Autotransfusión predepósito en artroplastia total de cadera como programa de ahorro de sangre alogénica

Las necesidades transfusionales en Cirugía Ortopédica y Traumatología son elevadas, condicionando un alto coste. Existen diferentes técnicas de ahorro de sangre alogénica siendo la autotransfusión predepósito sin duda el patrón oro en la actualidad. Realizamos un estudio retrospectivo con el objeto de valorar si las técnicas de ahorro de sangre y especialmente la autotransfusión predepósito disminuyen las necesidades de transfusión alogénica en cirugía ortopédica programada de cadera. El mayor inconveniente de la autotransfusión fue el alto coste-efectividad. El principal factor que ancarece la técnica es la gran cantidad de unidades donadas y no transfundidas, que genera un rendimiento bajo de la misma. La anemización preoperatoria y la sobretransfusión pueden ser evitadas de forma sencilla con claros criterios de transfusión poco liberales. La optimización del ahorro de sangre alogénica se puede establecer mediante un programa interdisciplinar e individualizado según el tipo de cirugía y las características del paciente como la hemoglobina basal y el sexo. La autotransfusión predepósito es adecuada en cirugía ortopédica programada de cadera por su efectividad en el ahorro de sangre alogénica, su buena tolerancia y por la inocuidad del proceso.Transfusion requirements in orthopaedic surgery are raised and therefore costs are high. There are different allogenic blood saving techniques but predeposit auto- transfusion is the gold-standard at present. We performed a retrospective study with the objective of valuing the requie- rement decreasement of allogenic transfusion in hip pro- gram orthopaedic surgery through blood saving methods, specially predeposit autologous transfusion. Autologous transfusion's great problem was the raised cost-effective- ness. The main reason for the price increase of techniques used is the high number of donned units and not transfused after surgery which you end up with a low productive met- hod. Anaemia pre-surgery and overtransfusion can easily be avoided with clear inclusion lines in blood saving programs and no liberal transfusion protocols. The best way to save allogenic blood in total hip arthroplasty can be established by means of an interdisciplinar program but individualized for specific tipe of surgery and for patient's characteristics like initial haemoglobin and sex. Predeposit autologous transfusion is adequate in hip program orthopaedic surgery because its effectiveness in allogenic blood saving, its good tolerance and it is a safe method

HDOT — An approach towards productive programming of hybrid applications

bulk synchronous parallel (BSP) communication model can hinder performance increases. This is due to the complexity to handle load imbalances, to reduce serialisation imposed by blocking communication patterns, to overlap communication with computation and, finally, to deal with increasing memory overheads. The MPI specification provides advanced features such as non-blocking calls or shared memory to mitigate some of these factors. However, applying these features efficiently usually requires significant changes on the application structure. Task parallel programming models are being developed as a means of mitigating the abovementioned issues but without requiring extensive changes on the application code. In this work, we present a methodology to develop hybrid applications based on tasks called hierarchical domain over-decomposition with tasking (HDOT). This methodology overcomes most of the issues found on MPI-only and traditional hybrid MPI+OpenMP applications. However, by emphasising the reuse of data partition schemes from process-level and applying them to task-level, it enables a natural coexistence between MPI and shared-memory programming models. The proposed methodology shows promising results in terms of programmability and performance measured on a set of applications.This work has been developed with the support of the European Union H2020 program through the INTERTWinE project (agreement number 671602); the Severo Ochoa Program awarded by the Spanish Government (SEV-2015-0493); the Generalitat de Catalunya (contract 2017-SGR-1414); and the Spanish Ministry of Science and Innovation (TIN2015-65316-P, Computaci on de Altas Prestaciones VII). The authors gratefully acknowledge Dr. Arnaud Mura, CNRS researcher at Institut PPRIME in France, for the numerical tool CREAMS. Finally, the manuscript has greatly bene ted from the precise comments of the reviewers.Peer ReviewedPostprint (author's final draft

MicroRNAs in Platelets: Should I Stay or Should I Go?

