Publications by authors named "Tammy C Bleak"

Background: Rapid identification of bloodstream pathogens and associated antimicrobial resistance (AMR) profiles by molecular tests from positive blood cultures (PBCs) have the potential to improve patient management and clinical outcomes.

Objectives: A systematic review and meta-analysis was conducted to evaluate diagnostic test accuracy (DTA) of molecular tests from PBCs for detecting pathogens and AMR in the clinical setting.

Data Sources: MEDLINE, EMBASE, Cochrane, conference proceedings, and study bibliographies.

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Article Synopsis
  • - The study focused on acute infectious gastroenteritis (AGE) in adult outpatients in the U.S., analyzing demographics, clinical characteristics, pathogens, healthcare resource use, and costs from 2016 to 2021.
  • - Out of 248,896 patients, the average age was 44.3 years, with a majority being female (62.9%) and White (68.5%); most patients didn’t have preexisting conditions and were mainly treated in emergency departments.
  • - The average cost for a patient’s visit and follow-up care for AGE was approximately $1,338, with Clostridioides difficile being the most detected pathogen in patients who underwent microbiology testing.
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Article Synopsis
  • A study examined the effectiveness of different diagnostic methods for acute infectious gastroenteritis (AGE) in adult outpatients at U.S. hospitals, comparing traditional work-ups (TW) to two types of multiplex PCR panels.
  • The research found that the PCR panel with 12 or more target pathogens (PCR12) yielded higher pathogen detection rates and resulted in lower follow-up hospitalization rates and costs, despite having a higher initial visit cost compared to TW.
  • Patients tested with PCR12 experienced quicker results, fewer stool tests, and a reduced likelihood of receiving unnecessary in-hospital antibiotics compared to those tested via TW.
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Cancer has been considered the pathology of the century and factors such as the environment may play an important etiological role. The ability of muscarinic agonists to stimulate growth and muscarinic receptor antagonists to inhibit tumor growth has been demonstrated for breast, melanoma, lung, gastric, colon, pancreatic, ovarian, prostate, and brain cancer. This work aimed to study the correlation between epidermal growth factor receptors and cholinergic muscarinic receptors, the survival differences adjusted by the stage clinical factor, and the association between gene expression and immune infiltration level in breast, lung, stomach, colon, liver, prostate, and glioblastoma human cancers.

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This study aimed to analyze the expression of genes involved in radiation, using an Affymetrix system with an in vitro experimental breast cancer model developed by the combined treatment of low doses of high linear energy transfer (LET) radiation α particle radiation and estrogen yielding different stages in a malignantly transformed breast cancer cell model called Alpha model. Altered expression of different molecules was detected in the non-tumorigenic Alpha3, a malignant cell line transformed only by radiation and originally derived from the parental MCF-10F human cell line; that was compared with the Alpha 5 cell line, another cell line exposed to radiation and subsequently grown in the presence 17β-estradiol. This Alpha5, a tumorigenic cell line, originated the Tumor2 cell line.

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Environmental endocrine disruptor chemicals are substances that can alter the homeostasis of the endocrine system in living organisms. They can be released from several products used in daily activities. Once in the organism, they can disrupt the endocrine function by mimicking or blocking naturally occurring hormones due to their similar chemical structure.

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Cancer development is a multistep process that may be induced by a variety of compounds. Environmental substances, such as pesticides, have been associated with different human diseases. Organophosphorus pesticides (OPs) are among the most commonly used insecticides.

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Glyphosate is a large-spectrum herbicide that was introduced on the market in 1974. Due to its important impact on the crop industry, it has been significantly diversified and expanded being considered the most successful herbicide in history. Currently, its massive use has led to a wide environmental diffusion and its human consumption through food products has made possible to detect it in urine, serum, and breast milk samples.

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Breast cancer is a major health problem and accounted for 11.6% of all new cancer cases and 6.6% of all cancer deaths among women worldwide in 2018.

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Evaluation of carcinogenic substances from the environment is a challenge for scientists. Recently, a novel approach based on 10 key characteristics of human carcinogens classified by the International Agency for Research on Cancer (IARC) has emerged. Carcinogenesis depends on different mechanisms and factors, including genetic, infectious (bacteria, viruses) and environmental (chemicals) factors.

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Breast cancer is the most prevalent type of cancer among women worldwide and it is characterized by a high morbidity. Curcumin is a naturally occurring compound derived from the rhizome of Curcuma longa and is known to have antioxidant and anticarcinogenic properties. Emerging evidence has indicated that microRNAs (miRNAs or miRs) function as oncogenes or tumor suppressor genes to control invasion and migration.

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