A nomogram to predict the probability of axillary lymph node metastasis in early breast cancer patients with positive axillary ultrasound

Among patients with a preoperative positive axillary ultrasound, around 40% of them are pathologically proved to be free from axillary lymph node (ALN) metastasis. We aimed to develop and validate a model to predict the probability of ALN metastasis as a preoperative tool to support clinical decision-making. Clinicopathological features of 322 early breast cancer patients with positive axillary ultrasound findings were analyzed. Multivariate logistic regression analysis was performed to identify independent predictors of ALN metastasis. A model was created from the logistic regression analysis, comprising lymph node transverse diameter, cortex thickness, hilum status, clinical tumour size, histological grade and estrogen receptor, and it was subsequently validated in another 234 patients. Coefficient of determination (R-2) and the area under the ROC curve (AUC) were calculated to be 0.9375 and 0.864, showing good calibration and discrimination of the model, respectively. The false-negative rates of the model were 0% and 5.3% for the predicted probability cut-off points of 7.1% and 13.8%, respectively. This means that omission of axillary surgery may be safe for patients with a predictive probability of less than 13.8%. After further validation in clinical practice, this model may support increasingly limited surgical approaches to the axilla in breast cancer

Crop Updates 1999 - Oilseeds

This article contains eighteen papers INTRODUCTION, Paul Carmody, Agriculture Western Australia PLENARY SESSION Transgenic canola in Western Australia: Outlook and challenges, Phil Salisbury, University of Melbourne Farming system issues for herbicide tolerant canola, Rick Madin, Rick Madin and Associates, David Bowran, Agriculture Western Australia Beating blackleg in 1999, Martin Barbetti, Ravjit Khangura, Paul Carmody, Graham Walton, Agriculture Western Australia The Mustard Industry in Australia – Opportunities for a new oilseed, Phil Parker, NSW Agriculture Management of blackleg with fungicides, Ravjit Khangura and Martin Barbetti, Agriculture Western Australia Effect of aphid feeding damage on canola yields in 1998, Francoise Berlandier and Linnet Cartwright, Agriculture Western Australia Post-anthesis duration and rainfall affect oil content of canola, Ping Si, University of West Australia, Graham Walton, Agriculture Western Australia, Nick Galwey and David Turner, University of West Australia Canola responded to high rates of fertiliser in 1998, Wayne Pluske, CSBP Impact of agronomic practices on canola quality, Graham Walton, Agriculture Western Australia Survey reveals widespread infection with two virus diseases in Western Australian canola crops, Roger Jones and Brenda Coutts, Agriculture Western Australia Calculating canola yields and oil contents as a function of soil and fertiliser nitrogen supply, Bill Bowden and Isabel Arevalo-Vigne, Agriculture Western Australia Canola benchmarks 1997/98 – Central Eastern District, Jeff Russell, Agriculture Western Australia Seeding rate affects the yield and some architectural features of canola, Syed H. Zaheer, Nick W. Galwey and David Turner, University of Western Australia Foliar applied fungicides for blackleg, Andrew Simon and Art Diggle, Agriculture Western Australia Farm based demonstration 1998 canola N – Wheel evaluation, Jeff Russell, Agriculture Western Australia Effect of sowing date on seed yield of canola, Dave Eksteen, Agriculture Western Australia Investigating water use of summer crops on the South Coast of Western Australia, Arjen Ryder, Agriculture Western Australia, Bill Crabtree, Western Australia No Till Farming Association, Serena Wyatt, Catchment Landcare Coordinator, Wellstead, Jim Baily, Subasio Downs, Wellstead INTRODUCTION, Paul Carmody, Agriculture Western Australia PLENARY SESSION Transgenic canola in Western Australia: Outlook and challenges, Phil Salisbury, University of Melbourne Farming system issues for herbicide tolerant canola, Rick Madin, Rick Madin and Associates, David Bowran, Agriculture Western Australia Beating blackleg in 1999, Martin Barbetti, Ravjit Khangura, Paul Carmody, Graham Walton, Agriculture Western Australia The Mustard Industry in Australia – Opportunities for a new oilseed, Phil Parker, NSW Agriculture Management of blackleg with fungicides, Ravjit Khangura and Martin Barbetti, Agriculture Western Australia Effect of aphid feeding damage on canola yields in 1998, Francoise Berlandier and Linnet Cartwright, Agriculture Western Australia Post-anthesis duration and rainfall affect oil content of canola, Ping Si, University of West Australia, Graham Walton, Agriculture Western Australia, Nick Galwey and David Turner, University of West Australia Canola responded to high rates of fertiliser in 1998, Wayne Pluske, CSBP Impact of agronomic practices on canola quality, Graham Walton, Agriculture Western Australia Survey reveals widespread infection with two virus diseases in Western Australian canola crops, Roger Jones and Brenda Coutts, Agriculture Western Australia Calculating canola yields and oil contents as a function of soil and fertiliser nitrogen supply, Bill Bowden and Isabel Arevalo-Vigne, Agriculture Western Australia Canola benchmarks 1997/98 – Central Eastern District, Jeff Russell, Agriculture Western Australi

Altered gene expression and DNA damage in peripheral blood cells from Friedreich's ataxia patients: Cellular model of pathology

