Application Of Therapy Research Articles

Sequential induction of ferroptosis and pyroptosis in cancer cells by lipid droplet-targeting AIE theranostics

Aggregation-induced emission (AIE) theranostics has received considerable attention because of its potential applications in bioimaging and photodynamic therapy (PDT). Herein, we report a series of phthalimide-based AIEgens that are selectively localized in lipid droplets (LDs) in cancer cells and simultaneously generate reactive oxygen species (ROS) under light irradiation. The enhanced photostability resulting from the AIE properties of LPSP2 enabled the long-term tracking of LDs during ferroptotic cell death triggered by LPSP2 under PDT conditions. As the irradiation time increased, the lipid peroxides generated by LPSP2 were transported from the LDs to the endoplasmic reticulum (ER), where oxidative stress activates NLRP3, leading to pyroptotic cell death. The spatiotemporal control of lipid peroxidation achieved by LPSP2 revealed sequential activation of ferroptosis followed by pyroptosis, depending on the irradiation duration. Our research demonstrates novel LD-targeted theranostics with unprecedented induction of ferroptotic and pyroptotic cell death under PDT, which will enrich our understanding of cancer cell death mechanisms toward a more efficient therapeutic strategy.

Exosomes of immune cell origin and their therapeutic potential for tumors

AbstractExosomes are nanoscale membrane vesicles identified by electron microscopy in 1946. They are approximately 30–150 nm in size. Originally, exosomes were thought to be used to eliminate excess components from cells to maintain their normal physiology. Later, it was found that the function and targeting of specific cellular components in exosomes have important implications for the regulation of cellular communication. In the last few years, exosomes have been linked to tumors, infections, and other diseases. New advances in cancer immunotherapy have occurred as a result of the identification of exosomes of immune cell origin, expanding the existing anticancer immune response. This article details exosomes derived from dendritic cells, T lymphocytes (CD4+ T cells, CD8+ T cells, and CAR‐T cells), natural killer cells, and their promising applications in tumor therapy.

Positron Emission Tomography‐Assisted Photothermal Therapy with Gold Nanorods

AbstractPhotothermal anticancer therapy based on plasmonic nanoparticles is proposed to enhance treatment efficacy while mitigating unintended side effects. However, most studies blindly rely on the accumulation of nanoparticles at the tumor site, which may result in inefficient treatment. In this study, the aim is to evaluate relevant parameters to improve plasmonic photothermal therapy. Gold nanorods (AuNRs) with an optimized aspect ratio and either amino or carboxylic acid surface functionalization are selected as photothermal agents. AuNR biocompatibility and photothermal activity in 2D and 3D human MDA‐MB‐231 triple‐negative breast cancer cell models, evaluating localized hyperthermal cell death upon irradiation with resonant near‐infrared (NIR) light, are analyzed first. To ensure reliable tracking of biodistribution in vivo, AuNRs are labeled with the positron emitter copper‐64 (64Cu), and their distribution in a murine MDA‐MB‐231 tumor model is studied via positron emission tomography (PET) imaging. PET images reveal enhanced tumor accumulation of carboxylic acid‐functionalized AuNRs compared to amino‐functionalized AuNRs post‐intravenous administration. Relatively low NIR laser power densities (0.5 W cm−2) are used for controlled heating – keeping local temperature below 50 °C – upon irradiation of intravenously and intratumorally administered AuNRs. As a result, tumor growth is significantly decelerated, even 9 days after application of photothermal therapy.

Penerapan Teknik Relaksasi Nafas dalam Upaya Menurunkan Tekanan Darah pada Lansia Penderita Hipertensi di Desa Mipitan Kelurahan Mojosongo

