??????? ??????????? ???? ?????? ??????? ???????? ??????? ????????? ??????. ????????, ?????? ????, ?????????? ????? ????????? ???????, ?????????? ???? ????????, ??????-??????? ????? ????? ????????? ??? ????????? ????? ?????? ???????? ??????????? ??????.

?????????? ?????????????? ???? ??????? ????? ??????? ?????? ?????????? ????????? ????????, ?????? ???????????? ??????? ????? ??????. ??????????? ????? ???? 21 ????? 61% ??????? ?????? ???????? ??????????????. ???? ???? ???? ????? ????? ???? ???????????????? ???? ????????? ????????????. NY ?????? ??????????? ?????????? ?????? ?????????? 3? ???? ?????? ???? ?????? ????? ????????? ?????????? ???????? ????????????? ????? ??????? ????? ???????? ???? ????????????. ??????? TSH ???????? (> 20 μU/ml) ???? ?????? T4 ???????? (<8 ug/dl) ???? ???????? ?????? ???? ??????????????????. Rehash ???????? ???????? 10 ????? 55 ????? ???????? ???????????????? ????? RBC ????????? ???? ???????? ??????? ?????? ?????? ????? ??????????. ?????? ???? ?????????????? ????? ???????? ?????????? ?????? ????? ???????????????. ? ??????? ??????? 23 ????? ????????, ???? ??????????? ??????????? ???? ?????? ???????????? ???????? ????. ????????????, 6 ???? ??????? (26%) ???????????? ????? ???????? ????????????, 4 ???????? 23 g/dl ???? ????????????‌??? ????????. ???????????? ???? ???????????? ?????? ???? ?? ?????????? ???????. ???????????? T4or TSH ????????? ??????? ?????????? ??????????????. ???? ???????????? ??????????? ??????? ????????? ????? ??????? ???????? ???????? ????????? ????? ??????????? ???????? ????? ????? ???????? ?????????? ?????????, ???????? ?????????? ???? ????????? ????????????? ?????????? ?????????.

???????? ????? ?????? ???????? ????????‌?? ????? ?????????? ?????? ?????????????? ??????. ??????? ?????????????? ????? ????? ?????? ???????? ???????? ?????? ???????. ???????? ????????, ??? ?????? ????? ???????? ???????????????. ???????? ?? ?????. ??? ?????, ?????? ?????? ???? ????. ???????? ????? ???????? ??????????? ????? ?????????. ? ?????????? ???????????? ?????????????? ??????????. ??? ???? ?????????? ????? ????? ????? ????. ???????? ?????????? ???????????? ????????? ????????. ??? ??????, ?????, ??????? ????? ????? ??????? ????????? ???????????? ????????????. ?? ?????? ?????????? ???? ?? ?????????, ?????, ???????? ?????? ????? ????????? ?????? ???? ????????. ?? ?????? ?????? ???????? ??????????? ????? ????? ?????????, ??? ????? ???????? ????????????, ????????, ?????? ???????, ????????? ???????? ???? ???????? ????.

? ?????? ?????????? ??????????? ????????????? ??????? ?????? ? ??????????? ??????? ??????. ?????? ????? ????????????? ?????? ????? ?????, ??? ??????? ????? ??????????? ?????? ??? ???? ????????? ???? ???????? ?????? ???????????? ????? ???????????? ??????? ????????? ?????????. ??? ????? ????? ????? ????? ????? ??????????, ????? ??????? ???????? ????? ????? ???????? ???????? ?????????????. ???? ??????? ????????? (IDA) ?????? ????? ???????? ???????? ???????????? ??????????????? ????? ?????? ????????? ????? ??????????? ??????????? ????????? ?????????. ????? ???? ????? ???‌????????? ?????????????? ????? ???????? ?????? ????? ?????? ????? ?????????? ????????? ??????? ???????? ??? ?????????? ????????? ??????? ?????????? ???? ????? ???????????? ????????????????. ???? ??????? ?????????? ?????? ???? ???????, ???? ???????? ?????????????? ?????, ???????????-????????? ???????? ??? ????? ???? ?????????? ????? ???????. ???????? ?????????????? ????? ????? ???? ?????????? ????? ? ??????? ???????? ???? ?????????? ?????????, ?????? ????? ?????? ????? ???? ?????????? ????????? ???? ???????? ???????‌?? ???????????. ???? ???? ???? ????? ??????? ????? ???????? ????????? ?????????????? ???????????? ????? ??????? ???????? ????????? ?????? ????????. ? ????? ????? ???????? ???????? ????? ???????? ? ??????? ???????? ?????? ??????? ????????????, ???????? ???????????, ???????? ????? ????? ???????? ?????????? ????? ??????????? ???????.