232 results on '"David A. Nix"'
Search Results
202. Distinctive chromatin of promoters for embryo development in sperm
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David A. Nix, Sue Hammoud, Brad R. Cairns, Haiying Zhang, Jahnvi Purwar, and Douglas T. Carrell
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Embryogenesis ,Promoter ,Cell Biology ,Biology ,Molecular Biology ,Sperm ,Developmental Biology ,Cell biology ,Chromatin - Published
- 2008
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203. [Untitled]
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David A. Nix and Michael B. Eisen
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Genetics ,Sequence analysis ,Applied Mathematics ,Sequence alignment ,Computational biology ,Gene Annotation ,Biology ,Biochemistry ,Dot plot (statistics) ,Computer Science Applications ,Conserved sequence ,Structural Biology ,Molecular Biology ,Alignment-free sequence analysis ,Sequence (medicine) ,Sequence Inversion - Abstract
Several problems exist with current methods used to align DNA sequences for comparative sequence analysis. Most dynamic programming algorithms assume that conserved sequence elements are collinear. This assumption appears valid when comparing orthologous protein coding sequences. Functional constraints on proteins provide strong selective pressure against sequence inversions, and minimize sequence duplications and feature shuffling. For non-coding sequences this collinearity assumption is often invalid. For example, enhancers contain clusters of transcription factor binding sites that change in number, orientation, and spacing during evolution yet the enhancer retains its activity. Dot plot analysis is often used to estimate non-coding sequence relatedness. Yet dot plots do not actually align sequences and thus cannot account well for base insertions or deletions. Moreover, they lack an adequate statistical framework for comparing sequence relatedness and are limited to pairwise comparisons. Lastly, dot plots and dynamic programming text outputs fail to provide an intuitive means for visualizing DNA alignments. To address some of these issues, we created a stand alone, platform independent, graphic alignment tool for comparative sequence analysis (GATA http://gata.sourceforge.net/ ). GATA uses the NCBI-BLASTN program and extensive post-processing to identify all small sub-alignments above a low cut-off score. These are graphed as two shaded boxes, one for each sequence, connected by a line using the coordinate system of their parent sequence. Shading and colour are used to indicate score and orientation. A variety of options exist for querying, modifying and retrieving conserved sequence elements. Extensive gene annotation can be added to both sequences using a standardized General Feature Format (GFF) file. GATA uses the NCBI-BLASTN program in conjunction with post-processing to exhaustively align two DNA sequences. It provides researchers with a fine-grained alignment and visualization tool aptly suited for non-coding, 0–200 kb, pairwise, sequence analysis. It functions independent of sequence feature ordering or orientation, and readily visualizes both large and small sequence inversions, duplications, and segment shuffling. Since the alignment is visual and does not contain gaps, gene annotation can be added to both sequences to create a thoroughly descriptive picture of DNA conservation that is well suited for comparative sequence analysis.
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- 2005
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204. Book Reviews for Vol. 68, Issue 4 SHEIN-CHUNG CHOW AND JEN-PEI LIU .Design and Analysis of Clinical Trials: Concepts and Methodologies, 2nd edition. Hoboken, NJ: John Wiley & Sons, Inc, 2003. xiii + 752 pp, $140 (hardcover). ISBN 0-471-24985-8. RAYMOND C. ROWE , PAUL J. SHESKEY , and PAUL J. WELLER .Handbook of Pharmaceutical Excipients,Fourth Edition. Washington DC: American Pharmaceutical Association, 2003. xxii + 776 pp, $299.95 (hardcover). ISBN 1-582-12022-6. ROSEMARY R. BERARDI , Editor.Handbook of Nonprescription Drugs: An Interactive Approach to Self-Care, 14th Edition. Washington, DC: American Pharmacists Association, 2004. xxii +1345pp, $144.95 (hardcover). ISBN 1582120501. DENNIS B. WORTHEN , Editor.Dictionary of Pharmacy. Binghamton, NY: The Haworth Press; 2004. 528 pages, $39.95 (softcover). ISBN 0-7890-2328-8. MICHAEL E. WINTER .Basic Clinical Pharmacokinetics, Fourth Edition. Baltimore, MD: Lippincott Williams & Wilkins, 2004. xii + 576 pp, 17 illus, $55.95 (softcover). ISBN 0-7817-4147-5. THOMAS S. SZASZ .Pharmacracy: Medicine and Politics in America. Westport, CT: Praeger, 2001. xx + 212 pp, $24.95 (hardcover). ISBN# 0-275-97196-1
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David E. Nix, William M. Kolling, Richard Finkel, J. Russell May, Robert S. Kidd, and Richard Henry Parrish
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General Medicine ,General Pharmacology, Toxicology and Pharmaceutics ,Education - Published
- 2004
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205. One Point of View: It's Time To Change the Financial Accounting Treatment of R&D Expenditures
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Paul E. Nix and David E. Nix
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Actuarial science ,business.industry ,Management of Technology and Innovation ,Strategy and Management ,General Engineering ,Economics ,Accounting ,Financial accounting ,business ,Discount points - Abstract
(1991). One Point of View: It's Time To Change the Financial Accounting Treatment of R&D Expenditures. Research-Technology Management: Vol. 34, No. 2, pp. 7-8.
