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Elliott TM, Hare N, Hajkowicz K, Hurst T, Doidge M, Harris PN, Gordon LG. Evaluating the economic effects of genomic sequencing of pathogens to prioritise hospital patients competing for isolation beds. AUST HEALTH REV 2021; 45:59-65. [PMID: 33049199 DOI: 10.1071/ah20071] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Accepted: 05/18/2020] [Indexed: 11/23/2022]
Abstract
Objective This study compared the costs and patient movements of a new hospital protocol to discontinue contact precautions for patients with non-multiresistant methicillin-resistant Staphylococcus aureus (nmMRSA), based on whole-genome sequencing (WGS) of pathogens with current practice. Methods A hybrid simulation model was constructed and analysed over a 12-month time horizon. Six multidrug-resistant organisms and influenza were modelled concurrently where infected patients competed for isolation beds. Model inputs included pathogen incidence, resources for WGS, staff and contact precautions, hospital processes, room allocations and their associated costs. Data were sourced from aggregated records of patient admissions during 2017-18, clinical records and published reports. Results The WGS protocol resulted in 389 patients isolated (44% of current practice), 5223 'isolation bed days' (56%) and 268 closed-bed days (88%). Over 1 year, the mean (±s.d.) total cost for the WGS protocol was A$749243±126667; compared with current practice, the overall cost savings were A$690864±300464. Conclusion Using WGS to inform infection control teams of pathogen transmission averts patients from isolation rooms and reduces significant resources involved in implementing contact precautions. What is known about the topic? There are an estimated 265000 hospital-acquired infections (HAI) in Australia each year. WGS can accurately identify the genetic lineage among HAIs and determine transmission clusters that can help infection control staff manage patients. Economic appraisals are lacking to inform whether pathogen genomics services should be adopted within already-stretched hospital budgets. What does this paper add? An isolation protocol using pathogen genomics to provide additional information on the relatedness of a pathogen between colonised patients showed favourable results for healthcare costs and patient flow. Using WGS, in a confirmatory role, to discontinue certain patients from contact precautions and isolation rooms resulted in cost savings of A$690864 across 1 year for a single major hospital. What are the implications for practitioners? Using pathogen WGS services for infection control potentially curbs hospital spending, averts patient isolations and improves patient flow within hospitals.
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Affiliation(s)
- Thomas M Elliott
- QIMR Berghofer Medical Research Institute, 300 Herston Road, Herston, Qld 4006, Australia. ; ; and Corresponding author.
| | - Nicole Hare
- QIMR Berghofer Medical Research Institute, 300 Herston Road, Herston, Qld 4006, Australia. ;
| | - Krispin Hajkowicz
- Infectious Diseases Unit, Royal Brisbane and Women's Hospital, Butterfield Street, Herston, Qld 4029, Australia. ; ; ; and The University of Queensland, Centre for Clinical Research, Building 71/918, Royal Brisbane and Women's Hospital, Herston, Qld 4006, Australia.
| | - Trish Hurst
- Infectious Diseases Unit, Royal Brisbane and Women's Hospital, Butterfield Street, Herston, Qld 4029, Australia. ; ;
| | - Michelle Doidge
- Infectious Diseases Unit, Royal Brisbane and Women's Hospital, Butterfield Street, Herston, Qld 4029, Australia. ; ;
| | - Patrick N Harris
- The University of Queensland, Centre for Clinical Research, Building 71/918, Royal Brisbane and Women's Hospital, Herston, Qld 4006, Australia.
| | - Louisa G Gordon
- QIMR Berghofer Medical Research Institute, 300 Herston Road, Herston, Qld 4006, Australia. ; ; and The University of Queensland, School of Public Health, 266 Herston Road, Herston, Qld 4006, Australia; and Queensland University of Technology, School of Nursing, QUT N Block, Ring Road, Kelvin Grove, Qld 4059, Australia
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2
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Abstract
Melioidosis is an emerging infectious disease with an estimated global burden of 4.64 million disability-adjusted life years per year. A major determinant related to poor disease outcomes is delay to diagnosis due to the fact that identification of the causative agent Burkholderia pseudomallei may be challenging. Over the last 25 years, advances in molecular diagnostic techniques have resulted in the potential for rapid and accurate organism detection and identification direct from clinical samples. While these methods are not yet routine in clinical practice, laboratory diagnosis of infectious diseases is transitioning to culture-independent techniques. This review article aims to evaluate molecular methods for melioidosis diagnosis direct from clinical samples and discuss current and future utility and limitations.
