END substantially decreases recurrences and deaths related to regional recurrences in early-stage SCC of the oral cavity with clinically N0 neck, especially SCC of the oral tongue and floor of the mouth, which is necessary for such patients.
Multi-layered hydrogels with organization of various functional layers have been the materials of choice for biomedical applications. This review summarized the recent progress of multi-layered hydrogels according to their preparation methods: layer-by-layer self-assembly technology, step-wise technique, photo-polymerization technique and sequential electrospinning technique. In addition, their morphology and biomedical applications were also introduced. At the end of this review, we discussed the current challenges to the development of multi-layered hydrogels and pointed out that 3D printing may provide a new platform for the design of multi-layered hydrogels and expand their applications in the biomedical field.
Sentinel lymph node biopsy (SLNB) is an emerging strategy for managing early‐stage oral squamous cell carcinoma (SCC) with a clinically N0 (cN0) neck. However, the role of SLNB in this scenario is debatable. Herein, relevant literature was systematically reviewed, and a meta‐analysis was performed to evaluate the potential dividends of SLNB compared to elective neck dissection (END) for these patients. The meta‐analysis, including six prospective studies, showed comparable results of the two management strategies in terms of regional recurrence (risk ratio [RR] = 0.99; 95% confidence interval [CI], 0.58–1.70), 5‐year disease‐free survival (RR = 0.99; 95% CI, 0.87–1.11), and 5‐year overall survival (RR = 1.01; 95% CI, 0.90–1.13). Fewer adverse events occurred in the SLNB arm than in the END arm (RR = 0.12; 95% CI, 0.02–0.70). Overall, SLNB results in as favorable an oncologic prognosis for patients with cN0 oral SCC as END, while significantly lessening side effects and unnecessary surgeries.
An efficient procedure for the asymmetric allylic amination of Morita-Baylis-Hillman carbonates with cyclic imides catalysed by commercially available cinchona alkaloids is reported. It proves to be a facile protocol that affords α-methyl-
Calcium
polyphosphate (CPP) is a novel bioceramic bone substitute,
which is favored because its composition is highly similar to natural
bone. According to previous studies, doping ions into CPP is an effective
and convenient method for overcoming the shortcomings, such as poor
osteoconductivity of CPP. Lithium (Li) is a fairly new additive to
bone substitutes that brought attention due to its role in osteogenesis.
The present study was conducted to assess whether doping Li into CPP
could influence the microstructure, degradation, and osteoinductivity
of CPP. The results found that both CPP and Li-doped CPP (LiCPP) had
a single beta-CPP phase, indicating that Li did not affect the crystallized
phase. SEM images revealed that both scaffolds were porous, while
the surface of LiCPP was rougher and more uneven compared to CPP.
Also, a better degradation property of LiCPP was observed via weight
loss and ion release tests. In vitro study found that LiCPP extracts
had advantages of promoting osteoblasts’ proliferation and
differentiation over CPP extracts. In vivo study on rabbit’s
cranial defects was also conducted. Microcomputed tomography and histological
staining showed that LiCPP had better osteoconductivity than CPP.
This study proved that doping Li into CPP is a feasible modification
method, and LiCPP might be a suitable bioceramic for bone tissue engineering.
12%. Infusion-related reactions were grade 2 severity, observed primarily with the first dose. The worst severity of rash/acneiform dermatitis was grade 2 (16%). One treatment-related AE of grade 3 severity was reported (neutropenia grade 3, possibly related). JNJ-372 demonstrated linear PK at dose levels 350 mg and above with nonlinear PK at lower concentrations, suggesting target-mediated drug disposition. Doses 700mg resulted in average steady-state concentrations at or above the preclinically established therapeutic target level. Preliminary evidence of efficacy (maximum change from baseline in sum of target lesion diameters) was observed in a patient with squamous cell carcinoma (-20%), a patient with wtEGFR adenocarcinoma (-20%), and 4 patients with EGFR-mutant adenocarcinoma (-30%). Conclusion: JNJ-372 is a novel EGFR-cMET bispecific antibody. The manageable safety profile and preliminary evidence of clinical activity support active accrual of patients with previously treated EGFR-mutant NSCLC. The first recommended dose of 1050mg is being evaluated in Part 2.
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