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  1. Article: Comparison of Multiplex Gastrointestinal Pathogen Panel and Conventional Stool Testing for Evaluation of Patients With HIV Infection.

    Sobczyk, Juliana / Jain, Sonia / Sun, Xiaoying / Karris, Maile / Wooten, Darcy / Stagnaro, Janet / Reed, Sharon

    Open forum infectious diseases

    2020  Volume 7, Issue 1, Page(s) ofz547

    Abstract: Background: Gastrointestinal pathogen panels (GPPs) are increasingly used to identify stool pathogens, but their impact in people with HIV (PWH) is unknown. We performed a retrospective cohort study comparing GPP and conventional stool evaluation in PWH. ...

    Abstract Background: Gastrointestinal pathogen panels (GPPs) are increasingly used to identify stool pathogens, but their impact in people with HIV (PWH) is unknown. We performed a retrospective cohort study comparing GPP and conventional stool evaluation in PWH.
    Methods: We included all PWH who underwent GPP (Biofire Diagnostics; implemented September 15, 2015) or conventional testing, including stool culture,
    Results: Overall, 124 patient samples tested positive by GPP, compared with 45 patient specimens by conventional testing. The GPP group demonstrated a higher co-infection rate (48.4% vs 13.3%;
    Conclusions: In PWH, GPP implementation improved antibiotic stewardship through shorter turnaround times and detection of enteric viral pathogens.
    Language English
    Publishing date 2020-01-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2757767-3
    ISSN 2328-8957
    ISSN 2328-8957
    DOI 10.1093/ofid/ofz547
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Efficient and effective single-step screening of individual samples for SARS-CoV-2 RNA using multi-dimensional pooling and Bayesian inference.

    Sobczyk, Juliana / Pyne, Michael T / Barker, Adam / Mayer, Jeanmarie / Hanson, Kimberly E / Samore, Matthew H / Noriega, Rodrigo

    Journal of the Royal Society, Interface

    2021  Volume 18, Issue 179, Page(s) 20210155

    Abstract: Rapid and widespread implementation of infectious disease surveillance is a critical component in the response to novel health threats. Molecular assays are the preferred method to detect a broad range of viral pathogens with high sensitivity and ... ...

    Abstract Rapid and widespread implementation of infectious disease surveillance is a critical component in the response to novel health threats. Molecular assays are the preferred method to detect a broad range of viral pathogens with high sensitivity and specificity. The implementation of molecular assay testing in a rapidly evolving public health emergency, such as the ongoing COVID-19 pandemic, can be hindered by resource availability or technical constraints. We present a screening strategy that is easily scaled up to support a sustained large volume of testing over long periods of time. This non-adaptive pooled-sample screening protocol employs Bayesian inference to yield a reportable outcome for each individual sample in a single testing step (no confirmation of positive results required). The proposed method is validated using clinical specimens tested using a real-time reverse transcription polymerase chain reaction test for SARS-CoV-2. This screening protocol has substantial advantages for its implementation, including higher sample throughput, faster time to results, no need to retrieve previously screened samples from storage to undergo retesting, and excellent performance of the algorithm's sensitivity and specificity compared with the individual test's metrics.
    MeSH term(s) Bayes Theorem ; COVID-19 ; Humans ; Pandemics ; RNA, Viral/genetics ; SARS-CoV-2 ; Sensitivity and Specificity
    Chemical Substances RNA, Viral
    Language English
    Publishing date 2021-06-16
    Publishing country England
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 2156283-0
    ISSN 1742-5662 ; 1742-5689
    ISSN (online) 1742-5662
    ISSN 1742-5689
    DOI 10.1098/rsif.2021.0155
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Factors influencing transfusion-associated HLA sensitization in patients bridged to heart transplantation using ventricular assist device.

    Elkind, Jae / Sobczyk, Juliana / Ostberg-Braun, Oscar / Silva Enciso, Jorge / Adler, Eric / Morris, Gerald P

    Clinical transplantation

    2019  Volume 34, Issue 1, Page(s) e13772

    Abstract: Background: Bridging heart failure patients with mechanical ventricular assist devices (VAD) enables access to transplantation. However, VAD is associated with increased risk for anti-HLA antibodies associated with rejection of subsequent allografts. ... ...

