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Crisis Management

Tumor resection of advanced pelvic and recurrence pelvic cancers is highly challenging, because the resections often are performed outside the standard surgical resections planes, and therefore are associated with considerable morbidity and mortality. Knowledge of normal anatomy combined with improved imaging modalities and new technology give the best-possible preparation to clarify the tumor spe

The 2022 PSOGI International Consensus on HIPEC Regimens for Peritoneal Malignancies : HIPEC Technologies

This manuscript reports the results of an international consensus on technologies of hyperthermic intraperitoneal perioperative chemotherapy (HIPEC) performed with the following goals: To provide recommendations for the technological parameters to perform HIPEC. To identify the role of heat and its application forms in treating peritoneal metastases. To provide recommendations regarding the correc

Effects on perfusion by stretching and rotation of forehead skin flaps, as measured by laser speckle contrast imaging

Purpose: Flaps are used for repair of defects after tumor excision and often need stretching and rotating to cover the defects. Manipulation of flaps may affect blood perfusion, which is crucial for healing. The aim was to examine the impact on perfusion by stretching and rotating forehead skin flaps. Methods: Blood perfusion was monitored using laser speckle contrast imaging in 19 flaps, raised a

Five years of the Early-Career Geriatricians Initiative (ECGI) : reflecting on the past, shaping the present, and envisioning the future

PURPOSE: Despite rising global demand, geriatrics is often overlooked by young physicians due to its perceived complexity and limited career development. Launched by the European Geriatric Medicine Society, the Early Career Geriatricians Initiative (ECGI) aims to counter this perception with its rich educational, research, and leadership opportunities.METHODS: This article provides a narrative ove

Large-scale network analysis of the cerebrospinal fluid proteome identifies molecular signatures of frontotemporal lobar degeneration

The pathophysiological mechanisms driving disease progression of frontotemporal lobar degeneration (FTLD) and corresponding biomarkers are not fully understood. Here we leveraged aptamer-based proteomics (>4,000 proteins) to identify dysregulated communities of co-expressed cerebrospinal fluid proteins in 116 adults carrying autosomal dominant FTLD mutations (C9orf72, GRN and MAPT) compared with 3

Making Mining Good : Tracing the Semiotics of Justification in Mineral Exploration and Mining

What does it mean for a business or industry to be and do good? And who can count themselves within the good economy? This article investigates the justification of goodness in mineral exploration and mining and uses the entwinement between value creation and destruction characteristic of mining to trouble notions of goodness in impactful industries. Based on analyses of indepth interviews, ethnog

Colombia’s long road toward peace : implications for environmental human rights defenders

Human rights defenders, social leaders, and environmental and indigenous activists fight for political, cultural, social, economic, and environmental rights and often face intimidation and violence as a consequence. In this article, we analyze how the implementation of the peace agreement signed in 2016 between the government of Colombia and the FARC-EP guerrilla group affects environment and huma

Geometrically non-linear topology optimization via geometry projection

Geometry projection-based topology optimization has attracted a great deal of attention because it enables the design of structures consisting of a combination of geometric primitives and simplifies the integration with computer-aided design (CAD) systems. While the approach has undergone substantial development under the assumption of linear theory, it remains to be developed for non-linear hyper

Curative treatment for oligometastatic gastroesophageal cancer– results of a prospective multicenter study

Purpose: Oligometastatic gastroesophageal cancer is a clinical entity with no standard treatment recommendation. Treatment with curative intent has recently emerged as an option for selected patients in contrast to the traditional palliative treatment strategy. This prospective study aimed to assess the safety and efficacy of combined systemic and local treatment with curative intent for patients

Development of a new hybrid model to enhance streamflow estimation using artificial neural network and reptile search algorithm

A new metaheuristic optimizer combined with artificial neural networks is proposed for streamflow prediction. Hence, the study aimed to forecast monthly streamflow of the main rivers in Urmia, Iran, by considering data shortage and using artificial neural network (ANN) models. By combining three variables: temperature, precipitation, and streamflow, we formulated five patterns, where 70% of the da

A Scalable Process for the Production of Calcium Formate from Lime Mud

The utilization of industrial side streams for generating value has always been of interest, but in today's society, with a high focus on the circular economy, it is becoming increasingly important. Lime mud (whose major component is calcium carbonate, CaCO3) is a low-value by-product of the pulp and paper industry that is generated in considerable amounts during the causticizing process. Designin