https://journals.aboutscience.eu/index.php/aboutopen/issue/feedAboutOpen2026-01-26T08:15:33+00:00Lucia Steelelucia.steele@aboutscience.euOpen Journal SystemsOpen access, peer reviewed articles on real world evidence and other clinical studies contributing to increase knowledge and experience in several healthcare related disciplines.https://journals.aboutscience.eu/index.php/aboutopen/article/view/3555Clinical and histological findings following the application of a single session of recombinant enzymes on the face2026-01-15T13:18:21+00:00Julio Alberto Giraldo MesaJuliogiraldo123@gmail.comGustavo Matute TurizoGumatu@gmail.comSara María Vieira RíosSaravieirarios@gmail.comValeria Kopytinavaleria.kopytina@pbserum.comJorge López Berroa jorge.lopez@proteosbiotech.com<p><strong>Introduction:</strong> Several factors influence the quality and appearance of the skin, including age, lifestyle, sun exposure, and certain conditions. These elements can have a significant negative impact on some individuals. As a<br />result, esthetic medicine is increasingly sought after as a solution to counteract these effects, enhancing both<br />appearance and self-esteem. The objective of the research was to observe the clinical and histological changes<br />in the skin of five women with photoaging, hyperpigmentation, rhytidosis, or acne scars after a single application<br />of recombinant enzymes.<br /><strong>Methods:</strong> This longitudinal descriptive study was conducted on 5 women aged 47-65, randomly selected.<br />Photographic records and biopsies were taken before and after the treatment.<br /><strong>Results:</strong> Clinical results revealed a significant improvement in skin quality and texture, with reduced skin laxity<br />and skin repositioning, as well as a decrease in hyperpigmented lesions and acne scars. Histologically, there was a<br />reduction in hyperkeratosis and collagen basophilia, along with regeneration of elastic and collagen fibers, showing<br />an increase in their integrity.<br /><strong>Conclusion:</strong> A single dose of recombinant enzymes demonstrated improvement in skin quality both clinically and<br />histologically in 100% of the patients, proving to be a safe, reliable, and easy-to-apply treatment. It achieved high<br />levels of patient satisfaction, suggesting its potential to replace more invasive procedures.</p>2026-01-15T00:00:00+00:00Copyright (c) 2026 Julio Alberto Giraldo Mesa, Gustavo Matute Turizo, Sara María Vieira Ríos, Valeria Kopytina, Jorge López Berroa https://journals.aboutscience.eu/index.php/aboutopen/article/view/3578Management of refractory metastatic colorectal cancer: consensus recommendations from Italian oncologists2026-01-26T08:15:33+00:00Fortunato Ciardiellofortunato.ciardiello@unicampania.itCarmine PintoCarmine.Pinto@ausl.re.itSalvatore Sienasalvatore.siena@unimi.itAlberto Sobreroasobrero53@gmail.comMarianna Moranimarianna.morani@pharmalex.com<p><strong>Introduction:</strong> Metastatic colorectal cancer (mCRC) constitutes approximately 10% of all cancers globally and<br />ranks as the second leading cause of cancer-related deaths. Management of refractory mCRC remains challenging<br />due to pharmacological resistance and limited effective therapeutic options.<br /><strong>Methods:</strong> This publication presents insights from a Delphi panel of Italian clinicians regarding mCRC therapeutic<br />approaches, unmet medical needs, and fruquintinib’s potential clinical utility within existing treatment<br />algorithms. The project, guided by four leading Italian oncology experts, involved two survey rounds among 14<br />oncologists, achieving consensus on 15 statements with a 100% response rate.<br /><strong>Results:</strong> The expert panel identified critical epidemiological patterns in mCRC, with 20-25% of patients requiring further treatment after the failure of third-line therapy. The panel emphasized the clinical significance of fruquintinib’s efficacy and tolerability profile demonstrated in the FRESCO-2 trial. The experts unanimously endorsed fruquintinib as a new standard of care for adult mCRC patients who have progressed through available standard therapies.<br /><strong>Conclusions:</strong> This recommendation is based on fruquintinib’s observed survival benefit and manageable toxicity<br />profile, which facilitate improved treatment management and potentially enhance patient quality of life. The<br />structured consensus approach validates these recommendations, providing practical guidance for optimizing<br />outcomes as therapeutic options for mCRC continue to expand in complexity.</p>2026-01-23T00:00:00+00:00Copyright (c) 2026 Fortunato Ciardiello, Carmine Pinto, Salvatore Siena, Alberto Sobrero, Marianna Morani