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  1. Article: Cigarette smoke activates the parthanatos pathway of cell death in human bronchial epithelial cells.

    Künzi, Lisa / Holt, Gregory E

    Cell death discovery

    2019  Volume 5, Page(s) 127

    Abstract: Tobacco smoke negatively affects human bronchial epithelial (HBE) cells and is directly implicated in the etiology of smoking related respiratory diseases. Smoke exposure causes double-stranded DNA breaks and DNA damage activates PARP-1, the key mediator ...

    Abstract Tobacco smoke negatively affects human bronchial epithelial (HBE) cells and is directly implicated in the etiology of smoking related respiratory diseases. Smoke exposure causes double-stranded DNA breaks and DNA damage activates PARP-1, the key mediator of the parthanatos pathway of cell death. We hypothesize that smoke exposure activates the parthanatos pathway in HBE cells and represents a cell death mechanism that contributes to smoking related lung diseases. We exposed fully differentiated, primary HBE cells grown at the air liquid interface to cigarette smoke and evaluated them for parthanatos pathway activation. Smoke exposure induced mitochondrial to nuclear translocation of Apoptosis-Inducing Factor (AIF) and Endonuclease G (EndoG) within the first three hours characteristic of the parthanatos pathway. Exposing cells to an increasing number of cigarettes revealed that significant activation of the parthanatos pathway occurs after exposure to higher levels of smoke. Use of the specific PARP-1 inhibitor, BMN673, abrogated the effect of smoke induced activation of the parthanatos pathway. Smoke-mediated activation of the parthanatos pathway is increased in HBE cells originating from habitual smokers compared to non-smokers. This suggests that chronic smoke exposure leads to an increase in smoke-mediated activation of the parthanatos pathway and implicates its contribution in the pathogenesis of smoke-related lung diseases.
    Language English
    Publishing date 2019-08-05
    Publishing country United States
    Document type Journal Article
    ISSN 2058-7716
    ISSN 2058-7716
    DOI 10.1038/s41420-019-0205-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Canadian Pediatric Intensive Care Adaptations for Critically Ill Adults During the COVID-19 Pandemic: Survey Study.

    Parchomchuk, Evan / Holt, Tanya / Hansen, Gregory

    JMIR pediatrics and parenting

    2023  Volume 6, Page(s) e43602

    Abstract: Background: The COVID-19 pandemic overwhelmed Canadian hospitals with adult admissions. A large number of adult patients required critical care therapies, placing significant strain on hospital resources. In order to decompress adult intensive care ... ...

    Abstract Background: The COVID-19 pandemic overwhelmed Canadian hospitals with adult admissions. A large number of adult patients required critical care therapies, placing significant strain on hospital resources. In order to decompress adult intensive care units, pediatric intensive care units (PICUs) introduced adapted models of traditional care to lessen these burdens.
    Objective: We aimed to evaluate how PICUs across Canada adapted care for the high volumes of critically ill adults.
    Methods: A survey containing 40 questions was sent to the medical directors of 14 Canadian PICUs where English was the primary clinical language. The survey was designed to gain perspective on the various adaptations that PICUs instituted during the COVID-19 pandemic.
    Results: Of the 13 PICUs that returned survey responses (response rate: 13/14, 93%), 10 (77%) participated in at least one adaptation to support the influx of admitted adults with COVID-19. The key challenges included disorganization, loss of autonomy, and compromised patient care. The significant advantages of these adaptations included a sense of learning and comradery.
    Conclusions: Our study highlighted an unpreparedness in critical care surge capacity. During the COVID-19 pandemic, adaptations rapidly emerged in Canada that involved PICUs with adult care. In the future, preplanned adaptations for optimizing robust critical care services should be developed based on what has been learned from the COVID-19 pandemic.
    Language English
    Publishing date 2023-02-10
    Publishing country Canada
    Document type Journal Article
    ISSN 2561-6722
    ISSN (online) 2561-6722
    DOI 10.2196/43602
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Non-small-cell lung cancer homing peptide-labeled dendrimers selectively transfect lung cancer cells.

    Holt, Gregory E / Daftarian, Pirouz

    Immunotherapy

    2018  Volume 10, Issue 16, Page(s) 1349–1360

    Abstract: Aim: Lung cancer gene therapies require reagents to selectively transfect lung tumors after systemic administration.: Materials & methods: We created a reagent called NSCLC-NP by attaching a peptide with binding affinity for lung cancer to ... ...