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- 1991
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206. Stochastic word models for articulatorily constrained speech recognition and synthesis
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David A. Nix, John Hogden, Vincent L. Gracco, and Philip E. Rubin
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Speech production ,Sequence ,Acoustics and Ultrasonics ,Stochastic modelling ,Computer science ,Articulator ,Speech recognition ,Acoustic model ,Computer Science::Computation and Language (Computational Linguistics and Natural Language and Speech Processing) ,Speech synthesis ,computer.software_genre ,Arts and Humanities (miscellaneous) ,Computer Science::Sound ,Hidden Markov model ,computer ,Word (computer architecture) - Abstract
Stochastic word models based on hidden Markov modeling (HMM) techniques are commonly used for speech recognition and are increasingly being used for speech synthesis. An alternate technique for generating stochastic word models using Maximum Likelihood Continuity Mapping (MALCOM) will be presented. MALCOM generates a stochastic model of speech assuming (1) that speech sounds are periodically emitted as a point moves smoothly through a low‐dimensional space called a continuity map (CM), and (2) that the sound emitted at time t is a probabilistic function of the position of the point at time t. The assumptions underlying MALCOM are intended to mimic speech production in that (1) speech sounds are produced as the articulators move slowly through a low‐dimensional articulator space, and (2) the speech sound produced at time t is a function of the articulator positions at time t. A method for finding CM trajectories (analogous to articulator trajectories) corresponding to a known sequence of phonemes will be shown, and how to use these trajectories as word models for speech recognition and synthesis will be shown. A preliminary test of the theory will be presented in which articulator trajectories estimate given phoneme sequences and phoneme temporal positions are compared to measured articulator trajectories.
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- 1998
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207. CIPROFLOXACIN (CIPRO) CONCENTRATIONS IN LUNG TISSUE FOLLOWING A SINGLE 400 MG INTRAVENOUS DOSE
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Anita Shah, Allen H. Heller, Ross L. Guarino, David E. Nix, Linda G. Hejmanowski, and Mary C. Birmingham
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Intravenous dose ,Ciprofloxacin ,business.industry ,Medicine ,Pharmacology ,Critical Care and Intensive Care Medicine ,business ,Lung tissue ,medicine.drug - Published
- 1998
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208. Effect of Methylprednisolone (MP) on Endotoxin-Induced TNFα Production in Whole Blood
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S.L. Khaliq, W.J. Jusko, David E. Nix, and T. Kotas
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Pharmacology ,Methylprednisolone ,business.industry ,medicine ,Pharmacology (medical) ,Tumor necrosis factor alpha ,business ,Whole blood ,medicine.drug - Published
- 1996
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209. Three acoustically predictable factors underlying vowel tongue shapes
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David A. Nix and George Papcun
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medicine.anatomical_structure ,Acoustics and Ultrasonics ,Arts and Humanities (miscellaneous) ,Tongue ,Acoustics ,Speech recognition ,Vowel ,medicine ,Sound wave ,Vocal tract ,Mathematics - Abstract
To obtain a low‐dimensional, speaker‐independent parameterization of vowel tongue shapes, the three‐mode factor analysis procedure PARAFAC [Harshman et al., 693–707 (1977)] was applied to x‐ray microbeam tongue measurements of ten English vowels spoken by two male and two female subjects in seven different /CVC/ contexts. PARAFAC reliably extracts three speaker‐independent, nonorthogonal factors. The resulting speaker‐independent factor coefficients cluster by vowel in three‐dimensional articulatory space. In two‐dimensional projections, they qualitatively reflect the traditional vowel quality chart. A multi‐layer perception (neural network) independently corroborates this solution: these tongue shape coefficients are significantly more predictable from the corresponding acoustics than coefficients from either the nonorthogonal two‐factor solution or the orthogonally constrained three‐factor solution. These three factors also correspond qualitatively to the three nonorthogonal factors extracted from Icelandic x‐ray film vowel data [Jackson, 124–143 (1988)]. Thus the current English solution contradicts Jackson’s distinction (based on Harshman et al.’s two‐factor English vowel solution) between language‐independent and language‐specific vowel articulation primes. This low‐dimensional, potentially cross‐linguistic representation could benefit speech recognition, coding, or synthesis applications in which an acoustically correlated vowel tongue shape parameterization is required.
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- 1995
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210. Cost-effectiveness of linezolid and vancomycin in the treatment of surgical site infections.
