81 results on '"Jaewon Yoon"'
Search Results
2. Furin cleavage is required for swine acute diarrhea syndrome coronavirus spike protein-mediated cell – cell fusion
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Jinman Kim, Jaewon Yoon, and Jung-Eun Park
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Swine acute diarrhea syndrome coronavirus ,furin ,spike ,cleavage ,cell – cell fusion ,Infectious and parasitic diseases ,RC109-216 ,Microbiology ,QR1-502 - Abstract
Swine acute diarrhea syndrome coronavirus (SADS-CoV) was reported in China in 2017 and is a causative agent of porcine enteric disease. Recent studies indicate that cells from various hosts are susceptible to SADS-CoV, suggesting the zoonotic potential of this virus. However, little is known about the mechanisms through which this virus enters cells. In this study, we investigated the role of furin in SADS-CoV spike (S)-mediated cell – cell fusion and entry. We found that the SADS-CoV S protein induced the fusion of various cells. Cell – cell fusion was inhibited by the proprotein convertase inhibitor dec-RVKR-cmk, and between cells transfected with mutant S proteins resistant to furin cleavage. These findings revealed that furin-induced cleavage of the SADS-CoV S protein is required for cell – cell fusion. Using mutagenesis analysis, we demonstrated that furin cleaves the SADS-CoV S protein near the S1/S2 cleavage site, 446RYVR449 and 543AVRR546. We used pseudotyped viruses to determine whether furin-induced S cleavage is also required for viral entry. Pseudotyped viruses expressing S proteins with a mutated furin cleavage site could be transduced into target cells, indicating that furin-induced cleavage is not required for pseudotyped virus entry. Our data indicate that S cleavage is critical for SADS-CoV S-mediated cell – cell fusion and suggest that furin might be a host target for SADS-CoV antivirals.
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- 2022
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3. A hierarchy of needs for remote undergraduate medical education: lessons from the medical student experience
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Henrike C. Besche, Sarah Onorato, Stephen Pelletier, Sepideh Ashrafzadeh, Ashwini Joshi, Brenna Nelsen, Jaewon Yoon, Joyce Zhou, Andrea Schwartz, and Barbara A. Cockrill
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Online teaching ,Remote learning ,Undergraduate medical education ,Telehealth ,Flipped classroom ,Special aspects of education ,LC8-6691 ,Medicine - Abstract
Abstract Purpose The disruption of undergraduate medical education (UME) by the COVID-19 pandemic has sparked rapid, real-time adjustments by medical educators and students. While much is known about online teaching in general, little guidance is available to medical educators on how to adapt courses not originally designed for the online environment. To guide our faculty in this transition we conducted a needs assessment of students enrolled in virtual courses across all 4 years of UME training. Methods Using a mixed-methods approach, we conducted a single-institution virtual learning needs assessment in May and June of 2020. We developed and disseminated a survey to assess student experiences with virtual learning. We conducted quantitative and qualitative analysis of responses (n = 255 or 39%) to identify emergent themes. Results We identified six interdependent themes that need to be met for medical students to fully reach their learning potential: access to stable internet and quiet study spaces, flexible course design with asynchronous, self-paced components, clear expectations for engagement with content and each other, a sense of connectedness with faculty and peers, synchronous classes that maximize interactivity, and assessments that foster a sense of learning over performance. Interpersonal relationships with faculty and peers affected students’ sense of learning more than any other factor. Conclusions Based on our findings we propose a hierarchy of needs for virtual learning that provides guidance on adapting existing medical school courses to the remote setting and overcoming common challenges. We highlight opportunities for how virtual elements may enrich in-person courses going forward, including in the clinical setting. Although the solutions required to meet the threshold of need at each level may differ based on the context, attending to these same fundamental needs can be extrapolated and applied to learners across a range of environments beyond the virtual.
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- 2022
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4. Atypical postradiation vascular proliferation outside field of prior radiation exposure
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Jaewon Yoon, BA, Dale Davis, MD, MA, David Li, MD, MBA, Christine Lian, MD, and Arash Mostaghimi, MD, MPA, MPH
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angiosarcoma ,atypical postradiation vascular proliferation ,breast ,cellulitis ,dermatopathology ,histopathology ,Dermatology ,RL1-803 - Published
- 2022
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5. Correction: A role for phagocytosis in inducing cell death during thymocyte negative selection
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Nadia S Kurd, Lydia K Lutes, Jaewon Yoon, Shiao Wei Chan, Ivan L Dzhagalov, Ashley R Hoover, and Ellen A Robey
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Medicine ,Science ,Biology (General) ,QH301-705.5 - Published
- 2020
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6. A role for phagocytosis in inducing cell death during thymocyte negative selection
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Nadia S Kurd, Lydia K Lutes, Jaewon Yoon, Shiao Wei Chan, Ivan L Dzhagalov, Ashley R Hoover, and Ellen A Robey
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central tolerance ,negative selection ,thymocyte ,phagocytosis ,Medicine ,Science ,Biology (General) ,QH301-705.5 - Abstract
Autoreactive thymocytes are eliminated during negative selection in the thymus, a process important for establishing self-tolerance. Thymic phagocytes serve to remove dead thymocytes, but whether they play additional roles during negative selection remains unclear. Here, using a murine thymic slice model in which thymocytes undergo negative selection in situ, we demonstrate that phagocytosis promotes negative selection, and provide evidence for the escape of autoreactive CD8 T cells to the periphery when phagocytosis in the thymus is impaired. We also show that negative selection is more efficient when the phagocyte also presents the negative selecting peptide. Our findings support a model for negative selection in which the death process initiated following strong TCR signaling is facilitated by phagocytosis. Thus, the phagocytic capability of cells that present self-peptides is a key determinant of thymocyte fate.
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- 2019
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7. Construction of Porcine Epidemic Diarrhea Virus-Like Particles and Its Immunogenicity in Mice
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Jihee Kim, Jaewon Yoon, and Jung-Eun Park
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porcine epidemic diarrhea ,virus-like particle ,vaccine ,immunogenicity ,Medicine - Abstract
Porcine epidemic diarrhea (PED), a highly contagious and lethal enteric disease in piglets, is characterized by diarrhea, vomiting, and dehydration, with high mortality in neonatal piglets. Despite the nationwide use of attenuated and inactivated vaccines, the outbreak of PED is still a major problem in the swine industry. Virus-like particles (VLPs) are artificial nanoparticles similar to viruses that are devoid of genetic material and are unable to replicate. VLPs have good safety profiles and elicit robust cellular and humoral immune responses. Here, we generated PED VLPs in eukaryotic cells and examined their immune responses in mice. We found that the M protein is essential for the formation of PED VLPs. Interestingly, PED VLP formation was decreased in the presence of E proteins and increased in the presence of N proteins. Both IgG and IgA antibodies were induced in mice immunized with PED VLPs. Moreover, these antibodies protected against PED virus infection in Vero cells. PED VLPs immunization induced Th2-dominant immune responses in mice. Our results indicate that PED VLPs induce strong immune responses in mice, suggesting that the VLP-based vaccine is a promising vaccine candidate.
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- 2021
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8. Compartmentalized Microhelices Prepared via Electrohydrodynamic Cojetting
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Manjae Gil, Seongjun Moon, Jaewon Yoon, Sahar Rhamani, Jae‐Won Shin, Kyung Jin Lee, and Joerg Lahann
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anisotropic particles ,biomimetic materials ,electrohydrodynamic cojetting ,helical microstructures ,patchy surfaces ,Science - Abstract
Abstract Anisotropically compartmentalized microparticles have attracted increasing interest in areas ranging from sensing, drug delivery, and catalysis to microactuators. Herein, a facile method is reported for the preparation of helically decorated microbuilding blocks, using a modified electrohydrodynamic cojetting method. Bicompartmental microfibers are twisted in situ, during electrojetting, resulting in helical microfibers. Subsequent cryosectioning of aligned fiber bundles provides access to helically decorated microcylinders. The unique helical structure endows the microfibers/microcylinders with several novel functions such as translational motion in response to rotating magnetic fields. Finally, microspheres with helically patterned compartments are obtained after interfacially driven shape shifting of helically decorated microcylinders.
