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Background Completion axillary lymph node dissection (cALND) is often recommended for patients with isolated tumour cells (ITCs) or micrometastases in the sentinel lymph node (SLN) or target lymph node (TLN) to assess the definite nodal tumour burden after neoadjuvant chemotherapy (NACT). The aim of this study was to investigate the upgrade of N stage by cALND in patients with low-volume metastase
Background: Policy advocacy (PA) in European healthcare has a strong tradition promoting evidence-based policies. Key organisations, including the European Observatory on Health Systems and Policies, the WHO’s Evidence-Informed Policy Network, and the OECD play pivotal roles in integrating research into policymaking. Objectives: To assess the involvement of European Family Medicine (FM) Associatio
Background The purpose of this systematic review and meta-analysis was to (i) evaluate effects of exercise on cancer-related lymphedema (CRL) incidence, and (ii) explore whether effect differed according to patient and exercise intervention characteristics. Methods A search of 6 electronic databases was undertaken to identify intervention studies published up to May 2025. Studies included individu
North Sea-Progressive Myoclonus Epilepsy (NS-PME) is a progressive neurological disorder, initially only associated with the homozygous GOSR2 founder mutation (c.430G>T; p.Gly144Trp). Clinical symptoms include untreatable early-onset ataxia, cortical myoclonus and epilepsy. Recently, the spectrum of GOSR2 mutations and associated phenotypic variability has expanded. To improve care and to facilita
Background: Islet autoantibodies form the foundation for type 1 diabetes (T1D) diagnosis and staging, but heterogeneity exists in T1D development and presentation. We hypothesized that autoantibodies can identify heterogeneity before, at, and after T1D diagnosis, and in response to disease-modifying therapies. Methods: We systematically reviewed PubMed and EMBASE databases (6/14/2022) assessing 10
Background: The objective of this systematic review is to identify prognostic factors among women and their offspring affected by gestational diabetes mellitus (GDM), focusing on endpoints of cardiovascular disease (CVD) and type 2 diabetes (T2D) for women, and cardiometabolic profile for offspring. Methods: This review included studies published in English language from January 1st, 1990, through
Context. Strongly lensed quasars are fundamental sources for cosmology. The Gaia space mission covers the entire sky with the unprecedented resolution of 0.18âà € ³ in the optical, making it an ideal instrument to search for gravitational lenses down to the limiting magnitude of 21. Nevertheless, the previous Gaia Data Releases are known to be incomplete for small angular separations such as thos
A search is conducted for new phenomena in events with a top quark pair and large missing transverse momentum, where the top quark pair is reconstructed in final states with one isolated electron or muon and multiple jets. The search is performed using the Large Hadron Collider proton-proton collision data sample at a centre-of-mass energy of s = 13 TeV recorded by the ATLAS detector that correspo
Type 2 diabetes (T2D) is a heterogeneous disease that develops through diverse pathophysiological processes1,2 and molecular mechanisms that are often specific to cell type3,4. Here, to characterize the genetic contribution to these processes across ancestry groups, we aggregate genome-wide association study data from 2,535,601 individuals (39.7% not of European ancestry), including 428,452 cases
Background: Parkinson's disease is a progressive neurodegenerative disorder. Awareness and the evidence supporting the merits of palliative care (PC) approaches to people with Parkinson's disease (PwP) are increasing. Objective: This review aimed to address four key questions related to PC for PwPs and their caregivers: i) What are the indicators for timely access to PC? ii) When should PC be intr
Background and purpose: Neuroblastoma is the most common extracranial solid tumour in children. Radiotherapy is commonly part of the multimodal treatment for high-risk patients. The aim of this study is to analyse doses to organs at risk (OAR) in comparative proton and photon treatment plans for children treated for neuroblastoma and report side effects. Patient/material and methods: All children
Narratives in Medicine: Human Dimensions in a Tech-DrivenHealthcare and SocietyMats Arvidson, Ph. D., Senior Lecturer and Associate Professor, Lund UniversityThe Transboundary Body: Illness Narrative, Intermediality, and MedicalTechnologyThis paper explores how contemporary treatment technologies reshape the possibilities of illness narrative across lived experience, philosophy, and film. Emerging
The dune regions of the Curonian Spit are undergoing a gradual deflation and transformation towards a vegetated surface as a result of extensive forestation and dune stabilization efforts limiting sand input to the dunes. Current dune monitoring in the Spit relies mostly on field levelling, whereas radar interferometry – used extensively in land surface monitoring elsewhere – is not utilized. This
Sustainability reporting remains a well-established field of research, with many important contributions. Additionally, the public has a growing desire for firms to adopt responsible ESG practices, thus requiring more transparency and accountability. Without the acceptance from the public, the business might face negative consequences. The understanding of how sustainability reporting is disclosed
Purpose: To assess perceived overall knowledge in geriatric medicine and perceived educational needs in key geriatric topics and skills of health and social care professionals working within the WHO Region Europe. Methods: The sample of this cross-sectional survey was not designed to be nationally representative. We analysed the responses of 5425 professionals who completed a multilingual multinat