Background : In old age, there is a decline in the body's immune function, including a decline in heart function, one of the diseases of which is hypertension. Hypertension is high blood pressure with systolic blood pressure results >140 mmHg or diastolic blood pressure ≥ 90 mmHg.. The prevalence of hypertension cases according to the Surakarta City Health Service showed an increase in the incidence of hypertension in 2023 reaching 67,355 cases. One of the non-pharmacological therapies that can be used is deep breathing relaxation techniques. Objective: This study describes a comparison of blood pressure development before and after the application of deep breathing relaxation techniques. Method: This study used a case study of 2 respondents conducted on May 11-13, 2024 for 2 times in a row with a therapy duration of 10 minutes. Results: The application of Deep Breathing Relaxation Therapy to both respondents obtained comparative results of development before and after therapy in Mrs. S systolic 24 MmHg and diastolic 17 MmHg while Mrs. T showed a decrease with systolic 25 MmHg and diastolic 13 MmHg. Conclusion: The results of the study can be concluded that there is an effect of deep breathing relaxation techniques on reducing systolic and diastolic blood pressure in both respondents.

Nanomedicine and Targeted Drug Delivery: Advances and Challenges

Nanomedicine, the application of nanotechnology to medicine, has revolutionized the field by providing novel approaches to diagnosing, treating, and preventing diseases. Among its various applications, targeted drug delivery has emerged as a key area of focus, offering the potential to enhance therapeutic efficacy and minimize side effects by directing drugs specifically to diseased cells or tissues. This review discusses the latest advancements in nanomedicine, particularly in the design and development of nanoscale drug delivery systems such as liposomes, polymeric nanoparticles, dendrimers, and inorganic nanoparticles. We explore the mechanisms of passive and active targeting, as well as stimuli-responsive delivery systems. Clinical applications in cancer therapy, cardiovascular diseases, neurological disorders, and infectious diseases are examined to illustrate the practical impact of these technologies. Furthermore, we address the challenges facing the field, including toxicity and biocompatibility concerns, manufacturing and scalability issues, regulatory and ethical considerations, and the integration of personalized medicine approaches. By providing a comprehensive overview of the current state and future directions of nanomedicine and targeted drug delivery, this review aims to highlight the transformative potential of these technologies in improving patient outcomes and advancing healthcare. Keywords: Nanomedicine, Targeted drug delivery, Liposomes, Passive targeting, Personalized medicine

Feasibility of the Compton Suppressed Gamma-ray spectrometry for proton therapy applications

The presence of the Bragg peak and its use in proton therapy cause less damage to healthy tissues. For optimal use of the proton beam in proton therapy, it is necessary to monitor the deviation of its range during treatment. The prompt gamma rays originated from the nuclear reactions of the proton beam with tissue elements can be applied for this purpose. The spatial distribution of prompt gamma rays can be used to estimate the range of the incident charged particles. Detecting a wide energy range of gamma rays, up to 10 MeV, is the most challenging step of the proton dose verification by using prompt gamma spectroscopy. Compton suppression is a system that is used to reduce the contribution of scattered gamma rays. This technique will cause better detection of the peaks of low-energy prompt gamma rays. In this research, the performance of a Compton suppression system has been investigated in two fields for proton therapy and for elemental analysis of materials using isotopes by a wide range of gamma energies. At first, by using the simulated Compton suppression system, the calculations of the prompt gamma ray spectra emitted from the brain phantom during the radiation of 150 MeV protons were presented. The results indicated that the low energy elements peaks such as 40Ca (1.37 MeV) with CSF equal to 1.138 appeared in the suppressed spectrum. Also, it was possible to detect 14N (2.31 MeV) and 16O (6.13 MeV) peaks equivalent to the CSF 2.449 and 2.067 respectively. In the next step, it was possible to detect the low energy peaks of 152Eu and 155Eu isotopes in the suppressed spectrum. For this purpose, the minimum relative intensity required to detect all 152Eu and 155Eu peaks was equivalent to 0.001 and 0.002 respectively. CSF for the lowest energies such as 105 keV and 344 keV was equal to 1.169 and 1.184. The simulation was done using the GEANT4 Monte-Carlo toolkit.

