of Pediatric Pulmonology, Stanford; Childrens Hosp. If you made any changes in Pure these will be visible here soon. Daily oral VCZ at 20 or 40 mg/kg was initiated 24 h postinfection (PI); infected diluent-treated birds were given de-ionized water orally. The pharmacokinetics of voriconazole (VRC) administered intravenously (IV) or orally (PO; with and without liquid diet) to mallard ducks were studied. He is most remembered for Spouse of Dr Alice Roberts. Help keep Alice Roberts profile up to date. View details for Web of Science ID 000085132000001. Many abundant proteins from the cell wall of A. fumigatus present themselves as possible cross-protective vaccine candidates, due to the high degree of sequence homology to other medically relevant fungal proteins and low homologies to human or murine proteins. The infants had been hospitalized for at least six weeks, had received broad-spectrum antibiotics, and had received parenteral lipid nutrition via a central venous catheter. The general availability of genetically defined strains, immunological reagents, ease of handling, and costs all contribute to the use of mice as the primary laboratory animal species for models of this disease. View details for Web of Science ID 000267459900022 View details for Web of Science ID 000175665800009. Six isolates failed to amplify MTLa1 and six failed to amplify MTLalpha1. The median kidney or liver CFU were 2 or 3 log(10) CFU, respectively, on day 15; despite this, mortality was low through 21 days of infection. The BALF depleted by a coating of B. dermatitidis lost the ability to inhibit TNF-alpha production (P < 0.05). We used EcoRI digestion of cellular DNA to generate RFLP; RAPD analysis on genomic DNA. The overall mortality rate was 20%.This report extends the information on invasive aspergillosis in immunocompetent patients and supports the conclusion that triazole therapy should be considered for this serious infection. Histologic examination of samples of brain tissue showed focal abscesses containing Aspergillus hyphae. Genetic analysis of the isolates forming viable spores showed that most group A isolates were diploid and members of the species S. cerevisiae. Because of possible development of resistance in patient isolates resulting from residence in the abnormal milieu of CF patient airways, or from exposure to antifungals, and considering the possibility of patient-to-patient spread of microbes and reports of elevated resistance to other fungal pathogens, it was important to assay the susceptibility of isolates of Candida and compare that profile to isolates from the community. lists The optimal treatment strategy for aspergilloma is unknown. ACU Trooper at Jurassic World. The only exception to this was the inability to distinguish between Saccharomyces bayanus and S. pastorianus (S. carlsbergensis). If serum was absorbed with live B. dermatitidis, unbound serum was eluted, and bound serum factor(s) (BS) was released with guanidine buffer, BS inhibited TNF-alpha production by PM plus B. dermatitidis in a concentration-dependent manner. Comparative efficacies of conventional amphotericin B, liposomal amphotericin B (AmBisome), caspofungin, micafungin, and voriconazole alone and in combination against experimental murine central nervous system aspergillosis. David J. Stewart is Associate Professor with the Program of Maritime Studies, Department of History, East Carolina University; he is also Director of the North Carolina Vernacular Watercraft Recording Project. All regimens reduced renal infection. We delineate our experience in the medical and surgical management of this form of therapy, including procedural details that we have found useful, for the benefit of our colleagues who may wish to use them. Consistent with the in vitro enhancement of effector cell function by IFN-gamma, in vivo therapy with IFN-gamma significantly (P<0.0001) improved survival of BALB/c mice with pulmonary blastomycosis. British Writer David Stevens was born on 17th July, 1940 in Tiberias, Palestine and passed away on 17th Jul 2018 Whangarei, New Zealand aged 78. The results showed that although vaginal isolates did not cluster in any particular genetic subtype, multiple patients were infected with indistinguishable strains (there were nine distinct strains among 23 isolates). [4] Isherwood examines Stevens' work at St Mary Bourne, which at the time was a poor rural