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Lim S, Mantsios A, Braithwaite RS, Pitts R. A secondary gendered analysis of interviews with Latina cisgender women indicated for HIV pre-exposure prophylaxis. AIDS Care 2024; 36:692-702. [PMID: 38466205 DOI: 10.1080/09540121.2024.2325070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Accepted: 02/22/2024] [Indexed: 03/12/2024]
Abstract
HIV infections disproportionately impact Latinx populations in the United States, yet oral pre-exposure prophylaxis (PrEP) uptake is low. This study was a secondary gendered analysis of interviews with Latina cisgender women (n = 20) recruited from an urban safety net hospital inNew York City between August 2019 and October 2022. All women were indicated for PrEP by the provider. In-depth interviews were conducted with participants in English and Spanish and asked about social determinants of health, sexual partnerships and behaviors, and PrEP-specific enablers and barriers. Secondary thematic content analysis was conducted to identify gender-related factors influencing PrEP uptake. The following themes emerged from the data:structural factors (e.g., employment), partner-related factors, low sexual health knowledge, and resilience and empowerment. Partner-related factors were the most salient; partner infidelity served as reasons for initiating PrEP. Despite being constrained by low power in relationships, women made empowered choices to initiate PrEP and protect themselves. Findings indicated that the impact of gender inequity was an important factor in Latina women's PrEP decision making, pointing to a need to address partner-driven HIV risk, imbalance of power in relationships, and gender norms.
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Affiliation(s)
- Sahnah Lim
- Department of Population Health, NYU Grossman School of Medicine, New York, NY, USA
| | | | - Ronald S Braithwaite
- Department of Population Health, NYU Grossman School of Medicine, New York, NY, USA
- Department of Medicine, NYU Grossman School of Medicine, New York, NY, USA
| | - Robert Pitts
- Department of Medicine, NYU Grossman School of Medicine, New York, NY, USA
- Division of Infectious Diseases, NYC Health + Hospitals/Bellevue, New York, NY, USA
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2
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Chan J, DiTullio DJ, Pagan Pirallo P, Foote M, Knutsen D, Kottkamp AC, McPherson TD, Mukherjee V, Pitts R, Wallach A, Wong M, Mazo D, Mgbako O. Implementation and early outcomes of a telehealth visit model to deliver tecovirimat for mpox infection in New York City. J Telemed Telecare 2023:1357633X231194796. [PMID: 37632124 DOI: 10.1177/1357633x231194796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 08/27/2023]
Abstract
The 2022 mpox outbreak in New York City posed challenges to rapidly scaling up treatment capacity. We describe a telehealth treatment model launched during this outbreak that facilitated healthcare provider treatment capacity, and was able to adhere to a Centers for Disease Control and Prevention (CDC)-sponsored expanded access investigational new drug (EA-IND) protocol for tecovirimat. Sixty-nine patients were evaluated and prescribed tecovirimat for mpox through telehealth visits at NYC Health + Hospitals/Bellevue and NYU Langone Health from June to August 2022. Thirty-two (46.4%) were previously diagnosed with HIV. Forty-four (63.8%) reported full recovery, with the remainder lost to follow-up. Most patients (n = 60, 87.0%) attended at least one follow-up visit (either in person or through telehealth) after starting treatment. We observed favorable treatment outcomes, with no serious adverse events, hospitalizations, or deaths related to mpox. While equitable access to telehealth remains a limitation that needs to be addressed, this telehealth model enabled a rapid scale-up of tecovirimat prescription during the mpox outbreak, and should be considered as an important tool used to respond to future infectious disease outbreaks.