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Affiliation(s)
- Ian Gassiep
- University of Queensland Centre for Clinical Research, Royal Brisbane and Woman's Hospital, Herston, Queensland, 4029, Australia.,Department of Infectious Diseases, Mater Hospital Brisbane, South Brisbane, Queensland, 4101, Australia
| | - Delaney Burnard
- University of Queensland Centre for Clinical Research, Royal Brisbane and Woman's Hospital, Herston, Queensland, 4029, Australia
| | - Michelle J Bauer
- University of Queensland Centre for Clinical Research, Royal Brisbane and Woman's Hospital, Herston, Queensland, 4029, Australia
| | - Robert E Norton
- Pathology Queensland, Townsville University Hospital, Townsville, Queensland, 4814, Australia
| | - Patrick N Harris
- University of Queensland Centre for Clinical Research, Royal Brisbane and Woman's Hospital, Herston, Queensland, 4029, Australia.,Pathology Queensland, Royal Brisbane & Women's Hospital, Herston, Queensland, 4029, Australia
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Elliott TM, Lee XJ, Foeglein A, Harris PN, Gordon LG. A hybrid simulation model approach to examine bacterial genome sequencing during a hospital outbreak. BMC Infect Dis 2020; 20:72. [PMID: 31973703 PMCID: PMC6979342 DOI: 10.1186/s12879-019-4743-3] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2019] [Accepted: 12/27/2019] [Indexed: 12/21/2022] Open
Abstract
Background Hospital infection control requires timely detection and identification of organisms, and their antimicrobial susceptibility. We describe a hybrid modeling approach to evaluate whole genome sequencing of pathogens for improving clinical decisions during a 2017 hospital outbreak of OXA-181 carbapenemase-producing Escherichia coli and the associated economic effects. Methods Combining agent-based and discrete-event paradigms, we built a hybrid simulation model to assess hospital ward dynamics, pathogen transmission and colonizations. The model was calibrated to exactly replicate the real-life outcomes of the outbreak at the ward-level. Seven scenarios were assessed including genome sequencing (early or late) and no sequencing (usual care). Model inputs included extent of microbiology and sequencing tests, patient-level data on length of stay, hospital ward movement, cost data and local clinical knowledge. The main outcomes were outbreak size and hospital costs. Model validation and sensitivity analyses were performed to address uncertainty around data inputs and calibration. Results An estimated 197 patients were colonized during the outbreak with 75 patients detected. The total outbreak cost was US$318,654 with 6.1% of total costs spent on sequencing. Without sequencing, the outbreak was estimated to result in 352 colonized patients costing US$531,109. Microbiology tests were the largest cost component across all scenarios. Conclusion A hybrid simulation approach using the advantages of both agent-based and discrete-event modeling successfully replicated a real-life bacterial hospital outbreak as a foundation for evaluating clinical outcomes and efficiency of outbreak management. Whole genome sequencing of a potentially serious pathogen appears effective in containing an outbreak and minimizing hospital costs.
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Affiliation(s)
- Thomas M Elliott
- Population Health Department, QIMR Berghofer Medical Research Institute, 300 Herston Rd, Herston, Brisbane, Q4006, Australia.
| | - Xing J Lee
- Australian Centre for Health Services Innovation, School of Public Health and Social Work, Queensland University of Technology, Kelvin Grove, Brisbane, 4059, Australia
| | - Anna Foeglein
- Heisenberg Analytics, Indooroopilly, QLD, 4068, Australia
| | - Patrick N Harris
- Central Microbiology, Pathology Queensland, Royal Brisbane and Women's Hospital, Herston, QLD, Australia.,Faculty of Medicine, UQ Centre for Clinical Research, The University of Queensland, Herston, QLD, Australia
| | - Louisa G Gordon
- Population Health Department, QIMR Berghofer Medical Research Institute, 300 Herston Rd, Herston, Brisbane, Q4006, Australia.,School of Medicine, The University of Queensland, Brisbane, Australia.,School of Nursing, Queensland University of Technology, Kelvin Grove, Brisbane, Q4059, Australia
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Vickers ML, Pelecanos A, Tran M, Eriksson L, Assoum M, Harris PN, Jaiprakash A, Parkinson B, Dulhunty J, Crawford RW. Association between higher ambient temperature and orthopaedic infection rates: a systematic review and meta-analysis. ANZ J Surg 2019; 89:1028-1034. [PMID: 30974508 DOI: 10.1111/ans.15089] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2018] [Revised: 12/29/2018] [Accepted: 01/05/2019] [Indexed: 12/18/2022]
Abstract
INTRODUCTION Many infectious diseases display seasonal variation corresponding with particular conditions. In orthopaedics a growing body of evidence has identified surges in post-operative infection rates during higher temperature periods. The aim of this research was to collate and synthesize the current literature on this topic. METHODS A systematic review and meta-analysis was performed using five databases (PubMed, Embase, CINAHL, Web of Science and Central (Cochrane)). Study quality was assessed using the Grading of Recommendations Assessment, Development and Evaluation method. Odds ratios (ORs) were calculated from monthly infection rates and a pooled OR was generated using the DerSimonian and Lairds method. A protocol for this review was registered with the National Institute for Health Research International Prospective Register of Systematic Reviews (CRD42017081871). RESULTS Eighteen studies analysing over 19 000 cases of orthopaedic related infection met inclusion criteria. Data on 6620 cases and 9035 controls from 12 studies were included for meta-analysis. The pooled OR indicated an overall increased odds of post-operative infection for patients undergoing orthopaedic procedures during warmer periods of the year (pooled OR 1.16, 95% confidence interval 1.04-1.30). CONCLUSION A small but significantly increased odds of post-operative infection may exist for orthopaedic patients who undergo procedures during higher temperature periods. It is hypothesized that this effect is geographically dependent and confounded by meteorological factors, local cultural variables and hospital staffing cycles.
