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1.
There are several important roles that the established professional associations [Asia-Pacific Association of Surgical Tissue
Banking (APASTB) and Latin American Association of Tissue Banks (ALABAT)] could play for the promotion of tissue banking activities
in Asia and the Pacific and in the Latin American regions in the future. The International Atomic Energy Agency (IAEA) and
the World Health Organisation (WHO) could also play an important role in supporting the activities of both professional associations
in the field of training, exchange of scientific information, the standardisation of national norms and regulations, the use
of the IAEA documents, particularly the “Radiation Sterilisation of Tissue Allografts: Requirements for Validation and Routine
Control. A Code of Practice”, with the purpose to improve the quality of the activities carried out by the established tissue
banks and the nuclear facilities in charge of the sterilisation of the processed tissues, and to increase tissue donations.
The role of APASTB and ALABAT could be relevant and important for the improvement of the work of the established tissue banks
in Asia and the Pacific and in the Latin American regions, and could increase the effectiveness and efficiency of their works,
the improvement of management good practices and for increasing the awareness of the community on the importance of the activities
carried out by the tissue banks, among others. 相似文献
2.
Morales Pedraza J 《Cell and tissue banking》2009,10(2):191-196
In order to solve some of the problems that are affecting tissue banking activities in the world, a new program/project proposal
could be prepared by the IAEA and interested Member States in order to implement it in 2009. The main objective of the new
program/project proposal could be the following: To consolidate tissue banks activities in a selected group of IAEA Member
States by increasing the quality of the tissue processing and sterilization methods used. The specific objective to be reached
by the new program/project proposal could be the following: To reach international standards in all activities carried out
by a selected group of tissue banks, as well as the establishment of a limited regional tissue processing centres in specific
regions. The following are the conditions to be met by the interested tissue banks, in order to participate in the new program/project
proposal: To process different types of tissues for medical treatment using the ionizing radiation technique for tissue sterilization;
To apply at least one of the current version of the IAEA Code of Practice, the IAEA Standards and the IAEA Public Awareness
Strategies and to have the support of national health authorities for the use of the remaining IAEA documents in the near
future; To have in force agreements with public and private hospitals for the use of the sterilized tissues processed by the
bank for medical treatment; To have in place a donor referral system, or has the approval by the national health authorities
to adopt such system in the near future; To receive the support from the national health authority to participate in the implementation
of the new program/project proposal. 相似文献
3.
The Asia and the Pacific region was within the IAEA program on radiation and tissue banking, the most active region. Most
of the tissue banks in the Asia and the Pacific region were developed during the late 1980s and 1990s. The initial number
of tissue banks established or supported by the IAEA program in the framework of the RCA Agreement for Asia and the Pacific
region was 18. At the end of 2006, the number of tissue banks participating, in one way or another in the IAEA program was
59. Since the beginning of the implementation of the IAEA program in Asia and the Pacific region 63,537 amnion and 44,282
bone allografts were produced and 57,683 amnion and 36,388 bone allografts were used. The main impact of the IAEA program
in the region was the following: the establishment or consolidation of at least 59 tissue banks in 15 countries in the region
(the IAEA supported directly 16 of these banks); the improvement on the quality and safety of tissues procured and produced
in the region reaching international standards; the implementation of eight national projects, two regional projects and two
interregional projects; the elaboration of International Standards, a Code of Practice and a Public Awareness Strategies and,
the application of quality control and quality assurances programs in all participating tissue banks. 相似文献
4.
American Association of Tissue Banks: A Historical Reflection Upon Entering the 21st Century 总被引:1,自引:0,他引:1
Joyce MJ 《Cell and tissue banking》2000,1(1):5-8
The American Association of Tissue Banks (AATB) is a scientific, not-for-profit, peer-group organization founded in 1976 to facilitate the provision of transplantable tissues of uniform high quality in quantities sufficient to meet national needs. The Association was created well before there was governmental oversight of tissue banking. The organization consists of individuals involved in tissue banking, medical users, and scientists in the field. Current structure consists of a 13-member Board of Governors with specific subgroups including Musculoskeletal, Reproductive, Skin, Tissue Bank Councils and Council of Accredited Tissue Banks. A historical review shows the evolution from development of guidelines to publication of standards, and from an inspection conducted by peers to one conducted by an independent, trained professional inspector. Association growth and historical accomplishments are highlighted. 相似文献
5.