parish, at a time where Victorian public health reformers and legislation were being continuously improved. Kim, K. K., Lee, K. C., Jeong, H., Stevens, D. A., Lee, J. These represent small or large advantages and differences compared with existing available alternative therapy for deep and systemic mycoses. > present (Science columnist for The Observer newspaper), 2018 > present (president of Humanists UK), 2011 > present (patron of Humanists UK), 2012 > present (Chair of the Birmingham universitys Public Engagement with Science Committee), [????] Paradoxical growth of some Candida albicans isolates in the presence of caspofungin (CAS) in vitro has been demonstrated previously. Clarity and uniformity in defining these infections are important factors in improving the quality of clinical studies. Clemons, K. V., Capilla, J., Stevens, D. A. Azole therapy of clinical and experimental coccidioidomycosis, Experimental systemic infection with Cryptococcus neoformas var. View details for DOI 10.1128/AAC.49.4.1369-1376.2005, View details for Web of Science ID 000228082500018. Recently, a putative histidine kinase, fos-1, has been isolated and partially characterized from Aspergillus fumigatus. > present (Member of the committee for the Wellcome Trust Society Awards) and [????] Albany. We have shown in a randomized, double-blind, placebo-controlled study that maintenance therapy can completely prevent thrush in AIDS patients with recurrent thrush and possibly prevent all deep and superficial mycoses. Certain focal sites, such as sinusitis or cerebral aspergillosis, have additional risk factors. Future work can focus on evaluation of MMP inhibitors, to gain a better perspective of the role of this MMP in CM. In general, amphotericin B plus 5-fluorocytosine, amphotericin B plus rifampin, and amphotericin B plus itraconazole showed indifferent results, whereas amphotericin B plus micafungin showed positive interactions. Extensive cross-resistance was observed for fluconazole, clotrimazole, itraconazole, and ketoconazole. The taxonomy of the genus Saccharomyces has undergone significant changes recently with the use of genotypic rather than phenotypic methods for the identification of strains to the species level. No patient had discontinuation of the study drug due to toxicity. Social justice. [2], "Hampshire Papers Series 2, Hampshire Field Club & Archaeological Society", "Dr Joseph Stevens (18181899?) David Stevens was born on 22 December 1940 in Tiberias, Palestine. Dexamethasone suppressed production of IL-1 alpha, TNF-alpha, and MIP-1 alpha; GM-CSF reduced secretion slightly but antagonized dexamethasone suppression when the two were given in combination. The most common presenting symptom was back pain. My research is within the field of moral and political philosophy, in particular I am interested in the proper relationship between conceptions of the good (such as religious and ethical conceptions) and the role of the liberal democratic state, though my interests extend to questions of social justice more generally. more Papers Liquid States: A Closer Look at Sustainability and Sacred Water by Fay Stevens Transitions toward a more sustainable future is a key theme at the University of Notre Dame for the academic year 2021/22. > [????] No survivors were cured in both kidneys and brain, but each formulation showed efficacy, especially in the kidneys. Alice Roberts boyfriend, husband list. It began in 1903, with the successful use of potassium iodide (KI). Inactive caspofungin alone demonstrated no significant inhibition of hyphal growth, whereas the addition of 5% human serum to the inactive drug showed 83% +/- 16.5% inhibition (n = 5; P < 0. Mathematics I and II for Environmental Scientists and Geophysicists. Maffei, C. M., Mirels, L. F., Sobel, R. A., Clemons, K. V., Stevens, D. A. Clinical assessments were done daily; cerebrospinal fluid and blood samples were obtained on day 15 and upon euthanasia. Coccidioidomycosis can be difficult to treat with available therapies, particularly in patients with progressive or disseminated disease. After administration of two ITZ controlled-release formulations, plasma and tissue concentrations of ITZ and OH-ITZ were either very low (< or = 52 ng/mL) or undetectable. Experimental Central Nervous System Aspergillosis Therapy: Efficacy, Drug Levels and Localization, Immunohistopathology, and Toxicity. Third Advances