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Wang CH, Ho LT, Wu MC, Wu CY, Tay J, Su PI, Tsai MS, Wu YW, Chang WT, Huang CH, Chen WJ. Prognostic implication of heart failure stage and left ventricular ejection fraction for patients with in-hospital cardiac arrest: a 16-year retrospective cohort study. Clin Res Cardiol 2024:10.1007/s00392-024-02403-8. [PMID: 38407585 DOI: 10.1007/s00392-024-02403-8] [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] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/11/2023] [Accepted: 02/13/2024] [Indexed: 02/27/2024]
Abstract
BACKGROUND The 2022 AHA/ACC/HFSA guidelines for the management of heart failure (HF) makes therapeutic recommendations based on HF status. We investigated whether the prognosis of in-hospital cardiac arrest (IHCA) could be stratified by HF stage and left ventricular ejection fraction (LVEF). METHODS This single-center retrospective study analyzed the data of patients who experienced IHCA between 2005 and 2020. Based on admission diagnosis, past medical records, and pre-arrest echocardiography, patients were classified into general IHCA, at-risk for HF, pre-HF, HF with preserved ejection fraction (HFpEF), and HF with mildly reduced ejection fraction or HF with reduced ejection fraction (HFmrEF-or-HFrEF) groups. RESULTS This study included 2,466 patients, including 485 (19.7%), 546 (22.1%), 863 (35.0%), 342 (13.9%), and 230 (9.3%) patients with general IHCA, at-risk for HF, pre-HF, HFpEF, and HFmrEF-or-HFrEF, respectively. A total of 405 (16.4%) patients survived to hospital discharge, with 228 (9.2%) patients achieving favorable neurological recovery. Multivariable logistic regression analysis indicated that pre-HF and HFpEF were associated with better neurological (pre-HF, OR: 2.11, 95% confidence interval [CI]: 1.23-3.61, p = 0.006; HFpEF, OR: 1.90, 95% CI: 1.00-3.61, p = 0.05) and survival outcomes (pre-HF, OR: 2.00, 95% CI: 1.34-2.97, p < 0.001; HFpEF, OR: 1.91, 95% CI: 1.20-3.05, p = 0.007), compared with general IHCA. CONCLUSION HF stage and LVEF could stratify patients with IHCA into different prognoses. Pre-HF and HFpEF were significantly associated with favorable neurological and survival outcomes after IHCA. Further studies are warranted to investigate whether HF status-directed management could improve IHCA outcomes.
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Affiliation(s)
- Chih-Hung Wang
- Department of Emergency Medicine, National Taiwan University Hospital, No.7, Zhongshan S. Rd., Zhongzheng Dist., Taipei City 100, Taiwan, Republic of China
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Li-Ting Ho
- Division of Cardiology, Department of Internal Medicine, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan
- National Taiwan University College of Medicine and Hospital, Cardiovascular Center, Taipei, Taiwan
| | - Meng-Che Wu
- Department of Emergency Medicine, National Taiwan University Hospital, No.7, Zhongshan S. Rd., Zhongzheng Dist., Taipei City 100, Taiwan, Republic of China
| | - Cheng-Yi Wu
- Department of Emergency Medicine, National Taiwan University Hospital, No.7, Zhongshan S. Rd., Zhongzheng Dist., Taipei City 100, Taiwan, Republic of China
| | - Joyce Tay
- Department of Emergency Medicine, National Taiwan University Hospital, No.7, Zhongshan S. Rd., Zhongzheng Dist., Taipei City 100, Taiwan, Republic of China
| | - Pei-I Su
- Department of Emergency Medicine, National Taiwan University Hospital, No.7, Zhongshan S. Rd., Zhongzheng Dist., Taipei City 100, Taiwan, Republic of China
| | - Min-Shan Tsai
- Department of Emergency Medicine, National Taiwan University Hospital, No.7, Zhongshan S. Rd., Zhongzheng Dist., Taipei City 100, Taiwan, Republic of China
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Yen-Wen Wu
- Departments of Internal Medicine and Nuclear Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
- Department of Nuclear Medicine and Cardiology Division of Cardiovascular Medical Center, Far Eastern Memorial Hospital, New Taipei City, Taiwan
- National Yang-Ming University School of Medicine, Taipei, Taiwan
| | - Wei-Tien Chang
- Department of Emergency Medicine, National Taiwan University Hospital, No.7, Zhongshan S. Rd., Zhongzheng Dist., Taipei City 100, Taiwan, Republic of China
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Chien-Hua Huang
- Department of Emergency Medicine, National Taiwan University Hospital, No.7, Zhongshan S. Rd., Zhongzheng Dist., Taipei City 100, Taiwan, Republic of China
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Wen-Jone Chen
- Department of Emergency Medicine, National Taiwan University Hospital, No.7, Zhongshan S. Rd., Zhongzheng Dist., Taipei City 100, Taiwan, Republic of China.
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
- Department of Internal Medicine, Min-Sheng General Hospital, Taoyuan, Taiwan.
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Wu CY, Lin JA, Ye K. [Preliminary study on implementation of modified tubular gastric side-overlap anastomosis in laparoscopic proximal gastrectomy]. Zhonghua Wei Chang Wai Ke Za Zhi 2024; 27:175-181. [PMID: 38413086 DOI: 10.3760/cma.j.cn441530-20230925-00107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 02/29/2024]
Abstract
Objective: To investigate the feasibility and safety of implementing modified tubular gastric side-overlap anastomosis in laparoscopic proximal gastrectomy. Methods: In this retrospective, descriptive case series, we analyzed clinical data of seven patients who had undergone laparoscopic proximal gastrectomy and gastrointestinal reconstruction with modified tubular gastric side-overlap anastomosis from October 2022 to March 2023 in the Second Affiliated Hospital of Fujian Medical University. The study patients comprised five men and two women aged 57-72 years and of body mass index 18.5-25.7 kg/m2. All seven patients had preoperative gastroscopic and pathological evidence of esophagogastric junction cancer and all were found by preoperative enhanced computed tomography and/or endoscopic ultrasonography to have stage CT1-2N0M0 tumors. The main steps in the reconstruction of a modified tubular gastric side-overlap anastomosis are as follows: (1) mobilizing the lower esophagus and opening the left pleura to expand the space; (2) severing the esophagus with a linear cutter stapler; (3) creating a 3-cm-wide tubular stomach along the greater curvature; (4) creating a 5-cm guide line on the lesser curvature of the anterior wall of the tubular stomach and a small opening below the guide line; (5) rotating the esophageal stump 90° counterclockwise and making a small opening on the right posterior wall of the esophageal stump, along with using a 45-mm linear cutter stapler for esophagogastric side-to-side anastomosis under the guidance of the gastric tube and guide line ; (6) closing the common opening using barbed sutures; (7) embedding the cut edge of the esophageal stump such as to closely oppose it to the esophagus; (8) using barbed sutures to continuously suture the lower esophagus bilaterally to the anterior wall of the tubular stomach; and (9) closing the opened esophageal hiatus and pleura. The main outcome measures were intraoperative (operation time, digestive tract reconstruction time, closing the common opening time, intraoperative blood loss, and number of dissected lymph nodes), postoperative (time to passage of flatus , time to liquid diet, time to ambulation, length of postoperative hospital stay, and postoperative complications), pathological (maximum diameter of the tumor and pathological stage) and findings on follow-up. Results: Laparoscopic proximal gastrectomy with reconstruction of a modified tubular gastric side-overlap anastomosis was successfully completed in all seven patients; no conversion to laparotomy was required and there were no postoperative complications. The operation time, digestive tract reconstruction time, and closing of common opening time were 187-229, 61-79, and 7-9 minutes, respectively. Intraoperative blood loss was 15-23 ml and the number of dissected lymph nodes was 14-46 per case. Time to passage of flatus, time to liquid diet, time to ambulation, and postoperative hospital stay were 1-2, 2-3, 3-4, and 6-7 days, respectively. Postoperative pathological examination showed that the maximum tumor diameters were 1.6-3.3 cm in four patients with stage IA disease and three patients with stage IB. The seven patients were followed up for 6-11 months, during which none required routine use of proton pump inhibitors or gastric mucosal protective agents and there were no deaths or tumor recurrence/metastasis. No patients had anemia or hypoproteinemia 3 and 6 months after surgery. Six months after surgery, NRS2002 and GERDQ scores were 1-2 and 2-3, respectively. Gastroscopy showed narrow anastomoses in 6 patients with Los Angeles grade A and one patient with grade B disease. No evidence of significant bile reflux was found and no anastomotic stenosis or reflux was detected on upper gastrointestinal angiography. Conclusion: It is safe and feasible to implement modified tubular gastric side-overlap anastomosis for digestive tract reconstruction in laparoscopic proximal gastrectomy.
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Affiliation(s)
- C Y Wu
- Department of Gastrointestinal Surgery, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China
| | - J A Lin
- Department of Gastrointestinal Surgery, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China
| | - K Ye
- Department of Gastrointestinal Surgery, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China
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Liang L, Wu CY, Zhang LP, Hou LK, Dong ZW, Wu W, Huang Y, Xie HK. [Clinicopathological and genetic characteristics of congenital cystic adenomatoid malformation of lung and its associated lung cancer in adults]. Zhonghua Bing Li Xue Za Zhi 2024; 53:130-135. [PMID: 38281779 DOI: 10.3760/cma.j.cn112151-20230712-00002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 01/30/2024]
Abstract
Objective: To investigate the clinicopathological features and genetic characteristics of congenital cystic adenomatoid malformation (CCAM) of lung and CCAM associated lung cancer in adults. Methods: A total of 13 cases of CCAM of lung in adults, diagnosed from June 2015 to May 2023, were collected from the Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, China. Their histopathological features were correlated with probable development into lung cancer. Next-generation sequencing was performed on the benign and malignant areas of all cases. Results: The pathological classification of all cases were of CCAM of lung type 1. There were 4 male and 9 female cases, age ranged from 18 to 65 years, with a mean age of 41 years. Six cases were accompanied by lung cancer, all of them were mucinous adenocarcinoma. Next-generation sequencing showed no gene mutation in 2 of the 13 cases; KRAS mutations in exon 2 were detected in 7 cases, in which there were 6 cases complicated with lung mucinous adenocarcinoma and no matter in the malignant or benign regions, the same case exhibited the same mutation sites in KRAS gene. Conclusions: CCAM of the lung is a congenital disease, and in adults, type 1 is most commonly found in the pathological classification, and it is often accompanied by cancer. Gene mutations are frequently detected in CCAM of the lung, KRAS being the most recurrent mutation which may play an important role in the carcinogenesis.
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Affiliation(s)
- L Liang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - C Y Wu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - L P Zhang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - L K Hou
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - Z W Dong
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - W Wu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - Y Huang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - H K Xie
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
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Wang CH, Hwang T, Huang YS, Tay J, Wu CY, Wu MC, Roth HR, Yang D, Zhao C, Wang W, Huang CH. Deep Learning-Based Localization and Detection of Malpositioned Endotracheal Tube on Portable Supine Chest Radiographs in Intensive and Emergency Medicine: A Multicenter Retrospective Study. Crit Care Med 2024; 52:237-247. [PMID: 38095506 PMCID: PMC10793783 DOI: 10.1097/ccm.0000000000006046] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2024]
Abstract
OBJECTIVES We aimed to develop a computer-aided detection (CAD) system to localize and detect the malposition of endotracheal tubes (ETTs) on portable supine chest radiographs (CXRs). DESIGN This was a retrospective diagnostic study. DeepLabv3+ with ResNeSt50 backbone and DenseNet121 served as the model architecture for segmentation and classification tasks, respectively. SETTING Multicenter study. PATIENTS For the training dataset, images meeting the following inclusion criteria were included: 1) patient age greater than or equal to 20 years; 2) portable supine CXR; 3) examination in emergency departments or ICUs; and 4) examination between 2015 and 2019 at National Taiwan University Hospital (NTUH) (NTUH-1519 dataset: 5,767 images). The derived CAD system was tested on images from chronologically (examination during 2020 at NTUH, NTUH-20 dataset: 955 images) or geographically (examination between 2015 and 2020 at NTUH Yunlin Branch [YB], NTUH-YB dataset: 656 images) different datasets. All CXRs were annotated with pixel-level labels of ETT and with image-level labels of ETT presence and malposition. INTERVENTIONS None. MEASUREMENTS AND MAIN RESULTS For the segmentation model, the Dice coefficients indicated that ETT would be delineated accurately (NTUH-20: 0.854; 95% CI, 0.824-0.881 and NTUH-YB: 0.839; 95% CI, 0.820-0.857). For the classification model, the presence of ETT could be accurately detected with high accuracy (area under the receiver operating characteristic curve [AUC]: NTUH-20, 1.000; 95% CI, 0.999-1.000 and NTUH-YB: 0.994; 95% CI, 0.984-1.000). Furthermore, among those images with ETT, ETT malposition could be detected with high accuracy (AUC: NTUH-20, 0.847; 95% CI, 0.671-0.980 and NTUH-YB, 0.734; 95% CI, 0.630-0.833), especially for endobronchial intubation (AUC: NTUH-20, 0.991; 95% CI, 0.969-1.000 and NTUH-YB, 0.966; 95% CI, 0.933-0.991). CONCLUSIONS The derived CAD system could localize ETT and detect ETT malposition with excellent performance, especially for endobronchial intubation, and with favorable potential for external generalizability.
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Affiliation(s)
- Chih-Hung Wang
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
| | - Tianyu Hwang
- Mathematics Division, National Center for Theoretical Sciences, National Taiwan University, Taipei, Taiwan
| | - Yu-Sen Huang
- Department of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan
| | - Joyce Tay
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
| | - Cheng-Yi Wu
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
| | - Meng-Che Wu
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
| | | | | | - Can Zhao
- NVIDIA Corporation, Bethesda, CA
| | - Weichung Wang
- Institute of Applied Mathematical Sciences, National Taiwan University, Taipei, Taiwan
| | - Chien-Hua Huang
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
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Wang CH, Li JD, Wu CY, Wu YC, Tay J, Wu MC, Hsu CH, Liu YK, Chen CS, Huang CH. Application of Machine Learning to Ultrasonography in Identifying Anatomical Landmarks for Cricothyroidotomy Among Female Adults: A Multi-center Prospective Observational Study. J Imaging Inform Med 2024; 37:363-373. [PMID: 38343208 DOI: 10.1007/s10278-023-00929-3] [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] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Revised: 10/05/2023] [Accepted: 10/06/2023] [Indexed: 03/02/2024]
Abstract
We aimed to develop machine learning (ML)-based algorithms to assist physicians in ultrasound-guided localization of cricoid cartilage (CC) and thyroid cartilage (TC) in cricothyroidotomy. Adult female volunteers were prospectively recruited from two hospitals between September and December, 2020. Ultrasonographic images were collected via a modified longitudinal technique. You Only Look Once (YOLOv5s), Faster Regions with Convolutional Neural Network features (Faster R-CNN), and Single Shot Detector (SSD) were selected as the model architectures. A total of 488 women (mean age: 36.0 years) participated in the study, contributing to a total of 292,053 frames of ultrasonographic images. The derived ML-based algorithms demonstrated excellent discriminative performance for the presence of CC (area under the receiver operating characteristic curve [AUC]: YOLOv5s, 0.989, 95% confidence interval [CI]: 0.982-0.994; Faster R-CNN, 0.986, 95% CI: 0.980-0.991; SSD, 0.968, 95% CI: 0.956-0.977) and TC (AUC: YOLOv5s, 0.989, 95% CI: 0.977-0.997; Faster R-CNN, 0.981, 95% CI: 0.965-0.991; SSD, 0.982, 95% CI: 0.973-0.990). Furthermore, in the frames where the model could correctly indicate the presence of CC or TC, it also accurately localized CC (intersection-over-union: YOLOv5s, 0.753, 95% CI: 0.739-0.765; Faster R-CNN, 0.720, 95% CI: 0.709-0.732; SSD, 0.739, 95% CI: 0.726-0.751) or TC (intersection-over-union: YOLOv5s, 0.739, 95% CI: 0.722-0.755; Faster R-CNN, 0.709, 95% CI: 0.687-0.730; SSD, 0.713, 95% CI: 0.695-0.730). The ML-based algorithms could identify anatomical landmarks for cricothyroidotomy in adult females with favorable discriminative and localization performance. Further studies are warranted to transfer this algorithm to hand-held portable ultrasound devices for clinical use.
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Affiliation(s)
- Chih-Hung Wang
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Jia-Da Li
- NTU Joint Research Center for AI Technology and All Vista Healthcare, National Taiwan University, Taipei, Taiwan
| | - Cheng-Yi Wu
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
| | - Yu-Chen Wu
- Department of Computer Science and Information Engineering, National Taiwan University, Taipei, Taiwan
| | - Joyce Tay
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
| | - Meng-Che Wu
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
| | - Ching-Hang Hsu
- Institute of Information Science, Academia Sinica, Taipei, Taiwan
| | - Yi-Kuan Liu
- NTU Joint Research Center for AI Technology and All Vista Healthcare, National Taiwan University, Taipei, Taiwan
| | - Chu-Song Chen
- Department of Computer Science and Information Engineering, National Taiwan University, Taipei, Taiwan.
- Institute of Information Science, Academia Sinica, Taipei, Taiwan.
| | - Chien-Hua Huang
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan.
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
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Chen WJ, Wu CY, Zhang LP, Hou LK, Dong ZW, Huang Y, Xie XF, Xie HK. [Clinicopathological analysis and literature review of four cases of lung transplantation dysfunction]. Zhonghua Bing Li Xue Za Zhi 2024; 53:74-76. [PMID: 38178751 DOI: 10.3760/cma.j.cn112151-20230922-00204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2024]
Affiliation(s)
- W J Chen
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - C Y Wu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - L P Zhang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - L K Hou
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - Z W Dong
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - Y Huang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - X F Xie
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - H K Xie
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
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Wang CH, Lin T, Chen G, Lee MR, Tay J, Wu CY, Wu MC, Roth HR, Yang D, Zhao C, Wang W, Huang CH. Deep Learning-based Diagnosis and Localization of Pneumothorax on Portable Supine Chest X-ray in Intensive and Emergency Medicine: A Retrospective Study. J Med Syst 2023; 48:1. [PMID: 38048012 PMCID: PMC10695857 DOI: 10.1007/s10916-023-02023-1] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Accepted: 11/25/2023] [Indexed: 12/05/2023]
Abstract
PURPOSE To develop two deep learning-based systems for diagnosing and localizing pneumothorax on portable supine chest X-rays (SCXRs). METHODS For this retrospective study, images meeting the following inclusion criteria were included: (1) patient age ≥ 20 years; (2) portable SCXR; (3) imaging obtained in the emergency department or intensive care unit. Included images were temporally split into training (1571 images, between January 2015 and December 2019) and testing (1071 images, between January 2020 to December 2020) datasets. All images were annotated using pixel-level labels. Object detection and image segmentation were adopted to develop separate systems. For the detection-based system, EfficientNet-B2, DneseNet-121, and Inception-v3 were the architecture for the classification model; Deformable DETR, TOOD, and VFNet were the architecture for the localization model. Both classification and localization models of the segmentation-based system shared the UNet architecture. RESULTS In diagnosing pneumothorax, performance was excellent for both detection-based (Area under receiver operating characteristics curve [AUC]: 0.940, 95% confidence interval [CI]: 0.907-0.967) and segmentation-based (AUC: 0.979, 95% CI: 0.963-0.991) systems. For images with both predicted and ground-truth pneumothorax, lesion localization was highly accurate (detection-based Dice coefficient: 0.758, 95% CI: 0.707-0.806; segmentation-based Dice coefficient: 0.681, 95% CI: 0.642-0.721). The performance of the two deep learning-based systems declined as pneumothorax size diminished. Nonetheless, both systems were similar or better than human readers in diagnosis or localization performance across all sizes of pneumothorax. CONCLUSIONS Both deep learning-based systems excelled when tested in a temporally different dataset with differing patient or image characteristics, showing favourable potential for external generalizability.
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Affiliation(s)
- Chih-Hung Wang
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
- Department of Emergency Medicine, National Taiwan University Hospital, No. 7, Zhongshan S. Rd., Taipei, Zhongzheng Dist., 100, Taiwan
| | - Tzuching Lin
- Institute of Applied Mathematical Sciences, National Taiwan University, No. 1, Sec. 4, Roosevelt Rd., Taipei, 106, Taiwan
| | - Guanru Chen
- Institute of Applied Mathematical Sciences, National Taiwan University, No. 1, Sec. 4, Roosevelt Rd., Taipei, 106, Taiwan
| | - Meng-Rui Lee
- Department of internal medicine, National Taiwan University Hospital, Taipei, Taiwan
| | - Joyce Tay
- Department of Emergency Medicine, National Taiwan University Hospital, No. 7, Zhongshan S. Rd., Taipei, Zhongzheng Dist., 100, Taiwan
| | - Cheng-Yi Wu
- Department of Emergency Medicine, National Taiwan University Hospital, No. 7, Zhongshan S. Rd., Taipei, Zhongzheng Dist., 100, Taiwan
| | - Meng-Che Wu
- Department of Emergency Medicine, National Taiwan University Hospital, No. 7, Zhongshan S. Rd., Taipei, Zhongzheng Dist., 100, Taiwan
| | | | | | - Can Zhao
- NVIDIA Corporation, Bethesda, USA
| | - Weichung Wang
- Institute of Applied Mathematical Sciences, National Taiwan University, No. 1, Sec. 4, Roosevelt Rd., Taipei, 106, Taiwan.
| | - Chien-Hua Huang
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
- Department of Emergency Medicine, National Taiwan University Hospital, No. 7, Zhongshan S. Rd., Taipei, Zhongzheng Dist., 100, Taiwan.
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Lien WC, Lin P, Chang CH, Wu MC, Wu CY. The effect of e-learning on point-of-care ultrasound education in novices. Med Educ Online 2023; 28:2152522. [PMID: 36433837 PMCID: PMC9707377 DOI: 10.1080/10872981.2022.2152522] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 11/22/2022] [Accepted: 11/23/2022] [Indexed: 05/30/2023]
Abstract
BACKGROUND Current studies assessed the learning efficacy of e-learning in ultrasound (US) training using questionnaires, or simulation in well-controlled conditions. This study investigates the effect of e-learning on the clinical US performance of the first postgraduate year (PGY-1) residents. METHODS In this prospective observational study, we enrolled PGY-1 and second postgraduate year (PGY-2) residents. The e-learning was introduced on the first day and each PGY-1 was authorized to access the e-learning platform. The point-of-care ultrasound (PoCUS) curriculum for the focused assessment of sonography for trauma (FAST) was conducted on the 7th day for PGY-1 and the objective structured clinical examination (OSCE) followed. The PGY-2 received bedside one-to-one random learning before the study and did not have the authorization to access the e-learning. The FAST examinations performed by the PGY-1 and PGY-2 were collected on the 30th day. The clinical FAST performance was assessed by the instructor not involved in the curriculum and blinded to the use of e-learning, including numbers, image quality, and diagnostic accuracy between PGY-1 e-learning users, non-users, and the PGY-2. RESULTS One hundred and seventy PGY-1 with 736 FAST examinations and 53 PGY-2 residents with 134 examinations were included. Seventy PGY-1 used e-learning with a median time spent of 13.2 mins (IQR, 6.5-21.1 mins) at the first access. The PGY-2 had more PoCUS experience than the PGY-1, however, the 70 e-learning users performed more FAST examinations than the PGY-2 (median [IQR], 4 [2-6] vs. 2 [1-3], p = 0.0004) and had better image quality than the PGY-2 (3 [3-3.2] vs. 3 [2.7-3], p = 0.044). There were no significant differences in the diagnostic accuracy between the PGY-1 and PGY-2. CONCLUSIONS E-learning has a positive effect on US learning. The PGY-1 users had comparable performance with the PGY-2 and even better image acquisition although the PGY-2 had more PoCUS experience. TRIAL REGISTRATION NCT03738033 at ClinicalTrials.gov.
