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"Johnson, Jean M"
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The Reverse Brain Drain and the Global Diffusion of Knowledge
2002
Examines positive correlation of return flows of scientists and engineers from the US to South Korea and Taiwan with educational and science and technology policies, science and technology infrastructure, and economic development; implications for US scientific leadership and diplomacy.
Journal Article
Asperity Distribution of the 1952 Great Kamchatka Earthquake and its Relation to Future Earthquake Potential in Kamchatka
1999
--The 1952 Kamchatka earthquake is among the largest earthquakes of this century, with an estimated magnitude of M ^sub w^ = 9.0. We inverted tide gauge records from Japan, North America, the Aleutians, and Hawaii for the asperity distribution. The results show two areas of high slip. The average slip is over 3 m, giving a seismic moment estimate of 155×10^sup 20^Nm, or M ^sub w^ = 8.8. The 20th century seismicity of the 1952 rupture zone shows a strong correlation to the asperity distribution, which suggests that the large earthquakes (M > 7) are controlled by the locations of the asperities and that future large earthquakes will also recur in the asperity regions.[PUBLICATION ABSTRACT]
Journal Article
Community should help search for new Bethlehem school chief
2010
[...] at this time, public confidence in the district has been diminished by widely reported missteps by the old board and the previous superintendent -- the swaps and the adversarial relationship between board and superintendent as well as lesser-known realities in our district, such as the cutting of three programs that served, in particular, at-risk, poor or minority children and youth, an ongoing failure to adequately develop school funding sources, and an unwillingness to recognize issues of power and privilege in the schools.
Newspaper Article
Cardiovascular toxicities associated with immune checkpoint inhibitors: an observational, retrospective, pharmacovigilance study
by
Roden, Dan M
,
Spano, Jean-Philippe
,
Johnson, Douglas B
in
Adult
,
Adverse Drug Reaction Reporting Systems
,
Aged
2018
Immune checkpoint inhibitors (ICIs) have substantially improved clinical outcomes in multiple cancer types and are increasingly being used in early disease settings and in combinations of different immunotherapies. However, ICIs can also cause severe or fatal immune-related adverse-events (irAEs). We aimed to identify and characterise cardiovascular irAEs that are significantly associated with ICIs.
In this observational, retrospective, pharmacovigilance study, we used VigiBase, WHO's global database of individual case safety reports, to compare cardiovascular adverse event reporting in patients who received ICIs (ICI subgroup) with this reporting in the full database. This study included all cardiovascular irAEs classified by group queries according to the Medical Dictionary for Regulatory Activities, between inception on Nov 14, 1967, and Jan 2, 2018. We evaluated the association between ICIs and cardiovascular adverse events using the reporting odds ratio (ROR) and the information component (IC). IC is an indicator value for disproportionate Bayesian reporting that compares observed and expected values to find associations between drugs and adverse events. IC025 is the lower end of the IC 95% credibility interval, and an IC025 value of more than zero is deemed significant. This study is registered with ClinicalTrials.gov, number NCT03387540.
We identified 31 321 adverse events reported in patients who received ICIs and 16 343 451 adverse events reported in patients treated with any drugs (full database) in VigiBase. Compared with the full database, ICI treatment was associated with higher reporting of myocarditis (5515 reports for the full database vs 122 for ICIs, ROR 11·21 [95% CI 9·36–13·43]; IC025 3·20), pericardial diseases (12 800 vs 95, 3·80 [3·08–4·62]; IC025 1·63), and vasculitis (33 289 vs 82, 1·56 [1·25–1·94]; IC025 0·03), including temporal arteritis (696 vs 18, 12·99 [8·12–20·77]; IC025 2·59) and polymyalgia rheumatica (1709 vs 16, 5·13 [3·13–8·40]; IC025 1·33). Pericardial diseases were reported more often in patients with lung cancer (49 [56%] of 87 patients), whereas myocarditis (42 [41%] of 103 patients) and vasculitis (42 [60%] of 70 patients) were more commonly reported in patients with melanoma (χ2 test for overall subgroup comparison, p<0·0001). Vision was impaired in five (28%) of 18 patients with temporal arteritis. Cardiovascular irAEs were severe in the majority of cases (>80%), with death occurring in 61 (50%) of 122 myocarditis cases, 20 (21%) of 95 pericardial disease cases, and five (6%) of 82 vasculitis cases (χ2 test for overall comparison between pericardial diseases, myocarditis, and vasculitis, p<0·0001).
Treatment with ICIs can lead to severe and disabling inflammatory cardiovascular irAEs soon after commencement of therapy. In addition to life-threatening myocarditis, these toxicities include pericardial diseases and temporal arteritis with a risk of blindness. These events should be considered in patient care and in combination clinical trial designs (ie, combinations of different immunotherapies as well as immunotherapies and chemotherapy).
The Cancer Institut Thématique Multi-Organisme of the French National Alliance for Life and Health Sciences (AVIESAN) Plan Cancer 2014–2019; US National Cancer Institute, National Institutes of Health; the James C. Bradford Jr. Melanoma Fund; and the Melanoma Research Foundation.
Journal Article