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Abstract
Up to 35% of adults in the United States suffer from sleep disturbances, which covary with a host of negative mental and physical health outcomes. Previous research suggests that cannabis' sedative effects may be associated with improved sleep. The present study examined the self-reported effect of cannabis use on individual's sleep-related problems. Participants included 311 individuals recruited online, who reported both sleep-related problems and cannabis use. Analyses revealed that participants expected cannabis to decrease the incidence of sleep-related problems, including allowing participants to have an earlier bedtime, to fall asleep more quickly, and to have a longer night's sleep. Moreover, expectancies about the influence of cannabis on sleep negatively covaried with cannabis-related problems. These findings suggest that individuals believe using cannabis might positively influence their sleep quality and believing so may be protective against cannabis problems. Randomized control trials of cannabis for insomnia appear justified.
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Affiliation(s)
- Brianna R Altman
- Department of Psychology, University at Albany, State University of New York, Albany, NY, USA
| | - M N Mian
- Department of Psychology, University at Albany, State University of New York, Albany, NY, USA
| | - M Slavin
- Department of Psychology, University at Albany, State University of New York, Albany, NY, USA
| | - M Earleywine
- Department of Psychology, University at Albany, State University of New York, Albany, NY, USA
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Shoffel-Havakuk H, Cohen O, Slavin M, Haimovich Y, Halperin D, Lahav Y. Intravenous opioid drug abuse as an independent risk factor for supraglottic squamous cell carcinoma-A case-control study. Clin Otolaryngol 2017; 43:456-462. [PMID: 28950046 DOI: 10.1111/coa.12990] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/21/2017] [Indexed: 12/29/2022]
Abstract
OBJECTIVES Intravenous opioid drug abuse (IVDA) was previously correlated with laryngeal cancer. However, discrimination of this correlation by anatomical subsites has not yet been described. In this study, we aim to further establish the association between IVDA and laryngeal squamous cell carcinoma (SCC) and to indicate the laryngeal subsites that are predisposed for this correlation. DESIGN A retrospective matched case-control study. SETTING AND PARTICIPANTS Patients diagnosed with supraglottic SCC (SG-SCC) between 1996 and 2016 treated in a tertiary academic referral centre were enrolled to the case group. The control group comprised of matched patients diagnosed with glottis SCC (G-SCC). Matching was based on gender, age and socio-economic rank. MAIN OUTCOME MEASURES Variables studies as risk factors included the following: smoking, alcohol consumption, history of IVDA and infectious diseases. The variables were tested for association with the 2 groups and with each other. RESULTS Forty-eight patients with SG-SCC were matched with 48 patients with G-SCC. IVDA rates significantly increased among patients with SG-SCC. Of the SG-SCC group, 18.8% had a positive history for IVDA compared with 2.1% of the G-SCC (P = .008). A history of IVDA was found to be a risk factor for SG-SCC, independent of smoking, excessive alcohol and socio-economic status. The odds ratio for patients with an IVDA history to have SG-SCC relatively to G-SCC was 10.846 (95% CI: 1.3-89.4). CONCLUSIONS Intravenous opioid drug abuse represents an independent risk factor for SG-SCC. The pathogenesis should be investigated not just as a risk factor, as opioids are commonly used for pain management in oncologic patients.
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Affiliation(s)
- H Shoffel-Havakuk
- Department of Otolaryngology Head and Neck Surgery, Kaplan Medical Center, Rehovot, Israel.,Hadassah Medical School, The Hebrew University, Jerusalem, Israel.,Department of Otolaryngology Head and Neck Surgery, USC Voice Center, University of Southern California, Los Angeles, CA, USA
| | - O Cohen
- Department of Otolaryngology Head and Neck Surgery, Kaplan Medical Center, Rehovot, Israel.,Hadassah Medical School, The Hebrew University, Jerusalem, Israel
| | - M Slavin
- Department of General Surgery B, Meir Medical Center, Kfar Saba, Israel
| | - Y Haimovich
- Department of Otolaryngology Head and Neck Surgery, Kaplan Medical Center, Rehovot, Israel
| | - D Halperin
- Department of Otolaryngology Head and Neck Surgery, Kaplan Medical Center, Rehovot, Israel.,Hadassah Medical School, The Hebrew University, Jerusalem, Israel
| | - Y Lahav
- Department of Otolaryngology Head and Neck Surgery, Kaplan Medical Center, Rehovot, Israel.,Hadassah Medical School, The Hebrew University, Jerusalem, Israel
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Slavin M, van Hal S, Sorrell T, Lee A, Marriott D, Daveson K, Kennedy K, Hajkowicz K, Halliday C, Athan E, Bak N, Cheong E, Heath C, Orla Morrissey C, Kidd S, Beresford R, Blyth C, Korman T, Owen Robinson J, Meyer W, Chen SA. Invasive infections due to filamentous fungi other than Aspergillus: epidemiology and determinants of mortality. Clin Microbiol Infect 2015; 21:490.e1-10. [DOI: 10.1016/j.cmi.2014.12.021] [Citation(s) in RCA: 102] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2014] [Revised: 12/18/2014] [Accepted: 12/30/2014] [Indexed: 11/30/2022]
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Morrissey CO, Gilroy NM, Macesic N, Walker P, Ananda-Rajah M, May M, Heath CH, Grigg A, Bardy PG, Kwan J, Kirsa SW, Slavin M, Gottlieb T, Chen S. Consensus guidelines for the use of empiric and diagnostic-driven antifungal treatment strategies in haematological malignancy, 2014. Intern Med J 2014; 44:1298-314. [DOI: 10.1111/imj.12596] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Affiliation(s)
- C. O. Morrissey
- Department of Infectious Diseases; Alfred Health and Monash University; Prahran Victoria
- Department of Clinical Haematology; Alfred Health; Prahran Victoria
