keyword
https://read.qxmd.com/read/38635938/clonal-hematopoiesis-and-therapy-related-myeloid-neoplasms-after-autologous-transplant-for-hodgkin-lymphoma
#1
JOURNAL ARTICLE
Chengcheng Yan, Melissa A Richard, Christopher J Gibson, Jianbo He, Alysia Bosworth, David K Crossman, Purnima Singh, Lindsey Hageman, Rashi Kalra, Saro H Armenian, Julie Vose, Daniel J Weisdorf, Benjamin L Ebert, Yutaka Yasui, Stephen J Forman, Ravi Bhatia, Smita Bhatia
PURPOSE: Therapy-related myeloid neoplasm (t-MN) is a life-threatening complication of autologous peripheral blood stem cell transplantation (aPBSCT) for Hodgkin lymphoma (HL). Although previous studies have reported an association between clonal hematopoiesis (CH) in the infused PBSC product and subsequent post-aPBSCT risk of t-MN in patients with non-HL, information about patients with HL treated with aPBSCT is not available. METHODS: We constructed a retrospective cohort of 321 patients with HL transplanted at a median age of 34 years (range, 18-71)...
April 18, 2024: Journal of Clinical Oncology
https://read.qxmd.com/read/38635788/human-herpesvirus-6-reactivation-and-disease-are-infrequent-in-chimeric-antigen-receptor-t-cell-therapy-recipients
#2
JOURNAL ARTICLE
Eleftheria Kampouri, Elizabeth M Krantz, Hu Xie, Sarah S Ibrahimi, Erika S Kiem, Mandeep K Sekhon, Emily C Liang, Andrew J Cowan, Andrew J Portuguese, Damian J Green, Aya Albittar, Jennifer J Huang, Jordan Gauthier, Ailyn C Pérez-Osorio, Keith R Jerome, Danielle Zerr, Michael J Boeckh, Joshua A Hill
Human herpesvirus-6B (HHV-6B) reactivation and disease are increasingly reported after CAR-T-cell therapy (CARTx). HHV-6 reactivation in the CAR-T-cell product was recently reported, raising questions about product and patient management. Due to overlapping manifestations with immune effector cell-associated neurotoxicity syndrome, diagnosing HHV-6B encephalitis is challenging. We provide two lines of evidence assessing the incidence and outcomes of HHV-6B after CARTx. First, in a prospective study with weekly HHV-6B testing for up to 12 weeks post-infusion, HHV-6B reactivation occurred in eight of 89 participants; three had chromosomally integrated HHV-6 and were excluded, resulting in a cumulative incidence of HHV-6B reactivation of 6% (95% confidence interval (CI), 2...
April 18, 2024: Blood
https://read.qxmd.com/read/38635765/severe-hemodynamic-collapse-during-humerus-stabilization-with-photodynamic-implant-a-report-of-two-cases
#3
JOURNAL ARTICLE
Samir Sabharwal, Patrick J Boland, Max Vaynrub
CASE: We present 2 cases of severe hemodynamic collapse during prophylactic stabilization of impending pathologic humerus fractures using a photodynamic bone stabilization device. Both events occurred when the monomer was infused under pressure into a balloon catheter. CONCLUSION: We suspect that an increase in intramedullary pressure during balloon expansion may cause adverse systemic effects similar to fat embolism or bone cement implantation syndrome. Appropriate communication with the anesthesia team, invasive hemodynamic monitoring, and prophylactic vent hole creation may help mitigate or manage these adverse systemic effects...
April 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38635609/allergic-bronchopulmonary-mycosis-due-to-schizophyllum-commune-in-a-patient-with-chronic-hepatitis-b
#4
JOURNAL ARTICLE
Rui Xu, Jianfeng Zhang, Jiangnan Zheng, Qiaozhen Wu
INTRODUCTION: Schizophyllum commune (S. commune) is an opportunistic pathogenic fungus and can cause infection of the respiratory system in immunocompromised hosts. Allergic bronchopulmonary mycosis (ABPM) is the major disease caused by S. commune. However, identification of S. commune using routine mycological diagnostic methods is difficult. It is easy to make mistakes in diagnosis and treatment, resulting in deterioration of the disease. We report the first case of ABPM due to S. commune in a Chinese patient with chronic hepatitis B...
