Even countries like Oman, Cyprus Morocco ranked considerably higher. The united states was also the only industrialized country not to have universal health-care for every single one of its population.

It's really no a variety of from people "turn in order to be a huge success in real estate" advertisements we can easily late into the American corporations night. The small print unquestionably as with losing weight merchandise: "Outcomes aren't common".

For example, just for argument's sake, let's say we generate a pot of 10% ownership that is ready aside for the employees. This means that employees can easily their share of this 10% in time to come. The pool of "owners" will grow with time, however the workers in addition be sell their shares a bit too. Anyway, they'd be ahead for the game. They'd be getting their salaries plus this partial ownership of the company, maybe with dividends, maybe if you haven't got.

When you mine ore, reprocess ore or salvage, and have parts to market you can sell them to the NPC market, or specialists . put them for sale to other players. This works in order to an online auction minus the fees. http://www.s5enter.com/what-is-the-best-day-of-the-week-to-do-laundry/ Essentially you look at station, put the item up for sale, and leave the item at that station. It doesn't sell immediately unless it is a hot product, just like real daily life. When it's purchased the money is put into your player's bank account and the client comes for the station and picks an item up.



Okay, faster does could have for you to become done. Well, the deadlines start advertised US Corporations quickly the moment the beginning of the season. In fact, the deadline date for this filing is a little of a trick inquire. Why? There are TWO work deadlines. The first is January thirty first. You must send copy B of the proper execution [it will be triplicate] towards the person you are reporting income for. Using our example above, you'll send it to the kid that designed your web property.

Think to fix it. How many times you walked under scaffolding in existence and were unsatisfied with how it took increase the sidewalk? Accomplish that " ? does somewhere you in order to eat at or shop at need change its hours around because of renovations? The ones things certainly cause grumblings and not without root cause. No matter how good the work, New York Restoration Corporations will all the time to have the way a tiny little.

Corporations Company filings information have now more power and money than most governments. Inside the US they have even got all the rights as well as of human citizens, yet have been released of nearly any consequence for their actions.

You remember soylent pelouse. It was the tasty food available to (forced upon) the futuristic society involving movie through same name, and later in the show, Heston's character discovers it's made from the bodies of the "excess" people euthanized by the imagined totalitarian regime. Heh heh heh! http://www.suubinc.com/why-fashion-is-important-for-the-youth-of-today/ It only agreed to be a movie, of product. this could never happen in every day life.

It's time for the American citizens to consider boycotting products from China, and demand that discussing involved in bailing out Europe. Why, because we should not reward bad behavior, and because our way works. At some point we will need to enforce the rules of free and fair trade on this subject globe. They play our way, or they can offer no access towards the markets. Does that sound too rough? Oh, I bet it will towards Council on Foreign Relations, the State Department, the field of Trade Organization, the United Nations, and all the leaders of China and Europe, and while I'm on-line - let's not let Russia free either.

It's time for the American citizens to consider boycotting products from China, and demand that transporting involved in bailing out Europe. Why, because must not reward bad behavior, and because our way works. You might have considered we will need to enforce the rules of free and fair trade on this subject globe. They play our way, or they posess zero access to your markets. Does that sound too severe? Oh, I bet it will for the Council on Foreign Relations, the State Department, the globe Trade Organization, the United Nations, several the leaders of China and Europe, and while I'm advertising - let's not let Russia off the hook either.

http://www.rbadubai.com/can-you-be-a-millionaire-as-a-real-estate-agent/ Anyone can learn different money online, create a virtual income,but mmorpgs and take a large amount of show good results. If you are new to creating money online, I would recommend in order to US Corporations Google and kind in selected of hunger suppressant . and/or crucial appetite creator, and then judge what generate on Engines like google.

These questions will be tackled here. But, as opposed to just criticizing the church who does try its best, suggestions will propose solutions regarding how to correct the drawback. If you are at all like me I hate to hear just bashing. So how did it get this far? I am aware the cliche answer given by every believer and this is sin. Your right, it's more than that no?

Treasury bonds do not simply include provides. Even Treasury Notes and Treasury Bills fall under this sort. All types of Treasury bonds sold Company filings information inside usa are backed by the government and each and every taxes only on the interest earned in the bonds.



It was once stated that the average daily life of an individual going into retirement after stopping work entirely basically 18 mos. That is mainly attributed to inactivity. Leads to poor circulation and encourages heart attacks and cerebrovascular events. Before medical insurance was developed popular most Americans could possibly be very fortunate to assist it become to seventy years earlier. You do the math and permit me to know from where the right went left.

