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Objectives: EGFR-tyrosine kinase inhibitor (TKI) is used to treat recurrent and metastatic nasopharyngeal carcinoma (rmNPC). This meta-analysis aims to study the efficacy and safety of EGFR-TKI in treating patients with rmNPC. Methods: We conducted a systematic search of PubMed, Embase, and Web of Science up to November 2023, and included literature that met the criteria. We extracted objective response rate (ORR), disease control rate (DCR), median progression-free survival (mPFS), median overall survival (mOS), and adverse reaction-related events and performed meta-analysis using Stata 14.0. Results: A total of nine articles were included. The summary results showed that the ORR for patients treated with EGFR-TKI for rmNPC was 38% (95% CI = 27%-49%), the DCR was 71% (95% CI = 61%-80%), the mPFS was 6.29 months (95% CI = 5.22-7.35), and the mOS was 15.94 months (95% CI = 14.68-17.20). The most common grade 3-4 adverse reaction events in these patients were mucositis, nasopharyngeal necrosis, and oral ulceration. We found an incidence rate of 49% (95% CI = 38%-61%) for grade 3-4 adverse events (AEs). The anti-PD1 combined with TKI treatment method is more effective than the EGFR-TKI alone for treating rmNPC. Conclusion: The study shows that EGFR-TKI has good efficacy in treating rmNPC but does not translate into survival benefits and owns a high incidence of grade 3-4 AEs. More RCT trials are needed in the future to verify the efficacy of anti-PD1 combined with TKI treatment method. [ABSTRACT FROM AUTHOR]

Nanomechanical measurements, especially the detection of weak contact forces, play a vital role in many fields, such as material science, micromanipulation, and mechanobiology. However, it remains a challenging task to realize the measurement of ultraweak force levels as low as nanonewtons with a simple sensing configuration. In this work, an ultrasensitive all-fiber nanonewton force sensor structure based on a single-mode-tapered U-shape multimode-single-mode fiber probe is proposed and experimentally demonstrated with a limit of detection of ~5.4 nanonewtons. The use of the sensor is demonstrated by force measurement on a human hair sample to determine the spring constant of the hair. The results agree well with measurements using an atomic force microscope for the spring constant of the hair. Compared with other force sensors based on optical fiber in the literature, the proposed all-fiber force sensor provides a substantial advancement in the minimum detectable force possible, with the advantages of a simple configuration, ease of fabrication, and low cost. [ABSTRACT FROM AUTHOR]

[Display omitted] • A confined assembly strategy is reported for polarized structural coloration. • DCP is adjusted by kinetic trapping multi-domain cholesteric mesophases. • The chiral photonic materials can be applied for information storage and encryption. Chiroptical materials with tunable circular polarization performances have gained wide interest because of promising applications in optical devices and information communication. However, limited by their intrinsic chirality, such materials suffer from serious deficiencies in dynamical manipulation on circularly polarized light (CPL). Here, we demonstrate a kinetic trapping approach to capture multi-domain cholesteric mesophases for polarization-dependent structural coloration. The resultant photonic structures depicted by limited solvent evaporation display light control from selective left-handed circularly polarized light reflection to dual reflection, as a result of forming highly tilted and distorted domains with a phase-retardation effect. Notably, a positive linear correlation is established between the circular polarization behavior and structural orientation regulated by the solvent evaporation. The tunable circular polarization structural colors enable the application of the photonic materials for complex encryption in terms of polychromatic coding arrays. The confined-anisotropic-fabrication method of photonic structures paves a foundation toward advanced functional materials with promising applications in light science and technology. [ABSTRACT FROM AUTHOR]