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  • 1
    Online-Ressource
    Online-Ressource
    Ovid Technologies (Wolters Kluwer Health) ; 2019
    In:  Journal of Patient Safety Vol. 15, No. 4 ( 2019-12), p. e32-e35
    In: Journal of Patient Safety, Ovid Technologies (Wolters Kluwer Health), Vol. 15, No. 4 ( 2019-12), p. e32-e35
    Kurzfassung: Error-reporting systems are widely regarded as critical components to improving patient safety, yet current systems do not effectively engage patients. We sought to assess Twitter as a source to gather patient perspective on errors in this feasibility study. Methods We included publicly accessible tweets in English from any geography. To collect patient safety tweets, we consulted a patient safety expert and constructed a set of highly relevant phrases, such as “doctor screwed up.” We used Twitter’s search application program interface from January to August 2012 to identify tweets that matched the set of phrases. Two researchers used criteria to independently review tweets and choose those relevant to patient safety; a third reviewer resolved discrepancies. Variables included source and sex of tweeter, source and type of error, emotional response, and mention of litigation. Results Of 1006 tweets analyzed, 839 (83%) identified the type of error: 26% of which were procedural errors, 23% were medication errors, 23% were diagnostic errors, and 14% were surgical errors. A total of 850 (84%) identified a tweet source, 90% of which were by the patient and 9% by a family member. A total of 519 (52%) identified an emotional response, 47% of which expressed anger or frustration, 21% expressed humor or sarcasm, and 14% expressed sadness or grief. Of the tweets, 6.3% mentioned an intent to pursue malpractice litigation. Conclusions Twitter is a relevant data source to obtain the patient perspective on medical errors. Twitter may provide an opportunity for health systems and providers to identify and communicate with patients who have experienced a medical error. Further research is needed to assess the reliability of the data.
    Materialart: Online-Ressource
    ISSN: 1549-8425 , 1549-8417
    Sprache: Englisch
    Verlag: Ovid Technologies (Wolters Kluwer Health)
    Publikationsdatum: 2019
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 2
    In: Clinical Transplantation, Wiley, Vol. 28, No. 4 ( 2014-04), p. 443-449
    Kurzfassung: Maximizing deceased donation rates can decrease the organ shortage. Non‐transplant physicians play a critical role in facilitating conversion of potential deceased donors to actual donors, but studies suggest that physicians lack knowledge about the organ donation process. As residency and fellowship are often the last opportunities for formal medical training, we hypothesized that deficiencies in knowledge might originate in residency and fellowship. We conducted a cross‐sectional survey to assess knowledge about organ donation, experience in donor conversion, and opinions of the process among residents and fellows after their intensive care unit rotations at the Johns Hopkins Hospital. Of 40 participants, 50% had previously facilitated donor conversion, 25% were familiar with the guidelines of the organ procurement organization (OPO), and 10% had received formal instruction from the OPO. The median score on the knowledge assessment was five of 10; higher knowledge score was not associated with level of medical training, prior training in or experience with donor conversion, or with favorable opinions about the OPO. We identified a pervasive deficit in knowledge among residents and fellows at an academic medical center with an active transplant program that may help explain attending‐level deficits in knowledge about the organ donation process.
