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  1. Article ; Online: Use of 3D printing to integrate microchip electrophoresis with amperometric detection.

    Selemani, Major A / Martin, R Scott

    Analytical and bioanalytical chemistry

    2024  

    Abstract: This paper describes the use of PolyJet 3D printing to fabricate microchip electrophoresis devices with integrated microwire electrodes for amperometric detection. The fabrication process involves 3D printing of two separate pieces, a channel layer and ... ...

    Abstract This paper describes the use of PolyJet 3D printing to fabricate microchip electrophoresis devices with integrated microwire electrodes for amperometric detection. The fabrication process involves 3D printing of two separate pieces, a channel layer and an electrode layer. The channel layer is created by 3D printing on a pre-fabricated mold with a T-intersection. For the electrode layer, a stencil design is printed directly on the printing tray and covered with a piece of transparent glass. Microwire electrodes are adhered over the glass piece (guided by underlaying stencil) and a CAD design of the electrode layer is then printed on top of the microwire electrode. After delamination from the glass after printing, the microwire is embedded in the printed piece, with the stencil design ensuring that alignment and positioning of the electrode is reproducible for each print. After a thermal bonding step between the channel layer and electrode layer, a complete electrophoresis device with integrated microelectrodes for amperometric detection results. It is shown that this approach enables different microwire electrodes (gold or platinum) and sizes (100 or 50 µm) to be integrated in an end-channel configuration with no gap between the electrode and the separation channel. These devices were used to separate a mixture of catecholamines and the effect of separation voltage on the potential voltage applied on the working electrode was also investigated. In addition, the effect of electrode size on the number of theoretical plates and limit of detection was studied. Finally, a device that contains different channel heights and a detection electrode was 3D-printed to integrate continuous flow sampling with microchip electrophoresis and amperometric detection.
    Language English
    Publishing date 2024-04-06
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 201093-8
    ISSN 1618-2650 ; 0016-1152 ; 0372-7920
    ISSN (online) 1618-2650
    ISSN 0016-1152 ; 0372-7920
    DOI 10.1007/s00216-024-05260-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Selection of bispecific antibody therapies or CAR-T cell therapy in relapsed lymphomas.

    Major, Ajay / Kamdar, Manali

    Hematology. American Society of Hematology. Education Program

    2023  Volume 2023, Issue 1, Page(s) 370–381

    Abstract: Patients with relapsed and refractory (R/R) aggressive B-cell non-Hodgkin lymphomas have historically poor survival outcomes, with chimeric antigen receptor T-cell (CAR-T) therapy now presenting a curative option for a subset of those patients. However, ... ...

    Abstract Patients with relapsed and refractory (R/R) aggressive B-cell non-Hodgkin lymphomas have historically poor survival outcomes, with chimeric antigen receptor T-cell (CAR-T) therapy now presenting a curative option for a subset of those patients. However, with the approval of several novel bispecific monoclonal antibody (BsAb) therapies with considerable activity in R/R aggressive large B-cell lymphomas (LBCL), patients and oncologists will be faced with decisions regarding how to sequence CAR-T and BsAb therapies based on patient- and disease-related factors. In this review, we compare CAR-T and BsAb therapies for R/R LBCL, highlighting data on the efficacy and toxicity of each treatment paradigm, and provide a roadmap for sequencing these highly effective therapies.
    MeSH term(s) Humans ; Receptors, Chimeric Antigen/therapeutic use ; Immunotherapy, Adoptive ; Lymphoma, Large B-Cell, Diffuse/pathology ; Antibodies, Bispecific/therapeutic use ; Cell- and Tissue-Based Therapy
    Chemical Substances Receptors, Chimeric Antigen ; Antibodies, Bispecific
    Language English
    Publishing date 2023-12-08
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 2084287-9
    ISSN 1520-4383 ; 1520-4391
    ISSN (online) 1520-4383
    ISSN 1520-4391
    DOI 10.1182/hematology.2023000438
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Endotoxic kidney injury in Beagle dogs assessed by serum creatinine and symmetric dimethylarginine, and urinary neutrophil gelatinase-associated lipocalin and clusterin.

    Steblaj, B / Kutter, A P N / Stirn, M / Daminet, S / Major, A / Zini, E

    Research in veterinary science

    2023  Volume 162, Page(s) 104966

    Abstract: Sepsis of Gram negative bacterial origin results in lipopolysaccharide-induced endotoxemia. This often leads to acute kidney injury (AKI) and its recognition remains a challenge and delays treatment. As renal damage occurs before a rise in serum ... ...

