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dinsdag 15 augustus 2017

The Lancet: [Articles] Effectiveness of household lockable pesticide storage to reduce pesticide self-poisoning in ru...

[Articles] Effectiveness of household lockable pesticide storage to reduce pesticide self-poisoning in rural Asia: a community-based, cluster-randomised controlled trial
We found no evidence that means reduction through improved household pesticide storage reduces pesticide self-poisoning. Other approaches, particularly removal of highly hazardous pesticides from agricultural practice, are likely to be more effective for suicide prevention in rural Asia.
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[Department of Error] Department of Error
Balar AV, Galsky MD, Rosenberg JE, et al, for the IMvigor210 Study Group. Atezolizumab as first-line treatment in cisplatin-ineligible patients with locally advanced and metastatic urothelial carcinoma: a single-arm, multicentre, phase 2 trial. Lancet 2017; 389: 67–76—In figure 3 of this Article (published Online First on Dec 7, 2016), all patients should be grey in the key and IC0/1 should be green. These corrections have been made to the online version as of Aug 11, 2017.
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[Review] Current approach of the axilla in patients with early-stage breast cancer
The surgical approach of the axilla in patients with early-stage breast cancer has witnessed considerable evolution during the past 25 years. The previously undisputed gold standard of axillary-lymph-node dissection for staging has now been replaced by sentinel-lymph-node biopsy for patients with clinically negative axilla. For selected patients with limited sentinel-lymph-node involvement, completion axillary-lymph-node dissection can be omitted or replaced by axillary radiotherapy, reducing morbidity.
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[Articles] Is late-life dependency increasing or not? A comparison of the Cognitive Function and Ageing Studies (CFAS)
On average older men now spend 2·4 years and women 3·0 years with substantial care needs, and most will live in the community. These findings have considerable implications for families of older people who provide the majority of unpaid care, but the findings also provide valuable new information for governments and care providers planning the resources and funding required for the care of their future ageing populations.
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[Comment] The burden of triumph: meeting health and social care needs
Life is getting longer. Death is not defeated, but it takes longer to win than it used to. The increases seen for most people in life expectancy are surely a matter for great rejoicing. References to the burden of ageing seem to have missed the crucial point that living is something that most people at most times want to prolong, and on average people are able to do that for longer than ever before1,2 This increased life expectancy is a triumph of a century or more of improved incomes, lifestyles, and medical technology and intervention.
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