Since 1993, the IAEA supported the establishment or the consolidation of seven tissue banks in the region. As a direct or
indirect consequence of the implementation of the IAEA program, more than 53 tissue banks are now operating in the participating
countries. The fast development of tissue banks in the Latin America region under the ARCAL Agreement and with the financial
and technical support of the IAEA program made it necessary to train new tissue bank operators and medical personnel. In general,
90 tissue bank operators and medical personnel were trained in the training centre of Buenos Aires. Another six tissue bank
operators and medical personnel were trained in the International Training Centre of Singapore. The main impact of the IAEA
program in the region was the following: the establishment or consolidation of fifty-three tissue banks in nine countries
in the region; the implementation of five national projects, allocating $1,006,737 dollars for this purpose and of one regional
project allocating $284,741 dollars for this purpose; the use of the IAEA Standards, the IAEA Code of Practice and the IAEA
Public Awareness Strategies in several tissue banks in the region; the application of quality control and quality assurances
manuals in all of the participating countries. 相似文献
6.
Tissue banking in the Asia Pacific regions is driven by two main forces—firstly the International Atomic Energy Agency (IAEA) via Regional Co-operative Agreement projects and secondly by the Asia Pacific Association of Surgical Tissue Banking (APASTB). This overview is written in three sections: (1) History of tissue banking in individual country in the region. (2) History of APASTB. (3) History of IAEA programme in Asia Pacific region. The current status and future of the tissue banking programme in the region will be discussed. 相似文献
7.
The impact of the International Atomic Energy Agency (IAEA) program on radiation and tissue banking in India 总被引:1,自引:0,他引:1
The banking of tissues such bone and skin began in India in the 1980s and 1990s. Although eye banking started in 1945 there
was little progress in this field for the next five decades. As part of the IAEA/RCA program to use ionising radiation for
the sterilisation of biological tissues in Asia and the Pacific Region, the Tata Memorial Hospital (TMH) in 1986 decided to
set up a tissue bank in Mumbai funded by the Government of India. The TMH Tissue Bank became operational in January 1988,
and stands as a pioneering effort in the country to provide safe, clinically useful and cost-effective human allografts for
transplantation. It uses the IAEA International Standards on Tissue Banking. All the grafts are sterilised terminally by exposure
to a dose of 25 kGy of gamma radiation, which has been validated as recommended by the IAEA Code of Practice for the Radiation
Sterilisation of Tissues Allografts: Requirements for Validation and Routine Control. The TMH Tissue Bank is registered with
the Maharashtra State Health Authorities, and in May 2004, it became India’s first Tissue Bank to receive ISO 9001:2000 certification
of its Quality Management System. From 1989 to September 2007, the TMH Tissue Bank has supplied 11,369 allografts to 310 surgeons
operating in 69 hospitals in Mumbai and 56 hospitals in other parts of India. These numbers have been limited by difficulties
with the retrieval of tissues from deceased donors due to inadequate resources and tissue donation policies of hospitals.
As the Government of India representative in the IAEA program, the TMH Tissue Bank has promoted and co-coordinated these activities
in the country and the development of tissue banks using radiation sterilisation of tissue grafts. Towards this end it has
been engaged in training personnel, drawing up project proposals, and supporting the establishment of a Tissue Retrieval Centre
in Mumbai. Currently it networks with the Zonal Transplant Co-ordination Centre of the Government of Maharashtra, and the
newly instituted National Deceased Donor Transplantation Network, which will work with the Government of India to set up rules
and regulations for organ and tissue donation and transplantation. 相似文献
8.
