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Starosta AJ, Bombardier CH, Kahlia F, Barber J, Accardi-Ravid MC, Wiechman SA, Crane DA, Jensen MP. Feasibility of Brief, Hypnotic Enhanced Cognitive Therapy for SCI-related Pain During Inpatient Rehabilitation. Arch Phys Med Rehabil 2024; 105:1-9. [PMID: 37364685 DOI: 10.1016/j.apmr.2023.06.005] [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: 02/02/2023] [Revised: 05/05/2023] [Accepted: 06/15/2023] [Indexed: 06/28/2023]
Abstract
OBJECTIVES (1) Adapt evidence-based hypnosis-enhanced cognitive therapy (HYP-CT) for inpatient rehabilitation setting; and (2) determine feasibility of a clinical trial evaluating the effectiveness of HYP-CT intervention for pain after spinal cord injury (SCI). STUDY DESIGN Pilot non-randomized controlled trial. SETTING Inpatient rehabilitation unit. PARTICIPANTS English-speaking patients admitted to inpatient rehabilitation after SCI reporting current pain of at least 3 on a 0-10 scale. Persons with severe psychiatric illness, recent suicide attempt or elevated risk, or significant cognitive impairment were excluded. Consecutive sample of 53 patients with SCI-related pain enrolled, representing 82% of eligible patients. INTERVENTION Up to 4 sessions of HYP-CT Intervention, each 30-60 minutes long. METHODS Participants were assessed at baseline and given the choice to receive HYP-CT or Usual Care. MAIN OUTCOME MEASURES Participant enrollment and participation and acceptability of intervention. Exploratory analyses examined the effect of intervention on pain and cognitive appraisals of pain. RESULTS In the HYP-CT group, 71% completed at least 3 treatment sessions and reported treatment benefit and satisfaction with the treatment; no adverse events were reported. Exploratory analyses of effectiveness found pre-post treatment pain reductions after HYP-CT with large effect (P<.001; β=-1.64). While the study was not powered to detect significant between-group differences at discharge, effect sizes revealed decreases in average pain (Cohen's d=-0.13), pain interference (d=-0.10), and pain catastrophizing (d=-0.20) in the HYP-CT group relative to control and increases in self-efficacy (d=0.27) and pain acceptance (d=0.15). CONCLUSIONS It is feasible to provide HYP-CT to inpatients with SCI, and HYP-CT results in substantial reductions in SCI pain. The study is the first to show a psychological-based nonpharmacologic intervention that may reduce SCI pain during inpatient rehabilitation. A definitive efficacy trial is warranted.
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Affiliation(s)
- Amy J Starosta
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA.
| | | | - Faran Kahlia
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA
| | - Jason Barber
- Department of Neurological Surgery, University of Washington, Seattle, WA
| | | | - Shelley A Wiechman
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA
| | - Deborah A Crane
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA
| | - Mark P Jensen
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA
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Barnett HM, Wilson JM, Kunapaisal T, Nehra D, Vavilala MS, Hoffman JM, Crane DA. Utilization of rehabilitation services in violent versus nonviolent traumatic spinal cord injury. PM R 2023. [PMID: 37937373 DOI: 10.1002/pmrj.13105] [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: 04/26/2023] [Revised: 10/23/2023] [Accepted: 10/29/2023] [Indexed: 11/09/2023]
Abstract
BACKGROUND Violence is the third leading cause of spinal cord injury (SCI) in the United States, and people with violence-related SCI have worse long-term outcomes compared to other traumatic SCI etiologies. Little is known, however, about the underlying reasons for these differences. Access to and utilization of rehabilitation services may differ in this population, but their outpatient care has not been previously investigated. OBJECTIVE To evaluate differences in utilization patterns of outpatient rehabilitation services between people with violence-related SCI and other traumatic SCI etiologies. DESIGN Retrospective cohort study. SETTING Academic tertiary care hospital system. PATIENTS A