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Affiliation(s)
- Wan-Ching Lien
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Phone Lin
- Department of Computer Science & Information Engineering, National Taiwan University, Taipei, Taiwan
| | - Chih-Heng Chang
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
- Diversion of Critical Care Medicine, Department of Emergency and Critical Care Medicine, Fu-Jen Catholic University Hospital, New Taipei, Taiwan
| | - Meng-Che Wu
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
| | - Cheng-Yi Wu
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
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Li SL, Hou LK, Zhang LP, Huang Y, Zhang W, Wu CY. [Analysis on features of intraoperative pathological diagnosis of bronchial adenoma by frozen section investigation]. Zhonghua Bing Li Xue Za Zhi 2023; 52:1151-1153. [PMID: 37899322 DOI: 10.3760/cma.j.cn112151-20230228-00160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 10/31/2023]
Affiliation(s)
- S L Li
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - L K Hou
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - L P Zhang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - Y Huang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - W Zhang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - C Y Wu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
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Zhao SN, Wu CY, Xie HK. [Advances in pathological study of micropapillary lung adenocarcinoma]. Zhonghua Bing Li Xue Za Zhi 2023; 52:1183-1188. [PMID: 37899333 DOI: 10.3760/cma.j.cn112151-20230508-00317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 10/31/2023]
Affiliation(s)
- S N Zhao
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - C Y Wu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - H K Xie
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
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Xie HK, Wu CY. [Discussion on several issues concerning minimally invasive adenocarcinoma of the lung]. Zhonghua Bing Li Xue Za Zhi 2023; 52:1083-1089. [PMID: 37899312 DOI: 10.3760/cma.j.cn112151-20230513-00333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 10/31/2023]
Affiliation(s)
- H K Xie
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - C Y Wu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
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Cao Z, Aharonian F, An Q, Axikegu, Bai YX, Bao YW, Bastieri D, Bi XJ, Bi YJ, Cai JT, Cao Q, Cao WY, Cao Z, Chang J, Chang JF, Chen AM, Chen ES, Chen L, Chen L, Chen L, Chen MJ, Chen ML, Chen QH, Chen SH, Chen SZ, Chen TL, Chen Y, Cheng N, Cheng YD, Cui MY, Cui SW, Cui XH, Cui YD, Dai BZ, Dai HL, Dai ZG, Danzengluobu, Della Volpe D, Dong XQ, Duan KK, Fan JH, Fan YZ, Fang J, Fang K, Feng CF, Feng L, Feng SH, Feng XT, Feng YL, Gabici S, Gao B, Gao CD, Gao LQ, Gao Q, Gao W, Gao WK, Ge MM, Geng LS, Giacinti G, Gong GH, Gou QB, Gu MH, Guo FL, Guo XL, Guo YQ, Guo YY, Han YA, He HH, He HN, He JY, He XB, He Y, Heller M, Hor YK, Hou BW, Hou C, Hou X, Hu HB, Hu Q, Hu SC, Huang DH, Huang TQ, Huang WJ, Huang XT, Huang XY, Huang Y, Huang ZC, Ji XL, Jia HY, Jia K, Jiang K, Jiang XW, Jiang ZJ, Jin M, Kang MM, Ke T, Kuleshov D, Kurinov K, Li BB, Li C, Li C, Li D, Li F, Li HB, Li HC, Li HY, Li J, Li J, Li J, Li K, Li WL, Li WL, Li XR, Li X, Li YZ, Li Z, Li Z, Liang EW, Liang YF, Lin SJ, Liu B, Liu C, Liu D, Liu H, Liu HD, Liu J, Liu JL, Liu JY, Liu MY, Liu RY, Liu SM, Liu W, Liu Y, Liu YN, Lu R, Luo Q, Lv HK, Ma BQ, Ma LL, Ma XH, Mao JR, Min Z, Mitthumsiri W, Mu HJ, Nan YC, Neronov A, Ou ZW, Pang BY, Pattarakijwanich P, Pei ZY, Qi MY, Qi YQ, Qiao BQ, Qin JJ, Ruffolo D, Sáiz A, Semikoz D, Shao CY, Shao L, Shchegolev O, Sheng XD, Shu FW, Song HC, Stenkin YV, Stepanov V, Su Y, Sun QN, Sun XN, Sun ZB, Tam PHT, Tang QW, Tang ZB, Tian WW, Wang C, Wang CB, Wang GW, Wang HG, Wang HH, Wang JC, Wang K, Wang LP, Wang LY, Wang PH, Wang R, Wang W, Wang XG, Wang XY, Wang Y, Wang YD, Wang YJ, Wang ZH, Wang ZX, Wang Z, Wang Z, Wei DM, Wei JJ, Wei YJ, Wen T, Wu CY, Wu HR, Wu S, Wu XF, Wu YS, Xi SQ, Xia J, Xia JJ, Xiang GM, Xiao DX, Xiao G, Xin GG, Xin YL, Xing Y, Xiong Z, Xu DL, Xu RF, Xu RX, Xu WL, Xue L, Yan DH, Yan JZ, Yan T, Yang CW, Yang F, Yang FF, Yang HW, Yang JY, Yang LL, Yang MJ, Yang RZ, Yang SB, Yao YH, Yao ZG, Ye YM, Yin LQ, Yin N, You XH, You ZY, Yu YH, Yuan Q, Yue H, Zeng HD, Zeng TX, Zeng W, Zha M, Zhang BB, Zhang F, Zhang HM, Zhang HY, Zhang JL, Zhang LX, Zhang L, Zhang PF, Zhang PP, Zhang R, Zhang SB, Zhang SR, Zhang SS, Zhang X, Zhang XP, Zhang YF, Zhang Y, Zhang Y, Zhao B, Zhao J, Zhao L, Zhao LZ, Zhao SP, Zheng F, Zhou B, Zhou H, Zhou JN, Zhou M, Zhou P, Zhou R, Zhou XX, Zhu CG, Zhu FR, Zhu H, Zhu KJ, Zuo X. Measurement of Ultra-High-Energy Diffuse Gamma-Ray Emission of the Galactic Plane from 10 TeV to 1 PeV with LHAASO-KM2A. Phys Rev Lett 2023; 131:151001. [PMID: 37897763 DOI: 10.1103/physrevlett.131.151001] [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] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Revised: 07/08/2023] [Accepted: 08/18/2023] [Indexed: 10/30/2023]
Abstract
The diffuse Galactic γ-ray emission, mainly produced via interactions between cosmic rays and the interstellar medium and/or radiation field, is a very important probe of the distribution, propagation, and interaction of cosmic rays in the Milky Way. In this Letter, we report the measurements of diffuse γ rays from the Galactic plane between 10 TeV and 1 PeV energies, with the square kilometer array of the Large High Altitude Air Shower Observatory (LHAASO). Diffuse emissions from the inner (15°10 TeV). The energy spectrum in the inner Galaxy regions can be described by a power-law function with an index of -2.99±0.04, which is different from the curved spectrum as expected from hadronic interactions between locally measured cosmic rays and the line-of-sight integrated gas content. Furthermore, the measured flux is higher by a factor of ∼3 than the prediction. A similar spectrum with an index of -2.99±0.07 is found in the outer Galaxy region, and the absolute flux for 10≲E≲60 TeV is again higher than the prediction for hadronic cosmic ray interactions. The latitude distributions of the diffuse emission are consistent with the gas distribution, while the longitude distributions show clear deviation from the gas distribution. The LHAASO measurements imply that either additional emission sources exist or cosmic ray intensities have spatial variations.
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Affiliation(s)
- Zhen Cao
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - F Aharonian
- Dublin Institute for Advanced Studies, 31 Fitzwilliam Place, 2 Dublin, Ireland
- Max-Planck-Institut for Nuclear Physics, P.O. Box 103980, 69029 Heidelberg, Germany
| | - Q An
- State Key Laboratory of Particle Detection and Electronics, 230026 Hefei, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - Axikegu
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Y X Bai
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y W Bao
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - D Bastieri
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - X J Bi
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y J Bi
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - J T Cai
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - Q Cao
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - W Y Cao
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - Zhe Cao
- State Key Laboratory of Particle Detection and Electronics, 230026 Hefei, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - J Chang
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J F Chang
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 230026 Hefei, China
| | - A M Chen
- Tsung-Dao Lee Institute & School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - E S Chen
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Liang Chen
- Key Laboratory for Research in Galaxies and Cosmology, Shanghai Astronomical Observatory, Chinese Academy of Sciences, 200030 Shanghai, China
| | - Lin Chen
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Long Chen
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - M J Chen
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - M L Chen
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 230026 Hefei, China
| | - Q H Chen
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - S H Chen
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - S Z Chen
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - T L Chen
- Key Laboratory of Cosmic Rays (Tibet University), Ministry of Education, 850000 Lhasa, Tibet, China
| | - Y Chen
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - N Cheng
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y D Cheng
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - M Y Cui
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - S W Cui
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - X H Cui
- National Astronomical Observatories, Chinese Academy of Sciences, 100101 Beijing, China
| | - Y D Cui
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - B Z Dai
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - H L Dai
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 230026 Hefei, China
| | - Z G Dai
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - Danzengluobu
- Key Laboratory of Cosmic Rays (Tibet University), Ministry of Education, 850000 Lhasa, Tibet, China
| | - D Della Volpe
- Département de Physique Nucléaire et Corpusculaire, Faculté de Sciences, Université de Genève, 24 Quai Ernest Ansermet, 1211 Geneva, Switzerland
| | - X Q Dong
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - K K Duan
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J H Fan
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - Y Z Fan
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J Fang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - K Fang
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - C F Feng
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - L Feng
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - S H Feng
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - X T Feng
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - Y L Feng
- Key Laboratory of Cosmic Rays (Tibet University), Ministry of Education, 850000 Lhasa, Tibet, China
| | - S Gabici
- APC, Université Paris Cité, CNRS/IN2P3, CEA/IRFU, Observatoire de Paris, 119 75205 Paris, France
| | - B Gao
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - C D Gao
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - L Q Gao
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Q Gao
- Key Laboratory of Cosmic Rays (Tibet University), Ministry of Education, 850000 Lhasa, Tibet, China
| | - W Gao
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - W K Gao
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - M M Ge
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - L S Geng
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - G Giacinti
- Tsung-Dao Lee Institute & School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - G H Gong
- Department of Engineering Physics, Tsinghua University, 100084 Beijing, China
| | - Q B Gou
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - M H Gu
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 230026 Hefei, China
| | - F L Guo
- Key Laboratory for Research in Galaxies and Cosmology, Shanghai Astronomical Observatory, Chinese Academy of Sciences, 200030 Shanghai, China
| | - X L Guo
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Y Q Guo
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y Y Guo
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Y A Han
- School of Physics and Microelectronics, Zhengzhou University, 450001 Zhengzhou, Henan, China
| | - H H He
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - H N He
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J Y He
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - X B He
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - Y He
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - M Heller
- Département de Physique Nucléaire et Corpusculaire, Faculté de Sciences, Université de Genève, 24 Quai Ernest Ansermet, 1211 Geneva, Switzerland
| | - Y K Hor
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - B W Hou
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - C Hou
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - X Hou
- Yunnan Observatories, Chinese Academy of Sciences, 650216 Kunming, Yunnan, China
| | - H B Hu
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Q Hu
- University of Science and Technology of China, 230026 Hefei, Anhui, China
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - S C Hu
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - D H Huang
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - T Q Huang
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - W J Huang
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - X T Huang
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - X Y Huang
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Y Huang
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Z C Huang
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - X L Ji
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 230026 Hefei, China
| | - H Y Jia
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - K Jia
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - K Jiang
- State Key Laboratory of Particle Detection and Electronics, 230026 Hefei, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - X W Jiang
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Z J Jiang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - M Jin
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - M M Kang
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - T Ke
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - D Kuleshov
- Institute for Nuclear Research of Russian Academy of Sciences, 117312 Moscow, Russia
| | - K Kurinov
- Institute for Nuclear Research of Russian Academy of Sciences, 117312 Moscow, Russia
| | - B B Li
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - Cheng Li
- State Key Laboratory of Particle Detection and Electronics, 230026 Hefei, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - Cong Li
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - D Li
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - F Li
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 230026 Hefei, China
| | - H B Li
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - H C Li
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - H Y Li
- University of Science and Technology of China, 230026 Hefei, Anhui, China
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J Li
- University of Science and Technology of China, 230026 Hefei, Anhui, China
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Jian Li
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - Jie Li
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 230026 Hefei, China
| | - K Li
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - W L Li
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - W L Li
- Tsung-Dao Lee Institute & School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - X R Li
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Xin Li
- State Key Laboratory of Particle Detection and Electronics, 230026 Hefei, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - Y Z Li
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Zhe Li
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Zhuo Li
- School of Physics, Peking University, 100871 Beijing, China
| | - E W Liang
- School of Physical Science and Technology, Guangxi University, 530004 Nanning, Guangxi, China
| | - Y F Liang
- School of Physical Science and Technology, Guangxi University, 530004 Nanning, Guangxi, China
| | - S J Lin
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - B Liu
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - C Liu
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - D Liu
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - H Liu
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - H D Liu
- School of Physics and Microelectronics, Zhengzhou University, 450001 Zhengzhou, Henan, China
| | - J Liu
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - J L Liu
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - J Y Liu
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - M Y Liu
- Key Laboratory of Cosmic Rays (Tibet University), Ministry of Education, 850000 Lhasa, Tibet, China
| | - R Y Liu
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - S M Liu
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - W Liu
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y Liu
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - Y N Liu
- Department of Engineering Physics, Tsinghua University, 100084 Beijing, China
| | - R Lu
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - Q Luo
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - H K Lv
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - B Q Ma
- School of Physics, Peking University, 100871 Beijing, China
| | - L L Ma
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - X H Ma
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - J R Mao
- Yunnan Observatories, Chinese Academy of Sciences, 650216 Kunming, Yunnan, China
| | - Z Min
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - W Mitthumsiri
- Department of Physics, Faculty of Science, Mahidol University, 10400 Bangkok, Thailand
| | - H J Mu
- School of Physics and Microelectronics, Zhengzhou University, 450001 Zhengzhou, Henan, China
| | - Y C Nan
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - A Neronov
- APC, Université Paris Cité, CNRS/IN2P3, CEA/IRFU, Observatoire de Paris, 119 75205 Paris, France
| | - Z W Ou
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - B Y Pang
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - P Pattarakijwanich
- Department of Physics, Faculty of Science, Mahidol University, 10400 Bangkok, Thailand
| | - Z Y Pei
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - M Y Qi
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y Q Qi
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - B Q Qiao
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - J J Qin
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - D Ruffolo
- Department of Physics, Faculty of Science, Mahidol University, 10400 Bangkok, Thailand
| | - A Sáiz
- Department of Physics, Faculty of Science, Mahidol University, 10400 Bangkok, Thailand
| | - D Semikoz
- APC, Université Paris Cité, CNRS/IN2P3, CEA/IRFU, Observatoire de Paris, 119 75205 Paris, France
| | - C Y Shao
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - L Shao
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - O Shchegolev
- Institute for Nuclear Research of Russian Academy of Sciences, 117312 Moscow, Russia
- Moscow Institute of Physics and Technology, 141700 Moscow, Russia
| | - X D Sheng
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - F W Shu
- Center for Relativistic Astrophysics and High Energy Physics, School of Physics and Materials Science & Institute of Space Science and Technology, Nanchang University, 330031 Nanchang, Jiangxi, China
| | - H C Song
- School of Physics, Peking University, 100871 Beijing, China
| | - Yu V Stenkin
- Institute for Nuclear Research of Russian Academy of Sciences, 117312 Moscow, Russia
- Moscow Institute of Physics and Technology, 141700 Moscow, Russia
| | - V Stepanov
- Institute for Nuclear Research of Russian Academy of Sciences, 117312 Moscow, Russia
| | - Y Su
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Q N Sun
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - X N Sun
- School of Physical Science and Technology, Guangxi University, 530004 Nanning, Guangxi, China
| | - Z B Sun
- National Space Science Center, Chinese Academy of Sciences, 100190 Beijing, China
| | - P H T Tam
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - Q W Tang
- Center for Relativistic Astrophysics and High Energy Physics, School of Physics and Materials Science & Institute of Space Science and Technology, Nanchang University, 330031 Nanchang, Jiangxi, China
| | - Z B Tang
- State Key Laboratory of Particle Detection and Electronics, 230026 Hefei, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - W W Tian
- University of Chinese Academy of Sciences, 100049 Beijing, China
- National Astronomical Observatories, Chinese Academy of Sciences, 100101 Beijing, China
| | - C Wang
- National Space Science Center, Chinese Academy of Sciences, 100190 Beijing, China
| | - C B Wang
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - G W Wang
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - H G Wang
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - H H Wang
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - J C Wang
- Yunnan Observatories, Chinese Academy of Sciences, 650216 Kunming, Yunnan, China
| | - K Wang
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - L P Wang
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - L Y Wang
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - P H Wang
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - R Wang
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - W Wang
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - X G Wang
- School of Physical Science and Technology, Guangxi University, 530004 Nanning, Guangxi, China
| | - X Y Wang
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - Y Wang
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Y D Wang
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y J Wang
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Z H Wang
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - Z X Wang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - Zhen Wang
- Tsung-Dao Lee Institute & School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - Zheng Wang
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 230026 Hefei, China
| | - D M Wei
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J J Wei
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Y J Wei
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - T Wen
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - C Y Wu
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - H R Wu
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - S Wu
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - X F Wu
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Y S Wu
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - S Q Xi
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - J Xia
- University of Science and Technology of China, 230026 Hefei, Anhui, China
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J J Xia
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - G M Xiang
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Key Laboratory for Research in Galaxies and Cosmology, Shanghai Astronomical Observatory, Chinese Academy of Sciences, 200030 Shanghai, China
| | - D X Xiao
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - G Xiao
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - G G Xin
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y L Xin
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Y Xing
- Key Laboratory for Research in Galaxies and Cosmology, Shanghai Astronomical Observatory, Chinese Academy of Sciences, 200030 Shanghai, China
| | - Z Xiong
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - D L Xu
- Tsung-Dao Lee Institute & School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - R F Xu
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - R X Xu
- School of Physics, Peking University, 100871 Beijing, China
| | - W L Xu
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - L Xue
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - D H Yan
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - J Z Yan
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - T Yan
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - C W Yang
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - F Yang
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - F F Yang
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 230026 Hefei, China
| | - H W Yang
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - J Y Yang
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - L L Yang
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - M J Yang
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - R Z Yang
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - S B Yang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - Y H Yao
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - Z G Yao
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y M Ye
- Department of Engineering Physics, Tsinghua University, 100084 Beijing, China
| | - L Q Yin
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - N Yin
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - X H You
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Z Y You
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y H Yu
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - Q Yuan
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - H Yue
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - H D Zeng
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - T X Zeng
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 230026 Hefei, China
| | - W Zeng
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - M Zha
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - B B Zhang
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - F Zhang
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - H M Zhang
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - H Y Zhang
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - J L Zhang
- National Astronomical Observatories, Chinese Academy of Sciences, 100101 Beijing, China
| | - L X Zhang
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - Li Zhang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - P F Zhang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - P P Zhang
- University of Science and Technology of China, 230026 Hefei, Anhui, China
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - R Zhang
- University of Science and Technology of China, 230026 Hefei, Anhui, China
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - S B Zhang
- University of Chinese Academy of Sciences, 100049 Beijing, China
- National Astronomical Observatories, Chinese Academy of Sciences, 100101 Beijing, China
| | - S R Zhang
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - S S Zhang
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - X Zhang
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - X P Zhang
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y F Zhang
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Yi Zhang
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Yong Zhang
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - B Zhao
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - J Zhao
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - L Zhao
- State Key Laboratory of Particle Detection and Electronics, 230026 Hefei, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - L Z Zhao
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - S P Zhao
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - F Zheng
- National Space Science Center, Chinese Academy of Sciences, 100190 Beijing, China
| | - B Zhou
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - H Zhou
- Tsung-Dao Lee Institute & School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - J N Zhou
- Key Laboratory for Research in Galaxies and Cosmology, Shanghai Astronomical Observatory, Chinese Academy of Sciences, 200030 Shanghai, China
| | - M Zhou
- Center for Relativistic Astrophysics and High Energy Physics, School of Physics and Materials Science & Institute of Space Science and Technology, Nanchang University, 330031 Nanchang, Jiangxi, China
| | - P Zhou
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - R Zhou
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - X X Zhou
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - C G Zhu
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - F R Zhu
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - H Zhu
- National Astronomical Observatories, Chinese Academy of Sciences, 100101 Beijing, China
| | - K J Zhu
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 230026 Hefei, China
| | - X Zuo
- Key Laboratory of Particle Astrophyics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
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Wu CY, Li MC, Duan XW, Li HB, Wang YH, Li Q, Luo H, Xu J, Wu LJ, Wang YF, Zhao C, Fang YF, Lin SD, Xu D, Tian XP, Li MT, Zeng XF. [Clinical characteristics of patients with rheumatic diseases and abnormal liver function]. Zhonghua Nei Ke Za Zhi 2023; 62:1102-1113. [PMID: 37650184 DOI: 10.3760/cma.j.cn112138-20220909-00669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Abstract
Objective: To investigate the clinical characteristics of patients with rheumatic diseases and abnormal liver function, as well as determine the proportion and severity of liver function abnormalities. Methods: Cross-sectional study. Data were collected from patients registered in the Chinese Rheumatism Date Center from 2011 to 2021. The rheumatic diseases analyzed in this study were rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), Sjogren syndrome (SS), ankylosing spondylitis (AS), and gout. Patient data, including demographic characteristics [ such as age, sex, body mass index,(BMI), and smoking history], liver function test results [including alanine aminotransferase (ALT), aspartate aminotransferase, alkaline phosphatase(ALP), and total bilirubin], and use of anti-rheumatic immune drugs and liver-protective drugs, were collected and compared between groups with normal and abnormal liver functions. In addition, the proportions of abnormal liver function were compared between sex and age groups. Results: A total of 116 308 patients were included in this study, including 49 659 with RA, 17 597 with SLE, 9 039 with SS, 11 321 with AS, and 28 692 with gout. The lowest proportion of liver function abnormalities was observed in patients with RA[11.02% (5 470/49 659)], followed by those with SS[17.97% (1 624/9 039)] and AS [18.22% (2 063/11 321) ], whereas patients with SLE [21.14% (3 720/17 597) ] and gout [28.73% (8 242/28 692)] exhibited the highest proportion of these abnormalities. Elevated ALT, mostly classified as grade 1, was the most commonly noted liver function abnormality, whereas elevated ALP was the least common. Some patients who took liver-protective drugs had normal liver function, with the lowest percentage observed in patients with gout [7.45% (36/483) ] and ranging from 21.7% to 30.34% in patients with RA, SLE, SS, and AS. The proportion of liver function abnormalities was higher in males than in females for all disease types [RA: 13.8%(1 368/9 906) vs. 10.3%(4 102/39 753); SLE: 33.6% (479/1 424) vs. 20.0% (3 241/16 173); SS: 25.4%(111/437) vs. 17.6%(1 513/8 602); AS: 20.1%(1 629/8 119) vs. 13.6% (434/3 202); and gout: 29.3% (8 033/27 394) vs. 16.1% (209/1 298)]. In RA, SLE, and AS, the proportions of liver function abnormalities were similar across all age groups. In SS, the proportion of liver function abnormalities increased with age [<40 years: 14.9%(294/1 979); 40-59 years: 18.1%(858/4 741); ≥60 years: 20.4%(472/2 319)], whereas a reversal of this trend was observed in gout [<40 years: 34.9%(4 294/12 320); 40-59 years: 25.5%(2 905/11 398);≥60 years: 21.0%(1 042/4 971)]. Conclusions: The proportions of combined liver function abnormalities in patients with rheumatologic diseases were high, and the utilization rates of liver-protective drugs were low. It is necessary to pay more attention to monitoring patients' liver function, timely administer liver-protective drugs, and optimize liver-protective regimens during the treatment of rheumatic diseases.