March 31, 2024: Journal of Infection in Developing Countries
https://read.qxmd.com/read/38635540/decreased-risk-of-underdosing-with-continuous-infusion-versus-intermittent-administration-of-cefotaxime-in-patients-with-sickle-cell-disease-and-acute-chest-syndrome
#5
JOURNAL ARTICLE
Keyvan Razazi, Enora Berti, Jerome Cecchini, Guillaume Carteaux, Anoosha Habibi, Pablo Bartolucci, Romain Arrestier, Ségolène Gendreau, Nicolas de Prost, Anne Hulin, Armand Mekontso Dessap
OBJECTIVE: Underdosing of antibiotics is common in patients with sickle cell disease (SCD). We hypothesized that in critically-ill patients with SCD receiving cefotaxime during acute chest syndrome, the continuous infusion may outperform the intermittent administration in achieving pharmacokinetic/pharmacodynamic targets. DESIGN: Prospective before-after study. SETTINGS: Intensive-care unit of a French teaching hospital and sickle cell disease referral center...
2024: PloS One
https://read.qxmd.com/read/38635481/durability-of-original-monovalent-mrna-vaccine-effectiveness-against-covid-19-omicron-associated-hospitalization-in-children-and-adolescents-united-states-2021-2023
#6
JOURNAL ARTICLE
Laura D Zambrano, Margaret M Newhams, Regina M Simeone, Amanda B Payne, Michael Wu, Amber O Orzel-Lockwood, Natasha B Halasa, Jemima M Calixte, Pia S Pannaraj, Kanokporn Mongkolrattanothai, Julie A Boom, Leila C Sahni, Satoshi Kamidani, Kathleen Chiotos, Melissa A Cameron, Aline B Maddux, Katherine Irby, Jennifer E Schuster, Elizabeth H Mack, Austin Biggs, Bria M Coates, Kelly N Michelson, Katherine E Bline, Ryan A Nofziger, Hillary Crandall, Charlotte V Hobbs, Shira J Gertz, Sabrina M Heidemann, Tamara T Bradford, Tracie C Walker, Stephanie P Schwartz, Mary Allen Staat, Samina S Bhumbra, Janet R Hume, Michele Kong, Melissa S Stockwell, Thomas J Connors, Melissa L Cullimore, Heidi R Flori, Emily R Levy, Natalie Z Cvijanovich, Matt S Zinter, Mia Maamari, Cindy Bowens, Danielle M Zerr, Judith A Guzman-Cottrill, Ivan Gonzalez, Angela P Campbell, Adrienne G Randolph
Pediatric COVID-19 vaccination is effective in preventing COVID-19-related hospitalization, but duration of protection of the original monovalent vaccine during SARS-CoV-2 Omicron predominance merits evaluation, particularly given low coverage with updated COVID-19 vaccines. During December 19, 2021-October 29, 2023, the Overcoming COVID-19 Network evaluated vaccine effectiveness (VE) of ≥2 original monovalent COVID-19 mRNA vaccine doses against COVID-19-related hospitalization and critical illness among U...
April 18, 2024: MMWR. Morbidity and Mortality Weekly Report
https://read.qxmd.com/read/38635405/effects-of-hypertriglyceridemia-with-or-without-nefa-elevation-on-%C3%AE-cell-function-and-insulin-clearance-and-sensitivity
#7
JOURNAL ARTICLE
Domenico Tricò, Eleni Rebelos, Brenno Astiarraga, Simona Baldi, Tiziana Scozzaro, Luca Sacchetta, Martina Chiriacò, Andrea Mari, Ele Ferrannini, Elza Muscelli, Andrea Natali
AIMS: Hypertriglyceridemia is a risk factor for developing type 2 diabetes (T2D) and might contribute to its pathogenesis either directly or through elevation of non-esterified fatty acids (NEFAs). This study aimed at comparing the glucometabolic effects of acute hypertriglyceridemia alone or combined with NEFA elevation in non-diabetic subjects. METHODS: Twenty-two healthy lean volunteers underwent two 5-h intravenous infusions of either saline or Intralipid, without (n=12) or with heparin (I+H; n=10) to activate the release of NEFAs...