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Affiliation(s)
- Justin Chan
- NYC Health + Hospitals/Bellevue, New York, NY, USA
- NYU Grossman School of Medicine, New York, NY, USA
| | | | | | - Mary Foote
- New York City Department of Health and Mental Hygiene, New York, NY, USA
| | - Dorothy Knutsen
- NYC Health + Hospitals/Bellevue, New York, NY, USA
- NYU Grossman School of Medicine, New York, NY, USA
- NYU Langone Health, New York, NY, USA
| | | | - Tristan D McPherson
- NYU Grossman School of Medicine, New York, NY, USA
- New York City Department of Health and Mental Hygiene, New York, NY, USA
- NYU Langone Health, New York, NY, USA
| | - Vikramjit Mukherjee
- NYC Health + Hospitals/Bellevue, New York, NY, USA
- NYU Grossman School of Medicine, New York, NY, USA
| | - Robert Pitts
- NYC Health + Hospitals/Bellevue, New York, NY, USA
- NYU Grossman School of Medicine, New York, NY, USA
| | - Andrew Wallach
- NYC Health + Hospitals/Bellevue, New York, NY, USA
- NYU Grossman School of Medicine, New York, NY, USA
| | - Marcia Wong
- New York City Department of Health and Mental Hygiene, New York, NY, USA
| | - Dana Mazo
- NYU Grossman School of Medicine, New York, NY, USA
- NYU Langone Health, New York, NY, USA
| | - Ofole Mgbako
- NYC Health + Hospitals/Bellevue, New York, NY, USA
- NYU Grossman School of Medicine, New York, NY, USA
- NYU Langone Health, New York, NY, USA
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3
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Mclaughlin SE, Kapadia F, Greene RE, Pitts R. Capturing missed HIV pre-exposure prophylaxis opportunities-sexually transmitted infection diagnoses in the emergency department. Int J STD AIDS 2021; 33:242-246. [PMID: 34879782 DOI: 10.1177/09564624211048671] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 11/17/2022]
Abstract
The United States Centers for Disease Control and Prevention (CDC) recommends HIV pre-exposure prophylaxis (PrEP) be considered for all patients diagnosed with a sexually transmitted infection (STI). Emergency departments (EDs) are an important site for diagnosis and treatment of STIs for under-served populations. Consequently, we identified 377 patients diagnosed with a bacterial sexually transmitted infection (gonorrhea, chlamydia, and/or syphilis) at a major New York City emergency department between 1/1/2014 and 7/30/2017 to examine associations between key sociodemographic characteristics and missed opportunities for PrEP provision. In this sample, 299 (79%) emergency department patients missed their medical follow-up 90 days after STI diagnosis, as recommended. Results from adjusted generalized estimating equation regression models indicate that patients >45 yo (aOR = 2.2, 95% CI 1.2-3.9) and those with a primary care provider in the hospital system (aOR = 6.8, 95% CI 3.8-12.0) were more likely to return for follow-up visits, whereas Black patients (aOR = 0.44, 95% CI 0.25-0.77) were less likely to return for follow-up visits. These findings indicate that lack of STI treatment follow-up visits are significantly missed opportunities for PrEP provision and comprehensive human immunodeficiency virus prevention care.
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Affiliation(s)
| | - Farzana Kapadia
- Department of Epidemiology, School of Global Public Health, New York University, New York, NY, USA
| | - Richard E Greene
- Department of Medicine, New York University Langone, New York, NY, USA
| | - Robert Pitts
- Department of Medicine, New York University Langone, New York, NY, USA
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4
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Kaplan-Lewis E, Banga J, Khan M, Casey E, Mazumdar M, Bratu S, Abdallah M, Pitts R, Leider J, Hennessey K, Cohen GM, Cleland CM, Salama C. HIV Diagnosis and the Clinical Course of COVID-19 Among Patients Seeking Care Within the New York City Public Hospital System During the Initial Pandemic Peak. AIDS Patient Care STDS 2021; 35:457-466. [PMID: 34780305 DOI: 10.1089/apc.2021.0124] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
Reports conflict on how HIV infection influences the clinical course of COVID-19. The New York City (NYC) public hospital system provides care for over 14,000 people with HIV, was central in responding to the COVID-19 pandemic, and is therefore in a unique position to evaluate the intersection of these concurrent infections. Retrospective chart review of patients presenting to NYC Health and Hospitals (NYC H+H) diagnosed with COVID-19 infection from March 1, 2020, through April 28, 2020, compared people living with HIV (PLWH) and a propensity-matched (PM) control group of patients without HIV to evaluate associations between HIV status and COVID-19 outcomes. Two hundred thirty-four PLWH presented for COVID-19 testing and 110 (47%) were diagnosed with COVID-19. Among 17,413 patients with COVID-19 and without HIV, 1:n nearest neighbor propensity score matching identified 194 patients matched on age, sex, race, and any comorbidity. In the sample with COVID-19 (N = 304), PLWH (9.1%) had lower rates of mortality than controls [19.1%; PM odds ratio (PM-OR): 0.41, 95% confidence interval (CI): 0.19-0.86]. Among hospitalized COVID-19 patients (N = 179), HIV infection was associated with lower rates of mechanical ventilation (PM-OR: 0.31, 95% CI: 0.11-0.84) and mortality (PM-OR: 0.40, 95% CI: 0. 17-0.95). In the extended pandemic period through April 2021, aggregate data by HIV status suggested elevated hospitalization and mortality rates in PLWH versus people without HIV. These results suggest that the direct biological impacts of the HIV virus do not negatively influence COVID-19-related outcomes when controlling for comorbidity and demographic variables.
