Cutaneous squamous cell carcinoma (cSCC) is the second most common form of human cancer and has an increasing annual incidence. Although most cSCC is cured with office-based therapy, advanced cSCC poses a significant risk for morbidity, impact on quality of life, and death. This document provides evidence-based recommendations for the management of patients with cSCC. Topics addressed include biopsy techniques and histopathologic assessment, tumor staging, surgical and nonsurgical management, follow-up and prevention of recurrence, and management of advanced disease. The primary focus of these recommendations is on evaluation and management of primary cSCC and localized disease, but where relevant, applicability to recurrent cSCC is noted, as is general information on the management of patients with metastatic disease.

Basal cell carcinoma (BCC) is the most common form of human cancer, with a continually increasing annual incidence in the United States. When diagnosed early, the majority of BCCs are readily treated with office-based therapy, which is highly curative. In these evidence-based guidelines of care, we provide recommendations for the management of patients with BCC, as well as an in-depth review of the best available literature in support of these recommendations. We discuss biopsy techniques for a clinically suspicious lesion and offer recommendations for the histopathologic interpretation of BCC. In the absence of a formal staging system, the best available stratification based on risk for recurrence is reviewed. With regard to treatment, we provide recommendations on treatment modalities along a broad therapeutic spectrum, ranging from topical agents and superficially destructive modalities to surgical techniques and systemic therapy. Finally, we review the available literature and provide recommendations on prevention and the most appropriate follow-up for patients in whom BCC has been diagnosed. ( J Am Acad Dermatol

Although 34% of patients with an initial diagnosis of ASAP who had repeat biopsy were subsequently diagnosed with PCa only, only 22% (8% of the total cohort) were found to have high-grade disease. Higher PSA was associated with increased risk of identifying PCa on repeat biopsy. These findings suggest that immediate repeat biopsy may be omitted in the majority of men with ASAP.

The proportion of economic evaluations using a dynamic model has increased in recent years. However, 55% of the included studies used a static model for estimating herd immunity. Values from a static model can only be considered reliable if high quality surveillance data are incorporated into the analysis. Without this, the results are questionable and they should only be included in sensitivity analysis.

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It is common in hydroponics to supply nutrients to crops by maintaining electrical conductivity (EC) of the recycling solution at a target level. Levels of individual nutrients in the solution are generally not assessed as their regular measurement and adjustment can be both expensive and technically challenging. However, the approach of growing crops at a target EC can potentially result in nutrient imbalances in the solution and reduced growth. We quantified the effects of recycling on solution EC changes, tissue nutrient concentration, canopy growth rate, plant water status, and shoot and root weight of lettuce (Lactuca sativa) in a greenhouse. The tap water quality was moderately alkaline and similar to that commonly observed in many commercial greenhouses. In our research, recycling solution maintained at a target EC (1.8 dS⋅m–1) significantly reduced shoot fresh (22–36%) and dry weight compared to the control supplied regularly with freshly prepared solution at the target EC. Further, recycling significantly decreased N, P, K, and Fe and increased Na and Cu levels in the tissue, in addition to increasing solution EC between adjustments compared to the control. Using image analysis of groups of plants, we identified that the negative effects of recycling on canopy area started 2 weeks after transplanting. Based on these results, we hypothesized that certain unwanted compounds (e.g., bicarbonates) and slowly consumed elements (e.g., Ca, Mg) were added to the recycling solution through the alkaline tap water with time. Their accumulation “artificially” increased solution EC and “masked” the lower than optimal levels of major nutrients in the solution, leading to the reductions in the concentration of nutrients in the tissue and plant growth. Supporting this, the negative effects of recycling were not observed when the recycling solution was either discarded after 2 weeks of use or made using reverse osmosis water and continuously used. Our findings aid in proper management of recycling solution in hydroponic lettuce production.