Acute haemolytic reaction due to anti-Wb: a case report.

A 73-year-old Greek woman presented with symptomatic anaemia requiring red cell transfusion in the setting of progressive chronic lymphocytic leukaemia (CLL). Based on a negative antibody screen, two units of red blood cells (RBCs) were provided for transfusion. During the transfusion, the patient developed an acute haemolytic transfusion reaction (HTR), but recovered with supportive measures. Subsequent antibody investigation confirmed that the patient had an anti-Wb antibody and that the implicated RBC unit was Wb-positive. This is the first report of an anti-Wb causing a clinically significant acute HTR in the literature.

The effect of spatial attention on memory scanning.

Participants responded to probe letters after sets of two, four, and six letters were memorized (Sternberg, 1966, 1969b). Spatial attention was controlled by central arrow cues and stimuli were presented in a clear or a visually degraded from. Overall RT was shorter for attended than for unattended locations, and shorter for clear than for degraded stimuli. Even though the function relating RT to memory-set size for stimuli in attended locations had a significantly smaller zero-intercept than the function for unattended locations, she slope was unchanged, which suggests that attention did not influence the memory-scanning stage. Visual quality interacted with attention, which suggests that they influenced the same stage of processing, presumably the early visual-encoding stage of processing.

STEM, a new low-frequency Rh antigen associated with the e-variant phenotypes hrS-(Rh: -18, -19) and hrB-(Rh: -31, -34).

The new low-frequency antigen STEM was identified when a Cape coloured woman with an unknown antibody in her plasma (which agglutinated the red cells of her husband and a minority of other individuals) gave birth to a baby suffering mildly from haemolytic disease of the new-born. Most, but not all, examples of anti-STEM distinguish different strengths of STEM antigen on the red cells of different people; the different strengths are inherited. Family studies established that STEM was inherited as a Mendelian dominant character. STEM subdivides hrS-(Rh: -18, -19) and hrB- (Rh: -31, -34) red cells into two types: STEM+ and STEM-. The manually calculated lod score for STEM being associated with the Rh system is 3.91 and LIPED calculated lod score 4.35. The International Society of Blood Transfusion has allocated STEM the Rh number 49.

Anti-Gerbich antibodies and Gerbich-negative Dantu-positive red blood cells in a woman from South Africa.

Anti-Gerbich type anti-Ge3 antibodies were identified in the serum of a woman of mixed ethnic origin from Cape Town. The woman had type Ge:-2,-3 (Gerbich) red cells on which there was no evidence of weakened Kell antigens. Her red cells were also Dantu-positive.