bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effect of Mandatory Unit and Individual Physical Training on Fitness in Military Men and Women
Authors: Anderson Morgan K. , Grier Tyson , Canham-Chervak Michelle , Bushman Timothy T. , Nindl Bradley C. , Jones Bruce H. 
Published: September 2016

Purpose: The purpose of this study was to look at the effect of additional individual physical training (PT) in addition to mandatory unit PT as well as other risk factors on physical fitness. Design: A cross-sectional design. Setting: This study was conducted on a US military installation. Participants: Participants were 6290 male and 558 female active duty US Army soldiers in 3 light infantry brigades. Measures: Participants completed self-administered questionnaires asking about individual characteristics, PT, and physical fitness. Cut points were established for soldiers scoring within the top 33% for each of the 3 Army Physical Fitness Test events (2-mile run, sit-ups, and push-ups) and top 50% in each of the tests combined for overall performance. Analysis: Odds ratios and 95% confidence intervals from multivariate analyses were calculated. Results: Variables impacting physical fitness performance of men and women included increased body mass index, leading unit PT sessions, and individual distance running mileage. Other variables impacting physical performance for men included increased age, smoking, and individual resistance training. Conclusion: Soldiers performing additional individual PT demonstrated a positive influence on fitness compared to unit PT participation alone. Increased age and being overweight/obese negatively influenced physical fitness. To enhance fitness performance through unit PT, running by ability groups and resistance training should be encouraged by leadership.
Long-term effects of an iron heater and Äspö groundwater on smectite clays: Chemical and hydromechanical results from the in situ alternative buffer material (ABM) test package 2
Authors: Kumpulainen Sirpa , Kiviranta Leena , Korkeakoski Petri 
Published: September 2016

AbstractSmectite-rich clays are to be used in nuclear repositories for sealing in the radioactive waste. As the radioactive decay produces heat it may affect the chemical, physical and hydromechanical properties of the clay components in the repository. An ‘alternative buffer material’ (ABM) experiment is a Svensk Kärnbränslehantering AB (SKB)-led in situ heating test placed in boreholes in the Äspö tunnel (Sweden). The 2nd ABM package was dismantled in April 2013, after 6.5 y of equilibration with Äspö groundwater and 5 y of heating. The objective was to investigate the long-term effects of the iron heater and Äspö groundwater on four of 31 compacted blocks made of MX-80, Deponit CaN and Friedland clays.Compared to the starting materials, major changes in the exchangeable cation populations were observed. Within horizontal profiles, water-soluble sulfate, Ca, K and Mg increased; poorly crystalline Fe oxide contents decreased; total Mg, Ca and S increased; and a decrease in the amounts of total Na and K away from the host rock towards the heater was observed. At the boundary with the heater, an increase in the total Fe content, decreases in total Si and Al contents, precipitation of gypsum and anhydrite, dissolution of cristobalite and feldspars, and indications of the formation of trioctahedral clay minerals were observed. A decrease in swelling pressure for the Friedland clay (in drill-cored samples) was recorded which was recovered after grinding and recompaction. No effects of hydraulic conductivity were found, after 6.5 y of reaction time, in the subsurface of any of materials studied.
Time evolution of MX-80 bentonite geochemistry under thermo-hydraulic gradients
Authors: Gómez-Espina R. , Villar M.V. 
Published: September 2016

