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17 pages, 3355 KiB  
Article
Legume–Non-Legume Cover Crop Mixtures Enhance Soil Nutrient Availability and Physical Properties: A Meta-Analysis Across Chinese Agroecosystems
by Jiayu Ma, Baozhong Yin, Tian Gao, Kaixiao He, Xinqin Huang, Tiantong Jiang and Wenchao Zhen
Agronomy 2025, 15(8), 1756; https://doi.org/10.3390/agronomy15081756 - 22 Jul 2025
Viewed by 398
Abstract
Cover cropping has emerged as a pivotal sustainable agronomic practice aimed at enhancing soil health and sustaining crop productivity. To quantify its effects across diverse agroecosystems, we conducted a meta-analysis of 1877 paired observations from 114 studies (1980–2025) comparing cover cropping with bare [...] Read more.
Cover cropping has emerged as a pivotal sustainable agronomic practice aimed at enhancing soil health and sustaining crop productivity. To quantify its effects across diverse agroecosystems, we conducted a meta-analysis of 1877 paired observations from 114 studies (1980–2025) comparing cover cropping with bare fallow during fallow periods in major cereal systems across China. Cover cropping significantly reduced soil bulk density by 6.1% and increased key soil nutrients including total nitrogen (+13.1%), total phosphorus (+15.6%), hydrolysable nitrogen (+9.3%), available phosphorus (+11.1%), available potassium (+12.4%), soil organic matter (+11.7%), and microbial biomass carbon (+41.1%). Leguminous cover crops outperformed non-legumes in enhancing nitrogen availability, reflecting biological nitrogen fixation. Mixed-species cover crop mixtures showed superior benefits over monocultures, likely due to complementary effects on nutrient cycling and soil structure. Soil texture and initial soil organic carbon significantly moderated these outcomes. Furthermore, although overall soil pH remained stable, cover cropping exhibited a clear buffering effect, tending to regulate soil pH toward neutrality. Meta-regression analyses revealed a diminishing positive effect on total nitrogen (TN), available potassium (AK), and microbial biomass carbon (MBC) with an extended duration of cover cropping, suggesting potential saturation effects. These results underscore the context-dependent efficacy of cover cropping as a strategy for soil quality enhancement. Optimizing cover crop implementation should integrate the consideration of inherent soil characteristics, baseline fertility, and species composition to maximize agroecosystem resilience and sustainability. Full article
(This article belongs to the Section Innovative Cropping Systems)
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35 pages, 11322 KiB  
Article
SNC_Net: Skin Cancer Detection by Integrating Handcrafted and Deep Learning-Based Features Using Dermoscopy Images
by Ahmad Naeem, Tayyaba Anees, Mudassir Khalil, Kiran Zahra, Rizwan Ali Naqvi and Seung-Won Lee
Mathematics 2024, 12(7), 1030; https://doi.org/10.3390/math12071030 - 29 Mar 2024
Cited by 40 | Viewed by 18506
Abstract
The medical sciences are facing a major problem with the auto-detection of disease due to the fast growth in population density. Intelligent systems assist medical professionals in early disease detection and also help to provide consistent treatment that reduces the mortality rate. Skin [...] Read more.
