A cytomorphological and immunohistochemical profile of aggressive B-cell lymphoma: high clinical impact of a cumulative immunohistochemical outcome predictor score

We analyzed morphological and immunohistochemical features in 174 aggressive B-cell lymphomas of nodal and extranodal origin. Morphological features included presence or absence of a follicular component and cytologic criteria according to the Kiel classification, whereas immunohistochemical studies included expression of CD10, BCL-2, BCL-6, IRF4/MUM1, HLA-DR, p53, Ki-67 and the assessment of plasmacytoid differentiation. Patients were treated with a CHOP-like regimen. While the presence or absence of either CD10, BCL-6 and IRF4/MUM1 reactivity or plasmacytoid differentiation did not identify particular cytomorphologic or site-specific subtypes, we found that expression of CD10 and BCL-6, and a low reactivity for IRF4/MUM1 were favourable prognostic indicators. In contrast, BCL-2 expression and presence of a monotypic cytoplasmic immunoglobulin expression was associated with an unfavourable prognosis in univariate analyses. Meta-analysis of these data resulted in the development of a cumulative immunohistochemical outcome predictor score (CIOPS) enabling the recognition of four distinct prognostic groups. Multivariate analysis proved this score to be independent of the international prognostic index. Such a cumulative immunohistochemical scoring approach might provide a valuable alternative in the recognition of defined risk types of aggressive B-cell lymphomas

The United Kingdom's role in North Sea demersal fisheries:A hundred year perspective

This study compiles 100 years of North Sea demersal landings, focusing on the UK, and relating them to historical events and political, technological and economical drivers that influenced demersal fisheries. In the early twentieth century, aided by technological advances, the UK, and in particular England, had unchallenged dominance in North Sea demersal fisheries. Since then, the two World Wars and other political developments have had a great impact on British fisheries. Between the 1920s and 1960s, English ports shifted their interests away from the North Sea towards highly profitable distant waters, whereas the Scottish fleet relied less on these fishing grounds. Meanwhile, especially in the 1960s, other European countries expanded their fisheries, undermining Britain's lead. In the 1970s and 1980s, Scotland benefitted from mainly fishing in the North Sea. Firstly, the assertion of 200 nautical miles Exclusive Economic Zones made the distant waters inaccessible to English fleets at a time when England's fisheries were highly dependent on them. Secondly, the relatively minor activity in the North Sea by the English compared to the Scottish fleets coincided with the establishment of the Common Fisheries Policy. This had implications when total allowable catches were first implemented because quota allocations to countries were based on their recent catches from the North Sea. Thus, after the loss of fishing opportunities in distant waters, the North Sea once more became an important fishing ground for Britain, just as in the early twentieth century, however, the emphasis of fisheries had shifted from England to Scotland

Mental imagery and psychopathology: Examples of Post-Traumatic Stress Disorder and Bipolar Disorder

© 2013 Springer Science+Business Media, LLC. All rights reserved. This chapter aims to provide an update on the relation between mental imagery and psychopathology, with particular reference to post-traumatic stress disorder and bipolar affective disorder. Current evidence is provided to give an overview of the strengths and limitations of existing cognitive behavioural therapies for these two psychological disorders. Clinical vignettes are used to illustrate how imagery interventions may be incorporated into cognitive behavioural therapy to enrich the array of treatment strategies and possibly enhance its efficacy.status: publishe