Extramedullary disease in Waldenström macroglobulinemia: A population-based observational study.

Introduction: Extramedullary disease (EMD) is a rare manifestation of Waldenström macroglobulinemia (WM), and its clinical and prognostic implications are poorly understood.

Methods: In this single-center study, we investigated the clinical significance of EMD in a cohort of 469 WM patients.

Results: EMD was identified in 30 (6.

Prognostic impact of nodal involvement in Waldenström macroglobulinaemia.

The clinical and prognostic implications of nodal involvement (NI) in Waldenström macroglobulinaemia (WM) are largely unknown. In this study, we explored the impact of NI on clinical presentation and outcome in a population-based cohort of 469 patients with WM, consecutively diagnosed between 2000 and 2022. NI was detected in 34% of patients and was associated with symptomatic disease, adverse prognostic factors, an increased risk of transformation, and lymphoma-related death.

Mutational landscape in Waldenström macroglobulinemia evaluated using a next-generation sequencing lymphoma panel in routine clinical practice.

Next-generation sequencing (NGS) affords comprehensive insights into the genomic landscape of lymphomas. We examined the mutational pattern in patients with Waldenström macroglobulinemia (WM) or lymphoplasmacytic lymphoma (LPL) as well as the diagnostic and clinical utility of a tailored NGS lymphoma panel. A consecutive series of 45 patients was reviewed and NGS analysis was performed as part of a routine diagnostic setup.

The relationship between feed efficiency and behaviour differs between lactating Holstein and Jersey cows.

In dairy production, high feed efficiency (FE) is important to reduce feed costs and negative impacts of milk production on the climate and environment, yet little is known about the relationship between FE, eating behaviour and activity. This research communication describes how cows differing in FE, expressed as daily energy corrected milk production per unit of feed intake, differed in eating behaviour and activity. We used data from a study of 253 lactations obtained from 97 Holstein and 91 Jersey cows milked in an automatic milking system.

Bone Involvement as a Primary Rare Manifestation of Waldenstrom Macroglobulinemia: A Case Report and Prevalence in a Nationwide Population-Based Cohort Study.

Bone involvement is a rare extranodal manifestation in patients with malignant lymphoproliferative diseases and has also been noted as a rare event in patients with Waldenstrom macroglobulinemia (WM). However, the actual prevalence has not been previously reported. We describe an unusual case of a patient with WM who presented with lower back pain and focal bone lesions at initial diagnosis.

Cardiovascular diseases in elderly survivors of diffuse large B-cell lymphoma: a Danish population-based cohort study.

Diffuse large B-cell lymphoma is an aggressive disease occurring primarily in elderly patients. Despite high curative rates with doxorubicin-containing treatment, some elderly patients receive less intensive treatments, mainly due to advanced age, comorbidities, and concerns of cardiotoxicity from doxorubicin-containing regimens. We analyzed 1009 patients aged 75 years or older and 10,090 age- and sex-matched comparisons.

Feeding and Manual Brushing Influence the Release of Oxytocin, ACTH and Cortisol Differently During Milking in Dairy Cows.

Aim: This study aimed to examine the effects of feeding or abdominal brushing on the release of the hormones oxytocin, ACTH and cortisol during milking in dairy cows.

Methods: Twelve cows in early lactation were used (2 × 2 factorial experimental design), testing the effects of two types of sensory stimulation during milking over a 3 day period; feeding concentrate or manual abdominal brushing (1 stroke/s). Blood samples for hormone analyses were collected at time at -15, -1, 0 (onset of cluster), every min for 8 min, at 10, 12, 14, 16, 30, and 60 min.

Comparison of the feeding behaviour of primiparous and multiparous Jersey and Holstein cows kept under equal conditions throughout lactation.

The objective of the study was to describe the feeding behaviour of primiparous and multiparous Jersey cows compared to Holstein cows housed in separate groups in the same barn. Such information could help farmers to optimise management with respect to welfare and production. Yet, it remains limited for Jersey cows over the entire period of lactation.