| | - N. M. Gilroy
- Blood and Marrow Transplant (BMT) Network; Agency for Clinical Innovation; Chatswood New South Wales
- Department of Infectious Diseases and Clinical Microbiology; St Vincent's Hospital; Darlinghurst New South Wales
| | - N. Macesic
- Departmentof Infectious Diseases; Austin Health; Heidelberg Victoria
| | - P. Walker
- Malignant Haematology and Stem Cell Transplantation Service; Alfred Health; Prahran Victoria
- Australian Centre for Blood Diseases; Monash University; Melbourne Victoria
| | - M. Ananda-Rajah
- Department of Infectious Diseases; Alfred Health and Monash University; Prahran Victoria
- Department of General Medicine; Alfred Health; Prahran Victoria
| | - M. May
- Department of Microbiology; Sullivan Nicolaides Pathology; Brisbane Queensland
| | - C. H. Heath
- Department of Microbiology and Infectious Diseases; Royal Perth Hospital; Perth Western Australia
- School of Medicine and Pharmacology (RPH Unit); University of Western Australia; Perth Western Australia
| | - A. Grigg
- Department of Clinical Haematology; Austin Health; Heidelberg Victoria
- School of Medicine; The University of Melbourne; Melbourne Victoria
| | - P. G. Bardy
- Royal Adelaide Hospital Cancer Centre; Royal Adelaide Hospital; Adelaide South Australia
- Division of Medicine; The Queen Elizabeth Hospital; Woodville South South Australia
- Discipline of Medicine; School of Medicine; The University of Adelaide; Adelaide South Australia
| | - J. Kwan
- Department of Haematology and Bone Marrow Transplant; Westmead Hospital; Westmead New South Wales
| | - S. W. Kirsa
- Pharmacy Department; Peter MacCallum Cancer Centre; East Melbourne Victoria
| | - M. Slavin
- School of Medicine; The University of Melbourne; Melbourne Victoria
- Department of Infectious Diseases and Infection Control; Peter MacCallum Cancer Centre; East Melbourne Victoria
- Victorian Infectious Diseases Service; The Doherty Institute for Infection and Immunity; Parkville Victoria
| | - T. Gottlieb
- The Infectious Diseases and Microbiology Department; Concord Repatriation General Hospital; Concord New South Wales
| | - S. Chen
- Centre for Infectious Diseases and Microbiology Laboratory Services; ICPMR - Pathology West; Westmead New South Wales
- Department of Infectious Diseases; Westmead Hospital; Westmead New South Wales
- Sydney Medical School; The University of Sydney; Sydney New South Wales
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Macesic N, Fleming S, Kidd S, Madigan V, Chean R, Ritchie D, Slavin M. Protothecosis in hematopoietic stem cell transplantation: case report and review of previous cases. Transpl Infect Dis 2014; 16:490-5. [DOI: 10.1111/tid.12223] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2013] [Revised: 11/28/2013] [Accepted: 01/07/2014] [Indexed: 11/30/2022]
Affiliation(s)
- N. Macesic
- Victorian Infectious Diseases Service; Royal Melbourne Hospital; Parkville Victoria Australia
| | - S. Fleming
- Department of Clinical Haematology; Royal Melbourne Hospital; Parkville Victoria Australia
| | - S. Kidd
- Mycology Unit; SA Pathology; Adelaide South Australia Australia
| | - V. Madigan
- Department of Microbiology; Royal Melbourne Hospital; Parkville Victoria Australia
| | - R. Chean
- Department of Microbiology; Royal Melbourne Hospital; Parkville Victoria Australia
| | - D. Ritchie
- Department of Clinical Haematology; Royal Melbourne Hospital; Parkville Victoria Australia
- Peter MacCallum Cancer Centre; Melbourne Victoria Australia
- Department of Medicine; University of Melbourne; Parkville Victoria Australia
| | - M. Slavin
- Victorian Infectious Diseases Service; Royal Melbourne Hospital; Parkville Victoria Australia
- Peter MacCallum Cancer Centre; Melbourne Victoria Australia
- Department of Medicine; University of Melbourne; Parkville Victoria Australia
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van Hal SJ, Chen SCA, Sorrell TC, Ellis DH, Slavin M, Marriott DM. Support for the EUCAST and revised CLSI fluconazole clinical breakpoints by Sensititre® YeastOne® for Candida albicans: a prospective observational cohort study. J Antimicrob Chemother 2014; 69:2210-4. [PMID: 24788656 DOI: 10.1093/jac/dku124] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES Species-specific clinical breakpoints (CBPs) for Candida spp. were established following consideration of clinical outcomes in patients with oesophageal candidiasis. We sought to further determine the validity of the current CBPs based on data from a prospective candidaemia study. PATIENTS AND METHODS All Candida albicans candidaemia episodes in patients enrolled in the Australian Candidaemia Study and who were treated with fluconazole monotherapy were included. Fluconazole MICs were established using Sensititre(®) YeastOne(®). RESULTS Two hundred and seventeen evaluable episodes were identified, 93.5% of which occurred in adult patients. Fluconazole was commenced within 72 h of blood culture positivity in 96.3% (209/217) of episodes. Fluconazole doses were appropriate in 89.9% (195/217) of episodes and the median duration of therapy was 14 days (IQR 8-21 days) for the whole cohort. The all-cause 30 day mortality was 19.8% (43/217), with 37.2% (16/43) of deaths attributed to candidaemia. Classification and regression tree (CART) analysis identified a fluconazole MIC target of ≥2 mg/L for infection-related mortality and ≥4 mg/L for overall 30 day mortality. Overall mortality was no different in episodes with isolates above or below the identified MIC target, although there was a trend towards significance (P = 0.051). On univariate analysis, infection-related mortality was significantly increased in C. albicans episodes with an MIC ≥2 mg/L compared with those below this MIC target (20.6% versus 4.9%; P = 0.001). This target remained an independent predictor of infection-related mortality (OR 8.2; 95% CI 2.3-29.7; P = 0.001). CONCLUSIONS We observed a direct relationship between infection-related mortality and rising fluconazole MIC for C. albicans candidaemia; overall, the data support the EUCAST and revised CLSI fluconazole clinical breakpoints.
