Physiologically Based Pharmacokinetic Modeling of Monoclonal Antibodies in Pediatric Populations Using PK-Sim

Physiologically based mostly pharmacokinetic (PBPK) fashions are more and more used to help pediatric dose choice for small molecule medicine. In distinction, just a few pediatric PBPK fashions for therapeutic antibodies have been printed lately, and the information on the maturation of the processes related for antibody pharmacokinetics (PK) is restricted in comparison with small molecules. The intention of this examine was, thus, to guage predictions from antibody PBPK fashions for youngsters which have been scaled from PBPK fashions for adults to be able to determine respective information gaps.

For this, we used the generic PBPK mannequin carried out in PK-Sim with out additional modifications. Specializing in normal clearance and distribution mechanisms, we chosen palivizumab and bevacizumab as examples for this analysis since they present easy, linear PK which isn’t ruled by drug-specific goal mediated disposition at regular therapeutic dosages, and their PK has been studied in pediatric populations after intravenous software.

Canine Leptin (LEP) ELISA Kit
DLR-LEP-c-48T	DL Develop	48T	EUR 527
Should the Canine Leptin (LEP) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Canine Leptin (LEP) in samples from serum, plasma or other biological fluids.

Canine Leptin (LEP) ELISA Kit
DLR-LEP-c-96T	DL Develop	96T	EUR 688
Should the Canine Leptin (LEP) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Canine Leptin (LEP) in samples from serum, plasma or other biological fluids.

Chicken Leptin (LEP) ELISA Kit
DLR-LEP-Ch-48T	DL Develop	48T	EUR 508
Should the Chicken Leptin (LEP) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Chicken Leptin (LEP) in samples from serum, plasma or other biological fluids.

Chicken Leptin (LEP) ELISA Kit
DLR-LEP-Ch-96T	DL Develop	96T	EUR 661
Should the Chicken Leptin (LEP) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Chicken Leptin (LEP) in samples from serum, plasma or other biological fluids.

Equine Leptin (LEP) ELISA Kit
DLR-LEP-Eq-48T	DL Develop	48T	EUR 556
Should the Equine Leptin (LEP) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Equine Leptin (LEP) in samples from serum, plasma or other biological fluids.

Equine Leptin (LEP) ELISA Kit
DLR-LEP-Eq-96T	DL Develop	96T	EUR 728
Should the Equine Leptin (LEP) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Equine Leptin (LEP) in samples from serum, plasma or other biological fluids.

Goat Leptin (LEP) ELISA Kit
DLR-LEP-g-48T	DL Develop	48T	EUR 556
Should the Goat Leptin (LEP) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Goat Leptin (LEP) in samples from serum, plasma, tissue homogenates, cell lysates, cell culture supernates or other biological fluids.

Goat Leptin (LEP) ELISA Kit
DLR-LEP-g-96T	DL Develop	96T	EUR 728
Should the Goat Leptin (LEP) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Goat Leptin (LEP) in samples from serum, plasma, tissue homogenates, cell lysates, cell culture supernates or other biological fluids.

Human Leptin (LEP) ELISA Kit
DLR-LEP-Hu-48T	DL Develop	48T	EUR 392
Should the Human Leptin (LEP) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Human Leptin (LEP) in samples from serum, plasma, saliva, tissue homogenates, cell lysates, cell culture supernates or other biological fluids.

Human Leptin (LEP) ELISA Kit
DLR-LEP-Hu-96T	DL Develop	96T	EUR 502
Should the Human Leptin (LEP) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Human Leptin (LEP) in samples from serum, plasma, saliva, tissue homogenates, cell lysates, cell culture supernates or other biological fluids.

Mouse Leptin (LEP) ELISA Kit
DLR-LEP-Mu-48T	DL Develop	48T	EUR 489
Should the Mouse Leptin (LEP) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Mouse Leptin (LEP) in samples from serum, plasma, tissue homogenates, cell lysates, cell culture supernates or other biological fluids.

Mouse Leptin (LEP) ELISA Kit
DLR-LEP-Mu-96T	DL Develop	96T	EUR 635
Should the Mouse Leptin (LEP) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Mouse Leptin (LEP) in samples from serum, plasma, tissue homogenates, cell lysates, cell culture supernates or other biological fluids.

Porcine Leptin (LEP) ELISA Kit
DLR-LEP-p-48T	DL Develop	48T	EUR 547
Should the Porcine Leptin (LEP) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Porcine Leptin (LEP) in samples from serum, plasma, tissue homogenates or other biological fluids.