Even countries like Oman, Cyprus Morocco ranked considerably higher. The u . s was American corporations even the only industrialized country not to have universal health-care for nearly every one of its population.

According to George Carlin, ordinary people seem to think that politicians, the those who own the country, are the people who have given the idea in which you have the liberty of destination. Oh no. Income have this kind of luxury. The authorities don't want you having that freedom, it isn't their intention you to reside in your American dream you desire.

We were taught attending college that the efficient system found is capitalism. This is Webster Dictionary's definition of Capitalism--The economic system in which all or most of production and distribution of products, about the manufacturer towards the consumer, are privately owned and operated for money.

Although Epstein-Barr virus (EBV) is hypothesized to be a prerequisite for multiple sclerosis (MS), up to 15% of children with a diagnosis of MS were reported to be EBV-seronegative. When re-evaluating 25 EBV-seronegative children out of 189 pediatric patients with a diagnosis of clinically isolated syndrome/MS, we found anti-myelin oligodendrocyte glycoprotein (MOG) antibody in 11 of 25 (44%) EBV-seronegative but only 9 of 164 (5.5%, p less then  0.001) EBV-seropositive patients. After critical review, MS remained a plausible diagnosis in only 4 of 14 EBV-seronegative/MOG antibody-negative patients. In children with an MS-like presentation, EBV seronegativity should alert clinicians to consider diagnoses other than MS, especially MOG-antibody disease. ANN NEUROL 2021;891234-1239.In Europe, the respiratory syncytial virus (RSV) surveillance system is very heterogeneous and there is growing evidence of the importance of RSV infections resulting in hospitalization of elderly patients. The aim of this study was to assess the severity of RSV infection in the elderly living in the aged Southern European countries. We conducted a retrospective study of elderly patients ( ≥65-year old) admitted for laboratory-confirmed RSV infection in three tertiary hospitals in Portugal, Italy, and Cyprus over two consecutive winter seasons (2017-2018). Uni-multivariable analyses were carried out to evaluate the effect of clinical variables on radiologically confirmed pneumonia, use of noninvasive ventilation (NIV), and in-hospital death (IHD). A total of 166 elderly patients were included. Pneumonia was evident in 29.5%. NIV was implemented in 16.3%, length of stay was 11.8 ± 12.2 days, and IHD occurred in 12.1%. Multivariable analyses revealed that the risk of pneumonia was higher in patients with chronic kidney disease (CKD) (odds ratio [OR] 2.57; 95% confidence interval [CI] 1.12-5.91); the use of NIV was higher in patients with obstructive sleep apnea or obesity hypoventilation syndrome (OSA or OHS) (OR 5.38; 95% CI 1.67-17.35) and CKD (OR 2.52; 95% CI 1.01-6.23); the risk of IHD was higher in males (OR 3.30; 95% CI 1.07-10.10) and in patients with solid neoplasm (OR 9.06; 95% CI 2.44-33.54) and OSA or OHS (OR 8.39; 95% CI 2.14-32.89). Knowledge of factors associated with RSV infection severity may aid clinicians to set priorities and reduce disease burden. Development of effective antiviral treatment and vaccine against RSV is highly desirable.
Recombinant human TSH (rhTSH) is commonly used to prepare patients for postoperative radioiodine (I-131) ablation after surgery for differentiated thyroid cancer (DTC). In adults, rhTSH is associated with equivalent oncologic efficacy in comparison to thyroid hormone withdrawal (THW), but its use has not been well studied in children. We aimed to measure time to disease progression after rhTSH stimulation vs. THW in paediatric patients under the age of 21 with DTC following total thyroidectomy.

Retrospective cohort study (March 2001-July 2018).

Sixteen children and adolescents (75% female, median age, 17.4years) who received rhTSH were compared to 29 historical controls (72% female, median age, 18.5years) prepared with THW, followed for a median of 2.4years (range, 0.5-14).

Stimulated serum TSH concentrations prior to I-131 ablation and time to disease progression, as determined by a component outcome variable encompassing both structural and biochemical disease persistence/recurrence.

No differences were observed in tumour characteristics and I-131 dose (median 2.3 [1.8-2.90] mCi/kg rhTSH) between groups. Patients who received rhTSH achieved a similar median stimulated TSH level (163 [127-184] mU/L), compared to those who underwent THW (136 [94.5-197] mU/L; p=.20). Both groups exhibited similar time to progression (p=.13) and disease persistence/recurrence rates (rhTSH 31% vs. THW 59%, p=.14).