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Affiliation(s)
- S J van Hal
- Department of Microbiology and Infectious Diseases, Royal Prince Alfred Hospital, Camperdown, Sydney, Australia
| | - S C-A Chen
- Centre for Infectious Diseases and Microbiology Laboratory Services, ICPMR-Pathology West, Westmead Hospital, Westmead, Sydney, Australia
| | - T C Sorrell
- Marie Bashir Institute for Infectious Diseases and Biosecurity, University of Sydney, Sydney, Australia Westmead Millennium Institute, Westmead, Sydney, NSW, Australia
| | - D H Ellis
- School of Molecular & Biomedical Science, The University of Adelaide, Adelaide, Australia
| | - M Slavin
- Peter MacCallum Cancer Centre and University of Melbourne, Melbourne, Australia
| | - D M Marriott
- Department of Clinical Microbiology and Infectious Diseases, St Vincent's Hospital, Sydney, Australia
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Peel T, May D, Buising K, Thursky K, Slavin M, Choong P. Infective complications following tumour endoprosthesis surgery for bone and soft tissue tumours. Eur J Surg Oncol 2014; 40:1087-94. [PMID: 24655802 DOI: 10.1016/j.ejso.2014.02.241] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2013] [Revised: 02/11/2014] [Accepted: 02/24/2014] [Indexed: 11/29/2022] Open
Abstract
AIMS This study aims to describe the incidence of infective complications, including tumour endoprosthesis infection, in a cohort of patients undergoing tumour endoprosthesis surgery in Victoria, Australia. METHODS This retrospective cohort study was performed over 15 years (January 1996-December 2010). RESULTS 121 patients underwent tumour endoprosthesis surgery during the study period. Patients were followed for a median of 34 months (interquartile range [IQR] 17, 80). Overall, 34 patients (28%) experienced infective complications including: bacteraemia in 19 patients (16%) and tumour endoprosthesis infection in 17 (14%). The majority of patients with early and late acute infections (haematogenous) were managed with debridement and retention of the prosthesis in addition to biofilm-active antibiotics. Late chronic infections were predominantly managed by exchange of the prosthesis. The overall success rate of treatment was 71%. The success rate for debridement and retention was 75% compared with 67% for exchange procedures. CONCLUSIONS There is a significant rate of infective complications following tumour endoprosthesis surgery including 14% of patients experiencing infection involving the tumour endoprosthesis. This study is the first to report on outcomes from debridement and retention of the prosthesis; which had comparable success rates to other treatment modalities.
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Affiliation(s)
- T Peel
- Department of Surgery, St Vincent's Hospital, University of Melbourne, Regent Street, Fitzroy, VIC 3065, Australia; Department of Infectious Diseases, St Vincent's Hospital Melbourne, Victoria Parade, Fitzroy, VIC 3065, Australia; Department of Orthopaedics, St Vincent's Hospital Melbourne, Victoria Parade, Fitzroy, VIC 3065, Australia.
| | - D May
- Department of Orthopaedics, St Vincent's Hospital Melbourne, Victoria Parade, Fitzroy, VIC 3065, Australia
| | - K Buising
- Department of Infectious Diseases, St Vincent's Hospital Melbourne, Victoria Parade, Fitzroy, VIC 3065, Australia
| | - K Thursky
- Department of Infectious Diseases, Peter MacCallum Cancer Centre, Lansdowne St, East Melbourne, VIC 3002, Australia
| | - M Slavin
- Department of Infectious Diseases, Peter MacCallum Cancer Centre, Lansdowne St, East Melbourne, VIC 3002, Australia
| | - P Choong
- Department of Surgery, St Vincent's Hospital, University of Melbourne, Regent Street, Fitzroy, VIC 3065, Australia; Department of Orthopaedics, St Vincent's Hospital Melbourne, Victoria Parade, Fitzroy, VIC 3065, Australia
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Lingaratnam S, Mellerick A, Worth LJ, Green M, Guy S, Kirsa S, Slavin M, Renwick W, Filshie R, Thursky KA. Feasibility of early discharge strategies for neutropenic fever: outcomes of a Victorian organisational readiness assessment and pilot. Intern Med J 2013; 43:979-86. [DOI: 10.1111/imj.12228] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2013] [Accepted: 06/25/2013] [Indexed: 01/09/2023]
Affiliation(s)
- S. Lingaratnam
- Pharmacy Department; Peter MacCallum Cancer Centre; Melbourne Victoria Australia
| | - A. Mellerick
- Day Oncology Unit; Department of Cancer Services; Western Health; Melbourne Victoria Australia
| | - L. J. Worth
- Department of Infectious Diseases and Infection Control; Peter MacCallum Cancer Centre; Melbourne Victoria Australia
| | - M. Green
- Department of Cancer Services; Western Health; Melbourne Victoria Australia
| | - S. Guy
- Department of Infectious Diseases; Western Health; Melbourne Victoria Australia
| | - S. Kirsa
- Pharmacy Department; Peter MacCallum Cancer Centre; Melbourne Victoria Australia
| | - M. Slavin