AbstractTwo 20-cm long columns of MX-80 bentonite compacted at a nominal dry density of 1.7 g/cm3with a water content of 17% were tested in thermo-hydraulic (TH) cells with the aim of simulating the conditions of a sealing material in a nuclear waste repository. On top of the columns a hydration surface simulated the host rock supplying groundwater and at the bottom a heater simulated the waste canister. The tests comprised two phases: a heating phase and a ‘heating + hydration’ phase. The temperatures at the ends of the columns were set during the last phase to 30°C at the top and 140°C at the bottom, respectively. The thermo-hydraulic treatment resulted in major changes along the bentonite columns. These changes led to significant gradients along the column with respect to the physical state (water content, dry density) and geochemistry of the bentonite. Smectite dissolution processes occurred. As a result, colloids were probably produced, particularly in the more hydrated areas. In the warmest part of the columns precipitation of carbonates took place, caused by their solubility decrease with temperature and the evaporation. The increase in water content reduced the ionic strength of the pore water in the more hydrated areas where species such as gypsum were dissolved. The solubilized ions were transported towards the bottom of the columns; Na+, Ca+, Mg2+and SO42−moved at a similar rate and K+and Cl−moved farther. These solubilized ions precipitated in the form of salts farther away along the columns as the test was longer. The TH treatment implied the loss of exchangeable positions in the smectite, particularly towards the heater. The cation exchange complex was also modified.
Methodology for studying the composition of non-interlamellar pore water in compacted bentonite
Authors: Järvinen Joonas , Matusewicz Michał , Itälä Aku 
Published: September 2016

AbstractMany safety functions required of the compacted bentonite buffer in the KBS-3 concept rely on processes influenced by the composition of the pore water. Important safety-relevant processes are related to the bentonite buffer,e.g.swelling, precipitation and dissolution reactions, and transport of water, colloids and ions. One of the methods used in analysing pore water in compacted bentonite is the ‘squeezing technique’. Various possible artefacts which can occur during squeezing, such as mixing of different pore-water types, dissolution of accessory minerals and cation exchange, need special attention.The present work describes the methodology for studying the composition of the non-interlamellar pore water by combining squeezing methods, chemical analyses, microstructure measurements and geochemical modelling. Four different maximum pressures were used to squeeze the compacted bentonite pore water. The origin of the pore water was studied by analysing the bentonite microstructure both before and after squeezing using SAXS and NMR, the cation exchange and dissolution reactions were studied by chemical analyses and geochemical modelling.The pore-water yield increased from 32 to 48 wt.% from the initial amount of porewater in the samples when the maximum squeezing pressure was increased from 60 MPa to 120 MPa. About 35 wt.% of the water collected originated from the interlamellar (IL) pores. The ratio between IL and non-IL pore waters as well as the composition of the squeezed porewater was constant in the squeezing-pressure range used. The results of microstructural measurements by SAXS were in perfect agreement with previous studies (e.g.Muurinen & Carlsson, 2013). The dissolving accessory minerals have an effect on the ratio of the cations in the squeezed solution while the migration of anions in bentonite seems to be diffusion limited. According to geochemical modelling the chloride concentration of the non-IL pore water in compacted bentonite before squeezing was 0.34 Mgreater than in the squeezed pore water due to the mixing of two main water types.
Size distribution of FEBEX bentonite colloids upon fast disaggregation in low-ionic strength water
Authors: Mayordomo Natalia , Degueldre Claude , Alonso Ursula , Missana Tiziana 
Published: September 2016

AbstractBentonite colloids generated from the backfill barrier in nuclear waste repositories may act as radionuclide carriers, if they are stable and mobile. Repository scenarios with highly saline groundwater inhibit colloid stability as particles tend to aggregate but, in the time frame of repositories, groundwater conditions may evolve, promoting particle disaggregation and stabilization. The disaggregation of FEBEX bentonite colloids by fast dilution to lower ionic strength was analysed in this study. Time-resolved dynamic light-scattering experiments were carried out to evaluate the kinetics of bentonite colloid aggregation and disaggregation processes in Na+ and Na+-Ca2+ mixed electrolytes of low ionic strength. Attachment and detachment efficiencies were determined.Aggregation is promoted by increasing ionic strength, being more efficient in the presence of divalent cations. Once bentonite colloids are aggregated, a decrease in ionic strength facilitates disaggregation, but the process is not fully reversible as the initial size of the stable bentonite colloids at low ionic strength is not fully recovered. Particle-size distribution and concentration in suspension were analysed on disaggregated samples by single particle-counting measurements. Small colloids were measured in the disaggregated samples but their population was smaller than in the initial stable sample, especially in the presence of Ca2+.
Formation of C-A-S-H phases from the interaction between concrete or cement and bentonite
Authors: Raúl Fernández  , Ruiz Ana Isabel , Cuevas Jaime 
Published: September 2016

