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Mccloskey C, Mongan A, Chetty S, McAteer D, Quinn S. Aflibercept in neovascular age related macular degeneration previously refractory to standard intravitreal therapy: An Irish perspective to compare against international trends. Acta Ophthalmol 2017. [DOI: 10.1111/j.1755-3768.2017.01112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- C. Mccloskey
- Ophthalmology; Sligo General Hospital; Sligo Ireland
| | - A.M. Mongan
- Ophthalmology; Sligo General Hospital; Sligo Ireland
| | - S. Chetty
- Ophthalmology; Sligo General Hospital; Sligo Ireland
| | - D. McAteer
- Ophthalmology; Sligo General Hospital; Sligo Ireland
| | - S. Quinn
- Ophthalmology; Sligo General Hospital; Sligo Ireland
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Papendick C, Blyth A, Seshadri A, Edmonds MJ, Briffa T, Cullen L, Quinn S, Karnon J, Chuang A, Nelson AJ, Horsfall M, Morton E, Chew DP. A randomized trial of a 1-hour troponin T protocol in suspected acute coronary syndromes: Design of the Rapid Assessment of Possible ACS In the emergency Department with high sensitivity Troponin T (RAPID-TnT) study. Am Heart J 2017; 190:25-33. [PMID: 28760210 DOI: 10.1016/j.ahj.2017.05.004] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2017] [Accepted: 05/14/2017] [Indexed: 11/25/2022]
Abstract
BACKGROUND Protocols incorporating high-sensitivity troponin to guide decision making in the disposition of patients with suspected acute coronary syndromes (ACS) in the emergency department have received a lot of attention. Traditionally, patients with chest pain have required long periods of observation in emergency department before being deemed safe for discharge. In an era of limited health service resources, a protocol that could discharge patients safely within an hour of presentation is extremely attractive. Unfortunately, despite incorporation into some guidelines, these protocols have not been subjected to randomized comparisons evaluating safety, effectiveness, and cost-effectiveness. OBJECTIVE This study is designed to provide the evidence required to allow key decision makers to implement these protocols: specifically, to provide evidence that a decision rule based on 0- and 1-hour high-sensitivity troponin T (hs-TnT) is safe, provides noninferior outcomes in all patients with suspected ACS, and that implementation of a rapid troponin protocol leads to efficient care. DESIGN This prospective pragmatic trial (n=5,400, 5 hospitals) randomly allocates patients with suspected ACS to either a 0/1-hour hs-TnT protocol as advocated in clinical guidelines, versus usual care of standard troponin reporting evaluated at 3 and 6hours. The primary effectiveness composite end points of this study are all-cause death and new/recurrent ACS within 30days. To evaluate cost-effectiveness, follow-up will determine clinical events, quality of life, and resource utilization within 12 months. SUMMARY Demonstrating that a 0/1-hour hs-TnT protocol improves the effectiveness and efficiency of care within a robust comparative study will fill an evidence gap that currently limits the translation of more precise hs-TnT testing into better patient and health service outcomes.
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Karayiannis CC, Moran C, Beare R, Sharman J, Quinn S, Phan TG, Thrift AG, Srikanth V. [O4–01–06]: A TWIN STUDY OF TYPE 2 DIABETES AND COGNITION: THE ROLE OF CENTRAL AORTIC HEMODYNAMICS AND CEREBRAL PERFUSION. Alzheimers Dement 2017. [DOI: 10.1016/j.jalz.2017.07.422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Christopher C. Karayiannis
- Monash UniversityMelbourneAustralia
- Alfred HealthMelbourneAustralia
- University of TasmaniaHobartAustralia
- Swinburne University of TechnologyMelbourneAustralia
- MedicineSchool of Clinical Sciences, Monash UniversityMelbourneAustralia
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Coughlan A, Wylde R, Lafferty L, Quinn S, Broderick A, Bourke B, Hussey S. A rising incidence and poorer male outcomes characterise early onset paediatric inflammatory bowel disease. Aliment Pharmacol Ther 2017; 45:1534-1541. [PMID: 28449214 DOI: 10.1111/apt.14070] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2016] [Revised: 05/11/2016] [Accepted: 03/10/2017] [Indexed: 01/08/2023]
Abstract
BACKGROUND The incidence of paediatric inflammatory bowel disease diagnosed before age 10 years is reportedly increasing, but national data are limited. AIM To characterise the epidemiology, phenotype and clinical outcomes of children diagnosed with inflammatory bowel disease before age 10 years, and compare with data from children diagnosed aged 10-16 years. METHODS A review of all Irish cases of early onset inflammatory bowel disease (diagnosis <10 years, EO-IBD) presenting between January 2000 and December 2014 was undertaken and compared to a cohort of later onset paediatric inflammatory bowel disease patients (diagnosis between 10 and 16 years, LO-IBD). Diagnostic investigations, phenotype, treatments, and long-term clinical and surgical outcomes were analysed. RESULTS One hundred and ninety children (99 male) with EO-IBD were identified; 92 (48%) CD, 77 (41%) UC and 21 (11%) IBDU. The incidence of EO-IBD increased by 0.6 per 100 000 per year (0.8-3.2 per 100 000 per year), with a significant increase in UC by 0.06 per 100 000 per year (P=.02). Males with CD had more upper GI disease (L4a; 48% vs 21%; P=.007), more extensive disease distribution (L3±L4; 31% vs 11%; P=.05) and more severe disease activity at presentation (52% vs 31%; P=.05) than females. Fewer patients with early onset than later onset Crohn's disease had ileocolonic disease (L3; 10% vs 20%; P<.001). More relapses were observed in the first year post-diagnosis in early onset than later onset IBD (1.02 vs 0.5 mean relapses; P<.001). CONCLUSIONS EO-IBD is increasing in incidence. Males have more extensive and severe disease phenotypes, and younger patients have higher relapse rates than older children. Further research to explain these findings is warranted.
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Affiliation(s)
- A Coughlan
- National Centre for Paediatric Gastroenterology (NCPG), OLCHC, Crumlin, Dublin, Ireland.,National Children's Research Centre, OLCHC, Crumlin, Dublin, Ireland
| | - R Wylde
- National Centre for Paediatric Gastroenterology (NCPG), OLCHC, Crumlin, Dublin, Ireland.,Leiden University Medical Centre, Leiden, The Netherlands
| | - L Lafferty
- National Centre for Paediatric Gastroenterology (NCPG), OLCHC, Crumlin, Dublin, Ireland
| | - S Quinn
- National Centre for Paediatric Gastroenterology (NCPG), OLCHC, Crumlin, Dublin, Ireland
| | - A Broderick
- National Centre for Paediatric Gastroenterology (NCPG), OLCHC, Crumlin, Dublin, Ireland.,Academic Centre for Paediatric Research, School of Medicine and Medical Science, University College Dublin, Dublin, Ireland
| | - B Bourke
- National Centre for Paediatric Gastroenterology (NCPG), OLCHC, Crumlin, Dublin, Ireland.,National Children's Research Centre, OLCHC, Crumlin, Dublin, Ireland.,Academic Centre for Paediatric Research, School of Medicine and Medical Science, University College Dublin, Dublin, Ireland
| | - S Hussey
- National Centre for Paediatric Gastroenterology (NCPG), OLCHC, Crumlin, Dublin, Ireland.,National Children's Research Centre, OLCHC, Crumlin, Dublin, Ireland.,Academic Centre for Paediatric Research, School of Medicine and Medical Science, University College Dublin, Dublin, Ireland.,Department of Paediatrics, Royal College of Surgeons of Ireland, Dublin, Ireland
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- National Centre for Paediatric Gastroenterology (NCPG), OLCHC, Crumlin, Dublin, Ireland.,National Children's Research Centre, OLCHC, Crumlin, Dublin, Ireland
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Bidargaddi N, Musiat P, Winsall M, Vogl G, Blake V, Quinn S, Orlowski S, Antezana G, Schrader G. Efficacy of a Web-Based Guided Recommendation Service for a Curated List of Readily Available Mental Health and Well-Being Mobile Apps for Young People: Randomized Controlled Trial. J Med Internet Res 2017; 19:e141. [PMID: 28500020 PMCID: PMC5446666 DOI: 10.2196/jmir.6775] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2016] [Revised: 12/12/2016] [Accepted: 02/18/2017] [Indexed: 11/29/2022] Open
Abstract
Background Mental disorders are highly prevalent for the people who are aged between 16 and 25 years and can permanently disrupt the development of these individuals. Easily available mobile health (mHealth) apps for mobile phones have great potential for the prevention and early intervention of mental disorders in young adults, but interventions are required that can help individuals to both identify high-quality mobile apps and use them to change health and lifestyle behavior. Objectives The study aimed to assess the efficacy of a Web-based self-guided app recommendation service (“The Toolbox”) in improving the well-being of young Australians aged between 16 and 25 years. The intervention was developed in collaboration with young adults and consists of a curated list of 46 readily available health and well-being apps, assessed and rated by professionals and young people. Participants are guided by an interactive quiz and subsequently receive recommendations for particular apps to download and use based on their personal goals. Methods The study was a waitlist, parallel-arm, randomized controlled trial. Our primary outcome measure was change in well-being as measured by the Mental Health Continuum-Short Form (MHC-SF). We also employed ecological momentary assessments (EMAs) to track mood, energy, rest, and sleep. Participants were recruited from the general Australian population, via several Web-based and community strategies. The study was conducted through a Web-based platform consisting of a landing Web page and capabilities to administer study measures at different time points. Web-based measurements were self-assessed at baseline and 4 weeks, and EMAs were collected repeatedly at regular weekly intervals or ad hoc when participants interacted with the study platform. Primary outcomes were analyzed using linear mixed-models and intention-to-treat (ITT) analysis. Results A total of 387 participants completed baseline scores and were randomized into the trial. Results demonstrated no significant effect of “The Toolbox” intervention on participant well-being at 4 weeks compared with the control group (P=.66). There were also no significant differences between the intervention and control groups at 4 weeks on any of the subscales of the MHC-SF (psychological: P=.95, social: P=.42, emotional: P=.95). Repeat engagement with the study platform resulted in a significant difference in mood, energy, rest, and sleep trajectories between intervention and control groups as measured by EMAs (P<.01). Conclusions This was the first study to assess the effectiveness of a Web-based well-being intervention in a sample of young adults. The design of the intervention utilized expert rating of existing apps and end-user codesign approaches resulting in an app recommendation service. Our finding suggests that recommended readily available mental health and well-being apps may not lead to improvements in the well-being of a nonclinical sample of young people, but might halt a decline in mood, energy, rest, and sleep. Trial Registration Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12614000710628; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=366145 (Archived by WebCite at http://www.webcitation.org/ 6pWDsnKme)
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Affiliation(s)
- Niranjan Bidargaddi
- Digital Psychiatry & Personal Health Informatics Group, School of Medicine, Flinders University, Clovelly Park, Australia.,Young and Well Cooperative Research Centre, Melbourne, Australia
| | - Peter Musiat
- Digital Psychiatry & Personal Health Informatics Group, School of Medicine, Flinders University, Clovelly Park, Australia.,Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom
| | - Megan Winsall
- Digital Psychiatry & Personal Health Informatics Group, School of Medicine, Flinders University, Clovelly Park, Australia.,Young and Well Cooperative Research Centre, Melbourne, Australia
| | | | | | - Stephen Quinn
- Digital Psychiatry & Personal Health Informatics Group, School of Medicine, Flinders University, Clovelly Park, Australia.,School of Health Sciences, Department of Statistics Data Science and Epidemiology, Swinburne University, Melbourne, Australia
| | - Simone Orlowski
- Digital Psychiatry & Personal Health Informatics Group, School of Medicine, Flinders University, Clovelly Park, Australia.,Young and Well Cooperative Research Centre, Melbourne, Australia
| | - Gaston Antezana
- Digital Psychiatry & Personal Health Informatics Group, School of Medicine, Flinders University, Clovelly Park, Australia.,Young and Well Cooperative Research Centre, Melbourne, Australia
| | - Geoffrey Schrader
- Digital Psychiatry & Personal Health Informatics Group, School of Medicine, Flinders University, Clovelly Park, Australia
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Cairney S, Abbott T, Quinn S, Yamaguchi J, Wilson B, Wakerman J. Interplay wellbeing framework: a collaborative methodology 'bringing together stories and numbers' to quantify Aboriginal cultural values in remote Australia. Int J Equity Health 2017; 16:68. [PMID: 28468656 PMCID: PMC5415825 DOI: 10.1186/s12939-017-0563-5] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [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: 08/24/2016] [Accepted: 04/20/2017] [Indexed: 11/17/2022] Open
Abstract
Background Wellbeing has been difficult to understand, measure and strengthen for Aboriginal people in remote Australia. Part of the challenge has been genuinely involving community members and incorporating their values and priorities into assessment and policy. Taking a ‘shared space’ collaborative approach between remote Aboriginal communities, governments and scientists, we merged Aboriginal knowledge with western science – by bringing together stories and numbers. This research aims to statistically validate the holistic Interplay Wellbeing Framework and Survey that bring together Aboriginal-identified priorities of culture, empowerment and community with government priorities including education, employment and health. Method Quantitative survey data were collected from a cohort of 842 Aboriginal people aged 15-34 years, recruited from four different Aboriginal communities in remote Australia. Aboriginal community researchers designed and administered the survey. Results Structural equation modeling showed good fit statistics (χ/df = 2.69, CFI = 0.95 and RMSEA = 0.045) confirming the holistic nature of the Interplay Wellbeing Framework. The strongest direct impacts on wellbeing were ‘social and emotional wellbeing’ (r = 0.23; p < 0.001), ‘English literacy and numeracy’ (r = 0.15; p < 0.001), ‘Aboriginal literacy’ (r = 0.14; p < 0.001), ‘substances’ (lack thereof; r = 0.13; p = 0.003), ‘work’ (r = 0.12; p = 0.02) and ‘community’ (r = 0.08; p = 0.05). Correlation analyses suggested cultural factors have indirect impacts on wellbeing, such as through Aboriginal literacy. All cultural variables correlated highly with each other, and with empowerment and community. Empowerment also correlated highly with all education and work variables. ‘Substances’ (lack thereof) was linked with positive outcomes across culture, education and work. Specific interrelationships will be explored in detail separately. Conclusion The Interplay Wellbeing Framework and Survey were statistically validated as a collaborative approach to assessing wellbeing that is inclusive of other cultural worldviews, values and practices. New community-derived social and cultural indicators were established, contributing valuable insight to psychometric assessment across cultures. These analyses confirm that culture, empowerment and community play key roles in the interplay with education, employment and health, as part of a holistic and quantifiable system of wellbeing. This research supports the holistic concept of wellbeing confirming that everything is interrelated and needs to be considered at the ‘whole of system’ level in policy approaches.
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Affiliation(s)
- Sheree Cairney
- Centre for Remote Health, a Joint Centre of Flinders University and Charles Darwin University, Alice Springs, NT, Australia. .,Ninti One Limited and the Cooperative Research Centre for Remote Economic Participation (CRC-REP), Alice Springs, NT, Australia. .,Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.
| | - Tammy Abbott
- Ninti One Limited and the Cooperative Research Centre for Remote Economic Participation (CRC-REP), Alice Springs, NT, Australia
| | | | - Jessica Yamaguchi
- Policy, Analysis and Evaluation Division, Australian Government Department of the Prime Minister and Cabinet, Canberra, ACT, Australia
| | - Byron Wilson
- Ninti One Limited and the Cooperative Research Centre for Remote Economic Participation (CRC-REP), Alice Springs, NT, Australia.,Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia
| | - John Wakerman
- Centre for Remote Health, a Joint Centre of Flinders University and Charles Darwin University, Alice Springs, NT, Australia
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Do B, Lynch P, Macris EM, Smyth B, Stavrinakis S, Quinn S, Constable PA. Systematic review and meta-analysis of the association of Autism Spectrum Disorder in visually or hearing impaired children. Ophthalmic Physiol Opt 2017; 37:212-224. [DOI: 10.1111/opo.12350] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2016] [Accepted: 12/07/2016] [Indexed: 12/22/2022]
Affiliation(s)
- Belinda Do
- Discipline of Optometry; Flinders University; Adelaide Australia
| | - Paige Lynch
- Discipline of Optometry; Flinders University; Adelaide Australia
| | | | - Brianna Smyth
- Discipline of Optometry; Flinders University; Adelaide Australia
| | | | - Stephen Quinn
- Department of Statistics, Data Science and Epidemiology; Swinburne University of Technology; Melbourne Australia
| | - Paul A Constable
- Discipline of Optometry; Flinders University; Adelaide Australia
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Agar MR, Lawlor PG, Quinn S, Draper B, Caplan GA, Rowett D, Sanderson C, Hardy J, Le B, Eckermann S, McCaffrey N, Devilee L, Fazekas B, Hill M, Currow DC. Efficacy of Oral Risperidone, Haloperidol, or Placebo for Symptoms of Delirium Among Patients in Palliative Care: A Randomized Clinical Trial. JAMA Intern Med 2017; 177:34-42. [PMID: 27918778 DOI: 10.1001/jamainternmed.2016.7491] [Citation(s) in RCA: 215] [Impact Index Per Article: 30.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
IMPORTANCE Antipsychotics are widely used for distressing symptoms of delirium, but efficacy has not been established in placebo-controlled trials in palliative care. OBJECTIVE To determine efficacy of risperidone or haloperidol relative to placebo in relieving target symptoms of delirium associated with distress among patients receiving palliative care. DESIGN, SETTING, AND PARTICIPANTS A double-blind, parallel-arm, dose-titrated randomized clinical trial was conducted at 11 Australian inpatient hospice or hospital palliative care services between August 13, 2008, and April 2, 2014, among participants with life-limiting illness, delirium, and a delirium symptoms score (sum of Nursing Delirium Screening Scale behavioral, communication, and perceptual items) of 1 or more. INTERVENTIONS Age-adjusted titrated doses of oral risperidone, haloperidol, or placebo solution were administered every 12 hours for 72 hours, based on symptoms of delirium. Patients also received supportive care, individualized treatment of delirium precipitants, and subcutaneous midazolam hydrochloride as required for severe distress or safety. MAIN OUTCOME AND MEASURES Improvement in mean group difference of delirium symptom score (severity range, 0-6) between baseline and day 3. Five a priori secondary outcomes: delirium severity, midazolam use, extrapyramidal effects, sedation, and survival. RESULTS Two hundred forty-seven participants (mean [SD] age, 74.9 [9.8] years; 85 women [34.4%]; 218 with cancer [88.3%]) were included in intention-to-treat analysis (82 receiving risperidone, 81 receiving haloperidol, and 84 receiving placebo). In the primary intention-to-treat analysis, participants in the risperidone arm had delirium symptom scores that were significantly higher than those among participants in the placebo arm (on average 0.48 Units higher; 95% CI, 0.09-0.86; P = .02) at study end. Similarly, for those in the haloperidol arm, delirium symptom scores were on average 0.24 Units higher (95% CI, 0.06-0.42; P = .009) than in the placebo arm. Compared with placebo, patients in both active arms had more extrapyramidal effects (risperidone, 0.73; 95% CI, 0.09-1.37; P = .03; and haloperidol, 0.79; 95% CI, 0.17-1.41; P = .01). Participants in the placebo group had better overall survival than those receiving haloperidol (hazard ratio, 1.73; 95% CI, 1.20-2.50; P = .003), but this was not significant for placebo vs risperidone (hazard ratio, 1.29; 95% CI, 0.91-1.84; P = .14). CONCLUSIONS AND RELEVANCE In patients receiving palliative care, individualized management of delirium precipitants and supportive strategies result in lower scores and shorter duration of target distressing delirium symptoms than when risperidone or haloperidol are added. TRIAL REGISTRATION anzctr.org.au Identifier: ACTRN12607000562471.
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Affiliation(s)
- Meera R Agar
- Discipline, Palliative and Supportive Services, Flinders University, Daw Park, South Australia, Australia2Centre for Cardiovascular and Chronic Care, Faculty of Health, University of Technology Sydney, Ultimo, New South Wales, Australia3South West Sydney Clinical School, University of New South Wales, Liverpool, New South Wales, Australia4Clinical Trials, Ingham Institute of Applied Medical Research, Liverpool, New South Wales, Australia
| | - Peter G Lawlor
- Division of Palliative Care, Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada6Clinical Epidemiology, The Ottawa Hospital Research Institute, The Ottawa Hospital, Ottawa, Ontario, Canada7Division of Palliative Care, Bruyere Research Institute, Bruyere Continuing Care, Ottawa, Ontario, Canada
| | - Stephen Quinn
- School of Medicine, Flinders University, Repatriation General Hospital, Daw Park, South Australia, Australia
| | - Brian Draper
- School of Psychiatry, University of New South Wales, Randwick, Australia
| | - Gideon A Caplan
- Prince of Wales Clinical School, University of New South Wales, Randwick, New South Wales, Australia
| | - Debra Rowett
- Drug and Therapeutics Information Service, Repatriation General Hospital, Daw Park, South Australia, Australia
| | - Christine Sanderson
- Department of Palliative Care, Calvary Health Care Kogarah, Kogarah, New South Wales, Australia 13School of Medicine, University of Notre Dame Australia, Darlinghurst, New South Wales, Australia
| | - Janet Hardy
- Palliative and Supportive Care, Mater Hospital, Raymond Terrace, Brisbane, Queensland, Australia
| | - Brian Le
- Department of Palliative Care, Royal Melbourne Hospital, Parkville, Victoria, Australia
| | - Simon Eckermann
- Australian Health Services Research Institute, University of Wollongong, Wollongong, New South Wales, Australia
| | - Nicola McCaffrey
- Discipline, Palliative and Supportive Services, Flinders University, Daw Park, South Australia, Australia8School of Medicine, Flinders University, Repatriation General Hospital, Daw Park, South Australia, Australia
| | - Linda Devilee
- Discipline, Palliative and Supportive Services, Flinders University, Daw Park, South Australia, Australia
| | - Belinda Fazekas
- Discipline, Palliative and Supportive Services, Flinders University, Daw Park, South Australia, Australia
| | - Mark Hill
- Faculty of Medicine, University of New South Wales, Randwick, New South Wales, Australia
| | - David C Currow
- Discipline, Palliative and Supportive Services, Flinders University, Daw Park, South Australia, Australia
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Aab A, Abreu P, Aglietta M, Ahn EJ, Al Samarai I, Albuquerque IFM, Allekotte I, Allen JD, Allison P, Almela A, Alvarez Castillo J, Alvarez-Muñiz J, Ambrosio M, Anastasi GA, Anchordoqui L, Andrada B, Andringa S, Aramo C, Arqueros F, Arsene N, Asorey H, Assis P, Aublin J, Avila G, Badescu AM, Baus C, Beatty JJ, Becker KH, Bellido JA, Berat C, Bertaina ME, Bertou X, Biermann PL, Billoir P, Biteau J, Blaess SG, Blanco A, Blazek J, Bleve C, Blümer H, Boháčová M, Boncioli D, Bonifazi C, Borodai N, Botti AM, Brack J, Brancus I, Bretz T, Bridgeman A, Briechle FL, Buchholz P, Bueno A, Buitink S, Buscemi M, Caballero-Mora KS, Caccianiga B, Caccianiga L, Cancio A, Canfora F, Caramete L, Caruso R, Castellina A, Cataldi G, Cazon L, Cester R, Chavez AG, Chiavassa A, Chinellato JA, Chirinos Diaz JC, Chudoba J, Clay RW, Colalillo R, Coleman A, Collica L, Coluccia MR, Conceição R, Contreras F, Cooper MJ, Coutu S, Covault CE, Cronin J, Dallier R, D'Amico S, Daniel B, Dasso S, Daumiller K, Dawson BR, de Almeida RM, de Jong SJ, De Mauro G, de Mello Neto JRT, De Mitri I, de Oliveira J, de Souza V, Debatin J, Del Peral L, Deligny O, Dhital N, Di Giulio C, Di Matteo A, Díaz Castro ML, Diogo F, Dobrigkeit C, D'Olivo JC, Dorofeev A, Dos Anjos RC, Dova MT, Dundovic A, Ebr J, Engel R, Erdmann M, Erfani M, Escobar CO, Espadanal J, Etchegoyen A, Falcke H, Fang K, Farrar GR, Fauth AC, Fazzini N, Ferguson AP, Fick B, Figueira JM, Filevich A, Filipčič A, Fratu O, Freire MM, Fujii T, Fuster A, Gallo F, García B, Garcia-Pinto D, Gate F, Gemmeke H, Gherghel-Lascu A, Ghia PL, Giaccari U, Giammarchi M, Giller M, Głas D, Glaser C, Glass H, Golup G, Gómez Berisso M, Gómez Vitale PF, González N, Gookin B, Gordon J, Gorgi A, Gorham P, Gouffon P, Griffith N, Grillo AF, Grubb TD, Guarino F, Guedes GP, Hampel MR, Hansen P, Harari D, Harrison TA, Harton JL, Hasankiadeh Q, Haungs A, Hebbeker T, Heck D, Heimann P, Herve AE, Hill GC, Hojvat C, Hollon N, Holt E, Homola P, Hörandel JR, Horvath P, Hrabovský M, Huege T, Hulsman J, Insolia A, Isar PG, Jandt I, Jansen S, Jarne C, Johnsen JA, Josebachuili M, Kääpä A, Kambeitz O, Kampert KH, Kasper P, Katkov I, Keilhauer B, Kemp E, Kieckhafer RM, Klages HO, Kleifges M, Kleinfeller J, Krause R, Krohm N, Kuempel D, Kukec Mezek G, Kunka N, Kuotb Awad A, LaHurd D, Latronico L, Lauscher M, Lautridou P, Lebrun P, Legumina R, Leigui de Oliveira MA, Letessier-Selvon A, Lhenry-Yvon I, Link K, Lopes L, López R, López Casado A, Lucero A, Malacari M, Mallamaci M, Mandat D, Mantsch P, Mariazzi AG, Marin V, Mariş IC, Marsella G, Martello D, Martinez H, Martínez Bravo O, Masías Meza JJ, Mathes HJ, Mathys S, Matthews J, Matthews JAJ, Matthiae G, Maurizio D, Mayotte E, Mazur PO, Medina C, Medina-Tanco G, Mello VBB, Melo D, Menshikov A, Messina S, Micheletti MI, Middendorf L, Minaya IA, Miramonti L, Mitrica B, Molina-Bueno L, Mollerach S, Montanet F, Morello C, Mostafá M, Moura CA, Müller G, Muller MA, Müller S, Naranjo I, Navas S, Necesal P, Nellen L, Nelles A, Neuser 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Zavrtanik D, Zavrtanik M, Zepeda A, Zimmermann B, Ziolkowski M, Zong Z, Zuccarello F. Testing Hadronic Interactions at Ultrahigh Energies with Air Showers Measured by the Pierre Auger Observatory. Phys Rev Lett 2016; 117:192001. [PMID: 27858429 DOI: 10.1103/physrevlett.117.192001] [Citation(s) in RCA: 35] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/23/2016] [Indexed: 06/06/2023]
Abstract
Ultrahigh energy cosmic ray air showers probe particle physics at energies beyond the reach of accelerators. Here we introduce a new method to test hadronic interaction models without relying on the absolute energy calibration, and apply it to events with primary energy 6-16 EeV (E_{CM}=110-170 TeV), whose longitudinal development and lateral distribution were simultaneously measured by the Pierre Auger Observatory. The average hadronic shower is 1.33±0.16 (1.61±0.21) times larger than predicted using the leading LHC-tuned models EPOS-LHC (QGSJetII-04), with a corresponding excess of muons.