Against Aspergillosis Meeting 2008. We have shown heat-killed Saccharomyces (HKY) is a protective vaccine against aspergillosis and coccidioidomycosis. I am interested in supervising PhD dissertations in the areas of: I have supervised a number of successful PhD projects in these areas. Surgical removal of aspergilloma is definitive treatment, but because of significant morbidity and mortality it should be reserved for high-risk patients such as those with episodes of life-threatening hemoptysis, and considered for patients with underlying sarcoidosis, immunocompromised patients, and those with increasing Aspergillus-specific IgG titers (CIII). Principal components analysis and hierarchical clustering indicated that yeast gene expression profiles differed greatly from those of mycelia, especially at earlier time points, and that mycelial gene expression changed less than gene expression in yeasts over time. High loading-doses of AmBi were associated with nephrosis and damage to other tissues. On day 14, cfu were determined in survivors by plating of organ homogenates.In the first study, mice given any regimen of Abelcet or caspofungin had a survival rate > or =80% whereas untreated had 90% mortality. A model was used to compare the efficacies of itraconazole and fluconazole. Brummer, E., Kethineni, N., Stevens, D. A. Efficacy of Abelcet and caspofungin, alone or in combination, against CNS aspergillosis in a murine model. The persistence of Cryptococcus observed in the CNS may result from an ineffective immune response, perhaps owing to an insufficient anticryptococcal effector function of endogenous glial cells resulting from competing pro- and anti-inflammatory cytokines. Studies of the paradoxical effect of caspofungin at high drug concentrations. Because of difficulty identifying the organism, testing in the Biolog system identified them as a Halomonas species. Toxicity was reversible, and principal side effects were nausea and vomiting (50%), gynecomastia (21%), decreased libido (13%), alopecia (8%), elevated liver function tests (5%), pruritus (5%), and rash (4%). Two of the most common point mutations in ERG11 associated with resistance, D116E and E266D, were tested by restriction fragment length polymorphism analysis of the isolates from this collection. At equivalent doses of 50 mg/kg of body weight, RCZ and ITZ were equally effective and RCZ was more effective than FCZ (P = 0.02). As more genomes are sequenced, the identification and characterization of the causes of heritable variation within a species will be increasingly important. Aristizabal, B. H., Clemons, K. V., Cock, A. M., Restrepo, A., Stevens, D. A. Efficacy of ravuconazole in treatment of systemic murine histoplasmosis. A variety of other animal species including dogs, primates, and guinea pigs have been used to study host response and vaccine efficacy. These results suggest that metabolism of progesterone to more polar and less inhibitory compounds, which exhibit lower affinity for PBP, is the mechanism of escape from progesterone-mediated inhibition of growth in this organism. Berry, C. D., Stevens, D. A., Hassid, E. I., Pappagianis, D., Happs, E. L., Sahrakar, K. Saccharomyces cerevisiae as a vaccine against coccidioidomycosis. to add information, pictures and relationships, join in discussions and get credit for your contributions. David Stevens, Baron Stevens of Ludgate (born 1936), Conservative Independent peer in the House of Lords David Stevens (businessman) (born 1962), British businessman, CEO of Admiral Group David Stephens, vocalist for the band We Came as Romans Dave Stevens (1955-2008), illustrator Dave Stevens (baseball) (born 1970), American baseball player During a three-year period, M. pachydermatis was also recovered from fungal cultures of an additional 30 patients, 85% of whom were infants. photos, Since IL-12 was poorly tolerated, a new protocol for infected mice, IL-12 0.1 or 0.3 microg, every other day, resulted in minimal toxicity; almost all treated mice survived (P<0.002 vs. controls). He believes that we must harness the human mind, especially working in focused groups, as the greatest resource available in the development of businesses and projects. Although no survivors were free of infection, no antagonism was seen. Measurement of a hyphal organism, like Aspergillus, presents difficulties in that it is problematic to define what constitutes a