    Materialart: Online-Ressource
    ISSN: 0902-0063 , 1399-0012
    URL: Issue
    Sprache: Englisch
    Verlag: Wiley
    Publikationsdatum: 2014
    ZDB Id: 2739458-X
    ZDB Id: 2004801-4
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 3
    Online-Ressource
    Online-Ressource
    Informa UK Limited ; 2008
    In:  Expert Review of Anticancer Therapy Vol. 8, No. 11 ( 2008-11), p. 1787-1796
    In: Expert Review of Anticancer Therapy, Informa UK Limited, Vol. 8, No. 11 ( 2008-11), p. 1787-1796
    Materialart: Online-Ressource
    ISSN: 1473-7140 , 1744-8328
    Sprache: Englisch
    Verlag: Informa UK Limited
    Publikationsdatum: 2008
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 4
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 70, No. 11 ( 2010-06-01), p. 4550-4559
    Kurzfassung: To capitalize on the response of tumor cells to XRT, we developed a controlled-release nanoparticle drug delivery system using a targeting peptide that recognizes a radiation-induced cell surface receptor. Phage display biopanning identified Gly-Ile-Arg-Leu-Arg-Gly (GIRLRG) as a peptide that selectively recognizes tumors responding to XRT. Membrane protein extracts of irradiated glioma cells identified glucose-regulated protein GRP78 as the receptor target for GIRLRG. Antibodies to GRP78 blocked the binding of GIRLRG in vitro and in vivo. Conjugation of GIRLRG to a sustained-release nanoparticle drug delivery system yielded increased paclitaxel concentration and apoptosis in irradiated breast carcinomas for up to 3 weeks. Compared with controls, a single administration of the GIRLRG-targeted nanoparticle drug delivery system to irradiated tumors delayed the in vivo tumor tripling time by 55 days (P = 0.0001) in MDA-MB-231 and 12 days in GL261 (P & lt; 0.005). This targeting agent combines a novel recombinant peptide with a paclitaxel-encapsulating nanoparticle that specifically targets irradiated tumors, increasing apoptosis and tumor growth delay in a manner superior to known chemotherapy approaches. Cancer Res; 70(11); 4550–9. ©2010 AACR.
    Materialart: Online-Ressource
    ISSN: 0008-5472 , 1538-7445
    RVK:
    RVK:
    Sprache: Englisch
    Verlag: American Association for Cancer Research (AACR)
    Publikationsdatum: 2010
    ZDB Id: 2036785-5
    ZDB Id: 1432-1
    ZDB Id: 410466-3
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 5
    Online-Ressource
    Online-Ressource
    American Association for Cancer Research (AACR) ; 2009
    In:  Clinical Cancer Research Vol. 15, No. 20 ( 2009-10-15), p. 6421-6429
    In: Clinical Cancer Research, American Association for Cancer Research (AACR), Vol. 15, No. 20 ( 2009-10-15), p. 6421-6429
    Kurzfassung: Purpose: Phage display technology can be used to identify peptide sequences that bind rapidly and specifically to tumors responding to sunitinib therapy. These peptides may help to address problems with current methods of assessing tumor response to therapy that can be slow and have limited usage. Experimental Design: The peptide of interest was isolated after four rounds of biopanning in MDA-MB-231 and MCF-7 xenografted tumors. The binding location of the peptide was investigated with immunohistochemistry. Its in vivo ability to bind to breast tumors responding to therapy was determined by treating nude mice, xenografted with various tumor cell lines, with sunitinib and using near IR imaging to assess the ability of the peptide conjugated to Alexafluor-750 to bind tumors. Results: EGEVGLG was the dominant sequence isolated from biopanning. This peptide showed increased binding relative to control groups in two cancer cell lines (MDA-MB-435 and MCF-7 human breast) responding to sunitinib treatment, whereas no elevated binding occurred in vitro when samples were incubated with tumor cells that are unresponsive to sunitinib treatment (B16 melanoma and BxPC3 pancreatic). Mice xenografted with tumors that are responsive to sunitinib therapy showed increased peptide binding when compared with untreated control. Mice bearing tumors unresponsive to sunitinib therapy showed no increased peptide binding between treated and untreated groups. Conclusion: The use of recombinant peptides to assess the pharmacodynamic response of cancer holds promise in minimizing the duration of ineffective treatment regimens in patients, potentially providing a more rapid and less invasive assessment of cancer response to systemic therapy. (Clin Cancer Res 2009;15(20):6421–9)
    Materialart: Online-Ressource
    ISSN: 1078-0432 , 1557-3265
    RVK:
    Sprache: Englisch