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- 2018
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9. Differences in risk of tetracycline-associated hyperpigmentation between racial and ethnic groups in patients with acne vulgaris: A national US retrospective study
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Katherine Young, Angel D. Pagan, Jaewon Yoon, Ethiopia Getachew, Bonnie Leung, Nga Nguyen, Arash Mostaghimi, Yevgeniy R. Semenov, and Nicholas Theodosakis
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Dermatology - Published
- 2023
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10. Validation of Case Identification for Melasma Using International Statistical Classification of Diseases and Related Health Problems, Tenth Revision Codes
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Nicholas Theodosakis, Jaewon Yoon, Katherine Young, Ethiopia Getachew, Arash Mostaghimi, and Yevgeniy R. Semenov
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Dermatology - Abstract
This cross-sectional study assesses the validity of using the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) code for melasma appended to a clinic visit to identify adult patients meeting diagnostic criteria for melasma.
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- 2023
11. Data Fusion‐based Discovery (DAFdiscovery) pipeline to aid compound annotation and bioactive compound discovery across diverse spectral data
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Ricardo Moreira Borges, Fernanda das Neves Costa, Fernanda O. Chagas, Andrew Magno Teixeira, Jaewon Yoon, Márcio Barczyszyn Weiss, Camila Manoel Crnkovic, Alan Cesar Pilon, Bruno C. Garrido, Luz Adriana Betancur, Abel M. Forero, Leonardo Castellanos, Freddy A. Ramos, Mônica T. Pupo, and Stefan Kuhn
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Complementary and alternative medicine ,Drug Discovery ,Molecular Medicine ,Plant Science ,General Medicine ,Biochemistry ,ESPECTROSCOPIA ,Food Science ,Analytical Chemistry - Abstract
Data Fusion-based Discovery (DAFdiscovery) is a pipeline designed to help users combine mass spectrometry (MS), nuclear magnetic resonance (NMR), and bioactivity data in a notebook-based application to accelerate annotation and discovery of bioactive compounds. It applies Statistical Total Correlation Spectroscopy (STOCSY) and Statistical HeteroSpectroscopy (SHY) calculation in their data using an easy-to-follow Jupyter Notebook.Different case studies are presented for benchmarking, and the resultant outputs are shown to aid natural products identification and discovery. The goal is to encourage users to acquire MS and NMR data from their samples (in replicated samples and fractions when available) and to explore their variance to highlight MS features, NMR peaks, and bioactivity that might be correlated to accelerated bioactive compound discovery or for annotation-identification studies.Different applications were demonstrated using data from different research groups, and it was shown that DAFdiscovery reproduced their findings using a more straightforward method.DAFdiscovery has proven to be a simple-to-use method for different situations where data from different sources are required to be analyzed together.
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- 2022
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12. Association between common medication triggers and severity of cutaneous immune-related adverse events
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Jaewon Yoon, Nicole J. Polyakov, Michael S. Chang, Nira A. Krasnow, Steven T. Chen, Mike Wang, Edward Li, Rachel Reardon, Amy E. Blum, and Leah L. Thompson
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Drug-Related Side Effects and Adverse Reactions ,business.industry ,medicine.medical_treatment ,Immune checkpoint inhibitors ,Dermatology ,Immunotherapy ,Administration, Cutaneous ,Immune system ,Immunology ,Humans ,Medicine ,business ,Adverse effect ,Association (psychology) ,Skin - Published
- 2022
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13. Prognostic significance of cutaneous immune-related adverse events in patients with melanoma and other cancers on immune checkpoint inhibitors
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Gabriel E. Molina, Nicole J. Polyakov, Amy E. Blum, Jordan T. Said, Nathaniel Josephs, Juhi R. Kuchroo, Michael S. Chang, Steven T. Chen, Jaewon Yoon, Edward Li, Kevin T. Huang, Leah L. Thompson, Andrea N. Hinton, and Nira A. Krasnow
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Skin Neoplasms ,business.industry ,Melanoma ,medicine.medical_treatment ,Immune checkpoint inhibitors ,Dermatology ,Immunotherapy ,Prognosis ,medicine.disease ,Immune system ,medicine ,Cancer research ,Overall survival ,Humans ,In patient ,Progression-free survival ,Adverse effect ,business ,Immune Checkpoint Inhibitors - Published
- 2022
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14. Lossless compound image compression for digital imaging system.
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Sungbum Park, Daiwoong Choi, Jaewon Yoon, and Woosung Shim
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- 2013
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15. Analysis of Content and Phrasing of Health-Related Quality-of-Life Patient-Reported Outcome Measures Used in Patients With Acne
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Jaewon Yoon, Haya A. Homsi, and John S. Barbieri
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Acne Vulgaris ,Research Letter ,Quality of Life ,Humans ,Dermatology ,Patient Reported Outcome Measures - Abstract
This qualitative study examines patient-reported outcome measures used in the treatment of patients with acne.
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- 2022
16. Medical student perceptions of assessment systems, subjectivity, and variability on introductory dermatology clerkships
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Jordan T. Said, Jeremy B. Richards, Steven T. Chen, Jaewon Yoon, Gabriel E. Molina, and Leah L. Thompson
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Student perceptions ,Subjectivity ,medicine.medical_specialty ,Medical student education ,Interpretative phenomenological analysis ,business.industry ,Qualitative interviews ,Dermatology ,Undergraduate medical education ,Formative assessment ,030207 dermatology & venereal diseases ,03 medical and health sciences ,Clinical education ,0302 clinical medicine ,Qualitative research ,Assessment of clinical performance ,030220 oncology & carcinogenesis ,medicine ,Critical function ,Mailing list ,business ,Original Research ,Medical student perceptions - Abstract
Background Elective introductory clerkships in dermatology serve a critical function in providing formative experiences to medical students interested in the field. Although dermatology clerkships play a pivotal role in students’ career choices and residency preparation, the assessment systems used to evaluate students on these clerkships are widely different and likely affect student experiences. Objective This study aimed to explore the relationship between dermatology clerkship assessment systems and student experiences through interviews with students about their clerkship reflections and perceptions of assessment. Methods The authors contacted clerkship directors via the Association of Professors of Dermatology mailing list and invited them to provide a description of the assessment system at their institution. The authors, via contacted clerkship directors, then invited students who had completed an introductory dermatology clerkship in between 2018 and 2019 to provide a description of the assessment system at their institution and to participate in a qualitative interview about their experiences with assessment systems. The authors then iteratively synthesized interview transcripts using phenomenological analysis, in which a templated approach was used to achieve comprehensive thematic categorization. Results Prior to clerkship onset, students expressed a limited understanding of their clinical role and the assessment system. During the clerkship, students endorsed variable expectations across preceptors, limited feedback experiences, and pressures to perform for evaluators. After their clerkship, students continued to perceive assessment systems as nontransparent, subjective, and preordained. Conclusion Medical students perceived assessment systems on introductory dermatology clerkships to be unclear and arbitrary. Encouragingly, students also viewed these challenges in assessment as malleable, identifying several opportunities for educational reform in dermatology clerkships.
