Management of lateral pelvic lymph nodes in rectal cancer:Is it time to reach an Agreement?

In this editorial,we proceed to comment on the article by Chua et al,addressing the management of metastatic lateral pelvic lymph nodes(mLLN)in stage II/III rectal cancer patients below the peritoneal reflection.The treatment of this nodal area sparks significant controversy due to the strategic differences followed by Eastern and Western physicians,albeit with a higher degree of convergence in recent years.The dissection of lateral pelvic lymph nodes without neoadjuvant therapy is a standard practice in Eastern countries.In contrast,in the West,preference leans towards opting for neoadjuvant therapy with chemoradiotherapy or radiotherapy,that would cover the treatment of this area without the need to add the dissection of these nodes to the total mesorectal excision.In the presence of high-risk nodal characteristics for mLLN related to radiological imaging and lack of response to neoadjuvant therapy,the risk of lateral local recurrence increases,suggesting the appropriate selection of strategies to reduce the risk of recurrence in each patient profile.Despite the heterogeneous and retrospective nature of studies addressing this area,an international consensus is necessary to approach this clinical scenario uniformly.

China Procurement-Leveraging Supplier Selection and Supplier Management for Success

Successful China pro- curement is the result of a comprehensive set of complex and high-ly-specialized processes. Dis- tilling this down to a ＂magical recipe＂ for success is no simple task, and there are no shortcuts. However, as a useful reference, two fundamental ingredients for procurement success are： the selection of the right suppliers： and the effective management of chosen suppliers to optimize their performance.

空间选择性缺陷管理制备高性能碳基CsPbI_(3)钙钛矿太阳能电池

Defects formed at the surface,buried interface and grain boundaries(GB)of CsPbI_(3)perovskite films considerably limit photovoltaic performance.Such defects could be passivated effectively by the most prevalent post modification strategy without compromising the photoelectric properties of perovskite films,but it is still a great challenge to make this strategy comprehensive to different defects spatially distributed throughout the films.Herein,a spatially selective defect management(SSDM)strategy is developed to roundly passivate various defects at different locations within the perovskite film by a facile one-step treatment procedure using a piperazine-1,4-diium tetrafluoroborate(PZD(BF_(4))_(2))solution.The small-size PZD^(2+)cations could penetrate into the film interior and even make it all the way to the buried interface of CsPbI_(3)perovskite films,while the BF_(4)^(-)anions,with largely different properties from I^(-)anions,mainly anchor on the film surface.Consequently,virtually all the defects at the surface,buried interface and grain boundaries of CsPbI_(3)perovskite films are effectively healed,leading to significantly improved film quality,enhanced phase stability,optimized energy level alignment and promoted carrier transport.With these films,the fabricated CsPbI_(3)PSCs based on carbon electrode(C-PSCs)achieve an efficiency of18.27%,which is among the highest-reported values for inorganic C-PSCs,and stability of 500 h at 85℃with 65%efficiency maintenance.