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Asad E. Patanwala, Brian L. Erstad, and David E. Nix
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COST effectiveness ,VANCOMYCIN ,ANTIBACTERIAL agents ,SURGICAL site infections ,METHICILLIN resistance - Abstract
Objective: This decision-analytic study was intended to determine the expected cost-effectiveness of linezolid compared to vancomycin for treating surgical site infections (SSIs) caused by methicillin-resistant Staphyloccocus aureus (MRSA) from the perspective of a tertiary-care academic medical center.Research Design and Methods: This study is a cost-effectiveness analysis based on a modeling approach for the treatment of MRSA SSIs. Three clinical scenarios were considered in the decision analysis: (1) treatment with intravenous (IV) vancomycin during hospitalization and after discharge with home-care follow-up; (2) treatment with IV vancomycin during hospitalization, followed by oral linezolid after discharge; (3) treatment with oral linezolid during hospitalization and after discharge. Cost data was obtained from internal and external sources. Cure rate probabilities for MRSA SSIs were obtained from records at the medical center and from results of a randomized, multicenter trial. Healthcare costs for each scenario were obtained from the medical center, healthcare buying groups, and national databases. The robustness of the baseline cost-effectiveness determination was evaluated using sensitivity analyses over a broad range of costs and probabilities.Results: Treatment with oral linezolid during hospitalization and after discharge (scenario 3) was associated with lower costs ($8923, $11 479, and $12 481, respectively) and greater effectiveness (0.867, 0.787, and 0.707, respectively) compared to the IV vancomycin/oral linezolid switch (scenario 2) and IV vancomycin (scenario 1), so it dominated the latter options in the base-case, incremental cost-effectiveness analysis ($10 292, $14 486, and $17 653 per MRSA SSI cure, respectively). Furthermore, the sensitivity analysis demonstrated that the IV vancomycin/oral linezolid (scenario 2) option would be the expected cost-effective choice only if the length of hospitalization for this scenario was less than 6 days or if the probability of cure with oral linezolid (scenario 3) was less than or equal to 0.72; otherwise, the oral linezolid option was dominant. A major limitation of this study is the utilization of probability estimates from both institutional and published research sources. Additionally, the success rates for linezolid were obtained from one relatively small randomized, open-label trial.Conclusions: Using decision-analytic modeling, treatment with oral linezolid during hospitalization and after discharge is expected to be the most cost-effective approach for treating SSIs caused by MRSA. [ABSTRACT FROM AUTHOR]
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- 2007
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211. The Effect of Sucralfate Pretreatment on the Pharmacokinetics of Ciprofloxacin
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Denise L. Rescott, William A. Watson, Lanae Handy, R. Wayne Frost, Harvey R. Goldstein, and David E. Nix
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Adult ,Male ,Premedication ,Sucralfate ,Biological Availability ,Urine ,Pharmacology ,Random Allocation ,Pharmacokinetics ,Ciprofloxacin ,medicine ,Humans ,Pharmacology (medical) ,Chromatography, High Pressure Liquid ,business.industry ,Area under the curve ,biochemical phenomena, metabolism, and nutrition ,bacterial infections and mycoses ,Crossover study ,Bioavailability ,Drug Therapy, Combination ,business ,medicine.drug - Abstract
Based on the results of our study of norfloxacin-sucralfate coadministration, we suspected that sucralfate would interact also with ciprofloxacin if the drugs were administered concurrently. Therefore, we decided to give a 1-g dose of sucralfate at 6 and 2 hours before a single 750-mg dose of ciprofloxacin and evaluate its effect on the bioavailability of ciprofloxacin. Twelve healthy, male volunteers received ciprofloxacin alone and with sucralfate pretreatment in a randomized, balanced, crossover design. Blood and urine samples were collected over 24 hours after ciprofloxacin administration, and drug concentrations were assayed by high-performance liquid chromatography. When sucralfate was given at 6 and 2 hours before ciprofloxacin, an average 30% decrease in ciprofloxacin's bioavailability was noted (p less than 0.05). Four of the 12 subjects, however, had decreases in the agent's area under the curve of more than 50% with sucralfate pretreatment. The results of this study suggest that ciprofloxacin and sucralfate should not be administered concurrently until a dosing interval is found that will avoid this potential interaction.
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- 1989
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212. Cephalosporins for prophylaxis in operative repair of femoral fractures. Levels in serum, muscle, and hematoma
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David E. Nix, N A Bhatti, Saunders Jones Jr., and Joseph T. DiPiro
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medicine.medical_specialty ,medicine.drug_class ,business.industry ,medicine.medical_treatment ,Antibiotics ,Cephalosporin ,Cefazolin ,General Medicine ,bacterial infections and mycoses ,medicine.disease ,Surgery ,Hematoma ,Anesthesia ,polycyclic compounds ,medicine ,Internal fixation ,Orthopedics and Sports Medicine ,Femur ,Cefoxitin ,Cefamandole ,business ,medicine.drug - Abstract
We conducted a prospective controlled study of thirty patients who had an open reduction with internal fixation of a closed fracture of the femur. Each patient received cefamandole, cefazolin, or cefoxitin intravenously (twenty-five milligrams per kilogram of body weight) on entry into the operating room. Intraoperatively, samples of blood, muscle, and organizing hematoma were collected for determination of levels of the antimicrobial agent. Throughout the operation, cefazolin was shown to result in significantly higher levels in serum. The mean concentrations in muscle were similar for all three drugs, but the levels in the hematoma were twice as high with cefazolin as with cefamandole or cefoxitin. No correlation was evident between the concentration of any of these antibiotics in the hematoma and the interval between injury and operation.
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- 1985
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213. 'My Hospital is Different'
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Ralph F. Catalanello and David E. Nix
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Health Facility Size ,Text mining ,Hospital Administration ,business.industry ,medicine ,General Medicine ,Medical emergency ,medicine.disease ,business ,Psychology ,United States ,Health administration - Published
- 1977
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214. Comparison of two methods for determining in vitro postantibiotic effects of three antibiotics on Escherichia coli
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Jerome J. Schentag, D L Rescott, P Holden, and David E. Nix
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Time Factors ,animal structures ,medicine.drug_class ,Antibiotics ,Microbial Sensitivity Tests ,medicine.disease_cause ,Minimum inhibitory concentration ,Ciprofloxacin ,Ampicillin ,Escherichia coli ,medicine ,Tobramycin ,Pharmacology (medical) ,Pharmacology ,Chromatography ,biology ,Liter ,biology.organism_classification ,Enterobacteriaceae ,Infectious Diseases ,Spectrophotometry ,Research Article ,medicine.drug - Abstract
The postantibiotic effect (PAE) for 10 isolates of Escherichia coli was measured by two methods after 1 h of exposure to ampicillin, ciprofloxacin, or tobramycin. The reference method involved serial colony counting to determine growth after antibiotic exposure in relation to control growth. A spectrophotometric procedure was developed with the Abbott MS-2 research system. This method measured the time to detection of growth after exposure and compared this with the time for growth detection in control chambers having the same initial colony count. A reference curve of time to growth versus log initial CFU per milliliter was used to standardize control growth. PAE was determined after exposure to antibiotic at two and six times the MIC and with inocula ranging from 10(3) to 10(9) CFU/ml. There was a statistically significant correlation between PAE measured by the spectrophotometric and the reference methods, and the residuals about the regression line were normally distributed. The mean PAE determined by both methods was statistically different for tobramycin-exposed, but not for ampicillin- or ciprofloxacin-exposed, organisms. There was a concentration-dependent PAE for ciprofloxacin and tobramycin. The PAEs for ciprofloxacin (151 min) and tobramycin (108 min) at concentrations six times the MIC were prolonged compared with those measured at two times the MIC (69 and 66 min, respectively). PAE was inversely related to the exposed inoculum for ciprofloxacin and tobramycin. The PAE for E. coli exposed to ampicillin was minimal and was not affected by either concentration or inoculum. The MS-2 method for determining PAE yields similar results, but is less laborious than the reference method.
