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  1. Article ; Online: Correction to: Extended duration of treatment using reduced‑frequency dosing of anti‑PD‑1 therapy in patients with advanced melanoma and Merkel cell carcinoma.

    Tachiki, Lisa May Ling / Hippe, Daniel S / Silva, Karly Williams / Hall, Evan Thomas / McCamy, William / Fritzsche, Dane / Perdue, Andrea / Majovski, Julia / Pulliam, Thomas / Goldstein, Daniel A / Veatch, Joshua / Ho, Joel / Nghiem, Paul T / Thompson, John A / Bhatia, Shailender

    Cancer immunology, immunotherapy : CII

    2023  Volume 72, Issue 12, Page(s) 4471

    Language English
    Publishing date 2023-11-18
    Publishing country Germany
    Document type Published Erratum
    ZDB-ID 195342-4
    ISSN 1432-0851 ; 0340-7004
    ISSN (online) 1432-0851
    ISSN 0340-7004
    DOI 10.1007/s00262-023-03575-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Extended duration of treatment using reduced-frequency dosing of anti-PD-1 therapy in patients with advanced melanoma and Merkel cell carcinoma.

    Tachiki, Lisa May Ling / Hippe, Daniel S / Williams Silva, Karly / Hall, Evan Thomas / McCamy, William / Fritzsche, Dane / Perdue, Andrea / Majovski, Julia / Pulliam, Thomas / Goldstein, Daniel A / Veatch, Joshua / Ho, Joel / Nghiem, Paul T / Thompson, John A / Bhatia, Shailender

    Cancer immunology, immunotherapy : CII

    2023  Volume 72, Issue 11, Page(s) 3839–3850

    Abstract: Background: Optimal duration of treatment (DoT) with immune checkpoint inhibitors (ICI) in metastatic cancers remains unclear. Many patients, especially those without radiologic complete remission, develop progressive disease after ICI discontinuation. ... ...

    Abstract Background: Optimal duration of treatment (DoT) with immune checkpoint inhibitors (ICI) in metastatic cancers remains unclear. Many patients, especially those without radiologic complete remission, develop progressive disease after ICI discontinuation. Extending DoT with ICI may potentially improve efficacy outcomes but presents major logistical and cost challenges with standard frequency dosing (SFD). Receptor occupancy data supports reduced frequency dosing (RFD) of anti-PD-1 antibodies, which may represent a more practical and economically viable option to extend DoT.
    Methods: We conducted a retrospective study of patients with metastatic melanoma and Merkel cell carcinoma (MCC), who received ICI at RFD administered every 3 months, after initial disease control at SFD. We evaluated efficacy, safety, and cost-savings of the RFD approach in this cohort.
    Results: Between 2014 and 2021, 23 patients with advanced melanoma (N = 18) or MCC (N = 5) received anti-PD-1 therapy at RFD. Median DoT was 1.1 years at SFD and 1.2 years at RFD. The 3 year PFS after start of RFD was 73% in melanoma and 100% in MCC patients, which compare favorably to historical control rates. In the subset of 15 patients who received at least 2 years of therapy, total savings amounted to $1.1 million in drug costs and 384 h saved despite the extended DoT (median 3.4 years), as compared to the calculated cost of 2 years at SFD.
    Conclusions: ICI administration at RFD can allow extension of treatment duration, while preserving efficacy and reducing logistical and financial burden. RFD approach deserves further exploration in prospective clinical trials.
    MeSH term(s) Humans ; Carcinoma, Merkel Cell/drug therapy ; Duration of Therapy ; Melanoma/drug therapy ; Prospective Studies ; Retrospective Studies ; Skin Neoplasms/drug therapy ; Immune Checkpoint Inhibitors/therapeutic use
    Chemical Substances Immune Checkpoint Inhibitors
    Language English
    Publishing date 2023-09-21
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 195342-4
    ISSN 1432-0851 ; 0340-7004
    ISSN (online) 1432-0851
    ISSN 0340-7004
    DOI 10.1007/s00262-023-03539-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: The Impact of Relocating a Trauma Center: Observations on Patient Injury Demographics and Resident Volumes.

