The effective use of plerixafor as a real-time rescue strategy for patients poorly mobilizing autologous CD34(+) cells

Plerixafor enhances CD34⁺ cell mobilization, however, its optimal use is unknown. We hypothesized that plerixafor could “rescue” patients in the midst of mobilization when factors indicated a poor CD34⁺ yield. Of 295 consecutive autologous peripheral blood mobilization attempts at our center, 39 (13%) used plerixafor as rescue strategy due to a CD34⁺ cell concentration <10/μl (median 5.95/μl, n = 30), low CD34⁺ cell yield from prior apheresis day (median 1.06 × 10⁶ CD34⁺ cells/kg, n = 7), or other (n = 2). Patients received a median of one plerixafor dose (range: 1–4). Thirty‐four (87%) collected =2 × 10 ⁶ CD34⁺ cells/kg and 26 (67%) collected =4 × 10 ⁶ CD34⁺ cells/kg. Median collections for lymphoma (n = 24) and myeloma (n = 15) patients were 4.1 × 10⁶ and 8.3 × 10⁶ CD34/kg, respectively. A single dose of plerixafor was associated with an increase in the mean peripheral blood CD34⁺ concentration of 17.2 cells/μl (P < 0.001) and mean increased CD34⁺ cell yield following a single apheresis of 5.11 × 10⁶/kg (P < 0.03). A real‐time rescue use of plerixafor is feasible and may allow targeted use of this agent. J. Clin. Apheresis, 2012. © 2012 Wiley Periodicals, Inc.     

Evaluation of preparedness of healthcare student volunteers against Middle East respiratory syndrome coronavirus (MERS-CoV) in Makkah,Saudi Arabia: a cross-sectional study

Aim

To assess the knowledge and attitude of senior medical, dental, nursing and pharmacy students toward Middle East respiratory syndrome-corona virus (MERS-CoV) in Saudi Arabia.

Subjects and methods

A cross-sectional survey using a 21-item questionnaire was conducted for a 3-month period from November 2015–January 2016 in Makkah, Saudi Arabia. The questionnaire was designed to evaluate students’ understanding and perception of MERS-CoV. An ANOVA test was used to determine the association of study discipline and academic year with the student knowledge score on MERS.

Results

A total of 364 students were assessed during the study. The majority (62%) of the participants were in the 20–22-year age group. More than half (53%) were pharmacy students followed by (22%) medical students. More than two thirds (71%) of the participants were aware that MERS is caused by the coronavirus. More than half (59%) of the participants believed that MERS can be transmitted through direct or indirect contact with infected camels. A statistically significant association was reported between the study discipline and mean knowledge score (p?<?0.0001) with medical students achieving an overall better knowledge score compared with students from other study disciplines.

Conclusion

Overall, students had good knowledge about MERS epidemiology, transmission and the recommended protective measures. However, students expressed their reluctance to work in healthcare facilities with inadequate MERS infection control isolation policies.

     

A micromechanical hyperelastic modeling of brain white matter under large deformation

A finite element based micromechanical model has been developed for analyzing and characterizing the microstructural as well as homogenized mechanical response of brain tissue under large deformation. The model takes well-organized soft tissue as a fiber-reinforced composite with nonlinear and anisotropic behavior assumption for the fiber as well as the matrix of composite matter. The procedure provides a link between the macroscopic scale and microscopic scale as brain tissue undergoes deformation. It can be used to better understand how macroscopic stresses are transferred to the microstructure or cellular structure of the brain. A repeating unit cell (RUC) is created to stand as a representative volume element (RVE) of the hyperelastic material with known properties of the constituents. The model imposes periodicity constraints on the RUC. The RUC is loaded kinematically by imposing displacements on it to create the appropriate normal and shear stresses. The homogenized response of the composite, the average stresses carried within each of the constituents, and the maximum local stresses are all obtained. For each of the normal and shear loading scenarios, the impact of geometrical variables such as the axonal fiber volume fraction and undulation of the axons are evaluated. It was found that axon undulation has significant impact on the stiffness and on how stresses were distributed between the axon and the matrix. As axon undulation increased, the maximum stress and stress in the matrix increased while the stress in the axons decreased. The axon volume fraction was found to have an impact on the tissue stiffness as higher axon volume fractions lead to higher stresses both in the composite and in the constituents. The direction of loading clearly has a large impact on how stresses are distributed amongst the constituents. This micromechanics tool provides the detailed micromechanics stresses and deformations, as well as the average homogenized behavior of the RUC, which can be efficiently used in mechanical characterization of brain tissue.     

In vitro maturation of ovine oocytes using different maturation media: effect of human menopausal serum

Objective  

To compare the effect of human menopausal serum with estrous sheep serum, estrous goat serum, ovine follicular fluid and bovine follicular fluid on in vitro maturation, in vitro fertilization and embryo development of sheep oocytes