Primary enucleation for group D retinoblastoma in the era of systemic and targeted chemotherapy: the price of retaining an eye

BACKGROUND: Chemotherapy is increasingly used as primary treatment for group D retinoblastoma, whereas primary enucleation is considered to have a diminishing role. This study aimed to compare the management course, including number of examinations under anaesthesia (EUAs), of group D patients treated by enucleation versus chemotherapy. METHODS: A retrospective analysis of 92 group D patients, of which 40 (37 unilateral) underwent primary enucleation and 52 (17 unilateral) were treated with intravenous chemotherapy. Number of EUAs was compared between the treatment groups with respect to the whole cohort, using univariate and multivariate analysis, and to unilateral cases only. RESULTS: Patients were followed up for a median of 61 months (mean: 66, range: 14-156), in which time primary enucleated patients had on average seven EUAs and chemotherapy-treated patients 21 EUAs (p<0.001). Chemotherapy, young age, bilateral disease, multifocal tumours, familial and germline retinoblastoma were found on univariate analysis to correlate with increased number of EUAs (p≤0.019). On multivariate analysis, however, only treatment type and presentation age were found significant (p≤0.001). On subanalysis of the unilateral cases, patients undergoing primary enucleation had in average seven EUAs, as compared with 16 in the chemotherapy group (p<0.001). Of the 55 unilateral-presenting patients, a new tumour developed in the fellow eye only in a single familial case. CONCLUSION: Group D patients' families should be counselled regarding the significant difference in number of EUAs following primary enucleation versus chemotherapy when deciding on a treatment strategy. In this regard, primary enucleation would be most beneficial for older patients with unilateral disease

Primary intravenous chemotherapy for group D retinoblastoma: a 13-year retrospective analysis.

BACKGROUND: Eye salvage rate for group D retinoblastoma using intravenous chemotherapy (IVC) as a primary modality is <50%. To report on 13 years' experience with the use of primary IVC for group D retinoblastoma. METHODS: A retrospective analysis of 64 group D eyes (52 patients) treated with primary IVC, from 2002 to 2014. RESULTS: The median age at presentation was 11.0 months (mean: 18.6, range: 0.6-144.0), 35 (67%) patients had bilateral disease, 38 (73%) germline disease and 8 (15%) cases were familial. In addition to IVC, patients received a median number of three treatments (mean: 6, range: 0-24), including thermotherapy/cryotherapy, plaque radiotherapy, intra-ophthalmic artery chemotherapy (IAC) and/or intravitreous chemotherapy. External beam radiotherapy (EBRT) was used in five eyes, all of which were eventually enucleated. In a median follow-up time of 55 months (mean: 64, range: 14-156), 63% of eyes were salvaged. By the Kaplan-Meier survival analysis, globe salvage rate was 83%, 70%, 59% and 45% at 1, 3, 5 and 10 years, respectively. There were no cases of metastatic spread from intraocular retinoblastoma and no deaths. IVC-related adverse events included febrile neutropenia in 21 (40%) patients and anaphylactic reaction to carboplatin in 2 (4%), all conservatively resolved. Of the patients receiving IAC, third and sixth nerve palsies were documented in two (10%) and one (5%) eyes, respectively. CONCLUSIONS: Primary IVC for group D eyes, with adjuvant treatments as required, was found to be a safe and efficient approach, achieving 63% eye salvage rate, no metastatic spread from intraocular retinoblastoma and no deaths. IAC has now replaced EBRT as a successful salvage treatment

The impacts of wall-building politics on international tourism flows: The case of Hungary

Historical evidence suggests that economic differences between populations induce ethnic tensions and national rivalry which, in turn, trigger mass migrations. The building of walls for protection of citizens from such external threats has been a common political choice, specifically that of great empires. In modern Western societies, built upon democratic principles, however, wall-building politics to shut down the mass influx of refugees from conflict regions is in fundamental contrast with the unalienable human rights of free movement and non-refoulement. In 2015, global forced displacement of people hit the highest record since the United Nations Refugee Agency (UNHCR) records began, with a total of 65.3 million people displaced from their homes by conflict and persecution (UNHCR, 2016). At the same time, the definition of refugee has changed from being victims to a problem or threat that must be solved by – often less altruistic – government intervention (Peters&Besley 2015; Poku&Graham, 1998). With reference to the actual case of president-elect Donald Trump’s executive order to erect a wall on the US-Mexican border, the present paper addresses this issue by investigating and comparing the legal background of recently built walls around Europe. In the first instance, European and national laws will be compared in order to understand the legal base of these initiatives (Hungary, Austria, Britain-funded Calais in France, Norway and Turkey), as well as the potentially underlying ethnic and religious motivations. Second, in order to understand the impacts on international tourism flows, the case of Hungary will be used. The national laws applied on the justification of the 175 km-long safety border lock on the Hungarian-Croatian border will be identified and the related changes in tourism flows in 2015-2016 will be analysed