    Verlag: American Association for Cancer Research (AACR)
    Publikationsdatum: 2009
    ZDB Id: 1225457-5
    ZDB Id: 2036787-9
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 6
    Online-Ressource
    Online-Ressource
    American Association for Cancer Research (AACR) ; 2010
    In:  Cancer Research Vol. 70, No. 8_Supplement ( 2010-04-15), p. 5548-5548
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 70, No. 8_Supplement ( 2010-04-15), p. 5548-5548
    Kurzfassung: Purpose/Objectives: GRP78 is a major endoplasmic reticulum chaperone that suppresses stress-induced apoptosis. High GRP78 levels have been shown to correlate with a worse pathologic grade and poor patient survival in various cancer types. GRP78 is also known to confer chemoresistance to tumors and tumor-associated endothelial cells. The goal of this study is to elucidate the mechanism responsible for radiation-mediated neoantigen expression in tumor microvasculature. GIRLRG, a peptide already shown to bind specifically to radiation (XRT) treated, responding tumors, was used in tumor protein extraction to identify its possible cellular targets. GRP78 was identified from the protein extraction as a possible receptor for GIRLRG. We tested the hypothesis that GRP78 is upregulated in response to radiation and can be used as a radiation-inducible drug delivery target. Methods: Proteins from untreated and XRT treated GL261 gliomas were extracted and incubated with agarose beads coated with GIRLRG and then analyzed by gel electrophoresis and mass spectrometry. A fluorescently labeled antibody to GRP78 was used to assess location of GRP78 expression post-XRT in vitro. WB analysis, immunohistochemistry (IHC), and in vivo imaging of GRP78 expression levels was performed in XRT treated and untreated GL261 and MDA-MB-231 breast tumors 48 hours post-XRT. In vivo blocking experiments were performed to assess GRP78 as the radiation inducible receptor for the GIRLRG peptide. Finally, GIRLRG was conjugated to a slow release nanoparticle drug delivery system encapsulating paclitaxel to target GRP78 in vivo. Results: Mass spectrometry analysis revealed that GIRLRG specifically extracted a 78k-dalton protein, GRP78 from XRT treated tumor samples. Similarly, WB, IHC, and in vivo imaging analysis showed an upregulation of GRP78 expression in XRT treated GL261 and MDA-MB-231 samples. In vitro imaging showed GRP78 to be upregulated at the cell surface in response to XRT. A blocking antibody to GRP78 was able to significantly abrogate GIRLRG binding post-XRT (p & lt; 0.05). The GIRLRG-nanoparticle drug delivery system produced a significant tumor growth delay relative to all control groups (p & lt; 0.05). Conclusions: GRP78 has been identified as GIRLRG's binding partner. We found that GRP78 is induced by XRT. This finding correlates with GRP78's known stress induced anti-apoptotic function, as XRT is a known cellular stressor. Furthermore, we utilized upregulation of GRP78 post-XRT by combining chemotherapeutic agents to a peptide ligand, GIRLRG, that recognizes the XRT-induced receptor, providing a targeting system that increases chemotherapeutic efficacy for irradiated tumors in vivo. In the future we plan to investigate if blocking GRP78 could potentially radiosensitize tumors by promoting an apoptotic state. Overall the regulation of GRP78 has the potential to provide exciting new targets for anti-cancer strategies. Note: This abstract was not presented at the AACR 101st Annual Meeting 2010 because the presenter was unable to attend. Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 101st Annual Meeting of the American Association for Cancer Research; 2010 Apr 17-21; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2010;70(8 Suppl):Abstract nr 5548.
    Materialart: Online-Ressource
    ISSN: 0008-5472 , 1538-7445
    RVK:
    RVK:
    Sprache: Englisch
    Verlag: American Association for Cancer Research (AACR)
    Publikationsdatum: 2010
    ZDB Id: 2036785-5
    ZDB Id: 1432-1
    ZDB Id: 410466-3
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 7
    Online-Ressource
    Online-Ressource
    JMIR Publications Inc. ; 2014
    In:  Journal of Medical Internet Research Vol. 16, No. 6 ( 2014-06-16), p. e153-
    In: Journal of Medical Internet Research, JMIR Publications Inc., Vol. 16, No. 6 ( 2014-06-16), p. e153-
    Materialart: Online-Ressource
    ISSN: 1438-8871
    Sprache: Englisch
    Verlag: JMIR Publications Inc.
    Publikationsdatum: 2014
    ZDB Id: 2028830-X
    Standort Signatur Einschränkungen Verfügbarkeit
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