Tissue Banking in India: Gamma-Irradiated Allografts 总被引:4,自引:4,他引:0
Lobo Gajiwala A 《Cell and tissue banking》2003,4(2-4):203-211
In India, the procurement of tissues for transplantation is governed by the Transplantation of Human Organs Act, 1994. Although this law exists, it is primarily applied to organ transplantation and rules and regulations that are specific to tissue banking which have yet to be developed. The Tata Memorial Hospital (TMH) Tissue Bank was started in 1988 as part of an International Atomic Energy Agency (IAEA) programme to promote the use of ionising radiation for the sterilisation of biological tissues. It represents the Government of India within this project and was the first facility in the country to use radiation for the sterilisation of allografts. It is registered with the Health Services Maharashtra State and provides freeze-dried, gamma irradiated amnion, dura mater, skin and bone. The tissues are obtained either from cadavers or live donors. To date the TMH Tissue Bank has provided 6328 allografts which have found use as biological dressings and in various reconstructive procedures. The TMH Tissue Bank has helped initiate a Tissue Bank at the Defence Laboratory (DL), Jodhpur. At present these are the only two Banks in the country using radiation for the terminal sterilisation of preserved tissues. The availability of safe, clinically useful and cost effective grafts has stimulated innovative approaches to surgery. There is an increased demand for banked tissues and a heightened interest in the development of tissue banks. Inadequate infrastructure for donor referral programmes and the lack of support for tissue transplant co-ordinators however, continue to limit the availability of donor tissue. 相似文献
9.
Yu-Min Zhang Jian-Ru Wang Nai-Li Zhang Xiao-Ming Liu Mo Zhou Shao-Ying Ma Ting Yang Bao-Xing Li 《Cell and tissue banking》2014,15(3):291-296
Before 1986, the development of tissue banking in China has been slow and relatively uncoordinated. Under the support of International Atomic Energy Agency (IAEA), Tissue Banking in China experienced rapid development. In this period, China Institute for Radiation Protection tissue bank mastered systematic and modern tissue banking technique by IAEA training course and gradually developed the first regional tissue bank (Shanxi Provincial Tissue Bank, SPTB) to provide tissue allograft. Benefit from training course, SPTB promoted the development of tissue transplantation by ways of training, brochure, advertisement and meeting. Tissue allograft transplantation acquired recognition from clinic and supervision and administration from government. Quality system gradually is developing and perfecting. Tissue allograft transplantation and tissue bank are developing rapidly and healthy. 相似文献
10.
Gajiwala AL 《Cell and tissue banking》2003,4(2-4):193-201
In India, the procurement of tissues for transplantation is governed by the Transplantation of Human Organs Act, 1994. However, although this law exists, it is primarily applied to organ transplantation and rules and regulations that are specific to tissue banking have yet to be developed.The Tata Memorial Hospital (TMH) Tissue Bank was started in 1988 as part of an International Atomic Energy Agency (IAEA) programme to promote the use of ionising radiation for the sterilisation of biological tissues. It represents the Government of India within this project and was the first such facility in the country. It is registered with the Health Services Maharashtra State and provides lyophilised amnion, dura mater, skin and bone that have been terminally sterilised with exposure to 25 kGy of gamma radiation from a Cobalt 60 source. These are obtained either from cadavers or live donors.To date the TMH Tissue Bank has provided 6328 allografts for use as biological dressings or in various reconstructive procedures.The TMH Tissue Bank has helped initiate a Tissue Bank at the Defence Laboratory (DL), Jodhpur. At present these are the only two Banks in the country using radiation for terminal sterilisation of banked tissues.The availability of safe, clinically useful and cost effective grafts have resulted in changes in surgical treatment with a concomitant increase in demand for grafts and an interest in developing more tissue banks. The availability of donor tissue however, continues to be a major limitation. 相似文献
11.