April 18, 2024: Journal of Clinical Endocrinology and Metabolism
https://read.qxmd.com/read/38635050/same-day-post-therapy-imaging-with-a-new-generation-whole-body-digital-spect-ct-in-assessing-treatment-response-to-177-lu-lu-psma-617-in-metastatic-castration-resistant-prostate-cancer
#8
JOURNAL ARTICLE
Hong Song, Maria Isabel Leonio, Valentina Ferri, Heying Duan, Carina Mari Aparici, Guido Davidzon, Benjamin L Franc, Farshad Moradi, Jagruti Shah, Colin P Bergstrom, Alice C Fan, Sumit Shah, Ali Raza Khaki, Sandy Srinivas, Andrei Iagaru
PURPOSE: Lutetium-177 [177 Lu]Lu-PSMA-617 radioligand therapy (RLT) represents a significant advancement for metastatic castration-resistant prostate cancer (mCRPC), demonstrating improvements in radiographic progression free survival (rPFS) and overall survival (OS) with a low rate of associated side effects. Currently, most post-therapy SPECT/CT is conducted at 24 h after infusion. This study examines the clinical utility of a next-generation multi-detector Cadmium-Zinc-Telluride (CZT) SPECT/CT system (StarGuide) in same-day post-infusion assessment and early treatment response to [177 Lu]Lu-PSMA-617...
April 18, 2024: European Journal of Nuclear Medicine and Molecular Imaging
https://read.qxmd.com/read/38634701/pharmacokinetics-of-tranexamic-acid-txa-delivered-by-expeditious-routes-in-a-swine-model-of-polytrauma-and-hemorrhagic-shock
#9
JOURNAL ARTICLE
Mallori Wilson, Sean Stuart, Brittany Lassiter, Timothy Parker, Clyde Martin, Robert Healy, Christopher Treager, Eric Sulava, Lorie Gower, Pravina Fernandez, Emily Friedrich
OBJECTIVE: Hemorrhage is the leading cause of preventable death in civilian trauma centers and on the battlefield. One of the emerging treatment options for hemorrhage in austere environments is tranexamic acid (TXA). However, the landscape is not amenable to the current delivery standard. This study compared the pharmacokinetics of TXA via a standard 10-minute intravenous infusion (IV infusion), intravenous rapid push over 10 s (IV push), and intramuscular injection (IM) in a swine polytrauma and hemorrhagic shock model (trauma group) compared to uninjured controls (control group)...
April 18, 2024: Prehospital Emergency Care
https://read.qxmd.com/read/38634648/hemodynamic-mechanisms-initiating-salt-sensitive-hypertension-in-rat-model-of-primary-aldosteronism
#10
JOURNAL ARTICLE
M Pravenec, P Mlejnek, M Šimáková, J Šilhavý
Few studies have investigated the hemodynamic mechanism whereby primary hyperaldosteronism causes hypertension. The traditional view holds that hyperaldosteronism initiates hypertension by amplifying salt-dependent increases in cardiac output (CO) by promoting increases in sodium retention and blood volume. Systemic vascular resistance (SVR) is said to increase only as a secondary consequence of the increased CO and blood pressure. Recently, we investigated the primary hemodynamic mechanism whereby hyperaldosteronism promotes salt sensitivity and initiation of salt-dependent hypertension...