AbstractConcrete and bentonite are being considered as engineered barriers for the deep geological disposal of high-level radioactive waste in argillaceous rocks. Three hydrothermal laboratory experiments of different scalable complexity were performed to improve our knowledge of the formation of calcium aluminate silicate hydrates (C-A-S-H) at the interface between the two materials: concretebentonite transport columns, lime mortar-bentonite transport columns and a portlandite- (bentonite and montmorillonite) batch experiment. Precipitation of C-A-S-H was observed in all experiments. Acicular and fibrous morphologies with certain laminar characteristics were observed which had smaller Ca/Si and larger Al/Si ratios with increasing temperature and lack of accessory minerals. The compositional fields of these C-A-S-H phases formed in the experiments are consistent with Al/(Si+Al) ratios of 0.2– 0.3 described in the literature. The most representative calcium silicate hydrate (C-S-H) phase from the montmorillonite–cement interface is Al-tobermorite. Structural analyses revealed a potential intercalation or association of montmorillonite and C-A-S-H phases at the pore scale.
Interaction of titanium with smectite within the scope of a spent fuel repository: A spectroscopic approach
Authors: Grolimund Daniel , Wersin Paul , Brendlé Jocelyne , Huve Joffrey , Kiviranta Leena , Snellman Margit 
Published: September 2016

AbstractThe Swedish and Finnish nuclear waste repository design, KBS-3H, foresees horizontal emplacement of copper canisters-bentonite modules surrounded by a titanium shell. The interaction of titanium with bentonite was studied here using a combination of wet chemistry and a spectroscopic approach to evaluate the potential impact of Ti corrosion on the clay. For natural analogue clays with high Ti contents, spectroscopic investigations showed that titanium occurs as crystalline TiO2. In contrast, the Ti in the MX-80 bentonite occurs in the clay structure, presumably in the octahedral sheet. Hydrothermal tests conducted at 200°C using synthetic montmorillonite showed little if any change in the montmorillonite structure at near-neutral and acidic conditions. Under alkaline conditions, limited alteration was observed, including the formation of trioctahedral clay minerals and zeolite. These changes, however, occurred independently of the addition of Ti. In the batch tests conducted at 80°C, Ti did not occur as separate TiO2particles. The comparison of experimental data with spectroscopic simulations provides sound evidence that Ti was incorporated in a neoformed phyllosilicate structure.
Mineralogical changes and associated decrease in tritiated water diffusivity after alteration of cement–bentonite interfaces
Authors: Yamaguchi Tetsuji , Sawaguchi Takuma , Tsukada Manabu , Hoshino Seiichi , Tanaka Tadao 
Published: September 2016

AbstractAlteration of cement–bentonite interfaces and accompanying changes in diffusivity of tritiated water (HTO) was investigated experimentally using intact, hardened cement-paste specimens. The alteration by carbonate solution was accompanied by mineralogical changes at the interface and a decrease in the HTO diffusivity to ∼70 ± 7%of the initial value after a 180-day period. Another alteration in contact with compacted bentonite was accompanied by mineralogical changes at the interface and a decrease in the HTO diffusivity to ∼71 ± 10% of the initial value after a 600-day period. The changes in the diffusivity were considerably less than those observed for mixed specimens of ground, granulated hardened cement paste and bentonite where the diffusivity decreased to 20% of the initial value over 180 days. The results were extrapolated to 15 y under simple assumptions and showed good agreement with those observed in the cement–argillite interface at Tournemire URL (France). Such an explanation enhances confidence in the assessment of the alteration of cement-bentonite systems and might be a basis for using the data and models obtained in the long-term assessment of radioactive waste disposal.
Distinguishing between more and less suitable bentonites for storage of high-level radioactive waste
Authors: Kaufhold S. , Dohrmann R. 
Published: September 2016