cell. 1 technical staff2 student. In untreated animals, qPCR showed transiently increased burdens in brains, while CFU enumeration showed a decrease. Both normal and immunosuppressed animals are used routinely. Conclusions: A proper IL-12 treatment protocol induces resistance (survival and decreased growth in lungs), low toxicity, macrophage responsiveness to IFN-gamma for killing Blastomyces, up-regulation of IFN-gamma and down-regulation of IL-10 production. In the present study, a collection of unmatched clinical isolates of C. albicans was analyzed for the known molecular mechanisms of resistance by standard methods. All infants were 25-27 w of gestational age and had multiple underlying medical problems. In basilar arteries of infected animals versus controls, mRNAs encoding for IL-6, iNOS, IFN-gamma, IL-2, MCP-1, IL-1beta, IL-10, TNF-alpha, CCR-1, MMP-9, TGF-beta, as well as MMP-9 protein in CSF, were found to be significantly up-regulated. The median time of onset from transplantation for invasive pulmonary aspergillosis (IPA) was 46 days, but the median time to first positive culture result was 104 days among patients with Aspergillus colonization but no invasive disease. The innovative approach to business planning described in this book is the result of not only many years research, but of the experience of running over 300 participatory sessions in a whole range of enterprises, in every State in Australia as well as other countries throughout the world. Control BAM responded to increasing numbers of conidia of Aspergillus fumigatus with increasing production of IL-1 and TNF. Data from external control cases were collected retrospectively to provide a comparative reference group.Cases of aspergillosis deemed evaluable by a blinded data review committee included 107 posaconazole recipients and 86 control subjects (modified intent-to-treat population). Clemons, K. V., Park, P. S., McCusker, J. H., McCullough, M. J., Davis, R. W., Stevens, D. A. Studies using authentic 15 alpha-hydroxyprogesterone, 1-dehydroprogesterone, and 11 alpha-hydroxyprogesterone reveal that these derivatives are significantly less inhibitory to the growth of T. mentagrophytes than progesterone. Phylogenetic and statistical analyses utilizing permutation tests were undertaken to assess correlations amongst the isolates. This has led to my participation in coupled ocean-atmosphere modelling projects, includingHiGEM. BAKER, G., FALK-WHYNES, J. and SIDOROVITCH, A., eds., Teaching for Integrative Learning: Innovations in University Practice. Although GM-CSF did not enhance IL-1 or TNF production by BAM+conidia, GM-CSF significantly antagonized DEX suppression of IL-1 cytokine production. With Aspergillus fumigatus synergy was noted for inhibition and killing, and synergistic activity was also noted for some isolates of other species presently regarded as difficult to treat. He has been involved in more than 1000 studies and projects with major government and multinational organisations in Australasia, the USA, the UK, Europe and the Asia-Pacific region. Expansion of this study to include other competitors revealed that R5020 (a synthetic progestin), androstenedione, and dehydroepiandosterone possessed relative binding affinities which were 20, 11, and 9% of that of progesterone, respectively. d*****@utah.gov. Experimental vaccines in mouse models have demonstrated a promising avenue of approach for the prevention of aspergillosis, as well as infections caused by other fungal pathogens, such as Coccidioides, the etiological agent of valley fever (coccidioidomycosis). Furthermore, person-to-person contact and the proliferation of the use of S. cerevisiae as a health-food product, in home baking, and in home brewing may be a contributing factor in human colonization and infection with this organism. We evaluated the immunomodulatory effects of three different classes of antifungal agents on the human monocytic cell line, THP-1, which had been stimulated in vitro with Aspergillus fumigatus conidia. Male. Predictability of European marine climate over seasons to decades, Ocean Dynamics as Drivers of Seasonal to Decadal European Atmospheric Variability. Help us build our profile of Alice Roberts and David Stevens! Galactomannan antigen testing of blood is routine in some European centres, with EIA methodology supplanting agglutination because of apparently greater sensitivity. View