Monoclonal antibodies against human CD34 antigens do not cross-react with ovine umbilical cord blood cells

CD34 is a cell surface glycoprotein expressed by hematopoietic progenitors and endothelial cells. It is widely used in the clinic for isolation of human hematopoietic stem cells. In recent years large animals are gaining increasing importance in biomedical research for the study and therapy of human diseases. Sheep has proved to be an useful experimental model for preclinical trials in transplantation procedures. Unfortunately, the lack of specie-specific monoclonal antibodies (MABS) recognizing hemopoietic progenitor cells hampers the use of this animal in experimental hematology. The aim of this paper was to determine whether commercial monoclonal antibodies specific for human CD34 molecule could cross-react with hematopoietic progenitor cells (HPC) present in sheep umbilical cord blood (UCB). Six anti-human CD34 MABS, recognizing the three different epitope classes, were tested in flow cytometry on purified mononuclear cells (MNC) isolated from cord blood of both species. None of the MABS used in this trial seemed to be able to identify HPC from sheep UCB. These data suggest that the panel of monoclonal antibodies used for cross reactivity detection has to be expanded with recently produced reagents. Further studies should be directed towards the production of ovine specific anti CD34 MABS

FLUID IN CONVERGENT MARGIN SYSTEMS

[1] A comprehensive geochemical study, including B, Pb, Sr, and Nd isotopes, has been carried out on El Salvador subduction-related lavas. The rocks have arc-type incompatible element distributions with high LILE/HFSE ratios, nearly constant 143Nd/144Nd (≈0.5130), and small differences in 207Pb/204Pb (15.53–15.57), whereas 87Sr/86Sr ranges from 0.7035 to 0.7039. Boron isotopic composition varies widely, between −2.7‰ and +6.3‰. The boron isotope signature points to involvement of fluid inputs from (1) a high-δ11B serpentinite fluid from serpentized mantle wedge dragged beneath the volcanic arc or from the subducting lithosphere and (2) a low-δ11B fluid from the progressive dehydration of subducted altered basaltic crust and/or sediments. The observed sample variability is explained with a model in which different proportions of serpentinite-derived (10–50%) and slab-derived fluids are added to an enriched-DMM source, triggering its partial melting. We suggest a model in which tectonic erosion, i.e., dragging down of slivers of serpentinized upper plate mantle, was responsible for the occurrence of serpentinite reservoir, 11B-enriched in the forearc by shallow fluids

A heterogeneous subcontinental mantle under the African–Arabian plate boundary revealed by boron and radiogenic isotopes

The northern and northwestern margins of the Arabian Plate are a locus of a diffuse and long-lasting (early Miocene to Pleistocene) Na-alkali basaltic volcanism, sourced in the asthenosphere mantle. The upwelling asthenosphere at the Africa–Arabia margin produces very limited magma volumes in the axial zone. Therefore, portions of hot, fertile mantle continue their eastward migration and are stored at shallower depths under the 100-km thick Arabian lithosphere, which is much thinner than the African one (≈175 km): this causes the occurrence and 20-Ma persistence of magma supply under the study area. Erupted basalts sampled a continuous variation of the mantle source, with a striking correlation among temperature, pressure and isotopic composition shifting between two end-members: a 100 km-deep, more depleted source, and a 60 km-deep, more enriched one. In particular, we observed an unusual variation in boron isotopes, which in the oceanic domain does not vary between more depleted and more enriched mantle sources. This study shows that, at least in the considered region, subcontinental mantle is more heterogeneous than the suboceanic one, and able to record for very long times recycling of shallow material

Diversity and ethics in trauma and acute care surgery teams: results from an international survey

Background Investigating the context of trauma and acute care surgery, the article aims at understanding the factors that can enhance some ethical aspects, namely the importance of patient consent, the perceptiveness of the ethical role of the trauma leader, and the perceived importance of ethics as an educational subject. Methods The article employs an international questionnaire promoted by the World Society of Emergency Surgery. Results Through the analysis of 402 fully filled questionnaires by surgeons from 72 different countries, the three main ethical topics are investigated through the lens of gender, membership of an academic or non-academic institution, an official trauma team, and a diverse group. In general terms, results highlight greater attention paid by surgeons belonging to academic institutions, official trauma teams, and diverse groups. Conclusions Our results underline that some organizational factors (e.g., the fact that the team belongs to a university context or is more diverse) might lead to the development of a higher sensibility on ethical matters. Embracing cultural diversity forces trauma teams to deal with different mindsets. Organizations should, therefore, consider those elements in defining their organizational procedures. Level of evidence Trauma and acute care teams work under tremendous pressure and complex circumstances, with their members needing to make ethical decisions quickly. The international survey allowed to shed light on how team assembly decisions might represent an opportunity to coordinate team member actions and increase performance

Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020