Malignancy in Guillain-Barré syndrome:A twelve-year single-center study

The relationship between Guillain-Barré syndrome (GBS) and malignancy is uncertain. We retrospectively analyzed data of 118 consecutive patients admitted with GBS from Birmingham, U.K. (2001 − 2012). We calculated relative cancer risk using different definitions and determined characteristics of malignancy-associated GBS. Malignancy was globally commoner in our GBS cohort compared to the general population (odds ratio: 2.08; CI: 1.06–3.71; p = 0.036). However, this was unconfirmed if paraneoplastic criteria were applied. GBS patients with cancer were significantly more likely to be older (p = 0.043), hyponatremic (p = 0.037) and demonstrate more axonal loss (p < 0.05). Cerebrospinal fluid (CSF) protein levels were lower in the malignancy group (p = 0.002) and neurological improvement less likely (p = 0.023). In-patient mortality was significantly higher in patients with malignancy (p < 0.01). We conclude global cancer risk is higher in GBS than in the general population, although definition-dependent. Malignancy requires consideration in elderly, hyponatremic subjects with normal CSF protein, severe axonal loss, who fail to improve post-treatment

Findings in young adults at colonoscopy from a hospital service database audit

Background: Colorectal cancer (CRC) diagnosed at <50 years is predominantly located in the distal colon and rectum. Little is known about which lesion subtypes may serve as CRC precursors in young adults. The aim of this work was to document the prevalence and histological subtype of lesions seen in patients aged <50 years, and any associated clinical features. Methods: An audit of the colonoscopy database at The Queen Elizabeth Hospital in Adelaide, South Australia over a 12-month period was undertaken. Findings were recorded from both colonoscopy reports and corresponding histological examination of excised lesions. Results: Data were extracted from colonoscopies in 2064 patients. Those aged <50 comprised 485 (24%) of the total. CRC precursor lesions (including sessile serrated adenoma/polyps (SSA/P), traditional serrated adenomas, tubular adenomas ≥10 mm or with high-grade dysplasia, and conventional adenomas with villous histology) were seen in 4.3% of patients aged <50 and 12.9% of patients aged ≥50 (P <0.001). Among colonoscopies yielding CRC precursor lesions in patients under 50 years, SSA/P occurred in 52% of procedures (11/21), compared with 27% (55/204) of procedures in patients aged 50 and older (P = 0.02). SSA/P were proximally located in (10/11) 90% of patients aged under 50, and 80% (43/54) of those aged 50 and older (P = 0.46). Conclusions: SSA/P were the most frequently observed CRC precursor lesions in patients aged <50. Most CRCs in this age group are known to arise in the distal colon and rectum suggesting that lesions other than SSA/P may serve as the precursor for the majority of early-onset CRC.Stephanie Wong, Ilmars Lidums, Christophe Rosty, Andrew Ruszkiewicz, Susan Parry, Aung Ko Win, Yoko Tomita, Sina Vatandoust, Amanda Townsend, Dainik Patel, Jennifer E. Hardingham, David Roder, Eric Smith, Paul Drew, Julie Marker, Wendy Uylaki, Peter Hewett, Daniel L. Worthley, Erin Symonds, Graeme P. Young, Timothy J. Price and Joanne P. Youn

The study and feasibility of Cheshmeh-Ali River and down stream area of Shahid Shah-Charaghy Dam in Damghan for aquaculture development