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Affiliation(s)
- Emma Kaplan-Lewis
- Office of Ambulatory Care and Population Health, HIV Services, NYC Health and Hospitals, New York, New York, USA
| | - Jaspreet Banga
- Department of Medicine, NYC Health and Hospitals/Elmhurst, Elmhurst, New York, USA
| | - Maria Khan
- Department of Population Health, NYU Grossman School of Medicine, New York, New York, USA
| | - Eunice Casey
- Office of Ambulatory Care and Population Health, HIV Services, NYC Health and Hospitals, New York, New York, USA
| | - Medha Mazumdar
- Department of Population Health, NYU Grossman School of Medicine, New York, New York, USA
| | - Simona Bratu
- Division of Infectious Diseases, NYC Health and Hospitals/Harlem, New York, New York, USA
| | - Marie Abdallah
- Division of Infectious Diseases, NYC Health and Hospitals/Kings County, Brooklyn, New York, USA
| | - Robert Pitts
- Division of Infectious Diseases, NYC Health and Hospitals/Bellevue, New York, New York, USA
| | - Jason Leider
- Division of Infectious Diseases, NYC Health and Hospitals/Jacobi, Bronx, New York, USA
| | - Karen Hennessey
- Division of Infectious Diseases, NYC Health and Hospitals/Lincoln, Bronx, New York, USA
| | - Gabriel M. Cohen
- Division of Infectious Diseases, NYC Health and Hospitals/Bellevue, New York, New York, USA
| | - Charles M. Cleland
- Department of Population Health, NYU Grossman School of Medicine, New York, New York, USA
| | - Carlos Salama
- Division of Infectious Diseases, NYC Health and Hospitals/Elmhurst, Elmhurst, New York, USA
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Mathew R, Rangarajan V, Flueckiger P, Dinsfriend W, Crowder-Davis T, Terry S, Nelson K, Pitts R, DeMoss B, Krishnamoorthy A, Polsani V. Feasibility Of Prospective End-Systolic Gated Scanning To Assess For Cardiac Allograft Vasculopathy By Coronary Computed Tomography. J Cardiovasc Comput Tomogr 2021. [DOI: 10.1016/j.jcct.2021.06.196] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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6
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McMahon JD, Pitts R, Isbister J, Aslam-Pervez B, James A, McLellan D, Wright S, Wales CJ, McCaul J, Thomson E, Ansell MJ, Hislop WS, MacIver C, Devine JC, Carson E. Postoperative risk stratification in oral squamous cell carcinoma. Br J Oral Maxillofac Surg 2020; 58:462-468. [PMID: 32222310 DOI: 10.1016/j.bjoms.2020.02.026] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [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: 09/14/2019] [Accepted: 02/24/2020] [Indexed: 12/15/2022]
Abstract
Postoperative prognostic stratification using the Union for International Cancer Control (UICC) TNM 8th edition staging rules (UICC 8) may identify additional groups of patients who could benefit from adjuvant radiotherapy. Currently, selection for such treatment is not based on all known prognostic factors, and their relative importance may vary depending on the overall risk category. The objective of this study therefore was to evaluate these possibilities. We retrospectively studied 644 patients who had surgery with curative intent for oral squamous cell carcinoma (OSCC) between March 2006 and February 2017. The outcomes of interest were disease-specific survival (DSS) and locoregional recurrence (LRR). Patients were re-staged according to the UICC 8 staging rules. Putative clinical and pathological prognostic variables were evaluated and hazard ratios estimated. Regression analysis was done to identify independent prognostic factors, and iterative analyses identified clinically-relevant risk categories with a minimum of residual prognostic variables. The significance of recognised pathological prognostic factors differed according to the overall risk category. An intermediate risk group comprising patients with pN1 disease as well those with pT3 disease solely on the basis of a depth of invasion (DOI) of more than 10 mm, was identified. A trial to evaluate the benefit or otherwise of adjuvant radiotherapy in this group is now required. Individual prognostic risk factors should be considered within the context of the overall risk category in patients with OSCC.
