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Background: Mantle cell lymphoma (MCL) is a B cell malignancy that can be aggressive and with a poor prognosis; the clinical course is heterogeneous. The epidemiology of MCL in Asia is not well documented but appears to comprise 2–6% of all lymphoma cases based on available data, with variation observed between countries. Although international guidelines are available for the treatment of MCL, there is a lack of published data or guidance on the clinical characteristics and management of MCL in patient populations from Asia. This paper aims to review the available treatment and, where clinical gaps exist, provide expert consensus from the Asian Lymphoma Study Group (ALSG) on appropriate MCL management in Asia. Body: Management strategies for MCL are patient- and disease stage-specific and aim to achieve balance between efficacy outcomes and toxicity. For asymptomatic patients with clearly indolent disease, observation may be an appropriate strategy. For stage I/II disease, following international guidelines is appropriate, which include either a short course of conventional chemotherapy followed by consolidated radiotherapy, less aggressive chemotherapy regimens, or a combination of these approaches. For advanced disease, the approach is based on the age and fitness of the patient. For young, fit patients, the current practice for induction therapy differs across Asia, with cytarabine having an important role in this setting. Hematopoietic stem cell transplantation (HSCT) may be justified in selected patients because of the high relapse risk. In elderly patients, specific chemoimmunotherapy regimens available in each country/region are a treatment option. For maintenance therapy after first-line treatment, the choice of approach should be individualized, with cost being an important consideration within Asia. For relapsed/refractory disease, ibrutinib should be considered as well as other follow-on compounds, if available. Conclusion: Asian patient-specific data for the treatment of MCL are lacking, and the availability of treatment options differs between country/region within Asia. Therefore, there is no clear one-size-fits-all approach and further investigation on the most appropriate sequence of treatment that should be considered for this heterogeneous disease. [ABSTRACT FROM AUTHOR]

Model-based phylodynamic approaches recently employed generalized linear models (GLMs) to uncover potential predictors of viral spread. Very recently some of these models have allowed both the predictors and their coefficients to be time-dependent. However, these studies mainly focused on predictors that are assumed to be constant through time. Here we inferred the phylodynamics of avian influenza A virus H9N2 isolated in 12 Asian countries and regions under both discrete trait analysis (DTA) and structured coalescent (MASCOT) approaches. Using MASCOT we applied a new time-dependent GLM to uncover the underlying factors behind H9N2 spread. We curated a rich set of time-series predictors including annual international live poultry trade and national poultry production figures. This time-dependent phylodynamic prediction model was compared to commonly employed time-independent alternatives. Additionally the time-dependent MASCOT model allowed for the estimation of viral effective sub-population sizes and their changes through time, and these effective population dynamics within each country were predicted by a GLM. International annual poultry trade is a strongly supported predictor of virus migration rates. There was also strong support for geographic proximity as a predictor of migration rate in all GLMs investigated. In time-dependent MASCOT models, national poultry production was also identified as a predictor of virus genetic diversity through time and this signal was obvious in mainland China. Our application of a recently introduced time-dependent GLM predictors integrated rich time-series data in Bayesian phylodynamic prediction. We demonstrated the contribution of poultry trade and geographic proximity (potentially unheralded wild bird movements) to avian influenza spread in Asia. To gain a better understanding of the drivers of H9N2 spread, we suggest increased surveillance of the H9N2 virus in countries that are currently under-sampled as well as in wild bird populations in the most affected countries. [ABSTRACT FROM AUTHOR]

The ancient Loulan, situated on the west bank of Lake Lop Nur, Xinjiang, Northwest China, was an important town on the Silk Road connecting China to Europe. However, this once-prosperous kingdom has been a depopulated zone filled with wind-eroded mounds since approximately AD 500–600. A comprehensive understanding of the environmental setting of the flourishing Loulan civilization is a prerequisite for assessing environment–human interaction there. Here, we present our survey, chronology, and archaeobotany (the identification of plant remains) of vegetation use for architecture from eight ancient ruins of the Loulan kingdom to clarify the ecological landscape on the west bank of Lake Lop Nur and to assess paleoenvironmental conditions when the Loulan kingdom flourished. Our results suggest that Populus euphratica, tamarisk (Tamarix Linn), and reed (Phragmites Trin.) were most widely used as building materials in this period. Wood utilization for buildings depended entirely on indigenous vegetation rather than that of the mountains in the Loulan kingdom, even though the Loulan was a predominant transportation hub on the prosperous Silk Road. Our reconstruction indicates that the west bank of Lake Lop Nur was sufficiently wetter than present conditions to support riparian forest growth composed mainly of P. euphratica, tamarisk shrubs, and reed meadows, until approximately AD 500. These wetter conditions and flourishing civilization accompanied an increase in precipitation in arid central Asia. Conversely, combined evidence of both archeological and paleoclimatic records from the water sources of Lake Lop Nur and ancient oases suggest that abrupt decreased mountain precipitation could be considered a significant environmental factor in the decline of Loulan kingdom. [ABSTRACT FROM AUTHOR]

