Sentinel node biopsy in early breast cancer patients with palpable axillary node

Background: Sentinel lymph node biopsy is a reliable method for evaluation of the axillary lymph node status in early stage breast cancer patients with non-palpable lymph nodes. The present study evaluated the status of sentinel and non-sentinel lymph nodes in T1T2 patients with palpable axillary lymph nodes. Materials and Methods: One hundred and two women with early breast cancer were investigated in this study. Patients were selected for axillary sentinel lymph node biopsy and then surgery.Then the rates of false negative and true positive, and diagnostic accuracy of sentinel lymph nodes biopsy were evaluated. In addition, the hormone receptors status of the tumor was determined through IHC and data was analyzed in SPSS21. Results: In this study, the mean age of the patients was 49 years, 85 had invasive ductal carcinoma in their pathology reports, 77 were ER/PR positive, 30 HER2 positive and 9.8 triple negative and 69 had KI6714 (p<0.002) whereas the rate of involvement was lower in triple negative patients. Conclusion: Sentinel node biopsy can be used in a significant percentage of breast cancer patients with palpable and reactive axillary lymph nodes. © 2020 Asian Pacific Organization for Cancer Prevention

Measurement of hepatic insulin sensitivity early after the bypass of the proximal small bowel in humans

Objective: Unlike gastric banding or sleeve gastrectomy procedures, intestinal bypass procedures, and the Roux-en-Y gastric bypass (RYGB) in particular, lead to rapid improvements in glycaemia early after surgery. The bypass of the proximal small bowel may have weight loss and even caloric restriction independent glucose-lowering properties on hepatic insulin sensitivity. In this first in humans mechanistic study, we examined this hypothesis by investigating the early effects of the duodeno-jejunal bypass liner (DJBL; GI Dynamics, USA) on the hepatic insulin sensitivity using the gold standard euglycaemic hyperinsulinaemic clamp methodology. Method: Seven patients with obesity underwent measurement of hepatic insulin sensitivity at baseline, one week after a low-calorie liquid diet and after a further one week following insertion of the DJBL whilst on the same diet. Results: DJBL did not improve the insulin sensitivity of hepatic glucose production (HGP) beyond the improvements achieved with caloric restriction. Conclusions: Caloric restriction may be the predominant driver of early increases in hepatic insulin sensitivity after the endoscopic bypass of the proximal small bowel. The same mechanism may be at play after RYGB and explain, at least in part, the rapid improvements in glycaemia

Rangeland management and ecological adaptation analysis model for astragalus curvirostris boiss

The present study investigates the ecological requirements of Astragalus curvirostris Boiss., with emphasis on determining the ecological factors that affect the distribution of plant species, and the species’ response to changes in ecological factors using a Generalized Additive Model (GAM) in the Iranian Province of Zanjan from 2017 to 2019. Randomized-systematic sampling was used to collect vegetation data. Data analysis was performed using SPSS17 and CANOC4.5 software. The results showed that the growth and development of A. curvirostris change according to environmental factors linked to the composition of the soil and the variety of the other species present. This model is indicative of a competitive limitation along the environmental gradient. By understanding all environmental parameters, the necessary steps could be taken towards planning proper management programs, including rangeland grazing management and determining the proper moment for seed collection, which will result in the conservation, improvement, and restoration of rangelands

Anthropic effects on the biodiversity of the habitats of ferula gummosa

The uncontrolled exploitation of soil and plants by people has generated important ecological imbalances all over the world. This manuscript focuses its attention on the ecosystem of Ferula gummosa (FG). FG belongs to the Apiaceae family and has a vast distribution from central Asia to South Africa, as well as northwest Iran, including the Zanjan Province. This plant has diverse applications across industrial, forage and medicinal fields. To investigate the effective factors on the FG distribution, four main natural habitats were selected based on field visits and a literature review. Then, environmental factors, such as climate features, topography conditions, and soil characteristics, were collected and analysed. According to the results, the slope is mainly north-northeast with a slope of 55 to 70 degrees, and an elevation range above 2200 m is suitable for the growth of FG in the Zanjan Province. The main companion plants were Silene bupleuroides L. and Thymus kotschyanus. The results show that in the habitats where FG grew, the soil was mostly shallow, sometimes semi-deep and consisting mainly of loam, loamy sand, loamy clay and mostly clay loam with very low salinity (less than 0.7 dS/m), and was in the neutral range of soil acidity (6.9 to 7.33). Soil organic carbon was relatively high, but the amount of nutrients, such as phosphorus and potassium, was less than optimal in these soils. Next, using a Geographic Information System (GIS), maps of homogeneous areas for possible FG establishment across the province were created. In conclusion, the main factors affecting the FG distribution in the Zanjan Province were land use conversion, harvesting fodder and grazing livestock, improper exploitation of rangelands, pests and diseases of Ferula gummosa in the region. The ecological data collected on FG may be useful to understand how human action can affect the existence and extinction of many plant species