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* Context.--Modern RHD genotyping can be used to determine when patients with serologic weak D phenotypes have RHD gene variants at risk for anti-D alloimmunization. However, serologic testing, RhD interpretations, and laboratory management of these patients are quite variable. Objective.--To obtain interlaboratory comparisons of serologic testing, RhD interpretations, Rh immune globulin (RhIG) management, fetomaternal hemorrhage testing, and RHD genotyping for weak D-reactive specimens. Design.--We devised an educational exercise in which 81 transfusion services supporting obstetrics performed tube-method RhD typing on 2 unknown red blood cell challenge specimens identified as (1) maternal and (2) newborn. Both specimens were from the same weak D-reactive donor. The exercise revealed how participants responded to these different clinical situations. Results.--Of reporting laboratories, 14% (11 of 80) obtained discrepant immediate-spin reactions on the 2 specimens. Nine different reporting terms were used to interpret weak D-reactive maternal RhD types to obstetricians. In laboratories obtaining negative maternal immediate-spin reactions, 28% (16 of 57) performed unwarranted antiglobulin testing, sometimes leading to recommendations against giving RhIG. To screen for excess fetomaternal hemorrhage after a weak D-reactive newborn, 47% (34 of 73) of reporting laboratories would have employed a contraindicated fetal rosette test, risking false-negative results and inadequate RhIG coverage. Sixty percent (44 of 73) of laboratories would obtain RHD genotyping in some or all cases. Conclusions.--For obstetric and neonatal patients with serologic weak D phenotypes, we found several critical problems in transfusion service laboratory practices. We provide recommendations for appropriate testing, consistent immunohematologic terminology, and RHD genotype-guided management of Rh immune globulin therapy and RBC transfusions., In the United States and Canada, 0.06% to 2.2% of patients have red blood cells (RBCs) that type weakly reactive for RhD, termed 'serologic weak D phenotype.' (1-6) In past [...]

Over recent decades, the southeastern United States (Southeast) has become increasingly well represented by the terrestrial climate proxy record. However, while the paleo proxy records capture the region's hydroclimatic history over the last several centuries, the understanding of near surface air temperature variability is confined to the comparatively shorter observational period (1895‐present). Here, we detail the application of blue intensity (BI) methods on a network of tree‐ring collections and examine their utility for producing robust paleotemperature estimates. Results indicate that maximum latewood BI (LWBI) chronologies exhibit positive and temporally stable correlations (r = 0.28–0.54, p < 0.01) with summer maximum temperatures. As such, we use a network of LWBI chronologies to reconstruct August‐September average maximum temperatures for the Southeast spanning the period 1760–2010 CE. Our work demonstrates the utility of applying novel dendrochronological techniques to improve the understanding of the multi‐centennial temperature history of the Southeast. Plain Language Summary: Tree‐ring data are important sources of paleoclimate information, which allow for the longer‐term evaluation of modern climate values and trends. Compared to much of North America, the Southeastern United States (Southeast) contains substantially fewer paleoclimate records from tree rings, and no estimates of past temperature variability which extend before the observational period. Employing a recently developed technique, which uses light reflectance properties of wood to obtain a representative metric of tree‐ring density, we develop a network of temperature‐sensitive tree‐ring records across the Southeast. These records enable us to reconstruct late summer maximum temperatures across the region spanning the period 1760–2023 CE. As few ground‐based, pre‐instrumental temperature records previously existed for this region, our reconstruction allows for an improved understanding of the region's multi‐centennial climatic history. Key Points: Maximum latewood blue intensity from tree rings can effectively be used to develop paleotemperature estimates for the southeastern USThe fidelity of tree‐ring density parameters for paleoclimate reconstruction are influenced by disturbance regimes and microsite conditionsCompared to the last 260 years, regional 20th‐century maximum late summer temperatures are not characterized by unprecedented positive trend [ABSTRACT FROM AUTHOR]

Across western North America (WNA), 20th-21st century anthropogenic warming has increased the prevalence and severity of concurrent drought and heat events, also termed hot droughts. However, the lack of independent spatial reconstructions of both soil moisture and temperature limits the potential to identify these events in the past and to place them in a long-term context. We develop the Western North American Temperature Atlas (WNATA), a data-independent 0.5° gridded reconstruction of summer maximum temperatures back to the 16th century. Our evaluation of the WNATA with existing hydroclimate reconstructions reveals an increasing association between maximum temperature and drought severity in recent decades, relative to the past five centuries. The synthesis of these paleo-reconstructions indicates that the amplification of the modern WNA megadrought by increased temperatures and the frequency and spatial extent of compound hot and dry conditions in the 21st century are likely unprecedented since at least the 16th century. [ABSTRACT FROM AUTHOR]

The declining cost of computers and wireless networks has made laptop programs more affordable than ever. At the same time, the internet resources available to teachers and students have grown exponentially in the 15 years since web browsers first became practical. As a result of these trends, growing numbers of students nationwide are provided with wireless laptops by their schools. In this article, the authors describe how laptops have been used to teach physics at the Denver School of Science and Technology (DSST). (Contains 1 figure and 1 online resource.)