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Affiliation(s)
- J D McMahon
- Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde Health Board.
| | - R Pitts
- Medical and Life Sciences Schools, University of Dundee.
| | | | | | - A James
- Beatson Oncology Centre, NHS Greater Glasgow and Clyde Health Board.
| | - D McLellan
- Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde Health Board.
| | - S Wright
- Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde Health Board.
| | - C J Wales
- Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde Health Board.
| | - J McCaul
- Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde Health Board.
| | | | - M J Ansell
- Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde Health Board.
| | - W S Hislop
- NHS Ayrshire and Arran Crosshouse Hospital.
| | - C MacIver
- Maxillofacial / Head and Neck Unit, Mafraq Hospital.
| | - J C Devine
- Maxillofacial / Head and Neck Unit, Mafraq Hospital.
| | - E Carson
- Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde Health Board.
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Pitts R, Holzman R, Greene R, Lam E, Carmody E, Braithwaite S. 1296. Potential use of Sexually Transmitted Infection (STI) Testing for Expanding HIV Pre-Exposure Prophylaxis (PrEP) at an Urban Hospital Center. Open Forum Infect Dis 2018. [PMCID: PMC6252872 DOI: 10.1093/ofid/ofy210.1129] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background Despite the high efficacy of PrEP, it continues to be underutilized. We examined the extent to which patients with a documented positive test for STIs were provided PrEP at an urban municipal medical center. Methods We reviewed data of all patients seen between January 1, 2014 and July 30, 2017 who were > 18 years old and had an initial HIV negative test and ≥1 positive test for Chlamydia, Gonorrhea, or Syphilis. We examined PrEP prescription data by gender, race/ethnicity, and clinic location. Differences between groups were compared using Chi-squared analysis and logistic regression. Results Of 1,142 initially HIV− patients who were identified as having a positive STI result, 52% were female, 89% either Black or Hispanic, with a median age of 40 years (quartiles 30, 47). 58% had Medicare/Medicaid and 34% were self-pay or uninsured (Table 1). Only 25 (2.1%) of 1,142 patients who had ≥1 STI test positive were prescribed PrEP. No women received PrEP. Whites (aOR: 21.7 [95% CI:4.4, 107, P < 0.001] and Hispanics (aOR:6.64 [95% CI:1.35, 32.8, P = 0.02] were both more likely to receive PrEP than Blacks, after adjusting for age, sex, marital status, and insurance. All PrEP prescriptions originated from the Medicine, Emergency, or HIV specialty clinics although most STI testing was obtained in Emergency and Obstetrical/Gynecological clinics (Table 2). Conclusion There were significant missed opportunities for HIV prevention among patients with STIs within the medical center, particularly among Hispanic and Black patients. Enrichment programs to educate providers and increase PrEP prescriptions may have a major impact on expanding HIV prevention, especially for women. ![]()
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Disclosures All authors: No reported disclosures.