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Affiliation(s)
- C Y Wu
- Department of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital,Peking Union Medical College, Chinese Academy of Medical Sciences, National Clinical Research Center for Dermatologic and Immunologic Diseases, Ministry of Science & Technology, State Key Laboratory of Complex Severe and Rare Diseases, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing 100730, China
| | - M C Li
- Department of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital,Peking Union Medical College, Chinese Academy of Medical Sciences, National Clinical Research Center for Dermatologic and Immunologic Diseases, Ministry of Science & Technology, State Key Laboratory of Complex Severe and Rare Diseases, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing 100730, China
| | - X W Duan
- Department of Rheumatology and Immunology, the Second Affiliated Hospital of Nanchang University, Nanchang 330006, China
| | - H B Li
- Department of Rheumatology and Immunology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 028000, China
| | - Y H Wang
- Department of Epidemiology and Biostatistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medicine, Peking Union Medical College, Beijing 100005, China
| | - Q Li
- Department of Rheumatology and Immunology, the First People's Hospital of Yunnan Province, Kunming 650032, China
| | - H Luo
- Department of Rheumatology and Immunology, Xiangya Hospital, Central South University, Changsha 410008, China
| | - J Xu
- Department of Rheumatology and Immunology, First Affiliated Hospital of Kunming Medical University, Kunming 650032, China
| | - L J Wu
- Department of Rheumatology and Clinical Immunology, People's Hospital of Xinjiang Uygur Autonomous Region, Xinjiang Clinical Research Center for Rheumatoid Arthritis, Urumuqi 830001, China
| | - Y F Wang
- Department of Rheumatology and Immunology, the First Affiliated Hospital of Baotou Medical College, Science and Technology University of Inner Mongolia, Baotou 014010, China
| | - C Zhao
- Department of Rheumatology and Clinical Immunology, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
| | - Y F Fang
- Department of Rheumatology and Clinical Immunology, the Southwest Hospital of Army Medical University, Chongqing 400038, China
| | - S D Lin
- Department of Rheumatology and Clinical Immunology, Hainan General Hospital, Haikou 570311, China
| | - D Xu
- Department of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital,Peking Union Medical College, Chinese Academy of Medical Sciences, National Clinical Research Center for Dermatologic and Immunologic Diseases, Ministry of Science & Technology, State Key Laboratory of Complex Severe and Rare Diseases, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing 100730, China
| | - X P Tian
- Department of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital,Peking Union Medical College, Chinese Academy of Medical Sciences, National Clinical Research Center for Dermatologic and Immunologic Diseases, Ministry of Science & Technology, State Key Laboratory of Complex Severe and Rare Diseases, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing 100730, China
| | - M T Li
- Department of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital,Peking Union Medical College, Chinese Academy of Medical Sciences, National Clinical Research Center for Dermatologic and Immunologic Diseases, Ministry of Science & Technology, State Key Laboratory of Complex Severe and Rare Diseases, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing 100730, China
| | - X F Zeng
- Department of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital,Peking Union Medical College, Chinese Academy of Medical Sciences, National Clinical Research Center for Dermatologic and Immunologic Diseases, Ministry of Science & Technology, State Key Laboratory of Complex Severe and Rare Diseases, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing 100730, China
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14
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Lin CH, Yen YS, Wu CY. Ultrasound-guided nerve hydrodissection of cervical nerve roots for cervical radicular pain in patients with mild and moderate to severe stenosis: a retrospective cohort study. Sci Rep 2023; 13:13817. [PMID: 37620404 PMCID: PMC10449834 DOI: 10.1038/s41598-023-40376-2] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Accepted: 08/09/2023] [Indexed: 08/26/2023] Open
Abstract
Because fascial entrapment neuropathy can occur in multiple locations, ultrasound-guided nerve hydrodissection has become a key component of the treatment of cervical radicular pain. In this paper, we propose a combination of injectates used for nerve hydrodissection of the cervical nerve roots and compare the clinical outcomes of this treatment among patients with different severities of stenosis. This is a retrospective cohort study designed to compare outcomes between patients with mild stenosis and moderate to severe stenosis. Forty-four patients with mild cervical stenosis and 30 patients with moderate to severe cervical stenosis were consecutively enrolled into two groups. A 10-mL mixture in a single level consisting of 5% in Dextrose, 0.2% lidocaine (Xylocaine), and 4 mg betamethasone (Rinderon) was used for nerve roots hydrodissection. The two groups were compared with regard to their numeric rating scales (NRS) of pain, proportion of patients who exhibited a favorable outcome (a reduction of pain ≥ 50%), duration of patient exhibited a favorable outcome, and occurrence of serious complications and minor side effects. The follow-up period ranged from 3 to 20 months. The NRS of both groups improved significantly by 1 week, 1 month, 3 months, and final follow-up after the initial injection. Differences in the groups' NRS, proportion of patients who exhibited a favorable outcome, duration of patient exhibited a favorable outcome, and occurrence of serious complications and minor side effects were nonsignificant. There were 4 patients (5.4%) experienced dizziness in that resolved without further treatment. Ultrasound-guided nerve hydrodissection of cervical nerve roots is a safe procedure that reduces pain associated with cervical radicular pain, even in patients with moderate to severe stenosis.
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Affiliation(s)
- Chang-Hao Lin
- Department of Orthopaedics, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan
| | - Yun-Shan Yen
- Department of Rehabilitation Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan
| | - Cheng-Yi Wu
- Department of Orthopaedics, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan.
- Department of Nursing, Chung Jen Junior College of Nursing, Health Science and Management, Chiayi, Taiwan.
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15
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Wu CY, Tsai CF, Yang HY. Utilizing a nomogram to predict the one-year postoperative mortality risk for geriatric patients with a hip fracture. Sci Rep 2023; 13:11091. [PMID: 37422577 PMCID: PMC10329653 DOI: 10.1038/s41598-023-38297-1] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Accepted: 07/06/2023] [Indexed: 07/10/2023] Open
Abstract
Despite the abundance of research on the risk factors for mortality following hip fracture surgery, there has been a dearth of studies on prediction models in this population. The objective of this research was to explore the influencing factors and construct a clinical nomogram to predict one-year postoperative mortality in patients with hip fracture surgeries. Using the Ditmanson Research Database (DRD), we included 2333 subjects, aged ≥ 50 years who underwent hip fracture surgery between October, 2008 and August, 2021. The endpoint was all-cause mortality. A least absolute shrinkage and selection operator (LASSO) derived Cox regression was performed to select the independent predictors of one-year postoperative mortality. A nomogram was built for predicting one-year postoperative mortality. The prognostic performance of nomogram was evaluated. On the basis of tertiary points in a nomogram, the patients were divided into low, middle and high risk groups, and compared by the Kaplan-Meier analysis. Within 1 year after hip fracture surgery, 274 patients (11.74%) died. Variables retained in the final model comprised age, sex, length of stay, RBC transfusions, hemoglobin, platelet, and eGFR. The AUC for one-year mortality predictions were 0.717 (95% CI = 0.685-0.749). The Kaplan-Meier curves were significantly different among the three risk groups (p < 0.001). The nomogram showed good calibration. In summary, we explored the one-year postoperative mortality risk in geriatric patients with a hip fracture and developed a prediction model that could help clinicians identify patients at high risk of postoperative mortality.
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Affiliation(s)
- Cheng-Yi Wu
- Department of Orthopedics, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi City, Taiwan
- Osteoporosis Center, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi City, Taiwan
| | - Ching-Fang Tsai
- Department of Medical Research, Clinical Data Center, Ditmanson Medical Foundation Chia-Yi Christian Hospital, No. 539, Zhongxiao Rd., East District, Chiayi City, 60002, Taiwan
| | - Hsin-Yi Yang
- Department of Medical Research, Clinical Data Center, Ditmanson Medical Foundation Chia-Yi Christian Hospital, No. 539, Zhongxiao Rd., East District, Chiayi City, 60002, Taiwan.
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16
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Li SL, Wu CY, Zhang LP, Huang Y, Wu W, Zhang W, Hou LK. [Clinicopathological features and prognosis of SMARCA4-deficient non-small cell lung carcinoma: an analysis of 127 cases]. Zhonghua Bing Li Xue Za Zhi 2023; 52:665-670. [PMID: 37408395 DOI: 10.3760/cma.j.cn112151-20221107-00923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Subscribe] [Scholar Register] [Indexed: 07/07/2023]
Abstract
Objective: To investigate and elucidate the clinicopathological and prognostic characteristics of SMARCA4-deficient non-small cell lung cancer. Methods: The clinicopathological and prognostic data were collected in 127 patients with SMARCA4-deficient non-small cell lung cancer diagnosed in Shanghai Pulmonary Hospital, Shanghai, China from January 2020 to March 2022. The variation and expression of biomarkers related to treatment were retrospectively reviewed. Results: One hundred and twenty-seven patients were eligible for enrollment. Among them 120 patients (94.5%) were male and 7 cases (5.5%) were female, while the average age was 63 years (range 42-80 years). There were 41 cases (32.3%) of stage Ⅰ cancer, 23 cases (18.1%) of stage Ⅱ, 31 cases (24.4%) of stage Ⅲ and 32 cases (25.2%) of stage Ⅳ. SMARCA4 expression detected by immunohistochemistry was completely absent in 117 cases (92.1%) and partially absent in 10 cases (7.9%). PD-L1 immunohistochemical analyses were performed on 107 cases. PD-L1 was negative, weakly positive and strongly positive in 49.5% (53/107), 26.2% (28/107) and 24.3% (26/107) of the cases, respectively. Twenty-one cases showed gene alterations (21/104, 20.2%). The KRAS gene alternation (n=10) was most common. Mutant-type SMARCA4-deficient non-small cell lung cancer was more commonly detected in females, and was associated with positive lymph nodes and advanced clinical stage (P<0.01). Univariate survival analysis showed that advanced clinical stage was a poor prognosis factor, and vascular invasion was a poor predictor of progression-free survival in patients with surgical resection. Conclusions: SMARCA4-deficient non-small cell lung cancer is a rare tumor with poor prognosis, and often occurs in elderly male patients. However, SMARCA4-deficient non-small cell lung cancers with gene mutations are often seen in female patients. Vascular invasion is a prognostic factor for disease progression or recurrence in patients with resectable tumor. Early detection and access to treatment are important for improving patient survivals.
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Affiliation(s)
- S L Li
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - C Y Wu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - L P Zhang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - Y Huang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - W Wu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - W Zhang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - L K Hou
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
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17
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Lin JL, Wu CY, Hou LK, Huang Y, Xie HK, Wu W, Zhang LP. [Clinicopathological and molecular genetic features of primary pulmonary epithelial- myoepithelial carcinoma]. Zhonghua Bing Li Xue Za Zhi 2023; 52:715-717. [PMID: 37408403 DOI: 10.3760/cma.j.cn112151-20230323-00219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 07/07/2023]
Affiliation(s)
- J L Lin
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - C Y Wu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - L K Hou
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - Y Huang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - H K Xie
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - W Wu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - L P Zhang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
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18
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Huang CY, Lu TC, Tsai CL, Wu CY, Chou E, Wang CH, Tsai MS, Chang WT, Huang CH, Chen WJ. Using point-of-care testing for adult patients with out-of-hospital cardiac arrest resuscitated at the emergency department to predict return of spontaneous circulation: Development and external validation of POC-ED-ROSC model. Am J Emerg Med 2023; 71:86-94. [PMID: 37354894 DOI: 10.1016/j.ajem.2023.06.022] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 05/25/2023] [Accepted: 06/11/2023] [Indexed: 06/26/2023] Open
Abstract
BACKGROUND AND IMPORTANCE Most prediction models, like return of spontaneous circulation (ROSC) after cardiac arrest (RACA) or Utstein-based (UB)-ROSC score, were developed for prehospital settings to predict the probability of ROSC in patients with out-of-hospital cardiac arrest (OHCA). A prediction model has been lacking for the probability of ROSC in patients with OHCA at emergency departments (EDs). OBJECTIVE In the present study, a point-of-care (POC) testing-based model, POC-ED-ROSC, was developed and validated for predicting ROSC of OHCA at EDs. DESIGN, SETTINGS AND PARTICIPANTS Prospectively collected data for adult OHCA patients between 2015 and 2020 were analysed. POC blood gas analysis obtained within 5 min of ED arrival was used. OUTCOMES MEASURE AND ANALYSIS The primary outcome was ROSC. In the derivation cohort, multivariable logistic regression was used to develop the POC-ED-ROSC model. In the temporally split validation cohort, the discriminative performance of the POC-ED-ROSC model was assessed using the area under the receiver operating characteristic (ROC) curve (AUC) and compared with RACA or UB-ROSC score using DeLong test. MAIN RESULTS The study included 606 and 270 patients in the derivation and validation cohorts, respectively. In the total cohort, 471 patients achieved ROSC. Age, initial cardiac rhythm at ED, pre-hospital resuscitation duration, and POC testing-measured blood levels of lactate, potassium and glucose were significant predictors included in the POC-ED-ROSC model. The model was validated with fair discriminative performance (AUC: 0.75, 95% confidence interval [CI]: 0.69-0.81) with no significant differences from RACA (AUC: 0.68, 95% CI: 0.62-0.74) or UB-ROSC score (AUC: 0.74, 95% CI: 0.68-0.79). CONCLUSION Using only six easily accessible variables, the POC-ED-ROSC model can predict ROSC for OHCA resuscitated at ED with fair accuracy.
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Affiliation(s)
- Chun-Yen Huang
- Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan
| | - Tsung-Chien Lu
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan; Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
| | - Chu-Lin Tsai
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan; Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
| | - Cheng-Yi Wu
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
| | - Eric Chou
- Department of Emergency Medicine, Baylor Scott and White All Saints Medical Center, Fort Worth, TX, USA; Department of Emergency Medicine, Baylor University Medical Center, Dallas, TX, USA
| | - Chih-Hung Wang
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan; Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
| | - Min-Shan Tsai
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan; Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Wei-Tien Chang
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan; Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
| | - Chien-Hua Huang
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan; Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
| | - Wen-Jone Chen
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan; Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan; Division of Cardiology, Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
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19
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Cao Z, Aharonian F, An Q, Bai LX, Bai YX, Bao YW, Bastieri D, Bi XJ, Bi YJ, Cai JT, Cao Q, Cao WY, Cao Z, Chang J, Chang JF, Chen ES, Chen L, Chen L, Chen L, Chen MJ, Chen ML, Chen QH, Chen SH, Chen SZ, Chen TL, Chen Y, Cheng HL, Cheng N, Cheng YD, Cui SW, Cui XH, Cui YD, Dai BZ, Dai HL, Dai ZG, Della Volpe D, Dong XQ, Duan KK, Fan JH, Fan YZ, Fang J, Fang K, Feng CF, Feng L, Feng SH, Feng XT, Feng YL, Gao B, Gao CD, Gao LQ, Gao Q, Gao W, Gao WK, Ge MM, Geng LS, Gong GH, Gou QB, Gu MH, Guo FL, Guo XL, Guo YQ, Guo YY, Han YA, He HH, He HN, He JY, He XB, He Y, Heller M, Hor YK, Hou BW, Hou C, Hou X, Hu HB, Hu Q, Hu SC, Huang DH, Huang TQ, Huang WJ, Huang XT, Huang XY, Huang Y, Huang ZC, Ji XL, Jia HY, Jia K, Jiang K, Jiang XW, Jiang ZJ, Jin M, Kang MM, Ke T, Kuleshov D, Kurinov K, Li BB, Li C, Li C, Li D, Li F, Li HB, Li HC, Li HY, Li J, Li J, Li J, Li K, Li WL, Li WL, Li XR, Li X, Li YZ, Li Z, Li Z, Liang EW, Liang YF, Lin SJ, Liu B, Liu C, Liu D, Liu H, Liu HD, Liu J, Liu JL, Liu JL, Liu JS, Liu JY, Liu MY, Liu RY, Liu SM, Liu W, Liu Y, Liu YN, Long WJ, Lu R, Luo Q, Lv HK, Ma BQ, Ma LL, Ma XH, Mao JR, Min Z, Mitthumsiri W, Nan YC, Ou ZW, Pang BY, Pattarakijwanich P, Pei ZY, Qi MY, Qi YQ, Qiao BQ, Qin JJ, Ruffolo D, Sáiz A, Shao CY, Shao L, Shchegolev O, Sheng XD, Song HC, Stenkin YV, Stepanov V, Su Y, Sun QN, Sun XN, Sun ZB, Tam PHT, Tang ZB, Tian WW, Wang C, Wang CB, Wang GW, Wang HG, Wang HH, Wang JC, Wang JS, Wang K, Wang LP, Wang LY, Wang PH, Wang R, Wang W, Wang XG, Wang XY, Wang Y, Wang YD, Wang YJ, Wang ZH, Wang ZX, Wang Z, Wang Z, Wei DM, Wei JJ, Wei YJ, Wen T, Wu CY, Wu HR, Wu S, Wu XF, Wu YS, Xi SQ, Xia J, Xia JJ, Xiang GM, Xiao DX, Xiao G, Xin GG, Xin YL, Xing Y, Xiong Z, Xu DL, Xu RF, Xu RX, Xue L, Yan DH, Yan JZ, Yan T, Yang CW, Yang F, Yang FF, Yang HW, Yang JY, Yang LL, Yang MJ, Yang RZ, Yang SB, Yao YH, Yao ZG, Ye YM, Yin LQ, Yin N, You XH, You ZY, Yu YH, Yuan Q, Yue H, Zeng HD, Zeng TX, Zeng W, Zeng ZK, Zha M, Zhang B, Zhang BB, Zhang F, Zhang HM, Zhang HY, Zhang JL, Zhang LX, Zhang L, Zhang PF, Zhang PP, Zhang R, Zhang SB, Zhang SR, Zhang SS, Zhang X, Zhang XP, Zhang YF, Zhang Y, Zhang Y, Zhao B, Zhao J, Zhao L, Zhao LZ, Zhao SP, Zheng F, Zheng JH, Zhou B, Zhou H, Zhou JN, Zhou P, Zhou R, Zhou XX, Zhu CG, Zhu FR, Zhu H, Zhu KJ, Zuo X. A tera-electron volt afterglow from a narrow jet in an extremely bright gamma-ray burst. Science 2023:eadg9328. [PMID: 37289911 DOI: 10.1126/science.adg9328] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Accepted: 05/25/2023] [Indexed: 06/10/2023]
Abstract
Some gamma-ray bursts (GRBs) have a tera-electron volt (TeV) afterglow, but the early onset of this has not been observed. We report observations with the Large High Altitude Air Shower Observatory of the bright GRB 221009A, which serendipitously occurred within the instrument field of view. More than 64,000 photons >0.2 TeV were detected within the first 3000 seconds. The TeV flux began several minutes after the GRB trigger, then rose to a peak about 10 seconds later. This was followed by a decay phase, which became more rapid ~650 seconds after the peak. We interpret the emission using a model of a relativistic jet with half-opening angle ~0.8°. This is consistent with the core of a structured jet and could explain the high isotropic energy of this GRB.
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Affiliation(s)
- Zhen Cao
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - F Aharonian
- Dublin Institute for Advanced Studies, 31 Fitzwilliam Place, 2 Dublin, Ireland
- Max-Planck-Institute for Nuclear Physics, P.O. Box 103980, 69029 Heidelberg, Germany
| | - Q An
- State Key Laboratory of Particle Detection and Electronics, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - L X Bai
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - Y X Bai
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y W Bao
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
- Key Laboratory of Modern Astronomy and Astrophysics (Nanjing University), Ministry of Education, Nanjing 210023, China
| | - D Bastieri
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - X J Bi
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y J Bi
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - J T Cai
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - Q Cao
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - W Y Cao
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - Zhe Cao
- State Key Laboratory of Particle Detection and Electronics, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - J Chang
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J F Chang
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - E S Chen
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Liang Chen
- Key Laboratory for Research in Galaxies and Cosmology, Shanghai Astronomical Observatory, Chinese Academy of Sciences, 200030 Shanghai, China
| | - Lin Chen
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Long Chen
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - M J Chen
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - M L Chen
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - Q H Chen
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - S H Chen
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - S Z Chen
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - T L Chen
- Key Laboratory of Cosmic Rays (Tibet University), Ministry of Education, 850000 Lhasa, Tibet, China
| | - Y Chen
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
- Key Laboratory of Modern Astronomy and Astrophysics (Nanjing University), Ministry of Education, Nanjing 210023, China
| | - H L Cheng
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Key Laboratory of Cosmic Rays (Tibet University), Ministry of Education, 850000 Lhasa, Tibet, China
- National Astronomical Observatories, Chinese Academy of Sciences, 100101 Beijing, China
| | - N Cheng
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y D Cheng
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - S W Cui
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - X H Cui
- National Astronomical Observatories, Chinese Academy of Sciences, 100101 Beijing, China
| | - Y D Cui
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - B Z Dai
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - H L Dai
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - Z G Dai
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - D Della Volpe
- Département de Physique Nucléaire et Corpusculaire, Faculté de Sciences, Université de Genève, 24 Quai Ernest Ansermet, 1211 Geneva, Switzerland
| | - X Q Dong
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - K K Duan
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J H Fan
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - Y Z Fan
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J Fang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - K Fang
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - C F Feng
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - L Feng
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - S H Feng
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - X T Feng
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - Y L Feng
- Key Laboratory of Cosmic Rays (Tibet University), Ministry of Education, 850000 Lhasa, Tibet, China
| | - B Gao
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - C D Gao
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - L Q Gao
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Q Gao
- Key Laboratory of Cosmic Rays (Tibet University), Ministry of Education, 850000 Lhasa, Tibet, China
| | - W Gao
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - W K Gao
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - M M Ge
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - L S Geng
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - G H Gong
- Department of Engineering Physics, Tsinghua University, 100084 Beijing, China
| | - Q B Gou
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - M H Gu
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - F L Guo
- Key Laboratory for Research in Galaxies and Cosmology, Shanghai Astronomical Observatory, Chinese Academy of Sciences, 200030 Shanghai, China
| | - X L Guo
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Y Q Guo
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y Y Guo
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Y A Han
- School of Physics and Microelectronics, Zhengzhou University, 450001 Zhengzhou, Henan, China
| | - H H He
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - H N He
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J Y He
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - X B He
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - Y He
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - M Heller
- Département de Physique Nucléaire et Corpusculaire, Faculté de Sciences, Université de Genève, 24 Quai Ernest Ansermet, 1211 Geneva, Switzerland
| | - Y K Hor
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - B W Hou
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - C Hou
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - X Hou
- Yunnan Observatories, Chinese Academy of Sciences, 650216 Kunming, Yunnan, China
| | - H B Hu
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Q Hu
- University of Science and Technology of China, 230026 Hefei, Anhui, China
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - S C Hu
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - D H Huang
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - T Q Huang
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - W J Huang
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - X T Huang
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - X Y Huang
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Y Huang
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Z C Huang
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - X L Ji
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - H Y Jia
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - K Jia
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - K Jiang
- State Key Laboratory of Particle Detection and Electronics, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - X W Jiang
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Z J Jiang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - M Jin
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - M M Kang
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - T Ke
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - D Kuleshov
- Institute for Nuclear Research of Russian Academy of Sciences, 117312 Moscow, Russia
| | - K Kurinov
- Institute for Nuclear Research of Russian Academy of Sciences, 117312 Moscow, Russia
- Moscow Institute of Physics and Technology, 141700 Moscow, Russia
| | - B B Li
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - Cheng Li
- State Key Laboratory of Particle Detection and Electronics, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - Cong Li
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - D Li
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - F Li
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - H B Li
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - H C Li
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - H Y Li
- University of Science and Technology of China, 230026 Hefei, Anhui, China
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J Li
- University of Science and Technology of China, 230026 Hefei, Anhui, China
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Jian Li
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - Jie Li
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - K Li
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - W L Li
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - W L Li
- Tsung-Dao Lee Institute & School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - X R Li
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Xin Li
- State Key Laboratory of Particle Detection and Electronics, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - Y Z Li
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Zhe Li
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Zhuo Li
- School of Physics, Peking University, 100871 Beijing, China
| | - E W Liang
- School of Physical Science and Technology, Guangxi University, 530004 Nanning, Guangxi, China
| | - Y F Liang
- School of Physical Science and Technology, Guangxi University, 530004 Nanning, Guangxi, China
| | - S J Lin
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - B Liu
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - C Liu
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - D Liu
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - H Liu
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - H D Liu
- School of Physics and Microelectronics, Zhengzhou University, 450001 Zhengzhou, Henan, China
| | - J Liu
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - J L Liu
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - J L Liu
- Tsung-Dao Lee Institute & School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - J S Liu
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - J Y Liu
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - M Y Liu
- Key Laboratory of Cosmic Rays (Tibet University), Ministry of Education, 850000 Lhasa, Tibet, China
| | - R Y Liu
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
- Key Laboratory of Modern Astronomy and Astrophysics (Nanjing University), Ministry of Education, Nanjing 210023, China
| | - S M Liu
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - W Liu
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y Liu
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - Y N Liu
- Department of Engineering Physics, Tsinghua University, 100084 Beijing, China
| | - W J Long
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - R Lu
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - Q Luo
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - H K Lv
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - B Q Ma
- School of Physics, Peking University, 100871 Beijing, China
| | - L L Ma
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - X H Ma
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - J R Mao
- Yunnan Observatories, Chinese Academy of Sciences, 650216 Kunming, Yunnan, China
| | - Z Min
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - W Mitthumsiri
- Department of Physics, Faculty of Science, Mahidol University, 10400 Bangkok, Thailand
| | - Y C Nan
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Z W Ou
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - B Y Pang
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - P Pattarakijwanich
- Department of Physics, Faculty of Science, Mahidol University, 10400 Bangkok, Thailand
| | - Z Y Pei
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - M Y Qi
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y Q Qi
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - B Q Qiao
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - J J Qin
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - D Ruffolo
- Department of Physics, Faculty of Science, Mahidol University, 10400 Bangkok, Thailand
| | - A Sáiz
- Department of Physics, Faculty of Science, Mahidol University, 10400 Bangkok, Thailand
| | - C Y Shao
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - L Shao
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - O Shchegolev
- Institute for Nuclear Research of Russian Academy of Sciences, 117312 Moscow, Russia
- Moscow Institute of Physics and Technology, 141700 Moscow, Russia
| | - X D Sheng
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - H C Song
- School of Physics, Peking University, 100871 Beijing, China
| | - Y V Stenkin
- Institute for Nuclear Research of Russian Academy of Sciences, 117312 Moscow, Russia
- Moscow Institute of Physics and Technology, 141700 Moscow, Russia
| | - V Stepanov
- Institute for Nuclear Research of Russian Academy of Sciences, 117312 Moscow, Russia
| | - Y Su
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Q N Sun
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - X N Sun
- School of Physical Science and Technology, Guangxi University, 530004 Nanning, Guangxi, China
| | - Z B Sun
- National Space Science Center, Chinese Academy of Sciences, 100190 Beijing, China
| | - P H T Tam
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - Z B Tang
- State Key Laboratory of Particle Detection and Electronics, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - W W Tian
- University of Chinese Academy of Sciences, 100049 Beijing, China
- National Astronomical Observatories, Chinese Academy of Sciences, 100101 Beijing, China
| | - C Wang
- National Space Science Center, Chinese Academy of Sciences, 100190 Beijing, China
| | - C B Wang
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - G W Wang
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - H G Wang
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - H H Wang
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - J C Wang
- Yunnan Observatories, Chinese Academy of Sciences, 650216 Kunming, Yunnan, China
| | - J S Wang
- Tsung-Dao Lee Institute & School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - K Wang
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
- Key Laboratory of Modern Astronomy and Astrophysics (Nanjing University), Ministry of Education, Nanjing 210023, China
| | - L P Wang
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - L Y Wang
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - P H Wang
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - R Wang
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - W Wang
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - X G Wang
- School of Physical Science and Technology, Guangxi University, 530004 Nanning, Guangxi, China
| | - X Y Wang
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
- Key Laboratory of Modern Astronomy and Astrophysics (Nanjing University), Ministry of Education, Nanjing 210023, China
| | - Y Wang
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Y D Wang
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y J Wang
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Z H Wang
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - Z X Wang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - Zhen Wang
- Tsung-Dao Lee Institute & School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - Zheng Wang
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - D M Wei
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J J Wei
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Y J Wei
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - T Wen
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - C Y Wu
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - H R Wu
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - S Wu
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - X F Wu
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Y S Wu
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - S Q Xi
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - J Xia
- University of Science and Technology of China, 230026 Hefei, Anhui, China
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J J Xia
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - G M Xiang
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Key Laboratory for Research in Galaxies and Cosmology, Shanghai Astronomical Observatory, Chinese Academy of Sciences, 200030 Shanghai, China
| | - D X Xiao
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - G Xiao
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - G G Xin
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y L Xin
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Y Xing
- Key Laboratory for Research in Galaxies and Cosmology, Shanghai Astronomical Observatory, Chinese Academy of Sciences, 200030 Shanghai, China
| | - Z Xiong
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - D L Xu
- Tsung-Dao Lee Institute & School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - R F Xu
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - R X Xu
- School of Physics, Peking University, 100871 Beijing, China
| | - L Xue
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - D H Yan
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - J Z Yan
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - T Yan
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - C W Yang
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - F Yang
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - F F Yang
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - H W Yang
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - J Y Yang
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - L L Yang
- School of Physics and Astronomy (Zhuhai) & School of Physics (Guangzhou) & Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - M J Yang
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - R Z Yang
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - S B Yang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - Y H Yao
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - Z G Yao
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y M Ye
- Department of Engineering Physics, Tsinghua University, 100084 Beijing, China
| | - L Q Yin
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - N Yin
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - X H You
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Z Y You
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y H Yu
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - Q Yuan
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - H Yue
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - H D Zeng
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - T X Zeng
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - W Zeng
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - Z K Zeng
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - M Zha
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - B Zhang
- Nevada Center for Astrophysics, University of Nevada, Las Vegas, NV 89154, USA
- Department of Physics and Astronomy, University of Nevada, Las Vegas, NV 89154, USA
| | - B B Zhang
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - F Zhang
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - H M Zhang
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
- Key Laboratory of Modern Astronomy and Astrophysics (Nanjing University), Ministry of Education, Nanjing 210023, China
| | - H Y Zhang
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - J L Zhang
- National Astronomical Observatories, Chinese Academy of Sciences, 100101 Beijing, China
| | - L X Zhang
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - L Zhang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - P F Zhang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - P P Zhang
- University of Science and Technology of China, 230026 Hefei, Anhui, China
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - R Zhang
- University of Science and Technology of China, 230026 Hefei, Anhui, China
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - S B Zhang
- University of Chinese Academy of Sciences, 100049 Beijing, China
- National Astronomical Observatories, Chinese Academy of Sciences, 100101 Beijing, China
| | - S R Zhang
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - S S Zhang
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - X Zhang
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
- Key Laboratory of Modern Astronomy and Astrophysics (Nanjing University), Ministry of Education, Nanjing 210023, China
| | - X P Zhang
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - Y F Zhang
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Y Zhang
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Yong Zhang
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - B Zhao
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - J Zhao
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - L Zhao
- State Key Laboratory of Particle Detection and Electronics, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - L Z Zhao
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - S P Zhao
- Key Laboratory of Dark Matter and Space Astronomy & Key Laboratory of Radio Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - F Zheng
- National Space Science Center, Chinese Academy of Sciences, 100190 Beijing, China
| | - J H Zheng
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
- Key Laboratory of Modern Astronomy and Astrophysics (Nanjing University), Ministry of Education, Nanjing 210023, China
| | - B Zhou
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
| | - H Zhou
- Tsung-Dao Lee Institute & School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - J N Zhou
- Key Laboratory for Research in Galaxies and Cosmology, Shanghai Astronomical Observatory, Chinese Academy of Sciences, 200030 Shanghai, China
| | - P Zhou
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - R Zhou
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - X X Zhou
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - C G Zhu
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - F R Zhu
- School of Physical Science and Technology & School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - H Zhu
- National Astronomical Observatories, Chinese Academy of Sciences, 100101 Beijing, China
| | - K J Zhu
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - X Zuo
- Key Laboratory of Particle Astrophysics & Experimental Physics Division & Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Tianfu Cosmic Ray Research Center, 610000 Chengdu, Sichuan, China
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Xie HK, Wu CY. [Changes in the role of pathology in the diagnosis and differential diagnosis of idiopathic pulmonary fibrosis]. Zhonghua Bing Li Xue Za Zhi 2023; 52:552-557. [PMID: 37263918 DOI: 10.3760/cma.j.cn112151-20220902-00759] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- H K Xie
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - C Y Wu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
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Shi QW, Zeng N, Wu CY. [Examining fermented mustard brine in terms of traditional Chinese medicine]. Zhonghua Yi Shi Za Zhi 2023; 53:151-158. [PMID: 37474332 DOI: 10.3760/cma.j.cn112155-20220615-00084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 07/22/2023]
Abstract
Fermented mustard brine was a unique liquid fermented with mustard long used in traditional Chinese medicine. It was previously known as Ji Shui, which refered to the yellow salty water after vegetables were fermented. Fermented mustard brine was not established in TCM until the Ming Dynasty. It was found that the original plant of ancient mustard was Brassica juncea (L.) Czern et Coss. var. juncea, and the origin of the mustard used in mustard brine mainly refereed to the cultivated species of Brassica (Brassica juncea var. multiceps Tsen et Lee) in the Brassica branch of the Cruciferae family, which belonged to the mustard leaf class in tillering mustard. Fermented mustard brine tasted spicy and salty and was considered as a feature of cold, and went to the lung meridian. Its effects were of clearing heat and reducing phlegm, calming coughing and expelling pus. It was mainly used for the treatment of lung carbuncle, and also for diseases such as lung impotence, laryngeal tinea, wheezing, coughing, vomiting pus and blood, and facial swelling. The ways to use it involved taking it directly (or taking it warm), taking it with hot soybean milk, having it with food, mixing it with decoction, and mixing it with houttuynia cordata juice. It was mainly produced in the Jiaxing area of Zhejiang province, especially famous for the collection by the Tianning Temple in Tianning in Jiashan, not the Tianning Temple in Changzhou.
