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Treatment of ovarian metastases of colorectal and appendiceal carcinoma in the era of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy

AIM: To compare outcome of women with ovarian metastasis who underwent cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) to outcome of women without ovarian metastasis who underwent CRS-HIPEC.METHODS: A prospective CRS-HIPEC database was searched to identify women with surgically treated colorectal carcinoma between 2000 and 2012. Patients with ovarian metastasis were

Spinal cord grey matter segmentation challenge

An important image processing step in spinal cord magnetic resonance imaging is the ability to reliably and accurately segment grey and white matter for tissue specific analysis. There are several semi- or fully-automated segmentation methods for cervical cord cross-sectional area measurement with an excellent performance close or equal to the manual segmentation. However, grey matter segmentation

Imagine a world without cancer

BACKGROUND: Since the "War on Cancer" was declared in 1971, the United States alone has expended some $300 billion on research, with a heavy focus on the role of genomics in anticancer therapy. Voluminous data have been collected and analyzed. However, in hindsight, any achievements made have not been realized in clinical practice in terms of overall survival or quality of life extended. This migh

A prospective pilot study to assess neoadjuvant chemotherapy for unresectable peritoneal carcinomatosis from colorectal cancer

AIM: Twelve to 13% of patients with colorectal cancer (CRC) develop peritoneal carcinomatosis (PC), the majority of whom present with unresectable disease. This study aimed to document the actual response rate to and response characteristics of preoperative modern systemic chemotherapy in this patient group.METHOD: Patients underwent a positron emission tomography (PET)/CT scan, laparoscopy and pe

The use of Oxaliplatin or Mitomycin C in HIPEC treatment for peritoneal carcinomatosis from colorectal cancer : a comparative study

BACKGROUND: Oxaliplatin and Mitomycin C (MMC) are both suitable as intraperitoneal chemotherapy agents in HIPEC for peritoneal carcinomatosis (PC) of colorectal cancer (CRC).METHODS: Patient cohorts from two different HIPEC-centers underwent cytoreductive surgery and HIPEC with Oxaliplatin (39 patients) and MMC (56 patients), respectively. They were compared for toxicity and survival data. The ext

Morbidity associated with colostomy reversal after cytoreductive surgery and HIPEC

BACKGROUND: Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) has improved the survival in selected colorectal cancer patients with peritoneal metastases. In these patients, the risk of a low anastomosis is sometimes diminished through the creation of a colostomy. Currently, the morbidity and mortality associated with the reversal of the colostomy in this population

Cytoreduction and HIPEC in the Netherlands : nationwide long-term outcome following the Dutch protocol

PURPOSE: This nationwide study evaluated results of cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) for peritoneal metastasis of colorectal origin in the Netherlands following a national protocol.METHODS: In a multi-institutional study prospective databases of patients with peritoneal carcinomatosis (PC) from colorectal cancer and pseudomyxoma peritonei

Secondary cytoreductive surgery and peri-operative intraperitoneal chemotherapy for peritoneal recurrence of colorectal and appendiceal peritoneal carcinomatosis following prior primary cytoreduction

PURPOSE: Primary cytoreductive surgery (CRS) and peri-operative intraperitoneal chemotherapy (PIC) is the only curative option for patients with colorectal cancer peritoneal carcinomatosis (PC). A significant proportion of patients develop peritoneal recurrence. Outcomes of patients undergoing secondary CRS and PIC for recurrent PC were examined.METHODS: All patients undergoing second procedures w

Addition of biological therapies to palliative chemotherapy prolongs survival in patients with peritoneal carcinomatosis of colorectal origin

OBJECTIVES: Combination chemotherapy regimens have shown promising results in patients with metastatic colorectal cancer. However, only very few studies have studied the effect of palliative chemotherapy in peritoneal carcinomatosis (PC) and no data are present incorporating biological therapies in the treatment of PC in colorectal cancer.METHODS: By means of merging with the regional Eindhoven Ca

Multidisciplinary discussion and management of rectal cancer : a population-based study

