Core outcomes and definitions for pediatric fever and neutropenia research: a consensus statement from an international panel.

BACKGROUND There are no specific recommendations for the design and reporting of studies of children with fever and neutropenia (FN). As a result, there is marked heterogeneity in the variables and outcomes that are reported and new definitions continue to emerge. These inconsistencies hinder the ability of researchers and clinicians to compare, contrast and combine results. The objective was to achieve expert consensus on a core set of variables and outcomes that should be measured and reported, as a minimum, in pediatric FN studies. PROCEDURE The Delphi method was used to achieve consensus among an international group of clinicians, pharmacists, researchers, and patient representatives. Four surveys focusing on (i) the identification of a core set of variables and outcomes; and (ii) definitions of these variables and outcomes, were administered electronically. Consensus was predefined as more than 80% agreement on any statement. RESULTS There were forty-five survey participants and the response rate ranged between 84 and 96%. There was consensus on eight core variables and 10 core outcomes that should be collected and reported in all studies of children with FN. Consensus definitions were identified for all of the core outcomes. CONCLUSION Using the Delphi method, expert consensus on a set of core variables and outcomes, and their corresponding definitions, was achieved. These core sets represent the minimum that should be collected and reported in all studies of children with FN. This will promote collaboration and ensure consistency and comparability between studies.

Shloimele - Malkele

Isidor Lillian

Morphology and size of Neogloboquadrina pachyderma in the North Atlantic

The variability in size and shape of shells of the polar planktonic foraminifer Neogloboquadrina pachyderma have been quantified in 33 recent surface sediment samples throughout the northern Atlantic Ocean and correlated with the properties of the ambient surface waters. The aim of the study was to determine whether any of the morphological features could be used to reconstruct sea surface properties in the polar realm of the North Atlantic, where most paleotemperature proxies appear to fail. The analyses revealed that shell morphology is only weakly controlled by habitat properties, whereas shell size showed a strong correlation with sea surface temperature. The regression of mean shell size on sea surface temperature revealed the presence of two trends among the sinistrally coiled shells: a continuous increase in shell size with decreasing SST in sediments deposited under polar water masses and a continuous increase in shell size with increasing SST in samples from transitional waters. The second trend mirrors the trend observed for dextrally coiled shells, which are frequent in the same samples and signal the presence of N. incompta. The identical mean shell size trends among the sinistral and dextral specimens in the temperate samples confirms the results of earlier genetic studies which indicated the existence of a small but distinct proportion of opposite coiling in N. incompta, to which the sinistral shells in the temperate samples could be attributed. The linear correlation between mean shell size and sea surface temperature in the polar domain (summer SST < 9 °C) has been used to develop an empirical formula for the reconstruction of past sea surface temperatures from shell sizes in fossil samples. The standard error of the residuals of the linear regression is 2.36 °C (1 sigma), which implies a much larger error than for most paleothermometers, but enough precision to allow resolution between results by individual paleothermometers in the polar domain. The resulting regression model has been applied on two sediment cores spanning the interval from the Last Glacial Maximum (LGM) to the present day. The results from core PS1906-1 are consistent with ice-free conditions during the LGM in the Norwegian Sea. The SST estimates for the LGM inferred from N. pachyderma shell size are similar or slightly higher than those for the latest Holocene. The results do not indicate anomalously high SST during the glacial and the LGM reconstructions thus appear more consistent with the results from foraminiferal transfer functions and geochemical proxies. Both sediment cores show the highest reconstructed SST during the early Holocene insolation optimum.

La lectura en dos contextos de enseñanza : Conocimiento sobre cuentos y enciclopedias en niños pequeños de escuelas públicas

Fil: Kuperman, Cinthia. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.

La lectura en dos contextos de enseñanza : Conocimiento sobre cuentos y enciclopedias en niños pequeños de escuelas públicas

Fil: Kuperman, Cinthia. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.

La lectura en dos contextos de enseñanza : Conocimiento sobre cuentos y enciclopedias en niños pequeños de escuelas públicas

Fil: Kuperman, Cinthia. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.

Morphology of Orbulina universa and Globorotalia scitula across local extinctions during Sapropel S5 (Eastern Mediterranean Sea, c.126-121 ka)

Extinction is a remarkably difficult phenomenon to study under natural conditions. This is because the outcome of stress exposure and associated fitness reduction is not known until the extinction occurs and it remains unclear whether there is any phenotypic reaction of the exposed population that can be used to predict its fate. Here we take advantage of the fossil record, where the ecological outcome of stress exposure is known. Specifically, we analyze shell morphology of planktonic Foraminifera in sediment samples from the Mediterranean, during an interval preceding local extinctions. In two species representing different plankton habitats, we observe shifts in trait state and decrease in variance in association with non-terminal stress, indicating stabilizing selection. At terminal stress levels, immediately before extinction, we observe increased growth asymmetry and trait variance, indicating disruptive selection and bet-hedging. The pre-extinction populations of both species show a combination of trait states and trait variance distinct from all populations exposed to non-terminal levels of stress. This finding indicates that the phenotypic history of a population may allow the detection of threshold levels of stress, likely to lead to extinction. It is thus an alternative to population dynamics in studying and monitoring natural population ecology.