    Punja, Viren / Capasso, Thomas / Ray, Kelley M / Stokes, Laura / Narveson, Joel / Niu, Fang / Patel, Neil D / Ewing, Kaily / Fernandez, Carlos A / Veatch, Jessica / Kuncir, Eirc

    Cureus

    2022  Volume 14, Issue 10, Page(s) e30256

    Abstract: Introduction Changing the physical zip code location of an academic trauma center may affect the distribution and surgical volume of its trauma patients. General surgical residency case log requirements may also be affected. This study describes the ... ...

    Abstract Introduction Changing the physical zip code location of an academic trauma center may affect the distribution and surgical volume of its trauma patients. General surgical residency case log requirements may also be affected. This study describes the impact of moving a level I trauma center to a different zip code location, on the hospital and resident trauma case volumes. Methods This retrospective analysis included all patients within the local trauma registry across two fiscal years representing the pre- and post-move timeframes. Variables collected included patient basic sociodemographic and injury information, trauma activation level and transfer status, management (operative management [OPM] versus non-operative management [NOPM]), and resident case logs. Results During fiscal years 2016-2017 and 2017-2018, 3,025 patients were included. Pre-move and post-move trauma volumes were 1,208 and 1,817 respectively. Post-move changes demonstrated differences in basic sociodemographics, with differences in age (six years older), a shift toward white and away from black (12.89%), and males being seen more frequently (11.87%). Injury severity score distribution shifted (7.72%) towards less severe trauma scores (<15), the percentage of patients with blunt trauma (4.19%) and falls increased (ground level and greater than 1 meter, 9.78%) while the number of patients considered full activations were decreased (15.67%). Proportions of OPM and NOPM trauma cases remained unchanged with the exception of a reduction in emergent operative trauma (3.1%). Resident case logs requirements were met both pre- and post-move. Conclusion Relocating the trauma center to a different zip code location did not negatively impact our resident case volumes. Total trauma volumes were increased, with a shift in the demographics and severity distribution of injuries.
    Language English
    Publishing date 2022-10-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.30256
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Associating sleep problems with advanced cancer diagnosis, and immune checkpoint treatment outcomes: a pilot study.

    Sillah, Arthur / Peters, Ulrike / Watson, Nathaniel F / Tykodi, Scott S / Hall, Evan T / Silverman, Allison / Malen, Rachel C / Thompson, John A / Lee, Sylvia M / Bhatia, Shailender / Veatch, Joshua / Warner, Jeannie / Thornton, Timothy / Phipps, Amanda I

    Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

    2022  Volume 30, Issue 5, Page(s) 3829–3838

    Abstract: Background: Sleep problems (SP) are common in cancer patients but have not been previously assessed in patients receiving immune checkpoint inhibitors (ICI).: Methods: We collected questionnaire data on sleep apnea risk, insomnia, and general sleep ... ...

    Abstract Background: Sleep problems (SP) are common in cancer patients but have not been previously assessed in patients receiving immune checkpoint inhibitors (ICI).
    Methods: We collected questionnaire data on sleep apnea risk, insomnia, and general sleep patterns. We used an adjusted multivariate Poisson regression to calculate prevalence ratios (PRs) and associated 95% confidence intervals (CIs) for associations between these SP and metastatic versus localized cancer stage (M1 vs. M0), and adjusted logistic regression models to calculate ORs for associations between SP with the number of ICI infusions completed (6 + vs. < 6).
    Results: Among 32 patients who received ICI treatment, the prevalence of low, intermediate, and high-risk OSA risk was 36%, 42%, and 21%, respectively. Overall, 58% of participants reported clinically significant insomnia. We did not find a significant association between intermediate or high risk OSA (vs. low risk) and metastatic cancer status (PR = 1.01 (95% CI: 0.28, 3.67)). Patients in the cohort who reported taking > 15 min to fall asleep were 3.6 times more likely to be diagnosed with metastatic cancer compared to those reporting shorter sleep latency (95% CI (1.74, 7.35)). We did not find a significant association between SP and number of ICI infusions completed.
    Conclusion: Our data associating sleep apnea risk, insomnia, and sleep patterns with more advanced cancer encourages further exploration in larger-scale observational studies and suggests interventional clinical trials focused on sleep quality improvement that could result in better outcomes for these patients.
    MeSH term(s) Humans ; Neoplasms/complications ; Pilot Projects ; Polysomnography ; Sleep Apnea, Obstructive/epidemiology ; Sleep Initiation and Maintenance Disorders/complications ; Sleep Initiation and Maintenance Disorders/etiology
    Language English
    Publishing date 2022-01-16
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1134446-5
    ISSN 1433-7339 ; 0941-4355
    ISSN (online) 1433-7339
    ISSN 0941-4355
    DOI 10.1007/s00520-022-06825-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Which Trauma Patients Require Lower Enoxaparin Dosing for Venous Thromboembolism Prophylaxis?

