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  1. Article ; Online: Fostering Early Career Nursing Faculty Support in the Academy: The Power of "Academic Therapy".

    Solberg, Marvin A / Schlegel, Emma C / Spurlock, Elizabeth J / Blair, Lisa M / Nowak, Alexandra L

    Nurse educator

    2023  Volume 49, Issue 2, Page(s) E97–E98

    MeSH term(s) Humans ; Faculty, Nursing ; Nursing Education Research ; Mentors ; Faculty, Medical ; Career Mobility
    Language English
    Publishing date 2023-08-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1034267-9
    ISSN 1538-9855 ; 0363-3624
    ISSN (online) 1538-9855
    ISSN 0363-3624
    DOI 10.1097/NNE.0000000000001504
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Stress Fractures in the Military: Opportunities to Advance Recognition, Treatment, and Prevention.

    Nowak, Andrew S / Kennelley, Gabrielle E / Hager, Nelson / Metzger, Elizabeth C / Isaacson, Brad / Hoenig, Tim / Hollander, Karsten / Tenforde, Adam S

    Military medicine

    2023  Volume 188, Issue 9-10, Page(s) 244–245

    MeSH term(s) Humans ; Fractures, Stress/prevention & control ; Military Personnel
    Language English
    Publishing date 2023-03-09
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 391061-1
    ISSN 1930-613X ; 0026-4075
    ISSN (online) 1930-613X
    ISSN 0026-4075
    DOI 10.1093/milmed/usad067
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Catheter-Based Medical Device Biofilm Ablation Using Histotripsy: A Parameter Study.

    Morse, Ryan / Childers, Christopher / Nowak, Elizabeth / Rao, Jayasimha / Vlaisavljevich, Eli

    Ultrasound in medicine & biology

    2023  Volume 49, Issue 9, Page(s) 2152–2159

    Abstract: Objective: Biofilm formation in medical catheters is a major source of hospital-acquired infections which can produce increased morbidity and mortality for patients. Histotripsy is a non-invasive, non-thermal focused ultrasound therapy and recently has ... ...

    Abstract Objective: Biofilm formation in medical catheters is a major source of hospital-acquired infections which can produce increased morbidity and mortality for patients. Histotripsy is a non-invasive, non-thermal focused ultrasound therapy and recently has been found to be effective at removal of biofilm from medical catheters. Previously established histotripsy methods for biofilm removal, however, would require several hours of use to effectively treat a full-length medical catheter. Here, we investigate the potential to increase the speed and efficiency with which biofilms can be ablated from catheters using histotripsy.
    Methods: Pseudomonas aeruginosa (PA14) biofilms were cultured in in vitro Tygon catheter mimics and treated with histotripsy using a 1 MHz histotripsy transducer and a variety of histotripsy pulsing rates and scanning methods. The improved parameters identified in these studies were then used to explore the bactericidal effect of histotripsy on planktonic PA14 suspended in a catheter mimic.
    Results: Histotripsy can be used to remove biofilm and kill bacteria at substantially increased speeds compared with previously established methods. Near-complete biofilm removal was achieved at treatment speeds up to 1 cm/s, while a 4.241 log reduction in planktonic bacteria was achieved with 2.4 cm/min treatment.
    Conclusion: These results represent a 500-fold increase in biofilm removal speeds and a 6.2-fold increase in bacterial killing speeds compared with previously published methods. These findings indicate that histotripsy shows promise for the treatment of catheter-associated biofilms and planktonic bacteria in a clinically relevant time frame.
    MeSH term(s) Humans ; Anti-Bacterial Agents/therapeutic use ; Catheters ; Cross Infection ; Biofilms
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2023-07-01
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 186150-5
    ISSN 1879-291X ; 0301-5629
    ISSN (online) 1879-291X
    ISSN 0301-5629
    DOI 10.1016/j.ultrasmedbio.2023.06.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Extubation of Patients Receiving Vasopressor Infusions: Results of a Survey on Statewide Practices.

    Costa, Deena Kelly / Ratliff, Hannah C / Kelly, Meghan / Prescott, Hallie C / Munroe, Elizabeth / Hyzy, Robert C / Watson, Sam / Nowak, Corine / Iwashyna, Theodore J

    American journal of critical care : an official publication, American Association of Critical-Care Nurses

    2023  Volume 32, Issue 2, Page(s) 127–130

    Abstract: Current guidelines recommend extubation only if a patient is not receiving vasopressor therapy or is receiving minimal doses of vasopressors. However, recent data indicate that extubation of patients receiving higher vasopressor doses may be safe. This ... ...

