Surgical resection as a predictor of cancer-specific survival by stage at diagnosis and cancer type,United States, 2006–2015

BackgroundWhen solid tumors are amenable to definitive resection, clinical outcomes are generally superior to when those tumors are inoperable. However, the population-level cancer survival benefit of eligibility for surgery by cancer stage has not yet been quantified.MethodsUsing Surveillance, Epidemiology and End Results data allowing us to identify patients who were deemed eligible for and received surgical resection, we examined the stage-specific association of surgical resection with 12-year cancer-specific survival. The 12-year endpoint was selected to maximize follow-up time and thereby minimize the influence of lead time bias.ResultsAcross a variety of solid tumor types, earlier stage at diagnosis allowed for surgical intervention at a much higher rate than later-stage diagnosis. At every stage, surgical intervention was associated with a substantially higher rate of 12-year cancer-specific survival, with absolute differences of up to 51% for stage I, 51% for stage II, and 44% for stage III cancer, and stage-specific mortality relative risks of 3.6, 2.4, and 1.7, respectively.ConclusionsDiagnosis of solid cancers in early stages often enables surgical resection, which reduces the risk of death from cancer. Receipt of surgical resection is an informative endpoint that is strongly associated with long-term cancer-specific survival at every stage.     

Identifying and preventing pain during and after surgery in farm animals

Pain research in farm animals has focused on routine husbandry procedures such as dehorning; much less known about the pain associated with the other surgeries such as those required for displaced abomasum and caesarean delivery. We review the literature on pain in farm animals due to non-routine procedures including laporatomy, caesarean sections, ovariectomy and ovariohysterectomy, displaced abomasums, cannulations, vasectomy and claw removal. Where there are gaps in the farm animal literature, we describe relevant studies on wildlife, companion and lab animals. This review addresses both pain responses during surgery and the pain that animals experience in the hours and days that follow. Surgical procedures sometimes cause pain responses due to damage of somatic tissues (skin, muscle, joints, etc.) and the viscera, and there is some evidence that these pain responses differ. Overall conclusions from this review are that surgical pain in farm animals is under studied, and the resulting lack of knowledge, awareness, assessment tools and treatment protocols means that both intra-operative and post-operative pain are often under treated.     

Rat lymphocyte subsets: Cellular requirements for the generation of T-cell growth factor

In this study, the cells producing T-cell growth factor (TCGF) in the rat MLR were characterised with respect to the antigens defined by $\text{W}\text{3}\text{13}\text{,}\text{W}\text{3}\text{25}$, and OX8 monoclonal antibodies. Unfractionated lymphocytes and cells depleted of OX8 positive cells were found to be fully capable of producing TCGF, whereas lymphocytes depleted of $\text{W}\text{3}\text{13}\text{and}\text{W}\text{3}\text{25}$ positive cells had lost this ability. Parallel experiments demonstrated that cells selected by the fluorescence-activated cell sorter for the expression of $\text{W}\text{3}\text{13}\text{and}\text{W}\text{3}\text{25}$ defined antigens were potent producers of TCGF. Further studies suggested a functional role for the antigen defined by $\text{W}\text{3}\text{25}$ antibody because the addition of this antibody to a MLR abrogates TCGF production. These findings suggest that the important immunomodulatory functions of $\text{W}\text{3}\text{25}$ positive lymphocytes could be exercised via the synthesis of essential lymphokines.     

Hymenolepis diminuta: effect on the oxidation-reduction potential in the mammalian gastrointestinal canal.

The oxidation-reduction potential (Eh) of the small intestine of uninfected and parasitized (ten 16-day-old Hymenolepis diminuta) rats has been determined under three different types of experimental conditions. On an ad lib. feeding regime at 10.00 hr there were highly significant (P < 0.001) differences between the intestinal Eh of uninfected and parasitized rats in every region of the small intestine. While the entire uninfected gut displayed relatively strong reducing tendencies (?28 to ?195 mV), in the parasitized gut the Eh was predominantly positive (+75 to ?76 mV) and reflected worm biomass distribution. Changes in intestinal Eh were also measured over a period of 6 hr after the feeding of a 1-g glucose meal. The Eh in uninfected animals increased from ?232 to +118 mV; in parasitized animals from ?31 to +189 mV. While the changes were greater in the former group, those of the latter reflected the changing worm biomass distribution. The most positive regional Eh value was always associated with the maximum % worm biomass distribution. Third, using surgical intestinal-loop preparations there were significantly (P < 0.05) higher positive Eh values in parasitized (+185 mV) than in uninfected (+128 mV) rats; in both animal groups the Eh of the duodenal-jejunal loops were more positive than that of the ileal loops (P < 0.05).The results are discussed in terms of the close inter-relationship between intestinal pH, Eh, the microflora and luminal pO₂ tensions.