Success of an International Learning Health Care System in Hematopoietic Cell Transplantation: The American Society of Blood and Marrow Transplantation Clinical Case Forum.

The American Society for Blood and Marrow Transplantation (ASBMT) Clinical Case Forum (CCF) was launched in 2014 as an online secure tool to enhance interaction and communication among hematopoietic cell transplantation (HCT) professionals worldwide through the discussion of challenging clinical care issues. After 14 months, we reviewed clinical and demographical data of cases posted in the CCF from January 29, 2014 to March 18, 2015. A total of 137 cases were posted during the study period. Ninety-two cases (67%) were allogeneic HCT, 29 (21%) were autologous HCT, and in 16 (12%), the type of transplantation (autologous versus allogeneic) was still under consideration. The diseases most frequently discussed included non-Hodgkin lymphoma (NHL; n = 30, 22%), acute myeloid leukemia (n = 23, 17%), and multiple myeloma (MM; n = 20, 15%). When compared with the US transplantation activity reported by the US Department of Health and Human Services, NHL and acute lymphoblastic leukemia cases were over-represented in the CCF, whereas MM was under-represented (P < .001). A total of 259 topics were addressed in the CCF with a median of 2 topics/case (range, 1 to 6). Particularly common topics included whether transplantation was indicated (n = 57, 41%), conditioning regimen choice (n = 44, 32%), and post-HCT complications after day 100 (n = 43, 31%). The ASBMT CCF is a successful tool for collaborative discussion of complex cases in the HCT community worldwide and may allow identification of areas of controversy or unmet need from clinical, educational and research perspectives.

Predicting the bioavailability of copper and zinc in soils: modeling the partitioning of potentially bioavailable copper and zinc from soil solid to soil solution.

This research produced statistically based, semimechanistic models describing partitioning of Cu and Zn in 40 soils from the United States, Canada, the United Kingdom (UK), The Netherlands, and Chile with widely varying characteristics. Two different types of models were constructed, partitioning models and competitive adsorption models. Multiple linear regression (MLR) was employed to prioritize over 30 different soil characteristics. Multiple linear regression yielded equations predicting the partitioning of Cu and Zn. Equations were also created that estimated the potentially bioavailable fraction of Cu and/or Zn. Data from plant uptake studies (which are reported separately) governed the choice of a suitable chemical soil extraction that estimated bioavailable Cu (0.01 M HCl) and bioavailable Zn (0.01 M CaCl2). Soil pH (1:1 soil:deionized water [DI H2O]) and percent organic matter accounted for approximately 70% of the variability in Cu partitioning and 80% of the variability in bioavailable Cu in the 40 soils studied. For Zn, soil pH alone accounted for roughly 75% of the partitioning variability and 80% of the variability for the estimated bioavailable portion. The results presented here were used in conjunction with results from the plant uptake studies for the creation of models to assess the potential bioavailable metal associated with any given soil from a wide variety of locations.

Dibenz[a,c]anthracene derivatives exhibiting columnar mesophases over broad temperature ranges.

We report the synthesis and characterization of a series of novel hexaalkoxydibenz[a,c]anthracenes. While the parent compound is not mesomorphic, the introduction of substituents in the 10- and 13-positions yields compounds with columnar liquid crystalline phases over very broad temperature ranges.