- Department of Infectious Diseases and Infection Control; Peter MacCallum Cancer Centre; Melbourne Victoria Australia
| | - W. Renwick
- Department of Cancer Services; Western Health; Melbourne Victoria Australia
| | - R. Filshie
- Department of Haematology; St Vincent's Hospital; Melbourne Victoria Australia
| | - K. A. Thursky
- Department of Infectious Diseases and Infection Control; Peter MacCallum Cancer Centre; Melbourne Victoria Australia
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Osthoff M, Chew E, Bajel A, Kelsey G, Panek-Hudson Y, Mason K, Szer J, Ritchie D, Slavin M. Disseminated toxoplasmosis after allogeneic stem cell transplantation in a seronegative recipient. Transpl Infect Dis 2012; 15:E14-9. [DOI: 10.1111/tid.12043] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2012] [Revised: 08/29/2012] [Accepted: 09/13/2012] [Indexed: 11/29/2022]
Affiliation(s)
- M. Osthoff
- Victorian Infectious Diseases Service; Royal Melbourne Hospital; Parkville; Victoria; Australia
| | - E. Chew
- Department of Clinical Haematology; Royal Melbourne Hospital; Parkville; Victoria; Australia
| | - A. Bajel
- Department of Clinical Haematology; Royal Melbourne Hospital; Parkville; Victoria; Australia
| | - G. Kelsey
- Department of Laboratory Haematology; Royal Melbourne Hospital; Parkville; Victoria; Australia
| | - Y. Panek-Hudson
- Peter MacCallum Cancer Centre; Melbourne; Victoria; Australia
| | - K. Mason
- Department of Clinical Haematology; Royal Melbourne Hospital; Parkville; Victoria; Australia
| | - J. Szer
- Department of Clinical Haematology; Royal Melbourne Hospital; Parkville; Victoria; Australia
| | | | - M. Slavin
- Victorian Infectious Diseases Service; Royal Melbourne Hospital; Parkville; Victoria; Australia
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Neoh CF, Liew D, Slavin M, Marriott D, Chen SCA, Morrissey O, Stewart K, Kong DCM. Cost-effectiveness analysis of anidulafungin versus fluconazole for the treatment of invasive candidiasis. J Antimicrob Chemother 2012. [DOI: 10.1093/jac/dkr577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Liava’a M, Theodore S, Antippa P, Wynne R, Slavin M, Grigg A, Tatoulis J. Surgical Management of Pulmonary Invasive Mould Infections In Patients With Haematological Malignancies. Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.04.128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Al-Badriyeh D, Slavin M, Liew D, Thursky K, Downey M, Grigg A, Bajel A, Stewart K, Kong DCM. Pharmacoeconomic evaluation of voriconazole versus posaconazole for antifungal prophylaxis in acute myeloid leukaemia. J Antimicrob Chemother 2010; 65:1052-61. [DOI: 10.1093/jac/dkq076] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Chen SCA, Marriott D, Playford EG, Nguyen Q, Ellis D, Meyer W, Sorrell TC, Slavin M. Candidaemia with uncommon Candida species: predisposing factors, outcome, antifungal susceptibility, and implications for management. Clin Microbiol Infect 2009; 15:662-9. [PMID: 19614718 DOI: 10.1111/j.1469-0691.2009.02821.x] [Citation(s) in RCA: 73] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
The risk factors for and clinical features of bloodstream infection with uncommon Candida spp. (species other than C. albicans, C. glabrata, C. parapsilosis, C. tropicals and C. krusei) are incompletely defined. To identify clinical variables associated with these species that might guide management, 57 cases of candidaemia resulting from uncommon Candida spp. were analysed in comparison with 517 episodes of Candida albicans candidaemia (2001-2004). Infection with uncommon Candida spp. (5.3% of candidaemia cases), as compared with C. albicans candidaemia, was significantly more likely to be outpatient-acquired than inpatient-acquired (15 of 57 vs. 65 of 517 episodes, p 0.01). Prior exposure to fluconazole was uncommon (n=1). Candida dubliniensis was the commonest species (n=22, 39%), followed by Candida guilliermondii (n=11, 19%) and Candida lusitaniae (n=7, 12%).C. dubliniensis candidaemia was independently associated with recent intravenous drug use (p 0.01) and chronic liver disease (p 0.03), and infection with species other than C. dubliniensis was independently associated with age<65 years (p 0.02), male sex (p 0.03) and human immunodeficiency virus infection (p 0.05). Presence of sepsis at diagnosis and crude 30-day mortality rates were similar for C. dubliniensis-related, non-C. dubliniensis-related and C. albicans-related candidaemia. Haematological malignancy was the commonest predisposing factor in C. guilliermondii (n=3, 27%) and C. lusitaniae (n=3, 43%) candidaemia. The 30-day mortality rate of C. lusitaniae candidaemia was higher than the overall death rate for all uncommon Candida spp. (42.9% vs. 25%, p not significant). All isolates were susceptible to amphotericin B, voriconazole, posaconazole, and caspofungin; five strains (9%) had fluconazole MIC values of 16-32 mg/L. Candidaemia due to uncommon Candida spp. is emerging among hospital outpatients; certain clinical variables may assist in recognition of this entity.
