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BACKGROUNDRBC transfusion effectiveness varies due to donor, component, and recipient factors. Prior studies identified characteristics associated with variation in hemoglobin increments following transfusion. We extended these observations, examining donor genetic and nongenetic factors affecting transfusion effectiveness.METHODSThis is a multicenter retrospective study of 46,705 patients and 102,043 evaluable RBC transfusions from 2013 to 2016 across 12 hospitals. Transfusion effectiveness was defined as hemoglobin, bilirubin, or creatinine increments following single RBC unit transfusion. Models incorporated a subset of donors with data on single nucleotide polymorphisms associated with osmotic and oxidative hemolysis in vitro. Mixed modeling accounting for repeated transfusion episodes identified predictors of transfusion effectiveness.RESULTSBlood donor (sex, Rh status, fingerstick hemoglobin, smoking), component (storage duration, γ irradiation, leukoreduction, apheresis collection, storage solution), and recipient (sex, BMI, race and ethnicity, age) characteristics were associated with hemoglobin and bilirubin, but not creatinine, increments following RBC transfusions. Increased storage duration was associated with increased bilirubin and decreased hemoglobin increments, suggestive of in vivo hemolysis following transfusion. Donor G6PD deficiency and polymorphisms in SEC14L4, HBA2, and MYO9B genes were associated with decreased hemoglobin increments. Donor G6PD deficiency and polymorphisms in SEC14L4 were associated with increased transfusion requirements in the subsequent 48 hours.CONCLUSIONDonor genetic and other factors, such as RBC storage duration, affect transfusion effectiveness as defined by decreased hemoglobin or increased bilirubin increments. Addressing these factors will provide a precision medicine approach to improve patient outcomes, particularly for chronically transfused RBC recipients, who would most benefit from more effective transfusion products.FUNDINGFunding was provided by HHSN 75N92019D00032, HHSN 75N92019D00034, 75N92019D00035, HHSN 75N92019D00036, and HHSN 75N92019D00037; R01HL126130; and the National Institute of Child Health and Human Development (NICHD).

This paper revisits Burns's reactions to the French Revolution and its implications for British domestic reform through review of three crucial contexts which shaped his responses: the character and trajectory of Scottish reform politics in the early 1790s; loyalist volunteering in the mid-1790s; and the town of Dumfries where Burns came to live in late 1791. It re-examines and sheds new light on the tricky political balancing act in which Burns was compelled to engage in order to keep his post in the Excise service and avert potential local hostility to someone who clearly privately stood well outside the prevailing political consensus in Dumfries after late 1792. Closer attention to these contexts and the character of political rhetoric and discourses in the 1790s brings into sharper focus Burns's likely political views at this moment. [ABSTRACT FROM AUTHOR]

Many migratory species are in decline across their geographical ranges. Single‐population studies can provide important insights into drivers at a local scale, but effective conservation requires multi‐population perspectives. This is challenging because relevant data are often hard to consolidate, and state‐of‐the‐art analytical tools are typically tailored to specific datasets.We capitalized on a recent data harmonization initiative (SPI‐Birds) and linked it to a generalized modelling framework to identify the demographic and environmental drivers of large‐scale population decline in migratory pied flycatchers (Ficedula hypoleuca) breeding across Britain.We implemented a generalized integrated population model (IPM) to estimate age‐specific vital rates, including their dependency on environmental conditions, and total and breeding population size of pied flycatchers using long‐term (34–64 years) monitoring data from seven locations representative of the British breeding range. We then quantified the relative contributions of different vital rates and population structure to changes in short‐ and long‐term population growth rate using transient life table response experiments (LTREs).Substantial covariation in population sizes across breeding locations suggested that change was the result of large‐scale drivers. This was supported by LTRE analyses, which attributed past changes in short‐term population growth rates and long‐term population trends primarily to variation in annual survival and dispersal dynamics, which largely act during migration and/or nonbreeding season. Contributions of variation in local reproductive parameters were small in comparison, despite sensitivity to local temperature and rainfall within the breeding period.We show that both short‐ and long‐term population changes of British breeding pied flycatchers are likely linked to factors acting during migration and in nonbreeding areas, where future research should be prioritized. We illustrate the potential of multi‐population analyses for informing management at (inter)national scales and highlight the importance of data standardization, generalized and accessible analytical tools, and reproducible workflows to achieve them. [ABSTRACT FROM AUTHOR]

To purchase or authenticate to the full-text of this article, please visit this link: http://dx.doi.org/10.1111/j.1468-2281.2006.00407.x Byline: Bob Harris (1) Abstract: Abstract While a great deal of work on England and Ireland in the seventeen-nineties has been published in recent decades, Scotland has attracted far less attention. This article uses a series of uniquely rich archival collections to reconstruct in detail currents of opinion and political developments in two Scottish counties, Perthshire and Angus, in this period. It presents new evidence on the scope, social depth and resilience of radicalism and loyalism, and examines the nature and limitations of political stability in this region. In doing so, it brings into question the notion of 'massive political stability' in Scotland in the seventeen-nineties and the sharp contrasts which are sometimes drawn between popular politics in England and Scotland in the age of the French Revolution. Author Affiliation: (1)Worcester College, Oxford