The medical sciences are facing a major problem with the auto-detection of disease due to the fast growth in population density. Intelligent systems assist medical professionals in early disease detection and also help to provide consistent treatment that reduces the mortality rate. Skin cancer is considered to be the deadliest and most severe kind of cancer. Medical professionals utilize dermoscopy images to make a manual diagnosis of skin cancer. This method is labor-intensive and time-consuming and demands a considerable level of expertise. Automated detection methods are necessary for the early detection of skin cancer. The occurrence of hair and air bubbles in dermoscopic images affects the diagnosis of skin cancer. This research aims to classify eight different types of skin cancer, namely actinic keratosis (AKs), dermatofibroma (DFa), melanoma (MELa), basal cell carcinoma (BCCa), squamous cell carcinoma (SCCa), melanocytic nevus (MNi), vascular lesion (VASn), and benign keratosis (BKs). In this study, we propose SNC_Net, which integrates features derived from dermoscopic images through deep learning (DL) models and handcrafted (HC) feature extraction methods with the aim of improving the performance of the classifier. A convolutional neural network (CNN) is employed for classification. Dermoscopy images from the publicly accessible ISIC 2019 dataset for skin cancer detection is utilized to train and validate the model. The performance of the proposed model is compared with four baseline models, namely EfficientNetB0 (B1), MobileNetV2 (B2), DenseNet-121 (B3), and ResNet-101 (B4), and six state-of-the-art (SOTA) classifiers. With an accuracy of 97.81%, a precision of 98.31%, a recall of 97.89%, and an F1 score of 98.10%, the proposed model outperformed the SOTA classifiers as well as the four baseline models. Moreover, an Ablation study is also performed on the proposed method to validate its performance. The proposed method therefore assists dermatologists and other medical professionals in early skin cancer detection. Full article
(This article belongs to the Special Issue Medical Imaging Analysis with Artificial Intelligence)
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11 pages, 3804 KiB  
Article
Reflectance Confocal Microscopy and Dermoscopy of Facial Pigmented and Non-Pigmented Actinic Keratosis Features before and after Photodynamic Therapy Treatment
by Ewelina Mazur, Dominika Kwiatkowska and Adam Reich
Cancers 2023, 15(23), 5598; https://doi.org/10.3390/cancers15235598 - 27 Nov 2023
Cited by 4 | Viewed by 1849
Abstract
Actinic keratosis (AK), due to its widespread prevalence, as well as the possibility of progression to an invasive form of squamous cell carcinoma, requires treatment regardless of the clinical stage. New imaging techniques, such as in vivo reflectance confocal microscopy (RCM), significantly increase [...] Read more.
Actinic keratosis (AK), due to its widespread prevalence, as well as the possibility of progression to an invasive form of squamous cell carcinoma, requires treatment regardless of the clinical stage. New imaging techniques, such as in vivo reflectance confocal microscopy (RCM), significantly increase the accuracy of diagnosis and allow noninvasive evaluation of the therapeutic efficacy of the ongoing treatment. Our objective was to evaluate the prevalence of specific (video)dermoscopy and RCM features of pigmented and classical subtypes of AK before and after photodynamic therapy (PDT) treatment. We included patients with facial grade II AKs (25 pigmented, 275 non-pigmented) were included in the study. Skin lesions were evaluated by (video)dermoscopy and RCM at the baseline and three months after PDT. In classic AK, the most frequent dermoscopic findings were fine wavy vessels (96%), scale (92%), microerosions (48%), and “strawberry” pattern (36%), while pigmented AK was characterized mostly by “rhomboidal pattern” (80%), scale (60%), white globules (48%), “jelly sign”, and superficial pigmentation (40%). RCM’s most characteristic classic AK findings were abnormal honeycomb pattern in the spinous layer, epidermal inflammatory infiltrate, and solar elastosis that were present in 96% of lesions. Pigmented AKs presented mostly with dark central areas of parakeratosis (72%), mottled pigmentation (72%), dermal inflammatory infiltrate (64%), solar elastosis (60%), and abnormal honeycomb pattern in the spinous layer (56%). Dermoscopically, PDT resulted in complete disappearance of the “rhomboidal pattern” in both classical and pigmented AKs, “starburst pattern” and “jelly sign” in classical AKs, and inner gray halo, “rosette sign” and central crust in pigmented AKs. Three months after one PDT session, RCM evaluation showed mostly solar elastosis in both classical and pigmented AK subtypes, epidermal inflammatory infiltrate in classical AKs, and dermal inflammatory infiltrate in pigmented AKs. New noninvasive imaging techniques such as RCM and (video)dermoscopy can help practitioners better visualize the efficacy of the ongoing PDT treatment in either classical or pigmented AK subtypes. Full article
(This article belongs to the Special Issue Dermoscopy in Skin Cancer)
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6 pages, 531 KiB  
Brief Report
Methyl Aminolaevulinic Acid versus Aminolaevulinic Acid Photodynamic Therapy of Actinic Keratosis with Low Doses of Red-Light LED Illumination: Results of Long-Term Follow-Up
by Montserrat Fernández Guarino, Diego Fernández-Nieto, Laura Vila Montes and Dario de Perosanz Lobo
Biomedicines 2022, 10(12), 3218; https://doi.org/10.3390/biomedicines10123218 - 12 Dec 2022
Cited by 2 | Viewed by 1849
Abstract
Photodynamic therapy (PDT) treatment for multiple actinic keratosis (AK) has been found effective when lower doses of red light were used with methyl aminolaevulinic acid (MAL). The aim of this study was to compare the results of lower doses of red light conventional [...] Read more.