    Abstract Sepsis of Gram negative bacterial origin results in lipopolysaccharide-induced endotoxemia. This often leads to acute kidney injury (AKI) and its recognition remains a challenge and delays treatment. As renal damage occurs before a rise in serum creatinine is detected, new early biomarkers of kidney injury need to be explored. The aim of this study was to determine changes in serum parameters of renal function and urine biomarkers of renal injury. This was a descriptive study. Endotoxemia was induced intravenously in six anaesthetized Beagles (T1). To achieve normotension, dogs received fluids (T2), followed by a continuous infusion of noradrenaline and dexmedetomidine or 0.9% NaCl (T3). Ten minutes later, the dogs received fluids (T4) and noradrenaline and dexmedetomidine or 0.9% NaCl in a crossover manner (T5). At each timepoint, blood and urine were collected for serum creatinine, urea, symmetric dimethylarginine, urine protein/creatinine (UPC) ratio, urine neutrophil-gelatinase-associated lipocalin (U-NGAL), U-NGAL/creatinine ratio, urine clusterin (U-clusterin) and U-clusterin/creatinine ratio. Data were analyzed using a mixed-effect model taking into account time and stage of veterinary AKI (VAKI). Three of six dogs had a VAKI stage ≥1; one with anuria and elevated creatinine. Serum creatinine (P < 0.001), U-NGAL/creatinine ratio (P = 0.01) and U-clusterin/creatinine ratio increased over time (P < 0.01). The UPC ratio (mean (range) 0.68 (0.35-2.3) versus 0.39 (0.15-0.71) P < 0.01) and U-NGAL (3164 pg/mL (100-147,555) versus 100 (100-14,524), P = 0.01) were higher in VAKI stage ≥1 versus stage 0, respectively. Endotoxemia induced VAKI stage ≥1 in half of the dogs. Repeated measurement of selected parameters could detect AKI early.
    MeSH term(s) Animals ; Dogs ; Lipocalin-2/urine ; Creatinine/urine ; Dexmedetomidine ; Endotoxins ; Clusterin ; Endotoxemia/veterinary ; Saline Solution ; Lipocalins/urine ; Proto-Oncogene Proteins/urine ; Acute-Phase Proteins/metabolism ; Kidney/metabolism ; Acute Kidney Injury/diagnosis ; Acute Kidney Injury/veterinary ; Biomarkers ; Dog Diseases/urine
    Chemical Substances Lipocalin-2 ; Creatinine (AYI8EX34EU) ; Dexmedetomidine (67VB76HONO) ; Endotoxins ; Clusterin ; symmetric dimethylarginine (49787G1ULV) ; Saline Solution ; Lipocalins ; Proto-Oncogene Proteins ; Acute-Phase Proteins ; Biomarkers
    Language English
    Publishing date 2023-07-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 840961-4
    ISSN 1532-2661 ; 0034-5288
    ISSN (online) 1532-2661
    ISSN 0034-5288
    DOI 10.1016/j.rvsc.2023.104966
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Rational Targets of Therapy in Extranodal NK/T-Cell Lymphoma.

    Major, Ajay / Porcu, Pierluigi / Haverkos, Bradley M

    Cancers

    2023  Volume 15, Issue 5

    Abstract: Extranodal NK/T-cell lymphoma (ENKTL) is an aggressive extranodal non-Hodgkin lymphoma (NHL) with poor outcomes, particularly in advanced-stage and relapsed/refractory disease. Emerging research on molecular drivers of ENKTL lymphomagenesis by next- ... ...

    Abstract Extranodal NK/T-cell lymphoma (ENKTL) is an aggressive extranodal non-Hodgkin lymphoma (NHL) with poor outcomes, particularly in advanced-stage and relapsed/refractory disease. Emerging research on molecular drivers of ENKTL lymphomagenesis by next-generation and whole genome sequencing has revealed diverse genomic mutations in multiple signaling pathways, with the identification of multiple putative targets for novel therapeutic agents. In this review, we summarize the biological underpinnings of newly-understood therapeutic targets in ENKTL with a focus on translational implications, including epigenetic and histone regulatory aberrations, activation of cell proliferation signaling pathways, suppression of apoptosis and tumor suppressor genes, changes in the tumor microenvironment, and EBV-mediated oncogenesis. In addition, we highlight prognostic and predictive biomarkers which may enable a personalized medicine approach toward ENKTL therapy.
    Language English
    Publishing date 2023-02-21
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers15051366
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Bourbon.