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- 1988
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215. Effect of multiple dose oral ciprofloxacin on the pharmacokinetics of theophylline and indocyanine green
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Mary A. Whitbread, David E. Nix, Joseph M. Devito, and Jerome J. Schentag
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Indocyanine Green ,Male ,Microbiology (medical) ,medicine.drug_class ,Administration, Oral ,Pharmacology ,Random Allocation ,chemistry.chemical_compound ,Theophylline ,Pharmacokinetics ,Ciprofloxacin ,Oral administration ,Bronchodilator ,medicine ,Humans ,Drug Interactions ,Pharmacology (medical) ,Antibacterial agent ,Volume of distribution ,business.industry ,Drug interaction ,Kinetics ,Infectious Diseases ,chemistry ,Anesthesia ,Regression Analysis ,business ,Indocyanine green ,Half-Life ,medicine.drug - Abstract
Interaction between ciprofloxacin and theophylline was studied in eight male volunteers, who were randomly divided into two groups. All subjects were given intravenous theophylline and indocyanine green (ICG) on study days 0, 7 and 14. Group I subjects received ciprofloxacin 750 mg orally every 12 h on days 1-7. Group II subjects received ciprofloxacin 750 mg every 12 h on days 6-14. No significant changes in ICG clearance or half-life were noted. A significant increase in theophylline half-life and volume of distribution was observed (P less than 0.05); however, clearance was not significantly decreased (P = 0.1). A potentially clinically significant interaction was detected in three subjects whose theophylline clearance decreased by 42-113%. Until further clinical experience is gained, we advise caution when these agents are coadministered. Some adjustment in theophylline dosage may be required; therefore, these patients should have serum theophylline concentration measurements and careful clinical assessment for theophylline toxicity.
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- 1987
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216. A Common Framework in Accounting Curricula: AACSB vs. Non-AACSB Accredited Business Schools
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Paul E. Nix, James R. Hemingway, Melvin L. McFetridge, and David E. Nix
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Business education ,Postsecondary education ,Educational quality ,Pedagogy ,Business, Management and Accounting (miscellaneous) ,School size ,Common framework ,Business ,Curriculum ,Education ,Accreditation - Published
- 1986
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217. Cephalosporins for Surgical Prophylaxis
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David E. Nix, Talmadge A. Bowden, Joseph T. DiPiro, and J.J. Vallner
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Ceforanide ,Time Factors ,business.industry ,Premedication ,Cefonicid ,Cefazolin ,General Medicine ,Anesthesia, General ,Models, Biological ,Cephalosporins ,Surgical prophylaxis ,Anesthesia ,medicine ,Humans ,Cefamandole ,business ,Cefuroxime ,Cephapirin ,Half-Life ,medicine.drug - Abstract
Cephalosporin antibiotics are the most frequently used agents for surgical prophylaxis. Within this class are considerable pharmacokinetic variations that could have significant implications. We used a computer simulation of cephalosporin serum levels to describe concentrations achieved and maintained intraoperatively when the agents are given intravenously "on call" to the operating room or with induction of anesthesia. Intraoperative serum concentrations fall below 1 microgram/ml if an operation lasts longer than 2.3, 2.7, 3.8, or 4.0 hours when cephalothin, cephapirin, cefamandole, or cefoxitin, respectively, is given in usual doses upon induction of anesthesia. When the same agents are given intravenously on call to the operating room, intraoperative serum concentrations fall below 1 microgram/ml for operations lasting longer than 1.1, 1.5, 2.6, or 2.8 hours, respectively. If cephalothin, cephapirin, cefamandole, or cefoxitin is used, it should be given at induction of anesthesia to provide maximal intraoperative serum concentrations. The longer half-life of cefazolin, ceforanide, cefonicid, and cefuroxime is a potential advantage because serum concentrations of these agents are well above 1 microgram/ml for as long as eight to 22 hours even after on-call administration.