April 18, 2024: Physiological Research
https://read.qxmd.com/read/38634580/-morphological-predictors-of-water-electrolyte-disorders-in-patients-with-preventive-ileostomy-after-rectal-resection-for-cancer
#11
JOURNAL ARTICLE
A I Maksimkin, Z A Bagatelia, V M Kulushev, E N Gordienko, M S Lebedko, S S Anikina, E P Shin
OBJECTIVE: To analyze morphological changes in wall of functioning and non-functioning small intestine in patients with preventive ileostomy and to determine histological predictors of water-electrolyte disorders. MATERIAL AND METHODS: We prospectively analyzed 57 patients >18 years old who underwent rectal resection with preventive ileostomy between January 2022 and November 2023. Anthropometric data included gender, age, body mass index, ECOG and ASA classes...
2024: Khirurgiia
https://read.qxmd.com/read/38634574/sustainable-thermal-regulation-of-electronics-via-mitigated-supercooling-of-porous-gallium-based-phase-change-materials
#12
JOURNAL ARTICLE
Seokkan Ki, Seongjong Shin, Sumin Cho, Soosik Bang, Dongwhi Choi, Youngsuk Nam
Gallium liquid metal is one of the promising phase change materials for passive thermal management of electronics due to their high thermal conductivity and latent heat per volume. However, it suffers from severe supercooling, in which molten gallium does not return to solid due to the lack of nucleation. It may require 28.2 °C lower temperature than the original freezing point to address supercooling, leading to unstable thermal regulation performance along fluctuations of cooling condition. Here, gallium is infused into porous copper in an oxide-free environment, forming intermetallic compound impurities at the interfaces to reduce the activation energy for heterogeneous nucleation...
April 18, 2024: Advanced Science (Weinheim, Baden-Wurttemberg, Germany)
https://read.qxmd.com/read/38634027/antimicrobial-efficacy-of-two-commercially-available-herbal-products-with-and-without-ultrasonic-activation-in-primary-endodontic-infections-a-randomized-clinical-trial
#13
JOURNAL ARTICLE
Drishti Palwankar, Ashima Garg, Monika Tandan, Prashant Bhasin, Akshat Sachdeva, Pooja Palwankar
BACKGROUND: Effective irrigation is crucial for successful endodontic treatment. Traditional irrigants like sodium hypochlorite (NaOCl) have been widely used, but there is a growing interest in exploring natural alternatives for their potential antimicrobial properties. OBJECTIVE: The study aims to compare the antimicrobial efficacy of Neem, Bitter Gourd, and NaOCl, with and without ultrasonic activation in managing primary endodontic infections. MATERIALS AND METHODS: Ninety patients were randomly assigned six groups ( n = 15) Group 1: NaOCl, Group 2: NaOCl with passive ultrasonic irrigation (PUI), Group 3: Neem juice, Group 4: Neem juice with PUI, Group 5: Bitter gourd juice, and Group 6: Bitter gourd juice with PUI...
March 2024: J Conserv Dent Endod
https://read.qxmd.com/read/38633948/navigating-treatment-dilemmas-recalcitrant-pemphigus-and-the-burden-of-multiple-comorbidities
#14
Priya Garg, Kshitiz Lakhey, Nishtha Mishra, Yash Buccha, Kirti S Deo
Pemphigus vulgaris is a chronic autoimmune disease of the skin caused by the production of autoantibodies targeting desmogleins 1 and 3 usually presenting in individuals with an average age of onset of approximately 40 years. A 35-year-old obese, diabetic woman presented with fluid-filled lesions over her body for three months along with erosions and painful ulcers in her mouth and genital area for two months. Based on clinical and histopathological studies, the patient was diagnosed as a case of pemphigus vulgaris...
March 2024: Curēus
https://read.qxmd.com/read/38633922/the-management-of-spinal-and-epidural-anesthesia-related-hypotension-in-the-united-states-during-cesarean-childbirth
#15
REVIEW
Harshita Nadella, Aditi Islam, Emily A Ina, Dianna Levin, Toni Bacoat-Jones
This study delves into the prevalence of spinal anesthesia-induced hypotension during cesarean (c-section) childbirth, focusing on existing treatments and their efficacy. Currently, neuraxial analgesia is the most efficient method for alleviating pain during c-sections, but its major side effect, hypotension, necessitates a thorough understanding of the available treatment options. A scoping review was conducted using PubMed and Rayyan, with inclusion criteria being English peer-reviewed articles from the last five years, involving nulligravida/primigravida women under 35 years old in the United States...