This research was conducted to finding of Cheshmeh-Ali and Shahcheraghi-Dam downstream areas potential for developing of aquaculture industry. The present study was conducted based on available information and data from monthly and seasonally sampling including geographical area, margin lands and fluctuations of river water, seasonal climatic changes view point of rainfall, temperature, wet, evaporation, wind velocity, sunshine hours, frost and also chemical and physical parameters of water including temperature, alkalinity, total hardness, chloride, calcium, magnesium, sodium, potassium, organic phosphorous and nitrogen, suspended solids, turbidity, water flow and flood conditions, and in addition phytoplankton and zooplankton communities, macrobenthic invertebrates, fishes, aquatic plants, amphibians, reptiles, birds. Results showed that the upstream and downstream regions of Shahcheraghi dam are not suitable for warm water aquaculture in earthen ponds. But view point of cold-water aquaculture, particularly trout, there are some good situations. Also it can be suggested different culture systems including of race way, octagonal concrete ponds, semi-circulation and circulation methods. But, due to water restrictions in the area, semi-circulation and circulation system is preferred. In ideal conditions can be produced about 1,600 tones of trout, if all the capacity of this area be used for aquaculture. Otherwise, in limited circumstances view point of exploitation possibility of the water, only about 700 tons can be produced. In addition, there were appropriate facilities in spring area of Cheshmehali for tourism industry, that it can be considered as priorities for economic development in the region. Due to the low sensitivity of the ecologically conditions, native or exotic aquatic species rearing in indoor methods can be recommended

Warm water cultured fishes in Kermanshah province study on the possibility of improving

For the improve handling of carp cultured fishes in Kermanshah province we chose 4 treatment out of that one treatment was the best, this included fish+powdered ice with C.S.W tank transported with a roof covered car in all treatment fish are tested physically and chemically and microbiologically, also temperature of fish body and environment was taken periodically andattempt for biometry and weight ranges of fishes also did in each study

Production of the burger combination kilka-silver carp and evaluation the nutritional value and shelf life it during cold storage period

Kilka fish burger and silver fish is product of minced fish meat kilka and silver carp are mado of flavors , fillings, vejetables and spices.this fusion can be made on a toasted (fried or raw) and be marketed. The project was to replace the effects of different amounts of kilka fish instead of meat silver carp burger in preparing the consolidated on acceptance and qualitative changes in the past 5 months were examined and selected the best treatment for the industrial manufacturing industry in presented .Therefore , the four treatments with a variety of burger meat mixed with kilka and silver carp have been defined and the sensory evaluation were prepared . Based on statistical tests , selected treatment 3 (kilka hundred percent) in terms of flavor and color is in the highest rating. Also, the control treatment in term of taste, odor and color is in second priority. It is noteworthy that treatments 1 and 2, in the next priority is accepted. Goals of this plan is consolidation of kilka and silver carp in preparation of consolidated burger in order to financial purpose in final product. Chemical, microbiological, sensory evaluation and free fatty acie of the product during the 5 months storage at -18°C is illustrated that, the product is maintained its quality during the entire sensory and chemical paraments

A multivariate morphometric investigation to delineate stock structure of gangetic whiting, Sillaginopsis panijus (Teleostei: Sillaginidae)

This study was conducted to delineate the stock structure of Sillaginopsis paniijus based on morphometric characters of the species. A total of 194 specimens were collected from the Meghna, Tentulia and Baleswar rivers located in the southern coastal zone of Bangladesh. Data were subjected to univariate ANOVA, multivariate ANOVA, discriminate function analysis (DFA), and principal component analysis. Mean variations of ten morphometric characters; HD, HBD, LBD, PsOL, ED, SnL, SPrDL, HAF, LSDB and LPB showed significant differences (p &lt; 0.05) among 27 morphometric traits that were selected for the study. In DFA, the overall assignments of individuals into their correctly classified original groups were 71.1 and 70.6 % for male and female, respectively. A scatter plot of the first two discriminant functions was used to visually depict the discrimination among the populations. The results showed different stocks of S. panijus in the rivers of Baleswar, Tentulia and Meghna in southwest coast of Bangladesh

What is the prevalence of fear of cancer recurrence in cancer survivors and patients? A systematic review and individual participant data meta-analysis