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- 1985
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218. The effect of renal impairment and haemodialysis on single dose pharmacokinetics of oral enoxacin
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Robert W. Schultz, D. J. Thomas, R. W. Frost, Jerome J. Schentag, David E. Nix, A. J. Sedman, and A. W. Kinkel
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Adult ,Enoxacin ,Male ,Microbiology (medical) ,medicine.medical_specialty ,Metabolite ,medicine.medical_treatment ,Urology ,Administration, Oral ,Renal function ,Urine ,Pharmacology ,PAH clearance ,chemistry.chemical_compound ,Anti-Infective Agents ,Pharmacokinetics ,Renal Dialysis ,medicine ,Humans ,Pharmacology (medical) ,Naphthyridines ,Chromatography, High Pressure Liquid ,Aged ,Creatinine ,business.industry ,Middle Aged ,Infectious Diseases ,chemistry ,Regression Analysis ,Female ,Kidney Diseases ,Hemodialysis ,business ,Blood Flow Velocity ,Mathematics ,Half-Life ,medicine.drug - Abstract
The effect of renal impairment on the single dose pharmacokinetics of oral enoxacin was studied in 28 volunteers with creatinine clearances ranging from less than 15 to 120 ml/min, including patients undergoing chronic haemodialysis. Following an overnight fast, 400 mg of enoxacin was administered orally to each subject. Blood and urine samples were collected at predetermined times for 48 and 72 h, respectively. Plasma and urine samples were assayed for enoxacin and for oxo metabolite concentrations by a specific high performance liquid chromatographic method. Area under the concentration-time curve from time 0 to infinity (AUC0-infinity) was increased in subjects with renal impairment. Plasma half-life (10.6-11.6 h) in volunteers with severe renal impairment was approximately double the 5.2 h half-life found in subjects with normal renal function, and this should result in steady-state enoxacin concentrations approximately double those measured in normal subjects given equivalent doses. Haemodialysis did not remove significant amounts of enoxacin. A significant correlation between creatinine clearance and enoxacin renal clearance was observed (r = 0.97).
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- 1988
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219. The Quinolones: An Overview and Comparative Appraisal of Their Pharmacokinetics and Pharmacodynamics
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David E. Nix and Jerome J. Schentag
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Pharmacology ,Anti-Infective Agents ,Pharmacokinetics ,business.industry ,Quinolines ,Animals ,Humans ,Medicine ,Pharmacology (medical) ,business ,Antibacterial agent - Published
- 1988
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220. Effects of presaturation on nitroglycerin delivery by polyvinyl chloride infusion sets
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William N. Tharpe, David E. Nix, and George E. Francisco
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Pharmacology ,Polyvinyl chloride ,chemistry.chemical_compound ,Adsorption ,Materials science ,chemistry ,Health Policy ,Anesthesia ,medicine ,Absorption (chemistry) ,Nitroglycerin ,medicine.drug ,Nuclear chemistry - Published
- 1984
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221. Effect of oral antacid administration on the pharmacokinetics of intravenous doxycycline
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Jerome J. Schentag, V X Nguyen, David E. Nix, and S Gillikin
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Adult ,Male ,Adolescent ,medicine.medical_treatment ,Aluminum Hydroxide ,Pharmacology ,Models, Biological ,Doxycycline Hyclate ,Pharmacokinetics ,Antacid ,Oral administration ,medicine ,Humans ,Drug Interactions ,Pharmacology (medical) ,Infusions, Intravenous ,Antibacterial agent ,Volume of distribution ,Doxycycline ,business.industry ,Crossover study ,Infectious Diseases ,Antacids ,business ,Research Article ,medicine.drug - Abstract
The effect of oral antacid administration on the pharmacokinetics of intravenous doxycycline was studied. In a randomized crossover design, six healthy male volunteers received an infusion of 200 mg of doxycycline hyclate on two occasions separated by 7 days. On one occasion, subjects were given 30 ml of aluminum hydroxide orally four times a day for 4 days, beginning 2 days prior to doxycycline dosing. Blood and urine samples were collected up to 48 and 96 h after the infusion, respectively, and were analyzed by a microbial assay. Values for volume of distribution at steady state, nonrenal clearance, urine recovery, and urine pH were not statistically different among treatment groups. With concomitant antacid therapy, the half-life of intravenous doxycycline was shortened from 16.2 +/- 2.6 to 11.2 +/- 1.2 h (P = 0.003), and total body clearance increased from 37.4 +/- 6.5 to 54.1 +/- 12.3 ml/min (P = 0.008). Area under the concentration-time curve for serum was decreased by 18 to 44%, with a 22 to 41% increase in renal clearance. Although the increase in nonrenal clearance ranged from 11 to 128%, the high variability led to a nonsignificant difference (P = 0.07). Concomitant oral antacid therapy may significantly enhance the clearance of intravenous doxycycline.
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- 1989
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222. Sucralfate reduces the gastrointestinal absorption of norfloxacin
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H R Goldstein, David E. Nix, L G Hejmanowski, J H Wilton, Jerome J. Schentag, and S H Parpia
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Adult ,Male ,Adolescent ,Sucralfate ,Administration, Oral ,Biological Availability ,Urine ,Pharmacology ,Intestinal absorption ,Random Allocation ,Pharmacokinetics ,Intestinal mucosa ,Blood plasma ,medicine ,Humans ,Pharmacology (medical) ,heterocyclic compounds ,Drug Interactions ,Intestinal Mucosa ,Norfloxacin ,Chemistry ,biochemical phenomena, metabolism, and nutrition ,Bioavailability ,Infectious Diseases ,Intestinal Absorption ,bacteria ,medicine.drug ,Research Article - Abstract
The effect of sucralfate on the bioavailability of norfloxacin after single 400-mg doses of norfloxacin was evaluated in eight healthy males. Subjects received each of the following treatments in random sequence: (i), norfloxacin, 400 mg alone; (ii) sucralfate, 1 g, concurrently with norfloxacin, 400 mg; and (iii) sucralfate, 1 g, followed by norfloxacin, 400 mg, 2 h later. One day before administration of treatments 2 and 3, 1 g of sucralfate was given at 7 a.m., 11 a.m., 5 p.m., and 10 p.m. Blood samples were collected immediately before the norfloxacin dose and at 0.25, 0.5, 0.75, 1.0, 1.5, 2, 3, 4, 6, 8, 12, and 24 h postdose. Urine was collected in divided intervals: from 0 to 12, from 12 to 24, and from 24 to 48 h. Norfloxacin concentrations in plasma and urine were determined by high-performance liquid chromatography. Mean area under the plasma concentration-versus-time curve extrapolated to infinity decreased significantly (P less than 0.001) after norfloxacin was given with and 2 h after sucralfate. The relative bioavailabilities were 1.8% when norfloxacin was taken with sucralfate and 56.6% when it was taken 2 h after sucralfate. After norfloxacin was given alone, the mean norfloxacin concentrations in urine collected during intervals of 0 to 12, 12 to 24, and 24 to 28 h were 118.9 +/- 72.3, 18.8 +/- 12.5, and 2.4 +/- 2.2 micrograms/ml, respectively. After norfloxacin was given with sucralfate, however, the mean norfloxacin concentrations in urine collected during the same time intervals were 6.8 +/- 4.7, 1.8 +/- 1.4, and 0 +/- 0 microgram/ml, respectively. Because of low pH and relatively high magnesium concentration in urine, susceptibilities of bacteria in urine are 8- to 32-fold lower than in broth. This fact, in combination with the reduced bioavailability of norfloxacin in the presence of sucralfate or antacids, is likely to result in treatment failure. The effect of sucralfate given after norfloxacin was not examined, nor was the effect of sucralfate given more than 2 h before norfloxacin. Administration or norfloxacin with sucralfate should therefore by avoided.