Comparative analysis of high-throughput RNA extraction kits in Naïve Non-Human Primate (NHP) tissues for downstream applications utilizing Xeno Internal Positive Control (IPC)

Ribonucleic acid (RNA) extraction and purification play pivotal roles in molecular biology and cell and gene therapy, where the quality and integrity of RNA are critical for downstream applications. Automated high-throughput systems have gained interest due to their potential for scalability and reduced labor requirements compared to manual methods. However, ensuring high-throughput capabilities, reproducibility, and reliability while maintaining RNA yield and purity remains challenging.This study evaluated and compared the performance of four commercially available high-throughput magnetic bead-based RNA extraction kits across six types of naïve non-human primate (NHP) tissue matrices: brain, heart, kidney, liver, lung, and spleen. The assessment focused on RNA purity, yield, and extraction efficiency (EE) using Xeno Internal Positive Control (IPC) spiking.Samples (∼50 mg) were homogenized via bead-beating and processed according to the manufacturer's protocol on the KingFisher Flex platform in eight replicates. RNA purity and yield were measured using a NanoDrop® spectrophotometer, while EE was evaluated via real-time reverse transcription-quantitative polymerase chain reaction (RT-qPCR).The findings indicate consistent high RNA purity across all tested extraction kits, yet substantial variation in RNA yield. Extraction efficiency exhibited variations across tissue types, with decreasing trends observed from brain to lung tissues. These results underscore the importance of careful kit selection and method optimization for achieving reliable downstream applications. The MagMAX™ mirVana™ Total RNA Isolation Kit stands out as the most accurate and reproducible, making it the preferred choice for applications requiring high RNA quality and consistency. Other kits, such as the Maxwell® HT simplyRNA Kit, offer a good balance between cost and performance, though with some trade-offs in precision. These findings highlight the importance of selecting the appropriate RNA isolation method based on the specific needs of the research, underscoring the critical role of accurate nucleic acid extraction in gene and cell therapy research.In conclusion, this study highlights the critical factors influencing RNA extraction performance, emphasizing the need for researchers and practitioners to consider both kit performance and tissue characteristics when designing experimental protocols. These insights contribute to the ongoing efforts to enhance the reproducibility and reliability of RNA extraction methods in molecular biology and cell/gene therapy applications.

A local audit evaluating bone health in patients with functional hypothalamic amenorrhoea secondary to an eating disorder and a review of the application of hormone therapy in this clinical setting.

It is widely known that estrogen has a fundamental role to play in skeletal homeostasis. In the most reductionist sense, the action of estrogen can be surmised as anti-resorptive. Estrogen prevents the break-down of bone. It therefore follows that estrogen deficiency states, such as the menopause and functional hypothalamic amenorrhoea (FHA), are often characterised by increased bone remodelling and disrupted skeletal homeostasis. FHA is the cessation of menstruation secondary to abnormal signalling between the hypothalamus and pituitary gland due to deficient pulsatile secretion of Gonadotrophin Releasing Hormone (GnRH). Functional hypothalamic amenorrhoea is frequently a consequence of women suffering with eating disorders. The development of FHA secondary to eating disorders is an evolutionary adaptive response to chronic metabolic energy deficiency. Fundamentally, preservation of life is biologically prioritised over dispensable physiological process such as reproduction. Consequently, the hypothalamic-pituitary-ovarian (HPO) axis fails, which disrupts menstrual function and ovulation, culminating in a state of estrogen deficiency. One of the most important and long-lasting deleterious consequences of FHA is disrupted skeletal homeostasis and bone loss. Estrogen replacement, most commonly in the form of combined hormone replacement therapy (HRT) or the combined oral contraceptive pill (COCP), is advised for women with an early menopause to prevent bone loss. Arguably, estrogen replacement should also be utilised in the context of FHA. However, the optimum estrogen regime for women with FHA remains under-researched and so management is not evidence-based.

High-Performance NIR-II Fluorescent Type I/II Photosensitizer Enabling Augmented Mild Photothermal Therapy of Tumors by Disrupting Heat Shock Proteins.