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- 2021
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17. Factors that influence the thymic selection of CD8αα intraepithelial lymphocytes
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Lydia K Lutes, Nadia S. Kurd, Shiao Wei Chan, Ashley R Hoover, Ellen A. Robey, Jaewon Yoon, and Brian M. Weist
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0301 basic medicine ,Agonist ,medicine.drug_class ,T cell ,Immunology ,Cell ,T-cell receptor ,chemical and pharmacologic phenomena ,Biology ,Cell biology ,03 medical and health sciences ,Thymic Tissue ,Negative selection ,030104 developmental biology ,0302 clinical medicine ,medicine.anatomical_structure ,MHC class I ,medicine ,biology.protein ,Immunology and Allergy ,Intraepithelial lymphocyte ,030215 immunology - Abstract
Thymocytes bearing αβ T cell receptors (TCRαβ) with high affinity for self-peptide-MHC complexes undergo negative selection or are diverted to alternate T cell lineages, a process termed agonist selection. Among thymocytes bearing TCRs restricted to MHC class I, agonist selection can lead to the development of precursors that can home to the gut and give rise to CD8αα-expressing intraepithelial lymphocytes (CD8αα IELs). The factors that influence the choice between negative selection versus CD8αα IEL development remain largely unknown. Using a synchronized thymic tissue slice model that supports both negative selection and CD8αα IEL development, we show that the affinity threshold for CD8αα IEL development is higher than for negative selection. We also investigate the impact of peptide presenting cells and cytokines, and the migration patterns associated with these alternative cell fates. Our data highlight the roles of TCR affinity and the thymic microenvironments on T cell fate.
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- 2021
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18. Impact of systemic corticosteroids on survival outcomes in immune checkpoint inhibitor–induced gastroenterocolitis
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Ethan Katznelson, Steven T. Chen, Donna E. Leet, Jaewon Yoon, Michael Dougan, Sienna Durbin, Leah L. Thompson, and Kerry L. Reynolds
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Male ,Cancer Research ,business.industry ,Immune checkpoint inhibitors ,Gastroenterocolitis ,Middle Aged ,Colitis ,medicine.disease ,Article ,Treatment Outcome ,Oncology ,Adrenal Cortex Hormones ,Immunology ,medicine ,Humans ,Female ,business ,Immune Checkpoint Inhibitors ,Retrospective Studies - Published
- 2021
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19. Data fusion discovery (DAFdiscovery) pipeline to aid compound annotation and bioactive compound discovery across diverse spectral data
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Ricardo Moreira Borges, Fernanda Neves Costa, Fernanda Oliveira Chagas, Andrew Magno Teixeira, Jaewon Yoon, Márcio Barczyszyn Weiss, Camila Manoel Crnkovic, Alan Cesar Pilon, Bruno Carius Garrido, Luz Adriana Betancur, Abel Mateo Forero Tunjano, Leonardo Castellanos, Freddy Ramos, Monica Tallarico Pupo, and Stefan Kuhn
- Abstract
DAFdiscovery is a pipeline designed to help users combine NMR, MS and bioactivity data in a notebook-based application to accelerate annotation and discovery of bioactive compounds. It applies Statistical Total Correlation (STOCSY) and Statistical HeteroSpectroscopy (SHY) calculation in their data using an easy-to-follow Jupyter Notebook. Different case studies are presented for benchmarking, and the resultant outputs are shown to aid natural products identification and discovery. The goal is to encourage users to acquire MS and NMR data from their samples (in replicated samples and fractions when available) and to explore their variance to highlight MS features, NMR peaks, and bioactivity that might be correlated to accelerate bioactive compound discovery or for annotation-identification studies.
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- 2022
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20. Extension request avoidance predicts greater time stress among women
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Aurora Turek, Grant E. Donnelly, Ashley V. Whillans, and Jaewon Yoon
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Adult ,Male ,Time Factors ,media_common.quotation_subject ,Social Sciences ,Burnout ,Archival research ,well-being ,Intervention (counseling) ,gender ,Humans ,Women ,workplace practices ,media_common ,Sex Characteristics ,Multidisciplinary ,burnout ,Delegation ,Middle Aged ,time stress ,Ask price ,Psychological and Cognitive Sciences ,Well-being ,Marital status ,Female ,Worry ,Psychology ,Social psychology ,Stress, Psychological - Abstract
Significance Time stress—the feeling of having too many things to do and not enough time to do them—is a societal epidemic that compromises productivity, physical health, and emotional well-being. Past research shows that women experience disproportionately greater time stress than men and has illuminated a variety of contributing factors. Across nine studies, we identify a previously unexplored predictor of this gender difference. Women avoid asking for more time to complete work tasks, even when deadlines are explicitly adjustable, undermining their well-being and task performance. We shed light on a possible solution: the implementation of formal policies to facilitate deadline extension requests. These findings advance our understanding of the gendered experience of time stress and provide a scalable organizational intervention., In nine studies using archival data, surveys, and experiments, we identify a factor that predicts gender differences in time stress and burnout. Across academic and professional settings, women are less likely to ask for more time when working under adjustable deadlines (studies 1 to 4a). Women’s discomfort in asking for more time on adjustable deadlines uniquely predicts time stress and burnout, controlling for marital status, industry, tenure, and delegation preferences (study 1). Women are less likely to ask for more time to complete their tasks because they hold stronger beliefs that they will be penalized for these requests and worry more about burdening others (studies 1 to 2d). We find no evidence that women are judged more harshly than men (study 3). We also document a simple organizational intervention: formal processes for requesting deadline extensions reduce gender differences in asking for more time (studies 4a to 5).
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- 2021
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21. Diagnostic accuracy of general dermatologists and supportive oncodermatologists for biopsied cutaneous immune-related adverse events
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Leah L. Thompson, Jordan T. Said, Edward B. Li, Jaewon Yoon, Nira A. Krasnow, Gabriel E. Molina, Nicole J. Polyakov, Ruth K. Foreman, Nicole R. LeBoeuf, and Steven T. Chen
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Oncology ,Drug-Related Side Effects and Adverse Reactions ,Biopsy ,Neoplasms ,Humans ,Female ,Ligands ,Immune Checkpoint Inhibitors ,Skin Diseases ,B7-H1 Antigen ,Article ,Dermatologists ,Retrospective Studies - Abstract
PURPOSE: Supportive oncodermatology has been shown to improve several aspects of care for patients with cancer, but research showing improved diagnostic accuracy as a benefit of supportive oncodermatology is largely lacking. We thus aimed to evaluate different dermatologist groups’ diagnostic accuracy for heterogenous cutaneous toxicities, using cutaneous immune-related adverse events (cirAEs) from immune checkpoint inhibitors (ICIs) as a test model. METHODS: Billing/requisition codes were used to identify patients who initiated programmed death-1/ligand-1 (PD-1/PD-L1) ICIs between 2010–2019 at Dana-Farber Cancer Institute/Brigham and Women’s Hospital/Massachusetts General Hospital and underwent a subsequent skin biopsy. For each biopsied cirAE, pre-biopsy clinical diagnoses and post-biopsy clinico-pathologic diagnoses were retrospectively obtained from the medical record. Each biopsy-ordering dermatology provider was categorized as a general dermatologist or supportive oncodermatologist on the basis of providing clinical care within a cancer-center or attending on a hospital/clinic service dedicated to anti-cancer drug-related skin toxicities. RESULTS: Of 4,183 patients who initiated anti-PD-1/PD-L1 therapy between 2010–2019, 101 (2.4%) patients collectively had 104 biopsied cirAEs. In more than one-third of all reviewed biopsied cirAEs (n=39, 37.5%), histopathology results frequently led to revision of the pre-biopsy clinical diagnosis. The rate of initial cirAE misclassification amongst supportive oncodermatologists was significantly lower than that amongst general dermatologists (18/66, 27.3% vs. 21/38, 55.3%; Fisher’s-exact-test p=0.006). CONCLUSION: Experienced supportive oncodermatologists may benefit patient care through increased diagnostic accuracy for skin toxicities from ICIs. Collectively, these results underscore that both skin biopsy from any dermatology provider and oncodermatology referral (where available) are valuable resources that should be integrated into supportive cancer care.
