Global Retinoblastoma Presentation and Analysis by National Income Level

Importance: Early diagnosis of retinoblastoma, the most common intraocular cancer, can save both a child's life and vision. However, anecdotal evidence suggests that many children across the world are diagnosed late. To our knowledge, the clinical presentation of retinoblastoma has never been assessed on a global scale. Objectives: To report the retinoblastoma stage at diagnosis in patients across the world during a single year, to investigate associations between clinical variables and national income level, and to investigate risk factors for advanced disease at diagnosis. Design, Setting, and Participants: A total of 278 retinoblastoma treatment centers were recruited from June 2017 through December 2018 to participate in a cross-sectional analysis of treatment-naive patients with retinoblastoma who were diagnosed in 2017. Main Outcomes and Measures: Age at presentation, proportion of familial history of retinoblastoma, and tumor stage and metastasis. Results: The cohort included 4351 new patients from 153 countries; the median age at diagnosis was 30.5 (interquartile range, 18.3-45.9) months, and 1976 patients (45.4) were female. Most patients (n = 3685 84.7%) were from low-and middle-income countries (LMICs). Globally, the most common indication for referral was leukocoria (n = 2638 62.8%), followed by strabismus (n = 429 10.2%) and proptosis (n = 309 7.4%). Patients from high-income countries (HICs) were diagnosed at a median age of 14.1 months, with 656 of 666 (98.5%) patients having intraocular retinoblastoma and 2 (0.3%) having metastasis. Patients from low-income countries were diagnosed at a median age of 30.5 months, with 256 of 521 (49.1%) having extraocular retinoblastoma and 94 of 498 (18.9%) having metastasis. Lower national income level was associated with older presentation age, higher proportion of locally advanced disease and distant metastasis, and smaller proportion of familial history of retinoblastoma. Advanced disease at diagnosis was more common in LMICs even after adjusting for age (odds ratio for low-income countries vs upper-middle-income countries and HICs, 17.92 95% CI, 12.94-24.80, and for lower-middle-income countries vs upper-middle-income countries and HICs, 5.74 95% CI, 4.30-7.68). Conclusions and Relevance: This study is estimated to have included more than half of all new retinoblastoma cases worldwide in 2017. Children from LMICs, where the main global retinoblastoma burden lies, presented at an older age with more advanced disease and demonstrated a smaller proportion of familial history of retinoblastoma, likely because many do not reach a childbearing age. Given that retinoblastoma is curable, these data are concerning and mandate intervention at national and international levels. Further studies are needed to investigate factors, other than age at presentation, that may be associated with advanced disease in LMICs. © 2020 American Medical Association. All rights reserved

Comparative Neuropharmacological Activities Methanolic Extracts of Leaves and Roots of Cissus Cornifolia in Mice

Comparative neuropharmacological efficacy of the leaf and root 70 % methanol extract of Cissus cornifolia was studied in mice. The extractive values of the leaf and root methanol extract was found to be 31.5 g with yield of 12.6 %(w/w) and 37.8 g with the yield of 15.12 %(w/w) respectively. The acute toxicity (LD50) values in mice were found in leaf and root extracts as 2154.1 and 1131.4 mg kg-1 bd. wt. (i.p.) respectively. The sedative properties on the CNS of both the leaf and root extracts were studied employing diazepam-induced sleep, motor coordination, and exploratory behavioural test in mice. Both extracts potentiated the diazepam-induced sleeping time with markedly higher duration of sleep at 600 mg kg-1 bd. wt. (213.8 ± 27.5) exhibited by leaf extract. There was generally appreciable variation in the activities expressed by the leaf extract compared to that of the root in all the other tests conducted. Thus, at 300 mg k-1 bd. wt. the leaf extract revealed 5.3 ± 0.7 while the root had 8.0 ± 0.8 as mean number of head-dips in mice. The mean duration of beam walk was found to be 6.88 ± 0.71 and 4.72 ± 0.28 expressed by the leaf and root extract respectively at the same dose of 300 mg k-1 bd. wt. in mice. This work further confirms our earlier report on sedative effects of this plant as used traditionally against mental problems

Farmer perception of the Striga problem and its control in northern Nigeria

The parasitic angiosperms, Striga hermonthica and S. gesnerioides, obligate root parasites endemic in sub-Saharan Africa, constitute severe constraints to cereal and legume production in West and Central Africa. Over the years, a range of effective component technologies has been identified for Striga control in Africa. The potential of these technologies has been demonstrated under researcher-managed conditions. To promote farmer testing of the technologies, community workshops were conducted in 42 rural communities in Kaduna State, northern Nigeria. These revealed that agriculture was the main source of livelihood for most households. The three most important crops, maize, sorghum and pearl millet are attacked by S. hermonthica, regarded as the major constraint to crop production, often causing 70–100% crop loss. Farmers recognised two types of Striga damage (underground and aboveground), with greater damage being caused by underground Striga. Farmers attributed increasing incidence and severity of Striga damage to lack of capital, poor soil fertility, infestation of previously uninfested land by Striga seeds, and continuous cropping of host crops. The most widely used among the 15 existing Striga control techniques identified by the farmers were hoe weeding and hand pulling, application of inorganic fertilizer and manure, crop rotations, fallowing, and early planting. In assessing possible control measures farmers considered increased crop yield, reduced Striga reproduction and Striga emergence, greater crop vigour, and increased soil fertility as positive attributes. Negative attributes comprised increased labour requirement, higher costs, increased risk of crop damage or yield reduction, and lower quantity and quality of produce. Overall, a legume-cereal rotation was the most highly rated control option for S. hermonthica management evaluated by the farmers. The implications of these results are examined with respect to farmers' adoption and adaptation of Striga control options beyond the experimental plots

One-Sample Bayesian Predictive Interval of Future Ordered Observations for the Pareto Distribution

right type II censored sample, Bayesian predictive interval, pareto distribution, one-sample problem,

Bayesian prediction for progressively censored data from the Burr model

Burr XII distribution, Progressive type-II censoring, Bayesian approach, Two samples prediction,