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Affiliation(s)
- Robert Pitts
- Infectious Diseases, New York University, New York, New York
| | | | | | - Emily Lam
- Infectious Diseases, New York University, New York, New York
| | - Ellie Carmody
- Division of Infectious Diseases and Immunology, New York University School of Medicine, New York, New York
| | - Scott Braithwaite
- Department of Population Health, New York University, New York, New York
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8
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Ebinger J, Wiley B, Devendra G, Kazi D, Hsue P, Carroll C, Pitts R, Tseng Z, Barnett C. STIMULANT ASSOCIATED HEART FAILURE WITH METHAMPHETAMINE AND COCAINE USE: SURVIVAL AND RESOURCE UTILIZATION AT A SAFETY-NET HOSPITAL. J Am Coll Cardiol 2018. [DOI: 10.1016/s0735-1097(18)31331-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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9
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Martin A, Andrew P, Jokinen T, Komarov V, Kukushkin A, Loarte A, Maruyama S, Merola M, Palmer J, Pearce R, Pick M, Pitts R, Walker C. ITER Divertor System Integration. Fusion Science and Technology 2017. [DOI: 10.13182/fst09-a8877] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- A. Martin
- ITER Organization, St. Paul-lez-Durance, France, 13108
| | - P. Andrew
- ITER Organization, St. Paul-lez-Durance, France, 13108
| | - T. Jokinen
- ITER Organization, St. Paul-lez-Durance, France, 13108
| | - V. Komarov
- ITER Organization, St. Paul-lez-Durance, France, 13108
| | - A. Kukushkin
- ITER Organization, St. Paul-lez-Durance, France, 13108
| | - A. Loarte
- ITER Organization, St. Paul-lez-Durance, France, 13108
| | - S. Maruyama
- ITER Organization, St. Paul-lez-Durance, France, 13108
| | - M. Merola
- ITER Organization, St. Paul-lez-Durance, France, 13108
| | - J. Palmer
- ITER Organization, St. Paul-lez-Durance, France, 13108
| | - R. Pearce
- ITER Organization, St. Paul-lez-Durance, France, 13108
| | - M. Pick
- ITER Organization, St. Paul-lez-Durance, France, 13108
| | - R. Pitts
- ITER Organization, St. Paul-lez-Durance, France, 13108
| | - C. Walker
- ITER Organization, St. Paul-lez-Durance, France, 13108
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Hong SH, Kim KM, Song JH, Bang EN, Kim HT, Lee KS, Litnovsky A, Hellwig M, Seo DC, Lee HH, Kang CS, Lee HY, Hong JH, Bak JG, Kim HS, Juhn JW, Son SH, Kim HK, Douai D, Grisolia C, Wu J, Luo GN, Choe WH, Komm M, Van Den Berg M, De Temmerman G, Pitts R. Toward Tungsten Plasma-Facing Components in KSTAR: Research on Plasma-Metal Wall Interaction. Fusion Science and Technology 2017. [DOI: 10.13182/fst14-897] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- S.-H. Hong
- National Fusion Research Institute, 169-148 Gwahangno, Yusung-Gu, Daejeon, 305-333, Korea
- Hanyang University, Department of Electrical Engineering, Seoul, 133-791, Korea
- Korea University of Science and Technology, Department of Nuclear Fusion and Plasma Science Daejeon, 305-333, Korea
| | - K.-M. Kim
- National Fusion Research Institute, 169-148 Gwahangno, Yusung-Gu, Daejeon, 305-333, Korea
| | - J.-H. Song
- National Fusion Research Institute, 169-148 Gwahangno, Yusung-Gu, Daejeon, 305-333, Korea
| | - E.-N. Bang
- National Fusion Research Institute, 169-148 Gwahangno, Yusung-Gu, Daejeon, 305-333, Korea
| | - H.-T. Kim
- National Fusion Research Institute, 169-148 Gwahangno, Yusung-Gu, Daejeon, 305-333, Korea
| | - K.-S. Lee