Jorge Morales Pedraza Astrid Lobo Gajiwala María Esther Martinez Pardo 《Cell and tissue banking》2012,13(1):15-25
The IAEA International Standards for Tissue Banks published in 2003 were based on the Standards then currently in use in the
USA and the European Union, among others, and reflect the best practices associated with the operation of a tissue bank. They
cover legal, ethical and regulatory controls as well as requirements and procedures from donor selection and tissue retrieval
to processing and distribution of finished tissue for clinical use. The application of these standards allows tissue banks
to operate with the current good tissue practice, thereby providing grafts of high quality that satisfy the national and international
demand for safe and biologically useful grafts. The objective of this article is to review the IAEA Standards and recommend
new topics that could improve the current version. 相似文献
12.
Morales Pedraza J Sánchez Noda EO Rodríguez Cardona RL Otero I 《Cell and tissue banking》2009,10(2):149-152
The first multi-tissue bank was founded at Havana in 1958. At that time, freeze-drying was used at the bank as a method of
preserving, as well as Cobalt 60 irradiation to sterilise bone tissue, heart valves and others. The impact of the IAEA program
in tissue banking activities in Cuba can be summarised as follows: (a) Increase in the production of sterilised tissues using
ionising radiation (bone, pig skin and amnion) for medical treatment in the tissue bank of the Hospital Frank Pais; (b) increase
of the quality of the productions of bone tissues, pig skin and amnion; (c) reduction in the import of tissues by increasing
the local production of tissues; (d) sustainability in the number of donors through the implementation of a public and professional
awareness campaign; (e) training of six persons in the Regional Training Centre of Buenos Aires; (f) qualification of one
person in the administration of a tissue bank and in the implementation of a Quality System. The amount of tissues produced
and sterilised using the ionising radiation techniques in the established banks was 25,510 units. The amount of patients treated
with sterilised tissues produced by the established banks was 2,448. 相似文献
13.
Tissue banking activities in Argentina started in 1993. The regulatory and controlling national authority on organ, tissue
and cells for transplantation activity is the National Unique Coordinating Central Institute for Ablation and Implant (INCUCAI).
Three tissue banks were established under the IAEA program and nine other banks participated actively in the implementation
of this program. As result of the implementation of the IAEA program in Argentina and the work done by the established tissue
banks, more and more hospitals are now using, in a routine manner, radiation sterilised tissues processed by these banks.
During the period 1992–2005, more than 21 016 tissues were produced and irradiated in the tissue banks participating in the
IAEA program. Within the framework of the training component of the IAEA program, Argentina has been selected to host the
Regional Training Centre for Latin American. In this centre, tissue bank operators and medical personal from Latin American
countries were trained. Since 1999, Argentina has organised four regular regional training courses and two virtual regional
training courses. More than twenty (20) tissue bank operators and medical personnel from Argentina were trained under the
IAEA program in the six courses organised in the country. In general, ninety (96) tissue bank operators and medical personnel
from eight Latin-American countries were trained in the Buenos Aires regional training centre. From Argentina 16 students
graduated in these courses. 相似文献
14.
Naznin Akhtar Md. Shaifur Rahman Hossen Mohammad Jamil Md. Arifuzzaman M. M. Miah S. M. Asaduzzaman 《Cell and tissue banking》2016,17(2):189-197
Tissue Banking and Biomaterial Research Unit (TBBRU), the only tissue bank of Bangladesh, has been established to create an available supply of human tissue allografts for transplantation in Bangladesh. Since its establishment in 2003, TBBRU strictly follows the guidelines of tissue banking setup by the International Atomic Energy Agency, the European Association of Tissue Banks and the American Association of Tissue Banks. Though started serving from earlier, regular supply of tissue allografts from this bank were documented at the end of 2006. From January 2007 to December 2014, 3747 bones and 5772 amniotic sacs were collected from live tissue donors. During this period, 59,489 cc bone allografts and 23,472 pieces of amniotic membrane allografts were processed. In the same period, 58,483 cc bone allografts and 20,786 pieces membrane were supplied to different hospitals throughout the country on the basis of demand. The outcomes of the concerted efforts of tissue banking professionals and physicians were the restoration of health and hope of 3662 patients during the last 8 years. 相似文献
15.
