Merkel cell carcinoma of the head and neck in the south-east of England

Merkel cell carcinoma (MCC) is a rare and highly aggressive neuroendocrine malignancy of the skin. Its incidence is increasing with half of cases involving the head and neck. To the best of our knowledge, few large studies have been published in the UK, and to date this is the largest reported series of head and neck MCC. We retrospectively reviewed the outcomes of patients with MCC in three hospitals in the south-east of England over a 12-year period (2008-2019). Diagnosis was based on histological data following biopsy. Overall survival and disease-specific survival were calculated using Kaplan-Meier and log-rank tests. Fifty-eight patients met the inclusion criteria (24 stage I, 22 stage II, 9 stage III, and 3 unclassified). Median disease-free survival was 36 months (95% CI 0 to 77.2) and median overall survival 50 months (95% CI 29.9 to 70). Overall five-year survival was 34.4% (95% CI 17% to 52%) with two-year survival at 62% (95% CI 48% to 76%). Five-year disease-free survival was 26.7% (95% CI 17 to 52%) with two-year disease-free survival at 54% (95% CI 40% to 68%). To date, this is the largest UK based study reporting overall and disease-free survival associated with MCC of the head and neck. Half the patients presented late, and surgery was the mainstay of treatment, augmented by adjuvant radiotherapy. There is a need to better stratify patients at risk of developing metastatic disease, with the use of sentinel lymph node biopsy and positron-emission tomography-computed tomography (PET-CT), as immunotherapy and targeted agents are now available to treat advanced disease.

Mist chamber extraction for improved diagnosis of Meloidogyne spp. from golf course bermudagrass

Meloidogyne spp. are among the most damaging plant-parasitic nematodes to golf course bermudagrass in the southern United States. Diagnostic samples processed by centrifugal flotation often recovered only low numbers of vermiform Meloidogyne spp. life stages (J2 and males) from soil, while roots were found to be heavily infested by sedentary life stages. Therefore, the University of Florida Nematode Assay Lab (NAL) evaluated mist extraction from turf plugs as a method for diagnosis of Meloidogyne spp. from golf course bermudagrass. Soil and turf plugs were obtained from 596 golf course bermudagrass small plots from multiple locations and cultivars over several years, and vermiform Meloidogyne spp. extracted from 100 cm³ of soil by centrifugal flotation and by mist chamber extraction from four 3.8-cm-diam. turf plugs were compared. Additionally, both extraction methods were performed on 431 golf course bermudagrass diagnostic samples received by the NAL from Florida, 36 golf course bermudagrass diagnostic samples from Texas, and 34 golf course bentgrass/bluegrass samples from California. In the small plots, and the bermudagrass samples from Florida and Texas, mist extraction had higher detection and recovery rates of vermiform Meloidogyne spp. than did centrifugal flotation. However, centrifugal flotation had higher detection and recovery rates than mist extraction from bentgrass/bluegrass samples from California. Mist extraction from turf plugs is superior to centrifugal flotation from soil for diagnosis of Meloidogyne spp. on golf course bermudagrass, but not on golf course bentgrass and bluegrass.

Assessment of the protective effect of Imvamune and Acam2000 vaccines against aerosolized monkeypox virus in cynomolgus macaques

To support the licensure of a new and safer vaccine to protect people against smallpox, a monkeypox model of infection in cynomolgus macaques, which simulates smallpox in humans, was used to evaluate two vaccines, Acam2000 and Imvamune, for protection against disease. Animals vaccinated with a single immunization of Imvamune were not protected completely from severe and/or lethal infection, whereas those receiving either a prime and boost of Imvamune or a single immunization with Acam2000 were protected completely. Additional parameters, including clinical observations, radiographs, viral load in blood, throat swabs, and selected tissues, vaccinia virus-specific antibody responses, immunophenotyping, extracellular cytokine levels, and histopathology were assessed. There was no significant difference (P > 0.05) between the levels of neutralizing antibody in animals vaccinated with a single immunization of Acam2000 (132 U/ml) and the prime-boost Imvamune regime (69 U/ml) prior to challenge with monkeypox virus. After challenge, there was evidence of viral excretion from the throats of 2 of 6 animals in the prime-boost Imvamune group, whereas there was no confirmation of excreted live virus in the Acam2000 group. This evaluation of different human smallpox vaccines in cynomolgus macaques helps to provide information about optimal vaccine strategies in the absence of human challenge studies.

How does exposure to nitrogen dioxide compare between on-road and off-road cycle routes?

This study demonstrates a simple method to estimate the extent to which the exposure of cyclists to NO(2) is reduced by using off-road cycle routes rather than on-road cycle routes. Diffusion tubes were used to measure monthly NO(2) concentrations on three paired sets of on- and off-road cycle journeys in and around the City of York in August and September 2008. These measurements were combined with estimates of journey times to calculate time-weighted average concentration and exposure on each route. The average concentration of NO(2) was significantly reduced by a mean of 37.5% when off-road routes were used in place of on-road routes and, despite the longer journey times for off-road routes, exposure was also significantly reduced by a mean of 25.5%. The method described in this study could be adopted more widely to provide a cost effective and simple means of assessing the benefits of alternative cycle routes that are provided by Local Authorities.

Ion chromatography on a new moderate capacity anion exchange column

The mechanisms of retention of anions on a new solvent-compatible, moderate capacity (170 microequivalent per column) anion-exchange column are described. Retention based on anion exchange is shown using both sodium hydroxide and 4-cyanophenolate eluants. Plots of the log k' vs. log C, (where k' is the capacity factor and C is the eluant concentration) are shown to be linear with slopes approximating the charge of the eluant as predicted by the standard anion-exchange equation. Sodium hydroxide is shown to be a relatively weak eluant, capable of separating monovalent anions that are difficult to separate on other columns. Sodium 4-cyanophenolate is shown to be a strong eluant, capable of eluting polyvalent anions. The retention of nonionic alkylphenones is also described. In plots of log k' vs. percentage acetonitrile in the eluant, these compounds were found not to follow the solvophobic mechanism typical of reverse-phase HPLC columns. Results are compared with other anion exchange columns. Applications include the determination of lysophosphatidyl inositol in brain microsomes and methacrylic acid in esterase-treated samples.