Autogene cevumeran with or without atezolizumab in advanced solid tumors: a phase 1 trial.

Effective targeting of somatic cancer mutations to enhance the efficacy of cancer immunotherapy requires an individualized approach. Autogene cevumeran is a uridine messenger RNA lipoplex-based individualized neoantigen-specific immunotherapy designed from tumor-specific somatic mutation data obtained from tumor tissue of each individual patient to stimulate T cell responses against up to 20 neoantigens. This ongoing phase 1 study evaluated autogene cevumeran as monotherapy (n = 30) and in combination with atezolizumab (n = 183) in pretreated patients with advanced solid tumors.

Intravenous Pump Flow Accuracy: A Systematic Review.

Intravenous pumps (IVPs) deliver IV medications to millions of acute care patients each year and result in many adverse events reported to the US Food and Drug Administration (FDA). Although the use of IVPs has improved overall safety, there are still high rates of error that risk the safety of all patients, especially those of advanced age and those suffering from critical illness. Most of the documented errors are based on clinician reports, although there is reason to believe that errors due to flow rate inaccuracy go undetected and unreported.

Discrete event simulation model of an acute stroke treatment process at a comprehensive stroke center: Determining the ideal improvement strategies for reducing treatment times.

Background: Fast treatment is crucial for ischemic stroke patients; the probability of good patient outcomes increases with faster treatment. Treatment times can be improved by making changes to the treatment process. However, it is challenging to identify the benefits of changes prior to implementation.

Intersection of Wildfire and Legacy Mining Poses Risks to Water Quality.

Mining and wildfires are both landscape disturbances that pose elevated and substantial hazards to water supplies and ecosystems due to increased erosion and transport of sediment, metals, and debris to downstream waters. The risk to water supplies may be amplified when these disturbances occur in the same watershed. This work describes mechanisms by which the intersection of mining and wildfire may lead to elevated metal concentrations in downstream waters: (1) conveyance of metal-rich ash and soil to surface waters, (2) increased dissolution and transport of dissolved metals due to direct contact of precipitation with mine waste, (3) increased erosion and transport of metal-rich sediment from mining waste, (4) remobilization of previously deposited metal-contaminated floodplain sediment by higher postfire flood flows, and (5) increased metal transport from underground mine workings.

A Multidisciplinary Approach That Considers Occurrence, Geochemistry, Bioavailability, and Toxicity to Prioritize Critical Minerals for Environmental Research.

Critical minerals (or critical elements) are minerals or elements that are essential to global security and development and have supply chains vulnerable to disruption. In general, knowledge of the environmental behavior and health effects of critical elements is needed to support the development of safe and environmentally responsible supplies. This knowledge includes identifying potential consequences of increased critical element production and use, alternative critical element sources such as mine wastes, and adverse effects of critical elements on ecosystem condition and organismal health.