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Is there still a place for lymph node dissection for stage III melanoma since the approval of adjuvant therapy.
Curr Opin Oncol
January 2025
Department of Medical Oncology, Institut Jules Bordet - Université Libre de Bruxelles (ULB).
Purpose Of Review: This review aims to explore the evolving management strategies for stage III melanoma, focusing on the comparative effectiveness of traditional surgical approaches like complete lymph node dissection (CLND) versus modern adjuvant therapies. It also examines the latest evidence on the efficacy, risks, and complications of these strategies, emphasizing the role of shared decision-making between patients and clinicians.
Recent Findings: Recent clinical trials and meta-analyses, including the MSLT-II and DeCOG-SLT studies, have demonstrated that CLND may not significantly improve survival outcomes in melanoma patients with sentinel lymph node biopsy (SLNB)-positive status.
Patient and Health Professional's Perspectives of Periprosthetic Joint Infection: A Systematic Review and Meta-Ethnography.
Surg Infect (Larchmt)
January 2025
Norfolk and Norwich University Hospital, Norwich, United Kingdom.
Periprosthetic joint infection (PJI) is a major challenge for surgical teams and patients following an orthopedic surgical procedure. There is limited understanding on patient and health professional's perception of PJI. The aim of this study was to examine the literature to better understand the perspectives of patients, and those who manage PJI.
View Article and Find Full Text PDFCiliary Body Medulloepithelioma: Clinical and Pathologic Challenges with a Focus on Molecular Genetics.
Semin Ophthalmol
January 2025
Department of Ophthalmology, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA, USA.
Objective: Ciliary body medulloepithelioma (CBME), a pediatric intraocular tumor with potential for locally aggressive behavior and metastasis, may present with a diverse spectrum of clinical and histopathologic features leading to diagnostic and management challenges. Examination of unusual CBME cases highlights challenges and modern diagnostic techniques which facilitate accurate diagnosis and guide management.
Methods: A retrospective clinicopathologic analysis of 6 patients with unusual clinical or pathologic features of CBME was performed.
Systemic inequities and sources of resilience: challenges faced by Indigenous women living with HIV during COVID-19 in the Canadian prairies.
AIDS Care
January 2025
Faculty of Social Work, University of Manitoba, Winnipeg, Canada.
This study explored the challenges faced by, and resilience of First Nations, Métis, and Inuit women living with HIV in Manitoba and Saskatchewan during the COVID-19 pandemic. Through a decolonizing, community-based research approach, guided by a Community Guiding Circle (CGC), interviews were conducted with 45 Indigenous women living with HIV. Participants were recruited via community outreach, peer networks, and social media.
View Article and Find Full Text PDF[Marine trophic and socio-ecological networks under pressure: study of the cumulative impact of climate change and offshore wind farm development].
Biol Aujourdhui
January 2025
UMR CNRS-UniCaen-MNHN-SU-UA-IRD BOREA, Biologie des Organismes et des Écosystèmes Aquatiques, Université de Caen-Normandie, CS 14032, 14000 Caen, France - France Énergies Marines, 53 rue de Prony, 76600 Le Havre, France.
In the anthropocene era, one of the greatest challenges facing trophic modeling applied to the marine environment is its ability to couple the multiple effects of both climate change and local anthropogenic activities, notably the development of offshore wind farms. The major challenge is to create scenarios to characterize their cumulative effects on the functioning of the entire socio-ecological system, in order to propose appropriate management plans. Although modeling cumulative impact on socio-ecological networks is not yet widely used, data reported in the present review article show that the relevance of this approach could be established in the context of offshore wind power.
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