    Veatch, Jessica / Hashim, Yassar / Dhillon, Navpreet K / Toscano, Samantha / Mason, Russell / Lin, Ting-Lung / Barmparas, Galinos / Ley, Eric J

    The American surgeon

    2020  Volume 86, Issue 10, Page(s) 1424–1427

    Abstract: Trauma patients have a high risk for venous thromboembolism (VTE) such that an increased enoxaparin dose is necessary to reduce related complications. Given that most trauma patients require an enoxaparin dose of at least 40 mg every 12 hours for VTE ... ...

    Abstract Trauma patients have a high risk for venous thromboembolism (VTE) such that an increased enoxaparin dose is necessary to reduce related complications. Given that most trauma patients require an enoxaparin dose of at least 40 mg every 12 hours for VTE prophylaxis, we sought to identify which patients require enoxaparin 30 mg every 12 hours and hypothesized that both weight and low creatinine clearance (CrCl) would more likely determine enoxaparin dosing than age, body mass index (BMI), or body surface area (BSA). Single institution data were collected on trauma patients between August 2014 and February 2018 to compare trauma patients who required enoxaparin 30 mg to those who required ≥40 mg every 12 hours. Of the 245 patients included, 86 (35.1%) required enoxaparin at 30 mg to achieve the goal anti-factor Xa trough level. Factors associated with low dose enoxaparin were older age (59.6 vs. 46.2 years,
    MeSH term(s) Anticoagulants/administration & dosage ; Body Weight ; Creatinine/metabolism ; Drug Administration Schedule ; Enoxaparin/administration & dosage ; Female ; Humans ; Male ; Middle Aged ; Venous Thromboembolism/prevention & control ; Wounds and Injuries/complications
    Chemical Substances Anticoagulants ; Enoxaparin ; Creatinine (AYI8EX34EU)
    Language English
    Publishing date 2020-11-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    DOI 10.1177/0003134820964497
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Predictive lifestyle markers for efficacy of cancer immune checkpoint inhibitors: a commentary.

    Sillah, Arthur / Tykodi, Scott S / Hall, Evan T / Thompson, John A / Watson, Nathaniel F / Lee, Sylvia M / Bhatia, Shailender / Veatch, Joshua / Warner, Jeannie / Peters, Ulrike / Malen, Rachel C / Silverman, Allison / Phipps, Amanda I

    Future oncology (London, England)

    2021  Volume 17, Issue 4, Page(s) 363–369

    Abstract: Lifestyle factors could plausibly modulate the host immune system, the tumor microenvironment and, hence, immune checkpoint inhibitor (ICI) response. As such, these factors should be considered in ICI studies. ...