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Affiliation(s)
- A Aab
- Universität Siegen, Fachbereich 7 Physik-Experimentelle Teilchenphysik, Germany
| | - P Abreu
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - M Aglietta
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
- INFN, Sezione di Torino, Italy
| | - E J Ahn
- Fermi National Accelerator Laboratory, Batavia, Illinois, USA
| | - I Al Samarai
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, France
| | | | - I Allekotte
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), Argentina
| | - J D Allen
- New York University, New York, New York, USA
| | - P Allison
- Ohio State University, Columbus, Ohio, USA
| | - A Almela
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Argentina
| | | | | | | | | | - L Anchordoqui
- Department of Physics and Astronomy, Lehman College, City University of New York, Bronx, New York, USA
| | - B Andrada
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - S Andringa
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - C Aramo
- INFN, Sezione di Napoli, Italy
| | - F Arqueros
- Universidad Complutense de Madrid, Spain
| | - N Arsene
- University of Bucharest, Physics Department, Romania
| | - H Asorey
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), Argentina
- Universidad Industrial de Santander, Colombia
| | - P Assis
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - J Aublin
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, France
| | - G Avila
- Observatorio Pierre Auger, Argentina
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Argentina
| | - A M Badescu
- University Politehnica of Bucharest, Romania
| | - C Baus
- Karlsruhe Institute of Technology, Institut für Experimentelle Kernphysik (IEKP), Germany
| | - J J Beatty
- Ohio State University, Columbus, Ohio, USA
| | - K H Becker
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | | | - C Berat
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Université Grenoble-Alpes, CNRS/IN2P3, France
| | - M E Bertaina
- INFN, Sezione di Torino, Italy
- Università Torino, Dipartimento di Fisica, Italy
| | - X Bertou
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), Argentina
| | - P L Biermann
- Max-Planck-Institut für Radioastronomie, Bonn, Germany
| | - P Billoir
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, France
| | - J Biteau
- Institut de Physique Nucléaire d'Orsay (IPNO), Université Paris 11, CNRS-IN2P3, France
| | | | - A Blanco
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - J Blazek
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - C Bleve
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi", Italy
- INFN, Sezione di Lecce, Italy
| | - H Blümer
- Karlsruhe Institute of Technology, Institut für Experimentelle Kernphysik (IEKP), Germany
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - M Boháčová
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - D Boncioli
- INFN Laboratori del Gran Sasso, Italy
- Universidade Federal do Rio de Janeiro (UFRJ), Instituto de Física, Brazil
| | - C Bonifazi
- Universidade Federal do Rio de Janeiro (UFRJ), Instituto de Física, Brazil
| | - N Borodai
- Institute of Nuclear Physics PAN, Poland
| | - A M Botti
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - J Brack
- Colorado State University, Fort Collins, Colorado, USA
| | - I Brancus
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Romania
| | - T Bretz
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - A Bridgeman
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - F L Briechle
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - P Buchholz
- Universität Siegen, Fachbereich 7 Physik-Experimentelle Teilchenphysik, Germany
| | - A Bueno
- Universidad de Granada and C.A.F.P.E., Spain
| | - S Buitink
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
| | - M Buscemi
- Università di Catania, Dipartimento di Fisica e Astronomia, Italy
- INFN, Sezione di Catania, Italy
| | | | | | - L Caccianiga
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, France
| | - A Cancio
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Argentina
| | - F Canfora
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
| | | | - R Caruso
- Università di Catania, Dipartimento di Fisica e Astronomia, Italy
- INFN, Sezione di Catania, Italy
| | - A Castellina
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
- INFN, Sezione di Torino, Italy
| | | | - L Cazon
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - R Cester
- INFN, Sezione di Torino, Italy
- Università Torino, Dipartimento di Fisica, Italy
| | - A G Chavez
- Universidad Michoacana de San Nicolás de Hidalgo, Mexico
| | - A Chiavassa
- INFN, Sezione di Torino, Italy
- Università Torino, Dipartimento di Fisica, Italy
| | | | | | - J Chudoba
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - R W Clay
- University of Adelaide, Australia
| | - R Colalillo
- INFN, Sezione di Napoli, Italy
- Università di Napoli "Federico II", Dipartimento di Fisica, Italy
| | - A Coleman
- Pennsylvania State University, University Park, Pennsylvania, USA
| | | | - M R Coluccia
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi", Italy
- INFN, Sezione di Lecce, Italy
| | - R Conceição
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - F Contreras
- Observatorio Pierre Auger, Argentina
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Argentina
| | | | - S Coutu
- Pennsylvania State University, University Park, Pennsylvania, USA
| | - C E Covault
- Case Western Reserve University, Cleveland, Ohio, USA
| | - J Cronin
- University of Chicago, Chicago, Illinois, USA
| | - R Dallier
- SUBATECH, École des Mines de Nantes, CNRS-IN2P3, Université de Nantes, France
- Station de Radioastronomie de Nançay, France
| | - S D'Amico
- INFN, Sezione di Lecce, Italy
- Università del Salento, Dipartimento di Ingegneria, Italy
| | - B Daniel
- Universidade Estadual de Campinas (UNICAMP), Brazil
| | - S Dasso
- Instituto de Astronomía y Física del Espacio (IAFE, CONICET-UBA), Argentina
- Departamento de Física and Departamento de Ciencias de la Atmósfera y los Océanos, FCEyN, Universidad de Buenos Aires, Argentina
| | - K Daumiller
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | | | | | - S J de Jong
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Netherlands
| | - G De Mauro
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
| | | | - I De Mitri
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi", Italy
- INFN, Sezione di Lecce, Italy
| | | | - V de Souza
- Universidade de São Paulo, Inst. de Física de São Carlos, São Carlos, Brazil
| | - J Debatin
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | | | - O Deligny
- Institut de Physique Nucléaire d'Orsay (IPNO), Université Paris 11, CNRS-IN2P3, France
| | - N Dhital
- Michigan Technological University, Houghton, Michigan, USA
| | - C Di Giulio
- Università di Roma "Tor Vergata", Dipartimento di Fisica, Italy
- INFN, Sezione di Roma "Tor Vergata", Italy
| | - A Di Matteo
- INFN, Sezione di L'Aquila, Italy
- Università dell'Aquila, Dipartimento di Chimica e Fisica, Italy
| | | | - F Diogo
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - C Dobrigkeit
- Universidade Estadual de Campinas (UNICAMP), Brazil
| | - J C D'Olivo
- Universidad Nacional Autónoma de México, Mexico
| | - A Dorofeev
- Colorado State University, Fort Collins, Colorado, USA
| | - R C Dos Anjos
- Universidade Federal do Paraná, Setor Palotina, Brazil
| | - M T Dova
- IFLP, Universidad Nacional de La Plata and CONICET, Argentina
| | - A Dundovic
- Universität Hamburg, II. Institut für Theoretische Physik, Germany
| | - J Ebr
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - R Engel
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - M Erdmann
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - M Erfani
- Universität Siegen, Fachbereich 7 Physik-Experimentelle Teilchenphysik, Germany
| | - C O Escobar
- Fermi National Accelerator Laboratory, Batavia, Illinois, USA
- Universidade Estadual de Campinas (UNICAMP), Brazil
| | - J Espadanal
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - A Etchegoyen
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Argentina
| | - H Falcke
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Netherlands
- Stichting Astronomisch Onderzoek in Nederland (ASTRON), Dwingeloo, Netherlands
| | - K Fang
- University of Chicago, Chicago, Illinois, USA
| | - G R Farrar
- New York University, New York, New York, USA
| | - A C Fauth
- Universidade Estadual de Campinas (UNICAMP), Brazil
| | - N Fazzini
- Fermi National Accelerator Laboratory, Batavia, Illinois, USA
| | - A P Ferguson
- Case Western Reserve University, Cleveland, Ohio, USA
| | - B Fick
- Michigan Technological University, Houghton, Michigan, USA
| | - J M Figueira
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - A Filevich
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - A Filipčič
- Experimental Particle Physics Department, J. Stefan Institute, Slovenia
- Laboratory for Astroparticle Physics, University of Nova Gorica, Slovenia
| | - O Fratu
- University Politehnica of Bucharest, Romania
| | - M M Freire
- Instituto de Física de Rosario (IFIR)-CONICET/U.N.R. and Facultad de Ciencias Bioquímicas y Farmacéuticas U.N.R., Argentina
| | - T Fujii
- University of Chicago, Chicago, Illinois, USA
| | - A Fuster
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Argentina
| | - F Gallo
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - B García
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM) and Universidad Tecnológica Nacional-Facultad Regional Mendoza (CONICET/CNEA), Argentina
| | | | - F Gate
- SUBATECH, École des Mines de Nantes, CNRS-IN2P3, Université de Nantes, France
| | - H Gemmeke
- Karlsruhe Institute of Technology, Institut für Prozessdatenverarbeitung und Elektronik (IPE), Germany
| | - A Gherghel-Lascu
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Romania
| | - P L Ghia
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, France
| | - U Giaccari
- Universidade Federal do Rio de Janeiro (UFRJ), Instituto de Física, Brazil
| | | | | | - D Głas
- University of Łódź, Poland
| | - C Glaser
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - H Glass
- Fermi National Accelerator Laboratory, Batavia, Illinois, USA
| | - G Golup
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), Argentina
| | - M Gómez Berisso
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), Argentina
| | - P F Gómez Vitale
- Observatorio Pierre Auger, Argentina
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Argentina
| | - N González
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - B Gookin
- Colorado State University, Fort Collins, Colorado, USA
| | - J Gordon
- Ohio State University, Columbus, Ohio, USA
| | - A Gorgi
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
- INFN, Sezione di Torino, Italy
| | - P Gorham
- University of Hawaii, Honolulu, Hawaii, USA
| | - P Gouffon
- Universidade de São Paulo, Inst. de Física, São Paulo, Brazil
| | - N Griffith
- Ohio State University, Columbus, Ohio, USA
| | | | | | - F Guarino
- INFN, Sezione di Napoli, Italy
- Università di Napoli "Federico II", Dipartimento di Fisica, Italy
| | - G P Guedes
- Universidade Estadual de Feira de Santana (UEFS), Brazil
| | - M R Hampel
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - P Hansen
- IFLP, Universidad Nacional de La Plata and CONICET, Argentina
| | - D Harari
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), Argentina
| | | | - J L Harton
- Colorado State University, Fort Collins, Colorado, USA
| | - Q Hasankiadeh
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - A Haungs
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - T Hebbeker
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - D Heck
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - P Heimann
- Universität Siegen, Fachbereich 7 Physik-Experimentelle Teilchenphysik, Germany
| | - A E Herve
- Karlsruhe Institute of Technology, Institut für Experimentelle Kernphysik (IEKP), Germany
| | - G C Hill
- University of Adelaide, Australia
| | - C Hojvat
- Fermi National Accelerator Laboratory, Batavia, Illinois, USA
| | - N Hollon
- University of Chicago, Chicago, Illinois, USA
| | - E Holt
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - P Homola
- Institute of Nuclear Physics PAN, Poland
| | - J R Hörandel
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Netherlands
| | - P Horvath
- Palacky University, RCPTM, Czech Republic
| | | | - T Huege
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - J Hulsman
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - A Insolia
- Università di Catania, Dipartimento di Fisica e Astronomia, Italy
- INFN, Sezione di Catania, Italy
| | - P G Isar
- Institute of Space Science, Romania
| | - I Jandt
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - S Jansen
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Netherlands
| | - C Jarne
- IFLP, Universidad Nacional de La Plata and CONICET, Argentina
| | - J A Johnsen
- Colorado School of Mines, Golden, Colorado, USA
| | - M Josebachuili
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - A Kääpä
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - O Kambeitz
- Karlsruhe Institute of Technology, Institut für Experimentelle Kernphysik (IEKP), Germany
| | - K H Kampert
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - P Kasper
- Fermi National Accelerator Laboratory, Batavia, Illinois, USA
| | - I Katkov
- Karlsruhe Institute of Technology, Institut für Experimentelle Kernphysik (IEKP), Germany
| | - B Keilhauer
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - E Kemp
- Universidade Estadual de Campinas (UNICAMP), Brazil
| | - R M Kieckhafer
- Michigan Technological University, Houghton, Michigan, USA
| | - H O Klages
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - M Kleifges
- Karlsruhe Institute of Technology, Institut für Prozessdatenverarbeitung und Elektronik (IPE), Germany
| | | | - R Krause
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - N Krohm
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - D Kuempel
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - G Kukec Mezek
- Laboratory for Astroparticle Physics, University of Nova Gorica, Slovenia
| | - N Kunka
- Karlsruhe Institute of Technology, Institut für Prozessdatenverarbeitung und Elektronik (IPE), Germany
| | - A Kuotb Awad
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - D LaHurd
- Case Western Reserve University, Cleveland, Ohio, USA
| | | | - M Lauscher
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - P Lautridou
- SUBATECH, École des Mines de Nantes, CNRS-IN2P3, Université de Nantes, France
| | - P Lebrun
- Fermi National Accelerator Laboratory, Batavia, Illinois, USA
| | | | | | - A Letessier-Selvon
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, France
| | - I Lhenry-Yvon
- Institut de Physique Nucléaire d'Orsay (IPNO), Université Paris 11, CNRS-IN2P3, France
| | - K Link
- Karlsruhe Institute of Technology, Institut für Experimentelle Kernphysik (IEKP), Germany
| | - L Lopes
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - R López
- Benemérita Universidad Autónoma de Puebla (BUAP), Mexico
| | | | - A Lucero
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Argentina
| | | | - M Mallamaci
- INFN, Sezione di Milano, Italy
- Università di Milano, Dipartimento di Fisica, Italy
| | - D Mandat
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - P Mantsch
- Fermi National Accelerator Laboratory, Batavia, Illinois, USA
| | - A G Mariazzi
- IFLP, Universidad Nacional de La Plata and CONICET, Argentina
| | - V Marin
- SUBATECH, École des Mines de Nantes, CNRS-IN2P3, Université de Nantes, France
| | - I C Mariş
- Universidad de Granada and C.A.F.P.E., Spain
| | - G Marsella
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi", Italy
- INFN, Sezione di Lecce, Italy
| | - D Martello
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi", Italy
- INFN, Sezione di Lecce, Italy
| | - H Martinez
- Centro de Investigación y de Estudios Avanzados del IPN (CINVESTAV), Mexico
| | | | - J J Masías Meza
- Departamento de Física and Departamento de Ciencias de la Atmósfera y los Océanos, FCEyN, Universidad de Buenos Aires, Argentina
| | - H J Mathes
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - S Mathys
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - J Matthews
- Louisiana State University, Baton Rouge, Louisiana, USA
| | | | - G Matthiae
- Università di Roma "Tor Vergata", Dipartimento di Fisica, Italy
- INFN, Sezione di Roma "Tor Vergata", Italy
| | - D Maurizio
- Centro Brasileiro de Pesquisas Fisicas (CBPF), Brazil
| | - E Mayotte
- Colorado School of Mines, Golden, Colorado, USA
| | - P O Mazur
- Fermi National Accelerator Laboratory, Batavia, Illinois, USA
| | - C Medina
- Colorado School of Mines, Golden, Colorado, USA
| | | | - V B B Mello
- Universidade Federal do Rio de Janeiro (UFRJ), Instituto de Física, Brazil
| | - D Melo
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - A Menshikov
- Karlsruhe Institute of Technology, Institut für Prozessdatenverarbeitung und Elektronik (IPE), Germany
| | - S Messina
- KVI-Center for Advanced Radiation Technology, University of Groningen, Netherlands
| | - M I Micheletti
- Instituto de Física de Rosario (IFIR)-CONICET/U.N.R. and Facultad de Ciencias Bioquímicas y Farmacéuticas U.N.R., Argentina
| | - L Middendorf
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - I A Minaya
- Universidad Complutense de Madrid, Spain
| | - L Miramonti
- INFN, Sezione di Milano, Italy
- Università di Milano, Dipartimento di Fisica, Italy
| | - B Mitrica
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Romania
| | | | - S Mollerach
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), Argentina
| | - F Montanet
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Université Grenoble-Alpes, CNRS/IN2P3, France
| | - C Morello
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
- INFN, Sezione di Torino, Italy
| | - M Mostafá
- Pennsylvania State University, University Park, Pennsylvania, USA
| | - C A Moura
- Universidade Federal do ABC (UFABC), Brazil
| | - G Müller
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - M A Muller
- Universidade Estadual de Campinas (UNICAMP), Brazil
- Universidade Federal de Pelotas, Brazil
| | - S Müller
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - I Naranjo
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), Argentina
| | - S Navas
- Universidad de Granada and C.A.F.P.E., Spain
| | - P Necesal
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - L Nellen
- Universidad Nacional Autónoma de México, Mexico
| | - A Nelles
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Netherlands
| | - J Neuser
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | | | | | - M Niechciol
- Universität Siegen, Fachbereich 7 Physik-Experimentelle Teilchenphysik, Germany
| | - L Niemietz
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - T Niggemann
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - D Nitz
- Michigan Technological University, Houghton, Michigan, USA
| | - D Nosek
- University Prague, Institute of Particle and Nuclear Physics, Czech Republic
| | - V Novotny
- University Prague, Institute of Particle and Nuclear Physics, Czech Republic
| | - H Nožka
- Palacky University, RCPTM, Czech Republic
| | - L A Núñez
- Universidad Industrial de Santander, Colombia
| | - L Ochilo
- Universität Siegen, Fachbereich 7 Physik-Experimentelle Teilchenphysik, Germany
| | - F Oikonomou
- Pennsylvania State University, University Park, Pennsylvania, USA
| | - A Olinto
- University of Chicago, Chicago, Illinois, USA
| | | | - M Palatka
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - J Pallotta
- Centro de Investigaciones en Láseres y Aplicaciones, CITEDEF and CONICET, Argentina
| | - P Papenbreer
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - G Parente
- Universidad de Santiago de Compostela, Spain
| | - A Parra
- Benemérita Universidad Autónoma de Puebla (BUAP), Mexico
| | - T Paul
- Department of Physics and Astronomy, Lehman College, City University of New York, Bronx, New York, USA
- Northeastern University, Boston, Massachusetts, USA
| | - M Pech
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - F Pedreira
- Universidad de Santiago de Compostela, Spain
| | - J Pękala
- Institute of Nuclear Physics PAN, Poland
| | - R Pelayo
- Unidad Profesional Interdisciplinaria en Ingeniería y Tecnologías Avanzadas del Instituto Politécnico Nacional (UPIITA-IPN), Mexico
| | | | - I M Pepe
- Universidade Federal da Bahia, Brazil
| | | | - L Perrone
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi", Italy
- INFN, Sezione di Lecce, Italy
| | - E Petermann
- University of Nebraska, Lincoln, Nebraska, USA
| | - C Peters
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - S Petrera
- INFN, Sezione di L'Aquila, Italy
- Università dell'Aquila, Dipartimento di Chimica e Fisica, Italy
| | - J Phuntsok
- Pennsylvania State University, University Park, Pennsylvania, USA
| | - R Piegaia
- Departamento de Física and Departamento de Ciencias de la Atmósfera y los Océanos, FCEyN, Universidad de Buenos Aires, Argentina
| | - T Pierog
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - P Pieroni
- Departamento de Física and Departamento de Ciencias de la Atmósfera y los Océanos, FCEyN, Universidad de Buenos Aires, Argentina
| | - M Pimenta
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - V Pirronello
- Università di Catania, Dipartimento di Fisica e Astronomia, Italy
- INFN, Sezione di Catania, Italy
| | - M Platino
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - M Plum
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - C Porowski
- Institute of Nuclear Physics PAN, Poland
| | - R R Prado
- Universidade de São Paulo, Inst. de Física de São Carlos, São Carlos, Brazil
| | - P Privitera
- University of Chicago, Chicago, Illinois, USA
| | - M Prouza
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - E J Quel
- Centro de Investigaciones en Láseres y Aplicaciones, CITEDEF and CONICET, Argentina
| | - S Querchfeld
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - S Quinn
- Case Western Reserve University, Cleveland, Ohio, USA
| | - J Rautenberg
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - O Ravel
- SUBATECH, École des Mines de Nantes, CNRS-IN2P3, Université de Nantes, France
| | - D Ravignani
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - B Revenu
- SUBATECH, École des Mines de Nantes, CNRS-IN2P3, Université de Nantes, France
| | - J Ridky
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - M Risse
- Universität Siegen, Fachbereich 7 Physik-Experimentelle Teilchenphysik, Germany
| | - P Ristori
- Centro de Investigaciones en Láseres y Aplicaciones, CITEDEF and CONICET, Argentina
| | - V Rizi
- INFN, Sezione di L'Aquila, Italy
- Università dell'Aquila, Dipartimento di Chimica e Fisica, Italy
| | | | | | | | - D Rogozin
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - J Rosado
- Universidad Complutense de Madrid, Spain
| | - M Roth
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - E Roulet
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), Argentina
| | - A C Rovero
- Instituto de Astronomía y Física del Espacio (IAFE, CONICET-UBA), Argentina
| | | | - A Saftoiu
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Romania
| | - H Salazar
- Benemérita Universidad Autónoma de Puebla (BUAP), Mexico
| | - A Saleh
- Laboratory for Astroparticle Physics, University of Nova Gorica, Slovenia
| | - F Salesa Greus
- Pennsylvania State University, University Park, Pennsylvania, USA
| | - G Salina
- INFN, Sezione di Roma "Tor Vergata", Italy
| | | | - F Sánchez
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | | | - E M Santos
- Universidade de São Paulo, Inst. de Física, São Paulo, Brazil
| | - E Santos
- Universidade Estadual de Campinas (UNICAMP), Brazil
| | - F Sarazin
- Colorado School of Mines, Golden, Colorado, USA
| | - B Sarkar
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - R Sarmento
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | | | - R Sato
- Observatorio Pierre Auger, Argentina
| | - C Scarso
- Observatorio Pierre Auger, Argentina
| | - M Schauer
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - V Scherini
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi", Italy
- INFN, Sezione di Lecce, Italy
| | - H Schieler
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - D Schmidt
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - O Scholten
- KVI-Center for Advanced Radiation Technology, University of Groningen, Netherlands
| | | | - P Schovánek
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - F G Schröder
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - A Schulz
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - J Schulz
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
| | - J Schumacher
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - S J Sciutto
- IFLP, Universidad Nacional de La Plata and CONICET, Argentina
| | - A Segreto
- INFN, Sezione di Catania, Italy
- INAF-Istituto di Astrofisica Spaziale e Fisica Cosmica di Palermo, Italy
| | - M Settimo
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, France
| | - A Shadkam
- Louisiana State University, Baton Rouge, Louisiana, USA
| | - R C Shellard
- Centro Brasileiro de Pesquisas Fisicas (CBPF), Brazil
| | - G Sigl
- Universität Hamburg, II. Institut für Theoretische Physik, Germany
| | - O Sima
- University of Bucharest, Physics Department, Romania
| | | | - R Šmída
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - G R Snow
- University of Nebraska, Lincoln, Nebraska, USA
| | - P Sommers
- Pennsylvania State University, University Park, Pennsylvania, USA
| | - S Sonntag
- Universität Siegen, Fachbereich 7 Physik-Experimentelle Teilchenphysik, Germany
| | | | | | - D Stanca
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Romania
| | - S Stanič
- Laboratory for Astroparticle Physics, University of Nova Gorica, Slovenia
| | | | | | - F Strafella
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi", Italy
- INFN, Sezione di Lecce, Italy
| | - A Stutz
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Université Grenoble-Alpes, CNRS/IN2P3, France
| | - F Suarez
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Argentina
| | | | | | - T Suomijärvi
- Institut de Physique Nucléaire d'Orsay (IPNO), Université Paris 11, CNRS-IN2P3, France
| | - A D Supanitsky
- Instituto de Astronomía y Física del Espacio (IAFE, CONICET-UBA), Argentina
| | | | - J Swain
- Northeastern University, Boston, Massachusetts, USA
| | | | - O A Taborda
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), Argentina
| | - A Tapia
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - A Tepe
- Universität Siegen, Fachbereich 7 Physik-Experimentelle Teilchenphysik, Germany
| | - V M Theodoro
- Universidade Estadual de Campinas (UNICAMP), Brazil
| | - C Timmermans
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Netherlands
| | | | - L Tomankova
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - B Tomé
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - A Tonachini
- INFN, Sezione di Torino, Italy
- Università Torino, Dipartimento di Fisica, Italy
| | | | - D Torres Machado
- Universidade Federal do Rio de Janeiro (UFRJ), Instituto de Física, Brazil
| | - P Travnicek
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - M Trini
- Laboratory for Astroparticle Physics, University of Nova Gorica, Slovenia
| | - R Ulrich
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - M Unger
- New York University, New York, New York, USA
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - M Urban
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | | | | | - I Valiño
- Universidad de Santiago de Compostela, Spain
| | - L Valore
- INFN, Sezione di Napoli, Italy
- Università di Napoli "Federico II", Dipartimento di Fisica, Italy
| | - G van Aar
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
| | | | - A M van den Berg
- KVI-Center for Advanced Radiation Technology, University of Groningen, Netherlands
| | - A van Vliet
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
| | - E Varela
- Benemérita Universidad Autónoma de Puebla (BUAP), Mexico
| | | | - G Varner
- University of Hawaii, Honolulu, Hawaii, USA
| | | | - R A Vázquez
- Universidad de Santiago de Compostela, Spain
| | - D Veberič
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - V Verzi
- INFN, Sezione di Roma "Tor Vergata", Italy
| | - J Vicha
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - M Videla
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - L Villaseñor
- Universidad Michoacana de San Nicolás de Hidalgo, Mexico
| | - S Vorobiov
- Laboratory for Astroparticle Physics, University of Nova Gorica, Slovenia
| | - H Wahlberg
- IFLP, Universidad Nacional de La Plata and CONICET, Argentina
| | - O Wainberg
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Argentina
| | - D Walz
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - A A Watson
- School of Physics and Astronomy, University of Leeds, Leeds, United Kingdom
| | - M Weber
- Karlsruhe Institute of Technology, Institut für Prozessdatenverarbeitung und Elektronik (IPE), Germany
| | - A Weindl
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - L Wiencke
- Colorado School of Mines, Golden, Colorado, USA
| | | | - T Winchen
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - D Wittkowski
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - B Wundheiler
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - S Wykes
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
| | - L Yang
- Laboratory for Astroparticle Physics, University of Nova Gorica, Slovenia
| | - T Yapici
- Michigan Technological University, Houghton, Michigan, USA
| | - D Yelos
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Argentina
| | - E Zas
- Universidad de Santiago de Compostela, Spain
| | - D Zavrtanik
- Experimental Particle Physics Department, J. Stefan Institute, Slovenia
- Laboratory for Astroparticle Physics, University of Nova Gorica, Slovenia
| | - M Zavrtanik
- Experimental Particle Physics Department, J. Stefan Institute, Slovenia
- Laboratory for Astroparticle Physics, University of Nova Gorica, Slovenia
| | - A Zepeda
- Centro de Investigación y de Estudios Avanzados del IPN (CINVESTAV), Mexico
| | - B Zimmermann
- Karlsruhe Institute of Technology, Institut für Prozessdatenverarbeitung und Elektronik (IPE), Germany
| | - M Ziolkowski
- Universität Siegen, Fachbereich 7 Physik-Experimentelle Teilchenphysik, Germany
| | - Z Zong
- Institut de Physique Nucléaire d'Orsay (IPNO), Université Paris 11, CNRS-IN2P3, France
| | - F Zuccarello
- Università di Catania, Dipartimento di Fisica e Astronomia, Italy
- INFN, Sezione di Catania, Italy
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Abstract
BACKGROUND The immediate postoperative warfarin sensitivity for patients receiving heart valve prostheses is increased. Established warfarin initiation protocols may lack clinical applicability, resulting in dosing based on clinical judgment. OBJECTIVE To compare current practice for warfarin initiation with a known warfarin initiation protocol, with doses proportionally reduced to account for the increased postoperative sensitivity. METHODS We compared the Mechanical Heart Valve Warfarin Initiation Protocol (Protocol group) with current practice (clinical judgment-Empirical group) for patients receiving mechanical heart valves in an observational before-and-after format. End points were the time to achieve a stable therapeutic international normalized ratio (INR), doses held in the first 6 days, and overanticoagulation in the first 6 days. RESULTS The Protocol group (n = 37) achieved a stable INR more rapidly than the Empirical group (n = 77; median times 5.1 and 8.7 days, respectively; P = 0.002). Multivariable analysis indicated that the Protocol group (hazard ratio [HR] = 2.22; P = 0.005) and men (HR = 1.76; P = 0.043) more rapidly achieved a stable therapeutic INR. Age, serum albumin, amiodarone, presence of severe heart failure, and surgery type had no impact. Protocol patients had fewer doses held (1.1% vs 10.1%, P < 0.001) and no difference in overanticoagulation (2.7% vs 9.1%, P = 0.27). CONCLUSION The Mechanical Heart Valve Warfarin Initiation Protocol provided a reliable approach to initiating warfarin in patients receiving mechanical aortic or mitral valves.