Photodynamic therapy (PDT) treatment for multiple actinic keratosis (AK) has been found effective when lower doses of red light were used with methyl aminolaevulinic acid (MAL). The aim of this study was to compare the results of lower doses of red light conventional PDT (h-PDT, 16 J/cm2) with MAL and aminolaevulinic acid (ALA) in a long-term follow-up. Patients with more than five symmetrical AK on the scalp who were candidates for PDT were selected and divided randomly between MAL and ALA treatment and patients were followed at 3 and 12 months. The responses were assessed by counting the total AK and the AK per patient. Pain and adverse events were also compiled. A total of 46 patients were treated, 24 with MAL, and 22 with ALA. The two groups were comparable at baseline (p > 0.005). No significant differences were found in the results of both treatments at 12 months, despite ALA exhibiting slightly better results at 3 months. No differences in pain and adverse events were assessed. Both ALA and MAL were effective when lower doses of red light were used in c-PDT. Long term efficacy was also documented. Further studies are necessary to determine the inferior point of red-light illumination without losing efficacy. Full article
(This article belongs to the Special Issue Photodynamic Therapy 2.0)
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18 pages, 3628 KiB  
Article
Soil Quality Assessment in a Landslide Chronosequence of Indian Himalayan Region
by Deepesh Goyal, Varun Joshi, Neha Gupta and Marina M. S. Cabral-Pinto
Land 2022, 11(10), 1819; https://doi.org/10.3390/land11101819 - 17 Oct 2022
Cited by 5 | Viewed by 3478
Abstract
Landslides cause ecosystem degradation; they can significantly alter and deteriorate the soil quality. The analysis of deterioration in soil quality is critical as it provides baseline evidence for subsequent revegetation and management of forest. The effects of landslides on the natural environment (losses [...] Read more.
Landslides cause ecosystem degradation; they can significantly alter and deteriorate the soil quality. The analysis of deterioration in soil quality is critical as it provides baseline evidence for subsequent revegetation and management of forest. The effects of landslides on the natural environment (losses of soil resources), on the other hand, have received little consideration. Such information about the status of loss of soil resources in the landslide–disturbed areas of the Garhwal Himalayas is lacking. Therefore, the objective of the study is to assess the changes in soil quality restoration after the occurrence of landslides. A chronosequence of four landslide disturbed sites, L6–6–year–old, L16–16–year–old, L21–21–year–old and L26–26–year–old, was selected in the Alaknanda watershed of Uttarakhand. Seventy–six samples have been collected from the four landslide sites and a reference site (undisturbed site). The sites L6 and L16 are considered as recent landslide sites, whereas L21 and L26 are considered as old landslide sites. Entisols (Lithic–Udorthents) predominate in all the studied sites. The results have demonstrated that with the increasing age of landslides, the soil quality progressively improves with time, and the concentration of soil nutrients, viz., available phosphorus (AP), available potassium (AK) and mineralisable nitrogen (MN), in old landslide sites reaches to about 84%, 87% and 97%, respectively, of the reference site. Soil Quality Index (SQI) scores have been calculated using the Integrated Quality Index (IQI) equation. The disturbed sites L6, L16, L21 and L26 and the reference site have SQI scores of 0.136, 0.279, 0.447, 0.604 and 0.882, respectively. However, significant differences exist between the SQI of all the studied sites (p < 0.05, Tukey’s HSD), which implies that the concentration of soil organic carbon (SOC) and available nutrients was reduced due to the occurrence of landslides. The results also suggested that SOC, AP and clay fraction can be considered important evaluation indicators to assess soil quality and development. Full article
(This article belongs to the Special Issue Geochemical Mapping in Land Managing)
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6 pages, 1042 KiB  
Systematic Review
Clinical Characteristics of Actinic Keratosis Associated with the Risk of Progression to Invasive Squamous Cell Carcinoma: A Systematic Review
by Alise Balcere, Laura Konrāde-Jilmaza, Laura Agnese Pauliņa, Ingrīda Čēma and Angelika Krūmiņa
J. Clin. Med. 2022, 11(19), 5899; https://doi.org/10.3390/jcm11195899 - 6 Oct 2022
Cited by 13 | Viewed by 3650
Abstract
Background: Actinic keratosis (AK) is one of the most common lesions on chronically sun-damaged skin that has the risk of progression to invasive squamous cell carcinoma (SCC). With the possibilities of using digital technologies for following-up skin lesions and their increased use in [...] Read more.