In this chapter, we discuss different topics always using the microRNA as the guiding thread of the review. MicroRNAs, member of small noncoding RNAs family, are an important element involved in gene expression. We cover different issues such as their importance in the differentiation and maturation of megakaryocytes (megakaryopoiesis), as well as the role in platelets formation (thrombopoiesis) focusing on the described relationship between miRNA and critical myeloid lineage transcription factors such as RUNX1, chemokines receptors as CRCX4, or central hormones in platelet homeostasis like TPO, as well as its receptor (MPL) and the TPO signal transduction pathway, that is JAK/STAT. In addition to platelet biogenesis, we review the microRNA participation in platelets physiology and function. This review also introduces the use of miRNAs as biomarkers of platelet function since the detection of pathogenic situations or response to therapy using these noncoding RNAs is getting increasing interest in disease management. Finally, this chapter describes the participation of platelets in cellular interplay, since extracellular vesicles have been demonstrated to have the ability to deliver microRNAs to others cells, modulating their function through intercellular communication, redefining the extracellular vesicles from the so-called “platelet dust” to become mediators of intercellular communication

Measurement of the broadband complex permittivity of soils in the frequency domain with a low-cost Vector Network Analyzer and an Open-Ended coaxial probe

The performance of a handheld Vector Network Analyzer (VNA), the nanoVNA, a low-cost, open-source instrument, was evaluated. The instrument measures the complex permittivity of dielectric media from 1-port reflection parameters in the 1 – 900 MHz bandwidth. We manufactured an open-ended coaxial probe using a SMA-N coaxial adapter to perform dielectric measurements. The accuracy of the nanoVNA was comparable to that of a commercial VNA between 1 and 500 MHz according to tests in reference organic liquids, while a lack of stability was found beyond 700 MHz. The self-manufactured open-ended coaxial probe was subjected to a Finite Element Method (FEM) analysis and its electromagnetic (EM) field penetration depth was determined to be 1.5 mm at 100 MHz, being reduced to 1.3 at 900 MHz and thus demonstrating a frequency-dependent support volume. The broadband complex permittivity of three mineral soils of varied textures was obtained for a range of bulk densities and water contents from dry to water-saturated conditions. The dielectric response of the soils approximated the well-known Topp et al. (1980) equation at high frequencies. At lower frequency however, higher permittivities were exhibited due to dielectric dispersion, which emphasizes the importance of EM-based soil moisture sensor operating frequency when considering sensor calibration or comparing the response of different sensors.This research was funded by Agencia Estatal de Investigación (AEI), project numbers: AGL2016-77282-C3-3-R and PID2019-106226-C22 AEI/https:///https://doi.org/10.13039/501100011033 | Ministerio de Educación y Formación Profesional, grant numbers: FPU17/05155 and FPU19/00020. Funding for David A. Robinson was provided by a Natural Environment Research Council (NERC) award number NE/R016429/1 as part of the UK–ScaPE Programme Delivering National Capability. We also acknowledge funding from the Polish National Agency for Academic Exchange, grant number: PPI/APM/2018/1/00048/U/001. The authors wish to thank Agencia Estatal de Investigación (AEI), Ministerio de Educación y Formación Profesional, Natural Environment Research Council (NERC) and Polish National Agency for Academic Exchange (NAWA) for the funding provided. The authors also wish to thank Juan Antonio Albaladejo for his help in machining the experimental OE coaxial probe

Measurement of the broadband complex permittivity of soils in the frequency domain with a low-cost vector network analyzer and an open-ended coaxial probe