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Affiliation(s)
- Gregory Roberts
- 1 Flinders Medical Centre, Bedford Park, South Australia, Australia.,2 Flinders University, Bedford Park, South Australia, Australia
| | - Rasha Razooqi
- 3 University of South Australia, Adelaide, South Australia, Australia
| | - Stephen Quinn
- 2 Flinders University, Bedford Park, South Australia, Australia
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Ayoola A, Vantandoust S, Roy A, Price T, Kitchener M, Roder D, Quinn S, Kichenadasse G, Piantadosi C, Padbury R, Karapetis C. Selective internal radiation therapy (SIRT) in metastatic colorectal cancer (mCRC): Safety, efficacy and survival outcomes from the South Australian registry. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw370.40] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Chew DP, Zeitz C, Worthley M, Grantham H, Beltrame J, Arstall M, Coates P, Astley C, Quinn S, Ratcliffe J, Horsfall M, Aylward PG. Randomized Comparison of High-Sensitivity Troponin Reporting in Undifferentiated Chest Pain Assessment. Circ Cardiovasc Qual Outcomes 2016; 9:542-53. [DOI: 10.1161/circoutcomes.115.002488] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2015] [Accepted: 06/20/2016] [Indexed: 01/01/2023]
Abstract
Background—
High-sensitivity troponin T (hs-TnT) assays promise greater discrimination of evolving myocardial infarction, but the impact of unguided implementation on the effectiveness of care is uncertain.
Methods and Results—
We evaluated the impact of hs-TnT reporting on care and outcome among chest pain patients presenting to 5 emergency departments within a multicenter randomized trial. Patients were allocated to hs-TnT reporting (hs-report) or standard reporting (std-report; Roche Elecys). The primary end point was death and new or recurrent acute coronary syndrome by 12 months. A total of 1937 patients without ST-segment elevation were enrolled between July 2011 and March 2013. The median age was 61 (interquartile range, 48–74) years, and 46.3% were women. During the index hospitalization, 1466 patients (75.7%) had maximal troponin <30 ng/L within 24 hours. Randomization to hs-report format did not alter the admission rate (hs-report: 57.7% versus std-report: 58.0%;
P
=0.069). There was no difference in angiography (hs-report: 11.9% versus std-report: 10.9%;
P
=0.479). The hs-reporting did not reduce 12-month death or new/recurrent acute coronary syndrome in the overall population (hs-report: 9.7% versus std-report: 7.2% [hazard ratio, 0.83 (0.57–1.22);
P
=0.362]). However, among those with troponin levels <30 ng/L, a modest reduction in the primary end point was observed (hs-report: 2.6% versus std-report: 4.4%, [hazard ratio, 0.58; 95% confidence interval, 0.34–0.1.00;
P
=0.050).
Conclusions—
High-sensitivity troponin reporting alone is associated with only modest changes in practice. Clinical effectiveness in the adoption of high-sensitivity troponin may require close coupling with protocols that guide interpretation and care.
Clinical Trial Registration—
URL:
http://www.ANZCTR.org.au
. Unique identifier: ACTRN12611000879965.
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Affiliation(s)
- Derek P. Chew
- From the Flinders University, Adelaide, South Australia, Australia (D.P.C., H.G., C.A., S.Q., J.R., P.G.A.); Flinders Medical Centre, Adelaide, South Australia, Australia (D.P.C., P.G.A.); University of Adelaide, Adelaide, South Australia, Australia (C.Z., M.W., J.B.); The Royal Adelaide Hospital, Adelaide, South Australia, Australia (C.Z., M.W.); The Queen Elizabeth Hospital, Adelaide South Australia, Australia (J.B.); The Lyell McEwen Hospital, Adelaide, South Australia, Australia (M.A.); SA
| | - Christopher Zeitz
- From the Flinders University, Adelaide, South Australia, Australia (D.P.C., H.G., C.A., S.Q., J.R., P.G.A.); Flinders Medical Centre, Adelaide, South Australia, Australia (D.P.C., P.G.A.); University of Adelaide, Adelaide, South Australia, Australia (C.Z., M.W., J.B.); The Royal Adelaide Hospital, Adelaide, South Australia, Australia (C.Z., M.W.); The Queen Elizabeth Hospital, Adelaide South Australia, Australia (J.B.); The Lyell McEwen Hospital, Adelaide, South Australia, Australia (M.A.); SA
| | - Matthew Worthley
- From the Flinders University, Adelaide, South Australia, Australia (D.P.C., H.G., C.A., S.Q., J.R., P.G.A.); Flinders Medical Centre, Adelaide, South Australia, Australia (D.P.C., P.G.A.); University of Adelaide, Adelaide, South Australia, Australia (C.Z., M.W., J.B.); The Royal Adelaide Hospital, Adelaide, South Australia, Australia (C.Z., M.W.); The Queen Elizabeth Hospital, Adelaide South Australia, Australia (J.B.); The Lyell McEwen Hospital, Adelaide, South Australia, Australia (M.A.); SA
| | - Hugh Grantham
- From the Flinders University, Adelaide, South Australia, Australia (D.P.C., H.G., C.A., S.Q., J.R., P.G.A.); Flinders Medical Centre, Adelaide, South Australia, Australia (D.P.C., P.G.A.); University of Adelaide, Adelaide, South Australia, Australia (C.Z., M.W., J.B.); The Royal Adelaide Hospital, Adelaide, South Australia, Australia (C.Z., M.W.); The Queen Elizabeth Hospital, Adelaide South Australia, Australia (J.B.); The Lyell McEwen Hospital, Adelaide, South Australia, Australia (M.A.); SA
| | - John Beltrame
- From the Flinders University, Adelaide, South Australia, Australia (D.P.C., H.G., C.A., S.Q., J.R., P.G.A.); Flinders Medical Centre, Adelaide, South Australia, Australia (D.P.C., P.G.A.); University of Adelaide, Adelaide, South Australia, Australia (C.Z., M.W., J.B.); The Royal Adelaide Hospital, Adelaide, South Australia, Australia (C.Z., M.W.); The Queen Elizabeth Hospital, Adelaide South Australia, Australia (J.B.); The Lyell McEwen Hospital, Adelaide, South Australia, Australia (M.A.); SA
| | - Margaret Arstall
- From the Flinders University, Adelaide, South Australia, Australia (D.P.C., H.G., C.A., S.Q., J.R., P.G.A.); Flinders Medical Centre, Adelaide, South Australia, Australia (D.P.C., P.G.A.); University of Adelaide, Adelaide, South Australia, Australia (C.Z., M.W., J.B.); The Royal Adelaide Hospital, Adelaide, South Australia, Australia (C.Z., M.W.); The Queen Elizabeth Hospital, Adelaide South Australia, Australia (J.B.); The Lyell McEwen Hospital, Adelaide, South Australia, Australia (M.A.); SA
| | - Penelope Coates
- From the Flinders University, Adelaide, South Australia, Australia (D.P.C., H.G., C.A., S.Q., J.R., P.G.A.); Flinders Medical Centre, Adelaide, South Australia, Australia (D.P.C., P.G.A.); University of Adelaide, Adelaide, South Australia, Australia (C.Z., M.W., J.B.); The Royal Adelaide Hospital, Adelaide, South Australia, Australia (C.Z., M.W.); The Queen Elizabeth Hospital, Adelaide South Australia, Australia (J.B.); The Lyell McEwen Hospital, Adelaide, South Australia, Australia (M.A.); SA
| | - Carolyn Astley
- From the Flinders University, Adelaide, South Australia, Australia (D.P.C., H.G., C.A., S.Q., J.R., P.G.A.); Flinders Medical Centre, Adelaide, South Australia, Australia (D.P.C., P.G.A.); University of Adelaide, Adelaide, South Australia, Australia (C.Z., M.W., J.B.); The Royal Adelaide Hospital, Adelaide, South Australia, Australia (C.Z., M.W.); The Queen Elizabeth Hospital, Adelaide South Australia, Australia (J.B.); The Lyell McEwen Hospital, Adelaide, South Australia, Australia (M.A.); SA
| | - Stephen Quinn
- From the Flinders University, Adelaide, South Australia, Australia (D.P.C., H.G., C.A., S.Q., J.R., P.G.A.); Flinders Medical Centre, Adelaide, South Australia, Australia (D.P.C., P.G.A.); University of Adelaide, Adelaide, South Australia, Australia (C.Z., M.W., J.B.); The Royal Adelaide Hospital, Adelaide, South Australia, Australia (C.Z., M.W.); The Queen Elizabeth Hospital, Adelaide South Australia, Australia (J.B.); The Lyell McEwen Hospital, Adelaide, South Australia, Australia (M.A.); SA
| | - Julie Ratcliffe
- From the Flinders University, Adelaide, South Australia, Australia (D.P.C., H.G., C.A., S.Q., J.R., P.G.A.); Flinders Medical Centre, Adelaide, South Australia, Australia (D.P.C., P.G.A.); University of Adelaide, Adelaide, South Australia, Australia (C.Z., M.W., J.B.); The Royal Adelaide Hospital, Adelaide, South Australia, Australia (C.Z., M.W.); The Queen Elizabeth Hospital, Adelaide South Australia, Australia (J.B.); The Lyell McEwen Hospital, Adelaide, South Australia, Australia (M.A.); SA
| | - Matthew Horsfall
- From the Flinders University, Adelaide, South Australia, Australia (D.P.C., H.G., C.A., S.Q., J.R., P.G.A.); Flinders Medical Centre, Adelaide, South Australia, Australia (D.P.C., P.G.A.); University of Adelaide, Adelaide, South Australia, Australia (C.Z., M.W., J.B.); The Royal Adelaide Hospital, Adelaide, South Australia, Australia (C.Z., M.W.); The Queen Elizabeth Hospital, Adelaide South Australia, Australia (J.B.); The Lyell McEwen Hospital, Adelaide, South Australia, Australia (M.A.); SA
| | - Philip G. Aylward
- From the Flinders University, Adelaide, South Australia, Australia (D.P.C., H.G., C.A., S.Q., J.R., P.G.A.); Flinders Medical Centre, Adelaide, South Australia, Australia (D.P.C., P.G.A.); University of Adelaide, Adelaide, South Australia, Australia (C.Z., M.W., J.B.); The Royal Adelaide Hospital, Adelaide, South Australia, Australia (C.Z., M.W.); The Queen Elizabeth Hospital, Adelaide South Australia, Australia (J.B.); The Lyell McEwen Hospital, Adelaide, South Australia, Australia (M.A.); SA
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Aab A, Abreu P, Aglietta M, Ahn EJ, Al Samarai I, Albuquerque IFM, Allekotte I, Allison P, Almela A, Alvarez Castillo J, Alvarez-Muñiz J, Alves Batista R, Ambrosio M, Aminaei A, Anastasi GA, Anchordoqui L, Andringa S, Aramo C, Arqueros F, Arsene N, Asorey H, Assis P, Aublin J, Avila G, Awal N, Badescu AM, Baus C, Beatty JJ, Becker KH, Bellido JA, Berat C, Bertaina ME, Bertou X, Biermann PL, Billoir P, Blaess SG, Blanco A, Blanco M, Blazek J, Bleve C, Blümer H, Boháčová M, Boncioli D, Bonifazi C, Borodai N, Brack J, Brancus I, Bretz T, Bridgeman A, Brogueira P, Buchholz P, Bueno A, Buitink S, Buscemi M, Caballero-Mora KS, Caccianiga B, Caccianiga L, Candusso M, Caramete L, Caruso R, Castellina A, Cataldi G, Cazon L, Cester R, Chavez AG, Chiavassa A, Chinellato JA, Chudoba J, Cilmo M, Clay RW, Cocciolo G, Colalillo R, Coleman A, Collica L, Coluccia MR, Conceição R, Contreras F, Cooper MJ, Cordier A, Coutu S, Covault CE, Cronin J, Dallier R, Daniel B, Dasso S, Daumiller K, Dawson BR, de Almeida RM, de Jong SJ, De Mauro G, de Mello Neto JRT, De Mitri I, de Oliveira J, de Souza V, Del Peral L, Deligny O, Dhital N, Di Giulio C, Di Matteo A, Diaz JC, Díaz Castro ML, Diogo F, Dobrigkeit C, Docters W, D'Olivo JC, Dorofeev A, Dorosti Hasankiadeh Q, Dos Anjos RC, Dova MT, Ebr J, Engel R, Erdmann M, Erfani M, Escobar CO, Espadanal J, Etchegoyen A, Falcke H, Fang K, Farrar G, Fauth AC, Fazzini N, Ferguson AP, Fick B, Figueira JM, Filevich A, Filipčič A, Fratu O, Freire MM, Fujii T, García B, Garcia-Gamez D, Garcia-Pinto D, Gate F, Gemmeke H, Gherghel-Lascu A, Ghia PL, Giaccari U, Giammarchi M, Giller M, Głas D, Glaser C, Glass H, Golup G, Gómez Berisso M, Gómez Vitale PF, González N, Gookin B, Gordon J, Gorgi A, Gorham P, Gouffon P, Griffith N, Grillo AF, Grubb TD, Guarino F, Guedes GP, Hampel MR, Hansen P, Harari D, Harrison TA, Hartmann S, Harton JL, Haungs A, Hebbeker T, Heck D, Heimann P, Herve AE, Hill GC, Hojvat C, Hollon N, Holt E, Homola P, Hörandel JR, Horvath P, Hrabovský M, Huber D, Huege T, Insolia A, Isar PG, Jandt I, Jansen S, Jarne C, Johnsen JA, Josebachuili M, Kääpä A, Kambeitz O, Kampert KH, Kasper P, Katkov I, Keilhauer B, Kemp E, Kieckhafer RM, Klages HO, Kleifges M, Kleinfeller J, Krause R, Krohm N, Kuempel D, Kukec Mezek G, Kunka N, Kuotb Awad AW, LaHurd D, Latronico L, Lauer R, Lauscher M, Lautridou P, Le Coz S, Lebrun D, Lebrun P, Leigui de Oliveira MA, Letessier-Selvon A, Lhenry-Yvon I, Link K, Lopes L, López R, López Casado A, Louedec K, Lucero A, Malacari M, Mallamaci M, Maller J, Mandat D, Mantsch P, Mariazzi AG, Marin V, Mariş IC, Marsella G, Martello D, Martinez H, Martínez Bravo O, Martraire D, Masías Meza JJ, Mathes HJ, Mathys S, Matthews J, Matthews JAJ, Matthiae G, Maurizio D, Mayotte E, Mazur PO, Medina C, Medina-Tanco G, Meissner R, Mello VBB, Melo D, Menshikov A, Messina S, Micheletti MI, Middendorf L, Minaya IA, Miramonti L, Mitrica B, Molina-Bueno L, Mollerach S, Montanet F, Morello C, Mostafá M, Moura CA, Muller MA, Müller G, Müller S, Navas S, Necesal P, Nellen L, Nelles A, Neuser J, Nguyen PH, Niculescu-Oglinzanu M, Niechciol M, Niemietz L, Niggemann T, Nitz D, Nosek D, Novotny V, Nožka L, Núñez LA, Ochilo L, Oikonomou F, Olinto A, Pacheco N, Pakk Selmi-Dei D, Palatka M, Pallotta J, Papenbreer P, Parente G, Parra A, Paul T, Pech M, Pȩkala J, Pelayo R, Pepe IM, Perrone L, Petermann E, Peters C, Petrera S, Petrov Y, Phuntsok J, Piegaia R, Pierog T, Pieroni P, Pimenta M, Pirronello V, Platino M, Plum M, Porcelli A, Porowski C, Prado RR, Privitera P, Prouza M, Quel EJ, Querchfeld S, Quinn S, Rautenberg J, Ravel O, Ravignani D, Reinert D, Revenu B, Ridky J, Risse M, Ristori P, Rizi V, Rodrigues de Carvalho W, Rodriguez Rojo J, Rodríguez-Frías MD, Rogozin D, Rosado J, Roth M, Roulet E, Rovero AC, Saffi SJ, Saftoiu A, Salazar H, Saleh A, Salesa Greus F, Salina G, Sanabria Gomez JD, Sánchez F, Sanchez-Lucas P, Santos E, Santos EM, Sarazin F, Sarkar B, Sarmento R, Sarmiento-Cano C, Sato R, Scarso C, Schauer M, Scherini V, Schieler H, Schmidt D, Scholten O, Schoorlemmer H, Schovánek P, Schröder FG, Schulz A, Schulz J, Schumacher J, Sciutto SJ, Segreto A, Settimo M, Shadkam A, Shellard RC, Sigl G, Sima O, Śmiałkowski A, Šmída R, Snow GR, Sommers P, Sonntag S, Sorokin J, Squartini R, Srivastava YN, Stanca D, Stanič S, Stapleton J, Stasielak J, Stephan M, Stutz A, Suarez F, Suarez Durán M, Suomijärvi T, Supanitsky AD, Sutherland MS, Swain J, Szadkowski Z, Taborda OA, Tapia A, Tepe A, Theodoro VM, Timmermans C, Todero Peixoto CJ, Toma G, Tomankova L, Tomé B, Tonachini A, Torralba Elipe G, Torres Machado D, Travnicek P, Trini M, Ulrich R, Unger M, Urban M, Valdés Galicia JF, Valiño I, Valore L, van Aar G, van Bodegom P, van den Berg AM, van Velzen S, van Vliet A, Varela E, Vargas Cárdenas B, Varner G, Vasquez R, Vázquez JR, Vázquez RA, Veberič D, Verzi V, Vicha J, Videla M, Villaseñor L, Vlcek B, Vorobiov S, Wahlberg H, Wainberg O, Walz D, Watson AA, Weber M, Weidenhaupt K, Weindl A, Welling C, Werner F, Widom A, Wiencke L, Wilczyński H, Winchen T, Wittkowski D, Wundheiler B, Wykes S, Yang L, Yapici T, Yushkov A, Zas E, Zavrtanik D, Zavrtanik M, Zepeda A, Zimmermann B, Ziolkowski M, Zuccarello F. Measurement of the Radiation Energy in the Radio Signal of Extensive Air Showers as a Universal Estimator of Cosmic-Ray Energy. Phys Rev Lett 2016; 116:241101. [PMID: 27367377 DOI: 10.1103/physrevlett.116.241101] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/27/2015] [Indexed: 06/06/2023]
Abstract
We measure the energy emitted by extensive air showers in the form of radio emission in the frequency range from 30 to 80 MHz. Exploiting the accurate energy scale of the Pierre Auger Observatory, we obtain a radiation energy of 15.8±0.7(stat)±6.7(syst) MeV for cosmic rays with an energy of 1 EeV arriving perpendicularly to a geomagnetic field of 0.24 G, scaling quadratically with the cosmic-ray energy. A comparison with predictions from state-of-the-art first-principles calculations shows agreement with our measurement. The radiation energy provides direct access to the calorimetric energy in the electromagnetic cascade of extensive air showers. Comparison with our result thus allows the direct calibration of any cosmic-ray radio detector against the well-established energy scale of the Pierre Auger Observatory.