Background: Actinic keratosis (AK) is one of the most common lesions on chronically sun-damaged skin that has the risk of progression to invasive squamous cell carcinoma (SCC). With the possibilities of using digital technologies for following-up skin lesions and their increased use in the past few decades, our objective was to update the review by Quaedvlieg et al., 2006, and to review prospective studies from 2005 onwards to identify the clinical characteristics of AK that later progressed to SCC. Methods: The PubMed, Scopus, and ScienceDirect databases were searched for relevant articles. The search had the following criteria: English language, human subjects and year from 2005 onwards. The study protocol was registered in the Prospero database with the record number CRD42020200429 and followed the PRISMA guidelines. The risk-of-bias assessment was performed using the QUIPS tool. Results: From the 5361 studies screened, 105 reports were evaluated for eligibility, and 2 articles with 621 patients were included. The main AK types associated with the development of SCC were found to be baseline AK, also known as a long-standing AK, and merging AK, also called an “AK patch”. Full article
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13 pages, 739 KiB  
Article
In Vivo Reflectance Confocal Microscopy as a Response Monitoring Tool for Actinic Keratoses Undergoing Cryotherapy and Photodynamic Therapy
by Clara Curiel-Lewandrowski, Caitlyn N. Myrdal, Kathylynn Saboda, Chengcheng Hu, Edith Arzberger, Giovanni Pellacani, Franz Josef Legat, Martina Ulrich, Petra Hochfellner, Margaret C. Oliviero, Paola Pasquali, Melissa Gill and Rainer Hofmann-Wellenhof
Cancers 2021, 13(21), 5488; https://doi.org/10.3390/cancers13215488 - 31 Oct 2021
Cited by 13 | Viewed by 3333
Abstract
Reflectance confocal microscopy (RCM) presents a non-invasive method to image actinic keratosis (AK) at a cellular level. However, RCM criteria for AK response monitoring vary across studies and a universal, standardized approach is lacking. We aimed to identify reliable AK response criteria and [...] Read more.
Reflectance confocal microscopy (RCM) presents a non-invasive method to image actinic keratosis (AK) at a cellular level. However, RCM criteria for AK response monitoring vary across studies and a universal, standardized approach is lacking. We aimed to identify reliable AK response criteria and to compare the clinical and RCM evaluation of responses across AK severity grades. Twenty patients were included and randomized to receive either cryotherapy (n = 10) or PDT (n = 10). Clinical assessment and RCM evaluation of 12 criteria were performed in AK lesions and photodamaged skin at baseline, 3 and 6 months. We identified the RCM criteria that reliably characterize AK at baseline and display significant reduction following treatment. Those with the highest baseline odds ratio (OR), good interobserver agreement, and most significant change over time were atypical honeycomb pattern (OR: 12.7, CI: 5.7–28.1), hyperkeratosis (OR: 13.6, CI: 5.3–34.9), stratum corneum disruption (OR: 7.8, CI: 3.5–17.3), and disarranged epidermal pattern (OR: 6.5, CI: 2.9–14.8). Clinical evaluation demonstrated a significant treatment response without relapse. However, in grade 2 AK, 10/12 RCM parameters increased from 3 to 6 months, which suggested early subclinical recurrence detection by RCM. Incorporating standardized RCM protocols for the assessment of AK may enable a more meaningful comparison across clinical trials, while allowing for the early detection of relapses and evaluation of biological responses to therapy over time. Full article
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9 pages, 843 KiB  
Article
Nematode Parasites of Rockfish (Sebastes spp.) and Cod (Gadus spp.) from Waters near Kodiak Island Alaska, USA
by Mehmet Cemal Oğuz, Andrea McRae Campbell, Samuel P. Bennett and Mark C. Belk
Diversity 2021, 13(9), 436; https://doi.org/10.3390/d13090436 - 10 Sep 2021
Cited by 4 | Viewed by 3004
Abstract
Distribution and abundance of common parasitic nematodes in marine fishes is not well documented in many geographic regions. Understanding the influence of large-scale environmental changes on infection rates of fish by nematodes requires quantitative assessments of parasite abundance for multiple host species. We [...] Read more.