NIR-II fluorescent photosensitizers as phototheranostic agents hold considerable promise in the application of mild photothermal therapy (MPTT) for tumors, as the reactive oxygen species generated during photodynamic therapy can effectively disrupt heat shock proteins. Nevertheless, the exclusive utilization of these photosensitizers to significantly augment the MPTT efficacy has rarely been substantiated, primarily due to their insufficient photodynamic performance. Herein, the utilization of high-performance NIR-II fluorescent type I/II photosensitizer (AS21:4) is presented as a simple but effective nanoplatform derived from molecule AS2 to enhance the MPTT efficacy of tumors without any additional therapeutic components. By taking advantage of heavy atom effect, AS21:4 as a type I/II photosensitizer demonstrates superior efficacy in producing 1O2 (1O2 quantum yield = 12.4%) and O2 •- among currently available NIR-II fluorescent photosensitizers with absorption exceeding 800nm. In vitro and in vivo findings demonstrate that the 1O2 and O2 •- generated from AS21:4 induce a substantial reduction in the expression of HSP90, thereby improving the MPTT efficacy. The remarkable phototheranostic performance, substantial tumor accumulation, and prolonged tumor retention of AS21:4, establish it as a simple but superior phototheranostic agent for NIR-II fluorescence imaging-guided MPTT of tumors.

Single cell and TCR analysis of immune cells from AAV gene therapy-dosed Duchenne muscular dystrophy patients

Clinical trials for Duchenne muscular dystrophy (DMD) are assessing the therapeutic efficacy of systemically delivered adeno-associated virus (AAV) carrying a modified DMD transgene. High vector doses (>1E14 vg/kg) are needed to globally transduce skeletal muscles; however, such doses trigger immune-related adverse events. Mitigating these immune responses is crucial for widespread application of AAV-based therapies. We used single-cell RNA-sequencing and T-cell receptor (TCR)-sequencing on peripheral blood mononuclear cells from five participants prior to, and after, dosing. One subject in the high-dose cohort experienced thrombotic microangiopathy (TMA). Few changes in cell frequencies occurred after treatment; however, differential gene expression demonstrated induction of interferon response genes in most T-cell types. T-cell clonotype and clumping analysis showed the expansion or appearance of groups of related TCR sequences in the post-treatment samples. Three of these expanded clumps could be assigned to prior Human Herpesvirus infections, two of which were present in the participant that exhibited TMA. These data provide insight on the mechanistic basis of human immune-AAV interactions and lay a foundation for improved understanding of why TMA arises in some patients and not others.

Superficial Heat Therapy and Therapeutic Exercise in Individuals with Knee Osteoarthritis

Introduction: Knee Osteoarthritis is a major cause of pain and locomotor disability worldwide. Several physical therapy modalities have been recommended in reviewed clinical guidelines and systematic reviews, such as exercises, and electro and thermotherapy resources. Objective: This study evaluated the influence of the application of superficial heat therapy and/or therapeutic exercise on reducing pain and improving functional capacity in patients with knee osteoarthritis. Methods: 30 patients were divided into three groups (superficial heat, exercises, superficial heat plus exercises) and underwent 10 treatment sessions. Pain intensity was assessed using the visual analog scale; muscle flexibility with Wells’ bank test; strength gain with testing of one maximum repetition; walking time was analyzed with a walking test over a distance of 10 meters; and the Lequesne functional questionnaire was used to assess the functional activities of patients. Results: All treatments performed reduced knee pain. The exercise group showed an improvement in flexibility and quadriceps muscle strength. And the group that received superficial heat and therapeutic exercise showed better performance in time over a fixed distance covered. Conclusions: Therapeutic exercise and superficial thermotherapy performed in isolation showed beneficial effects in individuals with knee osteoarthritis. However, the therapeutic intervention carried out in combination showed better results in all parameters evaluated, suggesting that the clinical treatment can improve the quality of life of these individuals.

Antiangiogenic Treatment Facilitates the Abscopal Effect of Radiation Therapy Combined With Anti-PD-1 in Hepatocellular Carcinoma