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Affiliation(s)
- A Aab
- Universität Siegen, Fachbereich 7 Physik - Experimentelle Teilchenphysik, Siegen, Germany
| | - P Abreu
- Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisboa, Portugal
| | - M Aglietta
- Osservatorio Astrofisico di Torino (INAF), Università di Torino and Sezione INFN, Torino, Italy
| | - E J Ahn
- Fermilab, Batavia, Illinois, USA
| | - I Al Samarai
- Institut de Physique Nucléaire d'Orsay (IPNO), Université Paris 11, CNRS-IN2P3, Orsay, France
| | - I F M Albuquerque
- Universidade de São Paulo, Instituto de Física, São Paulo, São Paulo, Brazil
| | - I Allekotte
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - P Allison
- Ohio State University, Columbus, Ohio, USA
| | - A Almela
- Universidad Tecnológica Nacional - Facultad Regional Buenos Aires, Buenos Aires, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - J Alvarez Castillo
- Universidad Nacional Autónoma de México, México, Distrito Federal, Mexico
| | - J Alvarez-Muñiz
- Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - R Alves Batista
- Universität Hamburg, II. Institut für Theoretische Physik, Hamburg, Germany
| | - M Ambrosio
- Università di Napoli "Federico II" and Sezione INFN, Napoli, Italy
| | - A Aminaei
- IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
| | - G A Anastasi
- Università di Catania and Sezione INFN, Catania, Italy
| | - L Anchordoqui
- Department of Physics and Astronomy, Lehman College, City University of New York, Bronx, New York, USA
| | - S Andringa
- Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisboa, Portugal
| | - C Aramo
- Università di Napoli "Federico II" and Sezione INFN, Napoli, Italy
| | - F Arqueros
- Universidad Complutense de Madrid, Madrid, Spain
| | - N Arsene
- University of Bucharest, Physics Department, Bucharest, Romania
| | - H Asorey
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
- Universidad Industrial de Santander, Bucaramanga, Colombia
| | - P Assis
- Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisboa, Portugal
| | - J Aublin
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, Paris, France
| | - G Avila
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Malargüe, Argentina
| | - N Awal
- New York University, New York, New York, USA
| | - A M Badescu
- University Politehnica of Bucharest, Bucharest, Romania
| | - C Baus
- Karlsruhe Institute of Technology, Institut für Experimentelle Kernphysik (IEKP), Karlsruhe, Germany
| | - J J Beatty
- Ohio State University, Columbus, Ohio, USA
| | - K H Becker
- Bergische Universität Wuppertal, Fachbereich C - Physik, Wuppertal, Germany
| | - J A Bellido
- University of Adelaide, Adelaide, South Australia, Australia
| | - C Berat
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Université Grenoble-Alpes, CNRS/IN2P3, Grenoble, France
| | - M E Bertaina
- Osservatorio Astrofisico di Torino (INAF), Università di Torino and Sezione INFN, Torino, Italy
| | - X Bertou
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - P L Biermann
- Max-Planck-Institut für Radioastronomie, Bonn, Germany
| | - P Billoir
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, Paris, France
| | - S G Blaess
- University of Adelaide, Adelaide, South Australia, Australia
| | - A Blanco
- Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisboa, Portugal
| | - M Blanco
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, Paris, France
| | - J Blazek
- Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - C Bleve
- Dipartimento di Matematica e Fisica "E. De Giorgi" dell'Università del Salento and Sezione INFN, Lecce, Italy
| | - H Blümer
- Karlsruhe Institute of Technology, Institut für Experimentelle Kernphysik (IEKP), Karlsruhe, Germany
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - M Boháčová
- Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - D Boncioli
- INFN, Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
| | - C Bonifazi
- Universidade Federal do Rio de Janeiro, Instituto de Física, Rio de Janeiro, Rio de Janeiro, Brazil
| | - N Borodai
- Institute of Nuclear Physics PAN, Krakow, Poland
| | - J Brack
- Colorado State University, Fort Collins, Colorado, USA
| | - I Brancus
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
| | - T Bretz
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - A Bridgeman
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - P Brogueira
- Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisboa, Portugal
| | - P Buchholz
- Universität Siegen, Fachbereich 7 Physik - Experimentelle Teilchenphysik, Siegen, Germany
| | - A Bueno
- Universidad de Granada and C.A.F.P.E., Granada, Spain
| | - S Buitink
- IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
| | - M Buscemi
- Università di Napoli "Federico II" and Sezione INFN, Napoli, Italy
| | | | - B Caccianiga
- Università di Milano and Sezione INFN, Milan, Italy
| | - L Caccianiga
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, Paris, France
| | - M Candusso
- Università di Roma II "Tor Vergata" and Sezione INFN, Roma, Italy
| | - L Caramete
- Institute of Space Science, Bucharest-Magurele, Romania
| | - R Caruso
- Università di Catania and Sezione INFN, Catania, Italy
| | - A Castellina
- Osservatorio Astrofisico di Torino (INAF), Università di Torino and Sezione INFN, Torino, Italy
| | - G Cataldi
- Dipartimento di Matematica e Fisica "E. De Giorgi" dell'Università del Salento and Sezione INFN, Lecce, Italy
| | - L Cazon
- Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisboa, Portugal
| | - R Cester
- Università di Torino and Sezione INFN, Torino, Italy
| | - A G Chavez
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Michoacán, Mexico
| | - A Chiavassa
- Osservatorio Astrofisico di Torino (INAF), Università di Torino and Sezione INFN, Torino, Italy
| | - J A Chinellato
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
| | - J Chudoba
- Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - M Cilmo
- Università di Napoli "Federico II" and Sezione INFN, Napoli, Italy
| | - R W Clay
- University of Adelaide, Adelaide, South Australia, Australia
| | - G Cocciolo
- Dipartimento di Matematica e Fisica "E. De Giorgi" dell'Università del Salento and Sezione INFN, Lecce, Italy
| | - R Colalillo
- Università di Napoli "Federico II" and Sezione INFN, Napoli, Italy
| | - A Coleman
- Pennsylvania State University, University Park, Pennsylvania, USA
| | - L Collica
- Università di Milano and Sezione INFN, Milan, Italy
| | - M R Coluccia
- Dipartimento di Matematica e Fisica "E. De Giorgi" dell'Università del Salento and Sezione INFN, Lecce, Italy
| | - R Conceição
- Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisboa, Portugal
| | - F Contreras
- Observatorio Pierre Auger, Malargüe, Argentina
| | - M J Cooper
- University of Adelaide, Adelaide, South Australia, Australia
| | - A Cordier
- Laboratoire de l'Accélérateur Linéaire (LAL), Université Paris 11, CNRS-IN2P3, Orsay, France
| | - S Coutu
- Pennsylvania State University, University Park, Pennsylvania, USA
| | - C E Covault
- Case Western Reserve University, Cleveland, Ohio, USA
| | - J Cronin
- University of Chicago, Enrico Fermi Institute, Chicago, Illinois, USA
| | - R Dallier
- SUBATECH, école des Mines de Nantes, CNRS-IN2P3, Université de Nantes, Nantes, France
- Station de Radioastronomie de Nançay, Observatoire de Paris, CNRS/INSU, Nançay, France
| | - B Daniel
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
| | - S Dasso
- Instituto de Astronomía y Física del Espacio (IAFE, CONICET-UBA), Buenos Aires, Argentina
- Departamento de Física, FCEyN, Universidad de Buenos Aires and CONICET, Buenos Aires, Argentina
| | - K Daumiller
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - B R Dawson
- University of Adelaide, Adelaide, South Australia, Australia
| | - R M de Almeida
- Universidade Federal Fluminense, EEIMVR, Volta Redonda, Rio de Janeiro, Brazil
| | - S J de Jong
- IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
- Nikhef, Science Park, Amsterdam, Netherlands
| | - G De Mauro
- IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
| | - J R T de Mello Neto
- Universidade Federal do Rio de Janeiro, Instituto de Física, Rio de Janeiro, Rio de Janeiro, Brazil
| | - I De Mitri
- Dipartimento di Matematica e Fisica "E. De Giorgi" dell'Università del Salento and Sezione INFN, Lecce, Italy
| | - J de Oliveira
- Universidade Federal Fluminense, EEIMVR, Volta Redonda, Rio de Janeiro, Brazil
| | - V de Souza
- Universidade de São Paulo, Instituto de Física de São Carlos, São Carlos, São Paulo, Brazil
| | - L Del Peral
- Universidad de Alcalá, Alcalá de Henares, Madrid, Spain
| | - O Deligny
- Institut de Physique Nucléaire d'Orsay (IPNO), Université Paris 11, CNRS-IN2P3, Orsay, France
| | - N Dhital
- Michigan Technological University, Houghton, Michigan, USA
| | - C Di Giulio
- Università di Roma II "Tor Vergata" and Sezione INFN, Roma, Italy
| | - A Di Matteo
- Dipartimento di Scienze Fisiche e Chimiche dell'Università dell'Aquila and INFN, L'Aquila, Italy
| | - J C Diaz
- Michigan Technological University, Houghton, Michigan, USA
| | - M L Díaz Castro
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
| | - F Diogo
- Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisboa, Portugal
| | - C Dobrigkeit
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
| | - W Docters
- KVI - Center for Advanced Radiation Technology, University of Groningen, Groningen, Netherlands
| | - J C D'Olivo
- Universidad Nacional Autónoma de México, México, Distrito Federal, Mexico
| | - A Dorofeev
- Colorado State University, Fort Collins, Colorado, USA
| | | | - R C Dos Anjos
- Universidade de São Paulo, Instituto de Física de São Carlos, São Carlos, São Paulo, Brazil
| | - M T Dova
- IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
| | - J Ebr
- Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - R Engel
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - M Erdmann
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - M Erfani
- Universität Siegen, Fachbereich 7 Physik - Experimentelle Teilchenphysik, Siegen, Germany
| | - C O Escobar
- Fermilab, Batavia, Illinois, USA
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
| | - J Espadanal
- Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisboa, Portugal
| | - A Etchegoyen
- Universidad Tecnológica Nacional - Facultad Regional Buenos Aires, Buenos Aires, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - H Falcke
- IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
- Nikhef, Science Park, Amsterdam, Netherlands
- ASTRON, Dwingeloo, Netherlands
| | - K Fang
- University of Chicago, Enrico Fermi Institute, Chicago, Illinois, USA
| | - G Farrar
- New York University, New York, New York, USA
| | - A C Fauth
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
| | | | - A P Ferguson
- Case Western Reserve University, Cleveland, Ohio, USA
| | - B Fick
- Michigan Technological University, Houghton, Michigan, USA
| | - J M Figueira
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - A Filevich
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - A Filipčič
- Experimental Particle Physics Department, J. Stefan Institute, Ljubljana, Slovenia
- Laboratory for Astroparticle Physics, University of Nova Gorica, Nova Gorica, Slovenia
| | - O Fratu
- University Politehnica of Bucharest, Bucharest, Romania
| | - M M Freire
- Instituto de Física de Rosario (IFIR) - CONICET/U.N.R. and Facultad de Ciencias Bioquímicas y Farmacéuticas U.N.R., Rosario, Argentina
| | - T Fujii
- University of Chicago, Enrico Fermi Institute, Chicago, Illinois, USA
| | - B García
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), and Universidad Tecnológica Nacional - Facultad Regional Mendoza (CONICET/CNEA), Mendoza, Argentina
| | - D Garcia-Gamez
- Laboratoire de l'Accélérateur Linéaire (LAL), Université Paris 11, CNRS-IN2P3, Orsay, France
| | | | - F Gate
- SUBATECH, école des Mines de Nantes, CNRS-IN2P3, Université de Nantes, Nantes, France
| | - H Gemmeke
- Karlsruhe Institute of Technology, Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
| | - A Gherghel-Lascu
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
| | - P L Ghia
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, Paris, France
| | - U Giaccari
- Universidade Federal do Rio de Janeiro, Instituto de Física, Rio de Janeiro, Rio de Janeiro, Brazil
| | - M Giammarchi
- Università di Milano and Sezione INFN, Milan, Italy
| | - M Giller
- University of Łódź, Łódź, Poland
| | - D Głas
- University of Łódź, Łódź, Poland
| | - C Glaser
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - H Glass
- Fermilab, Batavia, Illinois, USA
| | - G Golup
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - M Gómez Berisso
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - P F Gómez Vitale
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Malargüe, Argentina
| | - N González
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - B Gookin
- Colorado State University, Fort Collins, Colorado, USA
| | - J Gordon
- Ohio State University, Columbus, Ohio, USA
| | - A Gorgi
- Osservatorio Astrofisico di Torino (INAF), Università di Torino and Sezione INFN, Torino, Italy
| | - P Gorham
- University of Hawaii, Honolulu, Hawaii, USA
| | - P Gouffon
- Universidade de São Paulo, Instituto de Física, São Paulo, São Paulo, Brazil
| | - N Griffith
- Ohio State University, Columbus, Ohio, USA
| | - A F Grillo
- INFN, Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
| | - T D Grubb
- University of Adelaide, Adelaide, South Australia, Australia
| | - F Guarino
- Università di Napoli "Federico II" and Sezione INFN, Napoli, Italy
| | - G P Guedes
- Universidade Estadual de Feira de Santana, Feira de Santana, Brazil
| | - M R Hampel
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - P Hansen
- IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
| | - D Harari
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - T A Harrison
- University of Adelaide, Adelaide, South Australia, Australia
| | - S Hartmann
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - J L Harton
- Colorado State University, Fort Collins, Colorado, USA
| | - A Haungs
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - T Hebbeker
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - D Heck
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - P Heimann
- Universität Siegen, Fachbereich 7 Physik - Experimentelle Teilchenphysik, Siegen, Germany
| | - A E Herve
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - G C Hill
- University of Adelaide, Adelaide, South Australia, Australia
| | - C Hojvat
- Fermilab, Batavia, Illinois, USA
| | - N Hollon
- University of Chicago, Enrico Fermi Institute, Chicago, Illinois, USA
| | - E Holt
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - P Homola
- Bergische Universität Wuppertal, Fachbereich C - Physik, Wuppertal, Germany
| | - J R Hörandel
- IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
- Nikhef, Science Park, Amsterdam, Netherlands
| | - P Horvath
- Palacky University, RCPTM, Olomouc, Czech Republic
| | - M Hrabovský
- Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
- Palacky University, RCPTM, Olomouc, Czech Republic
| | - D Huber
- Karlsruhe Institute of Technology, Institut für Experimentelle Kernphysik (IEKP), Karlsruhe, Germany
| | - T Huege
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - A Insolia
- Università di Catania and Sezione INFN, Catania, Italy
| | - P G Isar
- Institute of Space Science, Bucharest-Magurele, Romania
| | - I Jandt
- Bergische Universität Wuppertal, Fachbereich C - Physik, Wuppertal, Germany
| | - S Jansen
- IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
- Nikhef, Science Park, Amsterdam, Netherlands
| | - C Jarne
- IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
| | - J A Johnsen
- Colorado School of Mines, Golden, Colorado, USA
| | - M Josebachuili
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - A Kääpä
- Bergische Universität Wuppertal, Fachbereich C - Physik, Wuppertal, Germany
| | - O Kambeitz
- Karlsruhe Institute of Technology, Institut für Experimentelle Kernphysik (IEKP), Karlsruhe, Germany
| | - K H Kampert
- Bergische Universität Wuppertal, Fachbereich C - Physik, Wuppertal, Germany
| | - P Kasper
- Fermilab, Batavia, Illinois, USA
| | - I Katkov
- Karlsruhe Institute of Technology, Institut für Experimentelle Kernphysik (IEKP), Karlsruhe, Germany
| | - B Keilhauer
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - E Kemp
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
| | - R M Kieckhafer
- Michigan Technological University, Houghton, Michigan, USA
| | - H O Klages
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - M Kleifges
- Karlsruhe Institute of Technology, Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
| | | | - R Krause
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - N Krohm
- Bergische Universität Wuppertal, Fachbereich C - Physik, Wuppertal, Germany
| | - D Kuempel
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - G Kukec Mezek
- Laboratory for Astroparticle Physics, University of Nova Gorica, Nova Gorica, Slovenia
| | - N Kunka
- Karlsruhe Institute of Technology, Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
| | - A W Kuotb Awad
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - D LaHurd
- Case Western Reserve University, Cleveland, Ohio, USA
| | - L Latronico
- Osservatorio Astrofisico di Torino (INAF), Università di Torino and Sezione INFN, Torino, Italy
| | - R Lauer
- University of New Mexico, Albuquerque, New Mexico, USA
| | - M Lauscher
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - P Lautridou
- SUBATECH, école des Mines de Nantes, CNRS-IN2P3, Université de Nantes, Nantes, France
| | - S Le Coz
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Université Grenoble-Alpes, CNRS/IN2P3, Grenoble, France
| | - D Lebrun
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Université Grenoble-Alpes, CNRS/IN2P3, Grenoble, France
| | - P Lebrun
- Fermilab, Batavia, Illinois, USA
| | | | - A Letessier-Selvon
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, Paris, France
| | - I Lhenry-Yvon
- Institut de Physique Nucléaire d'Orsay (IPNO), Université Paris 11, CNRS-IN2P3, Orsay, France
| | - K Link
- Karlsruhe Institute of Technology, Institut für Experimentelle Kernphysik (IEKP), Karlsruhe, Germany
| | - L Lopes
- Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisboa, Portugal
| | - R López
- Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - A López Casado
- Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - K Louedec
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Université Grenoble-Alpes, CNRS/IN2P3, Grenoble, France
| | - A Lucero
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - M Malacari
- University of Adelaide, Adelaide, South Australia, Australia
| | - M Mallamaci
- Università di Milano and Sezione INFN, Milan, Italy
| | - J Maller
- SUBATECH, école des Mines de Nantes, CNRS-IN2P3, Université de Nantes, Nantes, France
| | - D Mandat
- Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | | | - A G Mariazzi
- IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
| | - V Marin
- SUBATECH, école des Mines de Nantes, CNRS-IN2P3, Université de Nantes, Nantes, France
| | - I C Mariş
- Universidad de Granada and C.A.F.P.E., Granada, Spain
| | - G Marsella
- Dipartimento di Matematica e Fisica "E. De Giorgi" dell'Università del Salento and Sezione INFN, Lecce, Italy
| | - D Martello
- Dipartimento di Matematica e Fisica "E. De Giorgi" dell'Università del Salento and Sezione INFN, Lecce, Italy
| | - H Martinez
- Centro de Investigación y de Estudios Avanzados del IPN (CINVESTAV), México, Distrito Federal, Mexico
| | | | - D Martraire
- Institut de Physique Nucléaire d'Orsay (IPNO), Université Paris 11, CNRS-IN2P3, Orsay, France
| | - J J Masías Meza
- Departamento de Física, FCEyN, Universidad de Buenos Aires and CONICET, Buenos Aires, Argentina
| | - H J Mathes
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - S Mathys
- Bergische Universität Wuppertal, Fachbereich C - Physik, Wuppertal, Germany
| | - J Matthews
- Louisiana State University, Baton Rouge, Louisiana, USA
| | | | - G Matthiae
- Università di Roma II "Tor Vergata" and Sezione INFN, Roma, Italy
| | - D Maurizio
- Centro Brasileiro de Pesquisas Fisicas, Rio de Janeiro, Rio de Janeiro, Brazil
| | - E Mayotte
- Colorado School of Mines, Golden, Colorado, USA
| | | | - C Medina
- Colorado School of Mines, Golden, Colorado, USA
| | - G Medina-Tanco
- Universidad Nacional Autónoma de México, México, Distrito Federal, Mexico
| | - R Meissner
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - V B B Mello
- Universidade Federal do Rio de Janeiro, Instituto de Física, Rio de Janeiro, Rio de Janeiro, Brazil
| | - D Melo
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - A Menshikov
- Karlsruhe Institute of Technology, Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
| | - S Messina
- KVI - Center for Advanced Radiation Technology, University of Groningen, Groningen, Netherlands
| | - M I Micheletti
- Instituto de Física de Rosario (IFIR) - CONICET/U.N.R. and Facultad de Ciencias Bioquímicas y Farmacéuticas U.N.R., Rosario, Argentina
| | - L Middendorf
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - I A Minaya
- Universidad Complutense de Madrid, Madrid, Spain
| | - L Miramonti
- Università di Milano and Sezione INFN, Milan, Italy
| | - B Mitrica
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
| | | | - S Mollerach
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - F Montanet
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Université Grenoble-Alpes, CNRS/IN2P3, Grenoble, France
| | - C Morello
- Osservatorio Astrofisico di Torino (INAF), Università di Torino and Sezione INFN, Torino, Italy
| | - M Mostafá
- Pennsylvania State University, University Park, Pennsylvania, USA
| | - C A Moura
- Universidade Federal do ABC, Santo André, São Paulo, Brazil
| | - M A Muller
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
- Universidade Federal de Pelotas, Pelotas, Rio Grande do Sul, Brazil
| | - G Müller
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - S Müller
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - S Navas
- Universidad de Granada and C.A.F.P.E., Granada, Spain
| | - P Necesal
- Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - L Nellen
- Universidad Nacional Autónoma de México, México, Distrito Federal, Mexico
| | - A Nelles
- IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
- Nikhef, Science Park, Amsterdam, Netherlands
| | - J Neuser
- Bergische Universität Wuppertal, Fachbereich C - Physik, Wuppertal, Germany
| | - P H Nguyen
- University of Adelaide, Adelaide, South Australia, Australia
| | - M Niculescu-Oglinzanu
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
| | - M Niechciol
- Universität Siegen, Fachbereich 7 Physik - Experimentelle Teilchenphysik, Siegen, Germany
| | - L Niemietz
- Bergische Universität Wuppertal, Fachbereich C - Physik, Wuppertal, Germany
| | - T Niggemann
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - D Nitz
- Michigan Technological University, Houghton, Michigan, USA
| | - D Nosek
- Charles University, Faculty of Mathematics and Physics, Institute of Particle and Nuclear Physics, Prague, Czech Republic
| | - V Novotny
- Charles University, Faculty of Mathematics and Physics, Institute of Particle and Nuclear Physics, Prague, Czech Republic
| | - L Nožka
- Palacky University, RCPTM, Olomouc, Czech Republic
| | - L A Núñez
- Universidad Industrial de Santander, Bucaramanga, Colombia
| | - L Ochilo
- Universität Siegen, Fachbereich 7 Physik - Experimentelle Teilchenphysik, Siegen, Germany
| | - F Oikonomou
- Pennsylvania State University, University Park, Pennsylvania, USA
| | - A Olinto
- University of Chicago, Enrico Fermi Institute, Chicago, Illinois, USA
| | - N Pacheco
- Universidad de Alcalá, Alcalá de Henares, Madrid, Spain
| | - D Pakk Selmi-Dei
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
| | - M Palatka
- Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - J Pallotta
- Centro de Investigaciones en Láseres y Aplicaciones, CITEDEF and CONICET, Villa Martelli, Argentina
| | - P Papenbreer
- Bergische Universität Wuppertal, Fachbereich C - Physik, Wuppertal, Germany
| | - G Parente
- Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - A Parra
- Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - T Paul
- Department of Physics and Astronomy, Lehman College, City University of New York, Bronx, New York, USA
- Northeastern University, Boston, Massachusetts, USA
| | - M Pech
- Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - J Pȩkala
- Institute of Nuclear Physics PAN, Krakow, Poland
| | - R Pelayo
- Unidad Profesional Interdisciplinaria en Ingeniería y Tecnologías Avanzadas del Instituto Politécnico Nacional (UPIITA- IPN), México, Distrito Federal, Mexico
| | - I M Pepe
- Universidade Federal da Bahia, Salvador, BA, Brazil
| | - L Perrone
- Dipartimento di Matematica e Fisica "E. De Giorgi" dell'Università del Salento and Sezione INFN, Lecce, Italy
| | - E Petermann
- University of Nebraska, Lincoln, Nebraska, USA
| | - C Peters
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - S Petrera
- Dipartimento di Scienze Fisiche e Chimiche dell'Università dell'Aquila and INFN, L'Aquila, Italy
- Gran Sasso Science Institute (INFN), L'Aquila, Italy
| | - Y Petrov
- Colorado State University, Fort Collins, Colorado, USA
| | - J Phuntsok
- Pennsylvania State University, University Park, Pennsylvania, USA
| | - R Piegaia
- Departamento de Física, FCEyN, Universidad de Buenos Aires and CONICET, Buenos Aires, Argentina
| | - T Pierog
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - P Pieroni
- Departamento de Física, FCEyN, Universidad de Buenos Aires and CONICET, Buenos Aires, Argentina
| | - M Pimenta
- Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisboa, Portugal
| | - V Pirronello
- Università di Catania and Sezione INFN, Catania, Italy
| | - M Platino
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - M Plum
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - A Porcelli
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - C Porowski
- Institute of Nuclear Physics PAN, Krakow, Poland
| | - R R Prado
- Universidade de São Paulo, Instituto de Física de São Carlos, São Carlos, São Paulo, Brazil
| | - P Privitera
- University of Chicago, Enrico Fermi Institute, Chicago, Illinois, USA
| | - M Prouza
- Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - E J Quel
- Centro de Investigaciones en Láseres y Aplicaciones, CITEDEF and CONICET, Villa Martelli, Argentina
| | - S Querchfeld
- Bergische Universität Wuppertal, Fachbereich C - Physik, Wuppertal, Germany
| | - S Quinn
- Case Western Reserve University, Cleveland, Ohio, USA
| | - J Rautenberg
- Bergische Universität Wuppertal, Fachbereich C - Physik, Wuppertal, Germany
| | - O Ravel
- SUBATECH, école des Mines de Nantes, CNRS-IN2P3, Université de Nantes, Nantes, France
| | - D Ravignani
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - D Reinert
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - B Revenu
- SUBATECH, école des Mines de Nantes, CNRS-IN2P3, Université de Nantes, Nantes, France
| | - J Ridky
- Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - M Risse
- Universität Siegen, Fachbereich 7 Physik - Experimentelle Teilchenphysik, Siegen, Germany
| | - P Ristori
- Centro de Investigaciones en Láseres y Aplicaciones, CITEDEF and CONICET, Villa Martelli, Argentina
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- Dipartimento di Scienze Fisiche e Chimiche dell'Università dell'Aquila and INFN, L'Aquila, Italy
| | | | | | | | - D Rogozin
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - J Rosado
- Universidad Complutense de Madrid, Madrid, Spain
| | - M Roth
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - E Roulet
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - A C Rovero
- Instituto de Astronomía y Física del Espacio (IAFE, CONICET-UBA), Buenos Aires, Argentina
| | - S J Saffi
- University of Adelaide, Adelaide, South Australia, Australia
| | - A Saftoiu
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
| | - H Salazar
- Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - A Saleh
- Laboratory for Astroparticle Physics, University of Nova Gorica, Nova Gorica, Slovenia
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- Pennsylvania State University, University Park, Pennsylvania, USA
| | - G Salina
- Università di Roma II "Tor Vergata" and Sezione INFN, Roma, Italy
| | | | - F Sánchez
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | | | - E Santos
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
| | - E M Santos
- Universidade de São Paulo, Instituto de Física, São Paulo, São Paulo, Brazil
| | - F Sarazin
- Colorado School of Mines, Golden, Colorado, USA
| | - B Sarkar
- Bergische Universität Wuppertal, Fachbereich C - Physik, Wuppertal, Germany
| | - R Sarmento
- Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisboa, Portugal
| | | | - R Sato
- Observatorio Pierre Auger, Malargüe, Argentina
| | - C Scarso
- Observatorio Pierre Auger, Malargüe, Argentina
| | - M Schauer
- Bergische Universität Wuppertal, Fachbereich C - Physik, Wuppertal, Germany
| | - V Scherini
- Dipartimento di Matematica e Fisica "E. De Giorgi" dell'Università del Salento and Sezione INFN, Lecce, Italy
| | - H Schieler
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
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- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
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- KVI - Center for Advanced Radiation Technology, University of Groningen, Groningen, Netherlands
- Vrije Universiteit Brussel, Brussels, Belgium
| | | | - P Schovánek
- Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - F G Schröder
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - A Schulz
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - J Schulz
- IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
| | - J Schumacher
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - S J Sciutto
- IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
| | - A Segreto
- Istituto di Astrofisica Spaziale e Fisica Cosmica di Palermo (INAF), Palermo, Italy
| | - M Settimo
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, Paris, France
| | - A Shadkam
- Louisiana State University, Baton Rouge, Louisiana, USA
| | - R C Shellard
- Centro Brasileiro de Pesquisas Fisicas, Rio de Janeiro, Rio de Janeiro, Brazil
| | - G Sigl
- Universität Hamburg, II. Institut für Theoretische Physik, Hamburg, Germany
| | - O Sima
- University of Bucharest, Physics Department, Bucharest, Romania
| | | | - R Šmída
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - G R Snow
- University of Nebraska, Lincoln, Nebraska, USA
| | - P Sommers
- Pennsylvania State University, University Park, Pennsylvania, USA
| | - S Sonntag
- Universität Siegen, Fachbereich 7 Physik - Experimentelle Teilchenphysik, Siegen, Germany
| | - J Sorokin
- University of Adelaide, Adelaide, South Australia, Australia
| | - R Squartini
- Observatorio Pierre Auger, Malargüe, Argentina
| | | | - D Stanca
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
| | - S Stanič
- Laboratory for Astroparticle Physics, University of Nova Gorica, Nova Gorica, Slovenia
| | | | - J Stasielak
- Institute of Nuclear Physics PAN, Krakow, Poland
| | - M Stephan
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - A Stutz
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Université Grenoble-Alpes, CNRS/IN2P3, Grenoble, France
| | - F Suarez
- Universidad Tecnológica Nacional - Facultad Regional Buenos Aires, Buenos Aires, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - M Suarez Durán
- Universidad Industrial de Santander, Bucaramanga, Colombia
| | - T Suomijärvi
- Institut de Physique Nucléaire d'Orsay (IPNO), Université Paris 11, CNRS-IN2P3, Orsay, France
| | - A D Supanitsky
- Instituto de Astronomía y Física del Espacio (IAFE, CONICET-UBA), Buenos Aires, Argentina
| | | | - J Swain
- Northeastern University, Boston, Massachusetts, USA
| | | | - O A Taborda
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - A Tapia
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - A Tepe
- Universität Siegen, Fachbereich 7 Physik - Experimentelle Teilchenphysik, Siegen, Germany
| | - V M Theodoro
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
| | - C Timmermans
- IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
- Nikhef, Science Park, Amsterdam, Netherlands
| | - C J Todero Peixoto
- Universidade de São Paulo, Escola de Engenharia de Lorena, Lorena, São Paulo, Brazil
| | - G Toma
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
| | - L Tomankova
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - B Tomé
- Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisboa, Portugal
| | - A Tonachini
- Università di Torino and Sezione INFN, Torino, Italy
| | - G Torralba Elipe
- Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - D Torres Machado
- Universidade Federal do Rio de Janeiro, Instituto de Física, Rio de Janeiro, Rio de Janeiro, Brazil
| | - P Travnicek
- Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - M Trini
- Laboratory for Astroparticle Physics, University of Nova Gorica, Nova Gorica, Slovenia
| | - R Ulrich
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - M Unger
- New York University, New York, New York, USA
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - M Urban
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - J F Valdés Galicia
- Universidad Nacional Autónoma de México, México, Distrito Federal, Mexico
| | - I Valiño
- Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - L Valore
- Università di Napoli "Federico II" and Sezione INFN, Napoli, Italy
| | - G van Aar
- IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
| | - P van Bodegom
- University of Adelaide, Adelaide, South Australia, Australia
| | - A M van den Berg
- KVI - Center for Advanced Radiation Technology, University of Groningen, Groningen, Netherlands
| | - S van Velzen
- IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
| | - A van Vliet
- Universität Hamburg, II. Institut für Theoretische Physik, Hamburg, Germany
| | - E Varela
- Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - B Vargas Cárdenas
- Universidad Nacional Autónoma de México, México, Distrito Federal, Mexico
| | - G Varner
- University of Hawaii, Honolulu, Hawaii, USA
| | - R Vasquez
- Universidade Federal do Rio de Janeiro, Instituto de Física, Rio de Janeiro, Rio de Janeiro, Brazil
| | - J R Vázquez
- Universidad Complutense de Madrid, Madrid, Spain
| | - R A Vázquez
- Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - D Veberič
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - V Verzi
- Università di Roma II "Tor Vergata" and Sezione INFN, Roma, Italy
| | - J Vicha
- Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - M Videla
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - L Villaseñor
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Michoacán, Mexico
| | - B Vlcek
- Universidad de Alcalá, Alcalá de Henares, Madrid, Spain
| | - S Vorobiov
- Laboratory for Astroparticle Physics, University of Nova Gorica, Nova Gorica, Slovenia
| | - H Wahlberg
- IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
| | - O Wainberg
- Universidad Tecnológica Nacional - Facultad Regional Buenos Aires, Buenos Aires, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - D Walz
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - A A Watson
- School of Physics and Astronomy, University of Leeds, Leeds, United Kingdom
| | - M Weber
- Karlsruhe Institute of Technology, Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
| | - K Weidenhaupt
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - A Weindl
- Karlsruhe Institute of Technology, Institut für Kernphysik, Karlsruhe, Germany
| | - C Welling
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - F Werner
- Karlsruhe Institute of Technology, Institut für Experimentelle Kernphysik (IEKP), Karlsruhe, Germany
| | - A Widom
- Northeastern University, Boston, Massachusetts, USA
| | - L Wiencke
- Colorado School of Mines, Golden, Colorado, USA
| | - H Wilczyński
- Institute of Nuclear Physics PAN, Krakow, Poland
| | - T Winchen
- Bergische Universität Wuppertal, Fachbereich C - Physik, Wuppertal, Germany
| | - D Wittkowski
- Bergische Universität Wuppertal, Fachbereich C - Physik, Wuppertal, Germany
| | - B Wundheiler
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - S Wykes
- IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
| | - L Yang
- Laboratory for Astroparticle Physics, University of Nova Gorica, Nova Gorica, Slovenia
| | - T Yapici
- Michigan Technological University, Houghton, Michigan, USA
| | - A Yushkov
- Universität Siegen, Fachbereich 7 Physik - Experimentelle Teilchenphysik, Siegen, Germany
| | - E Zas
- Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - D Zavrtanik
- Experimental Particle Physics Department, J. Stefan Institute, Ljubljana, Slovenia
- Laboratory for Astroparticle Physics, University of Nova Gorica, Nova Gorica, Slovenia
| | - M Zavrtanik
- Experimental Particle Physics Department, J. Stefan Institute, Ljubljana, Slovenia
- Laboratory for Astroparticle Physics, University of Nova Gorica, Nova Gorica, Slovenia
| | - A Zepeda
- Centro de Investigación y de Estudios Avanzados del IPN (CINVESTAV), México, Distrito Federal, Mexico
| | - B Zimmermann
- Karlsruhe Institute of Technology, Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
| | - M Ziolkowski
- Universität Siegen, Fachbereich 7 Physik - Experimentelle Teilchenphysik, Siegen, Germany
| | - F Zuccarello
- Università di Catania and Sezione INFN, Catania, Italy
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Hatano Y, Moroni M, Wilcock A, Quinn S, Csikós Á, Allan SG, Agar M, Clark K, Clayton JM, Currow DC. Pharmacovigilance in hospice/palliative care: the net immediate and short-term effects of dexamethasone for anorexia. BMJ Support Palliat Care 2016; 6:331-7. [PMID: 27288400 DOI: 10.1136/bmjspcare-2015-001037] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2015] [Accepted: 05/21/2016] [Indexed: 11/03/2022]
Affiliation(s)
- Yutaka Hatano
- Department of Psychiatry, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan Discipline, Palliative and Supportive Services, Flinders University, Adelaide, South Australia, Australia
| | - Matteo Moroni
- MariaTeresa Chiantore Seràgnoli Hospice Foundation, Bologna, Italy
| | - Andrew Wilcock
- Palliative Medicine and Medical Oncology, School of Medicine, University of Nottingham, Nottingham, UK
| | - Stephen Quinn
- School of Medicine, Flinders University, Adelaide, South Australia, Australia
| | - Ágnes Csikós
- Hospice-Palliative Department, UP MS Family Medicine Institute, Pecs, Hungary
| | - Simon G Allan
- Director of Palliative Care, Arohanui Hospice, Palmerston North, New Zealand
| | - Meera Agar
- Discipline, Palliative and Supportive Services, Flinders University, Adelaide, South Australia, Australia Braeside Hospital, HammondCare, Sydney, New South Wales, Australia
| | - Katherine Clark
- Department of Palliative Care, Calvary Mater Newcastle, Newcastle, New South Wales, Australia
| | - Josephine M Clayton
- HammondCare Palliative and Supportive Care Service, Greenwich Hospital, Sydney, New South Wales, Australia
| | - David C Currow
- Discipline, Palliative and Supportive Services, Flinders University, Adelaide, South Australia, Australia
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Quinn S, Herron D, Menzies R, Scott L, Black R, Zhou Y, Waller A, Humphris G, Freeman R. The Video Interaction Guidance approach applied to teaching communication skills in dentistry. Eur J Dent Educ 2016; 20:94-101. [PMID: 25891196 DOI: 10.1111/eje.12146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/16/2015] [Indexed: 06/04/2023]
Abstract
PURPOSE To examine dentists' views of a novel video review technique to improve communication skills in complex clinical situations. MATERIALS AND METHODS Dentists (n = 3) participated in a video review known as Video Interaction Guidance to encourage more attuned interactions with their patients (n = 4). Part of this process is to identify where dentists and patients reacted positively and effectively. Each dentist was presented with short segments of video footage taken during an appointment with a patient with intellectual disabilities and communication difficulties. Having observed their interactions with patients, dentists were asked to reflect on their communication strategies with the assistance of a trained VIG specialist. RESULTS Dentists reflected that their VIG session had been insightful and considered the review process as beneficial to communication skills training in dentistry. They believed that this technique could significantly improve the way dentists interact and communicate with patients. The VIG sessions increased their awareness of the communication strategies they use with their patients and were perceived as neither uncomfortable nor threatening. DISCUSSION The VIG session was beneficial in this exploratory investigation because the dentists could identify when their interactions were most effective. Awareness of their non-verbal communication strategies and the need to adopt these behaviours frequently were identified as key benefits of this training approach. One dentist suggested that the video review method was supportive because it was undertaken by a behavioural scientist rather than a professional counterpart. CONCLUSION Some evidence supports the VIG approach in this specialist area of communication skills and dental training.