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Affiliation(s)
- Q W Shi
- Institute of Chinese Medicine Literature, Nanjing University of Chinese Medicine , Nanjing 210023, China
| | - N Zeng
- Institute of Chinese Medicine Literature, Nanjing University of Chinese Medicine , Nanjing 210023, China
| | - C Y Wu
- Institute of Chinese Medicine Literature, Nanjing University of Chinese Medicine , Nanjing 210023, China
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Wu CY, Lu TC, Su PI, Tsai CL, Tay J, Wu MC, Chou EH, fcWang CH, Huang CH, Chen WJ. End-tidal Carbon Dioxide + Return of Spontaneous Circulation After Cardiac Arrest (RACA) Score to Predict Outcomes After Out-of-hospital Cardiac Arrest. West J Emerg Med 2023; 24:605-614. [PMID: 37278780 DOI: 10.5811/westjem.59005] [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] [Received: 09/25/2023] [Accepted: 01/24/2023] [Indexed: 06/07/2023] Open
Abstract
INTRODUCTION The return of spontaneous circulation after cardiac arrest (RACA) score is a well-validated model for estimating the probability of return of spontaneous circulation (ROSC) in patients with out-of-hospital cardiac arrest (OHCA) by incorporating several variables, including gender, age, arrest aetiology, witness status, arrest location, initial cardiac rhythms, bystander cardiopulmonary resuscitation (CPR), and emergency medical services (EMS) arrival time. The RACA score was initially designed for comparisons between different EMS systems by standardising ROSC rates. End-tidal carbon dioxide (EtCO2) is a quality indicator of CPR. We aimed to improve the performance of the RACA score by adding minimum EtCO2 measured during CPR to develop the EtCO2 + RACA score for OHCA patients transported to an emergency department (ED). METHODS This was a retrospective analysis using prospectively collected data for OHCA patients resuscitated at an ED during 2015-2020. Adult patients with advanced airways inserted and available EtCO2 measurements were included. We used the EtCO2 values recorded in the ED for analysis. The primary outcome was ROSC. In the derivation cohort, we used multivariable logistic regression to develop the model. In the temporally split validation cohort, we assessed the discriminative performance of the EtCO2 + RACA score by the area under the receiver operating characteristic curve (AUC) and compared it with the RACA score using the DeLong test. RESULTS There were 530 and 228 patients in the derivation and validation cohorts, respectively. The median measurements of EtCO2 were 8.0 times (interquartile range [IQR] 3.0-12.0 times), with the median minimum EtCO2 of 15.5 millimeters of mercury (mm Hg) (IQR 8.0-26.0 mm Hg). The median RACA score was 36.4% (IQR 28.9-48.0%), and a total of 393 patients (51.8%) achieved ROSC. The EtCO2 + RACA score was validated with good discriminative performance (AUC, 0.82, 95% CI 0.77-0.88), outperforming the RACA score (AUC, 0.71, 95% CI 0.65-0.78) (DeLong test: P < 0.001). CONCLUSION The EtCO2 + RACA score may facilitate the decision-making process regarding allocations of medical resources in EDs for OHCA resuscitation.
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Affiliation(s)
- Cheng-Yi Wu
- National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan
| | - Tsung-Chien Lu
- National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan
- National Taiwan University, College of Medicine, Department of Emergency Medicine, Taipei, Taiwan
| | - Pei-I Su
- National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan
| | - Chu-Lin Tsai
- National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan
- National Taiwan University, College of Medicine, Department of Emergency Medicine, Taipei, Taiwan
| | - Joyce Tay
- National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan
| | - Meng-Che Wu
- National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan
| | - Eric H Chou
- Baylor Scott and White All Saints Medical Center, Department of Emergency Medicine, Fort Worth, TX
- Baylor University Medical Center, Department of Emergency Medicine, Dallas, TX
| | - Chih-Hung fcWang
- National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan
- National Taiwan University, College of Medicine, Department of Emergency Medicine, Taipei, Taiwan
| | - Chien-Hua Huang
- National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan
- National Taiwan University, College of Medicine, Department of Emergency Medicine, Taipei, Taiwan
| | - Wen-Jone Chen
- National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan
- National Taiwan University, College of Medicine, Department of Emergency Medicine, Taipei, Taiwan
- National Taiwan University Hospital and National Taiwan University College of Medicine, Department of Internal Medicine, Division of Cardiology, Taipei, Taiwan
- Min-Shen General Hospital, Taoyuan, Taiwan
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Chen W, Hou CH, Chen YL, Shen HH, Lin CH, Wu CY, Lin MH, Liao CC, Huang JJ, Yang CY, Li YC, Yip HK. Safety and efficacy of intracoronary artery administration of human bone marrow-derived mesenchymal stem cells in STEMI of Lee-Sung pigs—A preclinical study for supporting the feasibility of the OmniMSC-AMI phase I clinical trial. Front Cardiovasc Med 2023; 10:1153428. [PMID: 37063964 PMCID: PMC10091140 DOI: 10.3389/fcvm.2023.1153428] [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] [Received: 01/29/2023] [Accepted: 03/07/2023] [Indexed: 03/31/2023] Open
Abstract
BackgroundThis study tested whether early left intracoronary arterial (LAD) administration of human bone marrow-derived mesenchymal stem cells (hBMMSCs, called OmniMSCs) in acute ST-segment elevation myocardial infarction (STEMI) of Lee-Sung pigs induced by 90 min balloon-occluded LAD was safe and effective.Methods and resultsYoung male Lee-Sung pigs were categorized into SC (sham-operated control, n = 3), AMI-B (STEMI + buffer/21 cc/administered at 90 min after STEMI, n = 6), and AMI-M [acute myocardial infarction (AMI) + hBMMSCs/1.5 × 107/administered at 90 min after STEMI, n = 6] groups. By 2 and 5 months after STEMI, the cardiac magnetic resonance imaging demonstrated that the muscle scar score (MSS) and abnormal cardiac muscle exercise score in the infarct region were significantly increased in the AMI-B than in the SC group that were significantly reversed in the AMI-M group, whereas the left ventricular ejection function by each month (from 1 to 5) displayed an opposite pattern of MSS among the groups (all p < 0.001). By 5 months, histopathological findings of infarct and fibrosis areas and isolectin-B4 exhibited an identical pattern, whereas the cellular expressions of troponin-I/troponin-T/von Willebrand factor exhibited an opposite pattern of MSS among the groups (all p < 0.001). The ST-segment resolution (>80%) was significantly earlier (estimated after 6-h AMI) in the AMI-M group than in the AMI-B group (p < 0.001). The protein expressions of inflammation (IL-1β/TNF-α/NF-κB)/oxidative stress (NOX-1/NOX-2/oxidized protein)/apoptosis (cleaved caspase-3/cleaved PARP)/DNA damage (γ-H2AX) displayed an identical pattern to MSS among the groups, whereas the protein expressions of angiogenesis factors (SDF-1α/VEGF) were significantly and progressively increased from SC, AMI-B, to AMI-M groups (all p < 0.001).ConclusionEarly intra-LAD transfusion of OmniMSC treatment effectively reduced the infarct size and preserved LV function in porcine STEMI.
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Affiliation(s)
- Wannhsin Chen
- Regeneration Medicine Technology Division, Biomedical Technology and Device Research Laboratories, Industrial Technology Research Institute, Hsinchu, Taiwan
| | - Chun-Hsiang Hou
- Animal Technology Laboratories, Agricultural Technology Research Institute, Miaoli, Taiwan
| | - Yi-Ling Chen
- Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan
- Institute for Translational Research in Biomedicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan
| | - Hsin-Hsin Shen
- Regeneration Medicine Technology Division, Biomedical Technology and Device Research Laboratories, Industrial Technology Research Institute, Hsinchu, Taiwan
| | - Chen-Hsuan Lin
- Regeneration Medicine Technology Division, Biomedical Technology and Device Research Laboratories, Industrial Technology Research Institute, Hsinchu, Taiwan
| | - Cheng-Yi Wu
- Regeneration Medicine Technology Division, Biomedical Technology and Device Research Laboratories, Industrial Technology Research Institute, Hsinchu, Taiwan
| | - Meng-Hsueh Lin
- Regeneration Medicine Technology Division, Biomedical Technology and Device Research Laboratories, Industrial Technology Research Institute, Hsinchu, Taiwan
| | - Chih-Ching Liao
- Regeneration Medicine Technology Division, Biomedical Technology and Device Research Laboratories, Industrial Technology Research Institute, Hsinchu, Taiwan
| | - Jun-Jae Huang
- Regeneration Medicine Technology Division, Biomedical Technology and Device Research Laboratories, Industrial Technology Research Institute, Hsinchu, Taiwan
| | - Chi-Yu Yang
- Animal Technology Laboratories, Agricultural Technology Research Institute, Miaoli, Taiwan
| | - Yi-Chen Li
- Center of Cell Therapy, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
- Clinical Medicine Research Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
- Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Hon-Kan Yip
- Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan
- Institute for Translational Research in Biomedicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan
- Center for Shockwave Medicine and Tissue Engineering, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan
- School of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan
- Department of Medical Research, China Medical University Hospital, China Medical University, Taichung, Taiwan
- Department of Nursing, Asia University, Taichung, Taiwan
- Division of Cardiology, Department of Internal Medicine, Xiamen Chang Gung Hospital, Xiamen, China
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Wu CY, Yang SW, Li YL, Dong XY, Yu RH, Zhang L, Shang BJ, Shi PL, Zhu ZM. [Variant acute promyelocytic leukemia with IRF2BP2-RARA fusion gene: a case report and literature review]. Zhonghua Xue Ye Xue Za Zhi 2023; 44:251-254. [PMID: 37356989 PMCID: PMC10119716 DOI: 10.3760/cma.j.issn.0253-2727.2023.03.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Indexed: 06/27/2023]
Affiliation(s)
- C Y Wu
- Institute of Hematology of Henan Provincial People's Hospital, Henan Key Laboratory of Hematopathology, Henan Provincial Engineering Research Center of CAR-T Cell Treatment and Transformation, Henan Key Laboratory of Stem Cell Differentiation and Modification, Zhengzhou 450003, China
| | - S W Yang
- Institute of Hematology of Henan Provincial People's Hospital, Henan Key Laboratory of Hematopathology, Henan Provincial Engineering Research Center of CAR-T Cell Treatment and Transformation, Henan Key Laboratory of Stem Cell Differentiation and Modification, Zhengzhou 450003, China
| | - Y L Li
- Institute of Hematology of Henan Provincial People's Hospital, Henan Key Laboratory of Hematopathology, Henan Provincial Engineering Research Center of CAR-T Cell Treatment and Transformation, Henan Key Laboratory of Stem Cell Differentiation and Modification, Zhengzhou 450003, China
| | - X Y Dong
- Institute of Hematology of Henan Provincial People's Hospital, Henan Key Laboratory of Hematopathology, Henan Provincial Engineering Research Center of CAR-T Cell Treatment and Transformation, Henan Key Laboratory of Stem Cell Differentiation and Modification, Zhengzhou 450003, China
| | - R H Yu
- Institute of Hematology of Henan Provincial People's Hospital, Henan Key Laboratory of Hematopathology, Henan Provincial Engineering Research Center of CAR-T Cell Treatment and Transformation, Henan Key Laboratory of Stem Cell Differentiation and Modification, Zhengzhou 450003, China
| | - L Zhang
- Institute of Hematology of Henan Provincial People's Hospital, Henan Key Laboratory of Hematopathology, Henan Provincial Engineering Research Center of CAR-T Cell Treatment and Transformation, Henan Key Laboratory of Stem Cell Differentiation and Modification, Zhengzhou 450003, China
| | - B J Shang
- Institute of Hematology of Henan Provincial People's Hospital, Henan Key Laboratory of Hematopathology, Henan Provincial Engineering Research Center of CAR-T Cell Treatment and Transformation, Henan Key Laboratory of Stem Cell Differentiation and Modification, Zhengzhou 450003, China
| | - P L Shi
- Henan Eye Institute, Henan Provincial People's Hospital, Zhengzhou 450003, China
| | - Z M Zhu
- Institute of Hematology of Henan Provincial People's Hospital, Henan Key Laboratory of Hematopathology, Henan Provincial Engineering Research Center of CAR-T Cell Treatment and Transformation, Henan Key Laboratory of Stem Cell Differentiation and Modification, Zhengzhou 450003, China
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Lin CH, Tay J, Tsai CL, Chou WK, Cheng MT, Wu CY, Liu HC, Hsu SH, Lu CH, Shih FFY, Lin CH. Preparation of Medical Supply for Prehospital Emergencies and Disasters: An Internet-Based Simulation Drill. J Acute Med 2023; 13:20-35. [PMID: 37089666 PMCID: PMC10116035 DOI: 10.6705/j.jacme.202303_13(1).0004] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Revised: 07/11/2022] [Accepted: 09/27/2022] [Indexed: 04/25/2023]
Abstract
Background Mass casualties caused by natural disasters and man-made events may overwhelm local emergency medical services and healthcare systems. Logistics is essential to a successful emergency medical response. Drills have been used in disaster preparedness to validate plans, policies, procedures, and agreements, and identify resource gaps. The application of the internet to facilitate the conduct of exercise was still limited. This study aimed to investigate the optimal preparation of medical supplies by medical emergency response teams (MERTs) during emergencies and disasters using an internet-based drill. Methods An internet-based drill based on real-life mass casualty incidents (MCIs) was developed and conducted in Taiwan from June 2017 to July 2018. The drill involved an MCI with 50 events delivered under two scenarios: (1) reduced transfer capacity and well-functioning local healthcare facilities (emergency module); (2) severely reduced transfer capacity and dysfunctional local healthcare facilities (disaster module). For each event, medical supplies commonly prepared by local MERTs in Taiwan were listed in structured questionnaires and participants selected the supplies they would use. Results Forty-three senior medical emergency responders participated in the survey (responding rate of 47.3%). Resuscitation-related supplies increased from emergency to disaster module (e.g., intubation from 9.1% to 13.9%; dopamine from 3.2% to 5.0%; all p < 0.001). In the subgroup analysis of events with life-threatening injuries, the utilization of resuscitation-related supplies (e.g., intubation from 46.6% to 65.3%; p < 0.001) remained higher in the disaster than in the emergency module. Compared to emergency medical technicians, physicians and nurses are more likely to use intravenous/intramuscular analgesics. Conclusions The severity of scenarios and the professional background of emergency responders have a different utilization of medical supplies in the simulation drill. The internet-based drill may contribute to optimizing the preparedness of medical response to prehospital emergencies and disasters.
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Affiliation(s)
- Chien-Hao Lin
- National Taiwan University Hospital Department of Emergency Medicine Taipei Taiwan
| | - Joyce Tay
- National Taiwan University Hospital Department of Emergency Medicine Taipei Taiwan
| | - Chu-Lin Tsai
- National Taiwan University Hospital Department of Emergency Medicine Taipei Taiwan
| | - Wei-Kuo Chou
- National Taiwan University Hospital Department of Emergency Medicine Taipei Taiwan
| | - Ming-Tai Cheng
- National Taiwan University Hospital Department of Emergency Medicine Taipei Taiwan
| | - Cheng-Yi Wu
- National Taiwan University Hospital Department of Emergency Medicine Taipei Taiwan
| | - Hung-Chieh Liu
- National Taiwan University Hospital Hsin-Chu Branch Department of Emergency Medicine Hsinchu Taiwan
| | - Shu-Hsien Hsu
- National Taiwan University Hospital Department of Emergency Medicine Taipei Taiwan
| | - Chien-Hsin Lu
- National Cheng Kung University Hospital Department of Emergency Medicine Hsinchu Taiwan
| | - Frank Fuh-Yuan Shih
- National Taiwan University Hospital Department of Emergency Medicine Taipei Taiwan
| | - Chih-Hao Lin
- National Cheng Kung University Hospital Department of Emergency Medicine Hsinchu Taiwan
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26
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Liu HF, Huang Y, Wu CY, Li Y, Wang YC, Zhang LP, Hou LK, Xie HK. [Pulmonary granular cell tumors: a clinicopathological analysis of five cases]. Zhonghua Bing Li Xue Za Zhi 2023; 52:136-141. [PMID: 36748133 DOI: 10.3760/cma.j.cn112151-20220628-00556] [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: 02/08/2023]
Abstract
Objective: To investigate the clinicopathological features of pulmonary granular cell tumors (pGCTs) and to improve the diagnostic accuracy of the tumor. Methods: A total of 5 pGCTs were diagnosed from February 2016 to January 2022 at Shanghai Pulmonary Hospital, Tongji University School of Medicine and Fudan University Shanghai Cancer Center, China. Immunohistochemical staining, and analysis of the clinicopathological characteristics were performed. Results: The average age of the pGCTs patients was 46 years (ranging from 24 to 54 years), with 3 females and 2 males. One case occurred in the bronchus with multiple nodules in the lung, 2 cases occurred in the bronchial opening, and 2 cases were solitary nodules in the lung. The maximum diameter of the tumors ranged from 12 to 15 mm (mean size 14 mm). Microscopically, the tumor showed infiltrative growth and consisted of round, oval or polygonal cells. Abundant eosinophilic cytoplasm was noted, and the nucleoli were prominent. None of the 5 cases showed any mitosis or necrosis. Immunohistochemical and histochemical study showed positive staining for S-100 (5/5), SOX10 (5/5), Vimentin (5/5), TFE3 (4/5), PAS (3/5), and amylase-digested-PAS (3/5), while 4 cases were negative for CD68. TFE3 FISH analyses on 2 cases showed that no signal abnormality was detected in these 2 cases. The average proliferation index of Ki-67 was 2.2% (range 0-5%). There was no recurrence in 4 cases of pGCTs with a follow-up time ranging from 2 months to 60 months. Conclusions: pGCTs are very rare tumors, most likely originating from Schwann cells. Immunohistochemical staining is the conventional diagnostic tool for pGCTs diagnosis. Recognition of this entity is essential for pathologists to avoid misdiagnosis and unnecessary treatments.