IntroductionMetastasis is one of the most important factors contributing to poor prognosis in hepatocellular carcinoma (HCC). Radiotherapy (RT), along with its induced abscopal effect, is a promising treatment for metastatic patients. However, the incidence of abscopal effect in clinical practice is rare, even when RT is combined with immune checkpoint inhibitors (ICIs). In this study, we aim to investigate the role of antiangiogenic treatment on the abscopal effect induced by RT + ICIs. MethodsBilateral subcutaneous and orthotopic Hepa1-6 and Hep53.4 models were established and treated with different combination treatments. We evaluated changes in the immune microenvironment and vascular normalization by flow cytometry, TCR sequencing, chemotactic gene array, ELISA, and immunofluorescence. ResultsOur studies showed that antiangiogenic treatment with RT + ICIs increased the antitumor response of the unirradiated lesions. Mechanistically, blockade of vascular endothelial receptor 2 (Anti-VEGFR2) increased the activation and maturation of DCs and promoted the production CD8+ T cells in irradiated tumors. These CD8+ T cells were attracted by anti-VEGFR2-induced CCL5 secretion from M1 macrophages in unirradiated tumors. Besides that, Anti-VEGFR2 enhanced the function of CD8+ T cells by reducing myeloid-derived suppressor cells and regulatory T cells. ConclusionThis study demonstrated that the combination of antiangiogenic treatment with RT and ICIs enhanced the abscopal effects. The application of triple therapy and its induced abscopal effect may offer a novel therapeutic approach for HCC, particularly for cases with multiple metastatic lesions.

A Brief Overview of Music Therapy Content for Practitioners

Background and Aim: Chinese five-tone music therapy has developed in response to mental health issues. This article provides a briefing on music therapy, music therapeutic practice, and surveying the practice of music therapy. The authors evaluate pertinent papers from studies published outside of China from 2003 to 2023, recommend five publications from experts, and then extract and retrieve scholarly pieces. Methodology: This paper is documentary research by reviewing the literature related and using the content analysis. Results: Music therapy, originating in Vienna around 1820, uses music, rhythm, sound, and melody to address physical, emotional, cognitive, social, and psychological needs. It has applications in neonatology, pediatrics, and traditional Chinese five-tone music therapy. The BARIT model and model combine the disciplines of music, medicine, and psychology to target mental health concerns. Music therapists value authenticity and seek training in various styles, genres, instruments, and skills. They believe in the benefits of music therapy for patients and staff and recommend expanding the program, hiring more therapists, increasing daily sessions, and creating a dedicated space. Conclusion: The article discusses the role of music therapy in helping young people with mental health emergencies, highlighting its benefits in behavioral changes and improved engagement. It suggests using surveys and interviews to create a research framework and develop a tool for developmental study and practical application in the classroom.

Nationwide survey analysis of esophagogastric varices in portal hypertension based on endoscopic management in China

AbstractAimsThe endoscopic treatment of esophagogastric varices is challenging, and the nationwide application of endoscopic therapies for various types of esophagogastric varices and different clinical scenarios remains unclear. This study investigated the use of endoscopic therapy for portal hypertension in China.MethodsThis study used a questionnaire survey initiated by the Liver Health Consortium in China to investigate the use of endoscopic therapies for portal hypertension. Questionnaires were released online from January 30, 2023 to February 28, 2023 and filled out by chief physicians or senior instructors responsible for endoscopic therapies in participating hospitals across 31 provinces (autonomous regions and municipalities) in China. Comparisons of guideline adherence between primary and referral medical centers were performed using the chi‐square test or Fisher's exact test.ResultsIn total, 836 hospitals participated in the survey. For primary and secondary prophylaxis of esophagogastric variceal bleeding (EGVB), adherence to the national guidelines was 72.5% (606/836) and 39.2% (328/836), respectively. Significant differences were observed in the rate of adherence between the primary and referral centers for primary (79.9% [111/139] vs. 71.0% [495/697], p = 0.033) and secondary prophylaxis (27.3% [38/139] vs. 41.6% [290/697], p = 0.002). Of the hospitals, 78.2% (654/836) preferred endoscopic therapies for acute EGVB, and the timing of endoscopy was usually within 12 h (48.5%, 317/654) and 12–24 h (36.9%, 241/654) after bleeding. Endoscopic therapy was more likely to be the first choice of treatment for acute EGVB in referral centers than in primary centers (82.6% [576/697] vs. 56.1% [78/139], p < 0.001). Regarding the management of gastroesophageal varices type 2 and isolated gastric varices type 1, the most prevalent procedures were cyanoacrylate injection combined with sclerotherapy (48.2% [403/836] and 29.9% [250/836], respectively); however, substantial hospitals preferred clip‐assisted therapies (12.4% [104/836] and 26.4% [221/836], respectively). Nonselective beta‐blockers were routinely used in 73.4% (614/836) of hospitals during the perioperative period of EGVB management, and propranolol (88.8%, 545/614) and carvedilol (37.5%, 230/614) were the most widely used nonselective beta‐blockers.ConclusionsThis survey clarified that various endoscopic procedures have been implemented nationwide in China. Participating hospitals have actively performed emergent endoscopy for acute EGVB; however, these hospitals do not adequately follow recommendations regarding primary and secondary prophylaxis of EGVB. In the future, standardizing the selection of endoscopic procedures and improving compliance with guidelines is crucial.