    Abstract Aim: Lung cancer gene therapies require reagents to selectively transfect lung tumors after systemic administration.
    Materials & methods: We created a reagent called NSCLC-NP by attaching a peptide with binding affinity for lung cancer to polyamidoamine dendrimers. The positively charged dendrimers electrostatically bind negatively charged nucleic acids, inhibit endogenous nucleases and transfect cells targeted by the attached peptide.
    Results: In vitro, NSCLC-NP complexed to DNA plasmids bound and transfected three human lung cancer cell lines producing protein expression of the plasmid's gene. In vivo, systemically administered NSCLC-NP selectively transfected lung cancer cells growing in RAG1KO mice.
    Conclusion: The capability of NSCLC-NP to selectively transfect lung cancer allows its future use as a vehicle to implement human lung cancer gene therapy strategies.
    MeSH term(s) A549 Cells ; Animals ; Carcinoma, Non-Small-Cell Lung/genetics ; Carcinoma, Non-Small-Cell Lung/metabolism ; Carcinoma, Non-Small-Cell Lung/pathology ; Carcinoma, Non-Small-Cell Lung/therapy ; Dendrimers/chemistry ; Dendrimers/pharmacology ; Humans ; Lung Neoplasms/genetics ; Lung Neoplasms/metabolism ; Lung Neoplasms/pathology ; Lung Neoplasms/therapy ; Mice ; Mice, Knockout ; Plasmids/chemistry ; Plasmids/pharmacology ; Transfection/methods
    Chemical Substances Dendrimers
    Language English
    Publishing date 2018-11-25
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1750-7448
    ISSN (online) 1750-7448
    DOI 10.2217/imt-2018-0078
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Mediation of Racial and Ethnic Inequities in the Diagnosis of Advanced-Stage Cervical Cancer by Insurance Status.

    Holt, Hunter K / Peterson, Caryn E / MacLaughlan David, Shannon / Abdelaziz, Abdullah / Sawaya, George F / Guadamuz, Jenny S / Calip, Gregory S

    JAMA network open

    2023  Volume 6, Issue 3, Page(s) e232985

    Abstract: Importance: Black and Hispanic or Latina women are more likely than White women to receive a diagnosis of and to die of cervical cancer. Health insurance coverage is associated with diagnosis at an earlier stage of cervical cancer.: Objective: To ... ...

    Abstract Importance: Black and Hispanic or Latina women are more likely than White women to receive a diagnosis of and to die of cervical cancer. Health insurance coverage is associated with diagnosis at an earlier stage of cervical cancer.
    Objective: To evaluate the extent to which racial and ethnic differences in the diagnosis of advanced-stage cervical cancer are mediated by insurance status.
    Design, setting, and participants: This retrospective, cross-sectional population-based study used data from the Surveillance, Epidemiology, and End Results (SEER) program on an analytic cohort of 23 942 women aged 21 to 64 years who received a diagnosis of cervical cancer between January 1, 2007, and December 31, 2016. Statistical analysis was performed from February 24, 2022, to January 18, 2023.
    Exposures: Health inusurance status (private or Medicare insurance vs Medicaid or uninsured).
    Main outcomes and measures: The primary outcome was a diagnosis of advanced-stage cervical cancer (regional or distant stage). Mediation analyses were performed to assess the proportion of observed racial and ethnic differences in the stage at diagnosis that were mediated by health insurance status.
    Results: A total of 23 942 women (median age at diagnosis, 45 years [IQR, 37-54 years]; 12.9% were Black, 24.5% were Hispanic or Latina, and 52.9% were White) were included in the study. A total of 59.4% of the cohort had private or Medicare insurance. Compared with White women, patients of all other racial and ethnic groups had a lower proportion with a diagnosis of early-stage cervical cancer (localized) (American Indian or Alaska Native, 48.7%; Asian or Pacific Islander, 49.9%; Black, 41.7%; Hispanic or Latina, 51.6%; and White, 53.3%). A larger proportion of women with private or Medicare insurance compared with women with Medicaid or uninsured received a diagnosis of an early-stage cancer (57.8% [8082 of 13 964] vs 41.1% [3916 of 9528]). In models adjusting for age, year of diagnosis, histologic type, area-level socioeconomic status, and insurance status, Black women had higher odds of receiving a diagnosis of advanced-stage cervical cancer compared with White women (odds ratio, 1.18 [95% CI, 1.08-1.29]). Health insurance was associated with mediation of more than half (ranging from 51.3% [95% CI, 51.0%-51.6%] for Black women to 55.1% [95% CI, 53.9%-56.3%] for Hispanic or Latina women) the racial and ethnic inequities in the diagnosis of advanced-stage cervical cancer across all racial and ethnic minority groups compared with White women.
    Conclusions and relevance: This cross-sectional study of SEER data suggests that insurance status was a substantial mediator of racial and ethnic inequities in advanced-stage cervical cancer diagnoses. Expanding access to care and improving the quality of services rendered for uninsured patients and those covered by Medicaid may mitigate the known inequities in cervical cancer diagnosis and related outcomes.
    MeSH term(s) Humans ; Aged ; Female ; United States ; Adult ; Middle Aged ; Ethnicity ; Uterine Cervical Neoplasms ; Cross-Sectional Studies ; Retrospective Studies ; Medicare ; Minority Groups ; Insurance Coverage
    Language English
    Publishing date 2023-03-01
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2023.2985
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: More on an Unconscious Patient with a DNR Tattoo.