- National Fusion Research Institute, 169-148 Gwahangno, Yusung-Gu, Daejeon, 305-333, Korea
| | - A. Litnovsky
- Forschungszentrum Jülich GmbH, Institut für Energie- und Klimaforschung - Plasmaphysik Partner of the Trilateral Euregio Cluster (TEC), 52425 Jülich, Germany
| | - M. Hellwig
- Forschungszentrum Jülich GmbH, Institut für Energie- und Klimaforschung - Plasmaphysik Partner of the Trilateral Euregio Cluster (TEC), 52425 Jülich, Germany
| | - D. C. Seo
- National Fusion Research Institute, 169-148 Gwahangno, Yusung-Gu, Daejeon, 305-333, Korea
| | - H. H. Lee
- National Fusion Research Institute, 169-148 Gwahangno, Yusung-Gu, Daejeon, 305-333, Korea
| | - C. S. Kang
- National Fusion Research Institute, 169-148 Gwahangno, Yusung-Gu, Daejeon, 305-333, Korea
| | - H.-Y. Lee
- National Fusion Research Institute, 169-148 Gwahangno, Yusung-Gu, Daejeon, 305-333, Korea
| | - J.-H. Hong
- Korea Advanced Institute of Science and Technology, Department of Physics Daejeon 305-701, Korea
| | - J. G. Bak
- National Fusion Research Institute, 169-148 Gwahangno, Yusung-Gu, Daejeon, 305-333, Korea
| | - H.-S. Kim
- National Fusion Research Institute, 169-148 Gwahangno, Yusung-Gu, Daejeon, 305-333, Korea
| | - J.-W. Juhn
- National Fusion Research Institute, 169-148 Gwahangno, Yusung-Gu, Daejeon, 305-333, Korea
| | - S.-H. Son
- National Fusion Research Institute, 169-148 Gwahangno, Yusung-Gu, Daejeon, 305-333, Korea
| | - H.-K. Kim
- National Fusion Research Institute, 169-148 Gwahangno, Yusung-Gu, Daejeon, 305-333, Korea
| | - D. Douai
- CEA, IRFM, Association Euratom-CEA, 13108 St Paul lez Durance, France
| | - C. Grisolia
- CEA, IRFM, Association Euratom-CEA, 13108 St Paul lez Durance, France
| | - J. Wu
- Chinese Academy of Sciences, Institute of Plasma Physics, Hefei, 230031, China
| | - G.-N. Luo
- Chinese Academy of Sciences, Institute of Plasma Physics, Hefei, 230031, China
| | - W.-H. Choe
- Korea Advanced Institute of Science and Technology, Department of Physics Daejeon 305-701, Korea
| | - M. Komm
- Institute of Plasma Physics AS CR, v.v.i., Za Slovankou 3, 182 00 Prague 8, Czech Republic
| | - M. Van Den Berg
- Dutch Institute for Fundamental Energy Research (DIFFER), Association EURATOM-FOM Trilateral Euregio Cluster, Postbus 1207, 3430BE, Nieuwegein, The Netherlands
| | - G. De Temmerman
- ITER Organization, Route de vinon sur verdon, 13115 Saint Paul lez Durance, France
| | - R. Pitts
- ITER Organization, Route de vinon sur verdon, 13115 Saint Paul lez Durance, France
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11
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Son S, Hong S, Kim J, Kim JY, Kim H, Ding F, Luo G, Németh J, Zoletnik S, Fenyvesi A, Pitts R. Multi-purpose mid-plane manipulator for plasma surface interaction research in KSTAR. Fusion Engineering and Design 2016. [DOI: 10.1016/j.fusengdes.2016.03.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Abstract
Pulmonary malignancies are a major source of morbidity and mortality in HIV-infected persons. Non-AIDS-defining lung cancers (mostly non-small cell lung cancers) are now a leading cause of cancer death among HIV-infected persons. HIV-associated factors appear to affect the risk of lung cancer and may adversely impact cancer treatment and outcomes. HIV infection also may modify the potential harms and benefits of lung cancer screening with computed tomography. AIDS-defining lung malignancies include pulmonary Kaposi sarcoma and pulmonary lymphoma, both of which are less prevalent with widespread adoption of antiretroviral therapy.
