This report describes a novel technique of infraclavicular BPB at the costoclavicular space that produces rapid onset of BPB. Future research should compare the safety and efficacy of this new technique with the traditional lateral sagittal infraclavicular BPB.

Epiphytes that grow in the canopies of tropical and subtropical forests experience different water regimes when compared with terrestrial plants. However, the differences in adaptive strategies between epiphytic and terrestrial plants with respect to plant water relations remain poorly understood. To understand how water-related traits contrast between epiphytic and terrestrial growth forms within the Cymbidium (Orchidaceae), we assessed leaf anatomy, hydraulics, and physiology of seven terrestrial and 13 epiphytic species using a common garden experiment. Compared with terrestrial species, epiphytic species had higher values for leaf mass per unit area (LMA), leaf thickness (LT), epidermal thickness, saturated water content (SWC) and the time required to dry saturated leaves to 70% relative water content (T70). However, vein density (Dvein), stomatal density (SD), and photosynthetic capacity (Amax) did not differ significantly between the two forms. T70 was positively correlated with LT, LMA, and SWC, and negatively correlated with stomatal index (SI). Amax showed positive correlations with SD and SI, but not with Dvein. Vein density was marginally correlated with SD, and significantly correlated with SI. Overall, epiphytic orchids exhibited substantial ecophysiological differentiations from terrestrial species, with the former type showing trait values indicative of greater drought tolerance and increased water storage capacity. The ability to retain water in the leaves plays a key role in maintaining a water balance in those epiphytes. Therefore, the process of transpiration depends less upon the current substrate water supply and enables epiphytic Cymbidium species to adapt more easily to canopy habitats.

In this study, we aimed to evaluate the clinical and pathological factors that associated with sonographic appearances of triple-negative (TN) invasive breast carcinoma. With the ethical approval, 560 patients who were pathologically confirmed as invasive breast carcinoma were reviewed for ultrasound, clinical, and pathological data. Logistic regression analysis was used to identify the typical sonographic features for TN invasive breast carcinomas. The effect of clinical and pathological factors on the sonographic features of TN invasive breast carcinoma was studied. There were 104 cases of TN invasive breast carcinoma. The independent sonographic features for the TN subgroup included regular shape (odds ratio, OR = 2.14, p = 0.007), no spiculated/angular margin (OR = 1.93, p = 0.035), posterior acoustic enhancement (OR = 2.14, p = 0.004), and no calcifications (OR = 2.10, p = 0.008). Higher pathological grade was significantly associated with regular tumor shape of TN breast cancer (p = 0.012). Higher Ki67 level was significantly associated with regular tumor shape (p = 0.023) and absence of angular/spiculated margin (p = 0.005). Higher human epidermal growth factor receptor 2 (HER2) score was significantly associated with the presence of calcifications (p = 0.033). We conclude that four sonographic features are associated with TN invasive breast carcinoma. Heterogeneity of sonographic features was associated with the pathological grade, Ki67 proliferation level and HER2 score of TN breast cancers.