Similar outcome of upfront-unrelated and matched sibling stem cell transplantation in idiopathic paediatric aplastic anaemia. A study on behalf of the UK Paediatric BMT Working Party, Paediatric Diseases Working Party and Severe Aplastic Anaemia Working Party of EBMT

Abstract We explored the feasibility of unrelated donor haematopoietic stem cell transplant (HSCT) upfront without prior immunosuppressive therapy (IST) in paediatric idiopathic severe aplastic anaemia (SAA). This cohort was then compared to matched historical controls who had undergone first-line therapy with a matched sibling/family donor (MSD) HSCT (n = 87) or IST with horse antithymocyte globulin and ciclosporin (n = 58) or second-line therapy with unrelated donor HSCT post-failed IST (n = 24). The 2-year overall survival in the upfront cohort was 96 ± 4% compared to 91 ± 3% in the MSD controls (P = 0·30) and 94 ± 3% in the IST controls (P = 0·68) and 74 ± 9% in the unrelated donor HSCT post-IST failure controls (P = 0·02).The 2-year event-free survival in the upfront cohort was 92 ± 5% compared to 87 ± 4% in MSD controls (P = 0·37), 40 ± 7% in IST controls (P = 0·0001) and 74 ± 9% in the unrelated donor HSCT post-IST failure controls (n = 24) (P = 0·02). Outcomes for upfront-unrelated donor HSCT in paediatric idiopathic SAA were similar to MSD HSCT and superior to IST and unrelated donor HSCT post-IST failure. Front-line therapy with matched unrelated donor HSCT is a novel treatment approach and could be considered as first-line therapy in selected paediatric patients who lack a MSD. © 2015 John Wiley & Sons Ltd.

An Appropriate Role for the Leadership: A Quantitative Analysis of the Effects of House Leadership on Open-Seat Races

This paper investigates the effects on open-seat races in the United States House of Representatives. This project focuses on the influence that the House leadership exerts on races. Generally, the leadership influences race through spending by party organizations and leadership visits. During each election cycle, national party organizations spend millions of dollars to get their candidates into office. I have developed a multiple regression model that measures different types of spending from the Democratic Congressional Campaign Committee, the National Republican Congressional Committee, and the Republican National Committee and the effects of these spending types on the election results. Also, the study examines the number of visits by each party’s leadership to each race. I introduced control variables that account for the year, the competitiveness of each race, and the individual candidate fundraising. In terms of statistical significance, the results were mixed showing one type of party spending to be highly influential in the outcome of the race. Competitiveness and individual candidate fundraising also achieved statistical significance. The study also includes a qualitative investigation of leadership visits and individual case studies in order to understand better the way in which the data interact in real campaigns.

Das geheime Bataillon : eine Untersuchung über das kommunistische Verhalten zur Labour-Party

von Harold J. Laski

Journeying Beyond the Balcony to the Block Party and Up to 50,000 Feet: Disparities in Children’s Health and Healthcare

Invited Commentary on “Observations from the Balcony: Directions for Pediatric Health Disparities Research and Policy".

Geochemistry at DSDP Legs 56-57 Holes

About 200 volcanic ash layers were recovered during DSDP Leg 57. The volcanic glass in some of these layers was investigated petrographically and chemically in this study. Volcanic glass is mainly rhyolitic and/or rhyodacitic in chemical composition, and its refractive index ranges from 1.496 to 1.529. Some volcanic ash layers consist of multiple grains of different chemical compositions. All the volcanic glass belongs to the tholeiitic and the calc-alkalic volcanic rock series, in SiO2-(Na2O + K2O) diagram and FeO*/MgO-SiO2 diagram. We correlated successfully three volcanic ash layers from the standpoint of chemical composition and biostratigraphy. Hydration of volcanic glass from Leg 57 is less intense than in other DSDP cores.

Petrographic properties of tephras of DSDP Leg 56 Holes

Examining volcanic materials in deep sea sediments may be one of the most important tasks of the Deep Sea Drilling Project. The investigation of volcanic ash near young source volcanoes is particularly helpful in enabling us to infer the history of volcanism in and around the island arcs. In the area of the Japanese islands volcanic deposits are usually distributed east of the source by prevailing westerly winds. It is also possible that some deep sea tephra has its source in a large, already known land volcanism.

dOTM: a mechanism for distributing centralized multi-party video conferencing in the cloud

One of the key factors for a given application to take advantage of cloud computing is the ability to scale in an efficient, fast and reliable way. In centralized multi-party video conferencing, dynamically scaling a running conversation is a complex problem. In this paper we propose a methodology to divide the Multipoint Control Unit (the video conferencing server) into more simple units, broadcasters. Each broadcaster receives the media from a participant, processes it and forwards it to the rest. These broadcasters can be distributed among a group of CPUs. By using this methodology, video conferencing systems can scale in a more granular way, improving the deployment.

Republican Scientific-Medical Library, The Republic of Armenia: progress and programs*

In 1990, the Republican Scientific-Medical Library (RSML) of the Ministry of Health of Armenia in collaboration with the Fund for Armenian Relief created a vision of a national library network supported by information technology. This vision incorporated four goals: (1) to develop a national resource collection of biomedical literature accessible to all health professionals, (2) to develop a national network for access to bibliographic information, (3) to develop a systematic mechanism for sharing resources, and (4) to develop a national network of health sciences libraries. During the last decade, the RSML has achieved significant progress toward all four goals and has realized its vision of becoming a fully functional national library. The RSML now provides access to the literature of the health sciences including access to the Armenian medical literature, provides education and training to health professionals and health sciences librarians, and manages a national network of libraries of the major health care institutions in Armenia. The RSML is now able to provide rapid access to the biomedical literature and train health professionals and health sciences librarians in Armenia in information system use. This paper describes the evolution of the RSML and how it was accomplished.