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Background & aimsAlcohol is one of the leading causes of hepatocellular carcinoma (HCC). However, pooled estimates of HCC incidence in alcohol-associated cirrhosis have not been evaluated systematically. We performed a pooled analysis of time-to-event data to provide robust estimates for the incidence of HCC in alcohol-associated cirrhosis.MethodsMedline, Embase, Cochrane Central Register, Scopus, and Web of Science were searched from inception to August 2021. Individual patient data were reconstructed from published Kaplan-Meier curves, and a pooled analysis of cumulative HCC incidence was performed using a random-effects model.ResultsWe screened 5022 articles and included 18 studies (148,333 patients). In the pooled analysis, the cumulative incidence of HCC in alcohol-associated cirrhosis at 1, 5, and 10 years among studies that accounted for the competing risk of death without HCC was 1%, 3%, and 9%, respectively. A secondary analysis by traditional meta-analysis determined that the HCC incidence rate was higher in cohorts enrolled in a HCC surveillance program (18.6 vs 4.8 per 1000 person-years; P = .001) vs those who were not enrolled in a surveillance program. Meta-regression showed that diabetes, smoking, variceal bleeding, and hepatic decompensation were associated with a higher risk of HCC.ConclusionsOur analysis determined that the 5- and 10- year cumulative risk of HCC in alcohol-associated cirrhosis was 3% and 9%, respectively, with a higher incidence in cohorts that were enrolled in a HCC surveillance program. These data should be validated further in large prospective studies, and may have important implications for HCC screening and surveillance among patients with alcohol-associated cirrhosis.

Background & aimsA two-step strategy combining a serum marker and magnetic resonance elastography (MRE) for detecting advanced fibrosis (stage 3-4) among patients with nonalcoholic fatty liver disease (NAFLD) has been proposed, but its diagnostic accuracy has not been evaluated. In this multicenter study, we aimed to investigate the diagnostic accuracy of a two-step strategy including Fibrosis-4 (FIB-4) followed by MRE.MethodsIn this multicenter study, 806 patients with biopsy-proven NAFLD who underwent contemporaneous MRE were enrolled and randomly assigned to training and validation cohorts. As a first step, patients with FIB-4

Summary: Background: Magnetic resonance imaging‐proton density fat fraction (MRI‐PDFF) is an excellent biomarker for the non‐invasive quantification of hepatic steatosis. Aim: To examine clinical and histologic factors associated with discordance between steatosis grade determined by histology and MRI‐PDFF in patients with non‐alcoholic fatty liver disease (NAFLD) Methods: We included 728 patients with biopsy‐proven NAFLD from UC San Diego (n = 414) and Yokohama City University (n = 314) who underwent MRI‐PDFF and liver biopsy. Patients were stratified by steatosis, and matched with MRI‐PDFF cut‐points for each steatosis grade: 0 (MRI‐PDFF < 6.4%), 1 (MRI‐PDFF: 6.4%–17.4%), 2 (MRI‐PDFF: 17.4%–22.1%), 3 (MRI‐PDFF ≥ 22.1%). Primary outcome was major discordance defined as ≥2 steatosis grade difference determined by histology and MRI‐PDFF. Results: Mean (±SD) age and BMI were 55.3 (±13.8) years and 29.9 (±4.9) kg/m2, respectively. The distributions of histology and MRI‐PDFF‐determined steatosis were 5.5% grade 0 (n = 40), 44.8% 1 (n = 326, 44.8%), 33.9% 2 (n = 247), and 15.8% 3 (n = 115) vs. 23.5% grade 0 (n = 171), 49.7% 1 (n = 362), 12.9% 2 (n = 94), and 13.9% 3 (n = 101). Major discordance rate was 6.6% (n = 48). Most cases with major discordance had greater histology‐determined steatosis grade (n = 40, 88.3%), higher serum AST and liver stiffness, and greater likelihood of fibrosis ≥2, ballooning ≥1 and lobular inflammation ≥2 (all p < 0.05). Conclusion: Histology overestimates steatosis grade compared to MRI‐PDFF. Patients with advanced NASH are likely to be upgraded on steatosis grade by histology. These data have important implications for steatosis estimation and reporting on histology in clinical practice and trials, especially in patients with stage 2 fibrosis. [ABSTRACT FROM AUTHOR]

