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019). Interestingly, in HER2+ cancers, only cases with all HLA high and high TIL showed significantly better survival. In node positive cancers, concordant high HLA expression in primary tumors and nodal metastases was favorable prognostically (DFS HR = 0.741, p  less then  0.001; BCSS HR = 0.699, p = 0.003). The data suggested an important clinical value of a combined analysis on the co-expression HLA-I status in both primary and metastatic tumors. This could be a potential additional key component to be incorporated into TIL evaluation for improved prognostication.BACKGROUND Few studies on the safety of gadolinium-based contrast agents have been performed in children with even fewer focusing on children younger than 2 years of age. OBJECTIVE To assess the safety of gadoterate meglumine (Dotarem) in patients younger than 2 years of age by evaluating adverse events following contrast administration. MATERIALS AND METHODS Pediatric patients younger than 2 years of age undergoing magnetic resonance imaging (MRI) with and without contrast were prospectively enrolled and received a weight-based intravenous dose of gadoterate meglumine (0.1 mmol/kg). The occurrence of adverse events was assessed at the time of injection, 2 h after MRI, and by phone contact using a standard questionnaire 24 h after MRI. Selleckchem AZD9291 Adverse events were documented including the time of onset, duration of symptoms, intensity, causality and subsequent outcome. Descriptive statistics were used to characterize patient information. RESULTS One hundred fifty exams were completed in 150 patients (median age 12.1 ments were reported to have occurred in the initial 2 h after the exam, while the rest were reported on the 24-h follow-up call. The higher reported rate of adverse events in this study may be related to concomitant sedation/anesthesia as well as to overreporting from parents on the 24-h follow-up questionnaire. The study confirms a good safety profile for gadoterate meglumine in this very sensitive population.Contrast-enhanced ultrasonography (US) has become an important supplementary tool in many clinical applications in children. Contrast-enhanced voiding urosonography and intravenous US contrast agents have proved useful in routine clinical practice. Other applications of intracavitary contrast-enhanced US, particularly in children, have not been widely investigated but could serve as a practical and radiation-free problem-solver in several clinical settings. Intracavitary contrast-enhanced US is a real-time imaging modality similar to fluoroscopy with iodinated contrast agent. The US contrast agent solution is administered into physiological or non-physiological body cavities. There is no definitive list of established indications for intracavitary US contrast agent application. However, intracavitary contrast-enhanced US can be used for many clinical applications. It offers excellent real-time spatial resolution and allows for a more accurate delineation of the cavity anatomy, including the internal architecture of complex collections and possible communications within the cavity or with the surrounding structures through fistulous tracts. It can provide valuable information related to the insertion of catheters and tubes, and identify related complications such as confirming the position and patency of a catheter and identifying causes for drainage dysfunction or leakage. Patency of the ureter and biliary ducts can be evaluated, too. US contrast agent solution can be administered orally or a via nasogastric tube, or as an enema to evaluate the gastrointestinal tract. In this review we present potential clinical applications and procedural and dose recommendations regarding intracavitary contrast-enhanced ultrasonography.In order to foster the potential of exclosures to sequester carbon, it is understood that they are increasingly assisted through enrichment planting. To study the impact of the enrichment planting on carbon sequestration process, five exclosures with enrichment planting and five pure naturally regenerated exclosures were selected. Along parallel transects, 20 × 20 m plots were laid at 100 m intervals where all woody vegetations were counted and measured for their diameter and total height. For soil sampling, five subplots at the center and four at each corner of the plots were established. The samples were collected at a depth of 0-0.2 m, and this procedure was repeated for each plot. In this case, when good management practices were implemented (such as Wukro exclosures), significant differences in organic soil carbon above the ground and the total carbon between naturally regenerated and enriched exclosures (P  less then  0.05) were found. The mean estimates of the above ground carbon, soil carbon, and total carbon were respectively 8.08, 31.04, and 39.12 ton/ha for natural regeneration vs. 7.94, 31.00, and 38.93 ton/ha for enriched regeneration. Lower altitudes had significantly higher soil organic carbon (P  less then  0.05) than the higher altitudes. However, the slope had an insignificant effect on carbon distribution. Enriched exclosures performed more poorly in carbon sequestration. This was possibly due to the disturbances caused by mass plantation and poor post plantation follow up, since improved performance (P  less then  0.05) was seen in one enriched exclosure with better management practices.Community forestry (CF) is increasingly recognized as one of the key solutions to forest management and governance challenges in the developing world. At its heart is the participation of local communities in forest management, bringing multiple benefits in forest health as well as the wellbeing of the local community and the wider society. However, CF in Nepal is felt by many to not be delivering on its potential. This paper presents illustrative examples from a capacity development needs assessment (CDNA), which was conducted to understand challenges CF in Nepal faces, focusing on two districts Rupandehi and Sindhupalchok. The application of the CDNA framework revealed the multiple challenges facing the CF program. They range from lack of multi-stakeholder platform at high level for discussion and resolution of CF-related issues, lack of system to review the program as well as systematic capacity development opportunities for stakeholders and weak governance, altogether contributing to costly and complex process for local community to participate and benefit from the program.
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