Porcine Leptin (LEP) ELISA Kit
DLR-LEP-p-96T	DL Develop	96T	EUR 715
Should the Porcine Leptin (LEP) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Porcine Leptin (LEP) in samples from serum, plasma, tissue homogenates or other biological fluids.

Rat Leptin (LEP) ELISA Kit
DLR-LEP-Ra-48T	DL Develop	48T	EUR 508
Should the Rat Leptin (LEP) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Rat Leptin (LEP) in samples from serum, plasma, tissue homogenates, cell lysates, cell culture supernates or other biological fluids.

Rat Leptin (LEP) ELISA Kit
DLR-LEP-Ra-96T	DL Develop	96T	EUR 661
Should the Rat Leptin (LEP) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Rat Leptin (LEP) in samples from serum, plasma, tissue homogenates, cell lysates, cell culture supernates or other biological fluids.

Rabbit Leptin (LEP) ELISA Kit
DLR-LEP-Rb-48T	DL Develop	48T	EUR 508
Should the Rabbit Leptin (LEP) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Rabbit Leptin (LEP) in samples from serum, plasma, tissue homogenates or other biological fluids.

Rabbit Leptin (LEP) ELISA Kit
DLR-LEP-Rb-96T	DL Develop	96T	EUR 661
Should the Rabbit Leptin (LEP) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Rabbit Leptin (LEP) in samples from serum, plasma, tissue homogenates or other biological fluids.

Bovine Leptin (LEP) ELISA Kit
RDR-LEP-b-48Tests	Reddot Biotech	48 Tests	EUR 580

Bovine Leptin (LEP) ELISA Kit
RDR-LEP-b-96Tests	Reddot Biotech	96 Tests	EUR 807

Canine Leptin (LEP) ELISA Kit
RDR-LEP-c-48Tests	Reddot Biotech	48 Tests	EUR 557

Canine Leptin (LEP) ELISA Kit
RDR-LEP-c-96Tests	Reddot Biotech	96 Tests	EUR 774

Chicken Leptin (LEP) ELISA Kit
RDR-LEP-Ch-48Tests	Reddot Biotech	48 Tests	EUR 534

Chicken Leptin (LEP) ELISA Kit
RDR-LEP-Ch-96Tests	Reddot Biotech	96 Tests	EUR 742

Equine Leptin (LEP) ELISA Kit
RDR-LEP-Eq-48Tests	Reddot Biotech	48 Tests	EUR 591

Equine Leptin (LEP) ELISA Kit
RDR-LEP-Eq-96Tests	Reddot Biotech	96 Tests	EUR 823

Goat Leptin (LEP) ELISA Kit
RDR-LEP-g-48Tests	Reddot Biotech	48 Tests	EUR 591

Goat Leptin (LEP) ELISA Kit
RDR-LEP-g-96Tests	Reddot Biotech	96 Tests	EUR 823

Human Leptin (LEP) ELISA Kit
RDR-LEP-Hu-48Tests	Reddot Biotech	48 Tests	EUR 396

Human Leptin (LEP) ELISA Kit
RDR-LEP-Hu-96Tests	Reddot Biotech	96 Tests	EUR 545

Mouse Leptin (LEP) ELISA Kit
RDR-LEP-Mu-48Tests	Reddot Biotech	48 Tests	EUR 511

Mouse Leptin (LEP) ELISA Kit
RDR-LEP-Mu-96Tests	Reddot Biotech	96 Tests	EUR 709

Porcine Leptin (LEP) ELISA Kit
RDR-LEP-p-48Tests	Reddot Biotech	48 Tests	EUR 580

Porcine Leptin (LEP) ELISA Kit
RDR-LEP-p-96Tests	Reddot Biotech	96 Tests	EUR 807

Rat Leptin (LEP) ELISA Kit
RDR-LEP-Ra-48Tests	Reddot Biotech	48 Tests	EUR 534

The analysis confirmed that the PK of palivizumab was total fairly effectively predicted, whereas the clearance for bevacizumab appears to be underestimated. With out implementing further ontogeny for antibody PK-specific processes into the PBPK mannequin, body weight normalized clearance will increase solely reasonably in younger kids in comparison with adults.
If development throughout getting older on the time of the simulation was thought of, the obvious clearance is roughly 20% increased in comparison with simulations for which development was not thought of for newborns because of the lengthy half-life of antibodies.
To totally perceive the variations and similarities within the PK of antibodies between adults and kids, additional analysis is required. By integrating out there data and knowledge, PBPK modeling can contribute to disclose the relevance of concerned processes in addition to to generate and take a look at speculation.