- Published
- 2021
22. 33077 Validation of case identification for drug-induced hyperpigmentation and melasma using international classification of diseases coding
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Katherine Young, Nicholas Theodosakis, Jaewon Yoon, Ethiopia Getachew, Arash Mostaghimi, and Yevgeniy Semenov
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Dermatology - Published
- 2022
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23. Thermoplastic elastomers containing antimicrobial and antiviral additives for mobility applications
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Zeynep Iyigundogdu, Basak Basar, Rachel Couvreur, Sandeep Tamrakar, Jaewon Yoon, Osman G. Ersoy, Fikrettin Sahin, Deborah Mielewski, and Alper Kiziltas
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Mechanics of Materials ,Mechanical Engineering ,Ceramics and Composites ,Industrial and Manufacturing Engineering - Abstract
The transmission of the SARS-CoV-2 coronavirus has been shown through droplets generated by infected people when coughing, sneezing, or talking in close contact. These droplets either reach the next person directly or land on nearby surfaces. The objective of this study is to develop a novel, durable, and effective disinfecting antimicrobial (antiviral, antibacterial, and antifungal) styrene-ethylene/butylene-styrene (SEBS) based thermoplastic elastomers (TPE). TPE incorporated with six different formulations was investigated for mechanical and antiviral performance. The formulations consist of a combination of zinc pyrithione (ZnPT), sodium pentaborate pentahydrate (NaB), disodium octaborate tetrahydrate (DOT), and chlorhexidine (CHX). ZnPT and DOT incorporated TPE showed a reduction of microbes such as bacteria by up to 99.99%, deactivated Adenovirus, Poliovirus, Norovirus, and reduced a strain of the coronavirus family by 99.95% in 60 min on TPE samples. Control samples had higher tensile strengths among all formulations and tensile strength decreased by around 14%, 21% and 27% for ZnPT and DOT combinations compared to control samples. The elongation at break decreased by around 7%, 9% and 12% with ZnPT and DOT combinations, where it reached minimum values of 720%, 702% and 684%, respectively. The 100% Modulus and 300% Modulus slightly increased with ZnPT and NaB combination (reaching values from 1.6 to 1.9 MPa and 2.6-2.9 MPa respectively) in comparison with control samples. The MFI also decreased with antimicrobial and antiviral additives (decreasing values from 64.8 to 43.3 g/10 min). ZnPT and NaB combination showed the lowest MFI (43.3 g/10 min) and reduced the MFI of control sample by around 33%. TPE samples containing ZnPT and DOT combination showed biocidal activity against the microorganisms tested and can be used to develop antimicrobial products for multiple touchpoints within a vehicle and micro-mobility.
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- 2022
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24. Association Between Systemic Corticosteroid Treatment for Cutaneous Immune-Related Adverse Events and Survival Outcomes in Patients With Advanced Cancer
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Steven T. Chen, Nira A. Krasnow, Edward Li, Leah L. Thompson, Devon E. McMahon, Jaewon Yoon, and Michael S. Chang
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medicine.medical_specialty ,business.industry ,medicine.drug_class ,Corticosteroid treatment ,Cancer ,Dermatology ,medicine.disease ,Advanced cancer ,Immune system ,Internal medicine ,medicine ,Research Letter ,Corticosteroid ,In patient ,Adverse effect ,business ,Cohort study - Abstract
This cohort study investigates the association of systemic corticosteroid exposures with infectious complications and survival outcomes among patients with a cutaneous immune-related adverse event.
- Published
- 2021
25. Construction of Porcine Epidemic Diarrhea Virus-Like Particles and Its Immunogenicity in Mice
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Jung-Eun Park, Jaewon Yoon, and Jihee Kim
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0301 basic medicine ,animal diseases ,viruses ,030106 microbiology ,Immunology ,lcsh:Medicine ,porcine epidemic diarrhea ,immunogenicity ,complex mixtures ,Virus ,Article ,virus-like particle ,03 medical and health sciences ,Immune system ,Virus-like particle ,vaccine ,Drug Discovery ,Pharmacology (medical) ,Pharmacology ,biology ,Immunogenicity ,lcsh:R ,virus diseases ,biochemical phenomena, metabolism, and nutrition ,biology.organism_classification ,Virology ,030104 developmental biology ,Infectious Diseases ,Immunization ,biology.protein ,Vero cell ,Antibody ,Porcine epidemic diarrhea virus - Abstract
Porcine epidemic diarrhea (PED), a highly contagious and lethal enteric disease in piglets, is characterized by diarrhea, vomiting, and dehydration, with high mortality in neonatal piglets. Despite the nationwide use of attenuated and inactivated vaccines, the outbreak of PED is still a major problem in the swine industry. Virus-like particles (VLPs) are artificial nanoparticles similar to viruses that are devoid of genetic material and are unable to replicate. VLPs have good safety profiles and elicit robust cellular and humoral immune responses. Here, we generated PED VLPs in eukaryotic cells and examined their immune responses in mice. We found that the M protein is essential for the formation of PED VLPs. Interestingly, PED VLP formation was decreased in the presence of E proteins and increased in the presence of N proteins. Both IgG and IgA antibodies were induced in mice immunized with PED VLPs. Moreover, these antibodies protected against PED virus infection in Vero cells. PED VLPs immunization induced Th2-dominant immune responses in mice. Our results indicate that PED VLPs induce strong immune responses in mice, suggesting that the VLP-based vaccine is a promising vaccine candidate.
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- 2021
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26. Patterns of Cutaneous and Noncutaneous Immune-Related Adverse Events Among Patients With Advanced Cancer
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Leah L. Thompson, Andrea N. Hinton, Kerry L. Reynolds, Jaewon Yoon, Nicole J. Polyakov, Juhi R. Kuchroo, Kevin T. Huang, Edward Li, Gabriel E. Molina, Steven T. Chen, Michael S. Chang, Nira A. Krasnow, and Jordan T. Said
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Male ,medicine.medical_specialty ,Dermatology ,Risk Assessment ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,Interquartile range ,Internal medicine ,Neoplasms ,Mucositis ,medicine ,Humans ,Adverse effect ,Immune Checkpoint Inhibitors ,Aged ,Retrospective Studies ,business.industry ,Medical record ,Brief Report ,Retrospective cohort study ,Odds ratio ,Middle Aged ,medicine.disease ,030220 oncology & carcinogenesis ,Cohort ,Female ,Drug Eruptions ,business ,Cohort study - Abstract
Importance Cutaneous immune-related adverse events (cirAEs) are some of the earliest toxic reactions to emerge following immune-checkpoint inhibitor (ICI) initiation. As an early indicator of robust inflammatory response, cirAEs may be associated with patterns of immune-mediated toxic effects, but associations between these events and noncutaneous immune-related adverse events (irAEs) remain underexplored. Objectives To characterize patterns of cirAEs and irAEs across care settings and examine associations between the features of first cirAE, overall irAE risk, and risk of specific irAE subtypes. Design, Setting, and Participants A retrospective cohort study was conducted at a single academic medical center. The cohort included 358 patients with cancer who initiated anti–programmed death 1/ligand 1 and/or anticytotoxic-T-lymphocyte-4 ICI therapy between January 1, 2016, and March 8, 2019, and developed 1 or more cirAEs, identified usingInternational Statistical Classification of Diseases and Related Health Problems, Tenth Revision codes and confirmed via manual medical record review. All relevant information documented before March 31, 2020, was included. Exposures Anti–programmed death 1/ligand 1 and/or anticytotoxic-T-lymphocyte-4 therapy. Main Outcomes and Measures Associations between specific cirAE morphologic classes and patterns of irAEs (occurrence, timeline, organ class, and specific toxic effects). Given the potential that shared underlying factors are associated with the risk of both noncutaneous and cutaneous toxic effects, the presence of observed positive associations between certain cirAE and irAE subtypes was hypothesized. Results Of the 358 patients, 213 were men (59.5%); median age was 65 years (interquartile range, 55-73 years). Nearly half of the patients (177 [49.4%]) with cirAE also developed a noncutaneous irAE. Most patients (128 [72.3%]) experienced their first cirAE before developing any irAE. Several cirAE morphologic classes were found to be associated with overall, organ-based, and specific irAEs. More specifically, mucositis was found to be associated with overall irAE risk (odds ratio [OR], 5.28; 95% CI, 1.11-24.26;P = .04), gastrointestinal irAEs (OR, 5.70; 95% CI, 1.11-29.40;P = .04), and the specific diagnosis of gastroenterocolitis (OR, 6.80; 95% CI, 1.24-37.39;P = .03). In addition, psoriasis was associated with an increased risk of endocrine irAEs (OR, 4.54; 95% CI, 1.21-17.04;P = .03). Conclusions and Relevance In this cohort study, these findings underscore the risk of multisystem toxic effects in patients experiencing cirAEs and highlight potential opportunities for dermatologists in the management of noncutaneous toxic effects.
