Impact of frequent apheresis blood donation on bone density: A prospective,longitudinal, randomized, controlled trial

Background Blood for transfusion is lifesaving and essential to many elements of modern medical practice. The global blood supply relies on volunteer blood donors. Apheresis is increasingly used to collect blood and requires anticoagulant to prevent extracorporeal coagulation. Citrate, the standard apheresis anticoagulant, chelates ionized calcium with consequent perturbations of serum calcium, parathyroid hormone, vitamin D, and markers of bone remodeling in donors. Cross-sectional studies of bone mineral density (BMD) among apheresis donors exhibit conflicting results. Methods The longitudinal, randomized, controlled ALTRUYST trial (NCT02655055) was undertaken to determine whether BMD declined following high frequency apheresis blood donation over 1 year. The study was powered at 80% to detect the primary outcome of a 3% decline in BMD. Subjects new to apheresis agreed to make ≥20 apheresis donations in a one-year period and were randomized to treatment (high frequency apheresis) or control (no apheresis). Dual-energy x-ray absorptiometry was performed before and after participation. Two-sided t-test and multivariable logistic regression were used to assess outcomes. Findings Mean lumbar spine BMD did not change during the study among control donors (−0.002 g/cm2, 95%CI [−0.020, 0.016], p = 0.78), or among donors in the apheresis arm (mean change = 0.007 g/cm2, 95%CI [−0.005, 0.018], p = 0.24). Mean total hip BMD did not change for control donors (mean change = 0.002 g/cm2, 95%CI [−0.006, 0.009], p = 0.63) or apheresis donors (−0.004 g/cm2, 95%CI [−0.10, 0.002], p = 0.16). Tests for differences in proportions of donors with change in BMD exceeding the least significant change at the lumbar spine in either a positive [8 apheresis (31%), 4 control (27%), p = 0.78] or negative direction [4 apheresis (15%), 5 control (33%)] were statistically non-significant (p = 0.18). Proportional increases [0 apheresis (0%), 1 control (7%), p = 0.18] and decreases [3 apheresis (12%), 1 control (14%)] were also not significantly different at the total hip (p = 0.61). Interpretation ALTRUYST is the first longitudinal trial to demonstrate that apheresis blood collection guidelines in the United States adequately protect the skeletal health of male volunteer blood donors

Discovery of new TeV supernova remnant shells in the Galactic plane with H.E.S.S

Supernova remnants (SNRs) are prime candidates for efficient particle acceleration up to the knee in the cosmic ray particle spectrum. In this work we present a new method for a systematic search for new TeV-emitting SNR shells in 2864 hours of H.E.S.S. phase I data used for the H.E.S.S. Galactic Plane Survey. This new method, which correctly identifies the known shell morphologies of the TeV SNRs covered by the survey, HESS J1731-347, RX 1713.7-3946, RCW 86, and Vela Junior, reveals also the existence of three new SNR candidates. All three candidates were extensively studied regarding their morphological, spectral, and multi-wavelength (MWL) properties. HESS J1534-571 was associated with the radio SNR candidate G323.7-1.0, and thus is classified as an SNR. HESS J1912+101 and HESS J1614-518, on the other hand, do not have radio or X-ray counterparts that would permit to identify them firmly as SNRs, and therefore they remain SNR candidates, discovered first at TeV energies as such. Further MWL follow up observations are needed to confirm that these newly discovered SNR candidates are indeed SNRs

Altered synaptic marker abundance in the hippocampal stratum oriens of Ts65Dn mice is associated with exuberant expression of versican

DS (Down syndrome), resulting from trisomy of chromosome 21, is the most common cause of genetic mental retardation; however, the molecular mechanisms underlying the cognitive deficits are poorly understood. Growing data indicate that changes in abundance or type of CSPGs (chondroitin sulfate proteoglycans) in the ECM (extracellular matrix) can influence synaptic structure and plasticity. The purpose of this study was to identify changes in synaptic structure in the hippocampus in a model of DS, the Ts65Dn mouse, and to determine the relationship to proteoglycan abundance and/or cleavage and cognitive disability. We measured synaptic proteins by ELISA and changes in lectican expression and processing in the hippocampus of young and old Ts65Dn mice and LMCs (littermate controls). In young (5 months old) Ts65Dn hippocampal extracts, we found a significant increase in the postsynaptic protein PSD-95 (postsynaptic density 95) compared with LMCs. In aged (20 months old) Ts65Dn hippocampus, this increase was localized to hippocampal stratum oriens extracts compared with LMCs. Aged Ts65Dn mice exhibited impaired hippocampal-dependent spatial learning and memory in the RAWM (radial-arm water maze) and a marked increase in levels of the lectican versican V2 in stratum oriens that correlated with the number of errors made in the final RAWM block. Ts65Dn stratum oriens PNNs (perineuronal nets), an extension of the ECM enveloping mostly inhibitory interneurons, were dispersed over a larger area compared with LMC mice. Taken together, these data suggest a possible association with alterations in the ECM and inhibitory neurotransmission in the Ts65Dn hippocampus which could contribute to cognitive deficits

The Impact of New Polarization Data from Bonn, Mainz and Jefferson Laboratory on γp→πN\gamma p \to \pi N Multipoles