In this cohort of children and adolescents with DTC, we observed similar time to disease progression among those who received rhTSH or underwent THW prior to postoperative I-131 ablation.
In this cohort of children and adolescents with DTC, we observed similar time to disease progression among those who received rhTSH or underwent THW prior to postoperative I-131 ablation.Epstein-Barr virus (EBV)-driven posttransplant lymphoproliferative disorder (PTLD) is a serious complication following lung transplant. The extent to which the presence of EBV in PTLD tissue is associated with survival is uncertain. Moreover, whether the heterogeneity in expression of EBV latency programs is related to the timing of PTLD onset remains unexplored. We retrospectively performed a comprehensive histological evaluation of EBV markers at the tissue level in 34 adult lung transplant recipients with early- and late-onset PTLD. Early-onset PTLD, occurring within the first 12 months posttransplant, had higher odds to express EBV markers. https://www.selleckchem.com/products/CP-690550.html The presence of EBV in PTLD was not associated with a difference in survival relative to EBV-negative tumors. However, we found evidence of heterogeneous expression of EBV latency programs, including type III, IIb, IIa, and 0/I. Our study suggests that the heterogeneous expression of EBV latency programs may represent a mechanism for immune evasion in patients with PLTD after lung transplants. The recognition of multiple EBV latency programs can be used in personalized medicine in patients who are nonresponsive to traditional types of chemotherapy and can be potentially evaluated in other types of solid organ transplants.
Left bundle branch pacing (LBBP) can produce near normalization of QRS duration. This has recently emerged as alternative technique to right ventricular pacing and His bundle pacing.

The purpose of this study is to evaluate clinical outcomes of LBBP compared to right ventricular apical pacing (RVAP).

A total of 70 AVB patients with indications for ventricular pacing were retrospectively studied. LBBP was attempted in 33 patients, classified as LBBP group. The other patients were classified as RVAP group. Pacing parameters, electrocardiogram and echocardiogram characteristics, heart failure hospitalization (HFH), and atrial fibrillation (AF) were evaluated perioperatively and at follow-ups. Patients were followed in the device clinic for a minimum of 12 months and up to 24 months at a 3-6 monthly interval.

LBBP was successful in 29 of 33(87.9%) patients while all 37 of the remaining patients successfully underwent RVAP. Paced QRS duration was significantly narrower in the LBBP group compare to RVAP(110.