Distribution and abundance of common parasitic nematodes in marine fishes is not well documented in many geographic regions. Understanding the influence of large-scale environmental changes on infection rates of fish by nematodes requires quantitative assessments of parasite abundance for multiple host species. We collected samples of two species of cod and eight species of rockfish (total of 232 specimens) from waters near Kodiak Island, Alaska, USA during Spring and Summer of 2015, and dissected and recorded all internal nematode parasites. We quantified the prevalence and intensity of nematode parasites in the ten host species, and tested for differences in prevalence among host species. We found three species of nematode: Anisakis simplex, sensu lato (Van Thiel), Pseudoterranova decipiens, sensu lato (Krabbe), and Hysterothylacium sp. (Ward and Magath). Eighty-two percent of the examined fish were infected with at least one parasitic nematode. The overall prevalence of P. decipiens, A. simplex, and Hysterothylacium sp. was 56%, 62%, and 2%, respectively. Anisakis simplex and P. decipiens were abundant and present in all ten species of host fish examined, whereas Hysterothylacium sp. was rare and found in only five of the host fish species. Prevalence and mean intensity of P. decipiens and A. simplex varied across the ten host species, and the number of parasites varied substantially among individual hosts within host species. The mean intensity of P. terranova and A. simplex in our study was substantially higher than the mean intensity for these same species from multiple other locations in a recent meta-analysis. This study provides a baseline of nematode parasite abundance in long-lived fish in waters near Kodiak Island, AK, and fills an important gap in our quantitative understanding of patterns of occurrence and abundance of these common and widespread parasites of marine fish. Full article
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8 pages, 1815 KiB  
Article
Comparison of Safety and Efficiency between Tiger-2 Catheter with Right Radial Artery Access and Judkins Catheter with Left Radial Artery Access
by Katarzyna Klimek, Mateusz Świątek, Konrad Klocek, Michał Tworek, Maciej Zwolski, Krzysztof Milewski and Adam Janas
J. Clin. Med. 2021, 10(17), 4020; https://doi.org/10.3390/jcm10174020 - 6 Sep 2021
Viewed by 2801
Abstract
We sought to compare the safety and efficiency of Tiger-2 in the right radial and Judkins catheter in the left radial access. We retrospectively collected data of 487 patients, involving 172 patients after coronary angiography with Judkins on the left radial artery and [...] Read more.
We sought to compare the safety and efficiency of Tiger-2 in the right radial and Judkins catheter in the left radial access. We retrospectively collected data of 487 patients, involving 172 patients after coronary angiography with Judkins on the left radial artery and 315 patients with Tiger-2 on the right radial artery access. There were no differences in baseline characteristics, except for hypertension ratio and mean age. There was a difference in pulse absence on the radial artery. The volume of contrast used was higher in the Judkins group. Both groups differed in the amount of drugs administered (NTG and heparin). Fluorescence times were comparable between groups. Radiation dosage and AK was significantly greater in the Tiger-2 group. The Tiger-2 catheters were significantly more often changed to another type of catheter (100 changes) than the Judkins (12 changes). However, there was no statistical difference in access site change. Judkins with left radial access seems to be a safer option because of the lower radiation exposure and less incidence of complications than Tiger-2 with right radial access, however, it requires a higher volume of contrast. Full article
(This article belongs to the Section Vascular Medicine)
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1 pages, 159 KiB  
Abstract
Marine Heat Wave Increased Variance and Decreased Productivity at Bering Strait during 2015–2016
by Hector D. Douglas, Alexander S. Kitaysky and Evgenia V. Kitaiskaia
Biol. Life Sci. Forum 2021, 2(1), 23; https://doi.org/10.3390/BDEE2021-09457 - 15 Mar 2021
Viewed by 849
Abstract
Planktivorous auklets registered changes across two years of a marine heat wave (2015–2016). Colony attendance of crested auklets (Aethia cristatella) was reduced (35–50%) at Little Diomede I., AK, in the latter part of June 2016 compared to 2015. The pattern was [...] Read more.