    Abstract Current guidelines recommend extubation only if a patient is not receiving vasopressor therapy or is receiving minimal doses of vasopressors. However, recent data indicate that extubation of patients receiving higher vasopressor doses may be safe. This study was undertaken to examine practices regarding extubation of patients receiving vasopressor therapy reported by clinician respondents to a survey by the Michigan Health and Hospital Association Keystone Center. One-third of respondents indicated that they would extubate a patient receiving vasopressors, and one-quarter indicated that it depended on the agent used, but more than half reported that their unit did not have a vasopressor use protocol or they did not know whether it did. Practices regarding extubation of patients receiving vasopressor therapy differed significantly by unit type and by role as a direct care provider. These data indicate that patient and clinician factors may drive practice patterns. Additional research to inform guidelines and local protocols is warranted.
    MeSH term(s) Humans ; Airway Extubation ; Hospitals ; Patients ; Vasoconstrictor Agents/therapeutic use ; Surveys and Questionnaires
    Chemical Substances Vasoconstrictor Agents
    Language English
    Publishing date 2023-02-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1130987-8
    ISSN 1937-710X ; 1062-3264
    ISSN (online) 1937-710X
    ISSN 1062-3264
    DOI 10.4037/ajcc2023489
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Pharmacotherapy considerations in transgender individuals living with human immunodeficiency virus.

    Badowski, Melissa E / Britt, Nicholas / Huesgen, Emily C / Lewis, Michelle M / Miller, Misty M / Nowak, Kathleen / Sherman, Elizabeth / Smith, Renata O

    Pharmacotherapy

    2021  Volume 41, Issue 3, Page(s) 299–314

    Abstract: Pharmacotherapy considerations are often a concern for transgender individuals who are living with human immunodeficiency virus (HIV) due to concerns for drug-drug interactions between their hormone and antiretroviral therapies. Many of the first-line ... ...

    Abstract Pharmacotherapy considerations are often a concern for transgender individuals who are living with human immunodeficiency virus (HIV) due to concerns for drug-drug interactions between their hormone and antiretroviral therapies. Many of the first-line therapies offered to patients for the management of HIV have reduced concerns for safety, resistance, and drug-drug interactions. In this review, we highlight common medications and important considerations for caring for transgender people living with HIV.
    MeSH term(s) Drug Interactions ; Female ; HIV Infections/drug therapy ; Humans ; Male ; Transgender Persons
    Language English
    Publishing date 2021-02-27
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 603158-4
    ISSN 1875-9114 ; 0277-0008
    ISSN (online) 1875-9114
    ISSN 0277-0008
    DOI 10.1002/phar.2499
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: VISTA Targeting of T-cell Quiescence and Myeloid Suppression Overcomes Adaptive Resistance.

    Schaafsma, Evelien / Croteau, Walburga / ElTanbouly, Mohamed / Nowak, Elizabeth C / Smits, Nicole C / Deng, Jie / Sarde, Aurelien / Webber, Cecilia A / Rabadi, Dina / Cheng, Chao / Noelle, Randolph / Lines, J Louise

    Cancer immunology research

    2022  Volume 11, Issue 1, Page(s) 38–55

    Abstract: V domain immunoglobulin suppressor of T-cell activation (VISTA) is a premier target for cancer treatment due to its broad expression in many cancer types and enhanced expression upon development of adaptive immune checkpoint resistance. In the CT26 ... ...