Role of avian hosts in shaping persistence, evolution, and dispersal of global low pathogenic avian influenza virus (LPAIV) H9N2 remains uncertain. Under Bayesian Markov Chain Monte Carlo framework, we used the discrete trait analysis (DTA) to reconstruct host and location switches in the evolutionary history of global H9N2 given hemagglutinin gene sequences from 18 countries/regions between 1976 and 2018. We employed generalized linear models (GLMs) to inform virus migration rates by empirical predictors. Global H9N2 isolates were mostly sampled from domestic Phasianidae in low- and middle-income countries with poor bio-security. Anatidae was inferred as the ancestral source from which the virus spread to domestic waterfowl, and later to domestic Phasianidae who have become the dominant host to sustain the virus, especially in Asia. Poultry trade was a well-supported driver to H9N2 spread across countries/regions. Strict bio-security and separation between wild and domestic poultry can be used to mitigate virus spread. • Bayesian phylodynamic inferences revealed Anatidae as the ancestral source of global H9N2. • The reconstructed host transitions as H9N2 spreading from wild Anatidae to domestic waterfowl, and later to domestic Phasianidae. • Phasianidae becomes the dominant host in recent years with a longer reward time, especially in Asia. • Poultry trade and sharing a border contribute to H9N2 spread across countries/regions [ABSTRACT FROM AUTHOR]

Non-biodegradable microplastics (MPs) pollution long-termly existed in soils, and was only concerned in recent years. In order to better understand MP behavior in soils, the sources, migration, distribution, biological effects, degradation and analytical methodology of non-biodegradable MPs in soils were quantificationally summarized from 170 publications based on Web of Science in 1950–2020. From the publications, we found these studies were mainly carried out in the Asia (60.0%) and Europe (23.3%), and most were on agricultural soils (68.5%). Polyethylene-MP (78.8% of the studies), Polypropylene-MP (78.8%), and Polystyrene-MP (45.5%) were the MPs most frequently found in the soils, with a MP size of 20–5000 µm being most common. Of the soil samples 64.3% contained MP 1000–4000 items kg-1, and the colour frequency ranking is blue (66.7%) > white (61.1%) ≈ red ≈ black. MPs changed the soil microenvironment and microorganism activity, and caused the negative effects on both soil animals (100%) and plants (57.9%). MP degradation was influenced by the photooxidation reactions, microorganism activities, enzymatic effects, environmental conditions, and by the composition, size and morphology of the MPs. An optional analytical method was suggested in this study. At the end of paper, the urgent and important research work in the future was prospected. ga1 • PE-MP, PP-MP, PS-MP with blue, white, red, black were most frequently found in soils. • MPs of 1000–4000 items kg−1 at size of 20–5000 µm took of 50% of soil samples. • MPs caused the negative effects on both soil animals (100%) and plants (57.9%). • An optional analytical method of soil MPs was suggested in this study. • Future prospects and challenging for follow up research have been discussed. [ABSTRACT FROM AUTHOR]

Objective: To investigate the comparative efficacy and safety of the low-dose versus standard-dose alteplase using real-world acute stroke registry data from Asian countries., Methods: Individual participant data were obtained from nine acute stroke registries from China, Japan, Philippines, Singapore, South Korea, and Taiwan between 2005 and 2018. Inverse probability of treatment weight was used to remove baseline imbalances between those receiving low-dose versus standard-dose alteplase. The primary outcome was death or disability defined by modified Rankin Scale scores of 2 to 6 at 90 days. Secondary outcomes were symptomatic intracerebral hemorrhage and death. Generalized linear mixed models with the individual registry as a random intercept were performed to determine associations of treatment with low-dose alteplase and outcomes., Results: Of the 6250 patients (mean age 66 years, 36% women) included in these analyses, 1610 (24%) were treated with low-dose intravenous alteplase. Clinical outcomes for low-dose alteplase were not significantly different to those for standard-dose alteplase, adjusted odds ratios for death or disability: 1.00 (0.85-1.19) and symptomatic intracerebral hemorrhage 0.87 (0.63-1.19), except for lower death with borderline significance, 0.77 (0.59-1.01)., Conclusions: The present analyses of real-world Asian acute stroke registry data suggest that low-dose intravenous alteplase has overall comparable efficacy for functional recovery and greater potential safety in terms of reduced mortality, to standard-dose alteplase for the treatment of acute ischemic stroke.

The spatial spread of the highly pathogenic avian influenza virus H5N1 and its long-term persistence in Asia have resulted in avian influenza panzootics and enormous economic losses in the poultry sector. However, an understanding of the regional long-distance transmission and seasonal patterns of the virus is still lacking. In this study, we present a phylogeographic approach to reconstruct the viral migration network. We show that within each wild fowl migratory flyway, the timing of H5N1 outbreaks and viral migrations are closely associated, but little viral transmission was observed between the flyways. The bird migration network is shown to better reflect the observed viral gene sequence data than other networks and contributes to seasonal H5N1 epidemics in local regions and its large-scale transmission along flyways. These findings have potentially far-reaching consequences, improving our understanding of how bird migration drives the periodic reemergence of H5N1 in Asia.