Planktivorous auklets registered changes across two years of a marine heat wave (2015–2016). Colony attendance of crested auklets (Aethia cristatella) was reduced (35–50%) at Little Diomede I., AK, in the latter part of June 2016 compared to 2015. The pattern was similar for least auklets (A. pusilla). An anomalous marine distribution and anomalous consumption pattern were noted for crested auklets. A plot of δ15N/δ13C spanned three times the range in 2016 vs. 2015. Crested auklet RBC’s had lower δ13C values and higher δ15N in 2016. Least auklet growing primaries showed the same pattern. Advected production is important, but δ13C enrichment may have occurred later in 2016. Julian Date of sampling was more strongly correlated with δ13C of crested auklet RBCs in 2016 (r = 0.47, p < 0.001) than in 2015 (r = 0.31, p = 0.01). Crested auklets had higher baseline corticosterone (t0.05(2)27 = 2.56, p < 0.05) and higher variances in 2016. The crested auklet’s citrus-like odorant was less evident in 2016 and ceased earlier in the summer. Bill pigmentation was incomplete in 11% of crested auklets (n = 82) in 2016. Planktivorous auklets are proxies for the marine ecosystem. Increased marine heat content may have imposed additive costs that decreased productivity of some top predators. Full article
11 pages, 1527 KiB  
Article
Effectiveness and Safety of Topical Chlorhexidine and Vitamin E TPGS in the Treatment of Acanthamoeba Keratitis: A Survey on 29 Cases
by Ciro Caruso, Daniela Eletto, Michele Rinaldi, Luigi Pacente, Salvatore Troisi, Francesco Semeraro, Roberto dell’Omo and Ciro Costagliola
J. Clin. Med. 2020, 9(11), 3775; https://doi.org/10.3390/jcm9113775 - 23 Nov 2020
Cited by 8 | Viewed by 4105
Abstract
This study aimed to test the effectiveness of a solution of chlorhexidine (CHX) and D-α-tocopheryl polyethylene glycol succinate (Vitamin E TPGS or TPGS) in the treatment of Acanthamoeba keratitis (AK) via a prospective, interventional case series study. Twenty-nine consecutive patients with AK were [...] Read more.
This study aimed to test the effectiveness of a solution of chlorhexidine (CHX) and D-α-tocopheryl polyethylene glycol succinate (Vitamin E TPGS or TPGS) in the treatment of Acanthamoeba keratitis (AK) via a prospective, interventional case series study. Twenty-nine consecutive patients with AK were enrolled. At baseline, best-corrected visual acuity (BCVA), slit lamp examination, confocal microscopy, and polymerase chain reaction (PCR) were performed. Topical therapy with CHX 0.02% and VE-TPGS 0.2% was administered hourly/24 h for the first day, hourly in the daytime for the next three days, and finally, every two hours in the daytime up to one month. BCVA and ocular inflammation were recorded after two weeks, four weeks, and three months from baseline. Mean logMAR BCVA significantly improved at two weeks (0.78) compared to baseline (1.76), remaining stable over time (0.80 at four weeks, 0.77 at three months). Ocular inflammation improved in 14 eyes at 2 weeks, with further slow improvements in all cases. At three months, no patient had signs of corneal inflammation. The presence of corneal scars was first recorded at the two-week follow-up, with an enlargement at the four-week follow-up. At the three-month follow-up, 19 eyes still showed corneal opacities. In conclusion, the tested solution was shown to be effective for the treatment of AK. Furthermore, it might represent a good first-line treatment. Full article
(This article belongs to the Section Ophthalmology)
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6 pages, 1653 KiB  
Article
Use of Complete Clearance for Assessing Treatment Efficacy for 5-Fluorouracil Interventions in Actinic Keratoses: How Baseline Lesion Count Can Impact This Outcome
by Khaled Ezzedine, Caroline Painchault and Melanie Brignone
J. Mark. Access Health Policy 2020, 8(1), 1829884; https://doi.org/10.1080/20016689.2020.1829884 - 9 Oct 2020
Cited by 11 | Viewed by 452
Abstract
Background: Many trials in actinic keratoses (AK) use complete clearance rate (100% reduction in number of lesions) as the primary endpoint. We explore limitations (predominantly baseline factors) associated with this outcome. Objective: This analysis assessed the effect of baseline lesion count on complete [...] Read more.