Application of horticulture therapy as a health intervention for elderly people in nursing homes: a scoping review†

Abstract Objective To review the scope of interventional studies on horticultural therapy (HT) applied to elderly people in nursing institutions to support the efficient implementation of HT among this target group. Methods In accordance with the scoping review framework proposed by the Joanna Briggs Institute (JBI), the PubMed, JSTOR, Web of Science, CNKI, and Wanfang databases were searched. Data from the retrieved literature were summarized and analyzed. Results In all, 18 studies were included in this review. The target population groups of interventions included self-supporting elderly people, cognitively impaired elderly people, elderly people with negative emotions, and elderly people with frailty living in nursing institutions. HT interventions, including planting, craft activities, derivative activities, and outdoor viewing activities, are implemented indoors, outdoors, or in mixed settings. The most common duration of the intervention was 8 weeks, the most common frequency was once per week, and the most common session duration was 60 min. Conclusions The measurements used in HT interventions included assessments of physical, psycho-mental, and social health; quality of life; and activity effects. Future studies should include partially dependent groups and completely dependent groups of elderly individuals, interventions that last at least 6 months, scientifically designed activity intensity and safety-guarantee plans, and outcome-evaluation indicators such as compliance and intervention benefits.

Use Of Ketamine In Refractory Status Epilepticus With Hemodynamic Instability

The use of benzodiazepines, such as midazolam, as a last-resort treatment for refractory status epilepticus is widely practiced, particularly in patients who are hemodynamically stable. However, as the dosage of this antiepileptic agent is increased, it potentiates γ-aminobutyric acid (GABA) activity, which can lead to hypotension and subsequently necessitate the administration of vasopressor agents, especially in cases involving hemodynamic instability, as illustrated by this case where a young man who arrived at the emergency department with complaints of epileptic seizures and was already on regular anti-epileptic medications. During a seizure episode in the department, he was administered intravenous Lorazepam according to standard protocol to stop the seizure, and then placed on an IV infusion of Midazolam. However, his hemodynamics became unstable due to the side effects of the benzodiazepines administered. To address this instability, the decision was made to initiate an infusion of Ketamine along with a low dose of Midazolam. This combination successfully terminated the epileptic activity and stabilized his hemodynamics. In these instances, either concurrent or standalone administration of N-methyl-D-aspartate (NMDA) receptor antagonists might prove beneficial for managing refractory status epilepticus. For example, ketamine infusion can inhibit the reuptake of catecholamines into the systemic circulation, thereby aiding in the maintenance of blood pressure in hemodynamically unstable patients. The initial application of a combined third-line therapy, which involves blocking NMDA receptors while simultaneously enhancing GABAergic activity, appears promising for the management of refractory status epilepticus

Adjuvant Therapy in Acral Melanoma: A Systematic Review.