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Affiliation(s)
- S Quinn
- Dental Health Services Research Unit, University of Dundee, Dundee, UK
| | - D Herron
- School of Computing, University of Dundee, Dundee, UK
| | - R Menzies
- School of Computing, University of Dundee, Dundee, UK
| | - L Scott
- School of Computing, University of Dundee, Dundee, UK
| | - R Black
- School of Computing, University of Dundee, Dundee, UK
| | - Y Zhou
- School of Medicine, University of St Andrews, St Andrews, UK
| | - A Waller
- School of Computing, University of Dundee, Dundee, UK
| | - G Humphris
- School of Medicine, University of St Andrews, St Andrews, UK
| | - R Freeman
- Dental Health Services Research Unit, University of Dundee, Dundee, UK
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Reynolds A, O'Driscoll J, Quinn S, Coughlan D. Cows Milk Allergy: A Cohort of Patients from a University Hospital. Ir Med J 2016; 109:390. [PMID: 27685484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The study illustrates advantages of Fiberoptic Bronchoscopy, a new service started at St. Lukes General Hospital in patient care since April 2014. Retrospective review of Bronchoscopies and referrals to Tertiary care unit for Bronchoscopy, prior and after initiation of service at St. Lukes Hospital were studied. Total 106 procedures were performed out of which 103(98%) were for diagnostic purpose. Common Indications for bronchoscopy were functional airway assessment in 38 cases (35%) of chronic cough, 26 cases (24.8%) of suspected Malignancy. The average time taken for procedure was 15 + 1 minute with overall rate of complication recorded in 1 case (0.95%). 32(30%) inpatients were referred before Bronchoscopy services were started locally.15(14%) patients were referred for Endobronchial ultrasound (EBUS) after diagnostic procedure performed at St. Lukes Hospital. To conclude, Bronchoscopy is a safe procedure used for diagnosis of various Lung conditions. The services offered locally reduced the time and cost involved in referrals. The diagnostic Bronchoscopies performed for Malignancy at St. Lukes Hospital have rightly increased references for EBUS at Tertiary care Unit.
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Affiliation(s)
- A Reynolds
- Department of Paediatrics, AMNCH, Tallaght, Dublin 24
| | - J O'Driscoll
- Department of Nutrition and Dietetics, AMNCH, Tallaght, Dublin 24
| | - S Quinn
- Department of Paediatrics, AMNCH, Tallaght, Dublin 24
| | - D Coughlan
- Department of Paediatrics, AMNCH, Tallaght, Dublin 24
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Ferreira DH, Silva JP, Quinn S, Abernethy AP, Johnson MJ, Oxberry SG, Currow DC. Blinded Patient Preference for Morphine Compared to Placebo in the Setting of Chronic Refractory Breathlessness--An Exploratory Study. J Pain Symptom Manage 2016; 51:247-54. [PMID: 26598037 DOI: 10.1016/j.jpainsymman.2015.10.005] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2015] [Revised: 09/28/2015] [Accepted: 10/06/2015] [Indexed: 12/14/2022]
Abstract
CONTEXT Patients' preference for morphine therapy has received little attention in the setting of chronic refractory breathlessness. However, this is one important factor in considering longer term therapy. OBJECTIVES The aim of this secondary analysis was to explore blinded patient preference of morphine compared to placebo for this indication and to define any predictors of preference. METHODS Data were pooled from three randomized, double-blind, crossover, placebo-controlled studies of morphine (four days each) in chronic refractory breathlessness. Blinded patient preferences were chosen at the end of each study. A multivariable regression model was used to establish patient predictors of preference. RESULTS Sixty-five participants provided sufficient data (60 men; median age 74 years; heart failure 55%, chronic obstructive pulmonary disease 45%; median Eastern Cooperative Oncology Group performance status 2). Forty-three percent of participants preferred morphine (32% placebo and 25% no preference). Morphine preference and younger age were strongly associated: odds ratio = 0.85, 95% confidence interval 0.78-0.93; P < 0.001). There was also an inverse association between morphine preference and sedation (odds ratio = 0.77, 95% confidence interval 0.60-0.99; P < 0.05). An inverse association was also seen between nausea and morphine preference in the univariate model only (P < 0.05). No association was seen between morphine preference and breathlessness intensity, either at baseline or change from baseline. CONCLUSION Participants preferred morphine over placebo for the relief of chronic refractory breathlessness. Morphine offers clinically important improvement, but net benefit can be easily outweighed by side effects, reducing net benefits. Side effects require aggressive management to allow more patients to realize benefits.
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Affiliation(s)
- Diana H Ferreira
- Department of Internal Medicine, Hospital de Egas Moniz-CHLO, Lisbon, Portugal; Department of Medical Oncology, Portuguese Institute of Oncology (IPO) of Lisbon Francisco Gentil EPE, Lisbon, Portugal
| | - José P Silva
- Department of Internal Medicine, Hospital de Egas Moniz-CHLO, Lisbon, Portugal; Department of Medical Oncology, Portuguese Institute of Oncology (IPO) of Lisbon Francisco Gentil EPE, Lisbon, Portugal.
| | - Stephen Quinn
- School of Medicine, Flinders University, Bedford Park, South Australia, Australia
| | - Amy P Abernethy
- Discipline, Palliative and Supportive Services, Flinders University, Bedford Park, South Australia, Australia; Department of Medicine, Duke University Medical Centre, Durham, North Carolina, USA
| | - Miriam J Johnson
- Palliative Medicine, Hull York Medical School, University of Hull, Hull, United Kingdom
| | | | - David C Currow
- Discipline, Palliative and Supportive Services, Flinders University, Bedford Park, South Australia, Australia
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Aab A, Abreu P, Aglietta M, Ahn EJ, Samarai IA, Albuquerque IFM, Allekotte I, Allen J, Allison P, Almela A, Castillo JA, Alvarez-Muñiz J, Batista RA, Ambrosio M, Aminaei A, Anchordoqui L, Andringa S, Aramo C, Aranda VM, Arqueros F, Asorey H, Assis P, Aublin J, Ave M, Avenier M, Avila G, Awal N, Badescu AM, Barber KB, Bäuml J, Baus C, Beatty JJ, Becker KH, Bellido JA, Berat C, Bertaina ME, Bertou X, Biermann PL, Billoir P, Blaess S, Blanco M, Bleve C, Blümer H, Boháčová M, Boncioli D, Bonifazi C, Bonino R, Borodai N, Brack J, Brancus I, Bridgeman A, Brogueira P, Brown WC, Buchholz P, Bueno A, Buitink S, Buscemi M, Caballero-Mora KS, Caccianiga B, Caccianiga L, Candusso M, Caramete L, Caruso R, Castellina A, Cataldi G, Cazon L, Cester R, Chavez AG, Chiavassa A, Chinellato JA, Chudoba J, Cilmo M, Clay RW, Cocciolo G, Colalillo R, Coleman A, Collica L, Coluccia MR, Conceição R, Contreras F, Cooper MJ, Cordier A, Coutu S, Covault CE, Cronin J, Curutiu A, Dallier R, Daniel B, Dasso S, Daumiller K, Dawson BR, Almeida RMD, Domenico MD, Jong SJD, Neto JRTDM, Mitri ID, Oliveira JD, Souza VD, Peral LD, Deligny O, Dembinski H, Dhital N, Giulio CD, Matteo AD, Diaz JC, Castro MLD, Diogo F, Dobrigkeit C, Docters W, D’Olivo JC, Dorofeev A, Hasankiadeh QD, Dova MT, Ebr J, Engel R, Erdmann M, Erfani M, Escobar CO, Espadanal J, Etchegoyen A, Luis PFS, Falcke H, Fang K, Farrar G, Fauth AC, Fazzini N, Ferguson AP, Fernandes M, Fick B, Figueira JM, Filevich A, Filipčič A, Fox BD, Fratu O, Fröhlich U, Fuchs B, Fujii T, Gaior R, García B, Roca STG, Garcia-Gamez D, Garcia-Pinto D, Garilli G, Bravo AG, Gate F, Gemmeke H, Ghia PL, Giaccari U, Giammarchi M, Giller M, Glaser C, Glass H, Berisso MG, Vitale PFG, Gonçalves P, Gonzalez JG, González N, Gookin B, Gordon J, Gorgi A, Gorham P, Gouffon P, Grebe S, Griffith N, Grillo AF, Grubb TD, Guarino F, Guedes GP, Hampel MR, Hansen P, Harari D, Harrison TA, Hartmann S, Harton JL, Haungs A, Hebbeker T, Heck D, Heimann P, Herve AE, Hill GC, Hojvat C, Hollon N, Holt E, Homola P, Hörandel JR, Horvath P, Hrabovský M, Huber D, Huege T, Insolia A, Isar PG, Jandt I, Jansen S, Jarne C, Josebachuili M, Kääpä A, Kambeitz O, Kampert KH, Kasper P, Katkov I, Kégl B, Keilhauer B, Keivani A, Kemp E, Kieckhafer RM, Klages HO, Kleifges M, Kleinfeller J, Krause R, Krohm N, Krömer O, Kruppke-Hansen D, Kuempel D, Kunka N, LaHurd D, Latronico L, Lauer R, Lauscher M, Lautridou P, Coz SL, Leão MSAB, Lebrun D, Lebrun P, Oliveira MALD, Letessier-Selvon A, Lhenry-Yvon I, Link K, López R, Agüera AL, Louedec K, Bahilo JL, Lu L, Lucero A, Ludwig M, Malacari M, Maldera S, Mallamaci M, Maller J, Mandat D, Mantsch P, Mariazzi AG, Marin V, Mariş IC, Marsella G, Martello D, Martin L, Martinez H, Bravo OM, Martraire D, Meza JJM, Mathes HJ, Mathys S, Matthews J, Matthews JAJ, Matthiae G, Maurel D, Maurizio D, Mayotte E, Mazur PO, Medina C, Medina-Tanco G, Meissner R, Melissas M, Melo D, Menshikov A, Messina S, Meyhandan R, Mićanović S, Micheletti MI, Middendorf L, Minaya IA, Miramonti L, Mitrica B, Molina-Bueno L, Mollerach S, Monasor M, Ragaigne DM, Montanet F, Morello C, Mostafá M, Moura CA, Muller MA, Müller G, Müller S, Münchmeyer M, Mussa R, Navarra G, Navas S, Necesal P, Nellen L, Nelles A, Neuser J, Nguyen P, Niechciol M, Niemietz L, Niggemann T, Nitz D, Nosek D, Novotny V, Nožka L, Ochilo L, Olinto A, Oliveira M, Pacheco N, Selmi-Dei DP, Palatka M, Pallotta J, Palmieri N, Papenbreer P, Parente G, Parra A, Paul T, Pech M, Pȩkala J, Pelayo R, Pepe IM, Perrone L, Petermann E, Peters C, Petrera S, Petrov Y, Phuntsok J, Piegaia R, Pierog T, Pieroni P, Pimenta M, Pirronello V, Platino M, Plum M, Porcelli A, Porowski C, Prado RR, Privitera P, Prouza M, Purrello V, Quel EJ, Querchfeld S, Quinn S, Rautenberg J, Ravel O, Ravignani D, Revenu B, Ridky J, Riggi S, Risse M, Ristori P, Rizi V, Carvalho WRD, Cabo IR, Fernandez GR, Rojo JR, Rodríguez-Frías MD, Rogozin D, Ros G, Rosado J, Rossler T, Roth M, Roulet E, Rovero AC, Saffi SJ, Saftoiu A, Salamida F, Salazar H, Saleh A, Greus FS, Salina G, Sánchez F, Sanchez-Lucas P, Santo CE, Santos E, Santos EM, Sarazin F, Sarkar B, Sarmento R, Sato R, Scharf N, Scherini V, Schieler H, Schiffer P, Schmidt D, Schröder FG, Scholten O, Schoorlemmer H, Schovánek P, Schulz A, Schulz J, Schumacher J, Sciutto SJ, Segreto A, Settimo M, Shadkam A, Shellard RC, Sidelnik I, Sigl G, Sima O, kowski AŚ, Šmída R, Snow GR, Sommers P, Sorokin J, Squartini R, Srivastava YN, Stanič S, Stapleton J, Stasielak J, Stephan M, Stutz A, Suarez F, Suomijärvi T, Supanitsky AD, Sutherland MS, Swain J, Szadkowski Z, Szuba M, Taborda OA, Tapia A, Tartare M, Tepe A, Theodoro VM, Timmermans C, Peixoto CJT, Toma G, Tomankova L, Tomé B, Tonachini A, Elipe GT, Machado DT, Travnicek P, Trovato E, Tueros M, Ulrich R, Unger M, Urban M, Galicia JFV, Valiño I, Valore L, Aar GV, Bodegom PV, Berg AMVD, Velzen SV, Vliet AV, Varela E, Vargas Cárdenas B, Varner G, Vázquez JR, Vázquez RA, Veberič D, Verzi V, Vicha J, Videla M, Villaseñor L, Vlcek B, Vorobiov S, Wahlberg H, Wainberg O, Walz D, Watson AA, Weber M, Weidenhaupt K, Weindl A, Werner F, Widom A, Wiencke L, Wilczyńska B, Wilczyński H, Will M, Williams C, Winchen T, Wittkowski D, Wundheiler B, Wykes S, Yamamoto T, Yapici T, Yuan G, Yushkov A, Zamorano B, Zas E, Zavrtanik D, Zavrtanik M, Zaw I, Zepeda A, Zhou J, Zhu Y, Silva MZ, Ziolkowski M, Zuccarello F. Search for patterns by combining cosmic-ray energy and arrival directions at the Pierre Auger Observatory. Eur Phys J C Part Fields 2015; 75:269. [PMID: 26120280 PMCID: PMC4477714 DOI: 10.1140/epjc/s10052-015-3471-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/03/2014] [Accepted: 05/20/2015] [Indexed: 06/04/2023]
Abstract
Energy-dependent patterns in the arrival directions of cosmic rays are searched for using data of the Pierre Auger Observatory. We investigate local regions around the highest-energy cosmic rays with [Formula: see text] eV by analyzing cosmic rays with energies above [Formula: see text] eV arriving within an angular separation of approximately 15[Formula: see text]. We characterize the energy distributions inside these regions by two independent methods, one searching for angular dependence of energy-energy correlations and one searching for collimation of energy along the local system of principal axes of the energy distribution. No significant patterns are found with this analysis. The comparison of these measurements with astrophysical scenarios can therefore be used to obtain constraints on related model parameters such as strength of cosmic-ray deflection and density of point sources.