AbstractOne of today's big challenges is to store safely the increasing amount of high-level radioactive waste (HLRW) in the world. In some of the concepts devised for this challenge, bentonite, a natural swelling clay, plays a key role in encasing the canisters containing the waste. The use of bentonite as a geotechnical barrier in HLRWrepositories is a new venture; specifications to ensure either optimum performance or that a minimum standard is reached at least do not exist yet. The present study summarizes relevant research and discusses possible HLRW-bentonite specifications. The importance of these specifications for any given repositories has to be assessed on a case by case basis, depending on the concept being employed and any special circumstances for the individual repositories.Ten key issues were identified which were used to discuss bentonite specifications. In some of these key issues the optimum bentonite performance depended more on processing and production (compaction) than on the bentonite type (e.g.swelling pressure and thermal conductivity). In contrast, in some of the other key issues, the type of bentonite was found to influence possible specifications: the bentonite should not alter its mineral composition or its geotechnical parameters such as the swellability. Therefore, the bentonite should contain neither soluble nor reactive phases (e.g.organic matter, pyrite, gypsum). The structural Fe content of the smectites should be small because of the lesser stability and greater reactivity of the Fe-rich bentonites. Also, a large layer-charge density of the swelling clay minerals leads to less corrosion at the iron–bentonite interface (relevant if iron canisters are used). The hydraulic conductivity and swelling pressure can be tailored by compaction of the bentonite resulting in different dry densities. From an engineering point of view, a bentonite with least dependence of the hydraulic conductivity/swelling pressure on the dry density would be best. Using a bentonite which has been investigated extensively over many years means less uncertainty compared to unknown materials.
Pathophysiology and epidemiology of hemophagocytic lymphohistiocytosis
Authors: Allen Carl E. , McClain Kenneth L. 
Published: September 2016

Abstract
Hemophagocytic lymphohistiocytosis (HLH) is a syndrome characterized by extreme immune activation, resulting in pathologic inflammation. The diagnosis includes a spectrum of inherited or acquired defects in cytotoxic lymphocyte function, often with uncontrolled infections. HLH may also arise as the result of persistent antigen stimulation due to autoimmune disease or malignancy. HLH is often described in binary terms as “primary,” indicating Mendelian inheritance of gene mutations resulting in cytotoxic lymphocyte dysfunction, or “secondary” indicating an acquired reactive disorder. Increasing evidence describes HLH as more complex phenomenon, resulting from specific immune challenges in patients with a susceptible genetic background. Early recognition of HLH and evaluation of potential causes is critically important, as survival generally requires urgent treatment with immune suppression and resolution of the activating antigen. However, the diagnosis of HLH is challenged by the myriad of pathways that lead to pathologic inflammation and the clinical overlap with other conditions. Further improvements in therapy will require prospective trials to define optimal strategies for each patient based on the individual paths that lead to pathologic inflammation.
Venous clot lysis and stenting
Authors: Vedantham Suresh 
Published: September 2016

Abstract
Venous thromboembolism (VTE) continues to represent a major source or mortality and morbidity. Although anticoagulation is the mainstay of therapy, adjunctive catheter-based interventions have shown substantial potential to improve clinically meaningful patient outcomes in patients with deep vein thrombosis (DVT), pulmonary embolism (PE), and the post-thrombotic syndrome (PTS). Catheter-directed thrombolysis (CDT) has been shown in a randomized trial to reduce the risk of PTS in patients with acute proximal DVT; data from a larger NIH trial is expected shortly. The use of CDT is being increasingly used for patients with submassive or massive pulmonary embolism. Preliminary studies suggest that endovascular stent placement and ablative therapies can improve quality-of-life in carefully selected patients with established PTS. In this article, we summarize the current status of thrombus removal and stent placement procedures for VTE and PTS, with the main purpose being to guide clinicians in individualizing treatment decisions for their challenging patients.
Use of alternative donors for allogeneic stem cell transplantation
Authors: Anasetti Claudio 
Published: September 2016