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- 2021
27. Effect of dermatological consultation on survival in patients with checkpoint inhibitor-associated cutaneous toxicity
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Michael S. Chang, Juhi R. Kuchroo, Gabriel E. Molina, Steven T. Chen, E C Dee, Nicole J. Polyakov, Leah L. Thompson, Edward Li, Andrea N. Hinton, Kerry L. Reynolds, Jaewon Yoon, Jordan T. Said, Nira A. Krasnow, Kevin T. Huang, and Amy E. Blum
- Subjects
medicine.medical_specialty ,Referral ,business.industry ,medicine.medical_treatment ,Hazard ratio ,MEDLINE ,Cancer ,Retrospective cohort study ,Dermatology ,Immunotherapy ,Odds ratio ,medicine.disease ,Progression-Free Survival ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Neoplasms ,Medicine ,Humans ,business ,Adverse effect ,Referral and Consultation ,Retrospective Studies - Abstract
BACKGROUND Cutaneous immune-related adverse events (cirAEs) are a common side-effect of immune checkpoint inhibitors (ICIs). However, prior work examining these toxicities in detail has considered only the fraction of events evaluated by dermatologists. Associations between dermatology referral, cirAE treatment and survival outcomes remain underexplored across care settings. OBJECTIVES To comprehensively categorize cirAE patterns among all patients treated with immunotherapy at our institution, and to evaluate: (i) the effect of dermatology referral on cirAE treatment and (ii) the impact of cirAE treatment on survival. METHODS This was a retrospective cohort analysis of patients with cancer who initiated ICI therapy between 1 January 2016 and 8 March 2019 and developed one or more cirAEs, as screened for using International Classification of Diseases 10th revision codes and confirmed via manual chart review (n = 358). All relevant information documented prior to 31 March 2020 was included. RESULTS CirAEs evaluated by dermatologists were significantly more likely to be treated than cirAEs that were not referred (odds ratio 6·08, P
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- 2021
28. Advanced care planning, code status and end‐of‐life care in patients with bullous pemphigoid
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Michael S. Chang, C.X. Pan, Steven T. Chen, Alexandra Charrow, Erin X. Wei, Leah L. Thompson, Jaewon Yoon, and N J Polyakov
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Advance care planning ,Change over time ,Terminal Care ,medicine.medical_specialty ,business.industry ,MEDLINE ,Dermatology ,Code status ,medicine.disease ,Pemphigoid, Bullous ,Cohort ,medicine ,Humans ,In patient ,Bullous pemphigoid ,Intensive care medicine ,business ,End-of-life care - Abstract
Advance care planning (ACP) and code status (CS) discussions may enhance outcomes among patients with serious illness.1 Despite growing evidence for the benefits of ACP and CS, utilization patterns remain under-evaluated for dermatoses associated with increased mortality, such as bullous pemphigoid (BP).2 To address this gap, we assessed change over time in ACP and CS among a cohort of newly-diagnosed BP patients, additionally characterizing survival outcomes and intensity of end-of-life care.
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- 2021
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29. Patterns and prognostic significance of cutaneous immune-related adverse events in non-small cell lung cancer
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Steven T. Chen, Leah L. Thompson, Emily R. Nadelmann, Nicole J. Polyakov, Justin F. Gainor, Meghan J. Mooradian, Ruth D. Kagan, Jaewon Yoon, and Amy E. Blum
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Oncology ,Male ,Cancer Research ,medicine.medical_specialty ,Lung Neoplasms ,Time Factors ,Risk Assessment ,Skin Diseases ,Immune system ,Risk Factors ,Internal medicine ,Carcinoma, Non-Small-Cell Lung ,medicine ,Carcinoma ,Tumor Microenvironment ,Humans ,Progression-free survival ,Adverse effect ,Lung cancer ,Immune Checkpoint Inhibitors ,Aged ,Retrospective Studies ,Skin ,Tumor microenvironment ,business.industry ,Retrospective cohort study ,Middle Aged ,medicine.disease ,Progression-Free Survival ,Disease Progression ,Female ,Risk assessment ,business - Published
- 2020
30. Cutaneous toxicities of immune checkpoint inhibitors in patients with altered immunity
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Jaewon Yoon, Nira A. Krasnow, Michael S. Chang, Amy E. Blum, Leah L. Thompson, Steven T. Chen, Nicole J. Polyakov, and Rachel Reardon
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business.industry ,medicine.medical_treatment ,Immune checkpoint inhibitors ,Altered immunity ,Human immunodeficiency virus (HIV) ,Immunosuppression ,Dermatology ,Immunotherapy ,medicine.disease_cause ,Skin Diseases ,Neoplasms ,Immunology ,medicine ,Humans ,In patient ,business ,Solid organ transplantation ,Immune Checkpoint Inhibitors - Published
- 2020
31. Patterns of cutaneous immune-related adverse events in adults and children with advanced sarcoma: a retrospective cohort study
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Michael S. Chang, Steven T. Chen, Nicole J. Polyakov, Lindsay McCormack, Leah L. Thompson, Jennifer T. Huang, Jaewon Yoon, and Hannah Song
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Oncology ,Adult ,medicine.medical_specialty ,Adult patients ,business.industry ,Immune checkpoint inhibitors ,MEDLINE ,Improved survival ,Retrospective cohort study ,Sarcoma ,Soft Tissue Neoplasms ,Dermatology ,medicine.disease ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,Immune system ,Internal medicine ,medicine ,Humans ,Adverse effect ,business ,Child ,Retrospective Studies - Abstract
Immune checkpoint inhibitors (ICIs) have improved survival for multiple malignancies in adults and children.1,2 However, their benefits are tempered by a range of serious immune-related adverse events (irAEs). 1,2 Among these, cutaneous irAEs (cirAEs) represent one of the most common subtypes, impacting approximately one-third of adult patients receiving ICIs.1,3 The patterns and significance of cirAEs in children remain unclear, largely because these reactions have not been evaluated in detail.