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Affiliation(s)
- H F Liu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - Y Huang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - C Y Wu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - Y Li
- Department of Pathology, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
| | - Y C Wang
- Department of Pathology, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
| | - L P Zhang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - L K Hou
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - H K Xie
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
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27
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Hou LK, Zhang LP, Huang Y, Dong ZW, Xie HK, Zhang W, Wu W, Wu CY. [Application of the WHO Classification of Thoracic Tumors (2021) grading system in invasive pulmonary adenocarcinoma and its correlation with the targeted genes' variations]. Zhonghua Bing Li Xue Za Zhi 2023; 52:129-135. [PMID: 36748132 DOI: 10.3760/cma.j.cn112151-20220927-00814] [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: 02/08/2023]
Abstract
Objective: To investigate the applicability of the 2021 WHO classification of thoracic tumors' new grading system for invasive pulmonary adenocarcinoma (IPA) with different clinical stages and its correlation with the characteristics of targeted genes' variation. Methods: A total of 2 467 patients with surgically resected primary IPA in Shanghai Pulmonary Hospital, Shanghai, China from September to December 2020 were retrospectively analyzed. Eligible cases were graded using the new grading system of IPA of the 2021 WHO classification of thoracic tumors. The clinicopathological data and targeted-gene abnormality were collected. The utility of new grading system of IPA in different clinical stages was investigated. The correlation of clinicopathological features and targeted-gene abnormality in different grades of IPA were compared. Results: All 2 311 cases of IPA were included. There were 2 046 cases of stage Ⅰ IPA (88.5%), 169 cases of stage Ⅱ (7.3%), and 96 cases of stage Ⅲ (4.2%). According to the new classification system of IPA, 186 cases (9.1%), 1 413 cases (69.1%) and 447 cases (21.8%) of stage-Ⅰ adenocarcinoma were classified as Grade 1, Grade 2 and Grade 3, respectively. However, there were no Grade 1 adenocarcinomas in stages Ⅱ and Ⅲ cases. Among stage-Ⅱ and Ⅲ IPA cases, there were 38 Grade 2 cases (22.5%) and 131 Grade 3 cases (77.5%), and 3 Grade 2 cases (3.1%) and 93 Grade 3 cases (96.9%), respectively. In stage-Ⅰ cases, no tumor cells spreading through airspace (STAS), vascular invasion or pleural invasion was found in Grade 1 of IPA, while the positive rates of STAS in Grade 2 and 3 IPA cases were 11.3% (159/1 413) and 73.2% (327/447), respectively. There was a significant difference among the three grades (P<0.01). Similarly, the rates of vascular and pleural invasion in Grade 3 IPA cases were 21.3% (95/447) and 75.8% (339/447), respectively, which were significantly higher than those of 1.3% (19/1 413) and 3.0% (42/1 413) in Grade 2 (P<0.01). EGFR mutational rates in Grades 1, 2 and 3 IPA were 65.7% (94/143), 76.4% (984/1 288) and 51.3% (216/421), respectively. The differences among the three grades were statistically significant (P<0.01). No fusion genes were detected in Grade 1 IPA, while the positive rates of ROS1 and ALK fusion genes in Grade 3 were 2.4% (10/421) and 8.3% (35/421), respectively, which were significantly higher than that of 0.5% (7/1 288) and 1.6% (20/1 288) in Grade 2 (P<0.01). In stage-Ⅱ cases, only EGFR mutation rate in Grade 2 adenocarcinoma (31/37, 83.8%) was higher than that in Grade 3 adenocarcinoma (71/123, 57.7%; P<0.01). However, the correlation between the new grade system of IPA and the distribution characteristics of targeted-gene variation cannot be evaluated in stage Ⅲ cases. Conclusions: The new grading system for IPA is mainly applicable to clinical stage-Ⅰ patients. Tumor grades of IPA are strongly correlated with the high-risk factors of prognosis and the distribution features of therapeutic targets. It is of great significance and clinical value to manage postoperative patients with early-stage IPA.
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Affiliation(s)
- L K Hou
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - L P Zhang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - Y Huang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - Z W Dong
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - H K Xie
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - W Zhang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - W Wu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - C Y Wu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
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Wu CY, Huang JW, Lin CH, Chih WH. Preoperative overweight and obesity do not cause inferior outcomes following open-wedge high tibial osteotomy: A retrospective cohort study of 123 patients. PLoS One 2023; 18:e0280687. [PMID: 36662878 PMCID: PMC9858777 DOI: 10.1371/journal.pone.0280687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Accepted: 01/05/2023] [Indexed: 01/21/2023] Open
Abstract
Open-wedge high tibial osteotomy (OWHTO) is effective in treating medial compartment osteoarthritis. The association between body mass index (BMI) and outcomes following OWHTO is being debated. This study compared radiographic and clinical outcomes between patients with preoperative overweight, obesity, and normal BMI following OWHTO for medial compartment osteoarthritis. In total, 123 patients (123 knees) who underwent OWHTO for medial compartment osteoarthritis were enrolled and were divided into normal-BMI (18.5-24.9 kg/m2), overweight (25-29.9 kg/m2), and obese (>30 kg/m2) groups based on body mass index. The numeric rating scale for pain, mechanical tibiofemoral angle (mTFA), tibia tilting angle (TTA), and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) for function were evaluated preoperatively and at postoperative follow-ups. The improvements of clinical and radiological outcomes in normal-BMI, overweight, and obese groups were not significantly different. The incidence of soft tissue irritation, wound infection, nonunion, and conversion to total knee arthroplasty were not significantly different between groups.The clinical and radiological outcomes in patients with preoperative overweight, obesity, and normal-BMI were not significantly different. Preoperative overweight and obesity thus has no effect on outcomes following OWHTO during the two years follow-up period. These findings cannot be generalized to patients with morbid obesity.
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Affiliation(s)
- Cheng-Yi Wu
- Department of Orthopaedics, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan
- Department of Nursing, Chung Jen Junior College of Nursing, Health Science and Management, Chiayi, Taiwan
| | - Jen-Wei Huang
- Department of Orthopaedics, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan
| | - Chang-Hao Lin
- Department of Orthopaedics, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan
| | - Wei-Hsing Chih
- Department of Orthopaedics, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan
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Guo JH, Wu CY, Zhang LP. [Rosai-Dorfman disease of the lung: report of a case]. Zhonghua Bing Li Xue Za Zhi 2023; 52:73-76. [PMID: 36617915 DOI: 10.3760/cma.j.cn112151-20220416-00291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Affiliation(s)
- J H Guo
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - C Y Wu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - L P Zhang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
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Chao LY, Lin CH, Huang YH, Lien FC, Wu CY. Percutaneous endoscopic lumbar discectomy versus open lumbar microdiscectomy for treating lumbar disc herniation: Using the survival analysis. Tzu Chi Med J 2023. [PMID: 37545800 PMCID: PMC10399846 DOI: 10.4103/tcmj.tcmj_262_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2023] Open
Abstract
Objectives This study compared the risk of symptomatic recurrent disc herniation and clinical outcomes of percutaneous endoscopic lumbar discectomy (PELD) versus open lumbar microdiscectomy (OLM) for lumbar disc herniation with 2 years of follow-up. Materials and Methods We analyzed 23 patients who underwent PELD and 32 patients who underwent OLM for lumbar disc herniation. The numeric rating scale of back and leg pain, Oswestry Disability Index (ODI), and Roland-Morris Disability Questionnaire (RMDQ) were assessed before and at 12 and 24 months after the surgery. The wound pain and complications were also recorded. Survival analysis was performed to estimate the risk of symptomatic recurrent disc herniation. Results In the comparison of groups, the reductions in back and leg pain, ODI, and RMDQ were not significantly different at 12 and 24 months. For patients who underwent PELD, the wound pain was significant lower at the day of surgery. The survival rate of patients who were free from symptomatic recurrent disc herniation at 24 months was 0.913 in PELD and 0.875 in OLM, and the log-rank test revealed no significant difference between the two survival curves. The incidence of complication was not significantly different between groups. Conclusion Both PELD and OLM are effective treatments for lumbar disc herniation because they have similar clinical outcomes. PELD provided patients with less painful wounds. The survival analysis revealed that the risk of symptomatic recurrent disc herniation in 2 years of follow-up was not different between PELD and OLM.
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Cao Z, Aharonian F, An Q, Bai LX, Bai YX, Bao YW, Bastieri D, Bi XJ, Bi YJ, Cai JT, Cao Z, Chang J, Chang JF, Chen ES, Chen L, Chen L, Chen L, Chen MJ, Chen ML, Chen QH, Chen SH, Chen SZ, Chen TL, Chen Y, Cheng HL, Cheng N, Cheng YD, Cui SW, Cui XH, Cui YD, D'Ettorre Piazzoli B, Dai BZ, Dai HL, Dai ZG, Della Volpe D, Duan KK, Fan JH, Fan YZ, Fan ZX, Fang J, Fang K, Feng CF, Feng L, Feng SH, Feng XT, Feng YL, Gao B, Gao CD, Gao LQ, Gao Q, Gao W, Gao WK, Ge MM, Geng LS, Gong GH, Gou QB, Gu MH, Guo FL, Guo JG, Guo XL, Guo YQ, Guo YY, Han YA, He HH, He HN, He SL, He XB, He Y, Heller M, Hor YK, Hou C, Hou X, Hu HB, Hu Q, Hu S, Hu SC, Hu XJ, Huang DH, Huang WH, Huang XT, Huang XY, Huang Y, Huang ZC, Ji XL, Jia HY, Jia K, Jiang K, Jiang ZJ, Jin M, Kang MM, Ke T, Kuleshov D, Levochkin K, Li BB, Li C, Li C, Li F, Li HB, Li HC, Li HY, Li J, Li J, Li J, Li K, Li WL, Li XR, Li X, Li X, Li YZ, Li Z, Li Z, Liang EW, Liang YF, Lin SJ, Liu B, Liu C, Liu D, Liu H, Liu HD, Liu J, Liu JL, Liu JS, Liu JY, Liu MY, Liu RY, Liu SM, Liu W, Liu Y, Liu YN, Long WJ, Lu R, Luo Q, Lv HK, Ma BQ, Ma LL, Ma XH, Mao JR, Masood A, Min Z, Mitthumsiri W, Nan YC, Ou ZW, Pang BY, Pattarakijwanich P, Pei ZY, Qi MY, Qi YQ, Qiao BQ, Qin JJ, Ruffolo D, Sáiz A, Shao CY, Shao L, Shchegolev O, Sheng XD, Shi JY, Song HC, Stenkin YV, Stepanov V, Su Y, Sun QN, Sun XN, Sun ZB, Tam PHT, Tang ZB, Tian WW, Wang BD, Wang C, Wang H, Wang HG, Wang JC, Wang JS, Wang LP, Wang LY, Wang R, Wang RN, Wang W, Wang XG, Wang XY, Wang Y, Wang YD, Wang YJ, Wang YP, Wang ZH, Wang ZX, Wang Z, Wang Z, Wei DM, Wei JJ, Wei YJ, Wen T, Wu CY, Wu HR, Wu S, Wu XF, Wu YS, Xi SQ, Xia J, Xia JJ, Xiang GM, Xiao DX, Xiao G, Xin GG, Xin YL, Xing Y, Xiong Z, Xu DL, Xu RX, Xue L, Yan DH, Yan JZ, Yang CW, Yang FF, Yang HW, Yang JY, Yang LL, Yang MJ, Yang RZ, Yang SB, Yao YH, Yao ZG, Ye YM, Yin LQ, Yin N, You XH, You ZY, Yu YH, Yuan Q, Yue H, Zeng HD, Zeng TX, Zeng W, Zeng ZK, Zha M, Zhai XX, Zhang BB, Zhang F, Zhang HM, Zhang HY, Zhang JL, Zhang LX, Zhang L, Zhang L, Zhang PF, Zhang PP, Zhang R, Zhang SB, Zhang SR, Zhang SS, Zhang X, Zhang XP, Zhang YF, Zhang YL, Zhang Y, Zhang Y, Zhao B, Zhao J, Zhao L, Zhao LZ, Zhao SP, Zheng F, Zheng Y, Zhou B, Zhou H, Zhou JN, Zhou P, Zhou R, Zhou XX, Zhu CG, Zhu FR, Zhu H, Zhu KJ, Zuo X, Ando S, Chianese M, Fiorillo DFG, Miele G, Ng KCY. Constraints on Heavy Decaying Dark Matter from 570 Days of LHAASO Observations. Phys Rev Lett 2022; 129:261103. [PMID: 36608208 DOI: 10.1103/physrevlett.129.261103] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Revised: 08/19/2022] [Accepted: 10/27/2022] [Indexed: 06/17/2023]
Abstract
The kilometer square array (KM2A) of the large high altitude air shower observatory (LHAASO) aims at surveying the northern γ-ray sky at energies above 10 TeV with unprecedented sensitivity. γ-ray observations have long been one of the most powerful tools for dark matter searches, as, e.g., high-energy γ rays could be produced by the decays of heavy dark matter particles. In this Letter, we present the first dark matter analysis with LHAASO-KM2A, using the first 340 days of data from 1/2-KM2A and 230 days of data from 3/4-KM2A. Several regions of interest are used to search for a signal and account for the residual cosmic-ray background after γ/hadron separation. We find no excess of dark matter signals, and thus place some of the strongest γ-ray constraints on the lifetime of heavy dark matter particles with mass between 10^{5} and 10^{9} GeV. Our results with LHAASO are robust, and have important implications for dark matter interpretations of the diffuse astrophysical high-energy neutrino emission.
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Affiliation(s)
- Zhen Cao
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - F Aharonian
- Dublin Institute for Advanced Studies, 31 Fitzwilliam Place, 2 Dublin, Ireland
- Max-Planck-Institut for Nuclear Physics, P.O. Box 103980, 69029 Heidelberg, Germany
| | - Q An
- State Key Laboratory of Particle Detection and Electronics, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - L X Bai
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - Y X Bai
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Y W Bao
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - D Bastieri
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - X J Bi
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Y J Bi
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - J T Cai
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - Zhe Cao
- State Key Laboratory of Particle Detection and Electronics, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - J Chang
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J F Chang
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - E S Chen
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Liang Chen
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Liang Chen
- Key Laboratory for Research in Galaxies and Cosmology, Shanghai Astronomical Observatory, Chinese Academy of Sciences, 200030 Shanghai, China
| | - Long Chen
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - M J Chen
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - M L Chen
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - Q H Chen
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - S H Chen
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - S Z Chen
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - T L Chen
- Key Laboratory of Cosmic Rays (Tibet University), Ministry of Education, 850000 Lhasa, Tibet, China
| | - Y Chen
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - H L Cheng
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Key Laboratory of Cosmic Rays (Tibet University), Ministry of Education, 850000 Lhasa, Tibet, China
- National Astronomical Observatories, Chinese Academy of Sciences, 100101 Beijing, China
| | - N Cheng
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Y D Cheng
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - S W Cui
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - X H Cui
- National Astronomical Observatories, Chinese Academy of Sciences, 100101 Beijing, China
| | - Y D Cui
- School of Physics and Astronomy (Zhuhai) and School of Physics (Guangzhou) and Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - B D'Ettorre Piazzoli
- Dipartimento di Fisica dell'Università di Napoli "Federico II," Complesso Universitario di Monte Sant'Angelo, via Cinthia, 80126 Napoli, Italy
| | - B Z Dai
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - H L Dai
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - Z G Dai
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - D Della Volpe
- Département de Physique Nucléaire et Corpusculaire, Faculté de Sciences, Université de Genève, 24 Quai Ernest Ansermet, 1211 Geneva, Switzerland
| | - K K Duan
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J H Fan
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - Y Z Fan
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Z X Fan
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - J Fang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - K Fang
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - C F Feng
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - L Feng
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - S H Feng
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - X T Feng
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - Y L Feng
- Key Laboratory of Cosmic Rays (Tibet University), Ministry of Education, 850000 Lhasa, Tibet, China
| | - B Gao
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - C D Gao
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - L Q Gao
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Q Gao
- Key Laboratory of Cosmic Rays (Tibet University), Ministry of Education, 850000 Lhasa, Tibet, China
| | - W Gao
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - W K Gao
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - M M Ge
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - L S Geng
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - G H Gong
- Department of Engineering Physics, Tsinghua University, 100084 Beijing, China
| | - Q B Gou
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - M H Gu
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - F L Guo
- Key Laboratory for Research in Galaxies and Cosmology, Shanghai Astronomical Observatory, Chinese Academy of Sciences, 200030 Shanghai, China
| | - J G Guo
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - X L Guo
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Y Q Guo
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Y Y Guo
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Y A Han
- School of Physics and Microelectronics, Zhengzhou University, 450001 Zhengzhou, Henan, China
| | - H H He
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - H N He
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - S L He
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - X B He
- School of Physics and Astronomy (Zhuhai) and School of Physics (Guangzhou) and Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - Y He
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - M Heller
- Département de Physique Nucléaire et Corpusculaire, Faculté de Sciences, Université de Genève, 24 Quai Ernest Ansermet, 1211 Geneva, Switzerland
| | - Y K Hor
- School of Physics and Astronomy (Zhuhai) and School of Physics (Guangzhou) and Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - C Hou
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - X Hou
- Yunnan Observatories, Chinese Academy of Sciences, 650216 Kunming, Yunnan, China
| | - H B Hu
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Q Hu
- University of Science and Technology of China, 230026 Hefei, Anhui, China
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - S Hu
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - S C Hu
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - X J Hu
- Department of Engineering Physics, Tsinghua University, 100084 Beijing, China
| | - D H Huang
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - W H Huang
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - X T Huang
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - X Y Huang
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Y Huang
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Z C Huang
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - X L Ji
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - H Y Jia
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - K Jia
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - K Jiang
- State Key Laboratory of Particle Detection and Electronics, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - Z J Jiang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - M Jin
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - M M Kang
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - T Ke
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - D Kuleshov
- Institute for Nuclear Research of Russian Academy of Sciences, 117312 Moscow, Russia
| | - K Levochkin
- Institute for Nuclear Research of Russian Academy of Sciences, 117312 Moscow, Russia
| | - B B Li
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - Cheng Li
- State Key Laboratory of Particle Detection and Electronics, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - Cong Li
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - F Li
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - H B Li
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - H C Li
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - H Y Li
- University of Science and Technology of China, 230026 Hefei, Anhui, China
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J Li
- University of Science and Technology of China, 230026 Hefei, Anhui, China
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Jian Li
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - Jie Li
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - K Li
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - W L Li
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - X R Li
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Xin Li
- State Key Laboratory of Particle Detection and Electronics, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - Xin Li
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Y Z Li
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Zhe Li
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Zhuo Li
- School of Physics, Peking University, 100871 Beijing, China
| | - E W Liang
- School of Physical Science and Technology, Guangxi University, 530004 Nanning, Guangxi, China
| | - Y F Liang
- School of Physical Science and Technology, Guangxi University, 530004 Nanning, Guangxi, China
| | - S J Lin
- School of Physics and Astronomy (Zhuhai) and School of Physics (Guangzhou) and Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - B Liu
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - C Liu
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - D Liu
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - H Liu
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - H D Liu
- School of Physics and Microelectronics, Zhengzhou University, 450001 Zhengzhou, Henan, China
| | - J Liu
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - J L Liu
- Tsung-Dao Lee Institute & School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - J S Liu
- School of Physics and Astronomy (Zhuhai) and School of Physics (Guangzhou) and Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - J Y Liu
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - M Y Liu
- Key Laboratory of Cosmic Rays (Tibet University), Ministry of Education, 850000 Lhasa, Tibet, China
| | - R Y Liu
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - S M Liu
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - W Liu
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Y Liu
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - Y N Liu
- Department of Engineering Physics, Tsinghua University, 100084 Beijing, China
| | - W J Long
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - R Lu
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - Q Luo
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - H K Lv
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - B Q Ma
- School of Physics, Peking University, 100871 Beijing, China
| | - L L Ma
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - X H Ma
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - J R Mao
- Yunnan Observatories, Chinese Academy of Sciences, 650216 Kunming, Yunnan, China
| | - A Masood
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Z Min
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - W Mitthumsiri
- Department of Physics, Faculty of Science, Mahidol University, Bangkok 10400, Thailand
| | - Y C Nan
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - Z W Ou
- School of Physics and Astronomy (Zhuhai) and School of Physics (Guangzhou) and Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - B Y Pang
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - P Pattarakijwanich
- Department of Physics, Faculty of Science, Mahidol University, Bangkok 10400, Thailand
| | - Z Y Pei
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - M Y Qi
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Y Q Qi
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - B Q Qiao
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - J J Qin
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - D Ruffolo
- Department of Physics, Faculty of Science, Mahidol University, Bangkok 10400, Thailand
| | - A Sáiz
- Department of Physics, Faculty of Science, Mahidol University, Bangkok 10400, Thailand
| | - C Y Shao
- School of Physics and Astronomy (Zhuhai) and School of Physics (Guangzhou) and Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - L Shao
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - O Shchegolev
- Institute for Nuclear Research of Russian Academy of Sciences, 117312 Moscow, Russia
- Moscow Institute of Physics and Technology, 141700 Moscow, Russia
| | - X D Sheng
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - J Y Shi
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - H C Song
- School of Physics, Peking University, 100871 Beijing, China
| | - Yu V Stenkin
- Institute for Nuclear Research of Russian Academy of Sciences, 117312 Moscow, Russia
- Moscow Institute of Physics and Technology, 141700 Moscow, Russia
| | - V Stepanov
- Institute for Nuclear Research of Russian Academy of Sciences, 117312 Moscow, Russia
| | - Y Su
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Q N Sun
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - X N Sun
- School of Physical Science and Technology, Guangxi University, 530004 Nanning, Guangxi, China
| | - Z B Sun
- National Space Science Center, Chinese Academy of Sciences, 100190 Beijing, China
| | - P H T Tam
- School of Physics and Astronomy (Zhuhai) and School of Physics (Guangzhou) and Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - Z B Tang
- State Key Laboratory of Particle Detection and Electronics, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - W W Tian
- University of Chinese Academy of Sciences, 100049 Beijing, China
- National Astronomical Observatories, Chinese Academy of Sciences, 100101 Beijing, China
| | - B D Wang
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - C Wang
- National Space Science Center, Chinese Academy of Sciences, 100190 Beijing, China
| | - H Wang
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - H G Wang
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - J C Wang
- Yunnan Observatories, Chinese Academy of Sciences, 650216 Kunming, Yunnan, China
| | - J S Wang
- Tsung-Dao Lee Institute & School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - L P Wang
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - L Y Wang
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - R Wang
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - R N Wang
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - W Wang
- School of Physics and Astronomy (Zhuhai) and School of Physics (Guangzhou) and Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - X G Wang
- School of Physical Science and Technology, Guangxi University, 530004 Nanning, Guangxi, China
| | - X Y Wang
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - Y Wang
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Y D Wang
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Y J Wang
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Y P Wang
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Z H Wang
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - Z X Wang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - Zhen Wang
- Tsung-Dao Lee Institute & School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - Zheng Wang
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - D M Wei
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J J Wei
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Y J Wei
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - T Wen
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - C Y Wu
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - H R Wu
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - S Wu
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - X F Wu
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Y S Wu
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - S Q Xi
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - J Xia
- University of Science and Technology of China, 230026 Hefei, Anhui, China
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J J Xia
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - G M Xiang
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Key Laboratory for Research in Galaxies and Cosmology, Shanghai Astronomical Observatory, Chinese Academy of Sciences, 200030 Shanghai, China
| | - D X Xiao
- Key Laboratory of Cosmic Rays (Tibet University), Ministry of Education, 850000 Lhasa, Tibet, China
| | - G Xiao
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - G G Xin
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Y L Xin
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Y Xing
- Key Laboratory for Research in Galaxies and Cosmology, Shanghai Astronomical Observatory, Chinese Academy of Sciences, 200030 Shanghai, China
| | - Z Xiong
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - D L Xu
- Tsung-Dao Lee Institute & School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - R X Xu
- School of Physics, Peking University, 100871 Beijing, China
| | - L Xue
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - D H Yan
- Yunnan Observatories, Chinese Academy of Sciences, 650216 Kunming, Yunnan, China
| | - J Z Yan
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - C W Yang
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - F F Yang
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - H W Yang
- School of Physics and Astronomy (Zhuhai) and School of Physics (Guangzhou) and Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - J Y Yang
- School of Physics and Astronomy (Zhuhai) and School of Physics (Guangzhou) and Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - L L Yang
- School of Physics and Astronomy (Zhuhai) and School of Physics (Guangzhou) and Sino-French Institute of Nuclear Engineering and Technology (Zhuhai), Sun Yat-sen University, 519000 Zhuhai & 510275 Guangzhou, Guangdong, China
| | - M J Yang
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - R Z Yang
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - S B Yang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - Y H Yao
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - Z G Yao
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Y M Ye
- Department of Engineering Physics, Tsinghua University, 100084 Beijing, China
| | - L Q Yin
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - N Yin
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - X H You
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Z Y You
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Y H Yu
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - Q Yuan
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - H Yue
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - H D Zeng
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - T X Zeng
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - W Zeng
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - Z K Zeng
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - M Zha
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - X X Zhai
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - B B Zhang
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - F Zhang
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - H M Zhang
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - H Y Zhang
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - J L Zhang
- National Astronomical Observatories, Chinese Academy of Sciences, 100101 Beijing, China
| | - L X Zhang
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - Li Zhang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - Lu Zhang
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - P F Zhang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - P P Zhang
- University of Science and Technology of China, 230026 Hefei, Anhui, China
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - R Zhang
- University of Science and Technology of China, 230026 Hefei, Anhui, China
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - S B Zhang
- University of Chinese Academy of Sciences, 100049 Beijing, China
- National Astronomical Observatories, Chinese Academy of Sciences, 100101 Beijing, China
| | - S R Zhang
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - S S Zhang
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - X Zhang
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - X P Zhang
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Y F Zhang
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Y L Zhang
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - Yi Zhang
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Yong Zhang
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - B Zhao
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - J Zhao
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - L Zhao
- State Key Laboratory of Particle Detection and Electronics, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - L Z Zhao
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - S P Zhao
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - F Zheng
- National Space Science Center, Chinese Academy of Sciences, 100190 Beijing, China
| | - Y Zheng
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - B Zhou
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - H Zhou
- Tsung-Dao Lee Institute & School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - J N Zhou
- Key Laboratory for Research in Galaxies and Cosmology, Shanghai Astronomical Observatory, Chinese Academy of Sciences, 200030 Shanghai, China
| | - P Zhou
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - R Zhou
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - X X Zhou
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - C G Zhu
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - F R Zhu
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - H Zhu
- National Astronomical Observatories, Chinese Academy of Sciences, 100101 Beijing, China
| | - K J Zhu
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, China
| | - X Zuo
- Key Laboratory of Particle Astrophyics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, Sichuan, China
| | - S Ando
- GRAPPA Institute, University of Amsterdam, 1098 XH Amsterdam, The Netherlands
- Kavli Institute for the Physics and Mathematics of the Universe (KavliIPMU,WPI), University of Tokyo, Kashiwa, Chiba 277-8583, Japan
| | - M Chianese
- Dipartimento di Fisica "Ettore Pancini," Università degli studi di Napoli "Federico II", Complesso Univ. Monte S. Angelo, I-80126 Napoli, Italy
- INFN - Sezione di Napoli, Complesso Univ. Monte S. Angelo, I-80126 Napoli, Italy
| | - D F G Fiorillo
- Dipartimento di Fisica "Ettore Pancini," Università degli studi di Napoli "Federico II", Complesso Univ. Monte S. Angelo, I-80126 Napoli, Italy
- INFN - Sezione di Napoli, Complesso Univ. Monte S. Angelo, I-80126 Napoli, Italy
- Niels Bohr International Academy, Niels Bohr Institute, University of Copenhagen, Copenhagen, Denmark
| | - G Miele
- Dipartimento di Fisica "Ettore Pancini," Università degli studi di Napoli "Federico II", Complesso Univ. Monte S. Angelo, I-80126 Napoli, Italy
- INFN - Sezione di Napoli, Complesso Univ. Monte S. Angelo, I-80126 Napoli, Italy
- Scuola Superiore Meridionale, Università degli studi di Napoli "Federico II", Largo San Marcellino 10, 80138 Napoli, Italy
| | - K C Y Ng
- Department of Physics, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong, China
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Chen WJ, Wu CY, Zhang LP, Hou LK, Dong ZW, Huang Y, Xie HK. [Spindle cell hemangioma in the sternum: report of a case]. Zhonghua Bing Li Xue Za Zhi 2022; 51:899-901. [PMID: 36097912 DOI: 10.3760/cma.j.cn112151-20220223-00126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Affiliation(s)
- W J Chen
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - C Y Wu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - L P Zhang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - L K Hou
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - Z W Dong
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - Y Huang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - H K Xie
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
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Lin CH, Lin HY, Wu SN, Tseng WP, Chen WT, Tien YT, Wu CY, Huang CH, Tsai MS. Using a telemedicine-assisted airway model to improve the communication and teamwork of tracheal intubation during the coronavirus disease 2019 pandemic. J Telemed Telecare 2022:1357633X221124175. [PMID: 36066025 DOI: 10.1177/1357633x221124175] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Isolated spaces impair communication and teamwork during tracheal intubation (TI) in suspected coronavirus disease 2019 patients. We thus aimed to evaluate the telemedicine-assisted airway model (TAM) to improve communication and teamwork during the pandemic. METHODS This two-stage prospective study included adult patients intubated in the emergency department of the National Taiwan University Hospital between 1 August 2020 and 31 July 2021. First, we randomised patients receiving TI in the standard setting into the conventional group (Con-G) and the isolation area into the isolation group (Iso-G). We evaluated the obstacles to communication and teamwork in an isolation scenario. Second, we developed the TAM to facilitate communication and teamwork between staff in separate spaces during TI and assigned patients to the TAM group (TAM-G). Communication and teamwork were evaluated using the Team Emergency Assessment Measure (TEAM). Subjective evaluations were conducted using a questionnaire administered to medical staff. RESULTS Eighty-nine patients were enrolled: 17, 34, and 38 in the Con-G, Iso-G, and TAM-G, respectively. The communication frequency (CF) of the Con-G and Iso-G was the highest and lowest, respectively. The CF of the TAM-G increased and approached that of the Con-G. The overall TEAM score was the highest in the Con-G and the lowest in the Iso-G, while the overall score in the TAM-G was comparable to that of the Con-G. DISCUSSION The TAM may improve communication and teamwork for TIs without compromising efficacy during the pandemic. This study was registered at ClinicalTrials.gov; registration numbers: NCT04479332 and NCT04591873.