- Published
- 1989
223. Effects of aluminum and magnesium antacids and ranitidine on the absorption of ciprofloxacin
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John T. Lettieri, Harvey R. Goldstein, William A. Watson, Michelle E. Lener, Jerome J. Schentag, David E. Nix, R. Wayne Frost, and George Krol
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Adult ,Male ,Magnesium Hydroxide ,medicine.medical_treatment ,Biological Availability ,Aluminum Hydroxide ,Pharmacology ,Ranitidine ,Intestinal absorption ,Random Allocation ,Pharmacokinetics ,Oral administration ,Antacid ,Ciprofloxacin ,medicine ,Humans ,Pharmacology (medical) ,Magnesium ,Antibacterial agent ,Molecular Structure ,Chemistry ,biochemical phenomena, metabolism, and nutrition ,Middle Aged ,bacterial infections and mycoses ,Bioavailability ,Drug Combinations ,Intestinal Absorption ,Anesthesia ,Antacids ,medicine.drug - Abstract
The effect of an antacid (Maalox) and ranitidine administration on the absorption of ciprofloxacin was evaluated in healthy male volunteers who were enrolled in three separate studies. Each study was designed at a three- or four-period crossover and included the administration of 750 mg ciprofloxacin alone as a control treatment. Treatments that were evaluated included the administration of ciprofloxacin 5 to 10 minutes, 2 hours, 4 hours, and 6 hours after a single 30 ml dose of antacid; the administration of antacid 2 hours after ciprofloxacin was given; and the administration of ciprofloxacin 2 hours after a 200 mg ranitidine tablet. Administration of antacid within 4 hours before ciprofloxacin dose resulted in a significant decrease in ciprofloxacin absorption (p less than 0.05). Percentages of relative bioavailability compared with control values were 15.1%, 23.2%, and 70% for the 5 to 10 minute, 2 hour, and 4 hour antacid pretreatments, respectively. Administration of antacid 6 hours before or 2 hours after the ciprofloxacin dose did not affect absorption. Ranitidine did not alter ciprofloxacin absorption. Antacids that contain magnesium and aluminum salts may reduce the absorption of ciprofloxacin. The extent of this interaction appears to increase as the time between administration of the two drugs decreases. Ranitidine is suggested as an alternative to antacids for patients receiving treatment with ciprofloxacin.
- Published
- 1989
224. Effect of lomefloxacin on theophylline pharmacokinetics
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David E. Nix, Jerome J. Schentag, and A Norman
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Adult ,Male ,Pharmacology ,Quinolones ,Immunoenzyme Techniques ,Pharmacokinetics ,Anti-Infective Agents ,Theophylline ,Oral administration ,medicine ,Humans ,Pharmacology (medical) ,Drug Interactions ,Antibacterial agent ,4-Quinolones ,Chemistry ,Half-life ,Drug interaction ,Infectious Diseases ,Lomefloxacin ,Aminophylline ,medicine.drug ,Fluoroquinolones ,Half-Life ,Research Article - Abstract
A study involving 25 health male volunteers was conducted to evaluate the effect of lomefloxacin on the pharmacokinetics of theophylline. The mean age was 22.4 +/- 3.0 years, and the mean weight was 77.3 +/- 7.7 kg. A single 6-mg/kg aminophylline dose was given intravenously on study days 1 and 15. The subjects received a 400-mg lomefloxacin dose (four 100-mg capsules) on study days 9 through 15. No treatment was given on study days 2 through 8. Thirteen blood samples were collected within 24 h after each aminophylline dose. Theophylline concentrations in serum were measured by enzyme immunoassay (EMIT). The mean aminophylline dose was 437 +/- 36 mg, equivalent to 344 mg of theophylline. Multiple doses of lomefloxacin had no effect on the area under the concentration-time curve from 0 h to infinity, maximal concentration, or clearance of theophylline from serum. There was a slight increase in the theophylline half-life from 6.72 +/- 1.63 to 7.02 +/- 1.37 h after lomefloxacin dosing (P = 0.04); however, the change was clinically insignificant. No change in theophylline dose is required when lomefloxacin therapy is instituted in a patient receiving theophylline.