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Affiliation(s)
- Mark L Vickers
- Biomedical Engineering and Clinical Sciences, Queensland University of Technology, Brisbane, Queensland, Australia.,Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia
| | - Anita Pelecanos
- QIMR Berghofer Medical Research Institute, Brisbane, Queensland, Australia
| | - Marie Tran
- Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia
| | - Lars Eriksson
- Herston Health Sciences Library, The University of Queensland, Brisbane, Queensland, Australia
| | - Mohamad Assoum
- Centre for Child Health Research, The University of Queensland, Brisbane, Queensland, Australia
| | - Patrick N Harris
- Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.,Infection Management Services, Princess Alexandra Hospital, Brisbane, Queensland, Australia.,Pathology Queensland, Central Laboratory, Brisbane, Queensland, Australia
| | - Anjali Jaiprakash
- Science and Engineering Faculty, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Benjamin Parkinson
- School of Medicine, James Cook University, Townsville, Queensland, Australia.,Department of Orthopaedics, Cairns Base Hospital, Cairns, Queensland, Australia
| | - Joel Dulhunty
- UQ Centre for Clinical Research, The University of Queensland, Brisbane, Queensland, Australia.,Research and Medical Education, Redcliffe Hospital, Brisbane, Queensland, Australia
| | - Ross W Crawford
- Biomedical Engineering and Clinical Sciences, Queensland University of Technology, Brisbane, Queensland, Australia.,Orthopaedics Department, The Prince Charles Hospital, Brisbane, Queensland, Australia
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Scott S, Harris PN, Williamson DA, Liss MA, Doi SAR, Roberts MJ. The effectiveness of targeted relative to empiric prophylaxis on infectious complications after transrectal ultrasound-guided prostate biopsy: a meta-analysis. World J Urol 2018; 36:1007-1017. [PMID: 29453690 DOI: 10.1007/s00345-018-2217-7] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2018] [Accepted: 01/31/2018] [Indexed: 11/28/2022] Open
Abstract
PURPOSE Rectal culture screening for fluoroquinolone (FQ)-resistant Enterobacteriaceae before transrectal ultrasound guided prostate (TRUSPB) biopsy and targeted antibiotic prophylaxis (TAP) may decrease post-TRUSPB infection rates compared to empiric (EAP) regimens. The objective of this study was to evaluate the effectiveness of targeted relative to empiric prophylaxis regimens on rates of infectious complications after TRUSPB and to determine the baseline prevalence of FQ resistance based on prior rectal swabs. METHODS An electronic search within literature databases including EMBASE and Web of Science (all databases) for articles assessing TAP as an approach to TRUSPB prophylaxis was conducted. Quality assessment was performed using the Hoy instrument. Meta-analysis was performed using MetaXL 5.3. RESULTS From 15 studies (eight retrospective and seven prospective) representing 12,320 participants, infectious complication incidence was 3.4% in EAP and 0.8% in TAP patients. The number needed to treat with TAP to avoid one more infection when compared to the EAP group was 39. Effect sizes were homogeneous. Prevalence of FQ resistance showed low (15%) and high (28%) subgroups, likely due to region of origin (within and outside USA, respectively). CONCLUSIONS Rectal culture prior to TRUSPB and use of TAP adjusts for endemic FQ resistance and is associated with less infectious complications and resulting morbidity when compared to EAP. Overtreatment associated with augmented prophylaxis approaches may be reduced as a result. Further prospective assessment and cost-benefit analyses are required before widespread implementation can be recommended.
