Perioperative Chemotherapy or Preoperative Chemoradiotherapy in Esophageal Cancer.

Background: The best multimodal approach for resectable locally advanced esophageal adenocarcinoma is unclear. An important question is whether perioperative chemotherapy is preferable to preoperative chemoradiotherapy.

Methods: In this phase 3, multicenter, randomized trial, we assigned in a 1:1 ratio patients with resectable esophageal adenocarcinoma to receive perioperative chemotherapy with FLOT (fluorouracil, leucovorin, oxaliplatin, and docetaxel) plus surgery or preoperative chemoradiotherapy (radiotherapy at a dose of 41.

Systematic review of reviews on interventions to engage men and boys as clients, partners and agents of change for improved sexual and reproductive health and rights.

Objectives: Evidence regarding interventions to engage men and boys to improve sexual and reproductive health and rights (SRHR) has grown rapidly across subtopics such as HIV, family planning and gender-based violence (GBV). We conducted a review of the effectiveness of interventions to engage men and boys across SRHR domains, lessons learnt about successful programming, and about harms/unintended consequences, in low- and middle-income countries (LMIC).

Design: Systematic review of reviews following Cochrane guidelines.

Borderline Findings in -(2-[F]-Fluoroethyl)-l-Tyrosine PET of Patients with Suspected Glioma Relapse: Role in Clinical Practice.

One of the most common clinical indications for amino acid PET using the tracer -(2-[F]-fluoroethyl)-l-tyrosine (F-FET) is the differentiation of tumor relapse from treatment-related changes in patients with gliomas. A subset of patients may present with an uptake of F-FET close to recommended threshold values. The goal of this study was to investigate the frequency of borderline cases and the role of quantitative F-FET PET parameters in this situation.

Enhancing Hydrogen Evolution Reaction through Coalescence-Induced Bubble Departure on Patterned Gold-Silicon Microstrip Surfaces.

Hydrogen bubble adhesion to the electrode presents a major obstacle for green hydrogen generation via the hydrogen evolution reaction (HER) as it would induce undesired overpotential and undermine the reaction efficiency by reducing reaction area, increasing transport resistance, and creating an undesired ion concentration gradient. While electrodes with aerophobic/hydrophilic surfaces have been developed to facilitate bubble detachment, they primarily rely on micro- and nanostructured catalyst surfaces to enhance buoyance-induced bubble departure. Here, we demonstrate that introducing nonreactive yet more hydrophilic surfaces can promote coalescence-induced bubble departure, thereby significantly reducing the transport overpotential and improving HER performance.

[Patient safety in palliative surgery].

Palliative surgery aims to improve the quality of life for patients with incurable diseases. This patient group is vulnerable due to the underlying illness, prior treatment and comorbidities, which increase the risk of complications that can negatively impact the course of the disease and quality of life. Palliative surgical interventions often provide effective long-term symptom control but are more invasive than conservative, interventional endoscopic or interventional radiological alternatives.