Venetoclax ramp-up strategies for chronic lymphocytic leukaemia in the United Kingdom: a real world multicentre retrospective study.

This retrospective, observational study evaluated patterns of inpatient versus outpatient tumour lysis syndrome (TLS) monitoring during venetoclax ramp-up in 170 patients with chronic lymphocytic leukaemia. The primary outcome was clinical/biochemical TLS. Two clinical and four biochemical TLS occurred (4.1%). Five of the six events occurred in high-risk patients, four occurred at 20 mg dose and three at the 6-h time-point. Inpatient versus outpatient TLS rates within the high-risk subgroup were 15% and 8%. Risk category was the only predictor of TLS events in multivariate analysis. Outpatient escalation did not associate with clinically meaningful TLS events, suggesting outpatient escalation has manageable associated TLS risks, including in high-risk cohorts. These observations require confirmation in larger studies.

Ikhnos: A Novel Software to Register and Analyze Bone Surface Modifications Based on Three-Dimensional Documentation.

The study of bone surface modifications (BSM) is crucial in understanding site formation processes and the identification of the causal agent behind bone assemblages in the fossil record. In that line, many efforts have been made to generate referential models based on feeding experiments and human butchery simulations that can then be used to interpret the patterns observed in archaeological and paleontological sites. Considering these needs, we developed a novel open-access three-dimensional (3D) software called Ikhnos for the study of BSM distribution patterns on limb long bones. This software is comprised of all the necessary tools for the 3D documentation of BSM and bone breakage patterns, as well as the subsequent statistical analysis of this data due to the integration of an exclusive R library, the IkhnosToolBox. Additionally, Ikhnos integrates tools for bone survivorship calculations that could facilitate the estimation of the minimum number of elements (MNE) and minimum number of individuals (MNI). As a demonstration of its precision, here we present a case study analyzing the modifications produced by wild and captive wolf (Canis lupus signatus) populations of the Iberian Peninsula on deer carcasses.

Early Pleistocene faunivorous hominins were not kleptoparasitic, and this impacted the evolution of human anatomy and socio-ecology.

Humans are unique in their diet, physiology and socio-reproductive behavior compared to other primates. They are also unique in the ubiquitous adaptation to all biomes and habitats. From an evolutionary perspective, these trends seem to have started about two million years ago, coinciding with the emergence of encephalization, the reduction of the dental apparatus, the adoption of a fully terrestrial lifestyle, resulting in the emergence of the modern anatomical bauplan, the focalization of certain activities in the landscape, the use of stone tools, and the exit from Africa. It is in this period that clear taphonomic evidence of a switch in diet with respect to Pliocene hominins occurred, with the adoption of carnivory. Until now, the degree of carnivorism in early humans remained controversial. A persistent hypothesis is that hominins acquired meat irregularly (potentially as fallback food) and opportunistically through klepto-foraging. Here, we test this hypothesis and show, in contrast, that the butchery practices of early Pleistocene hominins (unveiled through systematic study of the patterning and intensity of cut marks on their prey) could not have resulted from having frequent secondary access to carcasses. We provide evidence of hominin primary access to animal resources and emphasize the role that meat played in their diets, their ecology and their anatomical evolution, ultimately resulting in the ecologically unrestricted terrestrial adaptation of our species. This has major implications to the evolution of human physiology and potentially for the evolution of the human brain.

A 3D taphonomic model of long bone modification by lions in medium-sized ungulate carcasses.

Here, we present the first three-dimensional taphonomic analysis of a carnivore-modified assemblage at the anatomical scale of the appendicular skeleton. A sample of ten carcasses composed of two taxa (zebra and wildebeest) consumed by wild lions in the Tarangire National Park (Tanzania) has been used to determine element-specific lion damage patterns. This study presents a novel software for the 3D spatial documentation of bone surface modifications at the anatomical level. Combined with spatial statistics, the present analysis has been able to conclude that despite variable degrees of competition during carcass consumption, lions generate bilateral patterning consisting of substantial damage of proximal ends of stylopodials and zeugopodials, moderate damage of the distal ends of femora and marginal damage of distal ends of humeri and zeugopodials. Of special interest is, specifically, the patterning of tooth marks on shafts according to element, since these are crucial to determine not only the type of carnivore involved in any given bone assemblage, but also the interaction with other agents (namely, hominins, in the past). Lions leave few tooth marks on mid-shaft sections, mostly concentrated on certain sections and orientations of stylopodials and, to a lesser extent, of the proximal tibia. Redundant occurrence of tooth marks on certain bone sections renders them as crucial to attest lion agency in carcass initial consumption. Indirectly, this can also be used to determine whether hominins ever acquired carcasses at lion kills.

Do human butchery patterns exist? A study of the interaction of randomness and channelling in the distribution of cut marks on long bones.

Bone surface modifications (BSMs) in faunal assemblages are frequently used to infer past agency and actions of hominins and carnivores, with implications for the emergence of key human behaviours. Patterning of BSMs has mostly been defined as a combination of the intensity of marks per bone portion and sometimes per element. Numerous variables involved in butchery can condition cut mark anatomical distribution, so much so that these variables are widely assumed to be stochastic. Here, we present a new methodological approach using a novel geospatial tool (Ikhnos) which combines the three-dimensional spatial documentation of cut mark patterns with spatial statistics based on wavelets, applied to three experimental and ethnoarchaeological faunal assemblages. We use wavelets to identify patterning of multiple longitudinal series of cut mark distributions on bones, and to establish similarities or differences in patterning within and across different assemblages. This method demonstrates the existence of general and behaviour-specific butchery patterns. It can also be used to effectively assess the proportion of mark clustering that is due to randomness, versus that which is conditioned by the butchery process.

A New Roadway Eventual Obstacle Detection System Based on Computer Vision.

A new roadway eventual obstacle detection system based on computer vision is described and evaluated. This system uses low-cost hardware and open-source software to detect and classify moving elements in roads using infra-red and colour video images as input data. This solution represents an important advancement to prevent road accidents due to eventual obstacles which have considerably increased in the past decades, mainly with wildlife. The experimental evaluation of the system demonstrated that the proposed solution detects and classifies correctly different types of moving obstacles on roads, working robustly under different weather and illumination conditions.