details for Web of Science ID 000186262900003, Among patients undergoing heart transplantation, Aspergillus is the opportunistic pathogen with the highest attributable mortality. These data suggest that it may be possible to suppress lymphocyte responses with DEX, yet at the same time maintain BAM defenses with GM-CSF against pulmonary infections by conidia of A. fumigatus. All tested regimens of posaconazole were equivalent to those of amphotericin B and superior in prolonging survival and reducing CFU to those of itraconazole and caspofungin and to vehicle controls. Login Salt Lake City, Utah, United States. Diagnosing invasive fungal disease in critically ill patients. 0 Reviews. A more selective method was developed for use on samples suspected to be heavily contaminated with other organisms, using the strategy of increased salt concentration in a broth enrichment culture to further exploit Halomonas halotolerance, and thereby inhibit other organisms. Cerebrospinal fluid (CSF) samples were obtained by cisternal puncture. WWW2006 15th International World Wide Web Conference. Current treatments provide limited benefit. What project can afford not to have the benefits of these secrets?, Many of Dr. Stevens facilitation secrets are revealed, but the extensive use of case studies for real organisations gives the reader tremendous insight in decision-making processes that lead to success for organisation, big or small., Filipo Sarti Q U O T E ::: "I dont think learning stops when you finish school, or university. She is especially interested in how material culture and urban space can shed light on the lives of the non-elite in ancient Egypt. of Sherbrooke, Quebec; MD Anderson Cancer Ctr., Houston; Univ. View details for DOI 10.3109/13693786.2012.683539, View details for Web of Science ID 000309936400005. Limper, A. H., Knox, K. S., Sarosi, G. A., Ampel, N. M., Bennett, J. E., Catanzaro, A., Davies, S. F., Dismukes, W. E., Hage, C. A., Marr, K. A., Mody, C. H., Perfect, J. R., Stevens, D. A. Efficacy of Recombinant Human Mannose Binding Lectin Alone and in Combination with Itraconazole Against Murine Candida albicans vaginitis. Genes with low expression after 4 or 12 h exposure to E(2) belonged to pathways involved in heat shock response (hsp90 and hsp70), energy metabolism, and several retrotransposable elements. Additionally, I am happy to host and support Independent Research Fellows and welcome enquiries from suitably qualified individuals. Gender. McCusker, R. W. Davis, and D.A. View details for Web of Science ID 000229680600005. [1][4], In 1882, before official appointment as Honorary Curator, Stevens recorded The Bland Collection, a large eclectic collection, donated by Horatio Bland, merchant and artefact collector. [2], At the time of his death, Stevens was a member of the Royal College of Physicians London, and the British Archaeological Association. View details for DOI 10.3109/13693786.2010.497775, View details for Web of Science ID 000288327000026. neoformans infection is usually associated with immunocompromised hosts, whereas Cryptococcusgattii more frequently causes disease in immunocompetent hosts. In fungi, two-component histidine kinases have various functions including regulation of osmosensitivity, and of cell-wall assembly. The enhancement of IL-6 by mouse serum was concentration-dependent and maximal at 8 h. The effects of fungus or serum on macrophage production of cytokines were similar in an outbred and an inbred mouse strain. Because no animal models are available for studying this infection, we sought to develop a murine model of CNS aspergillosis. Rodent, particularly mouse, models of aspergillosis predominate as the choice for most investigators. Liu, M., Clemons, K. V., Johansen, M. E., Martinez, M., Chen, V., Stevens, D. A. grubii and Cryptococcus gattii in normal and immunodeficient mice. View details for DOI 10.1128/AAC.00530-06, View details for Web of Science ID 000239640400008, View details for PubMedCentralID PMC1538686. The incidence of invasive aspergillosis is markedly increasing, and mortality remains dismal. The collaboration between human effector cells and caspofungin (MK-0991), a 1,3-beta-D glucan synthase inhibitor, was studied for antifungal activity against Aspergillus fumigatus. Birthday: May 19, 1973 ( Taurus) Born In: Bristol 69 14 Anthropologists #12 Intellectuals & Academics #237 Quick Facts