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Affiliation(s)
- Keith Sigel
- Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
| | - Robert Pitts
- Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
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13
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Benedict J, Pitts R, Christiansen E. The Impact of a Community-Based Effort to Promote Healthful Beverage Choices among Households Enrolled in the Supplemental Nutrition Assistance Program. J Acad Nutr Diet 2015. [DOI: 10.1016/j.jand.2015.06.358] [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: 11/28/2022]
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14
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Lamalle P, Beaumont B, Kazarian F, Gassmann T, Agarici G, Ajesh P, Alonzo T, Arambhadiya B, Argouarch A, Bamber R, Berger-By G, Bernard JM, Brun C, Carpentier S, Clairet F, Colas L, Courtois X, Davis A, Dechelle C, Doceul L, Dumortier P, Durodié F, Ferlay F, Firdaouss M, Fredd E, Giacalone JC, Goulding R, Greenough N, Grine D, Hancock D, Hari J, Hillairet J, Hosea J, Huygen S, Jacquinot J, Jacquot J, Kaye A, Keller D, Kyrytsya V, Lockley D, Louche F, Machchhar H, Manon E, Mantel N, Martin R, McCarthy M, Messiaen A, Meunier L, Milanesio D, Missirlian M, Mohan K, Mukherjee A, Nightingale M, Patadia D, Patel A, Perrollaz G, Peters B, Pitts R, Porton M, Rajnish K, Rasmussen D, Rathi D, Sanabria R, Sartori R, Shannon M, Simonetto A, Singh R, Suthar G, Swain D, Thomas P, Tigwell P, Trivedi R, Vervier M, Vrancken M, Wilson D, Winkler K. Status of the ITER Ion Cyclotron H&CD system. Fusion Engineering and Design 2013. [DOI: 10.1016/j.fusengdes.2012.11.027] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Lee J, Varghese V, Odeh WM, Qian Z, Pitts R, Rinehart S. Effectiveness of combined radiation dose reduction techniques in pulmonary vein anatomy imaging with 320-row computed tomography in a community based practice. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht310.p5345] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Pitts R, Varghese V, Bhatt K, Parag J, Qian Z, Odeh W, Lee J, Rinehart S, Miller J. Concordance and discordance between apolipoprotein B, LDL-C and Non-HDL-C in statin-treated subjects presenting with chest pain and elevated troponin. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht307.p702] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Pitts R, Bhatt K, Varghese V, Joshi P, Qian Z, Wassim O, Lee J, Rinehart S, Miller J. Apolipoprotein B predicts risk for acute coronary syndrome in patients with metabolic syndrome. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht309.p3097] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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18
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Landman I, Pestchanyi S, Igitkhanov Y, Pitts R. Modelling of wall and SOL processes and contamination of ITER plasma after impurity injection with the tokamak code TOKES. Fusion Engineering and Design 2010. [DOI: 10.1016/j.fusengdes.2010.03.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Yang Y, Maruyama S, Pitts R, Sugihara M, Li W, Jiang T, Li B. System requirements and design challenges of the gas injection system of ITER. Fusion Engineering and Design 2010. [DOI: 10.1016/j.fusengdes.2010.09.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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20
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Reichle R, Andrew P, Counsell G, Drevon JM, Encheva A, Janeschitz G, Johnson D, Kusama Y, Levesy B, Martin A, Pitcher CS, Pitts R, Thomas D, Vayakis G, Walsh M. Defining the infrared systems for ITER. Rev Sci Instrum 2010; 81:10E135. [PMID: 21033997 DOI: 10.1063/1.3491199] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
The International Thermonuclear Experimental Reactor will have wide angle viewing systems and a divertor thermography diagnostic, which shall provide infrared coverage of the divertor and large parts of the first wall surfaces with spatial and temporal resolution adequate for operational purposes and higher resolved details of the divertor and other areas for physics investigations. We propose specifications for each system such that they jointly respond to the requirements. Risk analysis driven priorities for future work concern mirror degradation, interfaces with other diagnostics, radiation damage to refractive optics, reflections, and the development of calibration and measurement methods for varying optical and thermal target properties.
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Affiliation(s)
- R Reichle
- ITER Organization, 13115 St. Paul-lez-Durance, France.
