Securing Social Security Solvency .

Adequate income is a social determinant of health. In the United States, only Social Security beneficiaries receive inflation-protected guaranteed income. Social Security needs another 1983 compromise in which stakeholders accepted "shared pain" to avoid insolvency.

[Safety and feasibility of vacuum-assisted biopsy by ultrasound-guidance for non-distinctive soft-tissue lesions].

Background: Only the exact pretherapeutical, histopathological diagnosis of non-distinctive soft tissue tumours leads to adequate therapy. Next to the standardized incisional biopsy, current needle biopsy techniques are limited by the small size of the tissue samples and error rate. This study was performed to explore whether the ultrasound-guidance can support the vacuum-assisted biopsy of soft tissue tumors in technical safety.

[Primary interdisciplinary reconstruction of perineal defects to reduce wound complications after abdominoperineal resection].

Background: Multimodal treatment options for ultra-low neoplasms of the rectum or anal cancer include chemotherapy, radical abdominoperineal resection and/or radiation. Primary wound closure increases the risk of perineal wound complications that require secondary revision. Perineal wound complications may trigger delay of adjacent tumor therapy and thus have an impact on rate of local recurrence and long-term survival for rectal cancer.

Vacuum-assisted minimally invasive biopsy of soft-tissue tumors.

Background: Although exact histological characterization of soft-tissue tumors is essential for determining the appropriate therapy, the quality of the histological assessment is often limited by the size of the tissue samples. Incisional biopsy and core needle biopsy have been the most effective techniques for obtaining tissue samples from soft-tissue tumors. This study was performed to investigate whether vacuum-assisted biopsy can serve as a new diagnostic tool for soft-tissue neoplasms.

Ultrastaging of colon cancer by sentinel node biopsy using fluorescence navigation with indocyanine green.

Purpose: Lymph node status is the most important prognostic factor in colon cancer, but the role of sentinel lymph node biopsy (SLNB) as a tool for identification of micrometastatic disease and extraanatomical lymph nodes for adjuvant strategies and a tailored approach still remains unclear. Indocyanine green (ICG) fluorescence detection is a new method for SLNB allowing real-time lymphography and lymph node detection. This study was designed to evaluate the feasibility of fluorescence-guided sentinel lymph node detection in colon carcinoma.