HAWAIIAN INLAY GENUINE KOA 23MM 925 SILVER PENDANT SLIDER TREE PALM WOOD Fashion Necklaces & Pendants


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GENUINE INLAY HAWAIIAN KOA WOOD PALM TREE SLIDER PENDANT SILVER 925 23MM
Condition: New without tags: A brand-new, unused, and unworn item (including handmade items) that is not in original packaging or Brand:

Unbranded

Metal: .925 Sterling Silver Style: Pendant
Material: Koa Wood Theme: Palm Tree
Main Color: Brown UPC:

Does not apply




published on tue nov 09 2021

HAWAIIAN INLAY GENUINE KOA 23MM 925 SILVER PENDANT SLIDER TREE PALM WOOD Fashion Necklaces & Pendants

gandhi, s., klein, j., robertson, a., pena-hernandez, m. a.,

HAWAIIAN INLAY GENUINE KOA 23MM 925 SILVER PENDANT SLIDER TREE PALM WOOD Fashion Necklaces & Pendants

lin, m. j., roychoudhury, p., lu, p., fournier, j., ferguson, d., mohamed bakhash, s. a., muenker, m. c., srivathsan, a., wunder, e. a., kerantzas, n., wang, w., pyle, a., wilen, c. b., ogbuagu, o., greninger ,, a. l., iwasaki, a., schulz, w. l., ko, a. i.

sars-cov-2 remdesivir resistance mutations have been generated in vitro but have not been reported in patients receiving treatment with the antiviral agent. we present a case of an immunocompromised patient with acquired b-cell deficiency who developed an indolent, protracted course of sars-cov-2 infection. remdesivir therapy alleviated symptoms and produced a transient virologic response, but her course was complicated by recrudescence of high-grade viral shedding. whole genome sequencing identified a mutation, e802d, in the nsp12 rna-dependent rna polymerase which was not present in pre-treatment specimens. in vitro experiments demonstrated that the mutation conferred a ~6-fold increase in remdesivir ic50 but resulted in a fitness cost in the absence of remdesivir. sustained clinical and virologic response was achieved after treatment with casirivimab-imdevimab. although the fitness cost observed in vitro may limit the risk posed by e802d,

, this case illustrates the importance of monitoring for remdesivir resistance and the potential benefit of combinatorial therapies in immunocompromised patients with sars-cov-2 infection.

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