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Background: Though the survival of breast cancer (BC) patients with malignant pleural effusion (MPE) has been studied, this has not been specifically studied in the luminal B subtype. Therefore, this study investigated the characteristics and survival of luminal B-BC patients presenting with MPE., Methods: We retrospectively analyzed 141 patients diagnosed with postoperative advanced Luminal B breast cancer, including 54 cases with MPE and 87 cases without MPE at the Tianjin Cancer Hospital from January 2012 to January 2015. We assessed the clinical characteristics between the groups., Results: The mean age of all patients was 47 years, with no significant difference between the two groups. Altogether, 29 (33%), 24 (28%), 28 (32%), 45 (52%), and 10 (11%) patients had lung, liver, bone, lymph node, and chest wall metastases, respectively. In addition. The difference in overall survival between the two groups was not significant (P>0.05). However, cox regression analysis showed that only the tumor clinical stage at initial diagnosis was related to short overall survival. Further, we conducted a subgroup analysis and found that the higher the clinical stage at initial diagnosis in age < 50 years patients, the shorter the overall survival, while age > 50 years patients was not. (P < 0.05)., Conclusions: There was no difference in the overall survival between luminal B-BC patients with MPE and those without. Clinical stages at initial diagnosis were an independent prognostic factor for age < 50 years luminal B BC with MPE overall survival. Our results may help clinicians make positive decisions regarding personalized treatment of luminal B-BC with MPE., (© 2024. The Author(s).)

Using total counts in simultaneous annual surveys, we monitored the population size and spatial distribution of oriental white storks ( Ciconia boyciana ) wintering in Poyang Lake between 1998 and 2011. Results showed that Poyang Lake wetland is an important wintering ground for oriental white storks, with an annual average population number of 2 305±326. The population sizes in 2004, 2005, 2010, and 2011 were higher than the highest-ever estimate of its global population. In 2005, we recorded 3 789 individuals, which was the maximum population number within the period of 1998-2011. The storks inhabited 52 lakes, with the greatest distance between these lakes being 180.3 km. The storks presented a clustered distribution pattern in the Poyang Lake wetland, irrespective of the number of individuals or occurrence frequencies. Shahu, Dahuchi, Banghu, and Hanchihu were most frequently used lakes and had the largest annual average numbers of storks. There was a significant positive correlation between occurrence frequency and annual average number of storks in the lakes. Most of the lakes important for storks were covered by existing nature reserves, though some lakes outside the reserves were also frequently used. About 64.9%±5.5% of the storks were found in nature reserves. In addition, the storks more frequently used and clumped in significantly larger flocks in lakes within nature reserves than lakes outside.

Using simultaneous land surveys, we monitored the population size and spatial distribution of wintering Siberian cranes at 64 lakes around Poyang Lake between 1998 and 2010. The results showed that 46 lakes were inhabited by wintering cranes, and in 25 of those, the number of wintering cranes accounted for more than 1% of the Siberian cranes' global population. The lakes where over 40.0% of the global population, e.g. 1 280 individuals, included Dachahu Lake in Jiujiang region, and Banghu Lake and Candouhu Lake in the Poyang Lake Nature Reserve. The average yearly population of the wintering Siberian crane in the Poyang lakes was 3 108±849, with the maximum of 4 004 individuals in winter 2002. On the whole, there was no drastic fluctuation, but population numbers have shown considerable fluctuation since 2003. We also found the Poyang Lake Nature Reserve was the major wintering area of the Siberian crane, with over 60% of Siberian cranes wintering in the reserve since 2002 (except in 2006). Most of the inhabited lakes are covered in existing nature reserves, though some lakes outside the reserve were also considerably used by Siberian cranes.

From October 2002 to April 2003, investigations were made at six monitoring sites with different degrees of human disturbance and habitat quality in Shengjin Lake to understand the impact of human disturbance and habitat evolvement on the distribution patterns of wintering water birds. The results showed that in the same wintering period, the species richness and population size of water birds at different sites had no significant correlation with habitat quality but significantly negatively correlated with human disturbance degree, while in different years, these two parameters were strongly correlated to habitat quality. The major threats to the water birds in Shengjin Lake were habitat loss, human disturbance and biocides, in light of which, corresponding protection measure were put forward.