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Affiliation(s)
- S C A Chen
- Centre for Infectious Diseases and Microbiology, Westmead Hospital, University of Sydney, Sydney, Ausralia.
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Grigg A, Slavin M. Minimizing the risk of recurrent or progressive invasive mold infections during stem cell transplantation or further intensive chemotherapy. Transpl Infect Dis 2008; 10:3-12. [PMID: 17605732 DOI: 10.1111/j.1399-3062.2007.00259.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The risk of recurrence or progression of prior invasive fungal infection, predominantly due to molds, is 11-33% during subsequent stem cell transplantations or myelosuppressive chemotherapy, with a high mortality. Risk factors at the time of transplant include active infection and having received <6 weeks of antifungal therapy, while after transplant prolonged neutropenia and graft-versus-host disease requiring aggressive immunosuppression are important. The use of peripheral blood stem cells has been associated with a lower risk. Minimal data are available regarding the role of preventative strategies such as surgical resection of pulmonary lesions and prophylactic granulocyte transfusions during neutropenia, the optimal duration of antifungal prophylaxis, and the appropriate monitoring strategy. This article critically evaluates these issues and provides recommendations for the secondary prophylaxis of invasive mold infections.
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Affiliation(s)
- A Grigg
- Department of Clinical Haematology and Bone Marrow Transplantation, The Royal Melbourne Hospital, University of Melbourne, Parkville, Victoria, Australia.
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Pang X, Chen Z, Gao X, Liu W, Slavin M, Yao W, Yu LL. Potential of a novel polysaccharide preparation (GLPP) from Anhui-grown Ganoderma lucidum in tumor treatment and immunostimulation. J Food Sci 2007; 72:S435-42. [PMID: 17995702 DOI: 10.1111/j.1750-3841.2007.00431.x] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Growing evidence indicates the potential of developing novel polysaccharide-based adjuvant for tumor therapy from edible mushrooms, including Ganoderma lucidum. In the present study, a novel polysaccharide preparation (GLPP) was isolated from the fruiting body of G. lucidum grown in Anhui, China, and characterized for its physicochemical properties. GLPP had an average molecular weight of 6600 and a specific optical rotation of +25.6 degrees , contained 10.6% protein, and had a molar ratio of 0.9:15:1 for mannose, glucose, and galactose, respectively. GLPP was also investigated and compared with PSP (polysaccharopeptide preparation), a commercial antitumor and immunostimulating agent, for its antitumor and immunostimulation capacity, and potential in reducing the toxic effects induced by cyclophosphamide (Cy) treatment and Cobalt-60 ((60)Co) radiation in mice. GLPP at levels of 100 and 300 mg/kg body weight (BW)/d significantly inhibited the growth of inoculated S(180), Heps, and EAC tumor cells in mice. GLPP at a dose of 300 mg/kg BW/d showed stronger growth inhibition against all 3 tested tumor cells than PSP at 1 g/kg BW/d. GLPP also dose-dependently increased phagocytic index, phagocytic coefficient, and 50% hemolysin value in the EAC tumor-bearing mice, indicating its potential immunostimulating property. In addition, GLPP at 300 mg/kg BW/d was comparable to PSP at 1000 mg/kg BW/d in preventing the decrease of thymus index, spleen index, white blood cells, and bone marrow karyote numbers induced by Cy treatment and (60)Co radiation. These data demonstrated the potential utilization of GLPP as an adjuvant to conventional treatments of cancers and its use for cancer prevention.
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Affiliation(s)
- X Pang
- School of Life Science and Technology, China Pharmaceutical University, Nanjing, MD 210009, PR China
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Tong SYC, Peleg AY, Yoong J, Handke R, Szer J, Slavin M. Breakthrough Scedosporium prolificans infection while receiving voriconazole prophylaxis in an allogeneic stem cell transplant recipient. Transpl Infect Dis 2007; 9:241-3. [PMID: 17605752 DOI: 10.1111/j.1399-3062.2007.00203.x] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Breakthrough invasive fungal infections among patients with hematologic malignancies receiving voriconazole are being reported with increasing frequency, with zygomycete infections predominating. We report a case of disseminated Scedosporium prolificans infection in a patient receiving voriconazole prophylaxis. Despite poor in vitro activity of voriconazole for this organism, synergy studies using the checkerboard method demonstrated synergy with the combination of voriconazole and terbinafine. This regimen, in conjunction with central venous line removal and intravitreal voriconazole, contributed to the recovery of the patient. S. prolificans is a life-threatening mold that should be considered in patients with breakthrough invasive fungal infections while on voriconazole prophylaxis.
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Affiliation(s)
- S Y C Tong
- Victorian Infectious Diseases Service, Department of Microbiology, Royal Melbourne Hospital, Melbourne, Australia.