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Lee PI, Ciccone EJ, Read SW, Asher A, Pitts R, Douek DC, Brenchley JM, Sereti I. Evidence for translocation of microbial products in patients with idiopathic CD4 lymphocytopenia. J Infect Dis 2009; 199:1664-70. [PMID: 19432548 DOI: 10.1086/598953] [Citation(s) in RCA: 43] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Translocation of microbial products has been described in chronic human immunodeficiency virus (HIV) infection and correlates with activation of the immune system. We investigated the potential translocation of microbial products in idiopathic CD4 lymphocytopenia (ICL), a rare disorder characterized by low CD4 T cell counts in the absence of HIV infection. Plasma lipopolysaccharide (LPS) levels and T cell activation were measured in a cross-sectional cohort study of patients with ICL and HIV infection and healthy control subjects. Increases in CD4 T cell proliferation but not CD8 T cell proliferation were observed in patients with ICL. LPS levels were significantly elevated both in patients with ICL and in patients with HIV infection, and they were strongly correlated with the proportion of proliferating CD4 T cells in the cohort of patients with ICL (r = 0.88; P= .003). The proportions of T helper (Th) 17 and Th1 CD4 cells in peripheral blood were similar between patients with ICL, patients with HIV infection, and control subjects. These findings suggest a potential association of translocation of microbial products with perturbed CD4 T cell homeostasis in individuals with CD4 lymphopenic states other than HIV infection.
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Affiliation(s)
- Philip I Lee
- National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA
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Sauter O, Goodman T, Coda S, Henderson M, Hofmann F, Hogge JP, Peysson Y, Pietrzyk Z, Pitts R, Reimerdes H, Weisen H. Sustained fully non-inductive scenarios using pressure and current profile control with ECCD. Fusion Engineering and Design 2001. [DOI: 10.1016/s0920-3796(00)00507-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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24
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D'Angio B, Pitts R. This oncology patient could be in your ICU. Fla Nurse 1994; 42:2-3. [PMID: 7926155] [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: 01/27/2023]
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Rupprecht CE, Gilbert J, Pitts R, Marshall KR, Koprowski H. Evaluation of an inactivated rabies virus vaccine in domestic ferrets. J Am Vet Med Assoc 1990; 196:1614-6. [PMID: 2347753] [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: 12/31/2022]
Abstract
Efficacy of an SC-administered commercial inactivated vaccine for prevention of rabies was evaluated in domestic ferrets. Ferret immunity was challenged by the IM inoculation of street rabies virus. All ferrets developed titers of rabies virus-neutralizing antibodies within 30 days of vaccination (geometric mean titer [GMT] = 154, n = 41) that were maintained for at least one year (GMT = 106, n = 36), compared with no seroconversion in controls (GMT less than 5, n = 39). Following rabies virus challenge inoculation, 89% (32/36) of vaccinated ferrets survived vs less than 6% (2/38) survival in control ferrets. These results demonstrate the protective efficacy of a commercial, inactivated rabies vaccine of at least one year's duration for domestic ferrets.
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Affiliation(s)
- C E Rupprecht
- Wistar Institute of Anatomy and Biology, Philadelphia, PA 19104
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Abstract
Minimal pneumatization of the temporal bone is characteristic of otitis media. The classic radiographic assessment of mastoid air cell system size is the Runstrom II view, but the Law lateral view is the commonly used clinical view in the United States. Isolated temporal bone specimens are most accurately positioned using a modified Law lateral view (with the film perpendicular to the central X-ray beam). Computerized tomography is the best radiographic means of assessing mastoid pneumatization. The mathematical relationships of mastoid pneumatization size determined by the Runstrom II, Law, and modified Law lateral radiographs, and computerized tomography were determined in 30 adult cadaver specimens. These data may facilitate additional study of otitis media.
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Thompson K, Pitts R. Involving your staff in the decision-making process. Superv Manage 1979; 24:31-8. [PMID: 10324046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
According to the authors, a growing feeling of alienation among employees is a major problem in all organizations. The technique of Goal-Directed Group Support (GDGS) is suggested to improve communications and provide job enrichment. GDGS is based on weekly or biweekly group meetings to discuss progress and problems in the work environment. The role of the manager at the meetings is to help define problems and to find solutions. While group members are responsible for identifying and analyzing a variety of alternatives, the manager's task is to determine a course of action. Once the decision has been implemented, feedback should be provided to the group. The authors have found GDGS to be an excellent tool for resolving group conflict.
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