Key phrases: PK-Sim; kids; monoclonal antibodies; pediatrics; physiologically based mostly pharmacokinetic (PBPK) modeling.

Urological detection of particular antibodies towards Neospora caninum an infection in mice: A prospect for novel diagnostic strategy of Neospora

The intracellular protozoan parasite Neospora caninum is incriminated to induce drastic financial losses in each livestock and pet animal industries. Neosporosis is primarily characterised by abortion in cattle and paralytic signs in canine. As a result of there are not any efficient remedies or vaccines, prognosis is essential for Neospora management. Thus, diversification of laboratory exams and specimens used for prognosis of N. caninum is a necessary scientific endeavor to guage and choose essentially the most acceptable diagnostic device.

Herein, we offer the primary proof for the utility of urine samples for demonstration of particular antibodies towards N. caninum using an experimentally contaminated murine mannequin.
Particular antibodies to recombinant N. caninum dense granule 7, floor antigen 1, and lysate antigen have been assayed utilizing completely different antibodies-based ELISAs.
Urine based mostly IgG ELISA effectively discriminated between contaminated mice (acute or power an infection), and people of non-infected mice.

This impact was additionally observed for IgG1 and IgG2a suggesting the utility of urine for evaluation of T-helper 2- and T-helper 1-mediated immunities, respectively.

As well as, reactivity of particular antibody in urine was additionally confirmed towards parasites when oblique fluorescent antibody take a look at was employed. Usefulness of urine as an extra scientific pattern for Neospora prognosis was confirmed by way of comparability with the related management non-infected and contaminated mouse sera as reference samples.

Bovine Anti-Mullerian Hormone (AMH) ELISA Kit
DLR-AMH-b-96T	DL Develop	96T	EUR 715
Should the Bovine Anti-Mullerian Hormone (AMH) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Bovine Anti-Mullerian Hormone (AMH) in samples from serum, plasma, tissue homogenates, cell lysates, cell culture supernates or other biological fluids.

Human Anti-Mullerian Hormone (AMH) ELISA Kit
DLR-AMH-Hu-48T	DL Develop	48T	EUR 479
Should the Human Anti-Mullerian Hormone (AMH) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A competitive inhibition quantitative ELISA assay kit for detection of Human Anti-Mullerian Hormone (AMH) in samples from serum, plasma, tissue homogenates, cell lysates, cell culture supernates or other biological fluids.

Human Anti-Mullerian Hormone (AMH) ELISA Kit
DLR-AMH-Hu-96T	DL Develop	96T	EUR 621
Should the Human Anti-Mullerian Hormone (AMH) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A competitive inhibition quantitative ELISA assay kit for detection of Human Anti-Mullerian Hormone (AMH) in samples from serum, plasma, tissue homogenates, cell lysates, cell culture supernates or other biological fluids.

Mouse Anti-Mullerian Hormone (AMH) ELISA Kit
DLR-AMH-Mu-48T	DL Develop	48T	EUR 489
Should the Mouse Anti-Mullerian Hormone (AMH) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A competitive inhibition quantitative ELISA assay kit for detection of Mouse Anti-Mullerian Hormone (AMH) in samples from serum, plasma, tissue homogenates, cell lysates, cell culture supernates or other biological fluids.

Mouse Anti-Mullerian Hormone (AMH) ELISA Kit
DLR-AMH-Mu-96T	DL Develop	96T	EUR 635
Should the Mouse Anti-Mullerian Hormone (AMH) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A competitive inhibition quantitative ELISA assay kit for detection of Mouse Anti-Mullerian Hormone (AMH) in samples from serum, plasma, tissue homogenates, cell lysates, cell culture supernates or other biological fluids.

Porcine Anti-Mullerian Hormone (AMH) ELISA Kit
DLR-AMH-p-48T	DL Develop	48T	EUR 547
Should the Porcine Anti-Mullerian Hormone (AMH) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Porcine Anti-Mullerian Hormone (AMH) in samples from serum, plasma, tissue homogenates, cell lysates, cell culture supernates or other biological fluids.

Porcine Anti-Mullerian Hormone (AMH) ELISA Kit
DLR-AMH-p-96T	DL Develop	96T	EUR 715
Should the Porcine Anti-Mullerian Hormone (AMH) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Porcine Anti-Mullerian Hormone (AMH) in samples from serum, plasma, tissue homogenates, cell lysates, cell culture supernates or other biological fluids.