The neurodegenerative disease Friedreich's ataxia (FRDA) is the most common autosomal-recessively inherited ataxia and is caused by a GAA triplet repeat expansion in the first intron of the frataxin gene. In this disease, transcription of frataxin, a mitochondrial protein involved in iron homeostasis, is impaired, resulting in a significant reduction in mRNA and protein levels. Global gene expression analysis was performed in peripheral blood samples from FRDA patients as compared to controls, which suggested altered expression patterns pertaining to genotoxic stress. We then confirmed the presence of genotoxic DNA damage by using a gene-specific quantitative PCR assay and discovered an increase in both mitochondrial and nuclear DNA damage in the blood of these patients (p<0.0001, respectively). Additionally, frataxin mRNA levels correlated with age of onset of disease and displayed unique sets of gene alterations involved in immune response, oxidative phosphorylation, and protein synthesis. Many of the key pathways observed by transcription profiling were downregulated, and we believe these data suggest that patients with prolonged frataxin deficiency undergo a systemic survival response to chronic genotoxic stress and consequent DNA damage detectable in blood. In conclusion, our results yield insight into the nature and progression of FRDA, as well as possible therapeutic approaches. Furthermore, the identification of potential biomarkers, including the DNA damage found in peripheral blood, may have predictive value in future clinical trials

ISSN exercise & sport nutrition review: research & recommendations

Sports nutrition is a constantly evolving field with hundreds of research papers published annually. For this reason, keeping up to date with the literature is often difficult. This paper is a five year update of the sports nutrition review article published as the lead paper to launch the JISSN in 2004 and presents a well-referenced overview of the current state of the science related to how to optimize training and athletic performance through nutrition. More specifically, this paper provides an overview of: 1.) The definitional category of ergogenic aids and dietary supplements; 2.) How dietary supplements are legally regulated; 3.) How to evaluate the scientific merit of nutritional supplements; 4.) General nutritional strategies to optimize performance and enhance recovery; and, 5.) An overview of our current understanding of the ergogenic value of nutrition and dietary supplementation in regards to weight gain, weight loss, and performance enhancement. Our hope is that ISSN members and individuals interested in sports nutrition find this review useful in their daily practice and consultation with their clients

Chitinase-like proteins promote IL-17-mediated neutrophilia in a tradeoff between nematode killing and host damage

Enzymatically inactive chitinase-like proteins (CLPs) such as BRP-39, Ym1 and Ym2 are established markers of immune activation and pathology, yet their functions are essentially unknown. We found that Ym1 and Ym2 induced the accumulation of neutrophils through the expansion of γδ T cell populations that produced interleukin 17 (IL-17). While BRP-39 did not influence neutrophilia, it was required for IL-17 production in γδ T cells, which suggested that regulation of IL-17 is an inherent feature of mouse CLPs. Analysis of a nematode infection model, in which the parasite migrates through the lungs, revealed that the IL-17 and neutrophilic inflammation induced by Ym1 limited parasite survival but at the cost of enhanced lung injury. Our studies describe effector functions of CLPs consistent with innate host defense traits of the chitinase family

The evolving SARS-CoV-2 epidemic in Africa: Insights from rapidly expanding genomic surveillance

INTRODUCTION Investment in Africa over the past year with regard to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) sequencing has led to a massive increase in the number of sequences, which, to date, exceeds 100,000 sequences generated to track the pandemic on the continent. These sequences have profoundly affected how public health officials in Africa have navigated the COVID-19 pandemic. RATIONALE We demonstrate how the first 100,000 SARS-CoV-2 sequences from Africa have helped monitor the epidemic on the continent, how genomic surveillance expanded over the course of the pandemic, and how we adapted our sequencing methods to deal with an evolving virus. Finally, we also examine how viral lineages have spread across the continent in a phylogeographic framework to gain insights into the underlying temporal and spatial transmission dynamics for several variants of concern (VOCs). RESULTS Our results indicate that the number of countries in Africa that can sequence the virus within their own borders is growing and that this is coupled with a shorter turnaround time from the time of sampling to sequence submission. Ongoing evolution necessitated the continual updating of primer sets, and, as a result, eight primer sets were designed in tandem with viral evolution and used to ensure effective sequencing of the virus. The pandemic unfolded through multiple waves of infection that were each driven by distinct genetic lineages, with B.1-like ancestral strains associated with the first pandemic wave of infections in 2020. Successive waves on the continent were fueled by different VOCs, with Alpha and Beta cocirculating in distinct spatial patterns during the second wave and Delta and Omicron affecting the whole continent during the third and fourth waves, respectively. Phylogeographic reconstruction points toward distinct differences in viral importation and exportation patterns associated with the Alpha, Beta, Delta, and Omicron variants and subvariants, when considering both Africa versus the rest of the world and viral dissemination within the continent. Our epidemiological and phylogenetic inferences therefore underscore the heterogeneous nature of the pandemic on the continent and highlight key insights and challenges, for instance, recognizing the limitations of low testing proportions. We also highlight the early warning capacity that genomic surveillance in Africa has had for the rest of the world with the detection of new lineages and variants, the most recent being the characterization of various Omicron subvariants. CONCLUSION Sustained investment for diagnostics and genomic surveillance in Africa is needed as the virus continues to evolve. This is important not only to help combat SARS-CoV-2 on the continent but also because it can be used as a platform to help address the many emerging and reemerging infectious disease threats in Africa. In particular, capacity building for local sequencing within countries or within the continent should be prioritized because this is generally associated with shorter turnaround times, providing the most benefit to local public health authorities tasked with pandemic response and mitigation and allowing for the fastest reaction to localized outbreaks. These investments are crucial for pandemic preparedness and response and will serve the health of the continent well into the 21st century