Until 2000, efforts into organising tissue banks in Brazil had not progressed far beyond small “in house” tissue storage repositories,
usually annexed to Orthopaedic Surgery Services. Despite the professional entrepreneurship of those working as part time tissue
bankers in such operations, best practices in tissue banking were not always followed due to the lack of regulatory standards,
specialised training, adequate facilities and dedicated personnel. The Skin Bank of the Plastic Surgery Department of the
Hospital das Clinicas of Sao Paulo, the single skin bank in Brazil, was not an exception. Since 1956, restricted and unpredictable
amounts of skin allografts were stored under refrigeration for short periods under very limited quality controls. As in most
“tissue banks” at that time in Brazil, medical and nursing staff worked on a volunteer and informal basis undergoing no specific
training. IAEA supported the implementation of the tissue banking program in Brazil through the regional project RLA/7/009
“Quality system for the production of irradiated sterilised grafts” (1998–2000) and through two interregional projects INT/6/049 “Interregional Centre of Excellence in Tissue Banking”, during the period 2002–2004 and INT/6/052 “Improving the Quality of Production and Uses of Radiation Sterilised Tissue Grafts”, during the period 2002–2004. In 2001–2002, the first two years of operation of the HC-Tissue Bank, 53 skin transplants
were carried out instead of the previous 4–5 a year. During this period, 75 individuals donated skin tissue, generating approximately
90,000 cm2 of skin graft. The IAEA program were of great benefit to Brazilian tissue banking which has evolved from scattered make shift
small operations to a well-established, high quality tissue banking scenario. 相似文献
16.
In 1986, the National Nuclear Energy Agency (Batan) in Jakarta started the research and development for the setting up of
a tissue bank (Batan Research Tissue Bank/BRTB) by preserving fresh amnion or fetal membranes by lyophilisation and then sterilising
by gamma irradiation. During the period of 1990 and 2000, three more tissue banks were set up, i.e., Biomaterial Centre in
Surabaya, Jamil Tissue Bank in Padang, and Sitanala Tissue Bank in Tangerang. In 1994, BRTB produced bone allografts. The
banks established under the IAEA program concentrated its work on the production of amnion, bone and soft tissues allografts,
as well as bone xenografts. These tissues (allografts and xenografts) were sterilised using gamma irradiation (about 90%)
and the rest were sterilized by ETO and those products have been used in the treatment of patients at more than 50 hospitals
in Indonesia. In 2004, those tissue banks produced 8,500 grafts and 5,000 of them were amnion grafts for eye treatment and
wound dressing. All of those grafts were used for patients as well as for research. In 2006, the production increased to 9,000
grafts. Although the capacity of those banks can produce more grafts, we are facing problems on getting raw materials from
suitable donors. To fulfill the demand of bone grafts we also produced bone xenografts. The impact of the IAEA program in
tissue banking activities in Indonesia can be summarised as follows: to support the national program on importing substitutes
for medical devices. The price of imported tissues are between US$ 50 and US$ 6,000 per graft. Local tissue bank can produce
tissues with the same quality with the price for about 10–30% of the imported tissues. 相似文献
17.