Abstract
For patients without a human leukocyte antigen (HLA)-matched sibling or unrelated donor, options include transplantation from HLA-mismatched related donors, HLA-mismatched unrelated donors, or unrelated cord blood units. Graft failure remains a problem in 10%-20% of cord blood transplants that contain a limited number of hematopoietic cells. Many approaches are tested in clinical trials to offset the risk of graft failure after cord blood transplantation. GVHD remains a hurdle with any HLA mismatched graft. The use of post-transplant cyclophosphamide holds the promise to overcome the HLA barrier and prevent GVHD despite donor mismatch for a full HLA haplotype. Priority should be given to enrolling patients onto transplant protocols addressing the fundamental problems of engraftment, GVHD, relapse or treatment-related mortality tested with one or more of the alternative stem cell sources. Principles for prioritization of alternative stem cell sources are discussed separately for children and adults who cannot be enrolled on clinical trials. It is difficult ranking currently available sources in the face of multiple factors affecting outcomes, rapidly changing transplant technology and without results from comparative trials.
Graft-versus-host disease versus graft-versus-leukemia
Authors: Negrin Robert S. 
Published: September 2016

Abstract
Graft-versus-host disease (GVHD) is a significant clinical problem after allogenic hematopoietic cell transplantation (HCT) associated with substantial morbidity and mortality that limits the potential utility of transplantation. Associated with GVHD is the well-recognized phenomenon of the graft-versus-leukemia (GVL) effect that results in reduced risk of disease relapse. GVL effects have been observed after treatment for a broad range of hematological malignancies. Both GVHD and GVL are the results of T cell–effector functions that frames a major question in the field of how linked are these two phenomena. A major goal of basic science and translational research has been to develop strategies to reduce the risk of GVHD while maintaining or enhancing GVL. In this review, a number of different strategies developed from preclinical animal models will be explored with a focus on those approaches that have been extended to the clinic in an attempt to achieve this goal. Needless to say, there is no proven strategy; however, with the use of modern technology and clinical translation, there has been substantial progress toward this goal of reducing the risks of GVHD while promoting and enhancing GVL responses.
What's different about atypical CML and chronic neutrophilic leukemia?
Authors: Dao Kim-Hien T. , Tyner Jeffrey W. 
Published: September 2016

Abstract
Atypical chronic myeloid leukemia (aCML) and chronic neutrophilic leukemia (CNL) are rare myeloid neoplasms defined largely by morphologic criteria. The discovery of CSF3R mutations in aCML and CNL have prompted a more comprehensive genetic profiling of these disorders. These studies have revealed aCML to be a genetically more heterogeneous disease than CNL, however, several groups have reported that SETBP1 and ASXL1 mutations occur at a high frequency and carry prognostic value in both diseases. We also report a novel finding—our study reveals a high frequency of U2AF1 mutations at codon Q157 associated with CSF3R mutant myeloid neoplasms. Collectively, these findings will refine the WHO diagnostic criteria of aCML and CNL and help us understand the genetic lesions and dysregulated signaling pathways contributing to disease development. Novel therapies that emerge from these genetic findings will need to be investigated in the setting of a clinical trial to determine the safety and efficacy of targeting various oncogenic drivers, such as JAK1/2 inhibition in CSF3R-T618I–positive aCML and CNL. In summary, recent advances in the genetic characterization of CNL and aCML are instrumental toward the development of new lines of therapy for these rare leukemias that lack an established standard of care and are historically associated with a poor prognosis.
Reclassifying myelodysplastic syndromes: what's where in the new WHO and why
Authors: Arber Daniel A. , Hasserjian Robert P. 
Published: September 2016

Abstract
A revision to the 4th edition of the WHO Classification of myelodysplastic syndromes (MDSs), originally published in 2008, is expected in mid-2016. Based on recommendations of a Clinical Advisory Committee, the revision will aim to incorporate new discoveries in MDS that impact existing disease categories. Although the basic diagnostic principles of the WHO classification remain unchanged, several changes to the classification are proposed. All revisions are considered preliminary until the actual publication of the monograph and online document. Proposals for change include abandoning the routine use of “refractory anemia/cytopenia” in the various disease names, including the prognostic significance of gene mutations in MDS, revising the diagnostic criteria for MDS entities with ring sideroblasts based on the detection of SF3B1 mutations, modifying the cytogenetic criteria for MDS with isolated del(5q), reclassifying most cases of the erythroid/myeloid type of acute erythroleukemia, and recognizing the familial link in some cases of MDS. This review will provide details of the major proposed changes as well as rationale for the revisions.