Core needle biopsy is an inferior tool for diagnosing cervical lymphoma compared to lymph node excision.

Background: In Denmark, fine needle aspiration is the standardized tool for obtaining tissue samples from lymph nodes (LN) of the neck. However, because of a low specificity toward lymphomas, LNs suspicious for this disease are often surgically removed and examined. International studies have implied that a core needle biopsy (CNB) is sufficient for detecting lymphomas, thereby potentially avoiding surgery.

Introduction of a Comprehensive Diagnostic and Interdisciplinary Management Approach in Haematological Patients with Mucormycosis: A Pre and Post-Intervention Analysis.

Mucormycosis is a life threatening infection in patients with haematological disease. We introduced a Mucorales-PCR and an aggressive, multidisciplinary management approach for mucormycosis during 2016-2017 and evaluated patient outcomes in 13 patients diagnosed and treated in 2012-2019. Management principle: repeated surgical debridement until biopsies from the resection margins were clean as defined by negative Blankophor microscopy, Mucorales-PCR (both reported within 24 h), and cultures.

Patients with high-risk DLBCL benefit from dose-dense immunochemotherapy combined with early systemic CNS prophylaxis.

Survival of patients with high-risk diffuse large B-cell lymphoma (DLBCL) is suboptimal, and the risk of central nervous system (CNS) progression is relatively high. We conducted a phase 2 trial in 139 patients aged 18 to 64 years who had primary DLBCL with an age-adjusted International Prognostic Index (aaIPI) score of 2 to 3 or site-specific risk factors for CNS recurrence. The goal was to assess whether a dose-dense immunochemotherapy with early systemic CNS prophylaxis improves the outcome and reduces the incidence of CNS events.

Technical note: Random forests prediction of daily eating time of dairy cows from 3-dimensional accelerometer and radiofrequency identification.

Feed intake and time spent eating at the feed bunk are important predictors of dairy cows' productivity and animal welfare, and deviations from normal eating behavior may indicate subclinical or clinical disease. In the current study, we developed a random forests algorithm to predict dairy cows' daily eating time (of a total mixed ration from a common feed bunk) using data from a 3-dimensional accelerometer and a radiofrequency identification (RFID) prototype device (logger) mounted on a neck collar. Models were trained on continuous focal animal observations from a total of 24 video recordings of 18 dairy cows at the Danish Cattle Research Centre (Foulum, Tjele, Denmark).

Changes to steps, lying, and eating behavior during lactation in Jersey and Holstein cows and the relationship to feed intake, yield, and weight.

Devices that record behavior automatically have made it possible to accurately measure the lying and eating behavior of large numbers of dairy cows. During lactation, weight, feed intake, and production of cows change; however, longitudinal studies of how the behavior of dairy cows is correlated with production traits during lactation are limited. This study describes changes in duration of lying and eating behavior throughout lactation and how these variables are related to changes in milk yield, live weight, and feed intake in lactating primi- and multiparous Holstein and Jersey cows.

The effect of transition cow housing on lying and feeding behavior in Holstein dairy cows.

The present study investigated the effect of straw yard housing during the dry period and 2 d of additional maternity pen housing postcalving on lying and feeding behavior and calving difficulty in Holstein dairy cows. In this study, 122 multiparous cows were moved to either a straw yard or into freestall housing 4 wk before their expected calving date. Cows that had been housed in straw yards stayed in the maternity pen for an additional 2 d after their calving day, but cows that had been housed in freestalls were moved to the general lactation group the morning after calving.

Effects of an individual cow concentrate strategy on production and behavior.

The aim of this study was to investigate the effects of a concentrate strategy based on the individual cow partial mixed ration (PMR) intake compared with a flat rate. Half of the cows were fed the individual concentrate strategy, whereas the other half were fed the control strategy. The individually fed cows were offered a concentrate proportion equal to 30% of the ad libitum intake of the PMR in the automatic milking system, and the control cows were offered 3 kg of concentrate/d in the automatic milking system.

Validation of AfiTagII, a device for automatic measuring of lying behaviour in Holstein and Jersey cows on two different bedding materials.