Background: Many trials in actinic keratoses (AK) use complete clearance rate (100% reduction in number of lesions) as the primary endpoint. We explore limitations (predominantly baseline factors) associated with this outcome. Objective: This analysis assessed the effect of baseline lesion count on complete clearance rate using randomized controlled trials (RCTs) that evaluated 5-fluorouracil (5-FU) formulations, alone or with 10% salicylic acid solution, in patients with AK. Methodology: Correlation between baseline lesion count and complete clearance rate at week 8 was assessed using Pearson’s coefficient. Results: Five RCTs assessing 5-FU (4%, 5%, or 0.5% in 10% salicylic acid solution) in 1,080 patients with AK were included. Mean lesion count at baseline ranged from 8.1 to 21.2 lesions per patient. Complete clearance rate was negatively associated with number of lesions at baseline. Correlation between mean number of lesions at baseline and complete clearance rate was strong (r2 = 0.94) and statistically significant (p < 0.001). Conclusion: This analysis showed that, in a homogenous set of trials, complete clearance rates achieved with 5-FU interventions are inversely related to number of lesions at baseline. These findings highlight the limits of restricting treatment evaluation to complete clearance rate and the relevance of alternative measures. Full article
13 pages, 1256 KiB  
Article
Non-Invasive Analysis of Actinic Keratosis before and after Topical Treatment Using a Cold Stimulation and Near-Infrared Spectroscopy
by Silvia Seoni, Paola Savoia, Federica Veronese, Elisa Zavattaro, Vanessa Tarantino and Kristen M. Meiburger
Medicina 2020, 56(9), 482; https://doi.org/10.3390/medicina56090482 - 21 Sep 2020
Cited by 1 | Viewed by 2748
Abstract
Background and objectives: The possible evolution of actinic keratoses (AKs) into invasive squamous cell carcinomas (SCC) makes their treatment and monitoring essential. AKs are typically monitored before and after treatment only through a visual analysis, lacking a quantitative measure to determine treatment [...] Read more.
Background and objectives: The possible evolution of actinic keratoses (AKs) into invasive squamous cell carcinomas (SCC) makes their treatment and monitoring essential. AKs are typically monitored before and after treatment only through a visual analysis, lacking a quantitative measure to determine treatment effectiveness. Near-infrared spectroscopy (NIRS) is a non-invasive measure of the relative change of oxy-hemoglobin and deoxy-hemoglobin (O2Hb and HHb) in tissues. The aim of our study is to determine if a time and frequency analysis of the NIRS signals acquired from the skin lesion before and after a topical treatment can highlight quantitative differences between the AK skin lesion area. Materials and Methods: The NIRS signals were acquired from the skin lesions of twenty-two patients, with the same acquisition protocol: baseline signals, application of an ice pack near the lesion, removal of ice pack and acquisition of vascular recovery. We calculated 18 features from the NIRS signals, and we applied multivariate analysis of variance (MANOVA) to compare differences between the NIRS signals acquired before and after the therapy. Results: The MANOVA showed that the features computed on the NIRS signals before and after treatment could be considered as two statistically separate groups, after the ice pack removal. Conclusions: Overall, the NIRS technique with the cold stimulation may be useful to support non-invasive and quantitative lesion analysis and regression after a treatment. The results provide a baseline from which to further study skin lesions and the effects of various treatments. Full article
(This article belongs to the Special Issue New Perspectives in the Treatment of Skin Disease)
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20 pages, 4344 KiB  
Article
Qualifying the T-2 Toxin-Degrading Properties of Seven Microbes with Zebrafish Embryo Microinjection Method
by Edina Garai, Anita Risa, Emese Varga, Mátyás Cserháti, Balázs Kriszt, Béla Urbányi and Zsolt Csenki
Toxins 2020, 12(7), 460; https://doi.org/10.3390/toxins12070460 - 18 Jul 2020
Cited by 5 | Viewed by 3583
Abstract
T-2 mycotoxin degradation and detoxification efficiency of seven bacterial strains were investigated with zebrafish microinjection method in three steps ((1) determination of mycotoxin toxicity baseline, (2) examination of bacterial metabolites toxicity, (3) identification of degradation products toxicity). Toxicity of T-2 was used as [...] Read more.