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- 2020
32. Correction: A role for phagocytosis in inducing cell death during thymocyte negative selection
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Ashley R Hoover, Ivan Dzhagalov, Nadia S. Kurd, Ellen A. Robey, Jaewon Yoon, Lydia K Lutes, and Shiao Wei Chan
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Programmed cell death ,QH301-705.5 ,Phagocytosis ,Science ,Receptors, Antigen, T-Cell ,Inflammation ,Bone Marrow Cells ,Thymus Gland ,Biology ,CD8-Positive T-Lymphocytes ,Lymphocyte Activation ,General Biochemistry, Genetics and Molecular Biology ,Negative selection ,Mice ,Immunology and Inflammation ,medicine ,Animals ,Biology (General) ,Homeodomain Proteins ,Mice, Knockout ,Antigen Presentation ,Thymocytes ,General Immunology and Microbiology ,Cell Death ,General Neuroscience ,Correction ,General Medicine ,Cell Biology ,DNA-Binding Proteins ,Mice, Inbred C57BL ,Thymocyte ,Self Tolerance ,Immunology ,Models, Animal ,Medicine ,medicine.symptom ,Peptides ,Signal Transduction - Abstract
Autoreactive thymocytes are eliminated during negative selection in the thymus, a process important for establishing self-tolerance. Thymic phagocytes serve to remove dead thymocytes, but whether they play additional roles during negative selection remains unclear. Here, using a murine thymic slice model in which thymocytes undergo negative selection in situ, we demonstrate that phagocytosis promotes negative selection, and provide evidence for the escape of autoreactive CD8 T cells to the periphery when phagocytosis in the thymus is impaired. We also show that negative selection is more efficient when the phagocyte also presents the negative selecting peptide. Our findings support a model for negative selection in which the death process initiated following strong TCR signaling is facilitated by phagocytosis. Thus, the phagocytic capability of cells that present self-peptides is a key determinant of thymocyte fate.
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- 2020
33. People overestimate the self-presentation costs of deadline extension requests
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Grant E. Donnelly, Ashley V. Whillans, and Jaewon Yoon
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Supervisor ,Sociology and Political Science ,Social Psychology ,business.industry ,Self ,media_common.quotation_subject ,Internet privacy ,Presentation ,Extension (metaphysics) ,Work (electrical) ,Quality (business) ,business ,Psychology ,Social psychology ,media_common - Abstract
Across five studies (N = 4151), we investigate a novel barrier that prevents people from making personally beneficial requests: the overestimation of self-presentation costs. Even when deadlines are easily adjustable, people are less likely to request an extension and submit lower quality work when perceived self-presentation costs are higher—such as when the request is visible to a supervisor (Study 1a). Specifically, people are less likely to request an extension when they are concerned with appearing incompetent (Study 2). Yet, other people do not negatively respond to deadline extension requests (Study 1b). Attesting to the importance of self-presentation concerns in shaping extension request behaviors, formal policies that reduce self-presentation concerns increase requests in both online (Study 3) and in-person (Study 4) settings. These findings highlight a novel psychological barrier that prevents people from requesting resources that could increase their performance and more effectively manage their deadlines.
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- 2022
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34. 28248 Medical student perceptions of assessment systems on introductory dermatology clerkships
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Gabriel E. Molina, Leah L. Thompson, Steven T. Chen, Jordan T. Said, and Jaewon Yoon
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Student perceptions ,Medical education ,business.industry ,Medicine ,Dermatology ,business - Published
- 2021
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35. 26711 Impact of biopsy and provider training on diagnostic accuracy of cutaneous immune-related adverse events
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Nicole J. Polyakov, Ruth K. Foreman, Steven T. Chen, R. LeBoeuf, Leah L. Thompson, Nira A. Krasnow, Gabriel E. Molina, Jordan T. Said, Edward Li, and Jaewon Yoon
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medicine.medical_specialty ,Immune system ,medicine.diagnostic_test ,business.industry ,Biopsy ,Medicine ,Diagnostic accuracy ,Dermatology ,business ,Intensive care medicine ,Adverse effect - Published
- 2021
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36. Author response: A role for phagocytosis in inducing cell death during thymocyte negative selection
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Nadia S. Kurd, Ivan Dzhagalov, Jaewon Yoon, Shiao Wei Chan, Ashley R Hoover, Lydia K Lutes, and Ellen A. Robey
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Thymocyte ,Programmed cell death ,Negative selection ,Phagocytosis ,Immunology ,Biology - Published
- 2019
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37. A role for phagocytosis in inducing cell death during thymocyte negative selection
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Shiao Wei Chan, Ellen A. Robey, Ashley R Hoover, Jaewon Yoon, Ivan Dzhagalov, Lydia K Lutes, and Nadia S. Kurd
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0301 basic medicine ,Programmed cell death ,Mouse ,Phagocyte ,QH301-705.5 ,Phagocytosis ,Science ,Inflammation ,Biology ,General Biochemistry, Genetics and Molecular Biology ,03 medical and health sciences ,Negative selection ,Immunology and Inflammation ,0302 clinical medicine ,medicine ,Cytotoxic T cell ,Biology (General) ,central tolerance ,General Immunology and Microbiology ,General Neuroscience ,negative selection ,thymocyte ,phagocytosis ,Cell Biology ,General Medicine ,Cell biology ,Thymocyte ,030104 developmental biology ,medicine.anatomical_structure ,Medicine ,Central tolerance ,medicine.symptom ,Research Article ,030215 immunology - Abstract
Autoreactive thymocytes are eliminated during negative selection in the thymus, a process important for establishing self-tolerance. Thymic phagocytes serve to remove dead thymocytes, but whether they play additional roles during negative selection remains unclear. Here, using a murine thymic slice model in which thymocytes undergo negative selection in situ, we demonstrate that phagocytosis promotes negative selection, and provide evidence for the escape of autoreactive CD8 T cells to the periphery when phagocytosis in the thymus is impaired. We also show that negative selection is more efficient when the phagocyte also presents the negative selecting peptide. Our findings support a model for negative selection in which the death process initiated following strong TCR signaling is facilitated by phagocytosis. Thus, the phagocytic capability of cells that present self-peptides is a key determinant of thymocyte fate.
- Published
- 2019
38. Factors that influence the thymic selection of CD8αα intraepithelial lymphocytes
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Jaewon Yoon, Nadia S. Kurd, Ellen A. Robey, Brian M. Weist, and Ashley R Hoover
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0303 health sciences ,biology ,T cell ,Cell ,T-cell receptor ,chemical and pharmacologic phenomena ,Cell biology ,03 medical and health sciences ,Thymic Tissue ,Negative selection ,0302 clinical medicine ,medicine.anatomical_structure ,MHC class I ,biology.protein ,medicine ,Intraepithelial lymphocyte ,Selection (genetic algorithm) ,030304 developmental biology ,030215 immunology - Abstract
Thymocytes bearing αβ T cell receptors (TCRαβ) with high affinity for self-peptide-MHC complexes undergo negative selection or are diverted to alternate T cell lineages, a process termed agonist selection. Among thymocytes bearing TCRs restricted to MHC class I, agonist selection can lead to the development of precursors that can home to the gut and give rise to CD8αα-expressing intraepithelial lymphocytes (CD8αα IELs). The factors that influence the choice between negative selection versus CD8αα IEL development remain largely unknown. Using a synchronized thymic tissue slice model that supports both negative selection and CD8αα̣IEL development, we show that the affinity threshold for CD8αα IEL development is higher than for negative selection. We also investigate the impact of peptide presenting cells and cytokines, and the migration patterns associated with these alternative cell fates. Our data highlight the roles of TCR affinity and the thymic microenvironments on T cell fate.