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Affiliation(s)
- Chien-Hao Lin
- Department of Emergency Medicine, 38006National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Hao-Yang Lin
- Department of Emergency Medicine, 38006National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Shih-Ni Wu
- Department of Emergency Medicine, 38006National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Wen-Pin Tseng
- Department of Emergency Medicine, 38006National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Wei-Ting Chen
- Department of Emergency Medicine, 38006National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Yu-Tzu Tien
- Department of Emergency Medicine, 38006National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Cheng-Yi Wu
- Department of Emergency Medicine, 38006National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Chien-Hua Huang
- Department of Emergency Medicine, 38006National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Min-Shan Tsai
- Department of Emergency Medicine, 38006National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
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Lien WC, Chang CH, Chong KM, Wu MC, Wu CY, Wang HP. Clinical utilization of point-of-care ultrasound by junior emergency medicine residents. Med Ultrason 2022; 24:270-276. [PMID: 35045138 DOI: 10.11152/mu-3425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
AIM Little is known regarding the actual utilization of point-of-care ultrasound (PoCUS) after training. This study aims to investigate the clinical utilization of PoCUS by first post-graduate year (PGY-1) residents after training. MATERIAL AND METHODS This prospective study was conducted at the emergency department (ED). A PoCUS curriculum was implemented and the objective structured clinical examination (OSCE) scores were obtained after training. The sonographic examinations performed by the residents were collected. The primary outcomes were the numbers, imaging quality, and accuracy of the sonographic examinations after the curriculum, compared with those before the curriculum. RESULTS Two hundred and thirtynine residents participated with the median OSCE score of 4 (IQRs, 4-5) and 170 (71%) used PoCUS during clinical practice. The number that each resident performed increased [before vs. after, 0 (0-1) vs. 3 (0-5), p<0.0001], the image quality was better [before vs. after, 3 (2-3) vs. 3 (3), p<0.0001] and the accuracy improved (before vs. after, 117/129 vs. 730/772, p<0.0001) after the curriculum. The residents were categorized into 4 groups based on the utilization: group 1 performed PoCUS before and after the curriculum; group 2 performed only after the curriculum; group 3 performed only before the curriculum; the last did not use. No significant differences existed in the OSCE score between the 4 groups. Group 1 performed more examinationswith better image quality and groups 1 and 2 used ≥2 applications after the curriculum. However, nearly 30% of residents did not use PoCUS, and "chose other imaging priorities" (40/69, 58%) was the main feedback. CONCLUSIONS A PoCUS training had a positive impact on the clinical utilization by the novice residents. More than 70% of residents integrated PoCUS into clinical practice and used self-formatted US techniques. The OSCE scores could not predict further utilization.
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Affiliation(s)
- Wan-Ching Lien
- Department of Emergency Medicine, National Taiwan University, Taipei, Taiwan.
| | - Chih-Heng Chang
- Department of Emergency Medicine, National Taiwan University, Taipei, Taiwan.
| | - Kah-Meng Chong
- Department of Emergency Medicine, National Taiwan University, Taipei, Taiwan.
| | - Meng-Che Wu
- Department of Emergency Medicine, National Taiwan University, Taipei, Taiwan.
| | - Cheng-Yi Wu
- Department of Emergency Medicine, National Taiwan University, Taipei, Taiwan.
| | - Hsiu-Po Wang
- Department of internal medicine, National Taiwan University Hospital, Taipei, Taiwan.
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Peng Z, Gao XM, Zhou S, Wu CY, Zhao JL, Xu D, Li MT, Peng JM, Li J, Wang Q, Tian XF, Zeng X. [Assessment of MS-Score and HScore in timeliness of diagnosis of macrophage activation syndrome associated with adult-onset Still's disease]. Zhonghua Yi Xue Za Zhi 2022; 102:2210-2214. [PMID: 35872586 DOI: 10.3760/cma.j.cn112137-20220321-00602] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
The data of 33 patients with adult-onset still's disease (AOSD)-associated macrophage activation syndrome (MAS) were retrospectively collected from January 2013 to December 2020 in Peking Union Medical College Hospital. Hemophagocytic lymphohistiocytosis (HLH)-2004 criteria, macrophage activation syndrome/juvenile idiopathic arthritis (MS-Score) and hemophagocytic syndrome diagnostic score (HScore) were used to diagnose AOSD-associated MAS, respectively. The time of diagnosis of AOSD-associated MAS by MS-Score was 19.0 (4.5, 31.0) days [M (Q1,Q3)] earlier than by HLH-2004 criteria, and 13.5 (0.5, 21.5) days earlier than by HScore (both P<0.05). The difference was not statistically significant between the time of diagnosis of AOSD-associated MAS by Hscore and by HLH-2004 criteria (P>0.05). There was significant difference among the three criteria (P<0.001). MS-Score can be used to diagnose AOSD-associated MAS earlier than HLH-2004 criteria, while the timeliness of HScore is not certain.
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Affiliation(s)
- Z Peng
- Department of Rheumatology and Clinical Immunology, Chinese Academy of Medical Sciences & Peking Union Medical College, National Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID), Ministry of Science & Technology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital (PUMCH), Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing 100730, China
| | - X M Gao
- Department of Rheumatology and Clinical Immunology, Chinese Academy of Medical Sciences & Peking Union Medical College, National Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID), Ministry of Science & Technology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital (PUMCH), Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing 100730, China
| | - S Zhou
- Department of Rheumatology and Clinical Immunology, Chinese Academy of Medical Sciences & Peking Union Medical College, National Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID), Ministry of Science & Technology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital (PUMCH), Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing 100730, China
| | - C Y Wu
- Department of Rheumatology and Clinical Immunology, Chinese Academy of Medical Sciences & Peking Union Medical College, National Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID), Ministry of Science & Technology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital (PUMCH), Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing 100730, China
| | - J L Zhao
- Department of Rheumatology and Clinical Immunology, Chinese Academy of Medical Sciences & Peking Union Medical College, National Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID), Ministry of Science & Technology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital (PUMCH), Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing 100730, China
| | - D Xu
- Department of Rheumatology and Clinical Immunology, Chinese Academy of Medical Sciences & Peking Union Medical College, National Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID), Ministry of Science & Technology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital (PUMCH), Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing 100730, China
| | - M T Li
- Department of Rheumatology and Clinical Immunology, Chinese Academy of Medical Sciences & Peking Union Medical College, National Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID), Ministry of Science & Technology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital (PUMCH), Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing 100730, China
| | - J M Peng
- Department of Medical ICU, Chinese Academy of Medical Sciences & Peking Union Medical College, Peking Union Medical College Hospital (PUMCH), Beijing 100730, China
| | - J Li
- Department of Hematology, Chinese Academy of Medical Sciences & Peking Union Medical College, Peking Union Medical College Hospital (PUMCH), Beijing 100730, China
| | - Q Wang
- Department of Rheumatology and Clinical Immunology, Chinese Academy of Medical Sciences & Peking Union Medical College, National Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID), Ministry of Science & Technology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital (PUMCH), Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing 100730, China
| | - X F Tian
- Department of Rheumatology and Clinical Immunology, Chinese Academy of Medical Sciences & Peking Union Medical College, National Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID), Ministry of Science & Technology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital (PUMCH), Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing 100730, China
| | - Xiaofeng Zeng
- Department of Rheumatology and Clinical Immunology, Chinese Academy of Medical Sciences & Peking Union Medical College, National Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID), Ministry of Science & Technology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital (PUMCH), Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing 100730, China
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Wu CY, Li YL, Dong XY, Yang SW, Shang BJ, Zhang L, Cheng W, Zhang L, Zhu ZM. [Characteristics and prognostic effects of NOTCH1/FBXW7 gene mutations in T-cell acute lymphoblastic leukemia patients]. Zhonghua Yi Xue Za Zhi 2022; 102:1910-1917. [PMID: 35768390 DOI: 10.3760/cma.j.cn112137-20211025-02358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Objective: To explore the characteristics, clinical features and prognostic effects of NOTCH1/FBXW7 gene mutations in T-cell acute lymphoblastic leukemia (T-ALL) patients. Methods: The clinical data of 61 T-ALL patients who underwent second-generation gene sequencing in Henan Provincial People's Hospital from March 2016 to March 2021 were retrospectively analyzed. There were 46 males and 15 females, with a median age [M (Q1, Q3)] of 18 (11, 30) years. The relationship between NOTCH1/FBXW7 gene mutation characteristics, clinical and laboratory parameters and their impact on event free survival (EFS) and overall survival (OS) were analyzed. Results: NOTCH1 gene mutations were found in 34 cases (55.7%, 34/61), including 22 cases of heterodimer domain (HD) mutations (64.7%), 7 cases of proline/glutamate/serine/threonine (PEST) mutations (20.6%), and 5 cases of both HD and PEST mutations (14.7%). FBXW7 gene mutations were detected in 9 cases (14.8%, 9/61), of which 5 cases had both NOTCH1 and FBXW7 gene mutations. Twenty-three (37.7%, 23/61) cases were wild type. The median white blood cell count of patients in NOTCH1/FBXW7 gene mutations group and wild-type group was 76.4×109/L (8.3×109/L, 149.2×109/L), 54.1×109/L (5.3×109/L, 156.6×109/L), respectively. Moreover, the hemoglobin was (89.1±27.1) g/L and (99.5±23.1) g/L, respectively, and the median proportion of bone marrow primordial cells was 84.5% (69.0%, 91.3%) and 60.0%(35.0%, 80.0%), respectively. The gene expression rate of SIL-TAL1, Hox11 and Hox11L2 was 7.9% (3/38) vs 17.4% (4/23), 18.4% (7/38) vs 4.3% (1/23), 5.3% (2/38) vs 13.0% (3/23), respectively (all P>0.05). However, the median platelet level in the NOTCH1/FBXW7 gene mutations group was 60.5×109/L (36.8×109/L, 100.3×109/L), which was lower than that in the wild-type group [116.0×109/L (63.0×109/L, 178.0×109/L)] (P=0.018). The median number of gene mutations in the group with NOTCH1/FBXW7 gene mutations group was 2.5 (1.8, 4.0), which was more than that in the group without NOTCH1/FBXW7 gene mutations group [0 (0, 1.0)] (P<0.001). The median EFS and OS of adult NOTCH1/FBXW7 gene mutations group were 28.0 (95%CI: 7.3-48.7) months and 30.0 (95%CI: 8.9-51.1) months, respectively, which were better than those of adult wild-type group [4.5 (95%CI: 0-11.6) months and 9.0 (95%CI: 0-19.1) months] (P=0.008 and 0.014).The median EFS and OS of children NOTCH1/FBXW7 gene mutations group were 12.0 (95%CI: 10.4-13.6) months and 19.0 (95%CI: 13.6-24.4) months, respectively, and those of wild-type group were 10.0 (95%CI: 8.9-11.1) months and 21.0 (95%CI: 0-51.4) months, respectively (P=0.673 and 0.434). Conclusions: The mutation rate of NOTCH1/FBXW7 gene is higher in T-ALL patients. Patients with NOTCH1/FBXW7 gene mutations group have lower platelet count and better EFS and OS. NOTCH1/FBXW7 gene mutation may be used as a hierarchical basis for individualized treatment of adult T-ALL patients.
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Affiliation(s)
- C Y Wu
- Institute of Hematology, Henan Provincial People's Hospital, Henan Key Laboratory of Hematopathology, Henan Provincial Engineering Research Center of CAR-T Cell Treatment and Transformation, Henan Key Laboratory of Stem Cell Differentiation and Modification, Zhengzhou 450003, China
| | - Y L Li
- Institute of Hematology, Henan Provincial People's Hospital, Henan Key Laboratory of Hematopathology, Henan Provincial Engineering Research Center of CAR-T Cell Treatment and Transformation, Henan Key Laboratory of Stem Cell Differentiation and Modification, Zhengzhou 450003, China
| | - X Y Dong
- Institute of Hematology, Henan Provincial People's Hospital, Henan Key Laboratory of Hematopathology, Henan Provincial Engineering Research Center of CAR-T Cell Treatment and Transformation, Henan Key Laboratory of Stem Cell Differentiation and Modification, Zhengzhou 450003, China
| | - S W Yang
- Institute of Hematology, Henan Provincial People's Hospital, Henan Key Laboratory of Hematopathology, Henan Provincial Engineering Research Center of CAR-T Cell Treatment and Transformation, Henan Key Laboratory of Stem Cell Differentiation and Modification, Zhengzhou 450003, China
| | - B J Shang
- Institute of Hematology, Henan Provincial People's Hospital, Henan Key Laboratory of Hematopathology, Henan Provincial Engineering Research Center of CAR-T Cell Treatment and Transformation, Henan Key Laboratory of Stem Cell Differentiation and Modification, Zhengzhou 450003, China
| | - L Zhang
- Institute of Hematology, Henan Provincial People's Hospital, Henan Key Laboratory of Hematopathology, Henan Provincial Engineering Research Center of CAR-T Cell Treatment and Transformation, Henan Key Laboratory of Stem Cell Differentiation and Modification, Zhengzhou 450003, China
| | - W Cheng
- Institute of Hematology, Henan Provincial People's Hospital, Henan Key Laboratory of Hematopathology, Henan Provincial Engineering Research Center of CAR-T Cell Treatment and Transformation, Henan Key Laboratory of Stem Cell Differentiation and Modification, Zhengzhou 450003, China
| | - L Zhang
- Institute of Hematology, Henan Provincial People's Hospital, Henan Key Laboratory of Hematopathology, Henan Provincial Engineering Research Center of CAR-T Cell Treatment and Transformation, Henan Key Laboratory of Stem Cell Differentiation and Modification, Zhengzhou 450003, China
| | - Z M Zhu
- Institute of Hematology, Henan Provincial People's Hospital, Henan Key Laboratory of Hematopathology, Henan Provincial Engineering Research Center of CAR-T Cell Treatment and Transformation, Henan Key Laboratory of Stem Cell Differentiation and Modification, Zhengzhou 450003, China
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Wang CH, Lu TC, Tay J, Wu CY, Wu MC, Chong KM, Chou EH, Tsai CL, Huang CH, Huei-Ming Ma M, Chen WJ. Association between Trajectories of End-tidal Carbon Dioxide and Return of Spontaneous Circulation among Emergency Department Patients with Out-of-hospital Cardiac Arrest. Resuscitation 2022; 177:28-37. [PMID: 35750286 DOI: 10.1016/j.resuscitation.2022.06.013] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 06/13/2022] [Accepted: 06/15/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND We aimed to identify distinct trajectories of end-tidal carbon dioxide (EtCO2) during cardiopulmonary resuscitation in patients with out-of-hospital cardiac arrest (OHCA) and to investigate the association between EtCO2 trajectories and OHCA outcomes. METHODS This was a secondary analysis of a prospectively collected database on adult patients with OHCA who had been resuscitated in the emergency department of a tertiary medical center between 2015 and 2020. The primary outcome was the return of spontaneous circulation (ROSC). Group-based trajectory modelling was used to identify the EtCO2 trajectories. Multivariable logistic regression analysis was performed to evaluate the association between EtCO2 trajectories and ROSC. The predictive performance of the EtCO2 trajectories was assessed using the area under the receiver operating characteristic curve (AUC). RESULTS The study comprised 655 patients with OHCA. In the primary analysis, three distinct EtCO2 trajectories, including 10-mmHg, 30-mmHg, and 50-mmHg trajectories, were identified. Compared with the 10-mmHg trajectory, both 30-mmHg (odds ratio [OR]: 4.66, 95% confidence interval [CI]: 3.15-6.90) and 50-mmHg (OR: 7.58, 95% CI: 4.30-13.35) trajectories were associated with a higher likelihood of ROSC. In a sensitivity analysis of excluding EtCO2 measured before tracheal intubation or after sodium bicarbonate administration, the predictive ability of the identified EtCO2 trajectories remained. As a single predictor of ROSC, EtCO2 trajectories had an acceptable discriminative performance (AUC: 0.69, 95% CI: 0.66-0.73). CONCLUSION Three distinct EtCO2 trajectories during cardiopulmonary resuscitation were identified and significantly associated with outcomes. Early identification of these EtCO2 trajectories could potentially guide the ongoing resuscitation efforts.
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Affiliation(s)
- Chih-Hung Wang
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
| | - Tsung-Chien Lu
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
| | - Joyce Tay
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
| | - Cheng-Yi Wu
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
| | - Meng-Che Wu
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
| | - Kah-Meng Chong
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
| | - Eric H Chou
- Department of Emergency Medicine, Baylor Scott and White All Saints Medical Center, Fort Worth, TX, USA; Department of Emergency Medicine, Baylor University Medical Center, Dallas, TX, USA
| | - Chu-Lin Tsai
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan.
| | - Chien-Hua Huang
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
| | - Matthew Huei-Ming Ma
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan; Department of Emergency Medicine, National Taiwan University Hospital Yunlin branch, Yunlin County, Taiwan, Taiwan
| | - Wen-Jone Chen
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan; Division of Cardiology, Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
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Ma SH, Wu CY, Lyu YS, Chou YJ, Chang YT, Wu CY. Association between sodium-glucose co-transporter 2 inhibitors and risk of bullous pemphigoid in patients with type 2 diabetes: A nationwide population-based cohort study. J Eur Acad Dermatol Venereol 2022; 36:1318-1324. [PMID: 35344615 DOI: 10.1111/jdv.18106] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Accepted: 03/04/2022] [Indexed: 11/30/2022]
Abstract
BACKGROUND Certain anti-diabetic agents have been linked to the development of bullous pemphigoid (BP). However, the relationship between BP and sodium-glucose co-transporter 2 inhibitors (SGLT2is) remains inconclusive. OBJECTIVE To investigate the association between SGLT2i usage and BP. METHODS Participants were recruited from the Taiwan National Health Insurance Database between 2007 and 2018. A total of 149,060 patients with diabetes receiving SGLT2i were matched 1:2 with diabetic patients without SGLT2i usage. Factors such as age, sex, duration of diabetes condition, DPP4i usage, insulin usage, and selected comorbidities were included in the multivariate analysis. RESULTS Compared with the control, the 2-year-cumulative incidence was significantly low in patients using SGLT2i after adjustment for competing mortality. Patients with diabetes receiving SGLT2i had a low risk (adjusted hazard ratio [HR] 0·56, 95% confidence interval [CI], 0·33-0·96) for BP after adjustment for potential confounders. Age (HR, 1·06), renal disease (HR, 1·79), cerebrovascular disease (HR, 3·23), epilepsy (HR, 3·07), DPP4i users (HR: 2·55), and insulin users (HR: 2·56) were significant risk factors for BP. CONCLUSIONS The risk of BP did not increase in patients receiving SGLT2i. Thus, SGLT2i could be a safe choice for patients with diabetes having additional risk factors or a history of BP.