The performance of a handheld Vector Network Analyzer (VNA), the nanoVNA, a low-cost, open-source instrument, was evaluated. The instrument measures the complex permittivity of dielectric media from 1-port reflection parameters in the 1 – 900 MHz bandwidth. We manufactured an open-ended coaxial probe using a SMA-N coaxial adapter to perform dielectric measurements. The accuracy of the nanoVNA was comparable to that of a commercial VNA between 1 and 500 MHz according to tests in reference organic liquids, while a lack of stability was found beyond 700 MHz. The self-manufactured open-ended coaxial probe was subjected to a Finite Element Method (FEM) analysis and its electromagnetic (EM) field penetration depth was determined to be 1.5 mm at 100 MHz, being reduced to 1.3 at 900 MHz and thus demonstrating a frequency-dependent support volume. The broadband complex permittivity of three mineral soils of varied textures was obtained for a range of bulk densities and water contents from dry to water-saturated conditions. The dielectric response of the soils approximated the well-known Topp et al. (1980) equation at high frequencies. At lower frequency however, higher permittivities were exhibited due to dielectric dispersion, which emphasizes the importance of EM-based soil moisture sensor operating frequency when considering sensor calibration or comparing the response of different sensors

Racial Difference in Human Platelet PAR4 Reactivity Reflects Expression of PCTP and miR-376c

Racial differences in the pathophysiology of atherothrombosis are poorly understood. We explored the function and transcriptome of platelets in healthy black (n = 70) and white (n = 84) subjects. PAR4 thrombin receptor induced platelet aggregation and calcium mobilization were significantly greater in black subjects. Numerous differentially expressed (DE) RNAs were associated with both race and PAR4 reactivity, including phosphatidylcholine transfer protein (PCTP), and platelets from blacks expressed higher levels of PC-TP protein. PC-TP inhibition or depletion blocked activation of platelets or megakaryocytic cell lines through PAR4 but not PAR1. MiR-376c levels were DE by race and PAR4 reactivity, and were inversely correlated with PCTP mRNA levels, PC-TP protein levels and PAR4 reactivity. MiR-376c regulated expression of PC-TP in human megakaryocytes. A disproportionately high number of miRNAs DE by race and PAR4 reactivity, including miR-376c, are encoded in the DLK1-DIO3 locus, and were lower in platelets from blacks. These results support PC-TP as a regulator of the racial difference in PAR4-mediated platelet activation, indicate a genomic contribution to platelet function that differs by race, and emphasize a need to consider race effects when developing anti-thrombotic drugs

The Roman high- and low- avoidance rat strains differ in fear-potentiated startle and classical aversive conditioning

The Swiss sublines of Roman High-(RHA/Verh) and Low-(RLA/Verh) Avoidance rats have been genetically selected (and outbred) since 1972 because of their good versus extremely poor acquisition of two-way, active avoidance. Inbred strains (RHA-I and RLA-I), derived from those two lines, have been maintained at our laboratory since 1997. The RLA line/strain shows increased stress-induced endocrine responses and enhanced anxiety/fearfulness in a variety of unconditioned behavioural variables and tests. Thus far, however, the Roman rat strains have not been compared in procedures involving classical fear conditioning to cues or contexts. Therefore, the present work was aimed at comparing RHA-I and RLA-I rats in 1) two different procedures of fear-potentiated startle and 2) in a classical fear conditioning (i.e., conditioned freezing) paradigm. The results indicate that, compared to RHA-I rats, RLA-I animals display higher levels of conditioned fear (as measured either by startle responses or freezing behavior) across those different tasksLas sublíneas suizas de ratas Romanas «High»-(RHA/Verh) y «Low»-(RLA/Verh) «Avoidance» han sido seleccionadas genéticamente, desde 1972, en función de su excelente (RHA) o extremadamente pobre adquisición de la tarea de evitación activa en dos sentidos. Cepas consanguíneas (RHA-I y RLA-I), derivadas de las dos líneas anteriores, se mantienen en nuestro laboratorio desde 1997. En comparación con la cepa RHA-I, la cepa RLA-I muestra incrementos en las respuestas hormonales al estrés, así como en conductas de ansiedad/miedo en una variedad de pruebas y variables conductuales incondicionadas. Hasta la fecha, las cepas de ratas Romanas no han sido comparadas en procedimientos de condicionamiento clásico de miedo a contextos o estímulos discretos. El presente trabajo tuvo como objetivo comparar ambas en 1) dos procedimientos de medida de la respuesta de sobresalto potenciada por miedo; y, 2) en un procedimiento de condicionamiento clásico de miedo (petrificación condicionada). Los resultados indican que las ratas RLA-I muestran niveles mayores de condicionamiento de miedo (respuesta de sobresalto y respuesta de petrificación) que las RHA-I, reforzando así los perfiles diferenciales de ansiedad/miedo de las dos cepa