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Affiliation(s)
- Susan Scott
- Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia
- Department of Urology, Sunshine Coast University Hospital, Birtinya, QLD, Australia
| | - Patrick N Harris
- Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia
- The University of Queensland, Centre for Clinical Research, Brisbane, QLD, Australia
- Central Laboratory, Department of Microbiology, Pathology Queensland, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia
| | - Deborah A Williamson
- Microbiological Diagnostic Unit Public Health Laboratory, Department of Microbiology & Immunology, The University of Melbourne at The Doherty Institute for Infection and Immunity, Melbourne, VIC, Australia
| | - Michael A Liss
- Department of Urology, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
| | - Suhail A R Doi
- Department of Population Medicine, College of Medicine, Qatar University, Doha, Qatar
| | - Matthew J Roberts
- Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia.
- The University of Queensland, Centre for Clinical Research, Brisbane, QLD, Australia.
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6
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Roberts MJ, Scott S, Harris PN, Naber K, Wagenlehner FME, Doi SAR. Comparison of fosfomycin against fluoroquinolones for transrectal prostate biopsy prophylaxis: an individual patient-data meta-analysis. World J Urol 2017; 36:323-330. [PMID: 29288398 DOI: 10.1007/s00345-017-2163-9] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2017] [Accepted: 12/22/2017] [Indexed: 01/30/2023] Open
Abstract
PURPOSE To systematically review and meta-analyse available evidence comparing fosfomycin trometamol (FT) to fluoroquinolone (FQ) prophylaxis to prevent transrectal ultrasound-guided prostate biopsy (TRUSPB) related infectious complications. METHODS Electronic databases were queried for studies comparing FT to FQ-based TRUSPB prophylaxis. Studies were assessed for comparable outcomes and methodological quality (ROBINS-I modification). The primary outcome measure was the relative odds of overall infectious complications following TRUSPB according to FT/FQ treatment, which was evaluated with meta-analysis. Safety and tolerability were also assessed. The relative odds of infections of different severity [Grade 1, bacteriuria and afebrile urinary tract infection (UTI); Grade 2, bacteraemia, febrile UTI, and urosepsis] according to FT/FQ treatment were also estimated. RESULTS Five studies, being three prospective randomised trials and two retrospective cohort studies, representing 3112 patients, were included. The relative odds of an infectious complication (OR 0.22, 95% CI 0.09-0.54) or of a more severe (Grade 2) infection (OR 0.13, 95% CI 0.07-0.26) were significantly lower in those receiving FT compared to FQ prophylaxis. A low incidence of medication-related side effects was observed. There were less observed infections due to FQ-resistant pathogens in those receiving FT prophylaxis. CONCLUSIONS Patients who received FT prophylaxis were less likely than those who received FQ prophylaxis to develop infections overall, as well as severe and resistant infections after TRUSPB. Assessing the performance of FT in other geographic locations or in comparison to targeted prophylaxis based on risk assessment or rectal cultures is desired.
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Affiliation(s)
- Matthew J Roberts
- Centre for Clinical Research, The University of Queensland, Brisbane, Australia. .,Faculty of Medicine, The University of Queensland, Brisbane, Australia. .,Department of Urology, Royal Brisbane and Women's Hospital, Brisbane, QLD, 4006, Australia.
| | - Susan Scott
- Faculty of Medicine, The University of Queensland, Brisbane, Australia.,Department of Urology, Sunshine Coast University Hospital, Birtinya, Australia
| | - Patrick N Harris
- Faculty of Medicine, The University of Queensland, Brisbane, Australia.,Department of Microbiology, Central Laboratory, Pathology Queensland, Royal Brisbane and Women's Hospital, Brisbane, Australia
| | - Kurt Naber
- Department of Urology, Technical University of Munich, Munich, Germany
| | - Florian M E Wagenlehner
- Clinic for Urology, Pediatric Urology and Andrology, Justus Liebig University Giessen, Giessen, Germany
| | - Suhail A R Doi
- Department of Population Medicine, College of Medicine, Qatar University, Doha, Qatar
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Hoch-Ligeti C, Harris PN, Stewart HL. Endocardial tumors induced by carbamate or fluorenylacetamide derivatives in rats. J Natl Cancer Inst 1983; 71:211-6. [PMID: 6575205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
Abstract
Endocardial tumors were induced in 18 rats treated with derivatives of carbamates and in 4 rats treated with derivatives of fluorenylacetamide. The endocardial tumor of 1 rat treated with N,N'-2,7-fluorenylenebisacetamide metastasized to the lung. This is the first report of metastasis of an endocardial tumor. Among the more than 60,000 accessions at the Registry of Experimental Cancers, Division of Cancer Cause and Prevention, National Cancer Institute, there are 4 untreated rats with endocardial tumors. On the basis of the light microscopic morphology, we have classified these endocardial tumors as mesenchymal.