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Marriott D, Playford E, Nguyen Q, Chen S, Ellis D, Slavin M, Sorrell T. 139 Candidaemia in the Australian Intensive Care Unit: Epidemiology, clinical features and outcome from a 3 year nationwide study. Int J Infect Dis 2006. [DOI: 10.1016/s1201-9712(06)80135-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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18
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Cooley L, Slavin M, Thursky K, Spellman D. 109 Scedosporium prolificans and Apiosporum: Distinct clinical epidemiological characteristics in an Australian Tertiary Hospital setting. Int J Infect Dis 2006. [DOI: 10.1016/s1201-9712(06)80106-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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19
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Thursky K, Byrnes G, Grigg A, Szer J, Slavin M. Risk factors for post-engraftment invasive aspergillosis in allogeneic stem cell transplantation. Bone Marrow Transplant 2004; 34:115-21. [PMID: 15156166 DOI: 10.1038/sj.bmt.1704543] [Citation(s) in RCA: 69] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
The majority of invasive aspergillosis (IA) in allogeneic stem cell transplantation (SCT) occurs during the post-engraftment period. We used Cox proportional hazards regression to evaluate post-engraftment IA risk in a cohort of 217 allogeneic SCT recipients from 1991 to 1998. The aim was to quantify the effects of dose-intensity and duration of corticosteroids and other risk factors. Median duration of follow-up was 330 days. There were 19 cases of IA (overall 8.8%) with 14 post-engraftment infections. In the final model, the risk of IA was greatest within 2 weeks of high-dose corticosteroids (HR 8.5, P=0.003), with risk extending to 4 weeks with doses of 0.25-1 mg/kg/day (HR 3.1, P=0.08). Ganciclovir was associated with greatest risk (HR 13.6). Grade 3 or 4 acute GVHD (HR 5.7) and secondary neutropenia (HR=1.3) were also additive risks. In the univariate analysis, corticosteroid doses of 0.25-1.0 mg/kg/day for any duration between 2 and 10 weeks demonstrated prolonged risk for IA. Moderate doses of corticosteroids can confer an increased risk for IA for extended periods which is almost as marked as that conferred by higher doses. Knowledge of these risks may facilitate the development of targeted surveillance and prophylaxis strategies for prevention of IA.
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Affiliation(s)
- K Thursky
- Victorian Infectious Diseases Service and National Health and Medical Research Council Centre of Clinical Research Excellence in Infectious Diseases, Royal Melbourne Hospital, Melbourne, Australia.
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20
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Moloney M, Prince HM, Seymour JF, Slavin M, Dooley M. Dosing schedule of oral valacyclovir for prevention of herpes simplex virus. Bone Marrow Transplant 2003; 32:1035. [PMID: 14595393 DOI: 10.1038/sj.bmt.1704262] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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21
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Abstract
We describe a case of successful treatment of rhinocerebral mucormycosis in a patient with multiple myeloma. Therapeutic strategies used included liposomal amphotericin, hyperbaric oxygen, GM-CSF and liposomal nystatin.
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Affiliation(s)
- L Mileshkin
- Department of Haematology, Peter MacCallum Cancer Institute, East Melbourne, VIC, Australia
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22
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Campbell JK, Prince HM, Juneja SK, Seymour JF, Slavin M. Diffuse large cell lymphoma and t(8;22) (q24;q11) in a patient with idiopathic CD4+ T-lymphopenia. Leuk Lymphoma 2001; 41:421-3. [PMID: 11378556 DOI: 10.3109/10428190109057998] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
We describe a unique case of a patient with a three-year history of idiopathic CD4(+) T cell lymphopenia (HIV negative) who presented with stage IV diffuse large cell non Hodgkin's lymphoma with t(8;22). Despite the severe lymphopenia, the patient tolerated intensive chemotherapy well and at 18 months, remains in complete remission.
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MESH Headings
- Antibodies, Antinuclear/blood
- Antineoplastic Combined Chemotherapy Protocols/administration & dosage
- CD4-Positive T-Lymphocytes
- Chromosomes, Human, Pair 22
- Chromosomes, Human, Pair 8
- Humans
- Lupus Coagulation Inhibitor/blood
- Lymphoma, Large B-Cell, Diffuse/drug therapy
- Lymphoma, Large B-Cell, Diffuse/etiology
- Lymphoma, Large B-Cell, Diffuse/genetics
- Lymphopenia/blood
- Lymphopenia/complications
- Lymphopenia/etiology
- Male
- Middle Aged
- Translocation, Genetic
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Affiliation(s)
- J K Campbell
- Departments of Haematology; Peter MacCallum Cancer Institute, East Melbourne, Victoria, Australia
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23
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Barnett A, Birnbaum H, Cremieux PY, Fendrick AM, Slavin M. The costs of cancer to a major employer in the United States: a case-control analysis. Am J Manag Care 2000; 6:1243-51. [PMID: 11185849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
Abstract
BACKGROUND Detailed data will be increasingly important in determining the cost of cancer care in the managed care setting. OBJECTIVES To estimate the full cost of cancer to a major employer in the United States and to determine the nature of the expenditures. STUDY DESIGN Analysis of medical, pharmaceutical, and disability claims data from 1995 to 1997 for a major employer with more than 100,000 employees. METHODS The cost of cancer is determined on a per-patient and per-employee basis. Based on a case-control method, cancer patients are matched to individuals with no record of cancer diagnosis or treatment. The incremental cost per employee and the percentage of total healthcare expenditures for cancer are quantified. RESULTS Approximately $224 per active employee, or 6.5% of the corporation's total healthcare costs, was spent on incremental care for cancer patients in 1997. Medical conditions not directly related to cancer account for approximately half the total excess expenditures for patients with cancer. On average, annual healthcare and disability costs for persons with cancer were approximately 5 times higher than for their counterparts without cancer. CONCLUSIONS The costs of cancer care are a substantial proportion of healthcare costs for employers. When the full cost of cancer is included in a cost-benefit analysis, expenditures for programs to reduce the risk of cancer in the working population may be justified. Expenditures to reduce the incidence and severity of conditions indirectly associated with cancer may also reduce overall employer healthcare expenses.
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Affiliation(s)
- A Barnett
- Massachusetts Institute of Technology, Cambridge, USA.
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24
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Abstract
A patient with elevated intracranial pressure from aqueductal stenosis presented with unilateral disk edema, enlarged blind spot and a vague visual disturbance. The importance of considering elevated intracranial pressure in some cases without bilateral papilledema is emphasized.