New data on pion-photoproduction off the proton have been included in the partial wave analyses Bonn-Gatchina and SAID and in the dynamical coupled-channel approach J\"ulich-Bonn. All reproduce the recent new data well: the double polarization data for E, G, H, P and T in $\gamma p \to \pi^0 p$ from ELSA, the beam asymmetry $\Sigma$ for $\gamma p \to \pi^0 p$ and $\pi^+ n$ from Jefferson Laboratory, and the precise new differential cross section and beam asymmetry data $\Sigma$ for $\gamma p \to \pi^0 p$ from MAMI. The new fit results for the multipoles are compared with predictions not taking into account the new data. The mutual agreement is improved considerably but still far from being perfect

A proposal for curriculum content in transfusion medicine and blood banking education in pathology residency programs

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/71606/1/j.1537-2995.2007.01417.x.pd

Magnetocaloric effect of gadolinium in high magnetic fields

International audienceThe magnetocaloric effect of gadolinium has been measured directly in pulsed magnetic fields up to 62 T. The maximum observed adiabatic temperature change is T ad = 60.5 K, the initial temperature T 0 being just above 300 K. The field dependence of T ad is found to follow the usual H 2/3 law, with a small correction in H 4/3. However, as H is increased, a radical change is observed in the dependence of T ad on T 0 , at H = const. The familiar caret-shaped peak situated at T 0 = T C becomes distinctly asymmetric, its high-temperature slope becoming more gentle and evolving into a broad plateau. For yet higher magnetic fields, μ 0 H 140 T, calculations predict a complete disappearance of the maximum near T C and an emergence of a new very broad maximum far above T C

Randomized Trial of a Broad Preventive Intervention for Mexican American Adolescents

Objective—This randomized trial of a family-focused preventive intervention for Mexican American (MA) adolescents evaluated intervention effects on adolescent substance use, internalizing and externalizing symptoms, and school discipline and grade records in 8th grade, one year after completion of the intervention. The study also examined hypothesized mediators and moderators of intervention effects. Method—Stratified by language of program delivery (English vs. Spanish), the trial included a sample of 516 MA adolescents (50.8% female; M =12.3 years, SD=.54) and at least one caregiver that were randomized to receive a low dosage control group workshop or the 9-week group intervention that included parenting, adolescent coping, and conjoint family sessions. Results—Positive program effects were found on all five outcomes at one-year posttest, but varied depending on whether adolescents, parents, or teachers reported on the outcome. Intervention effects were mediated by posttest changes in effective parenting, adolescent coping efficacy, adolescent school engagement, and family cohesion. The majority of direct and mediated effects were moderated by language, with a larger number of significant effects for families that participated in Spanish. Intervention effects also were moderated by baseline levels of mediators and outcomes, with the majority showing stronger effects for families with poorer functioning at baseline. Conclusion—Findings support the efficacy of the intervention to decrease multiple problem outcomes for MA adolescents, but also demonstrate differential effects for parents and adolescents receiving the intervention in Spanish vs. English, and depending on their baseline levels of functioning

The {\eta}'-carbon potential at low meson momenta

The production of $\eta^\prime$ mesons in coincidence with forward-going protons has been studied in photon-induced reactions on $^{12}$C and on a liquid hydrogen (LH$_2$) target for incoming photon energies of 1.3-2.6 GeV at the electron accelerator ELSA. The $\eta^\prime$ mesons have been identified via the $\eta^\prime\rightarrow \pi^0 \pi^0\eta \rightarrow 6 \gamma$ decay registered with the CBELSA/TAPS detector system. Coincident protons have been identified in the MiniTAPS BaF$_2$ array at polar angles of $2^{\circ} \le \theta _{p} \le 11^{\circ}$. Under these kinematic constraints the $\eta^\prime$ mesons are produced with relatively low kinetic energy ($\approx$ 150 MeV) since the coincident protons take over most of the momentum of the incident-photon beam. For the C-target this allows the determination of the real part of the $\eta^\prime$-carbon potential at low meson momenta by comparing with collision model calculations of the $\eta^\prime$ kinetic energy distribution and excitation function. Fitting the latter data for $\eta^\prime$ mesons going backwards in the center-of-mass system yields a potential depth of V = $-$(44 $\pm$ 16(stat)$\pm$15(syst)) MeV, consistent with earlier determinations of the potential depth in inclusive measurements for average $\eta^\prime$ momenta of $\approx$ 1.1 GeV/$c$. Within the experimental uncertainties, there is no indication of a momentum dependence of the $\eta^\prime$-carbon potential. The LH$_2$ data, taken as a reference to check the data analysis and the model calculations, provide differential and integral cross sections in good agreement with previous results for $\eta^\prime$ photoproduction off the free proton.Comment: 9 pages, 13 figures. arXiv admin note: text overlap with arXiv:1608.0607

Magnetocaloric effect of gadolinium in high magnetic fields

The magnetocaloric effect of gadolinium has been measured directly in pulsed magnetic fields up to 62 T. The maximum observed adiabatic temperature change is Delta T-ad = 60.5 K, the initial temperature T-0 being just above 300 K. The field dependence of Delta T-ad is found to follow the usual H-2/3 law, with a small correction in H-4/3. However, as H is increased, a radical change is observed in the dependence of Delta T-ad on T-0, at H = const. The familiar caret-shaped peak situated at T-0 = T-C becomes distinctly asymmetric, its high-temperature slope becoming more gentle and evolving into a broad plateau. For yet higher magnetic fields, mu H-0 greater than or similar to 140 T, calculations predict a complete disappearance of the maximum near T-C and an emergence of a new very broad maximum far above T-C