British Celebrities Born In May Also Known As: Alice May Roberts Age: 49 Years, 49 Year Old Females Family: Spouse/Ex-: David Stevens (m. 2000) children: Phoebe Stevens Anthropologists British Women Posaconazole, an oral extended-spectrum triazole agent, has been shown in vitro and in vivo to have potent activity against this fungus.An open-label multinational study of posaconazole, 800 mg/d, administered in divided doses for the treatment of invasive fungal infection that has been refractory to previous therapy was conducted. Liked by David Stevens. Regulation by granulocyte-macrophage colony-stimulating factor and/or steroids given in vivo of proinflammatory cytokine and chemokine production by bronchoalveolar macrophages in response to Aspergillus conidia, A murine model of coccidioidal meningitis. Our results show that the fos-1 deletion strain has significantly reduced virulence as compared with the parental wild-type strain. With both assays, VCZ inhibited hyphal growth at concentrations of <1 microgram/ml and was almost as active as amphotericin B. VCZ (0.6 microgram/ml) was sporicidal, as was amphotericin B (0.4 microgram/ml). videos, Epidemiological studies of Candida parapsilosis have been performed by molecular methods. The result of collectin binding to opportunistic fungal pathogens (Aspergillus fumigatus, Candida albicans, Cryptococcus neoformans, Pneumocystis) or primary fungal pathogens (Blastomyces dermatitidis, Coccidioides, Histoplasma capsulatum, Paracoccidioides brasiliensis) on interaction with host defense cells relative to complement fixation, phagocytosis, and stimulation of cytokine/chemokine production is reviewed. Biography. Twenty-seven percent experienced possible symptomatic side effects, which resulted in 2 patients discontinuing therapy, and 42% had asymptomatic laboratory abnormalities, none of which were progressive. Getty. ICZ alone, ICZ+MICA and NIK alone did not significantly prolong survival. The elder Mazar was a Jew born in . I am a member of the Centre for Ocean and Atmospheric Sciences. The lack of demonstration of efficacy in the brain suggests that longer dosing is necessary to cause burden reduction. (Medical school lecturer of Anatomy), [????] David L Stevens, age 38. The purpose of this project was to maintain these programs by clarifying the policies regarding animals, specifically dogs, in the healthcare setting. As ours is a teaching institution, we have found this material also useful for physicians in training, who are learning about the treatment of these patients. with 10(7) cfu of either the parental grand or a spontaneously derived petite from one of four isolates previously classified with differing degrees of virulence: YJM128, YJM309, YJM145 and Y55. Macrophage inflammatory protein-1alpha (MIP-1alpha) production by BAM from BALB/c was significantly less than that from CD-1 in response to co-culture with Bd. With the development of these models, studies of pathogenesis, host response, and therapy are possible. See the Elon Musk family tree here at FameChain. Paired baseline and end-of-treatment culture results for Coccidioides species were available for 4 patients, all of whom converted from being positive to being negative for Coccidioides species. The Archaeologist Who Collected 4,500 Beer Cans David Maxwell's hobby has become essential to the field. Coccidioidal infections are often difficult to treat, and outcomes can be poor. The efficacy of combination therapy for IA has not been established; sparse data on combination or sequential antifungal therapy depict interactions ranging from synergy to antagonism. A variety of other animal species including dogs, primates, and therapy are possible enquiries from suitably qualified.... Additionally, I am happy to host and support Independent Research Fellows and welcome from. The policies regarding animals, specifically dogs, in the kidneys isolated and partially characterized from fumigatus! View details for Web of Science ID 000228082500018 extensive cross-resistance was observed for fluconazole, clotrimazole, itraconazole and! Been used to compare the efficacies of itraconazole and fluconazole species will be increasingly important, K.,... And differences compared with existing available alternative therapy for deep and systemic mycoses Jeong, H. Stevens... 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david stevens archaeologist