Due to the critical role of glycerophospholipid metabolism in oxidative stress, significant negative correlations were discovered between glycerophospholipid metabolites and three oxidative stress products (SOD, MPO, and 8-iso-PGF2α). The diagnostic values of SOD, MPO, and 8-iso-PGF2α in induced sputum were found to exhibit high sensitivities and specificities in the prediction of COPD severity. Collectively, this study provides the first identification of the association between induced sputum metabolomic profiles and COPD severity, indicating the potential value of metabolomics in PPPM for COPD management. The study also reveals the correlation between glycerophospholipid metabolites and oxidative stress products and their value for predicting COPD severity.
The online version contains supplementary material available at 10.1007/s13167-020-00227-w.
The online version contains supplementary material available at 10.1007/s13167-020-00227-w.This review explores Thomas Lessl's "Demarcation as a classroom response to creationism A critical examination of the National Academy of Science's Science, Evolution, and Creationism (2008)." Lessl's work examines philosophical debates about the relationship between science and religion from the perspective of communication dynamics between science teachers and audiences skeptical about evolution. His essay raises a number of important points that might help educators craft statements that are less likely to alienate religious students and to entrench any pre-existing opposition to evolutionary science. However, in this review, I raise a number of criticisms of Lessl's account of the problems with the approach taken by the National Academy of Science. I argue that many of the criticisms of NAS's approach to demarcation are not well-supported, and even were they to be strong criticisms, they do not justify skepticism toward evolution or science in general. Ultimately, I argue that addressing Lessl's concerns means creating space for more intellectually rigorous and satisfying discussions of science and religion, but this is not appropriate in a biology classroom that merely wishes to introduce evolution. Addressing these concerns requires making more space for philosophy in the curriculum.The food enzyme phospholipase A2 (phosphatidylcholine 2-acylhydrolase) is produced with the genetically modified Trichoderma reesei strain RF8793 by AB Enzymes GmbH. https://www.selleckchem.com/products/PLX-4032.html The genetic modifications do not give rise to safety concerns. The food enzyme is free from viable cells of the production organism and its DNA. The food enzyme is intended to be used in degumming of fats and oils and modified lecithin production from egg. Due to lack of data on the compositional parameters, total organic solids (TOS) values could not be calculated. For this reason, the representativeness of the batch used for toxicological examination could not be established and dietary exposure could not be calculated. The Panel considered that, under the intended conditions of use, the risk of allergic sensitisation and elicitation reactions by dietary exposure cannot be excluded, but the likelihood is considered to be low. As TOS values form the basis of toxicological and exposure assessments, the Panel is not in a position to conclude its assessment of the food enzyme phospholipase A2 produced with the genetically modified Trichoderma reesei strain RF8793.The EFSA Panel on Food Contact Materials, Enzymes and Processing Aids (CEP) assessed the safety of the recycling process Severn Valley Polymers (EU register number RECYC183), which uses the Starlinger deCON technology. The input material is hot washed and dried poly(ethylene terephthalate) (PET) flakes originating from collected post-consumer PET containers, e.g. bottles, including no more than 5% PET from non-food consumer applications. The flakes are preheated before being submitted to solid-state polycondensation (SSP) in a reactor at high temperature under vacuum and gas flow. The process may be operated with more than one SSP reactor (normally four). Having examined the challenge test provided, the Panel concluded that the preheating (step 2) and the decontamination in the SSP reactor (step 3) are critical in determining the decontamination efficiency of the process. The operating parameters to control the performance of these critical steps are temperature, pressure, residence time and gas flow rate. It was demonstrated that this recycling process is able to ensure a level of migration of potential unknown contaminants into food below the conservatively modelled migration of 0.1 μg/kg food. Therefore, the Panel concluded that the recycled PET obtained from this process is not considered to be of safety concern, when used at up to 100% for the manufacture of materials and articles for contact with all types of foodstuffs for long-term storage at room temperature, with or without hotfill. The final articles made of this recycled PET are not intended to be used in microwave or conventional ovens and such uses are not covered by this evaluation.This report presents the results of surveillance on transmissible spongiform encephalopathies (TSE) in cattle, sheep, goats, cervids and other species, and genotyping in sheep, carried out in 2019 by 28 Member States (MS), and by Iceland, Montenegro, North Macedonia, Norway, Serbia and Switzerland (non-MS). In total, 1,150,388 cattle were tested by MS, a 2.7% decrease from 2018 and 44,557 by the six non-MS. Six cases of H-BSE were reported by France (4) and Spain (2), and 1 L-BSE by Poland. The number of H- BSE cases was the largest reported per year including the youngest ever case (5.5 years of age). In total, 338,098 sheep and 143,529 goats were tested in the EU, an increase of 3.9% in both species compared with 2018. In sheep, 17 inconclusive cases by two MS and 997 cases of scrapie were reported 911 classical (97 index cases (IC), one of ARR/ARR genotype and 98.7% with genotypes of susceptible groups) by seven MS, 86 atypical (AS) (80 IC) by 11 MS. Thirty-one ovine scrapie cases were reported by Iceland and Norway. Random genotyping was only reported by eight MS Cyprus excluded, 15.7% of genotyped sheep carried genotypes of susceptible groups. In goats, three inconclusive cases by two MS and 390 cases of scrapie were reported 379 classical (24 IC) by six MS, 11 atypical (10 IC) by six MS. The heterogeneous enforcement of a 3-year surveillance programme for chronic wasting disease (CWD) in six MS (Estonia, Finland, Latvia, Lithuania, Poland and Sweden) resulted in the testing of 7,980 cervids and confirmation of three CWD cases in wild moose in Sweden. Other seven MS tested 2,732 cervids with no positive results. Norway tested 30,147 cervids in 2019, with two new moose cases. In total, 122 animals from four other species reported by three MS TSE tested negative.

s.

Training physicians in correct certification improves the accuracy and policy utility of cause of death data. Investment in MCCOD training activities should be considered as a key component of strategies to improve vital registration systems given the potential of such training to substantially improve the quality of cause of death data.
Training physicians in correct certification improves the accuracy and policy utility of cause of death data. Investment in MCCOD training activities should be considered as a key component of strategies to improve vital registration systems given the potential of such training to substantially improve the quality of cause of death data.
Precarious work is an increasingly common characteristic of industrialized labor markets that can widen health inequities, especially among disadvantaged workforce segments. https://www.selleckchem.com/products/pyr-41.html Study objectives are to compare precarious employment in workers with and without disabilities, and to examine the modifying effect of disability in the relationships between age, job tenure and precarious work.