    Abstract Lifestyle factors could plausibly modulate the host immune system, the tumor microenvironment and, hence, immune checkpoint inhibitor (ICI) response. As such, these factors should be considered in ICI studies.
    MeSH term(s) Complementary Therapies ; Exercise ; Humans ; Immune Checkpoint Inhibitors/therapeutic use ; Life Style ; Neoplasms/drug therapy ; Neoplasms/psychology ; Obesity/complications ; Smoking/adverse effects ; Stress, Psychological/etiology
    Chemical Substances Immune Checkpoint Inhibitors
    Language English
    Publishing date 2021-01-05
    Publishing country England
    Document type Editorial ; Review
    ZDB-ID 2274956-1
    ISSN 1744-8301 ; 1479-6694
    ISSN (online) 1744-8301
    ISSN 1479-6694
    DOI 10.2217/fon-2020-0730
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Rhodotorula minuta fungemia in a ewe lamb.

    Chitko-McKown, C G / Leymaster, K A / Heaton, M P / Griffin, D D / Veatch, J K / Jones, S A / Clawson, M L

    Transboundary and emerging diseases

    2014  Volume 61, Issue 6, Page(s) e76–8

    Abstract: An 8-month-old crossbred ewe, normal upon physical examination, was humanely euthanized for tissue collection. After approximately 3 weeks in tissue culture, fungi began budding out of cells obtained from the choroid plexus. After an additional 3 weeks, ... ...

    Abstract An 8-month-old crossbred ewe, normal upon physical examination, was humanely euthanized for tissue collection. After approximately 3 weeks in tissue culture, fungi began budding out of cells obtained from the choroid plexus. After an additional 3 weeks, budding was observed in kidney cell cultures and eventually in monocyte cultures as well. Serum from the lamb was submitted to the Veterinary Diagnostic Laboratory at Colorado State University for fungal diagnosis and was found negative for Aspergillus, Blastomyces, Coccidioidomycosis and Histoplasmosis. DNA was isolated from fungi collected from tissue culture supernatants and used in a set of pan-fungal PCR assays with DNA from Candida acting as a positive control. PCR products were sequenced and BLAST analysis performed. The unknown fungal sequence aligned with 100% identity to Rhodotorula minuta an emerging opportunistic pathogen. Samples were submitted to The Fungal Testing Laboratory at The University of Texas Health Science Center at San Antonio for additional validation. We believe this to be the first report of Rhodotorula fungemia in a sheep in the United States.
    MeSH term(s) Animals ; Antifungal Agents ; Colorado ; Fungemia/microbiology ; Polymerase Chain Reaction ; Rhodotorula/isolation & purification ; Sheep ; Sheep Diseases/microbiology
    Chemical Substances Antifungal Agents
    Language English
    Publishing date 2014-12
    Publishing country Germany
    Document type Case Reports ; Journal Article
    ZDB-ID 2414822-2
    ISSN 1865-1682 ; 1865-1674
    ISSN (online) 1865-1682
    ISSN 1865-1674
    DOI 10.1111/tbed.12062
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Cerebrospinal nematodiasis in a white-handed gibbon (Hylobates lar) due to Baylisascaris sp.

    Ball, R L / Dryden, M / Wilson, S / Veatch, J

    Journal of zoo and wildlife medicine : official publication of the American Association of Zoo Veterinarians

    1998  Volume 29, Issue 2, Page(s) 221–224

    Abstract: An adult white-handed gibbon (Hylobates lar) at a zoo in eastern Kansas was euthanized after developing a head tremor, generalized motor incoordination, and partial paresis of the right arm that persisted over 2 yr. Magnetic resonance imaging early in ... ...