BACKGROUND: The purpose of the present study was to evaluate the value of discussing rectal cancer patients in a multidisciplinary team (MDT).METHODS: All treated rectal cancer patients (>T1M0) diagnosed in 2006-2008 were included. According to the national guidelines, neoadjuvant (chemo)radiotherapy should be given to all rectal cancer patients. Patients were scored as "discussed" (MDT+) only if

Experimenting with Business Models for Sustainable Value-creation in Established Firms

This work is to extend studies of business model (BM) experimentation for sustainable value creation using three cases; here incumbent firms apply resources/networks in pursuit of sustainability-oriented BMs via corporate entrepreneurship. A focus query is: How do organisations apply experimentation to learn, signal and convince key resource holders to engage with shifts (from incumbent BMs) to mo

The ‘Sustainable Energy Concept’ - making sense of norms and co-evolution within a large research facility's energy strategy

The analysis presents an evolving ‘Energy Concept’ and strategy at an energy-intensive research facility in order to contribute understanding of how organisations may implement renewable energies and improve energy efficiency whilst also delivering broader socio-economic benefits. A framework is developed that infuses institutional perspectives with a micro level view. It facilitates positioning o

Renewal of forest-based manufacturing towards a sustainable circular bioeconomy.

Environmental problems, combined with European Union environmental and energy policies shaped to address them, have created pressures for change. Some of these open significant opportunities to renew industries. This report delivers new understanding of the potential of circular economy for sustainable renewal of manufacturing in bio-based industries. With particular focus on novel value chains, i

A pipeline for identification of causal mutations in barley identifies Xantha-j as the chlorophyll synthase gene

Thousands of barley (Hordeum vulgare L.) mutants have been isolated over the last century, and many are stored in gene banks across various countries. In the present work, we developed a pipeline to efficiently identify causal mutations in barley. The pipeline is also efficient for mutations located in centromeric regions. Through bulked segregant analyses using whole genome sequencing of pooled F

Advanced Chemometric analysis of photoemission Electron microscopy imaging for detecting non-metallic inclusions in steel materials

The accurate identification of non-metallic inclusions (NMIs) within steel matrices is critical for high-quality steel production. This study employs synchrotron radiation-based X-ray absorption photoemission electron microscopy (X-PEEM) to investigate NMIs in ultra-high-strength steels. Ca-L2,3-edge X-ray absorption spectra were acquired for six NMIs at both room temperature and 400 °C, allowing

Intensivvård efter hjärtstopp

In Sweden 1600 patients/year survive cardiac arrest (30-day survival). Post-resuscitation care is complex and aims to stabilize organ function with focus on preventing secondary brain injury. In 2021 The European Resuscitation Council (ERC) and European Society of Intensive Care Medicine (ESICM) published joint guidelines on post-resuscitation care. In this article the Swedish Resuscitation Counci

Systemic Constraints and Drivers for Production of Forest-Derived Transport Biofuels in Sweden - Part A: REPORT and Part B: CASE STUDIES : Report from f3 project: P38116-1 Analys av systembarriärer för produktion av skogsbaserade drivmedel September 2016 (Final Report)).

Diversification of forest industry activites into transport fuels is important for Swedish climate and energy policy goal achievement, and biofuel proponents also claim that it is important for Swedish forest industry competitiveness. There is significant ongoing research effort on biofuels for road transport and extensive experimentation on several technical platforms has been conducted. These di

Developing an open innovation culture in Lund’s innovation district

Recent years have brought new directionality to university’s work with innovation – increasing the focus on addressing societal challenges and contributing to much broader frames for impact. Working with complex challenges, where no one actor can do everything by themselves, requires collaboration across actor groups (private sector, academia, public sector, civil society), industrial sectors, dis

KRATOS : A large suite of N -body simulations to interpret the stellar kinematics of LMC-like discs

Context. The Large and Small Magellanic Clouds (LMC and SMC, respectively) are the brightest satellites of the Milky Way (MW), and for the last thousand million years they have been interacting with one another. As observations only provide a static picture of the entire process, numerical simulations are used to interpret the present-day observational properties of these kinds of systems, and mos