In glasshouses practising monoculture of butterhead lettuce in Belgium, high densities of pin nematodes (Paratylenchus spp.) are frequently associated with reduced plant growth. Growers currently apply chemical soil disinfestation measures to manage this problem, although stricter phytosanitary regulations are forcing a shift towards integrated management. Efficient implementation of such management requires knowledge about the factors influencing nematode population dynamics, and the damage threshold for lettuce. The nematode populations in five Belgian glasshouses were monitored for at least 1 year by frequently soil sampling at 0–30 cm and 30–60 cm depth. An undescribed species of Paratylenchus was identified in all glasshouses based on morphological and molecular features. High nematode densities (>20,000 (100 ml soil)−1) occurred in winter and spring. Chemical soil disinfestation lowered these populations greatly, although up to 14% survived in the deeper soil layer. After soil steaming under negative pressure, no pin nematodes were found. After 2 months of black fallow pin nematode densities were reduced by 50%–76%. Lamb's lettuce, parsley and wild rocket were found to be poor hosts in a pot experiment, while reproduction factors (Pf/Pi) on lettuce cultivars varied between 1 and 3. In three experiments with butterhead lettuce 'Cosmopolia' in pots with a series of 9 or 10 densities of Paratylenchus sp. [up to 35,000 (100 ml soil)−1], no damage to lettuce heads was observed. However, root weight and root quality were reduced, and the corresponding damage thresholds were rather low [1,754 and 362 Paratylenchus sp. (100 ml soil)−1, respectively]. Management strategies such as crop rotation, soil disinfestation or fallow are recommended to avoid pin nematode population build‐up. [ABSTRACT FROM AUTHOR]

Damage caused to entomopathogenic nematodes by spray application is generally assessed by observing the viability of the infective juveniles under the microscope. To improve the quality and speed of this observation we developed an image processing technique and tested the efficacy of acetic acid and sodium chloride as chemical stimulants. Because of the lower standard error on the results obtained (0.7 vs 1.7), sodium chloride was eventually selected for all subsequent observations. The viability as observed with the image processing technique rose significantly with the time after the nematodes were suspended in water; however, viability as observed under the microscope was not influenced by the time. These differences can be attributed to the difference in type of stimulant (mechanical vs chemical) used. After nematodes had been in suspension for 3.5 h, the viability as measured using the image processing system was still significantly lower than the viability as measured under the microscope. This difference did not disappear after 24 h at 4, 15 or 24°C. Maintaining nematodes for 24 h at 35°C significantly decreased the viability to 5.9% (microscope) or 11.0% (image processing technique). The decrease in viability as observed with the image processing system corresponded better with the decrease in infectivity (i.e., 13.8%). Our results support further use of the image processing technique, not only to observe the viability of entomopathogenic nematodes but also to count the mobile or total number of nematodes of any species. [ABSTRACT FROM AUTHOR]

Heterodera is a genus of cyst-forming nematodes, including the cereal cysts which can provoke yield reductions in grain crops. As little is known about the occurrence of these cysts in Belgian grain fields, a survey was organized, starting in Flanders. Soil samples were taken from 50 fields where cereals are grown in rotation with mainly beet, potato and vegetables. Cysts were extracted from the 112 samples and 10 individuals per sample were identified up to species level by morphometrical and morphological observations. The beet cyst nematode, Heterodera schachtii, was found in 34 fields (56%) at infestation levels varying from 0.6 to 1322 cysts/kg soil. Other Heterodera species (e.g. H. trifolii, H. mani) were found in low numbers and sometimes in mixtures with H. schachtii, but no cereal cysts were detected. This survey confirms that beet cyst nematodes are a problem in Flanders. The few cereal cysts that might be present were perhaps not detected due to the few individuals that were identified. For this reason, molecular identification tools which allow fast and accurate identification of Heterodera species would be very useful. It could be interesting to find out why cereal cysts are suppressed in our regions and to expand the survey to the Walloon region where more cereals are grown.

The effect of several passages through a centrifugal pump on the viability and activity of Steinernema corpocapsoe was investigated. A tendency of reduced viability was detected after 10 passages through the centrifugal pump, but the difference was not statistically significant. Activity decreased significantly from 91.9% to 83.6%. The experimental set-up was chosen to eliminate temperature increase. Therefore, the results prove that mechanical pump damage cannot be excluded as the cause of EPN damage during spray application.