• McFarland Mathiassen posted an update 4 days, 19 hours ago

    Clear dental aligners are used for treating orthodontic anomalies (misaligned teeth, inappropriate contact between upper and lower teeth etc.), minor irregularities and bruxism. Using additive manufacturing technologies clear dental aligners are made of biocompatible photopolymer, using a vat photopolymerization technology. One of problems in application is the change of aligner material properties after production, including strength and elongation at failure. This can cause different sequence of tooth displacement which will not correspond to the planned therapy. In this paper three types of material testing are conducted i.e., tensile, compressive and three-point bending testing on specimens of 1 (24 h), 3 (72 h), 5 (120 h) and 7 (168 h) days old. Mechanical properties, such as tensile, compressive and flexural strength and strain at failure are monitored in order to show the effect of time on biocompatible photopolymer resin.Elastomers have been used in a variety of biomedical fields, including tissue engineering, soft robotics, prostheses, and cosmetics. Elastomers used for skin grafting scaffolds tend to be biodegradable, but other applications require perdurable elastomers. Advances in perdurable elastomers would allow for the development of a range of substrates useful in the creation of joint prostheses, chronic neural electrodes, implantables, and wearables. Still, for these, tailored mechanical properties and biocompatibility are required. In this work, several perdurable alkene-styrene elastomers and novel polymer blends are investigated for their stress-strain curves; with quantification of Young’s moduli, fatigue behavior and standard biocompatibility. In particular, this study attempts to study polymers with mechanical properties similar to the complex characteristics of skin, through comparison with porcine skin samples. Poly (vinylidene fluoride-trifluoroethylene), P(VDF-TrFE), a flexible polymer previously used as a wearable sensor and second skin component, was here used for comparison studies. Interestingly, this study points out that elastomer mechanical properties can be modulated to better replicate the elastic modulus of skin, in particular for KratonTM D1152, a Styrene-Butadiene-Styrene block copolymer. Namely, this is the case when such an elastomer is prepared as an electrospun matrix or as a flat dense film under low temperatures. Moreover, a specific method was optimized to obtain electrospun fibers of this alkene-styrene copolymer.

    Epilepsy in typical Sturge-Weber syndrome (SWS) is common, and many questions remain regarding the treatment outcomes. We analyzed a large multicenter database with focus on neurological drug treatment in different demographic and SWS characteristic groups.

    A total of 268 patients with brain involvement and a history of seizures were selected from a research data registry generated from a multicenter cross-sectional questionnaire. We examined associations between medication use and binary variables such as sex, ethnicity, and brain, skin, and eye involvement laterality. We analyzed group differences in mean number of antiseizure medications and age at diagnosis, enrollment, and seizure onset and examined differences in median SWS neurological scores in groups of interest.

    The most frequently used medications were levetiracetam (48.1%), low-dose aspirin (44.8%), oxcarbazepine (39.9%), and phenobarbital (14.9%). Lamotrigine was more frequently used in adults than in children (P=0.001). History of neurosurwith the ability to discontinue antiseizure medication. Selleck Galunisertib Longitudinal studies are needed to further investigate medication use in patients with SWS.

    While routine, in-person follow-up of early-stage breast cancer patients (EBC) after completion of initial treatment is common, the COVID-19 pandemic has resulted in unprecedented changes in clinical practice. A systematic review was performed to evaluate the evidence supporting different frequencies of routine follow-up.

    MEDLINE and the Cochrane Collaboration Library were searched from database inception to July 16, 2020 for randomized controlled trials (RCTs) and prospective cohort studies (PCS) evaluating different frequencies of routine follow-up. Citations were assessed by pairs of independent reviewers. Risk of Bias (RoB) was assessed using the Cochrane RoB tool for RCTs and the Newcastle-Ottawa Quality Assessment Scale for Cohort Studies. Findings were summarized narratively.

    The literature search identified 3316 studies, of which 7 (6 RCTs and 1 PCS) were eligible. Study endpoints included; quality of life (QoL; 5 RCTs and 1 PCS), disease free survival (DFS) (1 RCT), overall survival (OS) (1 RCT) and cost-effectiveness (1 RCT). The results showed reduction in follow-up frequency had no adverse effect on QoL (6 studies, n=920), DFS (1 trial, n=472) or OS (1 trial, n=472), but improved cost-effectiveness (1 trial, n=472). Four RCTs specifically examined follow-up on-demand versus scheduled follow-up visits and found no statistically significant differences in QoL (n=544).

    While no evidence-based guidelines suggest that follow-up of EBC patients improves DFS or OS, routinely scheduled in-person assessment is common. RCT data suggests that reduced frequency of follow-up has no adverse effects.

    While no evidence-based guidelines suggest that follow-up of EBC patients improves DFS or OS, routinely scheduled in-person assessment is common. RCT data suggests that reduced frequency of follow-up has no adverse effects.

    Osimertinib is now a standard treatment for patients with previously untreated EGFR-mutated advanced non-small cell lung cancer (NSCLC). We here investigated whether the combination of osimertinib with cytotoxic chemotherapy might hold additive efficacy, as well as tolerability.

    We conducted an open-label randomised phase 2 study to evaluate osimertinib and carboplatin-pemetrexed combination in comparison with osimertinib monotherapy in EGFR mutation-positive NSCLC patients who experienced disease progression associated with the emergence of the T790M resistance mutation of EGFR during first-line EGFR-TKI therapy. The primary endpoint was PFS, with secondary endpoints, including OS, response, and safety. Given that osimertinib was approved as a first-line treatment during the study, patient accrual was discontinued, and a final analysis was performed for the 62 enrolled patients.

    Median PFS was 15.8 months for the osimertinib monotherapy group and 14.6 months for the combination therapy group (hazard ratio of 1.