Optimization of single-needle red cell exchange in patients with sickle cell disease.

The hypercoagulable state associated with sickle cell disease (SCD) can be challenging for apheresis procedures. Among 62 single-needle red cell exchanges (SN-RCEs) performed over a 15-month period, 4 patients experienced 6 hemolytic events with a discolored plasma layer, elevated plasma/RBC interface in the centrifuge, and accompanying alarms of "Cells were detected in plasma line from centrifuge" or "AIM system detected RBC at top of connector." The hemolysis originated from the apheresis instrument because samples from the apheresis belt but not the patients' peripheral blood were positive for hemolysis.

Contribution of donor- and recipient-associated factors to allergic transfusion reactions to platelets.

Background: Pediatric hematology-oncology patients require frequent platelet transfusions to manage chemotherapy-induced thrombocytopenia, and allergic transfusion reactions (ATRs) are common. Risk for platelet-associated ATRs can result from recipient- or donor-specific factors.

Study Design And Methods: We report a rare case in which an individual platelet donor caused repeated ATRs in multiple recipients.

Transported biofilms and their influence on subsequent macrofouling colonization.

Biofilm organisms such as diatoms are potential regulators of global macrofouling dispersal because they ubiquitously colonize submerged surfaces, resist antifouling efforts and frequently alter larval recruitment. Although ships continually deliver biofilms to foreign ports, it is unclear how transport shapes biofilm microbial structure and subsequent macrofouling colonization. This study demonstrates that different ship hull coatings and transport methods change diatom assemblage composition in transported coastal marine biofilms.

The effects of fine-scale substratum roughness on diatom community structure in estuarine biofilms.

Benthic diatoms are a major component of biofilms that form on surfaces submerged in marine environments. Roughness of the underlying substratum affects the settlement of both diatoms and subsequent macrofouling colonizers. This study reports the effects of roughness on estuarine diatom communities established in situ in the Indian River Lagoon, FL, USA.

Phosphorus and other soil components in a dairy effluent sprayfield within the central Florida Ridge.

There is concern that P from dairy effluent sprayfields will leach into groundwater beneath Suwannee River basins in northern Florida. Our purpose was to describe the effects of dairy effluent irrigation on the movement of soil P and other nutrients within the upper soil profile of a sprayfield over three 12-mo cycles (April 1998-March 2001). Effluent P rates of 70, 110, and 165 kg ha(-1) cycle(-1) were applied to forages that were grown year-round.

Five year-round forage systems in a dairy effluent sprayfield: phosphorus removal.

In northern Florida, forages are grown in dairy effluent sprayfields to recover excess P. Our purpose was to evaluate five year-round forage systems for their capacity to remove P from a dairy sprayfield. The soil is a Kershaw sand (thermic, uncoated Typic Quartzipsamment).

Nitrogen removal and nitrate leaching for two perennial, sod-based forage systems receiving dairy effluent.

In northern Florida, year-round forage systems are used in dairy effluent sprayfields to reduce nitrate leaching. Our purpose was to quantify forage N removal and monitor nitrate N (NO3(-)-N) concentration below the rooting zone for two perennial, sod-based, triple-cropping systems over four 12-mo cycles (1996-2000). The soil is an excessively drained Kershaw sand (thermic, uncoated Typic Quartzip-samment).

Nitrogen removal and nitrate leaching for forage systems receiving dairy effluent.

Florida dairies need year-round forage systems that prevent loss of N to ground water from waste effluent sprayfields. Our purpose was to quantify forage N removal and monitor nitrate N (NO3(-)-N) concentrations in soil water below the rooting zone for two forage systems during four 12-mo cycles (1996-2000). Soil in the sprayfield is an excessively drained Kershaw sand (thermic, uncoated Typic Quartzipsamment).

Absence of D alloimmunization in D- pediatric oncology patients receiving D-incompatible single-donor platelets.

Background: Guidelines are lacking for prophylaxis against D alloimmunization after D-incompatible platelet transfusion. A rational basis for the application of prophylaxis would be beneficial for institutions in which inventory constraints demand the administration of large numbers of D-incompatible platelets.

Study Design And Methods: A retrospective analysis was performed of all D-incompatible platelet transfusions administered at a pediatric research hospital over a 1.

A Mexican restaurant-associated outbreak of Salmonella Enteritidis type 34 infections traced to a contaminated egg farm.

In May 1996, the Georgia Division of Public Health was notified about a cluster of persons with Salmonella Enteritidis (SE) infections in Waycross, Georgia. A matched pair case-control study to determine risk factors for illness found a statistically significant association of SE infection with a history of having eaten at Restaurant A during the 5 days before onset of illness (relative risk = 13 [95% confidence interval (CI) = 3-62, P < 0.01]).

Characteristics of white cell-reduced red cells stored in tri-(2-ethylhexyl)trimellitate plastic.

Background: Standard blood storage containers contain extractable plasticizers that accumulate in blood during storage and are an unintended transfusion product. However, extractable plasticizers have a protective effect on the red cell membrane and improve red cell storage variables. Prestorage white cell reduction also improves selected red cell storage variables.