March 2024: Curēus
https://read.qxmd.com/read/38633865/dual-regulation-of-osteosarcoma-hypoxia-microenvironment-by-a-bioinspired-oxygen-nanogenerator-for-precise-single-laser-synergistic-photodynamic-photothermal-induced-antitumor-immunity-therapy
#16
JOURNAL ARTICLE
Chongqing Zhang, Dongsheng Li, Xin Zhang, Rong Dai, Weiwei Kang, Yao Li, Qin Liu, Mengting Gao, Ziliang Zheng, Ruiping Zhang, Zhaohui Wen
The hypoxic tumor microenvironment (TME) of osteosarcoma (OS) is the Achilles' heel of oxygen-dependent photodynamic therapy (PDT), and tremendous challenges are confronted to reverse the hypoxia. Herein, we proposed a "reducing expenditure of O2 and broadening sources" dual-strategy and constructed ultrasmall IrO2 @BSA-ATO nanogenerators (NGs) for decreasing the O2 -consumption and elevating the O2 -supply simultaneously. As O2 NGs, the intrinsic catalase (CAT) activity could precisely decompose the overexpressed H2 O2 to produce O2 in situ, enabling exogenous O2 infusion...
June 2024: Materials today. Bio
https://read.qxmd.com/read/38633754/the-impact-of-obesity-associated-glycine-deficiency-on-the-elimination-of-endogenous-and-exogenous-metabolites-via-the-glycine-conjugation-pathway
#17
JOURNAL ARTICLE
Hong Chang Tan, Jean W Hsu, E Shyong Tai, Shaji Chacko, Jean-Paul Kovalik, Farook Jahoor
BACKGROUND: Glycine is an integral component of the human detoxification system as it reacts with potentially toxic exogenous and endogenously produced compounds and metabolites via the glycine conjugation pathway for urinary excretion. Because individuals with obesity have reduced glycine availability, this detoxification pathway may be compromised. However, it should be restored after bariatric surgery because of increased glycine production. OBJECTIVE: To examine the impact of obesity-associated glycine deficiency on the glycine conjugation pathway...
2024: Frontiers in Endocrinology
https://read.qxmd.com/read/38633677/patient-controlled-therapy-with-intravenous-oxycodone-in-breathlessness-due-to-advanced-cancer-a-case-report
#18
Mahesh Radhakrishnan Menon, Shiv Pratap Singh Rana, Subashini Perumal, Khawla Fuad
Dyspnoea is a debilitating symptom in medicine, especially in palliative care. Opioids are the pharmacological agents of choice in the treatment of dyspnoea in palliative medicine. Morphine is the best-studied opioid, and recent literature on oxycodone is encouraging. In refractory cases, opioid infusion and palliative sedation may have to be used. We present a case that used oxycodone in a patient-controlled device specifically for dyspnoea and its effects in relieving dyspnoea in a fast and timely manner...
2024: Indian Journal of Palliative Care
https://read.qxmd.com/read/38633594/digital-futures-of-learning-pharmacology-and-medicinal-and-organic-chemistry
#19
JOURNAL ARTICLE
Fun Man Fung, Etienne Blanc, Xavier Coumoul
Traditional pharmacology and medicinal and organic chemistry teaching often rely on the trusted textbook visuals. However, students may struggle to grasp mechanisms that appear too complex. Because the pandemic has mandated the majority of educators to use new techniques and innovative technology in their communication approaches with students, we offer several digital strategies for educators to explore and/or to enhance student learning. These technology-infused strategies are drawn from our cross-country (Singapore and France) teaching and research experiences and expertise...
April 12, 2024: ACS Pharmacology & Translational Science
https://read.qxmd.com/read/38633295/editorial-emerging-aspects-of-ketone-metabolism-in-health-disease
#20
EDITORIAL
Brianna Jane Stubbs, Kenneth M Ford, Jeff Volek
No abstract text is available yet for this article.
2024: Frontiers in Physiology
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