Acute respiratory failure and the kinetics of neutrophil recovery in pediatric hematopoietic cell transplantation: a multicenter study

This article is made available for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.In this multicenter study, we investigated the kinetics of neutrophil recovery in relation to acuity and survival among 125 children undergoing allogeneic hematopoietic cell transplantation (allo-HCT) who required invasive mechanical ventilation (IMV). Recovery of neutrophils, whether prior to or after initiation of IMV, was associated with a significantly decreased risk of death relative to never achieving neutrophil recovery. A transient increase in acuity (by oxygenation index and vasopressor requirements) occurred among a subset of the patients who achieved neutrophil recovery after initiation of IMV; 61.5% of these patients survived to discharge from the intensive care unit (ICU). Improved survival among patients who subsequently achieved neutrophil recovery on IMV was not limited to those with peri-engraftment respiratory distress syndrome. The presence of a respiratory pathogen did not affect the risk of death while on IMV but was associated with an increased length of IMV (p < 0.01). Among patients undergoing HCT who develop respiratory failure and require advanced therapeutic support, neutrophil recovery at time of IMV and/or presence of a respiratory pathogen should not be used as determining factors when counseling families about survival

Degassing Behavior of Nanostructured Al and Its Composites

The synthesis of bulk ultrafine-grained (UFG) and nanostructured Al via cryomilling can frequently require a degassing step prior to consolidation, partly due to the large surface area of the as-milled powders. The objective of this study is to investigate the effects associated with cryomilling with stearic acid additions (as a process-control agent) on the degassing behavior of Al powders. This objective was accomplished by completing select experiments with Al-7.5Mg, Al-6.4 wt pct Al85Ni10La5, and Al-14.3 wt pct B4C. The interaction between Al and stearic acid was determined using thermal analysis combined with Fourier transform infrared spectroscopy (FTIR). The degassing experiments were carried out under high vacuum (10−4 to ~10−6 torr) in a range from room temperature to 400 °C, with the pressure of the released gases monitored using a digital vacuum gage. The results showed that the liberation of chemisorbed water was suppressed in cryomilled Al powders and both the chemisorbed water and stearic acid were primarily released in the form of hydrogen. It was also demonstrated that under certain conditions, a nanostructure (grain size ~100 nm) can be retained following the hot vacuum degassing of cryomilled Al