Publications by authors named "R H Pierce"

Background: Burnout, disengagement, and turnover among clinicians is a major challenge for the US health care industry. Research has shown that higher direct supervisor leadership scores correlate with decreased provider burnout and increased professional fulfillment. Safety-net health systems such as Federally Qualified Health Centers (FQHCs) face increased challenges due to limited financial resources, more complex social determinants of health among patients, and often fewer physician leaders who can serve as mentors compared to large, integrated health systems.

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Background: We investigated hospitalized carbapenem-resistant Enterobacterales (CRE) and extended-spectrum β-lactamase-producing Enterobacterales (ESBL-E) cases with and without COVID-19, as identified through Emerging Infections Program surveillance in 10 sites from 2020 to 2022.

Methods: We defined a CRE case as the first isolation of , complex, , , , or resistant to any carbapenem. We defined an ESBL-E case as the first isolation of , , or resistant to any third-generation cephalosporin and nonresistant to all carbapenems tested.

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Red tide is caused by the accumulation of Karenia (K.) brevis, which produces brevetoxin (BTx), a neurotoxin. Excreted BTx is incorporated into sea spray aerosol (SSA), which is created from the bursting of bubbles at the ocean's surface.

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Article Synopsis
  • To prevent HIV-1 transmission, high levels of broadly neutralizing antibodies are necessary at mucosal sites of exposure, particularly in the colorectal and genitourinary tracts.
  • A study compared the biodistribution of two monoclonal antibodies, VRC01 and its longer-lasting variant VRC01LS, over 1-52 weeks post-infusion, finding VRC01LS levels significantly higher in various tissues at earlier and later time points.
  • While both antibodies are mainly retained in rectal and cervical tissue, only a small percentage reaches seminal and rectal secretions; VRC01LS shows a longer elimination half-life, indicating its potential for sustained protection against HIV-1.
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Purpose: The receptor tyrosine kinase-like orphan receptor 1 (ROR1) is expressed in hematopoietic and epithelial cancers but has limited expression on normal adult tissues. This phase 1 study evaluated the safety of targeting ROR1 with autologous T-lymphocytes engineered to express a ROR1 chimeric antigen receptor (CAR). Secondary objectives evaluated persistence, trafficking, and antitumor activity of CAR T cells.

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