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Affiliation(s)
- M L Moster
- Department of Neurosensory Sciences, Albert Einstein Medical Center, Temple University School of Medicine, Philadelphia, Pennsylvania, USA
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25
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Goss G, Grigg A, Rathbone P, Slavin M. Hansenula anomala infection after bone marrow transplantation. Bone Marrow Transplant 1994; 14:995-7. [PMID: 7711679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Hansenula anomala is a yeast which has seldom been reported as a human pathogen. A case of fungaemia with this organism is described in a 22-year-old patient with chronic myeloid leukaemia undergoing a second HLA-matched sibling transplant. A Hickman catheter was in situ and hyperalimentation commenced on day -1. Fever developed on day +10 and H. anomala was isolated from blood cultures. The patient was receiving cyclosporin and methotrexate as prophylaxis against graft-versus-host disease and was severely neutropenic. Treatment with amphotericin B was commenced and the patient's Hickman catheter was removed. Fever resolved and subsequent blood cultures were negative. Amphotericin was continued to a cumulative dose of 680 mg and oral fluconazole 400 mg/day was given for a further week. H. anomala infection has been reported in premature babies and in immunosuppressed individuals but has not been previously observed in patients undergoing bone marrow transplantation. Clinical features of previously reported cases of infection with H. anomala are reviewed.
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Affiliation(s)
- G Goss
- Department of Clinical Haematology and Medical Oncology, Royal Melbourne Hospital, Victoria, Australia
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26
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Slavin M, Dobbs S, Crawford S, Bowden R. Interleukin-2, interferon-gamma and natural killer cell activity in bronchoalveolar lavage fluid from marrow transplant recipients with cytomegalovirus pneumonia. Bone Marrow Transplant 1993; 11:113-8. [PMID: 8382095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Cytokines interleukin-2 (IL-2) and interferon-gamma (IFN-gamma) were measured from bronchoalveolar lavage (BAL) fluid and sera of 41 marrow transplant recipients and eight healthy volunteers as controls. Although IL-2 and IFN-gamma were detected in 32 and 10 patient sera respectively, IL-2 or IFN-gamma was detected in BAL of only five patients. There was no correlation of the presence of either cytokine with cytomegalovirus pneumonia, pneumonia of other etiology or absence of pneumonia. Local lung production of IL-2 and IFN-gamma as measured in BAL did not correlate with natural-killer cell activity and had no apparent role in the pathogenesis of lung disease after marrow transplant.
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Affiliation(s)
- M Slavin
- Fred Hutchinson Cancer Research Center, Program in Infectious Diseases, Seattle, WA 98104-2092
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27
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28
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Abstract
A 27-year-old woman presented to our institution in her seventh month of pregnancy with complaints of headache and visual field disturbance. Workup revealed bitemporal hemianopia, a markedly enlarged pituitary gland on computed tomography scan, and biochemical evidence of partial hypopituitarism. At surgery, a biopsy specimen of the pituitary gland was taken revealing lymphocytic hypophysitis. The patient was treated with steroids and replacement doses of thyroid hormone. Visual fields improved postoperatively. A repeat computed tomography scan obtained 2 months after an uneventful pregnancy showed that her pituitary had regained normal size and contour. Over the next 9 months she had gradual recovery of all pituitary function. This case allowed us to follow and document the course of lymphocytic hypophysitis from its presentation as a macroadenoma with partial hypopituitarism to full recovery of both size and hormonal function of the pituitary. Lymphocytic hypophysitis should be considered in the differential diagnosis of a pituitary mass or pituitary dysfunction presenting in pregnancy. In patients with suspected lymphocytic hypophysitis and a pituitary mass, a trial of steroids may be therapeutic.
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Affiliation(s)
- R N Bitton
- Department of Medicine (Division of Endocrinology), Long Island Jewish Medical Center, New Hyde Park, New York 11042
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29
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Abstract
A young woman became suddenly aware of visual loss in her left eye. She was found to have optic atrophy giving chronicity to the disease process. A hypopigmented macule on her face along with neuroimaging studies suggested an inflammatory process. A biopsy of the skin lesion was compatible with sarcoidosis. The patient responded to corticosteroid therapy.
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Affiliation(s)
- M Wall
- Department of Ophthalmology, Tulane University Medical Center, New Orleans, Louisiana
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30
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Eviatar L, Shanske S, Gauthier B, Abrams C, Maytal J, Slavin M, Valderrama E, DiMauro S. Kearns-Sayre syndrome presenting as renal tubular acidosis. Neurology 1990; 40:1761-3. [PMID: 2234434 DOI: 10.1212/wnl.40.11.1761] [Citation(s) in RCA: 61] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
Renal tubular acidosis and tetany were the 1st manifestations of Kearns-Sayre syndrome in a 5-year-old child. Subsequently, he developed progressive external ophthalmoplegia, ptosis, retinopathy, heart block, and endocrinopathy. There was a 7.5-kb deletion of mitochondrial DNA documented in muscle, kidney, skin fibroblasts, and leukocytes, providing evidence for a multisystem mitochondrial cytopathy.