    Holt, Gregory E / Kett, Daniel / Goodman, Kenneth W

    The New England journal of medicine

    2018  Volume 378, Issue 9, Page(s) 876–877

    MeSH term(s) Humans ; Resuscitation Orders ; Tattooing ; Unconsciousness
    Language English
    Publishing date 2018--01
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMc1800052
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: On being observed.

    Holt, Gregory E

    Annals of internal medicine

    2011  Volume 155, Issue 4, Page(s) 272

    MeSH term(s) Advanced Cardiac Life Support ; Anecdotes as Topic ; Humans ; Internal Medicine/education ; Internship and Residency ; Physician-Patient Relations ; Ventricular Fibrillation/therapy
    Language English
    Publishing date 2011-08-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/0003-4819-155-4-201108160-00014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: State-Level Disparity in Lung Cancer Survival in the United States.

    Lee, Yu-Che / Calderon-Candelario, Rafael A / Holt, Gregory E / Campos, Michael A / Mirsaeidi, Mehdi

    Frontiers in oncology

    2020  Volume 10, Page(s) 1449

    Abstract: Rationale: ...

    Abstract Rationale:
    Language English
    Publishing date 2020-08-21
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2649216-7
    ISSN 2234-943X
    ISSN 2234-943X
    DOI 10.3389/fonc.2020.01449
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: The interplay of movement and spatiotemporal variation in transmission degrades pandemic control.

    Kortessis, Nicholas / Simon, Margaret W / Barfield, Michael / Glass, Gregory E / Singer, Burton H / Holt, Robert D

    Proceedings of the National Academy of Sciences of the United States of America

    2020  Volume 117, Issue 48, Page(s) 30104–30106

    Abstract: Successful public health regimes for COVID-19 push below unity long-term ... ...

    Abstract Successful public health regimes for COVID-19 push below unity long-term regional
    MeSH term(s) COVID-19/prevention & control ; COVID-19/transmission ; Humans ; Movement ; Pandemics/prevention & control ; Spatio-Temporal Analysis ; Time Factors
    Keywords covid19
    Language English
    Publishing date 2020-11-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 209104-5
    ISSN 1091-6490 ; 0027-8424
    ISSN (online) 1091-6490
    ISSN 0027-8424
    DOI 10.1073/pnas.2018286117
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Nonstandard do-not-resuscitate orders.

    Holt, Gregory E / Goodman, Kenneth W / Olvey, Stephen E / Kett, Daniel

    Current opinion in anaesthesiology

    2019  Volume 32, Issue 2, Page(s) 179–183

    Abstract: Purpose of review: Tattoos and medallions are examples of nonstandard do-not-resuscitate (DNR) orders that some people use to convey end-of-life wishes. These DNR orders are neither universally accepted nor understood for reasons discussed within this ... ...

    Abstract Purpose of review: Tattoos and medallions are examples of nonstandard do-not-resuscitate (DNR) orders that some people use to convey end-of-life wishes. These DNR orders are neither universally accepted nor understood for reasons discussed within this manuscript.
    Recent findings: Studies show both providers and patients confuse the meaning and implication of DNR orders. In the United States, out-of-hospital DNR orders are legislated at the state level. Most states standardized out-of-hospital DNR orders so caregivers can immediately recognize and accept the order and act on its behalf. These out-of-hospital orders are complicated by the need to be printed on paper that does not always accompany the individual. Oregon created an online system whereby individuals recorded their end-of-life wishes that medical personnel can access with an Internet connection. This system improved communication of end-of-life wishes in patients who selected comfort care only.
    Summary: To improve conveyance of an individual's wishes for end-of-life care, the authors discuss nationwide adoption of Oregon's online registry where a person's account could comprehensively document end-of-life wishes, be universally available in all healthcare institutions, and be searchable by common patient identifiers. Facial recognition software could identify unconscious patients who present without identification.
    MeSH term(s) Advance Directives/legislation & jurisprudence ; Facial Recognition ; Humans ; Internet/legislation & jurisprudence ; Online Systems/legislation & jurisprudence ; Resuscitation Orders/legislation & jurisprudence ; Software ; Terminal Care/legislation & jurisprudence ; Unconsciousness ; United States
    Language English
    Publishing date 2019-02-28
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 645203-6
    ISSN 1473-6500 ; 0952-7907
    ISSN (online) 1473-6500
    ISSN 0952-7907
    DOI 10.1097/ACO.0000000000000690
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: An Unconscious Patient with a DNR Tattoo.

    Holt, Gregory E / Sarmento, Bianca / Kett, Daniel / Goodman, Kenneth W

    The New England journal of medicine

    2017  Volume 377, Issue 22, Page(s) 2192–2193

    Language English
    Publishing date 2017-11-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMc1713344
    Database MEDical Literature Analysis and Retrieval System OnLINE

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