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Weisburger EK, Ulland BM, Schueler RL, Weisburger JH, Harris PN. Carcinogenicity of three dose levels of 1,4-Bis(4-fluorophenyl)-2-propynyl-N-cyclooctyl carbamate in male Sprague-Dawley and F344 rats. J Natl Cancer Inst 1975; 54:975-9. [PMID: 1127726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
Feeding 1,4-bis(fluorophenyl)-2-propynyl-N-cyclooctyl carbamate to F344 or Sprague-Dawley male rats at 125-500 ppm in the diet led to many carcinomas of the small intestine and ear duct (Zymbal's gland tumors) in addition to lymphomas and leukemias. A high incidence of mammary adenocarcinomas was found in the Sprague-Dawley rats. Only a few colon or liver tumors were observed in each strain.
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Sweeney MJ, Gerzon K, Harris PN, Holmes RE, Poore GA, Williams RH. Experimental antitumor activity and preclinical toxicology of mycophenolic acid. Cancer Res 1972; 32:1795-802. [PMID: 4509039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
MESH Headings
- Adenocarcinoma/drug therapy
- Administration, Oral
- Animals
- Carcinoma 256, Walker/drug therapy
- Cyclophosphamide/administration & dosage
- Cyclophosphamide/therapeutic use
- Dogs
- Injections, Intramuscular
- Injections, Intraperitoneal
- Injections, Intravenous
- Lethal Dose 50
- Leukemia, Experimental/drug therapy
- Mammary Neoplasms, Experimental/drug therapy
- Mice
- Mice, Inbred Strains
- Multiple Myeloma/drug therapy
- Mycophenolic Acid/administration & dosage
- Mycophenolic Acid/therapeutic use
- Mycophenolic Acid/toxicity
- Neoplasms, Experimental/drug therapy
- Neoplasms, Experimental/radiotherapy
- Osteosarcoma/drug therapy
- Rats
- Rats, Inbred Strains
- Sarcoma, Experimental/drug therapy
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Emmerson JL, Gibson WR, Harris PN, Todd GC, Pierce EC, Anderson RC. Short-term toxicity of propoxyphene salts in rats and dogs. Toxicol Appl Pharmacol 1971; 19:452-70. [PMID: 5571350 DOI: 10.1016/0041-008x(71)90004-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Harris PN, Chen KK. Development of hepatic tumors in rats following ingestion of Senecio longilobus. Cancer Res 1970; 30:2881-6. [PMID: 5531284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Harris PN, Gibson WR, Dillard RD. The oncogenicity of two 1,1-diaryl-2-propynyl N-cycloalkylcarbamates. Cancer Res 1970; 30:2952-4. [PMID: 5494579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Lin TM, Harris PN. Experimental production of gastric and duodenal lesions by administration of 3-beta-aminoethyl 1,2,4-triazole. Arch Int Pharmacodyn Ther 1970; 186:5-17. [PMID: 5473181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Johnson IS, Hargrove WW, Harris PN, Wright HF, Boder GB. Preclinical studies with vinglycinate, one of a series of chemically derived analogs of vinblastine. Cancer Res 1966; 26:2431-6. [PMID: 5955595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Harris PN. Vaccinal Infection of the Chorioallantoic Membrane of the Turtle Embryo. Am J Pathol 1945; 21:377-381. [PMID: 19970817 PMCID: PMC1934104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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Harris PN. Aneurysmal Dilatation of the Cardiac Coronary Arteries: Review of the Literature and Report of a Case. Am J Pathol 1937; 13:89-98.3. [PMID: 19970316 PMCID: PMC1911045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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Harris PN. Adenocystoma Lymphomatosum of the Salivary Glands: Report of Two Cases. Am J Pathol 1937; 13:81-88.3. [PMID: 19970315 PMCID: PMC1911051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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Harris PN. Multiple Liver Abscesses Caused by a Leptothrix, with a Review of Leptothrical Infection. Am J Pathol 1933; 9:71-90.5. [PMID: 19970060 PMCID: PMC2062734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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Harris PN. Histological Study of a Case of the Eastern Type of Rocky Mountain Spotted Fever. Am J Pathol 1933; 9:91-104.7. [PMID: 19970061 PMCID: PMC2062735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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