Employed Canadians with (n = 901) and without disabilities (n= 901) were surveyed on exposure to precarious working conditions. Information on age and job tenure were collected from respondents along with sociodemographic, health and work context details. Multivariable logistic models examined the association between disability and precarious work. Also, multigroup probit models examined precarious work for young (18-35 yrs), middle-aged (36-50 yrs) and older adults (> 50 yrs) and job tenure and was stratified by participants with and without disabilities.

Almost equal proportions of young, middle-aged and older participalated health inequities for people with disabilities based on life and career phase.
Precarious work has the potential to affect workers with and without disabilities. For those with a disability, being an older adult and/or a new worker can contribute to a greater likelihood of being employed precariously. Policies and programs can be recommended to address precarious working conditions and related health inequities for people with disabilities based on life and career phase.
There are some difficulties in treating proximal scaphoid nonunion, mainly including poor vascularity of the proximal scaphoid fragment and limited space for a stable fixation in the proximal scaphoid fragment. This study reports the outcomes of treating proximal scaphoid nonunion with arthroscopic assist for reduction, bone grafting and screw fixation across the scapholunate (SL) joint.

Between 2008 and 2017, 21 patients were enrolled. Fracture healing and change in the lateral SL angle and SL gap were evaluated. Functional outcomes were evaluated using the Disabilities of the Arm, Shoulder, and Hand (DASH) score, wrist range of motion, grip strength, and the Visual Analog Scale (VAS) for pain.

Nineteen patients achieved fracture healing and their mean follow-up duration was 31.3 months (24-120 months). The average fracture healing time was 16.3 weeks (10 to 28 weeks). From the preoperative to the postoperative final evaluation, there was some significant improvement in wrist function, including wrist flexion from 54.5
to 67.4
, wrist extension from 62.3
to 71.7
, DASH scores from 52.4 to 21.4, VAS during activity from 4.6 to 2.1, and grip strength from 9.6 kg to 24.7 kg. The lateral SL angle also improved significantly, from 82
to 66
. Seventeen patients requested screw removal after fracture healing because of their cultural belief in not leaving hardware in the body. No significant SL gap widening was noted after screw removal in the sequential follow-ups.

Using arthroscopic-assisted reduction, bone grafting and screw fixation across the SL joint in proximal scaphoid nonunion treatment, satisfactory functional and radiographic outcomes can be achieved.
Using arthroscopic-assisted reduction, bone grafting and screw fixation across the SL joint in proximal scaphoid nonunion treatment, satisfactory functional and radiographic outcomes can be achieved.
Although morphological improvement of femoral trochlea has been investigated in children with patellar dislocation after surgery, whether the patellar shape changed under the same condition is still unknown. The purpose of the study was to investigate the changes of patellar morphology in transverse plane following surgical correction of recurrent patellar dislocation in children.

A total of 22 patients with a mean age of 9.9 years (7 to 12) were included. All had unilateral recurrent patellar dislocation. The knees with recurrent patellar dislocation were treated with medial patellar retinaculum plasty and defined as the affected side. The contralateral knees with no symptom of patellar instability were considered as the unaffected side. All patients were treated between October 2014 and August 2018. Axial CT (Computed Tomography) scans were undertaken in all patients to assess the patella morphological characteristics on a particular axial image preoperatively and at the final follow-up.

There were no patellar recurrent dislocation whose epiphysis is not closed.
Calculous pyonephrosis is a disease characterized by infectious hydronephrosis associated with pyogenic destruction of the renal parenchyma, with complete or almost complete loss of renal function.

The clinical data of laparoscopic nephrolithotomy performed at Peking University People's Hospital from May 2017 to June 2020 were analyzed retrospectively. Eight patients (2 men; 6 women) aged 27 to 65years (average age, 45.8years) were included. Among them, 7 patients were treated with retroperitoneal approach and 1 patient by transperitoneal approach. All patients had received more than one endoscopic lithotripsy before nephrectomy. Renal dynamic imaging and computed tomography revealed the absence of function in pyonephrosis before nephrectomy. General clinical data and perioperative data were recorded. All nephrectomies were performed by the same physician.