    Abstract V domain immunoglobulin suppressor of T-cell activation (VISTA) is a premier target for cancer treatment due to its broad expression in many cancer types and enhanced expression upon development of adaptive immune checkpoint resistance. In the CT26 colorectal cancer model, monotherapy of small tumors with anti-VISTA resulted in slowed tumor growth. In a combination therapy setting, large CT26 tumors showed complete adaptive resistance to anti-PD-1/CTLA-4, but inclusion of anti-VISTA led to rejection of half the tumors. Mechanisms of enhanced antitumor immunity were investigated using single-cell RNA sequencing (scRNA-seq), multiplex image analysis, and flow cytometry of the tumor immune infiltrate. In both treatment models, anti-VISTA upregulated stimulated antigen presentation pathways and reduced myeloid-mediated suppression. Imaging revealed an anti-VISTA stimulated increase in contacts between T cells and myeloid cells, further supporting the notion of increased antigen presentation. scRNA-seq of tumor-specific CD8+ T cells revealed that anti-VISTA therapy induced T-cell pathways highly distinct from and complementary to those induced by anti-PD-1 therapy. Whereas anti-CTLA-4/PD-1 expanded progenitor exhausted CD8+ T-cell subsets, anti-VISTA promoted costimulatory genes and reduced regulators of T-cell quiescence. Notably, this is the first report of a checkpoint regulator impacting CD8+ T-cell quiescence, and the first indication that quiescence may be a target in the context of T-cell exhaustion and in cancer. This study builds a foundation for all future studies on the role of anti-VISTA in the development of antitumor immunity and provides important mechanistic insights that strongly support use of anti-VISTA to overcome the adaptive resistance seen in contemporary treatments involving PD-1 and/or CTLA-4. See related Spotlight by Wei, p. 3.
    MeSH term(s) Humans ; Immune Checkpoint Inhibitors ; B7 Antigens/immunology ; Neoplasms/immunology ; CD8-Positive T-Lymphocytes/immunology ; Lymphocyte Activation/immunology ; Immunoglobulins
    Chemical Substances Immune Checkpoint Inhibitors ; B7 Antigens ; Immunoglobulins
    Language English
    Publishing date 2022-10-21
    Publishing country United States
    Document type Editorial ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural ; Comment
    ZDB-ID 2732489-8
    ISSN 2326-6074 ; 2326-6066
    ISSN (online) 2326-6074
    ISSN 2326-6066
    DOI 10.1158/2326-6066.CIR-22-0116
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Treatment with retinoid X receptor agonist IRX4204 ameliorates experimental autoimmune encephalomyelitis.

    Chandraratna, Roshantha As / Noelle, Randolph J / Nowak, Elizabeth C

    American journal of translational research

    2016  Volume 8, Issue 2, Page(s) 1016–1026

    Abstract: Retinoid x receptors (RXRs) are master regulators that control cell growth, differentiation, and survival and form heterodimers with many other family members. Here we show that treatment with the RXR agonist IRX4204 enhances the differentiation of CD4(+) ...

    Abstract Retinoid x receptors (RXRs) are master regulators that control cell growth, differentiation, and survival and form heterodimers with many other family members. Here we show that treatment with the RXR agonist IRX4204 enhances the differentiation of CD4(+) T cells into inducible regulatory T cells (iTreg) and suppresses the development of T helper (Th) 17 cells in vitro. Furthermore in a murine model of multiple sclerosis (experimental autoimmune encephalomyelitis (EAE)), treatment with IRX4204 profoundly attenuates both active and Th17-mediated passive disease. In the periphery, treatment with IRX4204 is associated with decreased numbers of CD4(+) T cells that produce pro-inflammatory cytokines. In addition, CD4(+) T cells express decreased levels of Ki-67 and increased expression of CTLA-4. Our findings demonstrate IRX4204 treatment during EAE results in immune modulation and profound attenuation of disease severity.
    Language English
    Publishing date 2016-02-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2471058-1
    ISSN 1943-8141
    ISSN 1943-8141
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Machine Learning Models for Prediction of Posttreatment Recurrence in Early-Stage Hepatocellular Carcinoma Using Pretreatment Clinical and MRI Features: A Proof-of-Concept Study.

    Iseke, Simon / Zeevi, Tal / Kucukkaya, Ahmet S / Raju, Rajiv / Gross, Moritz / Haider, Stefan P / Petukhova-Greenstein, Alexandra / Kuhn, Tom N / Lin, MingDe / Nowak, Michal / Cooper, Kirsten / Thomas, Elizabeth / Weber, Marc-André / Madoff, David C / Staib, Lawrence / Batra, Ramesh / Chapiro, Julius

    AJR. American journal of roentgenology

    2022  Volume 220, Issue 2, Page(s) 245–255

    Abstract: BACKGROUND. ...

    Abstract BACKGROUND.
    MeSH term(s) Male ; Humans ; Female ; Middle Aged ; Carcinoma, Hepatocellular/diagnostic imaging ; Carcinoma, Hepatocellular/surgery ; Liver Neoplasms/diagnostic imaging ; Liver Neoplasms/surgery ; Retrospective Studies ; Risk Factors ; Magnetic Resonance Imaging/methods ; Neoplasm Recurrence, Local/epidemiology
    Language English
    Publishing date 2022-08-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 82076-3
    ISSN 1546-3141 ; 0361-803X ; 0092-5381
    ISSN (online) 1546-3141
    ISSN 0361-803X ; 0092-5381
    DOI 10.2214/AJR.22.28077
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Diagnostic TR-FRET assays for detection of antibodies in patient samples.

