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Prostate cancer is the most common type of cancer among men and the second most frequent cause of cancer-related mortality around the world. The progression of advanced prostate cancer to castration-resistant prostate cancer (CRPC) plays a major role in disease-associated morbidity and mortality, posing a significant therapeutic challenge. Resistance has been associated with the activation of androgen receptors via several mechanisms, including alternative dehydroepiandrosterone biosynthetic pathways, other androgen receptor activator molecules, oncogenes, and carcinogenic signaling pathways. Tumor microenvironment plays a critical role not only in the cancer progression but also in the drug resistance. Numerous natural products have shown major potential against particular or multiple resistance pathways as shown by in vitro and in vivo studies. However, their efficacy in clinical trials has been undermined by their unfavorable pharmacological properties (hydrophobic molecules, instability, low pharmacokinetic profile, poor water solubility, and high excretion rate). Nanoparticle formulations can provide a way out of the stalemate, employing targeted drug delivery, improved pharmacokinetic drug profile, and transportation of diagnostic and therapeutic agents via otherwise impermeable biological barriers. This review compiles the available evidence regarding the use of natural products for the management of CRPC with a focus on nanoparticle formulations. PubMed and Google Scholar search engines were used for preclinical studies, while ClinicalTrials.gov and PubMed were searched for clinical studies. The results of our study suggest the efficacy of natural compounds such as curcumin, resveratrol, apigenin, quercetin, fisetin, luteolin, kaempferol, genistein, berberine, ursolic acid, eugenol, gingerol, and ellagic acid against several mechanisms leading to castration resistance in preclinical studies, but fail to set the disease under control in clinical studies. Nanoparticle formulations of curcumin and quercetin seem to increase their potential in clinical settings. Using nanoparticles based on betulinic acid, capsaicin, sintokamide A, niphatenones A and B, as well as atraric acid seems promising but needs to be verified with preclinical and clinical studies.

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It is imperative to classify opportunistic skin pathogens and skin commensals for the Malassezia genus of lipophilic yeasts. Recently, in the eastern and western United States, nine types of bat skins have isolated as new Malassezia species in the subfamily Myotinae. Factually, wild-type Malassezia insulates are typically susceptible to azoles, except for fluconazole, although developed azole resistance in these strains has been related to either alterations or quadruplications of the ERG11 gene. Those remarks have provoked interest in substitute antifungal therapy, such as chlorhexidine, and different plant essential oils. The purposes of this investigation were to assess atopic dermatitis (AD) along with the Malassezia species and the adequacy of its inhibitory effect with different plant essential oils against pathogenic Malassezia isolates. Plants produce essential oils because of physiological stresses, microorganism assaults, and biological variables. Essential oils are complex volatile compounds, integrated normally in various plant parts during the cycle of secondary metabolism. Yeasts of the class Malassezia have been associated with various ailments influencing the human skin, for example, psoriasis, atopic dermatitis, dandruff, seborrheic dermatitis, folliculitis, Malassezia (Pityrosporum) and pityriasis Versicolor, and—less commonly—with other dermatologic issues, for example, transient acantholytic dermatosis, onychomycosis, and reticulated and confluent papillomatosis. Malassezia is a significant causal factor for seborrheic dermatitis. Studies exploring cell and humoral immune responses explicit to Malassezia species in patients with Malassezia-related infections and healthy controls have commonly not been able to characterize critical contrasts in their resistant reactions. Presently, few medications are accessible to treat this fungal infection. The current examination is expected to enhance the clinical utilization of essential oils; there is an urgent need to conduct further in vivo investigations with large cohorts of patients to confirm the clinical capability of essential oils against Malassezia species.

BackgroundHospitals are institutions whose primary task is to treat patients. Family-centered care, which considers loved ones as equal partners in patient care, has been gaining recognition in the adult care setting. Our aim was to record experiences of and opinions on communication between hospital-based healthcare providers and patients' loved ones, related but not limited to the rigorous mitigation measures implemented during the COVID-19 pandemic.MethodsThe Twitter profile @HospitalsTalkTo and hashtag #HospitalsTalkToLovedOnes were created to interact with the Twitter public between 7 June 2021 and 7 February 2022. Conversations surrounding #HospitalsTalkToLovedOnes were extracted and subjected to natural language processing analysis using term frequency and Markov chain analysis. Qualitative thematic analysis was performed on the 10% most interacted tweets and of tweets mentioning “COVID” from a personal experience-based subset.ResultsWe collected 4412 unique tweets made or interacted by 7040 Twitter users from 142 different countries. The most frequent words were patient, hospital, care, family, loved and communication. Thematic analysis revealed the importance of communication between patients, patients' loved ones and hospitals; showed that patients and their loved ones need support during a patient's hospital journey; and that pediatric care should be the gold standard for adult care. Visitation restrictions due to COVID-19 are just one barrier to communication, others are a lack of phone signal, no space or time for asking questions, and a complex medical system. We formulate 3 recommendations to improve the inclusion of loved ones into the patient's hospital stay.Conclusions“Loved ones are not ‘visitors' in a patient's life”. Irrespective of COVID-19, patient's loved ones need to be included during the patient's hospital journey. Transparent communication and patient empowerment increase patient safety and improve the hospital experience for both the patients and their loved ones. Our findings underline the need for the concept of family-centered care to finally be implemented in adult nursing clinical practice.