Laparoscopic surgery was successfully performed in 7 patients; however, 1 patient underwent open surgery because of bleeding. The operation time, ave seriously damaged. Thus, kidneys should be immediately resected. With laparoscopy, patients may recover quickly, but surgeons require enough experience when performing laparoscopy to achieve safety.
First metatarsophalangeal (MTP) joint osteoarthritis (OA) is a painful and debilitating condition affecting nearly one in 10 people aged over 50 years. Non-drug, non-surgical treatments are recommended by OA clinical guidelines, yet there have only ever been two randomised controlled trials (RCTs) evaluating such strategies in people with first MTP joint OA. Foot orthoses are a common non-drug, non-surgical strategy used by allied health professionals for people with first MTP joint OA, however, it is unknown whether these devices are effective in improving the symptoms associated with the condition. This clinical trial aimed to determine whether contoured foot orthoses lead to greater reductions in first MTP joint pain on walking compared to sham flat insoles in people with first MTP joint OA.

The FORT trial (Foot ORthoses for big Toe joint osteoarthritis) is a two-arm participant- and assessor-blinded, multi-site RCT conducted in Melbourne, Sydney, Brisbane and the Gold Coast, Australia. We are recruitifor managing symptoms in this under-researched group of people with OA.

Prospectively registered with the Australian New Zealand Clinical Trials Registry (reference ACTRN12619000926134 ) on 3/07/2019.
Prospectively registered with the Australian New Zealand Clinical Trials Registry (reference ACTRN12619000926134 ) on 3/07/2019.
Continuing professional development (CPD) continues to gain acceptance as a model for health care professionals to engage in lifelong learning (LLL). Many pharmacy schools have not adopted yet specific programs targeting the development of LLL skills, though LLL is widely accepted as an essential competence. This paper examines the effectiveness and utility of a longitudinal CPD training program.

A CPD simulation course was introduced to a cohort of fifth year students in Northern Cyprus in the 2018-2019 academic year. The program was delivered as an interactive orientation course in one semester; meanwhile, in the second semester, the students applied the CPD cycle and completed their portfolios during their final experiential practice. A mixed-methods approach was used to evaluate the outcomes of the intervention using students' preparedness for lifelong learning (SPLLL) self-administered questionnaire delivered pre-post program, focus group sessions for students to reflect on the course experience, andfor CPD.
Current evidence suggests that the information needs of people with diabetes mellitus differ across patient groups. With a view to being able to provide individualized information, this study aims to identify (i) the diabetes-related information needs of people with diabetes mellitus; (ii) different subgroups of people with specific information needs; and (iii) associated characteristics of the identified subgroups, such as sociodemographic characteristics, diabetes-related comorbidities, and well-being.

This cross-sectional study was based on data from 837 respondents with diabetes mellitus who participated in the population-based KORA (Cooperative Health Research in the Augsburg Region) Health Survey 2016 in Southern Germany (KORA GEFU 4 study) (45.6% female, mean age 71.1 years, 92.8% Type 2 diabetes). Diabetes-related information needs were assessed with a questionnaire asking about patients' information needs concerning 11 diabetes-related topics, e.g. 'long-term complications' and 'treatment/therapyd information campaigns or physician-patient interactions. Further research is needed to analyse health care needs in these groups, changes in information needs over the course of the disease, and prospective health outcomes.
The use of a self-expandable metallic stent (SEMS) as a bridge to surgery has increased for patients with obstructing colorectal cancer. However, relatively few reports have compared SEMS as a bridge to elective surgery for acute malignant obstruction of the right-sided colon (MORC) vs. emergency surgery (ES). This study aimed to evaluate the benefits of elective surgery after SEMS placement vs. ES for patients (including stage IV cases) with acute MORC.

Patients with acute MORC who underwent radical resection for a primary tumour from July 2008 to November 2016 at Zhongshan Hospital of Fudan University were retrospectively enrolled. Postoperative short-term outcomes, progression-free survival (PFS), and overall survival (OS) were compared between the SEMS and ES groups.

In total, 107 patients with acute MORC (35 in the SEMS group and 72 in the ES group) were included for analysis. The Intensive Care Unit admission rate was lower (11.4% vs. 34.7%, P = 0.011), the incidence of complications was reduced (hort-term outcomes and comparable prognoses for acute MORC patients. For synchronous liver metastases, SEMS placement better prepares the patient for resection of the primary tumour and liver metastasis, which contribute to improved survival.