T-2 mycotoxin degradation and detoxification efficiency of seven bacterial strains were investigated with zebrafish microinjection method in three steps ((1) determination of mycotoxin toxicity baseline, (2) examination of bacterial metabolites toxicity, (3) identification of degradation products toxicity). Toxicity of T-2 was used as a baseline of toxic effects, bacterial metabolites of strains as control of bacterial toxicity and degradation products of toxin as control of biodegradation were injected into one-cell stage embryos in the same experiment. The results of in vivo tests were checked and supplemented with UHPLC-MS/MS measurement of T-2 concentration of samples. Results showed that the Rhodococcus erythropolis NI1 strain was the only one of the seven tested (R. gordoniae AK38, R. ruber N361, R. coprophilus N774, R. rhodochrous NI2, R. globerulus N58, Gordonia paraffinivorans NZS14), which was appropriated to criteria all aspects (bacterial and degradation metabolites of strains caused lower toxicity effects than T-2, and strains were able to degrade T-2 mycotoxin). Bacterial and degradation metabolites of the NI1 strain caused slight lethal and sublethal effects on zebrafish embryos at 72- and 120-h postinjection. Results demonstrated that the three-step zebrafish microinjection method is well-suited to the determination and classification of different bacterial strains by their mycotoxin degradation and detoxification efficiency. Full article
(This article belongs to the Section Mycotoxins)
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10 pages, 2146 KiB  
Article
MAL Daylight Photodynamic Therapy for Actinic Keratosis: Clinical and Imaging Evaluation by 3D Camera
by Carmen Cantisani, Giovanni Paolino, Giovanni Pellacani, Dario Didona, Marco Scarno, Valentina Faina, Tommaso Gobello and Stefano Calvieri
Int. J. Mol. Sci. 2016, 17(7), 1108; https://doi.org/10.3390/ijms17071108 - 11 Jul 2016
Cited by 14 | Viewed by 6680
Abstract
Non-melanoma skin cancer is the most common skin cancer with an incidence that varies widely worldwide. Among them, actinic keratosis (AK), considered by some authors as in situ squamous cell carcinoma (SCC), are the most common and reflect an abnormal multistep skin cell [...] Read more.
Non-melanoma skin cancer is the most common skin cancer with an incidence that varies widely worldwide. Among them, actinic keratosis (AK), considered by some authors as in situ squamous cell carcinoma (SCC), are the most common and reflect an abnormal multistep skin cell development due to the chronic ultraviolet (UV) light exposure. No ideal treatment exists, but the potential risk of their development in a more invasive form requires prompt treatment. As patients usually present with multiple AK on fields of actinic damage, there is a need for effective, safe, simple and short treatments which allow the treatment of large areas. To achieve this, daylight photodynamic therapy (DL-PDT) is an innovative treatment for multiple mild actinic keratosis, well tolerated by patients. Patients allocated to the PDT unit, affected by multiple mild−moderate and severe actinic keratosis on sun-exposed areas treated with DL-PDT, were clinically evaluated at baseline and every three months with an Antera 3D, Miravex© camera. Clinical and 3D images were performed at each clinical check almost every three months. In this retrospective study, 331 patients (56.7% male, 43.3% female) were treated with DL-PDT. We observed a full clearance in more than two-thirds of patients with one or two treatments. Different responses depend on the number of lesions and on their severity; for patients with 1–3 lesions and with grade I or II AK, a full clearance was reached in 85% of cases with a maximum of two treatments. DL-PDT in general improved skin tone and erased sun damage. Evaluating each Antera 3D images, hemoglobin concentration and pigmentation, a skin color and tone improvement in 310 patients was observed. DL-PDT appears as a promising, effective, simple, tolerable and practical treatment for actinic damage associated with AK, and even treatment of large areas can be with little or no pain. The 3D imaging allowed for quantifying in real time the aesthetic benefits of DL-PDT’s increasing compliance. Full article
(This article belongs to the Special Issue Advances in Photodynamic Therapy)
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