Rat Anti-Mullerian Hormone (AMH) ELISA Kit
DLR-AMH-Ra-48T	DL Develop	48T	EUR 508
Should the Rat Anti-Mullerian Hormone (AMH) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Rat Anti-Mullerian Hormone (AMH) in samples from serum, plasma, tissue homogenates, cell lysates, cell culture supernates or other biological fluids.

Rat Anti-Mullerian Hormone (AMH) ELISA Kit
DLR-AMH-Ra-96T	DL Develop	96T	EUR 661
Should the Rat Anti-Mullerian Hormone (AMH) ELISA Kit is proven to show malperformance, you will receive a refund or a free replacement.
Description: A sandwich quantitative ELISA assay kit for detection of Rat Anti-Mullerian Hormone (AMH) in samples from serum, plasma, tissue homogenates, cell lysates, cell culture supernates or other biological fluids.

Bovine Anti-Mullerian Hormone (AMH) ELISA Kit
RD-AMH-b-48Tests	Reddot Biotech	48 Tests	EUR 555

Bovine Anti-Mullerian Hormone (AMH) ELISA Kit
RD-AMH-b-96Tests	Reddot Biotech	96 Tests	EUR 771

Human Anti-Mullerian Hormone (AMH) ELISA Kit
RD-AMH-Hu-48Tests	Reddot Biotech	48 Tests	EUR 478

Human Anti-Mullerian Hormone (AMH) ELISA Kit
RD-AMH-Hu-96Tests	Reddot Biotech	96 Tests	EUR 662

Mouse Anti-Mullerian Hormone (AMH) ELISA Kit
RD-AMH-Mu-48Tests	Reddot Biotech	48 Tests	EUR 489

Mouse Anti-Mullerian Hormone (AMH) ELISA Kit
RD-AMH-Mu-96Tests	Reddot Biotech	96 Tests	EUR 677

Porcine Anti-Mullerian Hormone (AMH) ELISA Kit
RD-AMH-p-48Tests	Reddot Biotech	48 Tests	EUR 555

Porcine Anti-Mullerian Hormone (AMH) ELISA Kit
RD-AMH-p-96Tests	Reddot Biotech	96 Tests	EUR 771

Rat Anti-Mullerian Hormone (AMH) ELISA Kit
RD-AMH-Ra-48Tests	Reddot Biotech	48 Tests	EUR 511

Rat Anti-Mullerian Hormone (AMH) ELISA Kit
RD-AMH-Ra-96Tests	Reddot Biotech	96 Tests	EUR 709

Bovine Anti-Mullerian Hormone (AMH) ELISA Kit
RDR-AMH-b-48Tests	Reddot Biotech	48 Tests	EUR 580

Bovine Anti-Mullerian Hormone (AMH) ELISA Kit
RDR-AMH-b-96Tests	Reddot Biotech	96 Tests	EUR 807

Human Anti-Mullerian Hormone (AMH) ELISA Kit
RDR-AMH-Hu-48Tests	Reddot Biotech	48 Tests	EUR 500

Human Anti-Mullerian Hormone (AMH) ELISA Kit
RDR-AMH-Hu-96Tests	Reddot Biotech	96 Tests	EUR 692

Mouse Anti-Mullerian Hormone (AMH) ELISA Kit
RDR-AMH-Mu-48Tests	Reddot Biotech	48 Tests	EUR 511

Mouse Anti-Mullerian Hormone (AMH) ELISA Kit
RDR-AMH-Mu-96Tests	Reddot Biotech	96 Tests	EUR 709

Porcine Anti-Mullerian Hormone (AMH) ELISA Kit
RDR-AMH-p-48Tests	Reddot Biotech	48 Tests	EUR 580

Porcine Anti-Mullerian Hormone (AMH) ELISA Kit
RDR-AMH-p-96Tests	Reddot Biotech	96 Tests	EUR 807

Rat Anti-Mullerian Hormone (AMH) ELISA Kit
RDR-AMH-Ra-48Tests	Reddot Biotech	48 Tests	EUR 534

Rat Anti-Mullerian Hormone (AMH) ELISA Kit
RDR-AMH-Ra-96Tests	Reddot Biotech	96 Tests	EUR 742

Active Anti-Mullerian Hormone (AMH)
4-APA228Hu01	Cloud-Clone	EUR 874.14 EUR 337.00 EUR 3003.04 EUR 1067.68 EUR 2035.36 EUR 648.00 EUR 7357.60	100 ug 10ug 1 mg 200 ug 500 ug 50ug 5 mg
Uniprot ID: P03971 Buffer composition: 20mM Tris, 150mM NaCl, pH8.0, containing 1mM EDTA, 1mM DTT, 0.01% SKL, 5% Trehalose and Proclin300. Form: Freeze-dried powder Predicted Molecular Mass (KD): 12.8kDa Isoelectric Point: 7.7
Description: Recombinant Human Anti-Mullerian Hormone expressed in: E.coli

Anti Mullerian Hormone (AMH) Antibody
abx023939-05mg	Abbexa	0.5 mg	EUR 1156
Shipped within 5-10 working days.