Metric-based vs peer-reviewed evaluation of a research output: Lesson learnt from UK’s national research assessment exercise

Purpose There is a general inquisition regarding the monetary value of a research output, as a substantial amount of funding in modern academia is essentially awarded to good research presented in the form of journal articles, conferences papers, performances, compositions, exhibitions, books and book chapters etc., which, eventually leads to another question if the value varies across different disciplines. Answers to these questions will not only assist academics and researchers, but will also help higher education institutions (HEIs) make informed decisions in their administrative and research policies. Design and methodology To examine both the questions, we applied the United Kingdom’s recently concluded national research assessment exercise known as the Research Excellence Framework (REF) 2014 as a case study. All the data for this study is sourced from the openly available publications which arose from the digital repositories of REF’s results and HEFCE’s funding allocations. Findings A world leading output earns between £7504 and £14,639 per year within the REF cycle, whereas an internationally excellent output earns between £1876 and £3659, varying according to their area of research. Secondly, an investigation into the impact rating of 25315 journal articles submitted in five areas of research by UK HEIs and their awarded funding revealed a linear relationship between the percentage of quartile-one journal publications and percentage of 4* outputs in Clinical Medicine, Physics and Psychology/Psychiatry/Neuroscience UoAs, and no relationship was found in the Classics and Anthropology/Development Studies UoAs, due to the fact that most publications in the latter two disciplines are not journal articles. Practical implications The findings provide an indication of the monetary value of a research output, from the perspectives of government funding for research, and also what makes a good output, i.e. whether a relationship exists between good quality output and the source of its publication. The findings may also influence future REF submission strategies in HEIs and ascertain that the impact rating of the journals is not necessarily a reflection of the quality of research in every discipline, and this may have a significant influence on the future of scholarly communications in general. Originality According to the author’s knowledge, this is the first time an investigation has estimated the monetary value of a good research output

The Contemptible Ethnic Profiling at the UK Airports of Muslim and Ethnic Minority Travellers

Ethnic profiling at the airport is deliberately racist. Ethnic profiling makes generalizations about entire communities. In criminal cases the Supreme Court has condemned ethnic profiling against African-Americans for a long time, because of its injustice. If ethnic profiling were used again in this way, there would be uproar. However, \u27Islamaphobia\u27 is still a socially acceptable form of racism. When one considers the number of Muslims or ethnic Middle Easterners and South-East Asians in proportion to the number of terrorists, one sees that this fear is founded on a few cases. The State should not allow institutionalized bigotry based on little evidence. The fact that other security measures have failed does not suggest that this one will succeed. Perhaps it proves that no security measures are entirely effective. Despite anomalies, the majority of terrorist organizations threatening us today are based on a form of Islamic ideology that is mostly prevalent in the Middle East and South-East Asia. Profiling is based on a reasoned assumption that it is people within these organizations, situated in these countries, who are the most likely suspects of terrorism. The purpose of this study is to examine ethnic profiling being used at the airports against Muslims or ethnic Middle Easterners and South-East Asians people. How that has impacted on religious tourists visiting scared sites around the world. The study will analyse the data how racial profiling works, the evidence shows many terrorists come from Europe or from within the United States, who don\u27t fit the profile. The study will develop framework how to avoid harassment and bigotry can be prevented with a system of accountability and proper supervision. Security personnel needs to be trained specifically for the role, so that they know what behavioural signs to look out for and learn to use ethnic profiling sensitively

Computational Cancer Biology: An Evolutionary Perspective

ISSN:1553-734XISSN:1553-735

Histopathological and environmental effects of the insecticide, sumithion on the fish, tilapia (Oreochromis niloticus) in pond condition

The present research work was conducted to evaluate the effects of organophosphate insecticide, sumithion on water quality parameters, density of plankton population and histological changes of kidney and liver of the fish, tilapia (Oreochromis niloticus) in aquaculture ponds during July to December 2016. The experiment was conducted with four treatments, each with two replications. Treatment T0 was used as control (no sumithion) and other three treatments with 0.025 ppm (T1), 0.050 ppm (T2) and 0.100 ppm sumithion (T3). The water quality parameters such as dissolved oxygen, free carbon dioxide, pH, total alkalinity, NO3-N and PO4-P fluctuated significantly under four treatments during the experimental period but they were not affected by sumithion application. The phytoplankton densities (×105 cells L-1) was not affected by sumithion. Six genera of phytoplankton populations were found in the experimental ponds. On the other hand, zooplankton population densities (×103 cells L-1) were significantly reduced with increasing doses of sumithion (T2 and T3) in comparison with that of control (T0). Histological changes of kidney were observed after application of sumithion. The renal corpuscle, collecting duct, hematopoietic cells and other cells of the kidney in control (T0) were normal and systematically arranged. Abnormal collecting duct, Intra-cellular space, degenerated renal corpuscle, irregular shaped blood vessel, ruptured membrane large vacuole and necrosis were found in T1, T2 and T3.Normal structure of liver cells such as hepato-pancreas, hepatic cell and blood vessel were observed in T0 (control). Sumithion exposed liver sections showed rupturedhepato-pancreas, necrosis, hemorrhage, intra-cellular space, degenerated hepatopancreas and large vacuole were found in T1, T2 and T3. Therefore, it reveals that sumithion has adverse effects on kidney and liver of the test fish. So, sumithion should not be used indiscriminately in agriculture and aquaculture practices. It may be concluded from the research finding that dissolved oxygen, free carbon dioxide, pH, total alkalinity, PO4-P, NO3-N, phytoplankton and zooplankton values under treatment, T0, are significantly different from treatments T1, T2, and T3 in most cases. Int. J. Agril. Res. Innov. &amp; Tech. 9 (1): 84-95, June, 201