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- 2019
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39. Factors that influence the thymic selection of CD8αα intraepithelial lymphocytes
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Nadia S, Kurd, Ashley, Hoover, Jaewon, Yoon, Brian M, Weist, Lydia, Lutes, Shiao Wei, Chan, and Ellen A, Robey
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Cellular Microenvironment ,Histocompatibility Antigens ,Receptors, Antigen, T-Cell, alpha-beta ,Thymus Gland ,CD8-Positive T-Lymphocytes ,Clonal Selection, Antigen-Mediated ,Peptides ,Intraepithelial Lymphocytes - Abstract
Thymocytes bearing αβ T cell receptors (TCRαβ) with high affinity for self-peptide-MHC complexes undergo negative selection or are diverted to alternate T cell lineages, a process termed agonist selection. Among thymocytes bearing TCRs restricted to MHC class I, agonist selection can lead to the development of precursors that can home to the gut and give rise to CD8αα-expressing intraepithelial lymphocytes (CD8αα IELs). The factors that influence the choice between negative selection versus CD8αα IEL development remain largely unknown. Using a synchronized thymic tissue slice model that supports both negative selection and CD8αα IEL development, we show that the affinity threshold for CD8αα IEL development is higher than for negative selection. We also investigate the impact of peptide presenting cells and cytokines, and the migration patterns associated with these alternative cell fates. Our data highlight the roles of TCR affinity and the thymic microenvironments on T cell fate.
- Published
- 2019
40. A role for phagocytosis in inducing cell death during thymocyte negative selection
- Author
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Ivan Dzhagalov, Jaewon Yoon, Lydia K Lutes, Nadia S. Kurd, Ashley R Hoover, and Ellen A. Robey
- Subjects
0303 health sciences ,Programmed cell death ,Phagocyte ,Tcr signaling ,Phagocytosis ,Biology ,Cell biology ,03 medical and health sciences ,Thymocyte ,Negative selection ,0302 clinical medicine ,medicine.anatomical_structure ,medicine ,030304 developmental biology ,030215 immunology - Abstract
Autoreactive thymocytes are eliminated during negative selection in the thymus, a process important for establishing self-tolerance. Thymic phagocytes serve to remove dead thymocytes, but whether they play additional roles during negative selection remains unclear. Here, we demonstrate that phagocytosis promotes negative selection, and that negative selection is more efficient when the phagocyte also presents the negative selecting peptide. Our findings support a two-step model for negative selection in which thymocytes initiate the death process following strong TCR signaling, but ultimately depend upon phagocytosis for their timely death. Thus, the phagocytic capability of cells that present self-peptides is a key determinant of thymocyte fate.
- Published
- 2019
- Full Text
- View/download PDF
41. Impact of systemic corticosteroids for cutaneous immune-related adverse events on survival outcomes in patients with advanced cancer: A retrospective cohort study
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Kevin T. Huang, Juhi R. Kuchroo, Devon E. McMahon, Nicole J. Polyakov, Nira A. Krasnow, Gabriel E. Molina, Jordan T. Said, Leah L. Thompson, Michael Chang, Andrea N. Hinton, Kerry L. Reynolds, Steven T. Chen, Edward Li, and Jaewon Yoon
- Subjects
Cancer Research ,medicine.medical_specialty ,integumentary system ,business.industry ,Retrospective cohort study ,Advanced cancer ,Immune system ,nervous system ,Oncology ,Internal medicine ,medicine ,In patient ,Adverse effect ,business ,tissues - Abstract
e14523 Background: Cutaneous immune-related adverse events (cirAE) may disrupt immune-checkpoint inhibitor (ICI) therapy. Current guidelines recommend systemic corticosteroids (SCS) for moderate to severe cirAE, but SCS-associated complications and their impact on survival remain poorly understood. We therefore investigated the impact of SCS exposures on infectious complications and survival outcomes among patients with cirAE. Methods: We retrospectively reviewed the medical records of patients who initiated anti-programmed death-1/ligand-1 (PD-1/PDL-1) and/or anti-cytotoxic-T-lymphocyte-4 (CTLA-4) ICI therapy between 1/1/16-3/8/19 with confirmed cirAE, obtaining oncologic history, clinical features, SCS exposures, infection rates, and survival outcomes. SCS exposures were categorized by indication (cirAE, other immune-related adverse event, other medical reason) and dosage in prednisone equivalents (low, ≤7.5mg/day for ≥2 months; moderate, > 7.5mg/day for ≥2 months; high, ≥1mg/kg/day for ≥1 week). Infection rates were compared among patients treated with SCS for initial cirAE and those with no SCS exposures for any indication. Cox proportional hazards (CPH) models adjusted for age, sex, and covariates with P
- Published
- 2021
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42. Relationship between insurance status and diagnosis of cutaneous immune-related adverse events
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Amy E. Blum, Nira A. Krasnow, Steven T. Chen, William Murphy, Jaewon Yoon, Leah L. Thompson, Michael Chang, Kerry L. Reynolds, and Vartan Pahalyants
- Subjects
Cancer Research ,Immune system ,Oncology ,business.industry ,Immune checkpoint inhibitors ,Insurance status ,Immunology ,Medicine ,Adverse effect ,business - Abstract
e18535 Background: Cutaneous immune-related adverse events (cirAEs) are among the most common side effects of immune checkpoint inhibitor (ICI) therapy. While insurance status has been shown to influence outcomes in patients treated with ICIs, its impact on cirAE management remains underexplored. We therefore evaluated insurance status in patients with cirAEs, examining its effect on rate of and time to cirAE diagnosis. Methods: Using billing data, we retrospectively identified patients who initiated anti-PD-1/PDL-1 and/or anti-CTLA-4 therapy at Massachusetts General Hospital between January 1, 2016 and March 8, 2019 (n = 2,459) for possible cirAE. Eligible cirAEs included reactions attributed to ICI by the clinician, consistent with established morphologic categories. For each patient with confirmed cirAE (n = 358), we abstracted oncologic history, cirAE features, and insurance status. Associations between insurance and cirAE diagnosis outcomes were assessed via logistic and linear regression, and adjusted for age, sex, race, ICI type, cancer diagnosis, cirAE type, and significant covariates ( P< 0.05). Results: Of the 2,459 patients who received ICIs, 2,419 (98.4%) had documented insurance status. Most ICI recipients had Medicare (n = 1,119; 46.3%) or private insurance (n = 1,156; 47.8%) relative to Medicaid (n = 104; 4.3%) or other government insurance (e.g. Tricare) (n = 40; 1.7%). We found that 358 (median age 64 years, 40.5% female) developed a cirAE. Among cirAE patients, 175 had Medicare (48.9%), 174 had private insurance (48.6%), 6 had Medicaid (1.7%), and 3 had other government insurance (0.8%). The most common cirAEs across insurance types were maculopapular rash, pruritus, and eczematous and lichenoid eruptions. In the multivariable analysis, ICI patients with Medicare insurance had a higher rate of cirAE diagnosis (adjusted odds ratio: 2.41, 95% CI: 1.00, 5.90, P= 0.05) relative to Medicaid patients. In addition, in terms of time to cirAE diagnosis at dermatology visit, Medicare insurance was associated with longer delays, with a linear regression coefficient of 132.2 (95% CI: 4.78, 259.6; P= 0.04). No significant associations were found between other insurance types and cirAE diagnosis outcomes. Conclusions: Our study shows that patients with Medicaid are less likely to be diagnosed with cirAE relative to those with Medicare, despite delays in diagnosis, when controlling for all other demographic/oncologic factors. Ultimately, these findings are reassuring that despite insurance differences, patients with cirAEs are receiving suitable care and appropriately seen by dermatologists. As insurance coverage for specialists can vary widely, these initial findings are a promising indicator that patients with cirAEs are well-connected within healthcare systems.
- Published
- 2021
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43. Extension request avoidance predicts greater time stress among women.
- Author
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Whillans, Ashley V., Jaewon Yoon, Turek, Aurora, and Donnelly, Grant E.
