Publications by authors named "P Gaynor"

Cytomegalovirus (CMV) infection in solid organ transplant (SOT) and hematopoietic cell transplant (HCT) recipients may increase the risk of rejection or allograft dysfunction, other infection(s), and morbidity and mortality. Treatment can be challenging due to medication-associated toxicities. Maribavir (MBV) is a promising option for the treatment of resistant or refractory (R/R) CMV infection in lieu of foscarnet (FOS), which has long been the recommended therapy for (val)ganciclovir-resistant infection.

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Article Synopsis
  • Mucorales infections lead to high morbidity and mortality rates in immunocompromised patients, such as those receiving solid organ or hematopoietic cell transplants, despite advances in diagnosis and treatment.!* -
  • A study analyzed 43 patients with Mucorales infections, finding that most developed the infection around 184 days post-transplant, with a 64% overall mortality rate; fatalities were mainly linked to Mucormycosis and common in disseminated disease.!* -
  • The findings highlight a gap in effective prophylaxis and treatment strategies, indicating that improved data post-transplant can aid in managing Mucormycosis and emphasizing the need for further research on antifungal treatments.!
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We present the development of a transportable laser frequency stabilization system with application to both optical clocks and a next-generation gravity mission (NGGM) in space. This effort leverages a 5-cm long cubic cavity with crystalline coatings operating at room temperature and with a center wavelength of 1064 nm. The cavity is integrated in a custom vacuum chamber with dedicated low-noise locking electronics.

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Remdesivir is the first FDA-approved drug for treating severe SARS-CoV-2 infection and targets RNA-dependent RNA polymerase (RdRp) that is required for viral replication. To monitor for the development of mutations that may result in remdesivir resistance during prolonged treatment, we sequenced SARS-CoV-2 specimens collected at different treatment time points in two transplant patients with severe COVID-19. In the first patient, an allogeneic hematopoietic stem cell transplant recipient, a transient RdRp catalytic subunit mutation (nsp12:A449V) was observed that has not previously been associated with remdesivir resistance.

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