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- 1989
225. Correction: Transcription Factors Bind Thousands of Active and Inactive Regions in the Drosophila Blastoderm
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Susan E. Celniker, Nobuo Ogawa, Thomas R. Gingeras, Richard Bourgon, Aaron Hechmer, Venky N. Iyer, Mark D. Biggin, Xiao-Yong Li, William Inwood, Richard Weiszmann, David W. Knowles, Daniel A. Pollard, Cris L. Luengo Hendriks, Victor Sementchenko, Lisa Simirenko, Mark Stapleton, Stewart MacArthur, Hou Cheng Chu, Terence P. Speed, David A. Nix, Michael B. Eisen, and Amy Beaton
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chemistry.chemical_classification ,Genetics ,General Immunology and Microbiology ,biology ,medicine.drug_class ,QH301-705.5 ,General Neuroscience ,C-terminus ,Correction ,RNA polymerase II ,biology.organism_classification ,Monoclonal antibody ,Biochemistry ,General Biochemistry, Genetics and Molecular Biology ,Cell biology ,Enzyme ,chemistry ,biology.protein ,medicine ,Phosphorylation ,Drosophila (subgenus) ,Biology (General) ,General Agricultural and Biological Sciences ,Blastoderm ,Transcription factor - Abstract
Correction for: Li Xy, MacArthur S, Bourgon R, Nix D, Pollard DA, et al. (2008) Transcription factors bind thousands of active and inactive regions in the Drosophila blastoderm. PLoS Biol 6(2): e27. doi:10.1371/journal.pbio.0060027 The information in Table 1 for RNA polymerase II was incorrectly given for the form of the enzyme unphosphorylated at the C-terminal tail, which is recognized by the 8WG16 monoclonal antibody. The corrected version of the Table below gives the intended information for the enzyme phosphorylated at the C terminus, which is recognized by the H14 monoclonal antibody. Table 1 Number of Regions Bound by Transcription Factors
226. 60Co Therapy as an 'Allergic Breakthrough' in a Case of Food Allergy
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Joseph M. Devito, David E. Nix, and Jerome J. Schentag
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Ranitidine ,medicine.medical_specialty ,business.industry ,Internal medicine ,medicine ,General Medicine ,business ,Gastroenterology ,medicine.drug - Published
- 1984
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227. Ciprofloxacin Product Information Monograph: Compendium of Preclinical and Clinical Data
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David E. Nix
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Ciprofloxacin ,medicine.medical_specialty ,business.industry ,medicine ,Pharmaceutical Science ,Medical physics ,Product (category theory) ,Pharmacology ,business ,Compendium ,medicine.drug - Published
- 1989
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228. Evaluation of Intravenous Ciprofloxacin in Patients With Nosocomial Lower Respiratory Tract Infections
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Mark F. Sands, Jerome J. Schentag, David E. Nix, Charles A. Peloquin, and Thomas J. Cumbo
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medicine.medical_specialty ,Respiratory tract infections ,medicine.drug_class ,business.industry ,Pseudomonas aeruginosa ,Antibiotics ,medicine.disease ,medicine.disease_cause ,Gastroenterology ,Microbiology ,Haemophilus influenzae ,Ciprofloxacin ,Pneumonia ,Minimum inhibitory concentration ,Internal medicine ,Internal Medicine ,medicine ,Sputum ,medicine.symptom ,business ,medicine.drug - Abstract
• Fifty patients with gram-negative lower respiratory tract infections were treated with intravenous ciprofloxacin to evaluate efficacy and safety. Relationships between individual pharmacokinetics and clinical and bacteriologic outcome were studied. Ciprofloxacin concentrations in plasma were determined by high-performance liquid chromatography. Respiratory secretion cultures were obtained daily to determine the eradication day of the infecting organism. Susceptibility (minimum inhibitory concentration) to ciprofloxacin and other antimicrobials was determined using standard microdilution techniques. The mean age of the patients was 70 years. They had multiple underlying diseases, and two thirds of them were ventilator dependent at entry. Approximately 50% of the patients had failed previous treatment for the same infections. Patients infected with Enterobacteriaceae or Haemophilus influenzae with minimum inhibitory concentrations of less than 0.25 mg/L responded well to intravenous ciprofloxacin therapy (200 mg every 12 hours). The organisms were eradicated from sputum cultures usually within 1 day after ciprofloxacin therapy was started. Most clinical failures occurred in patients who were infected with Pseudomonas aeruginosa and had multiple underlying diseases. Pseudomonas aeruginosa was isolated from 10 patients with pneumonia, 2 patients with lung abscess, and 1 patient with bronchiectasis. The Pseudomonas isolate acquired resistance during ciprofloxacin treatment in 7 patients with pneumonia and in all of the remaining 3 patients. We conclude that ciprofloxacin is safe and effective at a dosage of 200 mg administered intravenously every 12 hours for nosocomial lower respiratory tract infections caused by Enterobacteriaceae or Haemophilus species. Many patients who had failed previous antibiotic treatment for Enterobacteriaceae infections had good clinical response to ciprofloxacin therapy. Studies using either higher dosages of ciprofloxacin or combination therapy should be conducted to determine if acquired resistance can be avoided in Pseudomonas infections. ( Arch Intern Med . 1989;149:2269-2273)
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- 1989
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229. Next generation tools for genomic data generation, distribution, and visualization
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Brian Dalley, Samir J Courdy, David A. Nix, Kevin S Quinn, Robert M Cundick, Tonya L Di Sera, and Brett Milash
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Microarray ,Java ,Databases, Factual ,Computer science ,Interface (Java) ,Relational database ,Genomics ,lcsh:Computer applications to medicine. Medical informatics ,Genome ,Biochemistry ,DNA sequencing ,World Wide Web ,User-Computer Interface ,Structural Biology ,Integrated Genome Browser ,Computer Graphics ,lcsh:QH301-705.5 ,Protocol (object-oriented programming) ,Molecular Biology ,Graphical user interface ,computer.programming_language ,Internet ,business.industry ,Applied Mathematics ,Computer Science Applications ,lcsh:Biology (General) ,Data exchange ,lcsh:R858-859.7 ,DNA microarray ,business ,computer ,Software - Abstract
