Introduction: Irreversible Electroporation (IRE) is a non-thermal ablation technique with promising results for treating locally advanced pancreatic cancer (LAPC). This study was conducted to evaluate safety and efficacy of IRE in the management of LAPC. Methods: This was e retrospective single center study of ten patients with radiographic and biopsy proven stage III pancreatic head or body cancer that received open IRE with intraoperative ultrasound imaging. Perioperative complications at 90 days, tumor volume measurements, local recurrence and survival were recorded. Results: 20 patients, with a median age of 62, underwent IRE for locally advanced pancreatic head cancer (n=11) and body cancer (n=9). All patients were treated successfully with an open IRE approach. Nine patients experiences grade II (Clavien-Dindo) procedure related complications. There were no grade 3 to 5 complications. Median follow up was 30 monts. Tumor volume decrease at 6 months imaging follow up was found in 70% of patients (n=14). Local disease progression was observed in two patients, and there was evidence of metastatic disease in 7 patients. 8 patients died with a mean of 15, 2 months and 12 patients are still alive with a mean of 17,3 months. Median overall survival was 16,5 months. Conclusion: Our initial experience with IRE showed encouraging results regarding safety, feasibility and efficacy in patients with locally advanced pancreatic head or body cancer. Further investigation is needed.
This article discusses strategies designed to assist European Union (EU) health systems respond to the urgent health needs of refugees and migrants, assessing the situation from both an EU and global perspective. The article provides an overview of the legal framework, political policies, actions taken and the funding issues facing European institutions and international organizations as they seek to strengthen their response to healthcare needs of refugees and migrants. This article argues that EU member states need to be committed to improving the health status of refugees and migrants and reinforce their capabilities to advocate for respect for their basic right to health.
The economic, social and political factors that constitute the image and the operation of New Internationalized environment are various and extremely important.From the transition to the post-Fordic model of development at the early 70s to the European Union of 25 countries, the European cities and enterprises became acceptors of changes and evolutions that differentiated .their profile, their role and also their significance. Both the cities and the enterprises have entered into a phase of reconstruction, recreation and speed of evolution with ultimate aim the exploitation of the changes that the new global reality and market produces, in order to fortify their economic development and to transform their competitive profile. Having their competitiveness as a common objective, cities and enterprises are activated and developed in the same geographical spaces, using the dynamics of their external environment. Under this context, a very subtle and significant issue, which has been concerning the international scientific community during the last years and has been the topic of the present study, arises. This issue concerns the investigation of the relation between the economic development of the cities and the competitiveness of the enterprises. Trying to shed light on this issue and to provide some answers, the present study focuses on the environment of the medium-sized cities of Southeastern Europe and also on the environment of the enterprises that are located in these cities. The main question that is set forward is how much the dynamics of the urban environment (urban advantages and policies of development) affect the competitiveness of the enterprises.This study using and employing specialized statistical and econometric techniques supports that, indeed, certain factors such as economies of agglomeration, infrastructure in research and development, ability of the local administrative actors to implement policies is possible to affect positively the competitiveness of the enterprises.
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