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Abstract: Presently, red blood cell units are stored up to 42days in France and Canada. Length of storage of red blood cell units is not based on clinical outcomes: it is rather based on a decision made by some experts in the 1940s that red blood cell units can be stored as long as the average hemolysis is lower than 1% and the proportion of red blood cells still alive 24hours post-transfusion is higher than 70%. Data reported recently suggest that transfusion with older red blood cell units may jeopardize the outcome of severely ill patients. In this paper, we comment the data already published on this question, and we summarize the randomized clinical trials presently on-going that were undertaken to address the relationship between length of storage of red blood cell units and outcomes of transfused patients. [Copyright &y& Elsevier]

In this paper, Dr. Ferro situates his work within the history of psychoanalysis and also in relation to more recent developments since Bion, notably the Barangers' concept of the "analytic field." The central focus of this approach is on dreaming, understood in terms of Bion's concepts of transformation, beta elements, and alpha function. The analytic session is conceived as a dream process that converges and clashes in the dynamic field of the analytic relationship. Various possibilities of this model are explored with detailed clinical examples, giving special emphasis to narrative and film metaphors such as plot, characters, and casting. The implications of this approach for technique are also explored. [ABSTRACT FROM AUTHOR]