This study was supported by the Dutch Cancer Society (KWF) grant number 10936.Objective Care for fear of cancer recurrence (FCR) is considered the most common unmet need among cancer survivors. Yet the prevalence of FCR and predisposing factors remain inconclusive. To support targeted care, we provide a comprehensive overview of the prevalence and severity of FCR among cancer survivors and patients, as measured using the short form of the validated Fear of Cancer Recurrence Inventory (FCRI-SF). We also report on associations between FCR and clinical and demographic characteristics. Methods This is a systematic review and individual participant data (IPD) meta-analysis on the prevalence of FCR. In the review, we included all studies that used the FCRI-SF with adult (≥18 years) cancer survivors and patients. Date of search: 7 February 2020. Risk of bias was assessed using the Joanna Briggs Institute critical appraisal tool. Results IPD were requested from 87 unique studies and provided for 46 studies comprising 11,226 participants from 13 countries. 9311 respondents were included for the main analyses. On the FCRI-SF (range 0–36), 58.8% of respondents scored ≥13, 45.1% scored ≥16 and 19.2% scored ≥22. FCR decreased with age and women reported more FCR than men. FCR was found across cancer types and continents and for all time periods since cancer diagnosis. Conclusions FCR affects a considerable number of cancer survivors and patients. It is therefore important that healthcare providers discuss this issue with their patients and provide treatment when needed. Further research is needed to investigate how best to prevent and treat FCR and to identify other factors associated with FCR. The protocol was prospectively registered (PROSPERO CRD42020142185).Publisher PDFPeer reviewe

Online information and support needs of women with advanced breast cancer: A qualitative analysis

Purpose: Women with advanced breast cancer (ABC) face significant adjustment challenges, yet few resources provide them with information and support, and attendance barriers can preclude access to face to face psychosocial support. This paper reports on two qualitative studies examining (i) whether information and support-seeking preferences of women with ABC could be addressed in an online intervention, and (ii) how an existing intervention for patients with early stage cancer could be adapted for women with ABC. Methods: Women with ABC participated in telephone interviews about their information and support- seeking preferences (N = 21) and evaluated an online intervention focused on early-stage cancer (N = 15). Interviews were transcribed and underwent thematic analysis using the framework method to identify salient themes. Results: Participants most commonly sought medical, lifestyle-related, and practical information/support; however, when presented with an online intervention, participants most commonly gave positive feedback on content on coping with emotional distress. Difficulty finding information and barriers to using common sources of information/support including health professionals, family and friends, and peers were reported; however, some women also reported not wanting information or support. All participants evaluating the existing intervention gave positive feedback on various components, with results suggesting an online intervention could be an effective means of providing information/support to women with ABC, given improved specificity/relevance to ABC and increased tailoring to individuals circumstances and preferences. Conclusions: Adaptation of an existing online intervention for early stage cancer appears a promising avenue to address the information and support needs of women with ABC

Age, reproduction, and fecundity of a population of Cobitis sp. (Actinopterygii: Cypriniformes: Cobitidae) from the Babolrud River in the southern Caspian Sea basin

Background. Loach fishes, Cobitis sp., are found in the majority of streams in the southern Caspian Sea basin, but reproductive parameters of them are barely known. Reproductive conditions are key parameters of fish populations and their assessment is very important for several reasons. Therefore, the main aim of this study was to obtain reproductive characteristics of this fish which will be a first report for the basin. Materials and methods. Sampling was done at monthly intervals throughout the year and 226 individuals of Cobitis sp., were caught from the Babolrud River in the southern Caspian Sea basin, north of Iran. Age, sex ratio, fecundity, oocytes diameter, gonadosomatic- and modified gonadosomatic indices were estimated. Regression analyses were used to find relations between fecundity and fish size (length and weight), gonad weight, and age. Results. Sex ratio differed significantly from unity, and the percentage of females was greater than that of males. The mature females and males were longer than 45 and 35 mm in total length (+2 and +1 in age, respectively). The average egg diameter was 0.58 mm. The spawning took place from beginning of May to late July, when water temperature was between 19.1 and 24.6°C. Average GSI value at the beginning of the reproduction period was 8.93% and ranged between 4% and 26% in ripe, mature females. The average of absolute and relative fecundity was calculated 2172 and 590, respectively. The absolute fecundity was significantly related to body weight and gonad weight. Conclusion. Based on the pattern of gonadosomatic index, it was concluded that this fish has a prolonged active reproductive period. Their reproduction in this basin shows some differences from other reports, which might be related to different environmental conditions