    Major, Ajay

    JAMA oncology

    2017  Volume 3, Issue 10, Page(s) 1309

    MeSH term(s) Electronic Health Records ; Empathy ; Fatal Outcome ; Female ; Humans ; Narration ; Oncologists/psychology
    Language English
    Publishing date 2017-05-25
    Publishing country United States
    Document type Case Reports ; Journal Article
    ISSN 2374-2445
    ISSN (online) 2374-2445
    DOI 10.1001/jamaoncol.2017.1067
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Investigating manual performance when using push buttons following cold water hand immersion.

    Major, Alexandria / Molyneux, David / Brown, Robert

    Applied ergonomics

    2023  Volume 114, Page(s) 104127

    Abstract: The purpose of this study was to investigate manual performance of humans when using push buttons following cold water hand immersion. An experiment involving 29 human participants was carried out to measure the activation rate of twelve different shaped ...

    Abstract The purpose of this study was to investigate manual performance of humans when using push buttons following cold water hand immersion. An experiment involving 29 human participants was carried out to measure the activation rate of twelve different shaped push buttons mounted on a novel test apparatus after their dominant hand was immersed in cold (2 °C) and thermoneutral (34 °C) water for 2 min. A series of standardized hand dexterity tests were completed to assess the participants' baseline tactile sensitivity in a dry thermoneutral state. The mean baseline performance of participants indicates that they were representative of the general population. The button test apparatus was developed specifically for this experiment and was comprised of 12 different buttons at different locations on the panel which were varying in size, surface shape and texture. After the participants immersed their dominant hand in the assigned temperature condition, their index finger was guided to the centre of the panel, and they were instructed to find and press as many buttons as they could in a 2-min time period using only their index finger. For the button panel test, the participants' view was obstructed from seeing the buttons. The results of the study indicate that temperature does not influence the activation rate of the push buttons on the button test apparatus. In addition, button size (large) was the most significant factor, followed by shape (protruding), however button texture was not a significant parameter. Given that exposure to cold water reduces manual performance, along with anecdotal evidence from survival training centres that users sometimes struggle to activate PLBs, the motivation for this research was to understand how humans interact with these devices in cold water emergency situations. It is expected that the results of this research will be useful for designers of emergency signalling devices used for rescue at sea.
    MeSH term(s) Humans ; Water ; Immersion ; Hand/physiology ; Fingers/physiology ; Cold Temperature ; Skin Temperature
    Chemical Substances Water (059QF0KO0R)
    Language English
    Publishing date 2023-08-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 2003513-5
    ISSN 1872-9126 ; 0003-6870
    ISSN (online) 1872-9126
    ISSN 0003-6870
    DOI 10.1016/j.apergo.2023.104127
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The Reply.

    Ornoff, Douglas M / Berry, Andrew / Major, Ajay

    The American journal of medicine

    2023  Volume 136, Issue 3, Page(s) e52

    Language English
    Publishing date 2023-01-29
    Publishing country United States
    Document type Letter
    ZDB-ID 80015-6
    ISSN 1555-7162 ; 1873-2178 ; 0002-9343 ; 1548-2766
    ISSN (online) 1555-7162 ; 1873-2178
    ISSN 0002-9343 ; 1548-2766
    DOI 10.1016/j.amjmed.2022.11.019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: DA-R-EPOCH vs R-CHOP in DLBCL: How do we choose?

    Major, Ajay / Smith, Sonali M

    Clinical advances in hematology & oncology : H&O

    2021  Volume 19, Issue 11, Page(s) 698–709

    Abstract: The emerging molecular and prognostic characterization of diffuse large B-cell lymphoma (DLBCL) has challenged the rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) treatment paradigm in recent years, with the identification ... ...