    Yue, Hong / Nowak, Radosław P / Overwijn, Daan / Payne, N Connor / Fischinger, Stephanie / Atyeo, Caroline / Lam, Evan C / St Denis, Kerri / Brais, Lauren K / Konishi, Yoshinobu / Sklavenitis-Pistofidis, Romanos / Baden, Lindsey R / Nilles, Eric J / Karlson, Elizabeth W / Yu, Xu G / Li, Jonathan Z / Woolley, Ann E / Ghobrial, Irene M / Meyerhardt, Jeffrey A /
    Balazs, Alejandro B / Alter, Galit / Mazitschek, Ralph / Fischer, Eric S

    Cell reports methods

    2023  Volume 3, Issue 3, Page(s) 100421

    Abstract: Serological assays are important diagnostic tools for surveying exposure to the pathogen, monitoring immune response post vaccination, and managing spread of the infectious agent among the population. Current serological laboratory assays are often ... ...

    Abstract Serological assays are important diagnostic tools for surveying exposure to the pathogen, monitoring immune response post vaccination, and managing spread of the infectious agent among the population. Current serological laboratory assays are often limited because they require the use of specialized laboratory technology and/or work with a limited number of sample types. Here, we evaluate an alternative by developing time-resolved Förster resonance energy transfer (TR-FRET) homogeneous assays that exhibited exceptional versatility, scalability, and sensitivity and outperformed or matched currently used strategies in terms of sensitivity, specificity, and precision. We validated the performance of the assays measuring total immunoglobulin G (IgG) levels; antibodies against severe acute respiratory syndrome coronavirus (SARS-CoV) or Middle Eastern respiratory syndrome (MERS)-CoV spike (S) protein; and SARS-CoV-2 S and nucleocapsid (N) proteins and applied it to several large sample sets and real-world applications. We further established a TR-FRET-based ACE2-S competition assay to assess the neutralization propensity of the antibodies. Overall, these TR-FRET-based serological assays can be rapidly extended to other antigens and are compatible with commonly used plate readers.
    MeSH term(s) Humans ; SARS-CoV-2 ; COVID-19/diagnosis ; Fluorescence Resonance Energy Transfer ; Antibodies, Viral ; Nucleocapsid ; COVID-19 Testing
    Chemical Substances Antibodies, Viral
    Language English
    Publishing date 2023-02-20
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
    ISSN 2667-2375
    ISSN (online) 2667-2375
    DOI 10.1016/j.crmeth.2023.100421
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Synthetic DNA Delivery of an Optimized and Engineered Monoclonal Antibody Provides Rapid and Prolonged Protection against Experimental Gonococcal Infection.

    Parzych, Elizabeth M / Gulati, Sunita / Zheng, Bo / Bah, Mamadou A / Elliott, Sarah T C / Chu, Jacqueline D / Nowak, Nancy / Reed, George W / Beurskens, Frank J / Schuurman, Janine / Rice, Peter A / Weiner, David B / Ram, Sanjay

    mBio

    2021  Volume 12, Issue 2

    Abstract: Monoclonal antibody (MAb) 2C7 recognizes a lipooligosaccharide epitope expressed by most ... ...

    Abstract Monoclonal antibody (MAb) 2C7 recognizes a lipooligosaccharide epitope expressed by most clinical
    MeSH term(s) Animals ; Antibodies, Bacterial/administration & dosage ; Antibodies, Bacterial/genetics ; Antibodies, Bacterial/immunology ; Antibodies, Monoclonal/administration & dosage ; Antibodies, Monoclonal/genetics ; Antibodies, Monoclonal/immunology ; Antigens, Bacterial/immunology ; Bacterial Vaccines/administration & dosage ; Bacterial Vaccines/immunology ; Complement Activation ; Epitopes/immunology ; Female ; Gonorrhea/immunology ; Gonorrhea/prevention & control ; Immunization, Passive ; Immunoglobulin G/administration & dosage ; Immunoglobulin G/genetics ; Immunoglobulin G/immunology ; Mice ; Mice, Inbred BALB C ; Neisseria gonorrhoeae/immunology
    Chemical Substances Antibodies, Bacterial ; Antibodies, Monoclonal ; Antigens, Bacterial ; Bacterial Vaccines ; Epitopes ; Immunoglobulin G
    Language English
    Publishing date 2021-03-16
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2557172-2
    ISSN 2150-7511 ; 2161-2129
    ISSN (online) 2150-7511
    ISSN 2161-2129
    DOI 10.1128/mBio.00242-21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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