    Abstract Background: Bridging heart failure patients with mechanical ventricular assist devices (VAD) enables access to transplantation. However, VAD is associated with increased risk for anti-HLA antibodies associated with rejection of subsequent allografts. Factors determining alloantibody formation in these patients remain undefined.
    Methods: We performed a single-center retrospective cohort study of 164 patients undergoing heart transplantation from 2014 to 2017. Medical records including use of VAD, transfused blood products, anti-HLA antibody testing, crossmatch, and time to transplant were evaluated.
    Results: Patients received an average of 13.8 red blood cell and 1.9 single-donor platelet units associated with VAD. There was a 28.7% increase in the incidence of anti-HLA antibodies after VAD. Development of anti-HLA antibodies did not correlate with volume or type of blood products, but with pre-VAD HLA sensitization status; relative risk of new alloantibodies in patients with pre-VAD antibodies was 3.5-fold higher than those without prior antibodies (P = .008). Development of new anti-HLA antibodies was associated with an increased time to transplant (169 vs 330 days, P = .013).
    Conclusions: Our findings indicate that the presence of anti-HLA antibodies pre-VAD was the most significant risk factor for developing additional antibodies post-VAD, suggesting that a subset of patients may be predisposed to alloantibody formation.
    MeSH term(s) HLA Antigens ; Heart Failure/surgery ; Heart Transplantation ; Heart-Assist Devices ; Humans ; Retrospective Studies
    Chemical Substances HLA Antigens
    Language English
    Publishing date 2019-12-31
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 639001-8
    ISSN 1399-0012 ; 0902-0063
    ISSN (online) 1399-0012
    ISSN 0902-0063
    DOI 10.1111/ctr.13772
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Aesthetic Surgery in Plastic Surgery Academia.

    Perdikis, Galen / Eaves, Felmont F / Glassman, Gabriella E / Walker, Sallie / Huang, Li-Ching / Mast, Bruce / Damitz, Lynn / Rubin, J Peter / Serletti, Joseph M / Hansen, Juliana / Potochny, John / Kenkel, Jeffery / Taub, Peter J / Sobczyk, Sara / Gilman, Robert H / Saint-Cyr, Michel Hector / Cederna, Paul

    Aesthetic surgery journal

    2020  Volume 41, Issue 7, Page(s) 829–841

    Abstract: Background: Aesthetic surgery is a critical component of academic plastic surgery. As institutions are placing increased focus on aesthetic surgery, there is an opportunity to identify factors that facilitate the creation and maintenance of successful ... ...

    Abstract Background: Aesthetic surgery is a critical component of academic plastic surgery. As institutions are placing increased focus on aesthetic surgery, there is an opportunity to identify factors that facilitate the creation and maintenance of successful aesthetic plastic surgery programs.
    Objectives: The aim of this study was to conduct a national survey to evaluate the current state of academic aesthetic surgery and to identify factors that contribute to success.
    Methods: A REDCap 122-question survey was developed and validated by members of the Academic Aesthetic Surgery Roundtable (AASR). The national survey was distributed to department chairs and division chiefs with active ACGME-approved plastic surgery programs (n = 92). Responses underwent Pearson's chi-squared, Wilcoxon rank-sum, and postselection inference analyses. AASR members convened to interpret data and identify best practices.
    Results: Responses were received from 64 of 92 queries (69.6%). The multivariate analysis concluded traits associated with successful academic aesthetic surgery practices included the presence of aesthetic surgery-focused, full-time faculty whose overall practice includes >50% aesthetic surgery (P = 0.040) and nonphysician aesthetic practitioners who provide injection services (P = 0.025). In the univariate analysis, factors associated with strong aesthetic surgery training programs included resident participation in faculty aesthetic clinics (P = 0.034), aesthetic research (P = 0.006), and discounted resident aesthetic clinics (P < 0.001).
    Conclusions: The growth of academic aesthetic surgery practices represents a significant opportunity for advancement of resident training, departmental financial success, and diversification of faculty practices. By identifying and sharing best practices and strategies, academic aesthetic surgery practices can be further enhanced.
    MeSH term(s) Esthetics ; Faculty ; Humans ; Internship and Residency ; Reconstructive Surgical Procedures ; Surgery, Plastic/education ; Surveys and Questionnaires
    Language English
    Publishing date 2020-08-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 2087022-X
    ISSN 1527-330X ; 1090-820X ; 1084-0761
    ISSN (online) 1527-330X
    ISSN 1090-820X ; 1084-0761
    DOI 10.1093/asj/sjaa181
    Database MEDical Literature Analysis and Retrieval System OnLINE

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