With the rapidly falling cost and availability of high throughput sequencing and microarray technologies, the bottleneck for effectively using genomic analysis in the laboratory and clinic is shifting to one of effectively managing, analyzing, and sharing genomic data. Here we present three open-source, platform independent, software tools for generating, analyzing, distributing, and visualizing genomic data. These include a next generation sequencing/microarray LIMS and analysis project center (GNomEx); an application for annotating and programmatically distributing genomic data using the community vetted DAS/2 data exchange protocol (GenoPub); and a standalone Java Swing application (GWrap) that makes cutting edge command line analysis tools available to those who prefer graphical user interfaces. Both GNomEx and GenoPub use the rich client Flex/Flash web browser interface to interact with Java classes and a relational database on a remote server. Both employ a public-private user-group security model enabling controlled distribution of patient and unpublished data alongside public resources. As such, they function as genomic data repositories that can be accessed manually or programmatically through DAS/2-enabled client applications such as the Integrated Genome Browser. These tools have gained wide use in our core facilities, research laboratories and clinics and are freely available for non-profit use. See http://sourceforge.net/projects/gnomex/ , http://sourceforge.net/projects/genoviz/ , and http://sourceforge.net/projects/useq .
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230. Efficacy of personal pharmacogenomic testing as an educational tool in the pharmacy curriculum: A nonblinded, randomized controlled trial
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Chloe Grace, Marti M. Larriva, Heidi E. Steiner, Srujitha Marupuru, Patrick J. Campbell, Hayley Patterson, Cheryl D. Cropp, Dorothy Quinn, Walter Klimecki, David E. Nix, Terri Warholak, and Jason H. Karnes
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Therapeutics. Pharmacology ,RM1-950 ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Personal genomic educational testing (PGET) has been suggested as a strategy to improve student learning for pharmacogenomics (PGx), but no randomized studies have evaluated PGET’s educational benefit. We investigated the effect of PGET on student knowledge, comfort, and attitudes related to PGx in a nonblinded, randomized controlled trial. Consenting participants were randomized to receive PGET or no PGET (NPGET) during 4 subsequent years of a PGx course. All participants completed a pre‐survey and post‐survey designed to assess (1) PGx knowledge, (2) comfort with PGx patient education and clinical skills, and (3) attitudes toward PGx. Instructors were blinded to PGET assignment. The Wilcoxon Rank Sum test was used to compare pre‐survey and post‐survey PGx knowledge, comfort, and attitudes. No differences in baseline characteristics were observed between PGET (n = 117) and NPGET (n = 116) participants. Among all participants, significant improvement was observed in PGx knowledge (mean 57% vs. 39% correct responses; p
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- 2021
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231. The stochastic nature of errors in next-generation sequencing of circulating cell-free DNA.
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David A Nix, Sabine Hellwig, Christopher Conley, Alun Thomas, Carrie L Fuertes, Cindy L Hamil, Preetida J Bhetariya, Ignacio Garrido-Laguna, Gabor T Marth, Mary P Bronner, and Hunter R Underhill
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Medicine ,Science - Abstract
Challenges with distinguishing circulating tumor DNA (ctDNA) from next-generation sequencing (NGS) artifacts limits variant searches to established solid tumor mutations. Here we show early and random PCR errors are a principal source of NGS noise that persist despite duplex molecular barcoding, removal of artifacts due to clonal hematopoiesis of indeterminate potential, and suppression of patterned errors. We also demonstrate sample duplicates are necessary to eliminate the stochastic noise associated with NGS. Integration of sample duplicates into NGS analytics may broaden ctDNA applications by removing NGS-related errors that confound identification of true very low frequency variants during searches for ctDNA without a priori knowledge of specific mutations to target.
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- 2020
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232. Knowledge, attitude, and practices associated with the diagnosis and management of skin and soft-tissue infections among medical students, residents, and attending physicians
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Norman Beatty, Jessica Anthony August, Joe Saenz, David E Nix, Kathryn R Matthias, and Mayar Al Mohajer
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assessment ,cellulitis ,education ,guidelines ,survey ,Medicine - Abstract
Skin and soft-tissue infections (SSTIs) are commonly encountered by medical students, residents, and trainees. The Infectious Diseases Society of America (IDSA) has updated its recommendations regarding SSTI diagnosis and management in June 2014. We assessed knowledge, attitude, and practices toward diagnosis and management of SSTIs using an online survey. We disseminated the survey to medical students, residents, and attending physicians practicing in family and internal medicine department at a university-based hospital. A total of 103 surveys were completed out of 121 sent (85.1%) between July 2015 and March 2016. There were nine medical questions in the survey. The mean of correct answers was 4.5/9 ± 2.0. Medical knowledge correlated with the level of education (P < 0.001) but not with subspecialty (P = 0.97). Around 35% were familiar with the updated IDSA guidelines pertaining to SSTIs. The majority (85%) responded that the hospital staff would benefit from additional training and 75% agreed that more antibiotic stewardship education is needed. Our study shows that there are significant opportunities for development among students and physicians who encounter SSTIs.
- Published
- 2018
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