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Affiliation(s)
- S H Ma
- Department of Dermatology, Taipei Veterans General Hospital, Taipei, Taiwan.,Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
| | - C Y Wu
- Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.,Institute of Biomedical Informatics, National Yang Ming Chiao Tung University, Taipei, Taiwan.,Institute of Public Health and Department of Public Health, National Yang Ming Chiao Tung University, Taipei, Taiwan.,Division of Translational Research and Center of Excellence for Cancer Research, Taipei Veterans General Hospital, Taipei, Taiwan.,Department of Public Health, China Medical University, Taichung, Taiwan
| | - Y S Lyu
- Institute of Biomedical Informatics, National Yang Ming Chiao Tung University, Taipei, Taiwan
| | - Y J Chou
- Institute of Public Health and Department of Public Health, National Yang Ming Chiao Tung University, Taipei, Taiwan
| | - Y T Chang
- Department of Dermatology, Taipei Veterans General Hospital, Taipei, Taiwan.,Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.,Department of Dermatology, National Yang Ming Chiao Tung University, Taipei, Taiwan
| | - C Y Wu
- Department of Dermatology, Taipei Veterans General Hospital, Taipei, Taiwan.,Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.,Institute of Public Health and Department of Public Health, National Yang Ming Chiao Tung University, Taipei, Taiwan.,Department of Dermatology, National Yang Ming Chiao Tung University, Taipei, Taiwan
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Liang L, Wu CY, Zhang LP, Hou LK, Dong ZW, Wu W, Lin JL, Huang Y, Xie HK. [Clinicopathological and genetic characteristics of bronchial sialadenoma papilliferum: report of four cases]. Zhonghua Bing Li Xue Za Zhi 2022; 51:212-217. [PMID: 35249284 DOI: 10.3760/cma.j.cn112151-20210727-00530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Objective: To investigate the clinicopathological, immunophenotypic, and molecular genetic features of bronchial sialadenoma papilliferum (BSP). Methods: Four cases of BSP collected at the Shanghai Pulmonary Hospital from May 2018 to June 2021 were retrieved and analyzed. These cases were evaluated for their clinical, histological, immunohistochemical (IHC) and genomic features. The patients were followed up and relevant literature was reviewed. Results: All four patients were male, aged from 55 to 75 years (mean 62 years), with tumor diameter of 6 to 21 mm (mean 13.5 mm), and lesions were located in the left lower lobe (n=2), right lower lobe (n=1), and trachea (n=1). They were characterized by a combination of surface exophytic endobronchial papillary proliferation and an endophytic two-cell layered ductal structure. IHC staining showed that CK7 and EMA were strongly positive in ductal epithelium; p63, p40, CK5/6 were positive in ductal and papillary basal cells; SOX10 was positive in ductal epithelium and basal cells; S-100 was positive in basal cells and ductal epithelium in two cases. Next generation sequencing showed that two cases harbored BRAF V600E mutation. Conclusions: BSP is an extremely rare primary lung tumor arising from the salivary gland under bronchial mucosa. The primary treatment choice of this tumor is complete surgical resection. The diagnosis and differential diagnosis of this tumor depend on classic histomorphologic and IHC features, and BRAF V600E gene mutation can be detected.
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Affiliation(s)
- L Liang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - C Y Wu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - L P Zhang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - L K Hou
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - Z W Dong
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - W Wu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - J L Lin
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - Y Huang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - H K Xie
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
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Li SL, Wu CY, Hou LK, Xie HK, Wu W, Zhang W, Zhang LP. [Primary lung salivary gland-type duct carcinoma: a clinicopathological analysis of two cases and review of literature]. Zhonghua Bing Li Xue Za Zhi 2022; 51:218-223. [PMID: 35249285 DOI: 10.3760/cma.j.cn112151-20210604-00410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Objective: To investigate the clinicopathological features, diagnostic criteria and differential diagnosis of primary salivary gland-type duct carcinoma of lung(LSDC). Methods: Two patients with LSDC after surgical resection in Shanghai Pulmonary Hospital from 2020 to 2021 were included; their clinical parameters as well as pathological, immunohistochemical and molecular characteristics of the tumors were analyzed. The relevant literature was also reviewed. Results: Both patients were male, aged 49(case 1) and 64(case 2) years, respectively, and with a history of smoking. The chest computed tomography scan showed both lesions to be centrally located. Gross examination showed the maximum diameters were 16 mm and 35 mm, respectively. The histomorphology of LSDC resembled ductal carcinoma of breast, with intraductal islands of neoplastic cells, which also formed solid nests, papillary, micropapillary and cribriform structures. There was frequent accompanying comedo-like necrosis. The neoplasm cells were markedly heteromorphic, possessing large irregular nuclei with prominent nucleoli, abundant eosinophilic or clear cytoplasm, and mitotic figures were common. Both cases of LSDC were immunoreactive for CKpan, CK7, AR, HER2 staining was (2+) and were negative for TTF1, Napsin A, p40, GATA3, mammaglobin, GCDFP15, SOX10, PSA, P504S, ER, PR, vimentin, S-100, SMA, CK5/6 and p63. The tumor showed double-layer cell structure of the duct, and some basal cells/myoepithelial cells expressed p40 and CK5/6. Case 1 had no gene mutation while case 2 harbored TP53 and KMT2A gene mutation detected by next generation sequencing. Conclusions: LSDC is a very rare and highly aggressive salivary-type malignant tumor. The postoperative diagnosis mainly depends on histopathology and immunohistochemistry, attention should be paid to differential diagnosis to prevent missed diagnosis.
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Affiliation(s)
- S L Li
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - C Y Wu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - L K Hou
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - H K Xie
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - W Wu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - W Zhang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - L P Zhang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
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Huang CY, Sun JT, Wu CY, Lien WC. Point-of-care Ultrasound Helps Differentiate the Causes of Unilateral Lower Limb Swelling with Rapid Progression: A Case Report with Literature Review. J Med Ultrasound 2022; 30:291-293. [PMID: 36844765 PMCID: PMC9944809 DOI: 10.4103/jmu.jmu_136_21] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Revised: 08/12/2021] [Accepted: 10/06/2021] [Indexed: 12/28/2022] Open
Abstract
Unilateral lower limb swelling is a common complaint among emergency department (ED) patients. However, an isolated intramuscular hematoma is an uncommon cause of lower limb swelling. We present a case of left thigh swelling after a traffic accident in which an intramuscular hematoma was diagnosed using point-of-care ultrasound. A literature review was also conducted.
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Affiliation(s)
- Chun-Yen Huang
- Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan
| | - Jen-Tang Sun
- Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan
| | - Cheng-Yi Wu
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan,Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Wan-Ching Lien
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan,Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan,Address for correspondence: Dr. Wan-Ching Lien, Department of Emergency Medicine, National Taiwan University Hospital, National Taiwan University, No. 7, Chung-Shan South Road, Taipei, 100, Taiwan. E-mail:
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Hung WC, Wang JP, Huang YC, Yin CY, Wu CY, Huang HK. Arthroscopic-assisted radiocarpal ligaments tensioning for dynamic radiocarpal instability. BMC Musculoskelet Disord 2022; 23:158. [PMID: 35177051 PMCID: PMC8851747 DOI: 10.1186/s12891-021-04857-7] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2021] [Accepted: 11/09/2021] [Indexed: 11/16/2022] Open
Abstract
Background Dynamic radiocarpal instability is one of the causes of post-trauma radial-sided wrist pain. It is not easy to diagnose and may possibly be overlooked. The key ligaments responsible for dynamic radiocarpal instability are the radioscaphocapitate (RSC) and long radiolunate (LRL) ligaments. Tensioning of these 2 ligaments could be a method of treatment for dynamic carpal instability. We proposed a method for arthroscopic thermal shrinkage of these 2 ligaments, and for setting a landmark arthroscopically to facilitate identification of these 2 ligaments during the combined open suture tensioning procedure. Methods Between January 2016 and May 2020, 12 patients treated with this method were enrolled. The mean age was 33.3 years (range, 18–57 years), and the mean duration from injury to operation was 7.8 months (range, 3–25 months). The diagnosis was mainly depended on the physical examinations and confirmed under arthroscopy. The mean follow-up was 17.7 months (range, 12–26 months). Results All the patients had marked improvement of pain, grip strength, the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH), and the radiocarpal stability. The wrist range of motion showed significant decrease around 5o in both flexion and extension and around 4o in the ulnar deviation at the final follow-ups. All patients were able to return to their previous full level of work and activities. Conclusions We conclude that arthroscopic thermal shrinkage combined with open suture tensioning can be effective in treating dynamic carpal instability, while the arthroscopic-assisted landmark setting can help identify the accurate location of the RSC and LRL ligaments without dissecting too much soft tissue.
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Affiliation(s)
- Wei-Chen Hung
- Department of Orthopaedics, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi, Taiwan
| | - Jung-Pan Wang
- Department of Orthopaedics & Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan.,Department of Surgery, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
| | - Yi-Chao Huang
- Department of Orthopaedics & Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan.,Department of Surgery, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
| | - Cheng-Yu Yin
- Department of Orthopaedics & Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan.,Department of Surgery, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
| | - Cheng-Yi Wu
- Department of Orthopaedics, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi, Taiwan
| | - Hui-Kuang Huang
- Department of Orthopaedics, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi, Taiwan. .,Department of Orthopaedics & Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan. .,Department of Surgery, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan. .,Department of Food Nutrition, Chung Hwa University of Medical Technology, Tainan, Taiwan.
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Cao Z, Aharonian F, An Q, Bai LX, Bai YX, Bao YW, Bastieri D, Bi XJ, Bi YJ, Cai H, Cai JT, Cao Z, Chang J, Chang JF, Chen BM, Chen ES, Chen J, Chen L, Chen L, Chen L, Chen MJ, Chen ML, Chen QH, Chen SH, Chen SZ, Chen TL, Chen XL, Chen Y, Cheng N, Cheng YD, Cui SW, Cui XH, Cui YD, Piazzoli BD, Dai BZ, Dai HL, Dai ZG, Della Volpe D, Dong XJ, Duan KK, Fan JH, Fan YZ, Fan ZX, Fang J, Fang K, Feng CF, Feng L, Feng SH, Feng YL, Gao B, Gao CD, Gao LQ, Gao Q, Gao W, Ge MM, Geng LS, Gong GH, Gou QB, Gu MH, Guo FL, Guo JG, Guo XL, Guo YQ, Guo YY, Han YA, He HH, He HN, He JC, He SL, He XB, He Y, Heller M, Hor YK, Hou C, Hou X, Hu HB, Hu S, Hu SC, Hu XJ, Huang DH, Huang QL, Huang WH, Huang XT, Huang XY, Huang ZC, Ji F, Ji XL, Jia HY, Jiang K, Jiang ZJ, Jin C, Ke T, Kuleshov D, Levochkin K, Li BB, Li C, Li C, Li F, Li HB, Li HC, Li HY, Li J, Li J, Li K, Li WL, Li XR, Li X, Li X, Li Y, Li YZ, Li Z, Li Z, Liang EW, Liang YF, Lin SJ, Liu B, Liu C, Liu D, Liu H, Liu HD, Liu J, Liu JL, Liu JS, Liu JY, Liu MY, Liu RY, Liu SM, Liu W, Liu Y, Liu YN, Liu ZX, Long WJ, Lu R, Lv HK, Ma BQ, Ma LL, Ma XH, Mao JR, Masood A, Min Z, Mitthumsiri W, Montaruli T, Nan YC, Pang BY, Pattarakijwanich P, Pei ZY, Qi MY, Qi YQ, Qiao BQ, Qin JJ, Ruffolo D, Rulev V, Sáiz A, Shao L, Shchegolev O, Sheng XD, Shi JR, Song HC, Stenkin YV, Stepanov V, Su Y, Sun QN, Sun XN, Sun ZB, Tam PHT, Tang ZB, Tian WW, Wang BD, Wang C, Wang H, Wang HG, Wang JC, Wang JS, Wang LP, Wang LY, Wang RN, Wang W, Wang W, Wang XG, Wang XJ, Wang XY, Wang Y, Wang YD, Wang YJ, Wang YP, Wang ZH, Wang ZX, Wang Z, Wang Z, Wei DM, Wei JJ, Wei YJ, Wen T, Wu CY, Wu HR, Wu S, Wu WX, Wu XF, Xi SQ, Xia J, Xia JJ, Xiang GM, Xiao DX, Xiao G, Xiao HB, Xin GG, Xin YL, Xing Y, Xu DL, Xu RX, Xue L, Yan DH, Yan JZ, Yang CW, Yang FF, Yang JY, Yang LL, Yang MJ, Yang RZ, Yang SB, Yao YH, Yao ZG, Ye YM, Yin LQ, Yin N, You XH, You ZY, Yu YH, Yuan Q, Zeng HD, Zeng TX, Zeng W, Zeng ZK, Zha M, Zhai XX, Zhang BB, Zhang HM, Zhang HY, Zhang JL, Zhang JW, Zhang LX, Zhang L, Zhang L, Zhang PF, Zhang PP, Zhang R, Zhang SR, Zhang SS, Zhang X, Zhang XP, Zhang YF, Zhang YL, Zhang Y, Zhang Y, Zhao B, Zhao J, Zhao L, Zhao LZ, Zhao SP, Zheng F, Zheng Y, Zhou B, Zhou H, Zhou JN, Zhou P, Zhou R, Zhou XX, Zhu CG, Zhu FR, Zhu H, Zhu KJ, Zuo X. Exploring Lorentz Invariance Violation from Ultrahigh-Energy γ Rays Observed by LHAASO. Phys Rev Lett 2022; 128:051102. [PMID: 35179919 DOI: 10.1103/physrevlett.128.051102] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Revised: 12/06/2021] [Accepted: 12/24/2021] [Indexed: 06/14/2023]
Abstract
Recently, the LHAASO Collaboration published the detection of 12 ultrahigh-energy γ-ray sources above 100 TeV, with the highest energy photon reaching 1.4 PeV. The first detection of PeV γ rays from astrophysical sources may provide a very sensitive probe of the effect of the Lorentz invariance violation (LIV), which results in decay of high-energy γ rays in the superluminal scenario and hence a sharp cutoff of the energy spectrum. Two highest energy sources are studied in this work. No signature of the existence of the LIV is found in their energy spectra, and the lower limits on the LIV energy scale are derived. Our results show that the first-order LIV energy scale should be higher than about 10^{5} times the Planck scale M_{Pl} and that the second-order LIV scale is >10^{-3}M_{Pl}. Both limits improve by at least one order of magnitude the previous results.
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Affiliation(s)
- Zhen Cao
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - F Aharonian
- Dublin Institute for Advanced Studies, 31 Fitzwilliam Place, 2 Dublin, Ireland
- Max-Planck-Institut for Nuclear Physics, P.O. Box 103980, 69029 Heidelberg, Germany
| | - Q An
- State Key Laboratory of Particle Detection and Electronics, 100049 Beijing, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - L X Bai
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - Y X Bai
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - Y W Bao
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - D Bastieri
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - X J Bi
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - Y J Bi
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - H Cai
- School of Physics and Technology, Wuhan University, 430072 Wuhan, Hubei, China
| | - J T Cai
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - Zhe Cao
- State Key Laboratory of Particle Detection and Electronics, 100049 Beijing, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - J Chang
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J F Chang
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 100049 Beijing, China
| | - B M Chen
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - E S Chen
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - J Chen
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - Liang Chen
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - Liang Chen
- Key Laboratory for Research in Galaxies and Cosmology, Shanghai Astronomical Observatory, Chinese Academy of Sciences, 200030 Shanghai, China
| | - Long Chen
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - M J Chen
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - M L Chen
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 100049 Beijing, China
| | - Q H Chen
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - S H Chen
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - S Z Chen
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - T L Chen
- Key Laboratory of Cosmic Rays (Tibet University), Ministry of Education, 850000 Lhasa, Tibet, China
| | - X L Chen
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - Y Chen
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - N Cheng
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - Y D Cheng
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - S W Cui
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - X H Cui
- National Astronomical Observatories, Chinese Academy of Sciences, 100101 Beijing, China
| | - Y D Cui
- School of Physics and Astronomy and School of Physics (Guangzhou), Sun Yat-sen University, 519000 Zhuhai, Guangdong, China
| | - B D'Ettorre Piazzoli
- Dipartimento di Fisica dell'Università di Napoli "Federico II," Complesso Universitario di Monte Sant'Angelo, via Cinthia, 80126 Napoli, Italy
| | - B Z Dai
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - H L Dai
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 100049 Beijing, China
| | - Z G Dai
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - D Della Volpe
- Département de Physique Nucléaire et Corpusculaire, Faculté de Sciences, Université de Genève, 24 Quai Ernest Ansermet, 1211 Geneva, Switzerland
| | - X J Dong
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - K K Duan
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J H Fan
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - Y Z Fan
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Z X Fan
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - J Fang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - K Fang
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - C F Feng
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - L Feng
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - S H Feng
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - Y L Feng
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - B Gao
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - C D Gao
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - L Q Gao
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - Q Gao
- Key Laboratory of Cosmic Rays (Tibet University), Ministry of Education, 850000 Lhasa, Tibet, China
| | - W Gao
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - M M Ge
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - L S Geng
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - G H Gong
- Department of Engineering Physics, Tsinghua University, 100084 Beijing, China
| | - Q B Gou
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - M H Gu
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 100049 Beijing, China
| | - F L Guo
- Key Laboratory for Research in Galaxies and Cosmology, Shanghai Astronomical Observatory, Chinese Academy of Sciences, 200030 Shanghai, China
| | - J G Guo
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - X L Guo
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Y Q Guo
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - Y Y Guo
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Y A Han
- School of Physics and Microelectronics, Zhengzhou University, 450001 Zhengzhou, Henan, China
| | - H H He
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - H N He
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J C He
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - S L He
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - X B He
- School of Physics and Astronomy and School of Physics (Guangzhou), Sun Yat-sen University, 519000 Zhuhai, Guangdong, China
| | - Y He
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - M Heller
- Département de Physique Nucléaire et Corpusculaire, Faculté de Sciences, Université de Genève, 24 Quai Ernest Ansermet, 1211 Geneva, Switzerland
| | - Y K Hor
- School of Physics and Astronomy and School of Physics (Guangzhou), Sun Yat-sen University, 519000 Zhuhai, Guangdong, China
| | - C Hou
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - X Hou
- Yunnan Observatories, Chinese Academy of Sciences, 650216 Kunming, Yunnan, China
| | - H B Hu
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - S Hu
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - S C Hu
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - X J Hu
- Department of Engineering Physics, Tsinghua University, 100084 Beijing, China
| | - D H Huang
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Q L Huang
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - W H Huang
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - X T Huang
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - X Y Huang
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Z C Huang
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - F Ji
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - X L Ji
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 100049 Beijing, China
| | - H Y Jia
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - K Jiang
- State Key Laboratory of Particle Detection and Electronics, 100049 Beijing, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - Z J Jiang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - C Jin
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - T Ke
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - D Kuleshov
- Institute for Nuclear Research of Russian Academy of Sciences, 117312 Moscow, Russia
| | - K Levochkin
- Institute for Nuclear Research of Russian Academy of Sciences, 117312 Moscow, Russia
| | - B B Li
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - Cheng Li
- State Key Laboratory of Particle Detection and Electronics, 100049 Beijing, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - Cong Li
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - F Li
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 100049 Beijing, China
| | - H B Li
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - H C Li
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - H Y Li
- University of Science and Technology of China, 230026 Hefei, Anhui, China
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Jian Li
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - Jie Li
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 100049 Beijing, China
| | - K Li
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - W L Li
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - X R Li
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - Xin Li
- State Key Laboratory of Particle Detection and Electronics, 100049 Beijing, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - Xin Li
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Y Li
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - Y Z Li
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - Zhe Li
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - Zhuo Li
- School of Physics, Peking University, 100871 Beijing, China
| | - E W Liang
- School of Physical Science and Technology, Guangxi University, 530004 Nanning, Guangxi, China
| | - Y F Liang
- School of Physical Science and Technology, Guangxi University, 530004 Nanning, Guangxi, China
| | - S J Lin
- School of Physics and Astronomy and School of Physics (Guangzhou), Sun Yat-sen University, 519000 Zhuhai, Guangdong, China
| | - B Liu
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - C Liu
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - D Liu
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - H Liu
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - H D Liu
- School of Physics and Microelectronics, Zhengzhou University, 450001 Zhengzhou, Henan, China
| | - J Liu
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - J L Liu
- Tsung-Dao Lee Institute and School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - J S Liu
- School of Physics and Astronomy and School of Physics (Guangzhou), Sun Yat-sen University, 519000 Zhuhai, Guangdong, China
| | - J Y Liu
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - M Y Liu
- Key Laboratory of Cosmic Rays (Tibet University), Ministry of Education, 850000 Lhasa, Tibet, China
| | - R Y Liu
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - S M Liu
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - W Liu
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - Y Liu
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - Y N Liu
- Department of Engineering Physics, Tsinghua University, 100084 Beijing, China
| | - Z X Liu
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - W J Long
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - R Lu
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - H K Lv
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - B Q Ma
- School of Physics, Peking University, 100871 Beijing, China
| | - L L Ma
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - X H Ma
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - J R Mao
- Yunnan Observatories, Chinese Academy of Sciences, 650216 Kunming, Yunnan, China
| | - A Masood
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Z Min
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - W Mitthumsiri
- Department of Physics, Faculty of Science, Mahidol University, 10400 Bangkok, Thailand
| | - T Montaruli
- Département de Physique Nucléaire et Corpusculaire, Faculté de Sciences, Université de Genève, 24 Quai Ernest Ansermet, 1211 Geneva, Switzerland
| | - Y C Nan
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - B Y Pang
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - P Pattarakijwanich
- Department of Physics, Faculty of Science, Mahidol University, 10400 Bangkok, Thailand
| | - Z Y Pei
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - M Y Qi
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - Y Q Qi
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - B Q Qiao
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - J J Qin
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - D Ruffolo
- Department of Physics, Faculty of Science, Mahidol University, 10400 Bangkok, Thailand
| | - V Rulev
- Institute for Nuclear Research of Russian Academy of Sciences, 117312 Moscow, Russia
| | - A Sáiz
- Department of Physics, Faculty of Science, Mahidol University, 10400 Bangkok, Thailand
| | - L Shao
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - O Shchegolev
- Institute for Nuclear Research of Russian Academy of Sciences, 117312 Moscow, Russia
- Moscow Institute of Physics and Technology, 141700 Moscow, Russia
| | - X D Sheng
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - J R Shi
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - H C Song
- School of Physics, Peking University, 100871 Beijing, China
| | - Yu V Stenkin
- Institute for Nuclear Research of Russian Academy of Sciences, 117312 Moscow, Russia
- Moscow Institute of Physics and Technology, 141700 Moscow, Russia
| | - V Stepanov
- Institute for Nuclear Research of Russian Academy of Sciences, 117312 Moscow, Russia
| | - Y Su
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Q N Sun
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - X N Sun
- School of Physical Science and Technology, Guangxi University, 530004 Nanning, Guangxi, China
| | - Z B Sun
- National Space Science Center, Chinese Academy of Sciences, 100190 Beijing, China
| | - P H T Tam
- School of Physics and Astronomy and School of Physics (Guangzhou), Sun Yat-sen University, 519000 Zhuhai, Guangdong, China
| | - Z B Tang
- State Key Laboratory of Particle Detection and Electronics, 100049 Beijing, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - W W Tian
- University of Chinese Academy of Sciences, 100049 Beijing, China
- National Astronomical Observatories, Chinese Academy of Sciences, 100101 Beijing, China
| | - B D Wang
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - C Wang
- National Space Science Center, Chinese Academy of Sciences, 100190 Beijing, China
| | - H Wang
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - H G Wang
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - J C Wang
- Yunnan Observatories, Chinese Academy of Sciences, 650216 Kunming, Yunnan, China
| | - J S Wang
- Tsung-Dao Lee Institute and School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - L P Wang
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - L Y Wang
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - R N Wang
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - W Wang
- School of Physics and Astronomy and School of Physics (Guangzhou), Sun Yat-sen University, 519000 Zhuhai, Guangdong, China
| | - W Wang
- School of Physics and Technology, Wuhan University, 430072 Wuhan, Hubei, China
| | - X G Wang
- School of Physical Science and Technology, Guangxi University, 530004 Nanning, Guangxi, China
| | - X J Wang
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - X Y Wang
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - Y Wang
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Y D Wang
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - Y J Wang
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - Y P Wang
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - Z H Wang
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - Z X Wang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - Zhen Wang
- Tsung-Dao Lee Institute and School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - Zheng Wang
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 100049 Beijing, China
| | - D M Wei
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J J Wei
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Y J Wei
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - T Wen
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - C Y Wu
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - H R Wu
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - S Wu
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - W X Wu
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - X F Wu
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - S Q Xi
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - J Xia
- University of Science and Technology of China, 230026 Hefei, Anhui, China
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - J J Xia
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - G M Xiang
- University of Chinese Academy of Sciences, 100049 Beijing, China
- Key Laboratory for Research in Galaxies and Cosmology, Shanghai Astronomical Observatory, Chinese Academy of Sciences, 200030 Shanghai, China
| | - D X Xiao
- Key Laboratory of Cosmic Rays (Tibet University), Ministry of Education, 850000 Lhasa, Tibet, China
| | - G Xiao
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - H B Xiao
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - G G Xin
- School of Physics and Technology, Wuhan University, 430072 Wuhan, Hubei, China
| | - Y L Xin
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Y Xing
- Key Laboratory for Research in Galaxies and Cosmology, Shanghai Astronomical Observatory, Chinese Academy of Sciences, 200030 Shanghai, China
| | - D L Xu
- Tsung-Dao Lee Institute and School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - R X Xu
- School of Physics, Peking University, 100871 Beijing, China
| | - L Xue
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - D H Yan
- Yunnan Observatories, Chinese Academy of Sciences, 650216 Kunming, Yunnan, China
| | - J Z Yan
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - C W Yang
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - F F Yang
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 100049 Beijing, China
| | - J Y Yang
- School of Physics and Astronomy and School of Physics (Guangzhou), Sun Yat-sen University, 519000 Zhuhai, Guangdong, China
| | - L L Yang
- School of Physics and Astronomy and School of Physics (Guangzhou), Sun Yat-sen University, 519000 Zhuhai, Guangdong, China
| | - M J Yang
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - R Z Yang
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - S B Yang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - Y H Yao
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - Z G Yao
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - Y M Ye
- Department of Engineering Physics, Tsinghua University, 100084 Beijing, China
| | - L Q Yin
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - N Yin
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - X H You
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - Z Y You
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - Y H Yu
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - Q Yuan
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - H D Zeng
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - T X Zeng
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 100049 Beijing, China
| | - W Zeng
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - Z K Zeng
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - M Zha
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - X X Zhai
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - B B Zhang
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - H M Zhang
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - H Y Zhang
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - J L Zhang
- National Astronomical Observatories, Chinese Academy of Sciences, 100101 Beijing, China
| | - J W Zhang
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - L X Zhang
- Center for Astrophysics, Guangzhou University, 510006 Guangzhou, Guangdong, China
| | - Li Zhang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - Lu Zhang
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - P F Zhang
- School of Physics and Astronomy, Yunnan University, 650091 Kunming, Yunnan, China
| | - P P Zhang
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - R Zhang
- University of Science and Technology of China, 230026 Hefei, Anhui, China
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - S R Zhang
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - S S Zhang
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - X Zhang
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - X P Zhang
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - Y F Zhang
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - Y L Zhang
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - Yi Zhang
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
| | - Yong Zhang
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - B Zhao
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - J Zhao
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - L Zhao
- State Key Laboratory of Particle Detection and Electronics, 100049 Beijing, China
- University of Science and Technology of China, 230026 Hefei, Anhui, China
| | - L Z Zhao
- Hebei Normal University, 050024 Shijiazhuang, Hebei, China
| | - S P Zhao
- Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, 210023 Nanjing, Jiangsu, China
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - F Zheng
- National Space Science Center, Chinese Academy of Sciences, 100190 Beijing, China
| | - Y Zheng
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - B Zhou
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
| | - H Zhou
- Tsung-Dao Lee Institute and School of Physics and Astronomy, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - J N Zhou
- Key Laboratory for Research in Galaxies and Cosmology, Shanghai Astronomical Observatory, Chinese Academy of Sciences, 200030 Shanghai, China
| | - P Zhou
- School of Astronomy and Space Science, Nanjing University, 210023 Nanjing, Jiangsu, China
| | - R Zhou
- College of Physics, Sichuan University, 610065 Chengdu, Sichuan, China
| | - X X Zhou
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - C G Zhu
- Institute of Frontier and Interdisciplinary Science, Shandong University, 266237 Qingdao, Shandong, China
| | - F R Zhu
- School of Physical Science and Technology and School of Information Science and Technology, Southwest Jiaotong University, 610031 Chengdu, Sichuan, China
| | - H Zhu
- National Astronomical Observatories, Chinese Academy of Sciences, 100101 Beijing, China
| | - K J Zhu
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- University of Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
- State Key Laboratory of Particle Detection and Electronics, 100049 Beijing, China
| | - X Zuo
- Key Laboratory of Particle Astrophysics and Experimental Physics Division and Computing Center, Institute of High Energy Physics, Chinese Academy of Sciences, 100049 Beijing, China
- TIANFU Cosmic Ray Research Center, Chengdu, 610000 Sichuan, China
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Liang L, Wu CY, Zhang LP, Hou LK, Dong ZW, Huang Y, Xie HK. [Smoking-related pulmonary interstitial fibrosis: report of a case]. Zhonghua Bing Li Xue Za Zhi 2022; 51:59-61. [PMID: 34979758 DOI: 10.3760/cma.j.cn112151-20210627-00462] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Affiliation(s)
- L Liang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - C Y Wu
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - L P Zhang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - L K Hou
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - Z W Dong
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - Y Huang
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
| | - H K Xie
- Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China
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Wu CY, Lee HS, Tsai CF, Hsu YH, Yang HY. Secular trends in the incidence of fracture hospitalization between 2000 and 2015 among the middle-aged and elderly persons in Taiwan: A nationwide register-based cohort study. Bone 2022; 154:116250. [PMID: 34740812 DOI: 10.1016/j.bone.2021.116250] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2021] [Revised: 10/25/2021] [Accepted: 10/29/2021] [Indexed: 11/02/2022]
Abstract
OBJECTIVE Fractures are a common reason for hospital admissions. However, regional and short-term studies show a varying incidence rate (IR) of fractures, and most of the surveys were conducted from only a few medical centers. Therefore, this study aims to investigate the epidemiological data of fracture hospitalizations of middle-aged and elderly persons in Taiwan between 2000 and 2015. MATERIALS AND METHODS Data from fractures occurring between 2000 and 2015 were obtained from the National Health Insurance Research Database in Taiwan for this study. The IR of fracture admission in patients, aged 40 years or older at the time of admission and first-time diagnosed with a fracture following admission, was calculated. RESULTS We found that the IR of the fracture hospitalizations declined considerably from 95.70 per 10,000 person-years in 2000, to 68.48 per 10,000 person-years in 2015. The three most common fracture hospitalizations accounting for more than 50% of all fractures were fractures of the femur/hip, radius or ulna, and vertebral column. The IR of fracture hospitalization increased with age and was found to be higher in women than in men. The most common cause of fracture hospitalization for men and patients under 65 years of age was traffic accidents. In contrast, falls were the most frequent causes of fracture hospitalization for women and patients over 65 years of age. CONCLUSION The present study furnishes an updated picture of the incidence of fracture hospitalization over a 16-year period among middle-aged and elderly persons in Taiwan.