Hilde Beele Marja J. van Wijk Robert Parker Jacinto Sánchez-Ibáňez Scott A. Brubaker Birgit Wulff Cornelia D. Richters Mike Cox Ruth M. Warwick Ted Eastlund 《Cell and tissue banking》2013,14(4):561-570
The European Association of Tissue Banks (EATB) donor case workshop is a forum held within the program of the EATB annual congress. The workshop offers an opportunity to discuss and evaluate approaches taken to challenging situations regarding donor selection, it promotes consensus development in deciding tissue donor acceptability when donor health issues are not addressed in standards and regulations, and serves to strengthen the professional tissue banking networks across Europe and beyond. This report reflects some of the discussion at the workshop during the annual congress in Vienna in 2012. The cases presented dealt with problems encountered by tissue bank facilities concerning idiopathic thrombocytopenia and auto-immune disorders, hemodilution and blood sample identification, premalignant and malignant lesions, and Huntington’s disease. The discussions during the workshop demonstrate that the implications on the safety of tissue transplantation of various tissue donor illnesses, physical findings and behaviours, and the preventive measures taken by tissue facilities, may not always be agreed by tissue facility medical directors and other professionals. Moreover, they reveal that operating procedures, regulations and standards cannot comprehensively cover all tissue donor findings, medical histories and circumstances surrounding the cause of death. For many of the issues raised, there is a need for scientific research to provide a better evidence base for future deliberations about the suitability and eligibility of tissue allograft donors. 相似文献
18.
The 32nd annual meeting of the American Association of Tissue Banks (AATB) was highly praised by its participants and was the largest attended meeting in the AATB’s history. Highlights included a record number of candidates taking the examination to become a certified tissue banking specialist (CTBS) and the acceptance of over thirty abstract submissions using, for the first time, an on-line submission, review, and grading system. This meeting’s success was made possible by the exceptional participation of tissue bank professionals such as Medical Directors, managers, consultants, and technical experts; valuable input from international colleagues; and the involvement of federal regulators for cell and tissue banking. Both scientific and non-scientific abstracts that were accepted and displayed at the meeting are reproduced in this report. 相似文献
19.
Glyn O. Phillips 《Cell and tissue banking》2000,1(1):27-40
The International Atomic Energy Agency, an agency of the United Nations, has supported tissue banking programmes in 28 countries to further extend the use of ionising radiation for medical sterilisation applications. Up to 1998, some 115,000 tissue allografts have been produced and clinically used. A new thematic approach has now been introduced to set strict criteria to govern future developments. The emphasis will be on appropriate training and the introduction of Quality Systems in order to achieve international standards. Countries wishing to gain further support will be required to demonstrate the need and performance. To ensure a training mode appropriate to a global organisation, a multi-media training curriculum has been developed, which can be delivered by distance learning methods. Following its successful launch in the Asia Pacific region, the curriculum is now being translated into Spanish for use in Latin American countries. The Republic of Korea government too has provided resources for translation into their language and to initiate a national programme. In other countries national networks are being set up for improving public and professional awareness, training and tissue distribution. Collaboration with international organisations is another new area of development. 相似文献
20.
van Wijk MJ Poniatowski S Fehily D Brubaker SA Eastlund T Kurz J Parker R Beele H Herson MR Monig HJ Chandrasekar A Holovská V Wysocka-Wycisk A Brown MS Winstanley E Sánchez-Ibáňez J Warwick RM 《Cell and tissue banking》2012,13(1):191-202
The European Association of Tissue Banks (EATB) Donor Case Workshop and Quality System Case workshop are forums held within the program of the EATB Annual Congress. These workshops offer an opportunity to discuss and evaluate approaches taken to challenging situations, regarding donor selection and quality issues, and strengthen the professional tissue banking and regulatory networks across Europe. This report reflects some of the discussion at the congress workshops and also subsequent correspondence between the various individuals who submitted cases for discussion. The cases presented to the workshops demonstrate that the findings, their interpretation, deducted actions and preventive measures in tissue banks are not predictable. The varied responses and lack of consensus corroborate this and clearly indicate that operating procedures cannot comprehensively cover or prepare for all eventualities. For many of the issues raised there is a lack of information in the published literature. The workshops actively engage participants, representing a wide array of international expertise, in an informal, secure and enjoyable setting, which facilitates learning from peers and provides potential solutions to those submitting cases. By publishing a summary of the discussions, we hope to reach a wider audience and to stimulate individuals to undertake full literature reviews or research on some of the discussed subjects. 相似文献