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Affiliation(s)
- L Eviatar
- Schneider Children's Hospital, Long Island Jewish Medical Center, New Hyde Park, NY 11042
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31
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Stern MJ, Patel M, Davis J, Friedwald J, Slavin M. Painful Horner syndrome associated with occlusion of the extracranial internal carotid artery: MR imaging. J Comput Assist Tomogr 1989; 13:918-20. [PMID: 2778155 DOI: 10.1097/00004728-198909000-00035] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Affiliation(s)
- M J Stern
- Department of Radiology, Long Island Jewish Medical Center, New Hyde Park, NY 11042
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32
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Slavin M. Executive health. Interiors 1982; 142:72-3. [PMID: 10304457] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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33
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Slavin M. Corporate action: the health and nature image of the Fortune 500 Shaklee Corporation. Interiors 1982; 142:65-70. [PMID: 10256642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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34
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Slavin M. The Food and Drug Administration drug registration and listing system. Drug Inf J 1975; 9:239-40. [PMID: 10236978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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35
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Benbassat J, Slavin M, Zlotnick A. Transplantation of mouse plasmacytoma to the hamster's cheek pouch. I. Changes in tumour size and paraprotein concentration in the serum of the host. Br J Cancer 1974; 29:143-50. [PMID: 4133782 PMCID: PMC2008992 DOI: 10.1038/bjc.1974.50] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
Mouse myeloma cells (MPC-11) secreting gamma-2-b globulin were shown to proliferate into solid tumours after transplantation into the hamster cheek pouch. The implanted tumours continued to grow during the first 2 weeks; thereafter they diminished in size and disappeared completely a month after transplantation. The specific MPC-11 gammaglobulin could be detected in the serum of the hosts within 2 days after the transplantation and the changes in its concentration roughly correlated with the tumour size. The estimated half-life of the MPC-11 gammaglobulin in the circulation of the tumour-bearing hamsters was 4-6 days. Host resistance was demonstrated in tumour-bearing hamsters by their failure to develop tumours on second challenge with MPC-11 cells.
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36
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Ben-Bassat J, Slavin M, Zlotnick A. [Proliferation of mouse myeloma cells in the hamster's cheek pouch: rate of disappearance of paraprotein from the host's blood]. Harefuah 1972; 83:525-7. [PMID: 4121485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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37
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Zlotnick A, Slavin M. Tumor Formation and Paraprotein Production by Mouse Plasmacytoma Cells Transplanted to Hamsters. The Journal of Immunology 1972. [DOI: 10.4049/jimmunol.109.2.388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Abstract
A suspension of cells from a BALB/c mouse MPC-11 plasmacytoma was transplanted into the cheek pouches of 51 irradiated and 50 nonirradiated hamsters. Forty-two of the irradiated and 29 of the nonirradiated animals took the graft. The irradiated hamsters were sacrificed, at the latest, 15 days and the nonirradiated ones 21 days after the transfer. By that time, the animals had developed large tumors and showed no signs of rejection. The tumors grew as well in the nonirradiated as in the irradiated animals. Histologic examination of the injection sites revealed infiltration of the areolar tissue with tumor cells of different sizes, many of which were undergoing mitotic division. By immunocytochemical techniques we showed that the tumor cells produce a γ-2b globulin identical with that found in mice carrying this tumor. This protein was also present in the peripheral blood of the tumor-bearing hamsters. Being a privileged site, the hamster's cheek pouch can serve well as a growth-sustaining environment for a heterologous mouse plasmacytoma. Because the mouse MPC-11 plasmacytoma remains viable and synthesizes a specific paraprotein for at least 21 days after implantation in the cheek pouch of normal hamsters, we are able to use this experimental model to study the effects of the continued presence of a foreign undenaturated protein on an immunologically competent host.
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Affiliation(s)
- A. Zlotnick
- From the Research Laboratory for Autoimmune Diseases, Department of Medicine A, Hadassah University Hospital and Medical School , Jerusalem, Israel
| | - M. Slavin
- From the Research Laboratory for Autoimmune Diseases, Department of Medicine A, Hadassah University Hospital and Medical School , Jerusalem, Israel
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38
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Zlotnick A, Slavin M. Tumor formation and paraprotein production by mouse plasmacytoma cells transplanted to hamsters. J Immunol 1972; 109:388-93. [PMID: 4625848] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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39
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Slavin M. The national drug code. Am J Hosp Pharm 1972; 29:468-70. [PMID: 5035963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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40
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41
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Sulitzeanu D, Slavin M. Partial purification of an antigen lining the rat bile canaliculi. Clin Exp Immunol 1968; 3:1005-8. [PMID: 4886167 PMCID: PMC1579016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
Abstract
An antigenic material, localized in the rat bile canaliculi, and in the cells of the proximal kidney tubules can be extracted with Triton X-100 from the insoluble residue of rat liver homogenate. The material has been partly purified by treatment with acetate buffer, pH 5·5, by ion exchange chromatography on CM- and DEAE-Sephadex columns and preparative disc electrophoresis.
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42
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Sulitzeanu D, Slavin M, Yecheskeli E. Simplified technique for preparative disc electrophoresis. II. Further improvements in apparatus and some details of performance. Anal Biochem 1967; 21:57-67. [PMID: 6062774 DOI: 10.1016/0003-2697(67)90083-8] [Citation(s) in RCA: 42] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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43
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Slavin M. Design of an automated medication subsystem. Am J Hosp Pharm 1967; 24:254-61. [PMID: 6041778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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44
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Sulitzeanu D, Slavin M, Karaman H, Goldman W. Antigenic components of rat connective tissue. II. Fluorescent antibody studies with antisera to connective tissue antigens. Br J Exp Pathol 1967; 48:159-70. [PMID: 4960642 PMCID: PMC2093745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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45
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Slavin M. Problems Involved in a World-Wide Soil Survey. Science 1952; 115:632. [PMID: 17841625 DOI: 10.1126/science.115.2997.632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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