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Affiliation(s)
- A. Aab
- />Universität Siegen, Siegen, Germany
| | - P. Abreu
- />Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisbon, Portugal
| | - M. Aglietta
- />Osservatorio Astrofisico di Torino (INAF), Università di Torino and Sezione INFN, Torino, Italy
| | | | - I. Al Samarai
- />Institut de Physique Nucléaire d’Orsay (IPNO), Université Paris 11, CNRS-IN2P3, Orsay, France
| | | | - I. Allekotte
- />Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - J. Allen
- />New York University, New York, NY USA
| | - P. Allison
- />Ohio State University, Columbus, OH USA
| | - A. Almela
- />Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- />Universidad Tecnológica Nacional - Facultad Regional Buenos Aires, Buenos Aires, Argentina
| | | | - J. Alvarez-Muñiz
- />Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | | | - M. Ambrosio
- />Università di Napoli “Federico II” and Sezione INFN, Napoli, Italy
| | - A. Aminaei
- />IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
| | - L. Anchordoqui
- />Department of Physics and Astronomy, City University of New York, New York, USA
| | - S. Andringa
- />Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisbon, Portugal
| | - C. Aramo
- />Università di Napoli “Federico II” and Sezione INFN, Napoli, Italy
| | - V. M. Aranda
- />Universidad Complutense de Madrid, Madrid, Spain
| | - F. Arqueros
- />Universidad Complutense de Madrid, Madrid, Spain
| | - H. Asorey
- />Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - P. Assis
- />Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisbon, Portugal
| | - J. Aublin
- />Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, Paris, France
| | - M. Ave
- />Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - M. Avenier
- />Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Université Grenoble-Alpes, CNRS/IN2P3, Grenoble, France
| | - G. Avila
- />Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Malargüe, Argentina
| | - N. Awal
- />New York University, New York, NY USA
| | - A. M. Badescu
- />University Politehnica of Bucharest, Bucharest, Romania
| | - K. B. Barber
- />University of Adelaide, Adelaide, SA Australia
| | - J. Bäuml
- />Karlsruhe Institute of Technology - Campus South - Institut für Experimentelle, Kernphysik (IEKP), Karlsruhe, Germany
| | - C. Baus
- />Karlsruhe Institute of Technology - Campus South - Institut für Experimentelle, Kernphysik (IEKP), Karlsruhe, Germany
| | | | - K. H. Becker
- />Bergische Universität Wuppertal, Wuppertal, Germany
| | | | - C. Berat
- />Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Université Grenoble-Alpes, CNRS/IN2P3, Grenoble, France
| | - M. E. Bertaina
- />Osservatorio Astrofisico di Torino (INAF), Università di Torino and Sezione INFN, Torino, Italy
| | - X. Bertou
- />Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - P. L. Biermann
- />Max-Planck-Institut für Radioastronomie, Bonn, Germany
| | - P. Billoir
- />Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, Paris, France
| | - S. Blaess
- />University of Adelaide, Adelaide, SA Australia
| | - M. Blanco
- />Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, Paris, France
| | - C. Bleve
- />Dipartimento di Matematica e Fisica “E. De Giorgi” dell’Università del Salento and Sezione INFN, Lecce, Italy
| | - H. Blümer
- />Karlsruhe Institute of Technology - Campus South - Institut für Experimentelle, Kernphysik (IEKP), Karlsruhe, Germany
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - M. Boháčová
- />Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - D. Boncioli
- />INFN, Laboratori Nazionali del Gran Sasso, Assergi, L’Aquila Italy
| | - C. Bonifazi
- />Instituto de Física, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ Brazil
| | - R. Bonino
- />Osservatorio Astrofisico di Torino (INAF), Università di Torino and Sezione INFN, Torino, Italy
| | - N. Borodai
- />Institute of Nuclear Physics PAN, Krakow, Poland
| | - J. Brack
- />Colorado State University, Fort Collins, CO USA
| | - I. Brancus
- />’Horia Hulubei’ National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
| | - A. Bridgeman
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - P. Brogueira
- />Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisbon, Portugal
| | | | | | - A. Bueno
- />Universidad de Granada and C.A.F.P.E., Granada, Spain
| | - S. Buitink
- />IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
| | - M. Buscemi
- />Università di Napoli “Federico II” and Sezione INFN, Napoli, Italy
| | - K. S. Caballero-Mora
- />Centro de Investigación y de Estudios Avanzados del IPN (CINVESTAV), Mexico, Mexico
| | - B. Caccianiga
- />Università di Milano and Sezione INFN, Milan, Italy
| | - L. Caccianiga
- />Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, Paris, France
| | - M. Candusso
- />Università di Roma II “Tor Vergata” and Sezione INFN, Roma, Italy
| | - L. Caramete
- />Max-Planck-Institut für Radioastronomie, Bonn, Germany
| | - R. Caruso
- />Università di Catania and Sezione INFN, Catania, Italy
| | - A. Castellina
- />Osservatorio Astrofisico di Torino (INAF), Università di Torino and Sezione INFN, Torino, Italy
| | - G. Cataldi
- />Dipartimento di Matematica e Fisica “E. De Giorgi” dell’Università del Salento and Sezione INFN, Lecce, Italy
| | - L. Cazon
- />Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisbon, Portugal
| | - R. Cester
- />Università di Torino and Sezione INFN, Torino, Italy
| | - A. G. Chavez
- />Universidad Michoacana de San Nicolas de Hidalgo, Morelia, Michoacan Mexico
| | - A. Chiavassa
- />Osservatorio Astrofisico di Torino (INAF), Università di Torino and Sezione INFN, Torino, Italy
| | | | - J. Chudoba
- />Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - M. Cilmo
- />Università di Napoli “Federico II” and Sezione INFN, Napoli, Italy
| | - R. W. Clay
- />University of Adelaide, Adelaide, SA Australia
| | - G. Cocciolo
- />Dipartimento di Matematica e Fisica “E. De Giorgi” dell’Università del Salento and Sezione INFN, Lecce, Italy
| | - R. Colalillo
- />Università di Napoli “Federico II” and Sezione INFN, Napoli, Italy
| | - A. Coleman
- />Pennsylvania State University, University Park, PA USA
| | - L. Collica
- />Università di Milano and Sezione INFN, Milan, Italy
| | - M. R. Coluccia
- />Dipartimento di Matematica e Fisica “E. De Giorgi” dell’Università del Salento and Sezione INFN, Lecce, Italy
| | - R. Conceição
- />Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisbon, Portugal
| | - F. Contreras
- />Observatorio Pierre Auger, Malargüe, Argentina
| | - M. J. Cooper
- />University of Adelaide, Adelaide, SA Australia
| | - A. Cordier
- />Laboratoire de l’Accélérateur Linéaire (LAL), Université Paris 11, CNRS-IN2P3, Orsay, France
| | - S. Coutu
- />Pennsylvania State University, University Park, PA USA
| | - C. E. Covault
- />Case Western Reserve University, Cleveland, OH USA
| | - J. Cronin
- />Enrico Fermi Institute, University of Chicago, Chicago, IL USA
| | - A. Curutiu
- />Max-Planck-Institut für Radioastronomie, Bonn, Germany
| | - R. Dallier
- />Station de Radioastronomie de Nançay, Observatoire de Paris, CNRS/INSU, Nançay, France
- />SUBATECH, École des Mines de Nantes, CNRS-IN2P3, Université de Nantes, Nantes, France
| | - B. Daniel
- />Universidade Estadual de Campinas, IFGW, Campinas, SP Brazil
| | - S. Dasso
- />Departamento de Física, FCEyN Universidad de Buenos Aires y CONICET, Buenos Aires, Argentina
- />Instituto de Astronomía y Física del Espacio (CONICET-UBA), Buenos Aires, Argentina
| | - K. Daumiller
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - B. R. Dawson
- />University of Adelaide, Adelaide, SA Australia
| | - R. M. de Almeida
- />Universidade Federal Fluminense, EEIMVR, Volta Redonda, RJ Brazil
| | - M. De Domenico
- />Università di Catania and Sezione INFN, Catania, Italy
| | - S. J. de Jong
- />IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
- />Nikhef, Science Park, Amsterdam, Netherlands
| | - J. R. T. de Mello Neto
- />Instituto de Física, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ Brazil
| | - I. De Mitri
- />Dipartimento di Matematica e Fisica “E. De Giorgi” dell’Università del Salento and Sezione INFN, Lecce, Italy
| | - J. de Oliveira
- />Universidade Federal Fluminense, EEIMVR, Volta Redonda, RJ Brazil
| | - V. de Souza
- />Instituto de Física de São Carlos, Universidade de São Paulo, São Carlos, SP Brazil
| | - L. del Peral
- />Universidad de Alcalá, Alcalá de Henares, Madrid Spain
| | - O. Deligny
- />Institut de Physique Nucléaire d’Orsay (IPNO), Université Paris 11, CNRS-IN2P3, Orsay, France
| | - H. Dembinski
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - N. Dhital
- />Michigan Technological University, Houghton, MI USA
| | - C. Di Giulio
- />Università di Roma II “Tor Vergata” and Sezione INFN, Roma, Italy
| | - A. Di Matteo
- />Dipartimento di Scienze Fisiche e Chimiche dell’Università dell’Aquila and INFN, L’Aquila, Italy
| | - J. C. Diaz
- />Michigan Technological University, Houghton, MI USA
| | | | - F. Diogo
- />Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisbon, Portugal
| | - C. Dobrigkeit
- />Universidade Estadual de Campinas, IFGW, Campinas, SP Brazil
| | - W. Docters
- />KVI - Center for Advanced Radiation Technology, University of Groningen, Groningen, Netherlands
| | - J. C. D’Olivo
- />Universidad Nacional Autonoma de Mexico, Mexico, D.F., Mexico
| | - A. Dorofeev
- />Colorado State University, Fort Collins, CO USA
| | - Q. Dorosti Hasankiadeh
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - M. T. Dova
- />IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
| | - J. Ebr
- />Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - R. Engel
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - M. Erdmann
- />RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - M. Erfani
- />Universität Siegen, Siegen, Germany
| | - C. O. Escobar
- />Universidade Estadual de Campinas, IFGW, Campinas, SP Brazil
- />Fermilab, Batavia, IL USA
| | - J. Espadanal
- />Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisbon, Portugal
| | - A. Etchegoyen
- />Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- />Universidad Tecnológica Nacional - Facultad Regional Buenos Aires, Buenos Aires, Argentina
| | | | - H. Falcke
- />IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
- />Nikhef, Science Park, Amsterdam, Netherlands
- />ASTRON, Dwingeloo, Netherlands
| | - K. Fang
- />Enrico Fermi Institute, University of Chicago, Chicago, IL USA
| | - G. Farrar
- />New York University, New York, NY USA
| | - A. C. Fauth
- />Universidade Estadual de Campinas, IFGW, Campinas, SP Brazil
| | | | | | - M. Fernandes
- />Instituto de Física, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ Brazil
| | - B. Fick
- />Michigan Technological University, Houghton, MI USA
| | - J. M. Figueira
- />Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - A. Filevich
- />Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - A. Filipčič
- />Experimental Particle Physics Department, J. Stefan Institute, Ljubljana, Slovenia
- />Laboratory for Astroparticle Physics, University of Nova Gorica, Nova Gorica, Slovenia
| | - B. D. Fox
- />University of Hawaii, Honolulu, HI USA
| | - O. Fratu
- />University Politehnica of Bucharest, Bucharest, Romania
| | | | - B. Fuchs
- />Karlsruhe Institute of Technology - Campus South - Institut für Experimentelle, Kernphysik (IEKP), Karlsruhe, Germany
| | - T. Fujii
- />Enrico Fermi Institute, University of Chicago, Chicago, IL USA
| | - R. Gaior
- />Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, Paris, France
| | - B. García
- />Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM) and National Technological University, Faculty Mendoza (CONICET/CNEA), Mendoza, Argentina
| | - S. T. Garcia Roca
- />Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - D. Garcia-Gamez
- />Laboratoire de l’Accélérateur Linéaire (LAL), Université Paris 11, CNRS-IN2P3, Orsay, France
| | | | - G. Garilli
- />Università di Catania and Sezione INFN, Catania, Italy
| | | | - F. Gate
- />SUBATECH, École des Mines de Nantes, CNRS-IN2P3, Université de Nantes, Nantes, France
| | - H. Gemmeke
- />Karlsruhe Institute of Technology - Campus North - Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
| | - P. L. Ghia
- />Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, Paris, France
| | - U. Giaccari
- />Instituto de Física, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ Brazil
| | - M. Giammarchi
- />Università di Milano and Sezione INFN, Milan, Italy
| | | | - C. Glaser
- />RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | | | - M. Gómez Berisso
- />Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - P. F. Gómez Vitale
- />Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Malargüe, Argentina
| | - P. Gonçalves
- />Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisbon, Portugal
| | - J. G. Gonzalez
- />Karlsruhe Institute of Technology - Campus South - Institut für Experimentelle, Kernphysik (IEKP), Karlsruhe, Germany
| | - N. González
- />Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - B. Gookin
- />Colorado State University, Fort Collins, CO USA
| | - J. Gordon
- />Ohio State University, Columbus, OH USA
| | - A. Gorgi
- />Osservatorio Astrofisico di Torino (INAF), Università di Torino and Sezione INFN, Torino, Italy
| | - P. Gorham
- />University of Hawaii, Honolulu, HI USA
| | - P. Gouffon
- />Instituto de Física, Universidade de São Paulo, São Paulo, SP Brazil
| | - S. Grebe
- />IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
- />Nikhef, Science Park, Amsterdam, Netherlands
| | | | - A. F. Grillo
- />INFN, Laboratori Nazionali del Gran Sasso, Assergi, L’Aquila Italy
| | - T. D. Grubb
- />University of Adelaide, Adelaide, SA Australia
| | - F. Guarino
- />Università di Napoli “Federico II” and Sezione INFN, Napoli, Italy
| | - G. P. Guedes
- />Universidade Estadual de Feira de Santana, Feira de Santana, Brazil
| | - M. R. Hampel
- />Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - P. Hansen
- />IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
| | - D. Harari
- />Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | | | - S. Hartmann
- />RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - J. L. Harton
- />Colorado State University, Fort Collins, CO USA
| | - A. Haungs
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - T. Hebbeker
- />RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - D. Heck
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | | | - A. E. Herve
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - G. C. Hill
- />University of Adelaide, Adelaide, SA Australia
| | | | - N. Hollon
- />Enrico Fermi Institute, University of Chicago, Chicago, IL USA
| | - E. Holt
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - P. Homola
- />Bergische Universität Wuppertal, Wuppertal, Germany
| | - J. R. Hörandel
- />IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
- />Nikhef, Science Park, Amsterdam, Netherlands
| | - P. Horvath
- />Palacky University, RCPTM, Olomouc, Czech Republic
| | - M. Hrabovský
- />Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
- />Palacky University, RCPTM, Olomouc, Czech Republic
| | - D. Huber
- />Karlsruhe Institute of Technology - Campus South - Institut für Experimentelle, Kernphysik (IEKP), Karlsruhe, Germany
| | - T. Huege
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - A. Insolia
- />Università di Catania and Sezione INFN, Catania, Italy
| | - P. G. Isar
- />Institute of Space Sciences, Bucharest-Magurele, Romania
| | - I. Jandt
- />Bergische Universität Wuppertal, Wuppertal, Germany
| | - S. Jansen
- />IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
- />Nikhef, Science Park, Amsterdam, Netherlands
| | - C. Jarne
- />IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
| | - M. Josebachuili
- />Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - A. Kääpä
- />Bergische Universität Wuppertal, Wuppertal, Germany
| | - O. Kambeitz
- />Karlsruhe Institute of Technology - Campus South - Institut für Experimentelle, Kernphysik (IEKP), Karlsruhe, Germany
| | - K. H. Kampert
- />Bergische Universität Wuppertal, Wuppertal, Germany
| | | | - I. Katkov
- />Karlsruhe Institute of Technology - Campus South - Institut für Experimentelle, Kernphysik (IEKP), Karlsruhe, Germany
| | - B. Kégl
- />Laboratoire de l’Accélérateur Linéaire (LAL), Université Paris 11, CNRS-IN2P3, Orsay, France
| | - B. Keilhauer
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - A. Keivani
- />Pennsylvania State University, University Park, PA USA
| | - E. Kemp
- />Universidade Estadual de Campinas, IFGW, Campinas, SP Brazil
| | | | - H. O. Klages
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - M. Kleifges
- />Karlsruhe Institute of Technology - Campus North - Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
| | | | - R. Krause
- />RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - N. Krohm
- />Bergische Universität Wuppertal, Wuppertal, Germany
| | - O. Krömer
- />Karlsruhe Institute of Technology - Campus North - Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
| | | | - D. Kuempel
- />RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - N. Kunka
- />Karlsruhe Institute of Technology - Campus North - Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
| | - D. LaHurd
- />Case Western Reserve University, Cleveland, OH USA
| | - L. Latronico
- />Osservatorio Astrofisico di Torino (INAF), Università di Torino and Sezione INFN, Torino, Italy
| | - R. Lauer
- />University of New Mexico, Albuquerque, NM USA
| | - M. Lauscher
- />RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - P. Lautridou
- />SUBATECH, École des Mines de Nantes, CNRS-IN2P3, Université de Nantes, Nantes, France
| | - S. Le Coz
- />Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Université Grenoble-Alpes, CNRS/IN2P3, Grenoble, France
| | - M. S. A. B. Leão
- />Faculdade Independente do Nordeste, Vitória da Conquista, Brazil
| | - D. Lebrun
- />Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Université Grenoble-Alpes, CNRS/IN2P3, Grenoble, France
| | | | | | - A. Letessier-Selvon
- />Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, Paris, France
| | - I. Lhenry-Yvon
- />Institut de Physique Nucléaire d’Orsay (IPNO), Université Paris 11, CNRS-IN2P3, Orsay, France
| | - K. Link
- />Karlsruhe Institute of Technology - Campus South - Institut für Experimentelle, Kernphysik (IEKP), Karlsruhe, Germany
| | - R. López
- />Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - A. Lopez Agüera
- />Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - K. Louedec
- />Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Université Grenoble-Alpes, CNRS/IN2P3, Grenoble, France
| | | | - L. Lu
- />Bergische Universität Wuppertal, Wuppertal, Germany
- />School of Physics and Astronomy, University of Leeds, Leeds, UK
| | - A. Lucero
- />Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - M. Ludwig
- />Karlsruhe Institute of Technology - Campus South - Institut für Experimentelle, Kernphysik (IEKP), Karlsruhe, Germany
| | - M. Malacari
- />University of Adelaide, Adelaide, SA Australia
| | - S. Maldera
- />Osservatorio Astrofisico di Torino (INAF), Università di Torino and Sezione INFN, Torino, Italy
| | - M. Mallamaci
- />Università di Milano and Sezione INFN, Milan, Italy
| | - J. Maller
- />SUBATECH, École des Mines de Nantes, CNRS-IN2P3, Université de Nantes, Nantes, France
| | - D. Mandat
- />Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | | | - A. G. Mariazzi
- />IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
| | - V. Marin
- />SUBATECH, École des Mines de Nantes, CNRS-IN2P3, Université de Nantes, Nantes, France
| | - I. C. Mariş
- />Universidad de Granada and C.A.F.P.E., Granada, Spain
| | - G. Marsella
- />Dipartimento di Matematica e Fisica “E. De Giorgi” dell’Università del Salento and Sezione INFN, Lecce, Italy
| | - D. Martello
- />Dipartimento di Matematica e Fisica “E. De Giorgi” dell’Università del Salento and Sezione INFN, Lecce, Italy
| | - L. Martin
- />Station de Radioastronomie de Nançay, Observatoire de Paris, CNRS/INSU, Nançay, France
- />SUBATECH, École des Mines de Nantes, CNRS-IN2P3, Université de Nantes, Nantes, France
| | - H. Martinez
- />Centro de Investigación y de Estudios Avanzados del IPN (CINVESTAV), Mexico, Mexico
| | | | - D. Martraire
- />Institut de Physique Nucléaire d’Orsay (IPNO), Université Paris 11, CNRS-IN2P3, Orsay, France
| | - J. J. Masías Meza
- />Departamento de Física, FCEyN Universidad de Buenos Aires y CONICET, Buenos Aires, Argentina
| | - H. J. Mathes
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - S. Mathys
- />Bergische Universität Wuppertal, Wuppertal, Germany
| | - J. Matthews
- />Louisiana State University, Baton Rouge, LA USA
| | | | - G. Matthiae
- />Università di Roma II “Tor Vergata” and Sezione INFN, Roma, Italy
| | - D. Maurel
- />Karlsruhe Institute of Technology - Campus South - Institut für Experimentelle, Kernphysik (IEKP), Karlsruhe, Germany
| | - D. Maurizio
- />Centro Brasileiro de Pesquisas Fisicas, Rio de Janeiro, RJ Brazil
| | - E. Mayotte
- />Colorado School of Mines, Golden, CO USA
| | | | - C. Medina
- />Colorado School of Mines, Golden, CO USA
| | - G. Medina-Tanco
- />Universidad Nacional Autonoma de Mexico, Mexico, D.F., Mexico
| | - R. Meissner
- />RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - M. Melissas
- />Karlsruhe Institute of Technology - Campus South - Institut für Experimentelle, Kernphysik (IEKP), Karlsruhe, Germany
| | - D. Melo
- />Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - A. Menshikov
- />Karlsruhe Institute of Technology - Campus North - Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
| | - S. Messina
- />KVI - Center for Advanced Radiation Technology, University of Groningen, Groningen, Netherlands
| | | | - S. Mićanović
- />Rudjer Bošković Institute, 10000 Zagreb, Croatia
| | - M. I. Micheletti
- />Instituto de Física de Rosario (IFIR), CONICET/U.N.R. and Facultad de Ciencias Bioquímicas y Farmacéuticas U.N.R., Rosario, Argentina
| | - L. Middendorf
- />RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - I. A. Minaya
- />Universidad Complutense de Madrid, Madrid, Spain
| | - L. Miramonti
- />Università di Milano and Sezione INFN, Milan, Italy
| | - B. Mitrica
- />’Horia Hulubei’ National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
| | | | - S. Mollerach
- />Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - M. Monasor
- />Enrico Fermi Institute, University of Chicago, Chicago, IL USA
| | - D. Monnier Ragaigne
- />Laboratoire de l’Accélérateur Linéaire (LAL), Université Paris 11, CNRS-IN2P3, Orsay, France
| | - F. Montanet
- />Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Université Grenoble-Alpes, CNRS/IN2P3, Grenoble, France
| | - C. Morello
- />Osservatorio Astrofisico di Torino (INAF), Università di Torino and Sezione INFN, Torino, Italy
| | - M. Mostafá
- />Pennsylvania State University, University Park, PA USA
| | - C. A. Moura
- />Universidade Federal do ABC, Santo André, SP Brazil
| | - M. A. Muller
- />Universidade Estadual de Campinas, IFGW, Campinas, SP Brazil
- />Universidade Federal de Pelotas, Pelotas, RS Brazil
| | - G. Müller
- />RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - S. Müller
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - M. Münchmeyer
- />Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, Paris, France
| | - R. Mussa
- />Università di Torino and Sezione INFN, Torino, Italy
| | - G. Navarra
- />Osservatorio Astrofisico di Torino (INAF), Università di Torino and Sezione INFN, Torino, Italy
| | - S. Navas
- />Universidad de Granada and C.A.F.P.E., Granada, Spain
| | - P. Necesal
- />Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - L. Nellen
- />Universidad Nacional Autonoma de Mexico, Mexico, D.F., Mexico
| | - A. Nelles
- />IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
- />Nikhef, Science Park, Amsterdam, Netherlands
| | - J. Neuser
- />Bergische Universität Wuppertal, Wuppertal, Germany
| | - P. Nguyen
- />University of Adelaide, Adelaide, SA Australia
| | | | - L. Niemietz
- />Bergische Universität Wuppertal, Wuppertal, Germany
| | - T. Niggemann
- />RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - D. Nitz
- />Michigan Technological University, Houghton, MI USA
| | - D. Nosek
- />Faculty of Mathematics and Physics, Institute of Particle and Nuclear Physics, Charles University, Prague, Czech Republic
| | - V. Novotny
- />Faculty of Mathematics and Physics, Institute of Particle and Nuclear Physics, Charles University, Prague, Czech Republic
| | - L. Nožka
- />Palacky University, RCPTM, Olomouc, Czech Republic
| | - L. Ochilo
- />Universität Siegen, Siegen, Germany
| | - A. Olinto
- />Enrico Fermi Institute, University of Chicago, Chicago, IL USA
| | - M. Oliveira
- />Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisbon, Portugal
| | - N. Pacheco
- />Universidad de Alcalá, Alcalá de Henares, Madrid Spain
| | | | - M. Palatka
- />Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - J. Pallotta
- />Centro de Investigaciones en Láseres y Aplicaciones, CITEDEF and CONICET, Villa Martelli, Buenos Aires, Argentina
| | - N. Palmieri
- />Karlsruhe Institute of Technology - Campus South - Institut für Experimentelle, Kernphysik (IEKP), Karlsruhe, Germany
| | - P. Papenbreer
- />Bergische Universität Wuppertal, Wuppertal, Germany
| | - G. Parente
- />Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - A. Parra
- />Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - T. Paul
- />Department of Physics and Astronomy, City University of New York, New York, USA
- />Northeastern University, Boston, MA USA
| | - M. Pech
- />Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - J. Pȩkala
- />Institute of Nuclear Physics PAN, Krakow, Poland
| | - R. Pelayo
- />Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - I. M. Pepe
- />Universidade Federal da Bahia, Salvador, BA Brazil
| | - L. Perrone
- />Dipartimento di Matematica e Fisica “E. De Giorgi” dell’Università del Salento and Sezione INFN, Lecce, Italy
| | | | - C. Peters
- />RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - S. Petrera
- />Dipartimento di Scienze Fisiche e Chimiche dell’Università dell’Aquila and INFN, L’Aquila, Italy
- />Gran Sasso Science Institute (INFN), L’Aquila, Italy
| | - Y. Petrov
- />Colorado State University, Fort Collins, CO USA
| | - J. Phuntsok
- />Pennsylvania State University, University Park, PA USA
| | - R. Piegaia
- />Departamento de Física, FCEyN Universidad de Buenos Aires y CONICET, Buenos Aires, Argentina
| | - T. Pierog
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - P. Pieroni
- />Departamento de Física, FCEyN Universidad de Buenos Aires y CONICET, Buenos Aires, Argentina
| | - M. Pimenta
- />Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisbon, Portugal
| | - V. Pirronello
- />Università di Catania and Sezione INFN, Catania, Italy
| | - M. Platino
- />Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - M. Plum
- />RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - A. Porcelli
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - C. Porowski
- />Institute of Nuclear Physics PAN, Krakow, Poland
| | - R. R. Prado
- />Instituto de Física de São Carlos, Universidade de São Paulo, São Carlos, SP Brazil
| | - P. Privitera
- />Enrico Fermi Institute, University of Chicago, Chicago, IL USA
| | - M. Prouza
- />Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - V. Purrello
- />Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - E. J. Quel
- />Centro de Investigaciones en Láseres y Aplicaciones, CITEDEF and CONICET, Villa Martelli, Buenos Aires, Argentina
| | - S. Querchfeld
- />Bergische Universität Wuppertal, Wuppertal, Germany
| | - S. Quinn
- />Case Western Reserve University, Cleveland, OH USA
| | - J. Rautenberg
- />Bergische Universität Wuppertal, Wuppertal, Germany
| | - O. Ravel
- />SUBATECH, École des Mines de Nantes, CNRS-IN2P3, Université de Nantes, Nantes, France
| | - D. Ravignani
- />Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - B. Revenu
- />SUBATECH, École des Mines de Nantes, CNRS-IN2P3, Université de Nantes, Nantes, France
| | - J. Ridky
- />Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - S. Riggi
- />Istituto di Astrofisica Spaziale e Fisica Cosmica di Palermo (INAF), Palermo, Italy
- />Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - M. Risse
- />Universität Siegen, Siegen, Germany
| | - P. Ristori
- />Centro de Investigaciones en Láseres y Aplicaciones, CITEDEF and CONICET, Villa Martelli, Buenos Aires, Argentina
| | - V. Rizi
- />Dipartimento di Scienze Fisiche e Chimiche dell’Università dell’Aquila and INFN, L’Aquila, Italy
| | | | - I. Rodriguez Cabo
- />Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - G. Rodriguez Fernandez
- />Università di Roma II “Tor Vergata” and Sezione INFN, Roma, Italy
- />Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | | | | | - D. Rogozin
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - G. Ros
- />Universidad de Alcalá, Alcalá de Henares, Madrid Spain
| | - J. Rosado
- />Universidad Complutense de Madrid, Madrid, Spain
| | - T. Rossler
- />Palacky University, RCPTM, Olomouc, Czech Republic
| | - M. Roth
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - E. Roulet
- />Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - A. C. Rovero
- />Instituto de Astronomía y Física del Espacio (CONICET-UBA), Buenos Aires, Argentina
| | - S. J. Saffi
- />University of Adelaide, Adelaide, SA Australia
| | - A. Saftoiu
- />’Horia Hulubei’ National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
| | - F. Salamida
- />Institut de Physique Nucléaire d’Orsay (IPNO), Université Paris 11, CNRS-IN2P3, Orsay, France
| | - H. Salazar
- />Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - A. Saleh
- />Laboratory for Astroparticle Physics, University of Nova Gorica, Nova Gorica, Slovenia
| | | | - G. Salina
- />Università di Roma II “Tor Vergata” and Sezione INFN, Roma, Italy
| | - F. Sánchez
- />Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | | | - C. E. Santo
- />Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisbon, Portugal
| | - E. Santos
- />Universidade Estadual de Campinas, IFGW, Campinas, SP Brazil
| | - E. M. Santos
- />Instituto de Física, Universidade de São Paulo, São Paulo, SP Brazil
| | - F. Sarazin
- />Colorado School of Mines, Golden, CO USA
| | - B. Sarkar
- />Bergische Universität Wuppertal, Wuppertal, Germany
| | - R. Sarmento
- />Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisbon, Portugal
| | - R. Sato
- />Observatorio Pierre Auger, Malargüe, Argentina
| | - N. Scharf
- />RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - V. Scherini
- />Dipartimento di Matematica e Fisica “E. De Giorgi” dell’Università del Salento and Sezione INFN, Lecce, Italy
| | - H. Schieler
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | | | - D. Schmidt
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - F. G. Schröder
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - O. Scholten
- />KVI - Center for Advanced Radiation Technology, University of Groningen, Groningen, Netherlands
| | - H. Schoorlemmer
- />IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
- />Nikhef, Science Park, Amsterdam, Netherlands
- />University of Hawaii, Honolulu, HI USA
| | - P. Schovánek
- />Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - A. Schulz
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - J. Schulz
- />IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
| | - J. Schumacher
- />RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - S. J. Sciutto
- />IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
| | - A. Segreto
- />Istituto di Astrofisica Spaziale e Fisica Cosmica di Palermo (INAF), Palermo, Italy
| | - M. Settimo
- />Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, Paris, France
| | - A. Shadkam
- />Louisiana State University, Baton Rouge, LA USA
| | - R. C. Shellard
- />Centro Brasileiro de Pesquisas Fisicas, Rio de Janeiro, RJ Brazil
| | - I. Sidelnik
- />Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - G. Sigl
- />Universität Hamburg, Hamburg, Germany
| | - O. Sima
- />Physics Department, University of Bucharest, Bucharest, Romania
| | | | - R. Šmída
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - G. R. Snow
- />University of Nebraska, Lincoln, NE USA
| | - P. Sommers
- />Pennsylvania State University, University Park, PA USA
| | - J. Sorokin
- />University of Adelaide, Adelaide, SA Australia
| | - R. Squartini
- />Observatorio Pierre Auger, Malargüe, Argentina
| | | | - S. Stanič
- />Laboratory for Astroparticle Physics, University of Nova Gorica, Nova Gorica, Slovenia
| | | | - J. Stasielak
- />Institute of Nuclear Physics PAN, Krakow, Poland
| | - M. Stephan
- />RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - A. Stutz
- />Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Université Grenoble-Alpes, CNRS/IN2P3, Grenoble, France
| | - F. Suarez
- />Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - T. Suomijärvi
- />Institut de Physique Nucléaire d’Orsay (IPNO), Université Paris 11, CNRS-IN2P3, Orsay, France
| | - A. D. Supanitsky
- />Instituto de Astronomía y Física del Espacio (CONICET-UBA), Buenos Aires, Argentina
| | | | - J. Swain
- />Northeastern University, Boston, MA USA
| | | | - M. Szuba
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - O. A. Taborda
- />Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - A. Tapia
- />Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - M. Tartare
- />Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Université Grenoble-Alpes, CNRS/IN2P3, Grenoble, France
| | - A. Tepe
- />Universität Siegen, Siegen, Germany
| | - V. M. Theodoro
- />Universidade Estadual de Campinas, IFGW, Campinas, SP Brazil
| | - C. Timmermans
- />IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
- />Nikhef, Science Park, Amsterdam, Netherlands
| | | | - G. Toma
- />’Horia Hulubei’ National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
| | - L. Tomankova
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - B. Tomé
- />Laboratório de Instrumentação e Física Experimental de Partículas - LIP and Instituto Superior Técnico - IST, Universidade de Lisboa - UL, Lisbon, Portugal
| | - A. Tonachini
- />Università di Torino and Sezione INFN, Torino, Italy
| | - G. Torralba Elipe
- />Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - D. Torres Machado
- />Instituto de Física, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ Brazil
| | - P. Travnicek
- />Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - E. Trovato
- />Università di Catania and Sezione INFN, Catania, Italy
| | - M. Tueros
- />Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - R. Ulrich
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - M. Unger
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - M. Urban
- />RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | | | - I. Valiño
- />Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - L. Valore
- />Università di Napoli “Federico II” and Sezione INFN, Napoli, Italy
| | - G. van Aar
- />IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
| | | | - A. M. van den Berg
- />KVI - Center for Advanced Radiation Technology, University of Groningen, Groningen, Netherlands
| | - S. van Velzen
- />IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
| | | | - E. Varela
- />Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | | | - G. Varner
- />University of Hawaii, Honolulu, HI USA
| | | | - R. A. Vázquez
- />Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - D. Veberič
- />Laboratoire de l’Accélérateur Linéaire (LAL), Université Paris 11, CNRS-IN2P3, Orsay, France
| | - V. Verzi
- />Università di Roma II “Tor Vergata” and Sezione INFN, Roma, Italy
| | - J. Vicha
- />Institute of Physics of the Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | - M. Videla
- />Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - L. Villaseñor
- />Universidad Michoacana de San Nicolas de Hidalgo, Morelia, Michoacan Mexico
| | - B. Vlcek
- />Universidad de Alcalá, Alcalá de Henares, Madrid Spain
| | - S. Vorobiov
- />Laboratory for Astroparticle Physics, University of Nova Gorica, Nova Gorica, Slovenia
| | - H. Wahlberg
- />IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
| | - O. Wainberg
- />Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- />Universidad Tecnológica Nacional - Facultad Regional Buenos Aires, Buenos Aires, Argentina
| | - D. Walz
- />RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - A. A. Watson
- />School of Physics and Astronomy, University of Leeds, Leeds, UK
| | - M. Weber
- />Karlsruhe Institute of Technology - Campus North - Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
| | - K. Weidenhaupt
- />RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - A. Weindl
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - F. Werner
- />Karlsruhe Institute of Technology - Campus South - Institut für Experimentelle, Kernphysik (IEKP), Karlsruhe, Germany
| | - A. Widom
- />Northeastern University, Boston, MA USA
| | - L. Wiencke
- />Colorado School of Mines, Golden, CO USA
| | | | | | - M. Will
- />Karlsruhe Institute of Technology - Campus North - Institut für Kernphysik, Karlsruhe, Germany
| | - C. Williams
- />Enrico Fermi Institute, University of Chicago, Chicago, IL USA
| | - T. Winchen
- />Bergische Universität Wuppertal, Wuppertal, Germany
| | - D. Wittkowski
- />Bergische Universität Wuppertal, Wuppertal, Germany
| | - B. Wundheiler
- />Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - S. Wykes
- />IMAPP, Radboud University Nijmegen, Nijmegen, Netherlands
| | - T. Yamamoto
- />Enrico Fermi Institute, University of Chicago, Chicago, IL USA
| | - T. Yapici
- />Michigan Technological University, Houghton, MI USA
| | - G. Yuan
- />Louisiana State University, Baton Rouge, LA USA
| | | | - B. Zamorano
- />Universidad de Granada and C.A.F.P.E., Granada, Spain
| | - E. Zas
- />Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - D. Zavrtanik
- />Experimental Particle Physics Department, J. Stefan Institute, Ljubljana, Slovenia
- />Laboratory for Astroparticle Physics, University of Nova Gorica, Nova Gorica, Slovenia
| | - M. Zavrtanik
- />Experimental Particle Physics Department, J. Stefan Institute, Ljubljana, Slovenia
- />Laboratory for Astroparticle Physics, University of Nova Gorica, Nova Gorica, Slovenia
| | - I. Zaw
- />New York University, New York, NY USA
| | - A. Zepeda
- />Centro de Investigación y de Estudios Avanzados del IPN (CINVESTAV), Mexico, Mexico
| | - J. Zhou
- />Enrico Fermi Institute, University of Chicago, Chicago, IL USA
| | - Y. Zhu
- />Karlsruhe Institute of Technology - Campus North - Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
| | | | | | - F. Zuccarello
- />Università di Catania and Sezione INFN, Catania, Italy
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Abstract
OBJECTIVES Opioids modulate the perception of breathlessness with a considerable variation in response, with poor correlation between the required opioid dose and symptom severity. The objective of this hypothesis-generating, secondary analysis was to identify candidate single nucleotide polymorphisms (SNP) from those associated with opioid receptors, signalling or pain modulation to identify any related to intensity of breathlessness while on opioids. This can help to inform prospective studies and potentially lead to better tailoring of opioid therapy for refractory breathlessness. SETTING 17 hospice/palliative care services (tertiary services) in 11 European countries. PARTICIPANTS 2294 people over 18 years of age on regular opioids for pain related to cancer or its treatment. PRIMARY OUTCOME MEASURES The relationship between morphine dose, breathlessness intensity (European Organisation for Research and Treatment of Cancer Core Quality of Life Questionnaire; EORTCQLQC30 question 8) and 112 candidate SNPs from 25 genes (n=588). SECONDARY OUTCOME MEASURES The same measures for people on oxycodone (n=402) or fentanyl (n=429). RESULTS SNPs not in Hardy-Weinberg equilibrium or with allele frequencies (<5%) were removed. Univariate associations between each SNP and breathlessness intensity were determined with Benjamini-Hochberg false discovery rate set at 20%. Multivariable ordinal logistic regression, clustering over country and adjusting for available confounders, was conducted with remaining SNPs. For univariate morphine associations, 1 variant on the 5-hydroxytryptamine type 3B (HTR3B) gene, and 4 on the β-2-arrestin gene (ARRB2) were associated with more intense breathlessness. 1 SNP remained significant in the multivariable model: people with rs7103572 SNP (HTR3B gene; present in 8.4% of the population) were three times more likely to have more intense breathlessness (OR 2.86; 95% CIs 1.46 to 5.62; p=0.002). No associations were seen with fentanyl nor with oxycodone. CONCLUSIONS This large, exploratory study identified 1 biologically plausible SNP that warrants further study in the response of breathlessness to morphine therapy.
