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Background Enhanced recovery after surgery (ERAS) can reduce the length of hospital stay, incidence of surgery-related complications, and postoperative pain. We aimed to demonstrate the implementation of an ERAS pathway in the treatment of uterine fibroids with focused ultrasound ablation surgery (FUAS).Materials and Methods A retrospective data analysis was performed on clinical outcomes encompassing the following three phases: before ERAS (pre-ERAS), during adjustment of ERAS (interim-ERAS), and after the introduction of an ERAS program (post-ERAS). The purpose of describing the interim-ERAS was to provide references for the formulation of the program during the course of FUAS by describing the adjustment processes. Data from patients admitted to the hospital from September 2019 to December 2019 and April 2020 to November 2020 and who met the criteria for FUAS in the treatment of their uterine fibroids were examined. Length of stay, cost of surgery, postoperative pain score, utilization of postoperative analgesics, and incidence of postoperative adverse events were compared across the abovementioned three phases.Results Compared with the pre-phase, the cost of treatment and length of stay were reduced after the implementation of ERAS. The use of analgesics before leaving the operating room, as well as the incidence of postoperative nausea and vomiting, were also reduced.Conclusion The implementation of an ERAS protocol might benefit patients with uterine fibroids treated with FUAS in terms of requiring a shorter hospitalization period, lower costs, and reduced opioid use.

A vast literature has investigated processes of spatial reconfiguration, contributing to the emergence of a ‘new urban question’ that not only reframes traditional urban issues but also challenges our understanding of what cities are today. Be that as it may, the ‘European city model’ still remains current, particularly with regards to the institutional role of cities as they are increasingly considered to be relevant policy actors. This urban paradox gives new emphasis to the urban regional scale and urgently calls for the two dimensions to be connected both in terms of territorial dynamics and policy formulation. This paper addresses the topic by focusing on the functional area approach promoted by the European Union regional policy discourse, and by discussing how it shapes and legitimates new spatial configurations, with implications for urban analysis and policy approaches. The paper is based on the analysis of a database which gathers nearly 1000 strategies for Sustainable Urban Development funded by the EU between 2014-2020, and features a significant number of functional areas. The analysis reveals that the functional area approach does not only apply to metropolitan areas, big cities, or Functional Urban Areas, but can also be used for different types of territories, beyond metropolitan areas. It also underscores the need for more extensive research on what spatialities and territorial arrangements emerge from this process.

As cities grow, both the productivity of their inhabitants and the income distribution among them is expected to change. While the empirical literature has widely shown how productivity (and income) changes with city size, the empirical evidence on the effects on income inequality remains very limited. The few papers that study the relationship between city size and city‐level inequality focus on a single country and do not provide international comparative evidence. In this paper, we study the relationship between city size and income inequality at city level for a sample of 153 functional urban areas (FUAs) across 11 OECD countries. [ABSTRACT FROM AUTHOR]

Background: Enhanced recovery after surgery (ERAS) can reduce the length of hospital stay, incidence of surgery-related complications, and postoperative pain. We aimed to demonstrate the implementation of an ERAS pathway in the treatment of uterine fibroids with focused ultrasound ablation surgery (FUAS)., Materials and Methods: A retrospective data analysis was performed on clinical outcomes encompassing the following three phases: before ERAS (pre-ERAS), during adjustment of ERAS (interim-ERAS), and after the introduction of an ERAS program (post-ERAS). The purpose of describing the interim-ERAS was to provide references for the formulation of the program during the course of FUAS by describing the adjustment processes. Data from patients admitted to the hospital from September 2019 to December 2019 and April 2020 to November 2020 and who met the criteria for FUAS in the treatment of their uterine fibroids were examined. Length of stay, cost of surgery, postoperative pain score, utilization of postoperative analgesics, and incidence of postoperative adverse events were compared across the abovementioned three phases., Results: Compared with the pre-phase, the cost of treatment and length of stay were reduced after the implementation of ERAS. The use of analgesics before leaving the operating room, as well as the incidence of postoperative nausea and vomiting, were also reduced., Conclusion: The implementation of an ERAS protocol might benefit patients with uterine fibroids treated with FUAS in terms of requiring a shorter hospitalization period, lower costs, and reduced opioid use.