The Roman High-and Low-Avoidance rat strains differ in fear-potentiated startle and classical aversive conditioning

The Swiss sublines of Roman High-(RHA/Verh) and Low-(RLA/Verh) Avoidance rats have been genetically selected (and outbred) since 1972 because of their good versus extremely poor acquisition of two-way, active avoidance. Inbred strains (RHA-I and RLA-I), derived from those two lines, have been maintained at our laboratory since 1997. The RLA line/strain shows increased stress-induced endocrine responses and enhanced anxiety/fearfulness in a variety of unconditioned behavioural variables and tests. Thus far, however, the Roman rat strains have not been compared in procedures involving classical fear conditioning to cues or contexts. Therefore, the present work was aimed at comparing RHA-I and RLA-I rats in 1) two different procedures of fear-potentiated startle and 2) in a classical fear conditioning (i.e., conditioned freezing) paradigm. The results indicate that, compared to RHA-I rats, RLA-I animals display higher levels of conditioned fear (as measured either by startle responses or freezing behavior) across those different tasksLas sublíneas suizas de ratas Romanas «High»-(RHA/Verh) y «Low»-(RLA/Verh) «Avoidance» han sido seleccionadas genéticamente, desde 1972, en función de su excelente (RHA) o extremadamente pobre adquisición de la tarea de evitación activa en dos sentidos. Cepas consanguíneas (RHA-I y RLA-I), derivadas de las dos líneas anteriores, se mantienen en nuestro laboratorio desde 1997. En comparación con la cepa RHA-I, la cepa RLA-I muestra incrementos en las respuestas hormonales al estrés, así como en conductas de ansiedad/miedo en una variedad de pruebas y variables conductuales incondicionadas. Hasta la fecha, las cepas de ratas Romanas no han sido comparadas en procedimientos de condicionamiento clásico de miedo a contextos o estímulos discretos. El presente trabajo tuvo como objetivo comparar ambas en 1) dos procedimientos de medida de la respuesta de sobresalto potenciada por miedo; y, 2) en un procedimiento de condicionamiento clásico de miedo (petrificación condicionada). Los resultados indican que las ratas RLA-I muestran niveles mayores de condicionamiento de miedo (respuesta de sobresalto y respuesta de petrificación) que las RHA-I, reforzando así los perfiles diferenciales de ansiedad/miedo de las dos cepas

Impact of BCR-ABL1 Transcript Type on Response, Treatment-Free Remission Rate and Survival in Chronic Myeloid Leukemia Patients Treated with Imatinib

The most frequent BCR-ABL1-p210 transcripts in chronic myeloid leukemia (CML) are e14a2 and e13a2. Imatinib (IM) is the most common first-line tyrosine-kinase inhibitor (TKI) used to treat CML. Some studies suggest that BCR-ABL1 transcript types confer different responses to IM. The objective of this study was to correlate the expression of e14a2 or e13a2 to clinical characteristics, cumulative cytogenetic and molecular responses to IM, acquisition of deep molecular response (DMR) and its duration (sDMR), progression rate (CIP), overall survival (OS), and treatment-free remission (TFR) rate. We studied 202 CML patients, 76 expressing the e13a2 and 126 the e14a2, and correlated the differential transcript expression with the above-mentioned parameters. There were no differences in the cumulative incidence of cytogenetic responses nor in the acquisition of DMR and sDMR between the two groups, but the e14a2 transcript had a positive impact on molecular response during the first 6 months, whereas the e13a2 was associated with improved long-term OS. No correlation was observed between the transcript type and TFR rate