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Affiliation(s)
- David C Currow
- Discipline, Palliative and Supportive Services, School of Health Sciences, Flinders University, Bedford Park, South, Australia
- Southern Adelaide Palliative Services, Repatriation General Hospital, Adelaide, South Australia, Australia
| | - Stephen Quinn
- School of Medicine, Flinders University, Adelaide, South Australia, Australia
| | - Magnus Ekstrom
- Discipline, Palliative and Supportive Services, School of Health Sciences, Flinders University, Bedford Park, South, Australia
- University of Lund, Lund, Sweden
| | - Stein Kaasa
- Department of Cancer Research and Molecular Medicine, Medical Faculty, Norwegian University of Science and Technology, Trondheim, Norway
- Department of Oncology, St Olav's University Hospital, Trondheim, Norway
| | | | - Andrew A Somogyi
- Discipline of Pharmacology, University of Adelaide, School of Medical Sciences, Adelaide, South Australia, Australia
| | - Päl Klepstad
- Department of Circulation and Medical Imaging, Medical Faculty, Norwegian University of Science and Technology, Trondheim, Norway
- Department of Anaesthesia and Intensive Care Medicine, St Olav's University Hospital, Trondheim, Norway
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Groeger L, Hayes L, Quinn S, O’Gorman F, Cooney M. Does student record keeping meet European practice standard 14? Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.3279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Currow DC, Quinn S, Agar M, Fazekas B, Hardy J, McCaffrey N, Eckermann S, Abernethy AP, Clark K. Double-blind, placebo-controlled, randomized trial of octreotide in malignant bowel obstruction. J Pain Symptom Manage 2015; 49:814-21. [PMID: 25462210 DOI: 10.1016/j.jpainsymman.2014.09.013] [Citation(s) in RCA: 66] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2014] [Revised: 09/15/2014] [Accepted: 09/22/2014] [Indexed: 12/16/2022]
Abstract
CONTEXT Does octreotide reduce vomiting in cancer-associated bowel obstruction? OBJECTIVES To evaluate the net effect of adding octreotide or placebo to standardized therapies on the number of days free of vomiting for populations presenting with vomiting and inoperable bowel obstruction secondary to cancer or its treatment. METHODS Twelve services enrolled people with advanced cancer presenting with vomiting secondary to bowel obstruction where surgery or anti-cancer therapies were not indicated immediately. In a double-blind study, participants were randomized to placebo or octreotide (600 μg/24 hours by infusion). Both arms received standardized supportive therapy (infusion of ranitidine [200 mg/24 hours], dexamethasone [8 mg/24 hours], and parenteral hydration [10-20 mL/kg/24 hours]). The primary outcome was patient-reported days free of vomiting at 72 hours. RESULTS In a study that recruited to the numbers identified in its power calculation, 87 participants provided data at 72 hours (45, octreotide arm). Seventeen people (octreotide) and 14 (placebo) were free of vomiting for 72 hours (P = 0.67). Mean days free of vomiting were 1.87 (SD 1.10; octreotide) and 1.69 (SD 1.15; placebo; P = 0.47). An adjusted multivariate regression of the incidence of vomiting over the study showed a reduced number of episodes of vomiting in the octreotide group (incidence rate ratio = 0.40; 95% CI: 0.19-0.86; P = 0.019); however, people in the octreotide arm were 2.02 times more likely to be administered hyoscine butylbromide (P = 0.004), potentially reflecting increased colicky pain. CONCLUSION Although there was no reduction in the number of days free of vomiting, the multivariate analysis suggests that further study of somatostatin analogues in this setting is warranted.
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Affiliation(s)
- David C Currow
- Discipline, Palliative and Supportive Services, Flinders University, Adelaide, South Australia, Australia.
| | - Stephen Quinn
- Flinders Clinical Effectiveness, Flinders University, Adelaide, South Australia, Australia
| | - Meera Agar
- Sacred Heart Hospice, Braeside Hospital, Sydney, New South Wales, Australia
| | - Belinda Fazekas
- Discipline, Palliative and Supportive Services, Flinders University, Adelaide, South Australia, Australia
| | - Janet Hardy
- Department of Palliative and Supportive Care, Mater Health Services, South Brisbane, Queensland, Australia
| | - Nikki McCaffrey
- Discipline, Palliative and Supportive Services, Flinders University, Adelaide, South Australia, Australia; Flinders Clinical Effectiveness, Flinders University, Adelaide, South Australia, Australia
| | - Simon Eckermann
- Centre for Health Service Development, Australian Health Services Research Institute, University of Wollongong, Wollongong, New South Wales, Australia
| | - Amy P Abernethy
- Discipline, Palliative and Supportive Services, Flinders University, Adelaide, South Australia, Australia; Duke University Medical Center, Durham, North Carolina, USA
| | - Katherine Clark
- Department of Palliative Care, Calvary Mater Newcastle, Newcastle, New South Wales, Australia
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Kutty J, Hussey S, Broderick AM, Quinn S, Bourke B. HLA testing for coeliac disease in Ireland? Ir Med J 2015; 108:133. [PMID: 26062236] [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: 06/04/2023]
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Antezana G, Bidargaddi N, Blake V, Schrader G, Kaambwa B, Quinn S, Orlowski S, Winsall M, Battersby M. Development of an online well-being intervention for young people: an evaluation protocol. JMIR Res Protoc 2015; 4:e48. [PMID: 25929201 PMCID: PMC4432225 DOI: 10.2196/resprot.4098] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2014] [Revised: 02/12/2015] [Accepted: 03/01/2015] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND Research has shown that improving well-being using positive mental health interventions can be useful for predicting and preventing mental illness. Implementing online interventions may be an effective way to reach young people, given their familiarity with technology. OBJECTIVE This study will assess the effectiveness of a website called the "Online Wellbeing Centre (OWC)," designed for the support and improvement of mental health and well-being in young Australians aged between 16 and 25 years. As the active component of the study, the OWC will introduce a self-guided app recommendation service called "The Toolbox: The best apps for your brain and body" developed by ReachOut.com. The Toolbox is a responsive website that serves as a personalized, ongoing recommendation service for technology-based tools and apps to improve well-being. It allows users to personalize their experience according to their individual needs. METHODS This study will be a two-arm, randomized controlled trial following a wait-list control design. The primary outcome will be changes in psychological well-being measured by the Mental Health Continuum Short Form. The secondary outcomes will be drawn from a subsample of participants and will include depression scores measured by the Center for Epidemiologic Studies Depression Scale, and quality of life measured by the Assessment of Quality of Life-four dimensions (AQOL-4D) index. Cost-effectiveness analysis will be conducted based on a primary outcome of cost per unique visit to the OWC. Utility-based outcomes will also be incorporated into the analysis allowing a secondary outcome to be cost per quality-adjusted life year gained (based on the AQOL-4D values). Resource use associated with both the intervention and control groups will be collected using a customized questionnaire. Online- and community-based recruitment strategies will be implemented, and the effectiveness of each approach will be analyzed. Participants will be recruited from the general Australian population and randomized online. The trial will last for 4 weeks. RESULTS Small but clinically significant increases in well-being symptoms are expected to be detected in the intervention group compared with the control group. CONCLUSIONS If this intervention proves to be effective, it will have an impact on the future design and implementation of online-based well-being interventions as a valid and cost-effective way to support mental health clinical treatment. Findings regarding recruitment effectiveness will also contribute to developing better ways to engage this population in research. CLINICALTRIAL This study is registered in the Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12614000710628.
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Affiliation(s)
- Gaston Antezana
- Flinders Human Behaviour & Health Research Unit (FHBHRU), Department of Psychiatry, School of Medicine, Flinders University, Adelaide, Australia.
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Aab A, Abreu P, Aglietta M, Ahn E, Al Samarai I, Albuquerque I, Allekotte I, Allen J, Allison P, Almela A, Alvarez Castillo J, Alvarez-Muñiz J, Alves Batista R, Ambrosio M, Aminaei A, Anchordoqui L, Andringa S, Aramo C, Aranda V, Arqueros F, Asorey H, Assis P, Aublin J, Ave M, Avenier M, Avila G, Badescu A, Barber K, Bäuml J, Baus C, Beatty J, Becker K, Bellido J, Berat C, Bertaina M, Bertou X, Biermann P, Billoir P, Blanco M, Bleve C, Blümer H, Boháčová M, Boncioli D, Bonifazi C, Bonino R, Borodai N, Brack J, Brancus I, Brogueira P, Brown W, Buchholz P, Bueno A, Buitink S, Buscemi M, Caballero-Mora K, Caccianiga B, Caccianiga L, Candusso M, Caramete L, Caruso R, Castellina A, Cataldi G, Cazon L, Cester R, Chavez A, Chiavassa A, Chinellato J, Chudoba J, Cilmo M, Clay R, Cocciolo G, Colalillo R, Coleman A, Collica L, Coluccia M, Conceição R, Contreras F, Cooper M, Cordier A, Coutu S, Covault C, Cronin J, Curutiu A, Dallier R, Daniel B, Dasso S, Daumiller K, Dawson B, de Almeida R, De Domenico M, de Jong S, de Mello Neto J, De Mitri I, de Oliveira J, de Souza V, del Peral L, Deligny O, Dembinski H, Dhital N, Di Giulio C, Di Matteo A, Diaz J, Díaz Castro M, Diogo F, Dobrigkeit C, Docters W, D’Olivo J, Dorofeev A, Dorosti Hasankiadeh Q, Dova M, Ebr J, Engel R, Erdmann M, Erfani M, Escobar C, Espadanal J, Etchegoyen A, Facal San Luis P, Falcke H, Fang K, Farrar G, Fauth A, Fazzini N, Ferguson A, Fernandes M, Fick B, Figueira J, Filevich A, Filipčič A, Fox B, Fratu O, Fröhlich U, Fuchs B, Fujii T, Gaior R, García B, Garcia Roca S, Garcia-Gamez D, Garcia-Pinto D, Garilli G, Gascon Bravo A, Gate F, Gemmeke H, Ghia P, Giaccari U, Giammarchi M, Giller M, Glaser C, Glass H, Gómez Berisso M, Gómez Vitale P, Gonçalves P, Gonzalez J, González N, Gookin B, Gordon J, Gorgi A, Gorham P, Gouffon P, Grebe S, Griffith N, Grillo A, Grubb T, Guardincerri Y, Guarino F, Guedes G, Hampel M, Hansen P, Harari D, Harrison T, Hartmann S, Harton J, Haungs A, Hebbeker T, Heck D, Heimann P, Herve A, Hill G, Hojvat C, Hollon N, Holt E, Homola P, Hörandel J, Horvath P, Hrabovský M, Huber D, Huege T, Insolia A, Isar P, Islo K, Jandt I, Jansen S, Jarne C, Josebachuili M, Kääpä A, Kambeitz O, Kampert K, Kasper P, Katkov I, Kégl B, Keilhauer B, Keivani A, Kemp E, Kieckhafer R, Klages H, Kleifges M, Kleinfeller J, Krause R, Krohm N, Krömer O, Kruppke-Hansen D, Kuempel D, Kunka N, LaHurd D, Latronico L, Lauer R, Lauscher M, Lautridou P, Le Coz S, Leão M, Lebrun D, Lebrun P, Leigui de Oliveira M, Letessier-Selvon A, Lhenry-Yvon I, Link K, López R, Louedec K, Lozano Bahilo J, Lu L, Lucero A, Ludwig M, Malacari M, Maldera S, Mallamaci M, Maller J, Mandat D, Mantsch P, Mariazzi A, Marin V, Mariş I, Marsella G, Martello D, Martin L, Martinez H, Martínez Bravo O, Martraire D, Masías Meza J, Mathes H, Mathys S, Matthews J, Matthews J, Matthiae G, Maurel D, Maurizio D, Mayotte E, Mazur P, Medina C, Medina-Tanco G, Melissas M, Melo D, Menshikov A, Messina S, Meyhandan R, Mićanović S, Micheletti M, Middendorf L, Minaya I, Miramonti L, Mitrica B, Molina-Bueno L, Mollerach S, Monasor M, Monnier Ragaigne D, Montanet F, Morello C, Mostafá M, Moura C, Muller M, Müller G, Münchmeyer M, Mussa R, Navarra G, Navas S, Necesal P, Nellen L, Nelles A, Neuser J, Newton D, Niechciol M, Niemietz L, Niggemann T, Nitz D, Nosek D, Novotny V, Nožka L, Ochilo L, Olinto A, Oliveira M, Olmos-Gilbaja V, Pacheco N, Pakk Selmi-Dei D, Palatka M, Pallotta J, Palmieri N, Papenbreer P, Parente G, Parra A, Paul T, Pech M, Pękala J, Pelayo R, Pepe I, Perrone L, Petermann E, Peters C, Petrera S, Petrov Y, Phuntsok J, Piegaia R, Pierog T, Pieroni P, Pimenta M, Pirronello V, Platino M, Plum M, Porcelli A, Porowski C, Prado R, Privitera P, Prouza M, Purrello V, Quel E, Querchfeld S, Quinn S, Rautenberg J, Ravel O, Ravignani D, Revenu B, Ridky J, Riggi S, Risse M, Ristori P, Rizi V, Roberts J, Rodrigues de Carvalho W, Rodriguez Fernandez G, Rodriguez Rojo J, Rodríguez-Frías M, Ros G, Rosado J, Rossler T, Roth M, Roulet E, Rovero A, Saffi S, Saftoiu A, Salamida F, Salazar H, Saleh A, Salesa Greus F, Salina G, Sánchez F, Sanchez-Lucas P, Santo C, Santos E, Santos E, Sarazin F, Sarkar B, Sarmento R, Sato R, Scharf N, Scherini V, Schieler H, Schiffer P, Scholten O, Schoorlemmer H, Schovánek P, Schröder F, Schulz A, Schulz J, Schumacher J, Sciutto S, Segreto A, Settimo M, Shadkam A, Shellard R, Sidelnik I, Sigl G, Sima O, Śmiałkowski A, Šmída R, Snow G, Sommers P, Sorokin J, Squartini R, Srivastava Y, Stanič S, Stapleton J, Stasielak J, Stephan M, Stutz A, Suarez F, Suomijärvi T, Supanitsky A, Sutherland M, Swain J, Szadkowski Z, Szuba M, Taborda O, Tapia A, Tartare M, Tepe A, Theodoro V, Timmermans C, Todero Peixoto C, Toma G, Tomankova L, Tomé B, Tonachini A, Torralba Elipe G, Torres Machado D, Travnicek P, Trovato E, Ulrich R, Unger M, Urban M, Valdés Galicia J, Valiño I, Valore L, van Aar G, van den Berg A, van Velzen S, van Vliet A, Varela E, Vargas Cárdenas B, Varner G, Vázquez J, Vázquez R, Veberič D, Verzi V, Vicha J, Videla M, Villaseñor L, Vlcek B, Vorobiov S, Wahlberg H, Wainberg O, Walz D, Watson A, Weber M, Weidenhaupt K, Weindl A, Werner F, Widom A, Wiencke L, Wilczyńska B, Wilczyński H, Will M, Williams C, Winchen T, Wittkowski D, Wundheiler B, Wykes S, Yamamoto T, Yapici T, Younk P, Yuan G, Yushkov A, Zamorano B, Zas E, Zavrtanik D, Zavrtanik M, Zaw I, Zepeda A, Zhou J, Zhu Y, Zimbres Silva M, Ziolkowski M, Zuccarello F. Muons in air showers at the Pierre Auger Observatory: Mean number in highly inclined events. Int J Clin Exp Med 2015. [DOI: 10.1103/physrevd.91.032003] [Citation(s) in RCA: 119] [Impact Index Per Article: 13.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Cunningham K, Scanlan B, Coghlan D, Quinn S. Infants with FPIES to solid food proteins--chicken, rice and oats. Ir Med J 2014; 107:151. [PMID: 24908862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
We present two cases of Food Protein Induced Enterocolitis Syndrome (FPIES), a non-IgE mediated food hypersensitivity. FPIES induces severe vomiting 1.5-to-3 hours post ingestion of the offending food, and may be associated with diarrhoea, hypovolemic shock and acidosis. Avoidance of that food will lead to resolution of symptoms and prevents further episodes.
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Abstract
The objective of this study was to determine the association between a specialist clinical pharmacist working in collaboration with medical staff and prescribing in peripheral arterial disease (PAD). A retrospective cohort study was conducted comparing the influence of a dedicated clinical pharmacist on two samples of patients admitted to a single vascular surgery unit in either 2007 (control group) prior to implementation of a comprehensive clinical pharmacy service or 2009 (comparison group) post implementation. Data were obtained via review of medical records and electronic reports. A total of 685 patients were identified, resulting in 964 admissions. The patient to pharmacist ratio decreased from 62 to 33 patients per day in 2009. More patients were initiated on an antiplatelet (OR 4.6, 95% CI 2.26 to 9.53, p<0.001) and statin (OR 3.4, 95% CI 1.97 to 6, p<0.001) in 2009 compared to 2007. Risk factor modification increased in 2009, resulting in action being taken more often for HbA1c>7% (OR 3.45, 95% CI 1.64 to 7.27, p=0.001), total cholesterol >4 mmol/L in females (OR 14.5, 95% CI 2.67 to 78.6, p=0.002) and blood pressure above target (OR 1.9, 95% CI 1.01 to 3.73, p=0.05) when a comprehensive clinical pharmacist service was available. There was a non-significant reduction in mortality (18.7% (65) to 14.2% (46), p=0.13) and cardiovascular outcomes (5.5% (19) to 4.3% (14), p=0.44) within 12 months of discharge. In conclusion, prescribing of evidence-based medication for PAD and risk factor modification increased with a comprehensive clinical pharmacist service. This study provides important insight into optimising treatment in this patient group and how a pharmacist can be a helpful addition to the multidisciplinary team.
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Affiliation(s)
- Laura Brook-Barclay
- Flinders Medical Centre, Bedford Park, SA, Australia
- School of Pharmacy, University of South Australia, Adelaide, SA, Australia
| | - Christopher L Delaney
- Flinders Medical Centre, Bedford Park, SA, Australia
- Flinders University, Bedford Park, SA, Australia
| | | | | | - James I Spark
- Flinders Medical Centre, Bedford Park, SA, Australia
- Flinders University, Bedford Park, SA, Australia
- Repatriation General Hospital, Daw Park, SA, Australia
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Langer C, Montes F, Aprahamian A, Bardayan DW, Bazin D, Brown B, Browne J, Crawford H, Cyburt R, Domingo-Pardo C, Gade A, George S, Hosmer P, Keek L, Kontos A, Lee IY, Lemasson A, Lunderberg E, Maeda Y, Matos M, Meisel Z, Noji S, Nystrom A, Perdikakis G, Pereira J, Quinn S, Recchia F, Schatz H, Scott M, Siegl K, Simon A, Smith M, Spyrou A, Stevens J, Stroberg R, Weisshaar D, Wheeler J, Wimmer K, Zegers R. Measurement of astrophysically important excitation energies of 58Zn with GRETINA. EPJ Web of Conferences 2014. [DOI: 10.1051/epjconf/20146607013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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80
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Soulieres D, Allo G, Audet ML, Kim L, Weng X, Gologan O, Quinn S, Taylor I, English P, Siu L. Potential Predictive Markers of Efficacy of Dacomitinib in Patients with Recurrent/Metastatic Scchn from a Phase 2 Trial. Ann Oncol 2013. [DOI: 10.1093/annonc/mdt460.85] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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81
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Ng KL, Quinn S, Gill TK, Hill C, Shanahan EM. Impact of the new national health standard for rail safety workers on ischaemic heart disease risk factors in train drivers. Intern Med J 2013; 43:650-5. [DOI: 10.1111/j.1445-5994.2012.02923.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2012] [Accepted: 08/14/2012] [Indexed: 12/23/2022]
Affiliation(s)
- K. L. Ng
- Occupational Medicine; Next Generation; Australia
| | | | - T. K. Gill
- Population Research and Outcome Studies; The University of Adelaide; Australia
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82
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Currow DC, Quinn S, Greene A, Bull J, Johnson MJ, Abernethy AP. The longitudinal pattern of response when morphine is used to treat chronic refractory dyspnea. J Palliat Med 2013; 16:881-6. [PMID: 23746231 DOI: 10.1089/jpm.2012.0591] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023] Open
Abstract
BACKGROUND While evidence supports using sustained release morphine for chronic refractory breathlessness, little is known about the longitudinal pattern of breathlessness intensity as people achieve symptomatic benefit. The aim of this study is to describe this pattern. METHODS This secondary analysis used breathlessness intensity scores (100 mm visual analogue scale (VAS)) from a prospective, dose increment study of once daily (morning) sustained release morphine for chronic refractory breathlessness. Participants who achieved <10% improvement over their own baseline at one week (10 mg) were titrated to 20 mg and if no response, another week later to 30 mg for one week. Time was standardized at the first day of the week in which participants responded generating twice daily data one week either side of symptomatic benefit. Analysis used random effect mixed modeling. RESULTS Of the 83 participants, 17/52 responders required >10 mg: 13 participants (20 mg) and 4 (30 mg), contributing 634 VAS observations. In the week leading to a response, average VAS scores worsened by 0.3 mm/day (p=0.16); the average improvement in the first 24 hours of response was 10.9 mm (7.0 to 14.7; p<0.0001), with continued improvement of 2.2 mm/day (p<0.001) for six more days. CONCLUSION When treating chronic refractory breathlessness with once daily sustained release morphine, titrate to effect, since inadequate dose may generate no response; and following an initial response, further dose increases should not occur for at least one week. Whether further benefit would be derived beyond day six on the dose to which people respond, and what net effect a further dose increase would have are questions yet to be answered.
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Affiliation(s)
- David C Currow
- Palliative and Supportive Services, Flinders University, Bedford Park, Australia.