Anti Mullerian Hormone (AMH) Antibody
abx023940-05mg	Abbexa	0.5 mg	EUR 1156
Shipped within 5-10 working days.

Anti-Mullerian hormone (AMH) Antibody
abx023944-05mg	Abbexa	0.5 mg	EUR 1177
Shipped within 5-10 working days.

Anti-Mullerian hormone (AMH) Antibody
abx023945-05mg	Abbexa	0.5 mg	EUR 1177
Shipped within 5-10 working days.

Anti-Mullerian hormone (AMH) Antibody
abx023946-05mg	Abbexa	0.5 mg	EUR 1177
Shipped within 5-10 working days.

Anti-Mullerian hormone (AMH) Antibody
abx023947-05mg	Abbexa	0.5 mg	EUR 1177
Shipped within 5-10 working days.

Anti-Mullerian hormone (AMH) Antibody
abx023948-05mg	Abbexa	0.5 mg	EUR 1177
Shipped within 5-10 working days.

Anti-Mullerian hormone (AMH) Antibody
abx023949-05mg	Abbexa	0.5 mg	EUR 1177
Shipped within 5-10 working days.

Anti-Mullerian Hormone (AMH) Antibody
abx024061-05mg	Abbexa	0.5 mg	EUR 1873
Shipped within 5-10 working days.

Anti-Mullerian Hormone (AMH) Antibody
20-abx175409	Abbexa	EUR 1288.00 EUR 620.00	1 mg 200 ug
Please enquire.

Due to minimal invasiveness and ease of urine assortment, this strategy would possibly supply new diagnostic alternatives for N. caninum both for the sphere or analysis functions. Nevertheless, additional research are required to extrapolate this preliminary examine and leads to the animal species of curiosity notably in canine.

The End result of Hemolytic Illness of the Fetus and New child Attributable to Anti-Rh17 Antibody: Evaluation of Three Instances and Evaluation of the Literature

Background: Anti-Rh17 is a uncommon pink blood cell (RBC) antibody to high-frequency antigens that will trigger extreme hemolytic illness of the fetus and new child (HDFN). Regardless of the rarity of HDFN attributable to Anti-Rh17, this antibody was reported in many various populations. Emergency transfusions, particularly trade transfusions, current an enormous downside if no appropriate RBCs of phenotype D- can be found.

Strategies: Here we report obstetrical histories of three ladies and describe their pregnancies difficult by anti-Rh17 antibodies. We summarized printed instances of pregnancies difficult by anti-Rh17 and reviewed transfusion remedy and outcomes. Moreover, a simplified flowchart for the administration of such pregnancies is proposed.

Outcomes: 4 pregnancies have been affected by extreme HDFN, and three of them ended with perinatal dying. Within the fourth case, the child was born hydropic and icteric and the situation was quickly deteriorating.

Emergency trade transfusion was carried out with incompatible O-negative RBC models in AB-negative plasma.

The infant was discharged on the 14th day in good well being.

Within the out there literature, 15 ladies and 22 pregnancies have been reported, 20 of them developed extreme HDFN. In response to the info, intrauterine transfusion for remedy of HDFN was the commonest type of remedy with the donation of the mom’s blood. Completely different choices for trade transfusion have been described, together with incompatible RBCs.

Conclusion: In additional than 90% of described pregnancies of HDFN attributable to anti-Rh17 antibody, transfusion remedy was required.

Due to this fact, RBC from D- phenotype needs to be out there. In response to printed knowledge, in emergent circumstances when maternal and blood from donor with phenotype D- is just not out there, incompatible trade transfusion is a more sensible choice than delaying transfusion when it’s essential.

It’s of important significance that pregnancies with excessive threat of HDFN on account of anti-Rh17 are managed by a multidisciplinary workforce (transfusion drugs specialist, obstetrician, neonatologist) in a extremely specialised tertiary establishment.