- Subjects
- *
TIME pressure , *GENDER differences (Psychology) , *WOMEN judges , *MARITAL status , *CROWDSOURCING - Abstract
In nine studies using archival data, surveys, and experiments, we identify a factor that predicts gender differences in time stress and burnout. Across academic and professional settings, women are less likely to ask for more time when working under adjustable deadlines (studies 1 to 4a). Women's discomfort in asking for more time on adjustable deadlines uniquely predicts time stress and burnout, controlling for marital status, industry, tenure, and delegation preferences (study 1). Women are less likely to ask for more time to complete their tasks because they hold stronger beliefs that they will be penalized for these requests and worry more about burdening others (studies 1 to 2d). We find no evidence that women are judged more harshly than men (study 3). We also document a simple organizational intervention: formal processes for requesting deadline extensions reduce gender differences in asking for more time (studies 4a to 5). [ABSTRACT FROM AUTHOR]
- Published
- 2021
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44. Setting and Pushing Boundaries: Implications for Work-Life Balance, Well-Being, and Performance
- Author
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Laura M. Giurge, Daniel M. Cable, Krithiga Sankaran, Elana Feldman, Einav Hart, and Jaewon Yoon
- Subjects
Work (electrical) ,Group (mathematics) ,business.industry ,Well-being ,Work–life balance ,General Medicine ,Sociology ,Public relations ,Set (psychology) ,business - Abstract
This symposium brings together a diverse group of management scholars to provide critical and often surprising answers to the question of how people set and push boundaries at work around a broad r...
- Published
- 2020
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45. Impact of systemic corticosteroids on survival outcomes in patients with immune-checkpoint inhibitor enterocolitis
- Author
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Ethan Katznelson, Sienna Durbin, Jin K. Park, Steven T. Chen, Michael Dougan, Donna E. Leet, Jaewon Yoon, and Leah L. Thompson
- Subjects
Enterocolitis ,Moderate to severe ,Oncology ,Cancer Research ,medicine.medical_specialty ,business.industry ,Internal medicine ,Immune checkpoint inhibitors ,medicine ,In patient ,medicine.symptom ,business - Abstract
e15065 Background: Current guidelines for immune-checkpoint inhibitor enterocolitis (ICI-EC) recommend systemic corticosteroids (SCS) for moderate to severe cases, but whether these therapies have an impact on survival outcomes remains unclear. Prior work has been limited, considering only select cancer types, ICI regimens, and indications for immunosuppression. We therefore sought to examine the relationship between SCS for ICI-EC and survival outcomes, accounting for all other steroid exposures. Methods: We retrospectively reviewed the medical records of patients with biopsy-confirmed ICI-EC seen at our institution between August 2011 and April 2019, collecting patient demographics, cancer features, anti-neoplastic therapies, other immune-related adverse events (irAEs), SCS exposures, progression-free survival (PFS), and overall survival (OS). We further categorized SCS exposures by indication (ICI-EC, other irAE, other medical reason) and previously established dose thresholds (“high” ≥1mg/kg for ≥1 week; “moderate” ≥7.5mg for ≥2 months, or “none”). We assessed the relationship between SCS use for ICI-EC and PFS/OS using Cox proportional hazards models adjusted for age, sex, cancer type and stage, baseline brain metastases, functional status (Eastern Cooperative Oncology Group score), anti-neoplastic therapies, and other SCS exposures. Results: 90 patients (mean age 62.5 years, 37.8% female) had biopsy-confirmed ICI-EC, most commonly precipitated by CTLA-4 monotherapy (43.3%). Nearly all (80.0%) required SCS for their first episode of ICI-EC, with half (46.7%) requiring doses exceeding the highest threshold. Patients who received high-dose SCS for first ICI-EC episode had reduced PFS (HR = 2.50, p = 0.028) compared to those who did not receive SCS for this indication. OS was not affected by SCS therapy for ICI-EC at any dose. Conclusions: In cancer patients with biopsy-proven ICI-EC, receipt of high-dose SCS for first ICI-EC episode was associated with decreased PFS, but not OS. These findings suggest a nuanced and potentially dose-dependent relationship between SCS and survival outcomes meriting further investigation for a larger array of immunotoxicities.
- Published
- 2020
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46. Cooperative Switching in Large‐Area Assemblies of Magnetic Janus Particles
- Author
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Jaewon Yoon, Marvin Klaiber, Trung Dac Nguyen, Joerg Lahann, Srijanani Bhaskar, Sharon C. Glotzer, Sangyeul Hwang, and Kyung Jin Lee
- Subjects
Biomaterials ,Materials science ,Electrochemistry ,Nanotechnology ,Janus particles ,Self-assembly ,Condensed Matter Physics ,Magnetic actuation ,Electronic, Optical and Magnetic Materials - Published
- 2020
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47. Cardiomyocyte-Driven Actuation in Biohybrid Microcylinders
- Author
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Thomas W. Eyster, Jaewon Yoon, Asish C. Misra, and Joerg Lahann
- Subjects
Materials science ,Mechanics of Materials ,Mechanical Engineering ,General Materials Science ,Nanotechnology ,Electrohydrodynamics ,Cell selectivity ,Article - Abstract
Biohybrid microcylinders are fabricated using electrohydrodynamic cojetting followed by a surface chemistry approach to maximize cell-adhesive characteristics. As proper cell alignment and mechanical stiffness are important components of bioactuator design, spatial cell selectivity and stress/strain properties of microcylinders are characterized to demonstrate their capability of response to rat cardio-myocyte contraction. These microcylinders can find applications in a host of micromechanical systems.
- Published
- 2015
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48. Spatioselective Growth of Metal-Organic Framework Nanocrystals on Compositionally Anisotropic Polymer Particles
- Author
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Jaewon Yoon, Kyung Jin Lee, Tae Hong Park, Sangyeul Hwang, Joerg Lahann, and Christof Woell
- Subjects
chemistry.chemical_classification ,Materials science ,Mechanical Engineering ,Janus particles ,Polymer ,Selective surface ,Polymer particle ,Nanocrystal ,chemistry ,Mechanics of Materials ,Surface modification ,General Materials Science ,Metal-organic framework ,Composite material ,Anisotropy - Abstract
Selective growth of metal organic framework materials on the surface of compartmentalized polymer microparticles is achieved by electro-hydrodynamic co-jetting, selective surface modification, and anisotropic crystal growth.
- Published
- 2014
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49. It Doesn’t Hurt to Ask: Employees Overestimate the Interpersonal Costs of Extension Requests
- Author
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Ashley V. Whillans, Jaewon Yoon, and Grant E. Donnelly
- Subjects
Labour economics ,Extension (metaphysics) ,Work (electrical) ,Ask price ,media_common.quotation_subject ,Happiness ,General Medicine ,Interpersonal communication ,Time stress ,Psychology ,Productivity ,media_common - Abstract
Employees today experience high levels of time stress at work, undermining their health, happiness, and productivity. In this project, we propose a novel cause and possible solution to the...
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- 2019
- Full Text
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50. The Giver's Perspective: Advancing Feedback Research with a New Focus
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Bradley R. Staats, Elizabeth Baily Wolf, Francesca Gino, Jaewon Yoon, Kian Siong Tey, Ashley V. Whillans, Susan J. Ashford, Paul Isaac Green, Ting Zhang, Michael Schaerer, Roderick I. Swaab, Hayley Blunden, Lily Jampol, and Ariella Kristal
- Subjects
Performance feedback ,Focus (computing) ,Perspective (graphical) ,Engineering ethics ,General Medicine ,Sociology - Abstract
Individuals often rely on other people, typically other members of their organization, for performance feedback. Unsurprisingly, decades of organizational research have been dedicated to understand...
- Published
- 2019
- Full Text
- View/download PDF
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