Culture of Chlorella ellipsoidea in different culture media

An experiment of algal culture was conducted in natural light and temperature conditions at a balcony of a room at the 2nd floor of Fisheries Faculty Building facing the north. The experiment was done to evaluate the growth of Chlorella ellipsoidea in four different media, viz, medium I (inorganic), medium II (organic, whole pulse powder extract), medium III (organic, whole lentil powder extract) and medium IV (organic, whole gram powder extract) under natural environment conditions during January-June, 2015. Growth rates of the algal species in four different media were found not significantly different. The alga, C. ellipsoidea attained maximum cell density of 28.89×106 cell ml-1 in the 15th day in medium I, of 30.69×106 cell ml-1 in the 13th day in medium II, of 26.18×106 cell ml-1 in the 15th day in medium III and of 21.12×106 cell ml-1 in the 13th day in medium IV. The ranges of air temperature, water temperature and light intensity were 21°C to 38°C, 23°C to 36°C and 2.28×103to 9.60×103 Lux respectively during the culture period. The average sunshine period was 5.87±2.82 hrs. Total alkalinity, free CO2, pH , NO3-N and PO4-P of algal culture media I, II, III and IV were 128, 540, 554 and 322 mgL-1; 32, 162, 102, 70 mgL-1; 7.4, 8, 7.9 and 7.9; 180, 36.6, 62.4 and 150 mgL-1, and 25.2, 48.2, 42.4 and 45.6 mgL-1, respectively. According to ANOVA of cell densities of cultures of C. ellipsoidea under treatments are not significantly different (F=1.441077). It is clear that differences between them are not significant i.e. mean algal cell densities are more or less same as differences between treatments are less than 20%.Int. J. Agril. Res. Innov. &amp; Tech. 7 (1): 51-57, June, 201

The Effects of COVID-19 and the Russia-Ukraine War on Inward Foreign Direct Investment

Inward Foreign Direct Investment (IFDI) into Europe and Asian developing countries like Bangladesh is experimentally examined in this study. IFDI in emerging markets has been boosted by global investment and inflow influenced by resource availability and public policy. The economic policy uncertainty on IFDI in 13 countries is explored at a time when the crisis between Russia and Ukraine war is having a global impact. Microeconomic factors affected Gross Domestic Product (GDP) growth, inflation, interest rates, and the currency rate fluctuated with IFDI, which mostly shocked during COVID-19 and the Russia-Ukraine war. With data from the World Bank and the United Nations Conference on Trade and Development (UNCTAD) database, we compile a panel dataset covering 2018-2022. The researchers used a mixture of panel and linear regression analysis using a random effect model. Our findings show that the impact of global rates hurts IFDI in 13 selected countries. There is a correlation between a country's ability to enforce contracts and the amount of Inward FDI it receives. Using the top 13 hosts of incoming FDI flows COVID-19 and Russia-Ukraine wartime series analysis gives valuable information for policymakers in the remaining countries chosen to attract IFDI inflows.Comment: Volume 2 Issue 4 November 2023 / Pg. No: 408-41

Are we failing to protect threatened mangroves in the Sundarbans world heritage ecosystem?

The Sundarbans, the largest mangrove ecosystem in the world, is under threat from historical and future human exploitation and sea level rise. Limited scientific knowledge on the spatial ecology of the mangroves in this world heritage ecosystem has been a major impediment to conservation efforts. Here, for the first time, we report on habitat suitability analyses and spatial density maps for the four most prominent mangrove species - Heritiera fomes, Excoecaria agallocha, Ceriops decandra and Xylocarpus mekongensis. Globally endangered H. fomes abundances declined as salinity increased. Responses to nutrients, elevation, and stem density varied between species. H. fomes and X. mekongensis preferred upstream habitats. E. agallocha and C. decandra preferred down-stream and mid-stream habitats. Historical harvesting had negative influences on H. fomes, C. decandra and X. mekongensis abundances. The established protected area network does not support the most suitable habitats of these threatened species. We therefore recommend a reconfiguration of the network to include these suitable habitats and ensure their immediate protection. These novel habitat insights and spatial predictions can form the basis for future forest studies and spatial conservation planning, and have implications for more effective conservation of the Sundarbans mangroves and the many other species that rely on them