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83
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Laslett LL, Quinn S, Burgess JR, Parameswaran V, Winzenberg TM, Jones G, Ding C. Moderate vitamin D deficiency is associated with changes in knee and hip pain in older adults: a 5-year longitudinal study. Ann Rheum Dis 2013; 73:697-703. [PMID: 23595144 DOI: 10.1136/annrheumdis-2012-202831] [Citation(s) in RCA: 55] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
BACKGROUND Vitamin D is important for bone, cartilage and muscle function but there are few studies on its association with joint pain. OBJECTIVE To investigate whether serum vitamin D predicts change in knee and hip pain in older adults. METHODS Longitudinal population-based cohort study of randomly selected older adults (n=769) aged 50-80 years (mean 62 years); 50% were male. Serum 25-hydroxyvitamin D (25-OHD) was assessed at baseline by radioimmunoassay, and pain at baseline, 2.6 and/or 5 years using the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) questionnaire. We used linear regression with adjustment for age, sex, body mass index and season, then further adjusted for potential structural mechanisms (radiographic osteoarthritis, bone marrow lesions, chondral defects and muscle strength). RESULTS Mean total knee WOMAC score was 3.2 (range 0-39). 4.2% of participants had moderate vitamin D deficiency at baseline (25-OHD 12.5-25 nmol/l). 25-OHD <25 nmol/l predicted change in knee pain (using total WOMAC score) over 5 years (β=2.41, p=0.002) with a similar effect size for hip pain over 2.4 years (β=2.20, p=0.083). Results were consistent within pain subscales, and the association was independent of demographic, anthropometric and structural covariates. No association was present when 25-OHD was analysed as a continuous measure. CONCLUSIONS Moderate vitamin D deficiency independently predicts incident, or worsening of, knee pain over 5 years and, possibly, hip pain over 2.4 years. Therefore correcting moderate vitamin deficiency may attenuate worsening of knee or hip pain in elderly people but giving supplements to those with a higher 25-OHD level is unlikely to be effective.
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Affiliation(s)
- Laura L Laslett
- Menzies Research Institute Tasmania, University of Tasmania, , Hobart, Tasmania, Australia
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84
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Ayton J, Hansen E, Quinn S, Nelson M. Factors associated with initiation and exclusive breastfeeding at hospital discharge: late preterm compared to 37 week gestation mother and infant cohort. Int Breastfeed J 2012. [PMID: 23181740 PMCID: PMC3546019 DOI: 10.1186/1746-4358-7-16] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Background To investigate and examine the factors associated with initiation of, and exclusive breastfeeding at hospital discharge of, late preterm (34 0/7 - 36 6/7 weeks) compared to 37 week gestation (37 0/7 - 37 6/7 week) mother and baby pairs. Methods A retrospective population-based cohort study using a Perinatal National Minimum Data Set and clinical medical records review, at the Royal Hobart Hospital, Tasmania, Australia in 2006. Results Late preterm and 37 week gestation infants had low rates of initiation of breastfeeding within one hour of birth, 31 (21.1%) and 61 (41.5%) respectively. After multiple regression analysis, late preterm infants were less likely to initiate breastfeeding within one hour of birth (OR 0.3 95% CI 0.1, 0.7 p = 0.009) and were less likely to be discharged exclusively breastfeeding from hospital (OR 0.4 95% CI 0.1, 1.0 p = 0.04) compared to 37 week gestation infants. Conclusion A late preterm birth is predictive of breastfeeding failure, with late preterm infants at greater risk of not initiating breastfeeding and/or exclusively breastfeeding at hospital discharge, compared with those infants born at 37 weeks gestation. Stratifying breastfeeding outcomes by gestational age groups may help to identify those sub-populations at greatest risk of premature cessation of breastfeeding.
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Affiliation(s)
- Jennifer Ayton
- School of Sociology and Social Work, University of Tasmania, Hobart, Australia.,Menzies Research Institute Tasmania, University of Tasmania, Hobart, Australia
| | - Emily Hansen
- School of Sociology and Social Work, University of Tasmania, Hobart, Australia.,Menzies Research Institute Tasmania, University of Tasmania, Hobart, Australia
| | - Stephen Quinn
- Flinders Clinical Effectiveness, Flinders University, Adelaide, South Australia, Australia
| | - Mark Nelson
- School of Sociology and Social Work, University of Tasmania, Hobart, Australia
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85
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Abdul Razak AR, Soulières D, Laurie SA, Hotte SJ, Singh S, Winquist E, Chia S, Le Tourneau C, Nguyen-Tan PF, Chen EX, Chan KK, Wang T, Giri N, Mormont C, Quinn S, Siu LL. A phase II trial of dacomitinib, an oral pan-human EGF receptor (HER) inhibitor, as first-line treatment in recurrent and/or metastatic squamous-cell carcinoma of the head and neck. Ann Oncol 2012; 24:761-9. [PMID: 23108949 DOI: 10.1093/annonc/mds503] [Citation(s) in RCA: 74] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND An open-label, multicenter, single-arm phase II trial was conducted to investigate the clinical activity of dacomitinib in recurrent/metastatic squamous-cell carcinoma of the head and neck (RM-SCCHN). PATIENTS AND METHODS Eligible patients were administered dacomitinib at 45 mg orally daily, in 21-day cycles. Primary end point was objective response rate. RESULTS Sixty-nine patients were enrolled with a median age of 62 years. Among response-evaluable patients, 8 [12.7%, 95% confidence interval (CI) 5.6% to 23.5%] achieved a partial response and 36 (57.1%) had stable disease, lasting ≥24 weeks in 9 patients (14.3%). The median progression-free survival (PFS) was 12.1 weeks and the median overall survival (OS) was 34.6 weeks. Most adverse events (AEs) were tolerable. The most common grade 3 or higher treatment-related AEs were diarrhea (15.9%), acneiform dermatitis (8.7%), and fatigue (8.7%). Treatment-related AEs led to at least one dose interruption in 28 (40.6%) patients and dose reductions in 26 (37.7%). Permanent treatment discontinuation occurred in 8 (11.6%) patients due to treatment-related AEs. CONCLUSIONS Dacomitinib demonstrated clinical activity in RM-SCCHN, and the primary end point of this study was met. The toxicity profile of this agent was generally manageable with dose interruptions and adjustments.
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Affiliation(s)
- A R Abdul Razak
- Department of Medical Oncology, Princess Margaret Hospital, University of Toronto, Toronto
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86
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Drumm BR, Bourke B, Drummond J, McNicholas F, Quinn S, Broderick A, Taaffe S, Twomey J, Rowland M. Cyclical vomiting syndrome in children: a prospective study. Neurogastroenterol Motil 2012; 24:922-7. [PMID: 22762244 DOI: 10.1111/j.1365-2982.2012.01960.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
BACKGROUND Cyclical vomiting syndrome (CVS) is a disorder that affects all ages and is characterized by episodes of severe nausea and vomiting with symptom-free intervals between episodes. The incidence in children is 3.15/100 000 children per year. Our objective was to evaluate the natural history of CVS and examine factors that predict symptom resolution. METHODS Thirty newly diagnosed children (mean 9.15 years, SD 3.31 range 3.5-15.7) were enrolled. All children had a follow-up interview at 3 months, 27/30 at 6 months, and 22/30 at 9 months. KEY RESULTS Following diagnosis of CVS, only 5/22(22.7%) children had no further episodes of vomiting at 9 months, whereas 17/22 (77.3%) continued to vomit. In the year prior to diagnosis, 15/30 (50%) children were admitted to hospital. Of the 22 children with follow-up for 9 months, only one child required hospital admission. Children who continued to vomit had higher internalizing scores on CBCL compared with those who stopped vomiting (P = NS). The Pediatric Quality-of-Life Score suggested those who continued to vomit had a poorer quality of life at diagnosis compared with those who stopped vomiting (P < 0.05). CONCLUSIONS & INFERENCES Making a positive diagnosis of CVS and providing families with information is very important in the management of CVS. Although 75% of children reported regular episodes of vomiting 9 months after diagnosis, there was a significant reduction in the frequency and severity of symptoms in addition to a marked reduction in the use of medical services.
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Affiliation(s)
- B R Drumm
- UCD School of Medicine and Medical Sciences, Dublin Academic Medical Centre, Dublin 7, Ireland
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87
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Hardy J, Quinn S, Fazekas B, Plummer J, Eckermann S, Agar M, Spruyt O, Rowett D, Currow DC. Randomized, double-blind, placebo-controlled study to assess the efficacy and toxicity of subcutaneous ketamine in the management of cancer pain. J Clin Oncol 2012; 30:3611-7. [PMID: 22965960 DOI: 10.1200/jco.2012.42.1081] [Citation(s) in RCA: 138] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
PURPOSE The anesthetic ketamine is widely used for pain related to cancer, but the evidence to support its use in this setting is weak. This study aimed to determine whether ketamine is more effective than placebo when used in conjunction with opioids and standard adjuvant therapy in the management of chronic uncontrolled cancer pain. Ketamine would be considered of net benefit if it provided clinically relevant improvement in pain with limited breakthrough analgesia and acceptable toxicity. PATIENTS AND METHODS In this multisite, dose-escalation, double-blind, randomized, placebo-controlled phase III trial, ketamine or placebo was delivered subcutaneously over 3 to 5 days. RESULTS In all, 185 participants were included in the primary analysis. There was no significant difference between the proportion of positive outcomes (0.04; 95% CI, -0.10 to 0.18; P = .55) in the placebo and intervention arms (response rates, 27% [25 of 92] and 31% [29 of 93]). Pain type (nociceptive v neuropathic) was not a predictor of response. There was almost twice the incidence of adverse events worse than baseline in the ketamine group after day 1 (incidence rate ratio, 1.95; 95% CI, 1.46 to 2.61; P < .001) and throughout the study. Those receiving ketamine were more likely to experience a more severe grade of adverse event per day (odds ratio, 1.09; 95% CI, 1.00 to 1.18; P = .039). The number of patients needed to treat for one additional patient to have a positive outcome from ketamine was 25 (95% CI, six to ∞). The number needed to harm, because of toxicity-related withdrawal, was six (95% CI, four to 13). CONCLUSION Ketamine does not have net clinical benefit when used as an adjunct to opioids and standard coanalgesics in cancer pain.
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Affiliation(s)
- Janet Hardy
- Dept Palliative Care, Mater Adult Hospital, Raymond Terrace, South Brisbane, Queensland, Australia 4101.
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88
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89
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Cochrane B, Quinn S, Walters H, Young I. Investigating the adverse respiratory effects of beta-blocker treatment: six years of prospective longitudinal data in a cohort with cardiac disease. Intern Med J 2012; 42:786-93. [DOI: 10.1111/j.1445-5994.2011.02563.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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90
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Hope B, Shahdadpuri R, Dunne C, Broderick AM, Grant T, Hamzawi M, O'Driscoll K, Quinn S, Hussey S, Bourke B. Rapid rise in incidence of Irish paediatric inflammatory bowel disease. Arch Dis Child 2012; 97:590-4. [PMID: 22550323 DOI: 10.1136/archdischild-2011-300651] [Citation(s) in RCA: 65] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
AIMS To describe the change in incidence of paediatric inflammatory bowel disease (IBD) observed at the National Centre for Paediatric Gastroenterology, Hepatology and Nutrition, and to determine whether the presenting disease phenotype and disease outcomes have changed during the past decade. METHODS The annual incidence of IBD in Irish children aged <16 years was calculated for the years 2000-2010. Two subsets of patients, group A (diagnosed between 1 January 2000 and 31 December 2001), and group B (diagnosed between 1 January and 31 December 2008) were phenotyped according to the Paris Classification. Phenotype at diagnosis and 2-year follow-up were then compared. RESULTS 406 new cases of IBD were identified. The incidence was 2.5/100 000/year in 2001, 7.3 in 2008 and 5.6 in 2010, representing a significant increase in the number of new cases of Crohn's disease (CD) and ulcerative colitis (UC). There were 238 cases of CD; 129 of UC; and 39 of IBD unclassified. Comparing groups A and B, no differences were found in disease location at diagnosis or, for CD, in its behaviour. CONCLUSIONS There has been a substantial and sustained increase in the incidence of childhood UC and CD in Ireland over a relatively short period of time. However, disease phenotype at diagnosis has not changed. At 2 years follow-up, CD appears to progress less frequently than in some neighbouring countries. These variations remain unexplained. Prospective longitudinal studies will help to elucidate further the epidemiology of childhood IBD.
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Affiliation(s)
- B Hope
- National Centre for Paediatric Gastroenterology, Hepatology and Nutrition, Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland
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91
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Wood B, van der Mei IAF, Ponsonby AL, Pittas F, Quinn S, Dwyer T, Lucas RM, Taylor BV. Prevalence and concurrence of anxiety, depression and fatigue over time in multiple sclerosis. Mult Scler 2012; 19:217-24. [PMID: 22729988 DOI: 10.1177/1352458512450351] [Citation(s) in RCA: 204] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Anxiety, depression and fatigue are commonly reported by persons with multiple sclerosis (PwMS). OBJECTIVES We estimated the prevalence of each factor in a representative sample of PwMS, and in subgroups defined by age, sex and disease duration, at cohort entry and over time. We further examined whether and how these factors clustered together. METHODS A population-based longitudinal cohort of 198 PwMS was followed 6-monthly for 2.5 years. The Hospital Anxiety and Depression Scale (HADS) was used to measure anxiety (cut-point >7) and depression (>7) and the Fatigue Severity Scale (FSS) to measure fatigue (≥5). RESULTS At cohort entry, prevalence of anxiety was 44.5% (95%CI 37-51%), depression 18.5% (95%CI 12.6-23.4%), and fatigue 53.7% (95%CI 47-61%). Fatigue was more common in males than females (RR 1.29, p=0.01), with attenuation of the effect after adjustment for Expanded Disability Status Scale (adjusted RR 1.18, p=0.13). Prevalence of anxiety (but not depression or fatigue) decreased by 8.1% per year of cohort observation (RR 0.92, 95%CI 0.86-0.98, p=0.009), with the effect more pronounced in women (14.6%, RR 0.85, 95%CI 0.79-0.93, -<0.001) than men (2.6%, RR 1.03, 95%CI 0.90-1.17, p=0.77). There was no apparent seasonal variation in the prevalence of any of the three factors (p>0.05). All three factors occurred contemporaneously at cohort entry in a higher proportion of the cohort than expected by chance (p<0.001). CONCLUSIONS Anxiety, depression and fatigue are common in PwMS and tend to cluster together. The findings are important for clinical management of PwMS and to the exploration of possible shared causal biological pathways.
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Affiliation(s)
- B Wood
- Menzies Research Institute Tasmania, University of Tasmania, Tasmania, Australia
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92
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Abstract
This study aimed to examine the importance of fatigue as a clinical indicator in chronic obstructive pulmonary disease (COPD), by analysing its relationship with COPD severity and ability to predict risk of hospitalisation, and by comparing the intensity of fatigue in stable COPD patients with levels of fatigue reported by patients with other chronic conditions. We studied 100 consecutive patients attending assessment clinics before pulmonary rehabilitation. Both questionnaire and physiological data were collected. Partial correlations, multiple linear regressions and Cox proportional hazard models/negative binomial regressions were used to address the research questions. A significant relationship existed between fatigue and COPD severity. Fatigue reports predicted future hospitalisation risk. Compared to the lowest third of patients, the third of patients reporting the most intense fatigue showed a 10-fold increase in risk of hospitalisation (fatigue experiences hazard ratio (HR) 10.2, 95% CI 2.66-38.86; fatigue impacts HR 10.7, 95% CI 2.76-41.65). Our COPD sample reported fatigue scores of similar intensity to colorectal cancer patients and HIV-positive patients. While fatigue is significantly related to COPD functional severity, fatigue data also capture independent information. Fatigue reports can contribute to predictions of hospitalisation risk.
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93
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Hordacre B, Birks V, Quinn S, Barr C, Patritti BL, Crotty M. Physiotherapy Rehabilitation for Individuals with Lower Limb Amputation: A 15-Year Clinical Series. Physiother Res Int 2012; 18:70-80. [DOI: 10.1002/pri.1529] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2011] [Revised: 02/06/2012] [Accepted: 04/16/2012] [Indexed: 12/27/2022]
Affiliation(s)
| | - Vicki Birks
- Department of Rehabilitation and Aged Care; Repatriation General Hospital; Daw Park, Adelaide; South Australia
| | - Stephen Quinn
- Flinders University; Faculty of Health Sciences; Adelaide; South Australia
| | - Christopher Barr
- Flinders University; Faculty of Health Sciences; Adelaide; South Australia
| | - Benjamin L. Patritti
- Department of Rehabilitation and Aged Care; Repatriation General Hospital; Daw Park, Adelaide; South Australia
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94
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Currow DC, Clark K, Cartmill J, Pather S, Plummer J, Eckermann S, Abernethy AP, Agar M, Quinn S. A multi-site, fixed dose, parallel arm, double-blind, placebo controlled, block randomised trial of the addition of infusional octreotide or placebo to regular ranitidine and dexamethasone for the evaluation of vomiting associated with bowel obstruction at the end of life. J Clin Oncol 2012. [DOI: 10.1200/jco.2012.30.15_suppl.tps9153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
TPS9153 Background: Bowel obstruction due to advanced cancer that is surgically inoperable is a major management problem. Studies to date have either been underpowered or have used comparators that may not draw on the best available evidence. Methods: This double-blind, block randomised, placebo controlled, set dose, parallel arm study was conducted across 12 sites in Australia. Eligibility included inoperable bowel obstruction secondary to cancer or its treatments. The intervention was the addition of infusional octreotide or placebo in addition to 200mg ranitidine per 24 hours parenterally and 4mg per 24 hours parenterally of dexamethasone. The primary outcome measure was the numbers of days free of vomiting up to 72 hours after all medications were administered the first time. Participants were also administered between 10-20mls per hour of subcutaneous isotonic fluid over the 72 hour period. Results: This study will close to recruitment in March 2012. To date 89 of 92 required participants have been randomised. Conclusions: This adequately powered study will define the additional net clinical benefit derived from octreotide over placebo in people who have an anti-secretary agent (ranitidine) and glucocorticoids (dexamethasone).
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95
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Currow DC, Hardy J, Quinn S, Fazekas B, Plummer J, Eckermann S, Agar M, Spruyt O, Debra R. A randomized, double-blind, placebo-controlled study to assess the efficacy and toxicity of subcutaneous ketamine in the management of cancer pain. J Clin Oncol 2012. [DOI: 10.1200/jco.2012.30.15_suppl.2604] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
2604 Background: The dissociative anaesthetic ketamine is widely used for cancer related pain. A Cochrane review concluded that insufficient evidence was available to support its use in this setting. Methods: This phase III, multisite, double-blind, dose escalation, placebo, randomised controlled study aimed to determine whether ketamine, delivered subcutaneously over three to five days is more effective than placebo, when used in conjunction with adjuvant therapy in the management of chronic uncontrolled cancer pain. Ketamine would be considered to be of net benefit if it provided a reduction in average pain scores by ≥2/10 points from baseline, with limited breakthrough analgesia and acceptable toxicity. Results: For the 185 participants, there was no significant difference between the proportion of positive outcomes (0.04 (-0.10, 0.18) p=0.55) in the placebo and intervention arms (response rates 27% (25/92) and 31% (29/93)). Pain type (nociceptive versus neuropathic) was not a predictor of response. There was almost twice the incidence of adverse events worse than baseline in the ketamine group after day 1 (IRR = 1.95 (1.46, 2.61), p<0.001) and throughout the study. Those receiving ketamine were more likely to experience a more severe grade of adverse event/day (OR=1.09 (1.00, 1.18), p=0.039). The number needed to treat for one additional patient to get a positive outcome from ketamine was 25 (6, ∞). The number needed to harm, because of toxicity-related withdrawal was 6 (4, 13). Conclusions: Ketamine does not have net clinical benefit when used as an adjunct to opioids and standard co-analgesics in cancer pain.
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Stirling C, Leggett S, Lloyd B, Scott J, Blizzard L, Quinn S, Robinson A. Decision aids for respite service choices by carers of people with dementia: development and pilot RCT. BMC Med Inform Decis Mak 2012; 12:21. [PMID: 22429384 PMCID: PMC3315425 DOI: 10.1186/1472-6947-12-21] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2011] [Accepted: 03/19/2012] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Decision aids are often used to assist individuals confronted with a diagnosis of a serious illness to make decisions about treatment options. However, they are rarely utilised to help those with chronic or age related conditions to make decisions about care services. Decision aids should also be useful for carers of people with decreased decisional capacity. These carers' choices must balance health outcomes for themselves and for salient others with relational and value-based concerns, while relying on information from health professionals. This paper reports on a study that both developed and pilot tested a decision aid aimed at assisting carers to make evaluative judgements of community services, particularly respite care. METHODS A mixed method sequential study, involving qualitative development and a pilot randomised controlled trial, was conducted in Tasmania, Australia. We undertook 13 semi-structured interviews and three focus groups to inform the development of the decision aid. For the randomised control trial we randomly assigned 31 carers of people with dementia to either receive the service decision aid at the start or end of the study. The primary outcome was measured by comparing the difference in carer burden between the two groups three months after the intervention group received the decision aid. Pilot data was collected from carers using interviewer-administered questionnaires at the commencement of the project, two weeks and 12 weeks later. RESULTS The qualitative data strongly suggest that the intervention provides carers with needed decision support. Most carers felt that the decision aid was useful. The trial data demonstrated that, using the mean change between baseline and three month follow-up, the intervention group had less increase in burden, a decrease in decisional conflict and increased knowledge compared to control group participants. CONCLUSIONS While these results must be interpreted with caution due to the small sample size, all intervention results trend in a direction that is beneficial for carers and their decisional ability. Mixed method data suggest the decision aid provides decisional support that carers do not otherwise receive. Decision aids may prove useful in a community health services context. TRIAL REGISTRATION NUMBER ISRCTN: ISRCTN32163031.
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Affiliation(s)
- Christine Stirling
- Wicking Dementia Research and Education Centre, Menzies Research Institute, University of Tasmania, Private Bag 121, Hobart, TAS, Australia 7000
- School of Nursing and Midwifery, University of Tasmania, 24 Campbell St, Tasmania, Australia
| | - Susan Leggett
- Wicking Dementia Research and Education Centre, Menzies Research Institute, University of Tasmania, Private Bag 121, Hobart, TAS, Australia 7000
| | - Barbara Lloyd
- Wicking Dementia Research and Education Centre, Menzies Research Institute, University of Tasmania, Private Bag 121, Hobart, TAS, Australia 7000
| | - Jenn Scott
- School of Psychology, University of Tasmania, Sandy Bay Campus, Tasmania, Australia
| | - Leigh Blizzard
- Menzies Research Institute, University of Tasmania, 17 Liverpool St, Hobart, Australia
| | - Stephen Quinn
- Flinders Clinical Effectiveness, Flinders University, Adelaide, Australia
| | - Andrew Robinson
- Wicking Dementia Research and Education Centre, Menzies Research Institute, University of Tasmania, Private Bag 121, Hobart, TAS, Australia 7000
- School of Nursing and Midwifery, University of Tasmania, 24 Campbell St, Tasmania, Australia
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Nelson MR, Quinn S, Winzenberg TM, Howes F, Shiel L, Reid CM. Ankle-Brachial Index determination and peripheral arterial disease diagnosis by an oscillometric blood pressure device in primary care: validation and diagnostic accuracy study. BMJ Open 2012; 2:bmjopen-2012-001689. [PMID: 23100446 PMCID: PMC3488728 DOI: 10.1136/bmjopen-2012-001689] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
OBJECTIVES To determine the level of agreement between a 'conventional' Ankle-Brachial Index (ABI) measurement (using Doppler and mercury sphygmomanometer taken by a research nurse) and a 'pragmatic' ABI measure (using an oscillometric device taken by a practice nurse) in primary care. To ascertain the utility of a pragmatic ABI measure for the diagnosis of peripheral arterial disease (PAD) in primary care. DESIGN Cross-sectional validation and diagnostic accuracy study. Descriptive analyses were used to investigate the agreement between the two procedures using the Bland and Altman method to determine whether the correlation between ABI readings varied systematically. Diagnostic accuracy was assessed via sensitivity, specificity, accuracy, likelihood ratios, positive and negative predictive values, with ABI readings dichotomised and Receiver Operating Curve analysis using both univariable and multivariable logistic regression. SETTING Primary care in metropolitan and rural Victoria, Australia between October 2009 and November 2010. PARTICIPANTS 250 persons with cardiovascular disease (CVD) or at high risk (three or more risk factors) of CVD. RESULTS Despite a strong association between the two method's measurements of ABI there was poor agreement with 95% of readings within ±0.4 of the 0.9 ABI cut point. The multivariable C statistic of diagnosis of PAD was 0.89. Other diagnostic measures were sensitivity 62%, specificity 92%, positive predictive value 67%, negative predictive value 90%, accuracy 85%, positive likelihood ratio 7.3 and the negative likelihood ratio 0.42. CONCLUSIONS Oscillometric ABI measures by primary care nurses on a population with a 22% prevalence of PAD lacked sufficient agreement with conventional measures to be recommended for routine diagnosis of PAD. This pragmatic method may however be used as a screening tool high-risk and overt CVD patients in primary care as it can reliably exclude the condition.
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Affiliation(s)
- Mark R Nelson
- Menzies Research Institute Tasmania, University of Tasmania, Hobart, Tasmania, Australia
| | - Stephen Quinn
- Flinders Clinical Effectiveness, Flinders University, Adelaide, South Australia, Australia
| | - Tania M Winzenberg
- Menzies Research Institute Tasmania, University of Tasmania, Hobart, Tasmania, Australia
| | - Faline Howes
- Menzies Research Institute Tasmania, University of Tasmania, Hobart, Tasmania, Australia
| | - Louise Shiel
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Christopher M Reid
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
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Thomas S, Halbert J, Mackintosh S, Quinn S, Crotty M. Sociodemographic factors associated with self-reported exercise and physical activity behaviors and attitudes of South Australians: results of a population-based survey. J Aging Health 2011; 24:287-306. [PMID: 21956097 DOI: 10.1177/0898264311422254] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To determine self-reported physical activity barriers, behaviors, and beliefs about exercise of a representative sample and to identify associated sociodemographic factors. METHOD Face-to-face interviews conducted between September and December 2008, using a random stratified sampling technique. RESULTS Barriers injury and illness were associated with being older, single, and not engaged in full-time work; lack of time was associated with being married, younger, female, and working full-time; and lack of motivation and cost were associated with being younger than 65 years. Advancing age was significantly associated (p < .001) with reduced physical activity. Factors including age, education, marital status, and area of residence were all associated with preferences for environment to exercise in, while all age groups (74%) felt that walking was the most important type of exercise for older adults. DISCUSSION A better understanding of these factors may improve uptake of and adherence to exercise programs across the ages.
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Affiliation(s)
- Susie Thomas
- Department of Rehabilitation and Aged Care, Repatriation General Hospital, Flinders University, Adelaide, Australia.
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Currow P, Hardy J, Agar M, Sanderson C, Spruyt O, Eckermann S, Plummer J, Quinn S. 1225 POSTER A Randomised, Double-blind, Placebo Controlled, Multi-site Study of Subcutaneous Ketamine in the Management of Cancer Pain. Eur J Cancer 2011. [DOI: 10.1016/s0959-8049(11)70837-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Wright H, Bruni C, Quinn S. Using a holistic assessment tool in a multi-professional motor neuron disease clinic. BMJ Support Palliat Care 2011. [DOI: 10.1136/bmjspcare-2011-000105.8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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