SummaryBackground Dose intensifi cation with a combination of cyclophosphamide, doxorubicin, vincristine, and prednisolone (CHOP) every 2 weeks improves outcomes in patients older than 60 years with diff use large B-cell lymphoma compared with CHOP every 3 weeks. We investigated whether this survival benefi t from dose intensifi cation persists in the presence of rituximab (R-CHOP) in all age groups.

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SummaryGuidelines for the prevention and treatment of infection in patients with an absent or dysfunctional spleen were first published by the British Committee for Standards in Haematology (BCSH) in 1996 and formally reviewed in 2002. Although the guidelines originated from discussion within the BCSH, the intended readership is wide given the multidisciplinary nature of the management of hyposplenism.

Recent determinations of high production rates (up to 30 percent of primary production in surface waters) implicate free-living marine bacterioplankton as a link in a "microbial loop" that supplements phytoplankton as food for herbivores. An enclosed water column of 300 cubic meters was used to test the microbial loop hypothesis by following the fate of carbon-14-labeled bacterioplankton for over 50 days. Only 2 percent of the label initially fixed from carbon-14-labeled glucose by bacteria was present in larger organisms after 13 days, at which time about 20 percent of the total label added remained in the particulate fraction. Most of the label appeared to pass directly from particles smaller than 1 micrometer (heterotrophic bacterioplankton and some bacteriovores) to respired labeled carbon dioxide or to regenerated dissolved organic carbon-14. Secondary (and, by implication, primary) production by organisms smaller than 1 micrometer may not be an important food source in marine food chains. Bacterioplankton can be a sink for carbon in planktonic food webs and may serve principally as agents of nutrient regeneration rather than as food.

Enteropathy associated T-cell lymphoma (EATL) is