Lying behaviour is important for the welfare of the cow. Therefore, reliable electronic devices may improve the management of the cows, and the devices can be used as a tool in research. However, accelerometer-based devices measure acceleration, and an algorithm is therefore necessary for the calculation of lying behaviour.

Treatment strategies and outcomes in diffuse large B-cell lymphoma among 1011 patients aged 75 years or older: A Danish population-based cohort study.

Background: Optimal treatment strategy for the oldest patients with diffuse large B-cell lymphoma (DLBCL) remains controversial, as this group often is precluded from clinical trials, and population-based studies are limited.

Methods: All Danish DLBCL-patients ≥75 years diagnosed from 2003 to 2012 were identified, using the Danish National Lymphoma Registry (LYFO). Information regarding baseline characteristics, treatment, comorbidities and outcomes was retrieved from LYFO, the Danish National health registries and medical records.

Short-term responses in production and behavior during periods of change in concentrate allowance for dairy cows.

The aim of this study was to investigate the short-term responses of dairy cows during periods of change in the concentrate allowance in an automatic milking system. The experiment had a design with a 2 × 2 factorial arrangement including 2 types of concentrates and 2 amounts of concentrates (type O: mix of pelleted concentrate and steamrolled, acidified barley; type S: pelleted) in amounts of 3 and 6 kg/d. The experiment length was 11 wk.

The inhibitory checkpoint, PD-L2, is a target for effector T cells: Novel possibilities for immune therapy.

Cell surface molecules of the B7/CD28 family play an important role in T-cell activation and tolerance. The relevance of the PD-1/PD-L1 pathway in cancer has been extensively studied whereas PD-L2 has received less attention. However, recently the expression of PD-L2 was described to be independently associated with clinical response in anti-PD1-treated cancer patients.

An exploratory study of competition scores and salivary cortisol concentrations in Warmblood horses.

The main objective of this explorative study was to describe the relationship between competition scores and salivary cortisol concentrations in young horses during dressage and showjumping competitions. The study also investigated whether the diurnal rhythm of salivary cortisol concentrations was affected by competition over consecutive days compared with the home environment. Saliva samples were collected from 126 dressage horses and showjumpers in their home environment and at 3 different events.

Daily lying time, motion index and step frequency in dairy cows change throughout lactation.

Lying behaviour in dairy cows has the potential to be used for welfare assessment or problem detection, but knowledge about variation in normal lying behaviour is scarce. Accelerometer data were collected at four Danish farms from 366 Holstein dairy cows in loose-housing systems in 2008 and 2009. Daily lying time decreased steeply during early lactation to a minimum around four weeks after calving, followed by a steady increase towards the end of lactation.

Aggressive NK-cell leukemia in a 69 years old Caucasian woman: a case report.

Aggressive NK-cell leukemia is a rare malignancy mostly seen in younger Asians with a rapid clinical course and poor prognosis. Here, we describe a 69 years old Caucasian woman presenting with massive leukemization of neoplastic NK-cells. The cells were abnormal in morphology and surface marker expression and this clearly distinguished them from their normal counterpart.

An investigation into genetic and phenotypic variation in time budgets and yield of dairy cows.

Time budgets (TB) of lactating Holstein cows in a freestall loose housing system were recorded twice in early and late lactation to study genetic and phenotypic variation in TB. Time budget traits were recorded using focal animal scanning at 10-min intervals for full 24-h sessions. The study included 243 first-lactation cows, with 389 TB records in early lactation (50 to 123 d in milk) and 403 records in late lactation (152 to 248 d in milk).

Pre-test habituation improves the reliability of a handheld test of mechanical nociceptive threshold in dairy cows.

Mechanical nociceptive threshold (MNT) testing has been used to investigate aspects of painful states in bovine claws. We investigated a handheld tool, where the applied stimulation force was monitored continuously relative to a pre-encoded based target force. The effect on MNT of two pre-testing habituation procedures was performed in two different experiments comprising a total of 88 sound Holsteins dairy cows kept either inside or outside their home environment.