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Affiliation(s)
- Cheng-Yi Wu
- Department of Orthopedics, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi City, Taiwan; Department of Nursing, Chung Jen Junior College of Nursing, Health Science and Management, Chia-Yi City, Taiwan
| | - Herng-Sheng Lee
- Department of Pathology and Laboratory Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
| | - Ching-Fang Tsai
- Department of Medical Research, Clinical Medicine Research Center, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi City, Taiwan
| | - Yueh-Han Hsu
- Department of Medical Research, China Medical University Hospital and China Medical University, Taichung, Taiwan; Department of Internal Medicine, Division of Nephrology, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi City, Taiwan; Department of Nursing, Min-Hwei College of Health Care Management, Tainan, Taiwan
| | - Hsin-Yi Yang
- Department of Medical Research, Clinical Medicine Research Center, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi City, Taiwan.
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Yu XP, Wang WJ, Wu CY, Li Y, Li H, Zeng Y. [The effect of chronic kidney disease on the long-term prognosis of patients with left main coronary artery disease after revascularization]. Zhonghua Yi Xue Za Zhi 2021; 101:3950-3954. [PMID: 34954997 DOI: 10.3760/cma.j.cn112137-20210617-01374] [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: 11/05/2022]
Abstract
Objective: To analyze the effect of chronic kidney disease (CKD) on the long-term prognosis of patients with left main coronary artery disease after revascularization. Methods: A total of 1 040 patients with lesions in unprotected left main coronary artery who underwent percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) between January 2003 and July 2009 in Beijing An Zhen Hospital were enrolled (CKD group, n=240; non CKD group, n=800). The mean ages of CKD group and non CKD group were (68.9±6.5) and (61.1±9.7) years old, respectively. Patients were followed up through interviewing in clinic visit or calling by telephone. The primary endpoints of the study included death, myocardial infarction (MI) and stroke. Cox regression was used to analyze the associated factors on patients' long-term prognosis. Results: The median follow-up for included 1 040 patients was 6.1 years (first quartile Q1, 5.1 years; Q3, 8.0 years). The total occurrence of death, MI and stroke in the CKD group (48.9%, n=96) was significantly higher than that in the non CKD group (30.7%, n=136) (P<0.001). In the CKD group, the total occurrence of the death, MI and stroke was 51.2% in patients with PCI (n=46) compared to that of 47.2% in patients with CABG (n=50). In the non CKD group, the total occurrence of death, MI and stroke was 17.7% and 36.7% in patients with PCI (n=45) and CABG (n=91), respectively. Cox proportional hazards regression model analysis showed that after adjusted for confounding factors, the risk of all-cause death/MI/stroke [HR (95%CI): 1.97 (1.49-2.62)], all-cause death [2.67 (1.89-3.78)], cardiac death [3.46 (2.25-5.33)] and MI [2.31 (1.41-3.80)] increased in patients with CKD after revascularization. Conclusions: CKD significantly increases the occurrence of composite of death/MI/stroke, all-cause mortality, cardiac death and MI in patients with left main coronary artery disease after revascularization. There was no significant difference in the occurrence of the composite of death, MI and stroke between patients with PCI and those with CABG, regardless of in CKD group or non CKD group.
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Affiliation(s)
- X P Yu
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing 100029, China
| | - W J Wang
- Department of Cardiology, Liaocheng Veterans Hospital, Liaocheng 252000, China
| | - C Y Wu
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing 100029, China
| | - Y Li
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing 100029, China
| | - H Li
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing 100029, China
| | - Y Zeng
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing 100029, China
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47
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Scarpato BS, Swardfager W, Eid M, Ploubidis GB, MacIntosh BJ, Wu CY, Launer LJ, Cogo-Moreira H. Dynamics between psychological distress and body mass index throughout adult life; evidence from 3 large cohort studies. J Psychiatr Res 2021; 144:378-388. [PMID: 34737123 DOI: 10.1016/j.jpsychires.2021.10.030] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Revised: 08/25/2021] [Accepted: 10/19/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Associations between body mass index (BMI) and psychological distress (PD) have been reported; however, few longitudinal studies have accounted for likely life-course differences in BMI and PD stability, consistency, and their interplay across time. METHODS Via random intercepts cross-lagged panel models, we assessed the predictive effects (from BMI to PD or vice-versa) across the last two centuries in the Coronary Artery Risk Development in Young Adults [CARDIA, beginning in 1985-6] study using the Center for Epidemiological Studies-Depression Scale [CES-D], and in the National Child Development Study [NCDS, beginning in 1958] and British Cohort Study [BCS, beginning in 1970] using the Malaise Inventory [MI]), assessed at least 4 times in adult life. FINDINGS In CARDIA (n = 4724), NCDS58 (n = 7149) and BCS70 (n = 5967), autoregressive effects were stronger for BMI than for PD, meaning that carry-over effects from one occasion to the next were larger for BMI than for PD. Small interindividual correlations between traits of higher BMI and higher PD were identified among females (rfemale<|0·2|) but not males (rmale<|0·03|) in CARDIA and NCDS. Cross-lagged effects were very weak or close to zero (standardized effects η<|0·1|). INTERPRETATION In the United States, depressive symptoms and BMI were positively correlated at the trait level among females. In the United Kingdom, relationships between PD and BMI were inconsistent between generations, with effect sizes of unlikely clinical importance, indicating negligible dominance of an intraindividual effect of BMI on PD or vice versa.
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Affiliation(s)
- B S Scarpato
- Department of Psychiatry, Federal University of Sao Paulo UNIFESP, Sao Paulo, Brazil
| | - W Swardfager
- Department of Pharmacology & Toxicology, University of Toronto, Toronto, Canada; Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Canada
| | - M Eid
- Department of Educational Science and Psychology, Freie Universität Berlin, Germany
| | - G B Ploubidis
- Centre for Longitudinal Studies, UCL Institute of Education, University College London, UK
| | - B J MacIntosh
- Department of Medical Biophysics, University of Toronto, Canada; Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Canada
| | - C Y Wu
- Department of Pharmacology & Toxicology, University of Toronto, Toronto, Canada; Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Canada
| | - L J Launer
- Laboratory of Epidemiology and Population Science, National Institutes of Health, USA
| | - H Cogo-Moreira
- Department of Psychiatry, Federal University of Sao Paulo UNIFESP, Sao Paulo, Brazil; Department of Education, ICT and Learning, Østfold University College, Norway.
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48
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Wang CH, Wu CY, Liu CCY, Hsu TC, Liu MA, Wu MC, Tsai MS, Chang WT, Huang CH, Lee CC, Chen SC, Chen WJ. Neuroprognostic Accuracy of Quantitative Versus Standard Pupillary Light Reflex for Adult Postcardiac Arrest Patients: A Systematic Review and Meta-Analysis. Crit Care Med 2021; 49:1790-1799. [PMID: 34259437 DOI: 10.1097/ccm.0000000000005045] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES An automated infrared pupillometer measures quantitative pupillary light reflex using a calibrated light stimulus. We examined whether the timing of performing quantitative pupillary light reflex or standard pupillary light reflex may impact its neuroprognostic performance in postcardiac arrest comatose patients and whether quantitative pupillary light reflex may outperform standard pupillary light reflex in early postresuscitation phase. DATA SOURCES PubMed and Embase databases from their inception to July 2020. STUDY SELECTION We selected studies providing sufficient data of prognostic values of standard pupillary light reflex or quantitative pupillary light reflex to predict neurologic outcomes in adult postcardiac arrest comatose patients. DATA EXTRACTION Quantitative data required for building a 2 × 2 contingency table were extracted, and study quality was assessed using standard criteria. DATA SYNTHESIS We used the bivariate random-effects model to estimate the pooled sensitivity and specificity of standard pupillary light reflex or quantitative pupillary light reflex in predicting poor neurologic outcome during early (< 72 hr), middle (between 72 and 144 hr), and late (≧ 145 hr) postresuscitation periods, respectively. We included 39 studies involving 17,179 patients. For quantitative pupillary light reflex, the cut off points used in included studies to define absent pupillary light reflex ranged from 0% to 13% (median: 7%) and from zero to 2 (median: 2) for pupillary light reflex amplitude and Neurologic Pupil index, respectively. Late standard pupillary light reflex had the highest area under the receiver operating characteristic curve (0.98, 95% CI [CI], 0.97-0.99). For early standard pupillary light reflex, the area under the receiver operating characteristic curve was 0.80 (95% CI, 0.76-0.83), with a specificity of 0.91 (95% CI, 0.85-0.95). For early quantitative pupillary light reflex, the area under the receiver operating characteristic curve was 0.83 (95% CI, 0.79-0.86), with a specificity of 0.99 (95% CI, 0.91-1.00). CONCLUSIONS Timing of pupillary light reflex examination may impact neuroprognostic accuracy. The highest prognostic performance was achieved with late standard pupillary light reflex. Early quantitative pupillary light reflex had a similar specificity to late standard pupillary light reflex and had better specificity than early standard pupillary light reflex. For postresuscitation comatose patients, early quantitative pupillary light reflex may substitute for early standard pupillary light reflex in the neurologic prognostication algorithm.
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Affiliation(s)
- Chih-Hung Wang
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Cheng-Yi Wu
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
| | - Carolyn Chia-Yu Liu
- Department for Continuing Education, The Nuffield Department of Primary Care Health Science, University of Oxford, Oxford, United Kingdom
| | - Tzu-Chun Hsu
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
| | - Michael A Liu
- Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI
| | - Meng-Che Wu
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
| | - Min-Shan Tsai
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Wei-Tien Chang
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Chien-Hua Huang
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Chien-Chang Lee
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Shyr-Chyr Chen
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Wen-Jone Chen
- Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
- Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
- Division of Cardiology, Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
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49
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Dong XY, Li YL, Wu CY, Shang BJ, Zhang L, Cheng W, Zhu ZM. [Analysis of clinical features and prognosis of patients with chronic myelogenous leukemia harboring additional chromosomal abnormalities in Ph-positive cells]. Zhonghua Xue Ye Xue Za Zhi 2021; 42:660-665. [PMID: 34547872 PMCID: PMC8501281 DOI: 10.3760/cma.j.issn.0253-2727.2021.08.008] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
目的 探讨Ph阳性附加染色体异常(ACA/Ph+)对初诊慢性期(CP)和治疗中进展为加速期和急变期慢性髓性白血病(CML-AP/BP)患者生物学特征、疗效和预后的影响。 方法 回顾性分析2013年1月至2020年6月河南省人民医院收治的410例Ph+ CML[初诊CML-CP 348例,治疗中进展为AP/BP(进展期CML)62例]患者的临床资料,根据ELN2020标准将其分为高危、非高危和无ACA/Ph+三组,并比较分析高危/非高危ACA/Ph+对其生物学特征、疗效和预后的影响。 结果 ①348例初诊CML-CP患者,合并ACA/Ph+者20例(5.75%),其中高危ACA/Ph+组3例,非高危ACA/Ph+组17例;无ACA/Ph+组328例。伴ACA/Ph+和无ACA/Ph+组患者的基本临床特征差异无统计学意义(P值均>0.05);非高危ACA/Ph+组和无ACA/Ph+组间完全血液学缓解(CHR)率、完全细胞遗传学反应(CCyR)率、主要分子学反应(MMR)率和5年总生存(OS)率差异均无统计学意义(P值均>0.05);非高危ACA/Ph+组5年无进展生存(PFS)率显著低于无ACA/Ph+组(42.0%对74.5%,χ2=4.766,P=0.029)。②62例进展期CML患者,合并ACA/Ph+者41例(66.13%),其中高危ACA/Ph+组28例,非高危ACA/Ph+组13例;无ACA/Ph+组21例。高危ACA/Ph+组患者中位PLT水平(42.5×109/L)低于非高危(141×109/L)和无ACA/Ph+组(109×109/L)(χ2=4.968,P=0.083);三组间ABL激酶区点突变发生率差异无统计学意义(P=0.652)。高危ACA/Ph+组CCyR率显著低于无ACA/Ph+组(5.3%对46.7%,χ2=5.851,P=0.016)。高危ACA/Ph+组5年OS率为46.2%,非高危ACA/Ph+组为64.3%,无ACA/Ph+组为77.8%,其中高危ACA/Ph+组患者5年OS率明显低于无ACA/Ph+组(χ2=3.878,P=0.049)。亚组分析显示高危Ⅰ组(+8,+Ph或含+8/+Ph的复杂ACA)CML患者的5年OS率为54.5%,与无ACA/Ph+组相比差异无统计学意义(χ2=1.514,P=0.219);高危Ⅱ组[含−7/7q−或i(17q)或含2个及以上高危ACA的复杂核型]为28.6%,显著低于无ACA/Ph+组(χ2=8.035,P=0.005)。 结论 因ACA类型和疾病分期不同,伴ACA/Ph+ CML患者的治疗反应和预后存在差异,治疗过程中高危ACA的出现意味着更差的治疗反应和预后,严格、规范的细胞遗传学监测对此类患者的早期发现和精准诊疗具有重要意义。
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Affiliation(s)
- X Y Dong
- Institute of Hematology, Henan Provincial People's Hospital; Henan Key Laboratory of Hematopathology; Henan Key Laboratory of Stem Cell Differentiation and Modification, People's Hospital of Zhengzhou University; People's Hospital of Henan University, Zhengzhou 450003, China
| | - Y L Li
- Institute of Hematology, Henan Provincial People's Hospital; Henan Key Laboratory of Hematopathology; Henan Key Laboratory of Stem Cell Differentiation and Modification, People's Hospital of Zhengzhou University; People's Hospital of Henan University, Zhengzhou 450003, China
| | - C Y Wu
- Institute of Hematology, Henan Provincial People's Hospital; Henan Key Laboratory of Hematopathology; Henan Key Laboratory of Stem Cell Differentiation and Modification, People's Hospital of Zhengzhou University; People's Hospital of Henan University, Zhengzhou 450003, China
| | - B J Shang
- Institute of Hematology, Henan Provincial People's Hospital; Henan Key Laboratory of Hematopathology; Henan Key Laboratory of Stem Cell Differentiation and Modification, People's Hospital of Zhengzhou University; People's Hospital of Henan University, Zhengzhou 450003, China
| | - L Zhang
- Institute of Hematology, Henan Provincial People's Hospital; Henan Key Laboratory of Hematopathology; Henan Key Laboratory of Stem Cell Differentiation and Modification, People's Hospital of Zhengzhou University; People's Hospital of Henan University, Zhengzhou 450003, China
| | - W Cheng
- Institute of Hematology, Henan Provincial People's Hospital; Henan Key Laboratory of Hematopathology; Henan Key Laboratory of Stem Cell Differentiation and Modification, People's Hospital of Zhengzhou University; People's Hospital of Henan University, Zhengzhou 450003, China
| | - Z M Zhu
- Institute of Hematology, Henan Provincial People's Hospital; Henan Key Laboratory of Hematopathology; Henan Key Laboratory of Stem Cell Differentiation and Modification, People's Hospital of Zhengzhou University; People's Hospital of Henan University, Zhengzhou 450003, China
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50
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Huang Y, Zhang LP, Hou LK, Dong ZW, Zhang W, Wu W, Wu CY. [Pathological assessment of non-small cell lung cancer resection specimens after neoadjuvant therapy]. Zhonghua Bing Li Xue Za Zhi 2021; 50:773-778. [PMID: 34405613 DOI: 10.3760/cma.j.cn112151-20201224-00962] [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: 11/05/2022]
Abstract
Objective: To pathologically evaluate the surgically resected specimens of three different therapies (neoadjuvant chemotherapy, neoadjuvant targeted therapy and neoadjuvant immunotherapy combined with chemotherapy) for non-small cell lung cancer. Methods: One-hundred and thirteen cases of post neoadjuvant therapy non-small cell lung cancer specimens were collected at Tongji University Affiliated Shanghai Pulmonary Hospital from January 2000 to March 2020. There were ninty patients receiving neoadjuvant chemotherapy (chemotherapy group;26 cases of adenocarcinoma and 64 cases of squamous cell carcinoma), 13 patients receiving neoadjuvant targeted therapy (targeted group;13 cases of adenocarcinoma) and 10 patients receiving neoadjuvant immunotherapy combined with chemotherapy (immune combined chemotherapy group;4 cases of adenocarcinoma and 6 cases of squamous cell carcinoma). They were evaluated for histologic tumor regression responses (necrosis, inflammatory cell infiltration, cholesterol crystal deposition, foam cell infiltration, reactive granuloma and interstitial collagenous formation) and pathological responses [main pathological response (MPR) and complete pathological response (PCR)]. Results: Chemotherapy group, targeted group and immune combined chemotherapy group all showed degenerative changes in residual tumor cells, increased atypia, various degrees of necrosis, foam cell aggregation, cholesterol cleft, inflammatory cell infiltration, and reactive granuloma in the tumor bed. Histologic characteristics of tumor regression reaction were not different between these three groups (P>0.05); the highest percentage of necrosis in the targeted group and immune combined chemotherapy group was only 10% and 20%, respectively, while that in the chemotherapy group was as high as 80%. One case of adenocarcinoma in immune combined chemotherapy group had tumor regression bed. The MPR rates of adenocarcinoma in chemotherapy group and squamous cell carcinoma in chemotherapy group were 35% (9/26) and 64% (41/64), respectively; the MPR ratio of targeted group was 2/13; the MPR ratio of adenocarcinomain immune combined chemotherapy group and squamous cell carcinoma in immune combined chemotherapy group were 2/4 and 2/6, respectively. The PCR rates of adenocarcinoma in chemotherapy group and squamous cell carcinoma in chemotherapy group were 11% (3/26) and 3% (2/64), respectively; the PCR ratio of targeted group was 0/13; the PCR ratio of adenocarcinomain immune combined chemotherapy group and squamous cell carcinomain immune combined chemotherapy group were 0/4 and 1/6, respectively. Conclusions: Different neoadjuvant therapy may cause various histopathological changes in non-small cell lung cancer: more necrosis is noted in the chemotherapy group and regression bed frequently appears in the immune combined chemotherapy group. In the immune combined chemotherapy group, there are significant lymphoplasmacytic infiltration and lymphoid follicle formation in the lung parenchyma beside the tumor bed.
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Affiliation(s)
- Y Huang
- Department of Pathology, Tongji University Affiliated Shanghai Pulmonary Hospital, Shanghai 200433, China
| | - L P Zhang
- Department of Pathology, Tongji University Affiliated Shanghai Pulmonary Hospital, Shanghai 200433, China
| | - L K Hou
- Department of Pathology, Tongji University Affiliated Shanghai Pulmonary Hospital, Shanghai 200433, China
| | - Z W Dong
- Department of Pathology, Tongji University Affiliated Shanghai Pulmonary Hospital, Shanghai 200433, China
| | - W Zhang
- Department of Pathology, Tongji University Affiliated Shanghai Pulmonary Hospital, Shanghai 200433, China
| | - W Wu
- Department of Pathology, Tongji University Affiliated Shanghai Pulmonary Hospital, Shanghai 200433, China
| | - C Y Wu
- Department of Pathology, Tongji University Affiliated Shanghai Pulmonary Hospital, Shanghai 200433, China
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