    Abstract An adult white-handed gibbon (Hylobates lar) at a zoo in eastern Kansas was euthanized after developing a head tremor, generalized motor incoordination, and partial paresis of the right arm that persisted over 2 yr. Magnetic resonance imaging early in the course of the disease demonstrated a localized left frontal lobe cerebritis. Larvae morphologically consistent with a Baylisascaris species were seen in tissue sections of the cerebrum and cerebellum. Epizootiologic investigation, which included qualitative fecal flotations, evaluation of soil samples for nematode eggs, and necropsy examination of livetrapped raccoons (Procyon lotor), indicated that Baylisascaris procyonis was most likely to have caused the cerebrospinal nematodiasis in this gibbon.
    MeSH term(s) Animals ; Animals, Zoo ; Ascaridida Infections/parasitology ; Ascaridida Infections/pathology ; Ascaridida Infections/veterinary ; Ascaridoidea/isolation & purification ; Brain/parasitology ; Brain/pathology ; Central Nervous System Diseases/parasitology ; Central Nervous System Diseases/pathology ; Central Nervous System Diseases/veterinary ; Cerebellum/parasitology ; Cerebellum/pathology ; Female ; Hylobates/parasitology ; Magnetic Resonance Imaging/veterinary ; Neurologic Examination/veterinary ; Primate Diseases/parasitology ; Primate Diseases/pathology ; Raccoons
    Language English
    Publishing date 1998-06
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2174930-9
    ISSN 1937-2825 ; 1042-7260
    ISSN (online) 1937-2825
    ISSN 1042-7260
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Rhodotorula minuta fungemia in a ewe lamb

    Chitko‐McKown, C. G / Leymaster, K. A / Heaton, M. P / Griffin, D. D / Veatch, J. K / Jones, S. A / Clawson, M. L

    Transboundary and emerging diseases. 2014 Dec., v. 61, no. 6

    2014  

    Abstract: An 8‐month‐old crossbred ewe, normal upon physical examination, was humanely euthanized for tissue collection. After approximately 3 weeks in tissue culture, fungi began budding out of cells obtained from the choroid plexus. After an additional 3 weeks, ... ...

    Abstract An 8‐month‐old crossbred ewe, normal upon physical examination, was humanely euthanized for tissue collection. After approximately 3 weeks in tissue culture, fungi began budding out of cells obtained from the choroid plexus. After an additional 3 weeks, budding was observed in kidney cell cultures and eventually in monocyte cultures as well. Serum from the lamb was submitted to the Veterinary Diagnostic Laboratory at Colorado State University for fungal diagnosis and was found negative for Aspergillus, Blastomyces, Coccidioidomycosis and Histoplasmosis. DNA was isolated from fungi collected from tissue culture supernatants and used in a set of pan‐fungal PCR assays with DNA from Candida acting as a positive control. PCR products were sequenced and BLAST analysis performed. The unknown fungal sequence aligned with 100% identity to Rhodotorula minuta an emerging opportunistic pathogen. Samples were submitted to The Fungal Testing Laboratory at The University of Texas Health Science Center at San Antonio for additional validation. We believe this to be the first report of Rhodotorula fungemia in a sheep in the United States.
    Keywords Aspergillus ; Blastomyces ; Candida ; DNA ; Rhodotorula ; blood serum ; cell culture ; choroid plexus ; clinical examination ; coccidioidomycosis ; ewes ; fungi ; histoplasmosis ; kidneys ; pathogens ; polymerase chain reaction ; tissue culture ; Texas
    Language English
    Dates of publication 2014-12
    Size p. e76-e78.
    Publishing place Blackwell Science
    Document type Article
    ZDB-ID 2414822-2
    ISSN 1865-1682 ; 1865-1674
    ISSN (online) 1865-1682
    ISSN 1865-1674
    DOI 10.1111/tbed.12062
    Database NAL-Catalogue (AGRICOLA)

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  10. Article: Metastatic adenocarcinoma of the mammary gland in a Père David's deer.

    Veatch, J K / Carpenter, J W

    Journal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc

    1993  Volume 5, Issue 4, Page(s) 639–640

    MeSH term(s) Adenocarcinoma/diagnosis ; Adenocarcinoma/pathology ; Adenocarcinoma/veterinary ; Animals ; Connective Tissue/pathology ; Deer ; Female ; Mammary Glands, Animal/pathology ; Mammary Neoplasms, Animal/diagnosis ; Mammary Neoplasms, Animal/pathology ; Necrosis ; Neoplasm Metastasis
    Language English
    Publishing date 1993-10
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 287603-6
    ISSN 1943-4936 ; 1040-6387
    ISSN (online) 1943-4936
    ISSN 1040-6387
    DOI 10.1177/104063879300500428
    Database MEDical Literature Analysis and Retrieval System OnLINE

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