Acral melanoma presents distinct biological characteristics compared to cutaneous melanoma. While adjuvant therapeutic strategies for high-risk resected acral melanoma closely resemble those for cutaneous melanoma, the evidence supporting the clinical application of adjuvant therapy for acral melanoma remains inadequate. Our aim was to systematically analyze the efficacy and safety profile of adjuvant therapy in acral melanoma. This systematic review adhered to a pre-registered protocol. We comprehensively searched four electronic databases and reference lists of included articles to identify eligible studies. The primary outcome was therapeutic efficacy, and the secondary outcome was adverse events (AEs). This systematic review included 11 studies with 758 acral melanoma patients undergoing adjuvant therapy. High-dose interferon α-2b (IFN) regimens showed no significant difference in recurrence-free survival (RFS), though the longer regimen was linked to increased hepatotoxicity. Adjuvant anti-PD-1 therapy demonstrated varying efficacy, with improved RFS in patients who experienced immune-related AEs. Targeted therapy with dabrafenib plus trametinib achieved high 12-month RFS in patients with BRAF-mutated acral melanoma. Comparative studies suggested that adjuvant anti-PD-1 therapy is similarly effective to IFN in prolonging survival for high-risk acral melanoma patients. Additionally, prior treatment with pegylated IFN enhanced RFS in patients receiving adjuvant pembrolizumab. High-dose IFN was widely used as adjuvant therapy for acral melanoma, but serious AEs prompted the search for alternatives. Adjuvant anti-PD-1 therapy shows promise, though it may be less effective than in non-acral melanoma. Further prospective studies are needed to determine the optimal adjuvant treatment for acral melanoma.

Application of Sequential Butylphthalide Therapy Combined with Urinary Kallidinogenase in Treating Acute Cerebral Infarction Complicated with Cognitive Dysfunction

Application of Sequential Butylphthalide Therapy Combined with Urinary Kallidinogenase in Treating Acute Cerebral Infarction Complicated with Cognitive Dysfunction

Revolutionizing cancer treatment: The role of radiopharmaceuticals in modern cancer therapy

AbstractRadiopharmaceutical therapy (RPT) is a precision medicine approach that involves the targeted delivery of radioactive atoms to tumor cells, representing a breakthrough strategy for cancer treatment. Radiopharmaceuticals typically consist of a small amount of radioactive material, a radionuclide, paired with a chemical that specifically targets the cell. Some radionuclides naturally target specific cells or biological processes without the need for modification. RPT is a novel cancer treatment method that offers various advantages over current traditional treatment approaches. One of the primary advantages of RPT is its ability to target cancer cells, including those in metastatic areas. Another key advantage of RPT is that radiation can be delivered systemically, locally, or physiologically to specific cells internally rather than being applied externally. Moreover, radiotracer imaging can be utilized to determine radiopharmaceutical absorption in target tissues before providing a therapeutic dose. Compared to all other cancer treatment approaches, RPT has demonstrated high efficacy with minimal toxicity. The recent approval of multiple RPT medicines by the US Food and Drug Administration highlights the tremendous potential of this treatment. This article provides a detailed review of RPT, including insights into manufacturing procedures, safety measures, and its applications in cancer therapy.

Can silver diamine fluoride reduce invasive treatments with general anesthesia?

This study aims to retrospectively evaluate the differences in dental treatments rendered in general anesthesia (GA) for patients who did or did not receive application of silver diamine fluoride (SDF) prior to GA. 1559 patients (≤6 years) who completed treatment with GA for caries at University of California San Francisco (UCSF) between 2015 and 2019 were included in the study. At baseline patients' electronic health record was reviewed to collect planned treatment, complete dental treatment and demographics. Patients were identified as SDF group (N = 335, 21.49%) or comparison (N = 1224, 78.51%). Dental treatments rendered were compared between the SDF and comparison group with multi-variable regression, including variables for demographics and clinical findings at baseline. The initial analysis identified variations in gender, age, dental pain, pulp involvement, and initial treatment plans between the SDF and comparison groups at baseline. In an unadjusted analysis, the SDF group displayed a statistically significant increase in the number of crown procedures but a notable decrease in the number of pulp therapy and extraction treatments completed (p < 0.05). An adjusted multivariable model affirmed the inverse relationship between SDF application and completion of pulp therapy and extractions at the time of GA (p < 0.05). No significant association was identified with the total number of crowns needed and SDF. The model further indicated a positive correlation between the total count of pulp therapy and extractions completed with patient age and the wait-time for GA. In conclusion, pre-GA application of SDF to carious primary teeth is negatively correlated with completed pulp therapy and extraction. SDF application prior to dental treatment with GA may be a valuable tool to reduce invasive dental procedures in GA.