    Abstract The emerging molecular and prognostic characterization of diffuse large B-cell lymphoma (DLBCL) has challenged the rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) treatment paradigm in recent years, with the identification of several DLBCL subtypes associated with significantly inferior survival after standard R-CHOP therapy. Efforts to improve upon the R-CHOP backbone have included dose intensification as well as the addition of new agents; the infusional dose-adjusted rituximab, etoposide, prednisone, vincristine, cyclophosphamide, and doxorubicin (DA-R-EPOCH) regimen has been identified as a potential replacement for R-CHOP in high-risk DLBCL. In this review, we provide a historical perspective on the R-CHOP and DA-R-EPOCH regimens and summarize the clinical trial literature regarding the efficacy of each regimen in various risk groups of DLBCL. Further, we propose clinical management scenarios in which DA-R-EPOCH may be preferred, including some for patient populations in which the use of R-CHOP vs DA-R-EPOCH is controversial.
    MeSH term(s) Antineoplastic Combined Chemotherapy Protocols/adverse effects ; Cyclophosphamide/therapeutic use ; Doxorubicin/therapeutic use ; Etoposide/therapeutic use ; Humans ; Lymphoma, Large B-Cell, Diffuse/drug therapy ; Prednisone/therapeutic use ; Rituximab/therapeutic use ; Treatment Outcome ; Vincristine/therapeutic use
    Chemical Substances Rituximab (4F4X42SYQ6) ; Vincristine (5J49Q6B70F) ; Etoposide (6PLQ3CP4P3) ; Doxorubicin (80168379AG) ; Cyclophosphamide (8N3DW7272P) ; Prednisone (VB0R961HZT)
    Language English
    Publishing date 2021-11-22
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2271951-9
    ISSN 1543-0790
    ISSN 1543-0790
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Mixed-Methods Study of End-of-Life Experiences of Patients With Hematologic Malignancies in Social Hospice Residential Home Care Settings.

    Weisse, Carol S / Melekis, Kelly / Cheng, Alice / Konda, Anuja Keerthi / Major, Ajay

    JCO oncology practice

    2024  , Page(s) OP2300534

    Abstract: Purpose: Hospice is underutilized by patients with hematologic malignancies (HM), and when patients are referred, they are typically more ill, hospitalized, and with shorter length of stay (LOS) than patients with solid tumors (ST), limiting research ... ...

    Abstract Purpose: Hospice is underutilized by patients with hematologic malignancies (HM), and when patients are referred, they are typically more ill, hospitalized, and with shorter length of stay (LOS) than patients with solid tumors (ST), limiting research about home hospice care experiences of patients with HM. In this mixed-methods study, we examined the hospice experiences of patients with HM who died at residential care homes (RCHs), home-based settings in which volunteer caregivers and hospice staff provide end-of-life (EOL) care under the social hospice model.
    Methods: We queried a registry of 535 hospice patients who died at RCHs between 2005 and 2020 that included quantitative medication administration data as well as qualitative data from hospice intake forms and written volunteer caregiver narratives. Qualitative data were analyzed by collective case study methodology. Quantitative comparisons of LOS and liquid morphine use were performed with matched patients with ST.
    Results: The registry yielded 29 patients with HM, of whom qualitative data were available for 18 patients. Patients with HM exhibited common EOL symptoms (pain, dyspnea, and agitation). Instances of bleeding were low (22%), and notable HM-specific care concerns were described regarding bone fractures, skin integrity, and delirium. Most (78%) experienced good symptom management and peaceful or comfortable deaths. In only one case were symptoms described as severe and poorly managed. Patients with HM had comparable LOS on hospice and at the RCHs to patients with ST, with no group differences in liquid morphine use.
    Conclusion: In this registry cohort, most patients with HM achieved good symptom management in home care settings with volunteer caregivers and hospice support. Caregivers may require additional counseling and palliative medications for HM-specific EOL symptoms.
    Language English
    Publishing date 2024-02-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3028198-2
    ISSN 2688-1535 ; 2688-1527
    ISSN (online) 2688-1535
    ISSN 2688-1527
    DOI 10.1200/OP.23.00534
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Perspectives on geriatric oncology research presented at the 2023 American Society of Hematology Annual Meeting: Young International Society of Geriatric Oncology report.

    Abdallah, Maya / Akhtar, Othman Salim / Major, Ajay / Mian, Hira / Tsang, Mazie / Torka, Pallawi

    Journal of geriatric oncology

    2024  , Page(s) 101762

    Language English
    Publishing date 2024-04-11
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2556813-9
    ISSN 1879-4076 ; 1879-4068
    ISSN (online) 1879-4076
    ISSN 1879-4068
    DOI 10.1016/j.jgo.2024.101762
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