total of 41 patients with violence-related SCI residing in King County at the time of injury who completed inpatient rehabilitation (IPR) in our institution were identified from the hospital trauma registry and matched with 41 control patients with nonviolent traumatic SCI. INTERVENTIONS Not applicable. MAIN OUTCOME MEASURE(S) The number of appointments attended, canceled, and missed during the first year after discharge from IPR were obtained by chart review for physical medicine & rehabilitation (PM&R) physicians and therapy services. RESULTS People with violence-related SCI had decreased follow-up with outpatient rehabilitation services after IPR discharge compared to non-violent traumatic SCI, including PM&R (2.50 ± 2.44 vs. 3.76 ± 2.21 visits, β = -1.28, p = .017), physical therapy (8.91 ± 11.02 vs. 17.57 ± 15.26, β = -9.79, p = .009), occupational therapy (4.28 ± 7.90 vs. 10.04 ± 14.42, β = -6.18, p = .033), and recreational therapy (0.293 ± 0.955 vs. 1.37 ± 2.86, β = -1.07, p = .035). The rate of missed appointments was also higher among people with violence-related SCI compared to controls for PM&R (25.2% ± 28.5% vs. 9.9% ± 16.5%, β = 14.6%, p = .014) and physical therapy (26.0% ± 32.0% vs 4.2% ± 13.2%, β = 22.1%, p = .009). CONCLUSIONS Individuals with violence-related SCI had fewer follow-up appointments with PM&R physicians and other allied health professionals and were more likely to miss scheduled appointments compared to other traumatic SCI etiologies. Decreased outpatient follow-up may affect long-term outcomes for people with violence-related SCI.
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Affiliation(s)
- Heather M Barnett
- Department of Rehabilitation Medicine, University of Washington, Seattle, Washington, USA
| | - Josh M Wilson
- Department of Rehabilitation Medicine, University of Washington, Seattle, Washington, USA
| | - Thitikan Kunapaisal
- Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington, USA
| | - Deepika Nehra
- Department of Surgery, University of Washington, Seattle, Washington, USA
| | - Monica S Vavilala
- Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington, USA
| | - Jeanne M Hoffman
- Department of Rehabilitation Medicine, University of Washington, Seattle, Washington, USA
| | - Deborah A Crane
- Department of Rehabilitation Medicine, University of Washington, Seattle, Washington, USA
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Singh N, Sabo J, Crane DA, Doody DR, Schiff MA, Mueller BA. Birth Outcomes and Rehospitalizations Among Pregnant Women With Rheumatoid Arthritis and Systemic Lupus Erythematosus and Their Offspring. Arthritis Care Res (Hoboken) 2023; 75:2022-2031. [PMID: 36625100 DOI: 10.1002/acr.25087] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Revised: 12/20/2022] [Accepted: 01/05/2023] [Indexed: 01/11/2023]
Abstract
OBJECTIVE To compare obstetric/birth outcomes and rehospitalization among women with and without rheumatoid arthritis (RA) or systemic lupus erythematosus (SLE) and their infants. METHODS This population-based retrospective cohort study identified women with RA (n = 1,223) and SLE (n = 1,354) and unexposed women with singleton births 1987-2014 in Washington State in linked vital hospital discharge records. Outcomes, including cause-specific hospitalizations <2 years postpartum, were compared by estimating adjusted relative risks (RRs) and cause-specific rehospitalization hazard ratios (HRs) with 95% confidence intervals (95% CIs). RESULTS We observed increased risks of several adverse outcomes; RRs were often greatest for SLE. Women with RA/SLE more often required rehospitalization, most notably at <6 months postpartum (RA: 4% versus 2%; RR 2.22 [95% CI 1.62-3.04]; SLE: 6% versus 2%; RR 2.78 [95% CI 2.15-3.59]). Maternal postpartum rehospitalization was greatest for musculoskeletal conditions (RA: HR 19.1 [95% CI 13.6-26.8]; SLE: HR 29.8 [95% CI 22.1-40.1]). Infants of women with SLE more often had malformations (9% versus 6%; RR 1.46 [95% CI 1.21-1.75]), and increased mortality at <2 years (RR 2.11 [95% CI 1.21-3.67]). Infants of women with SLE also experienced more frequent rehospitalizations in their first year of life. CONCLUSION Women with RA or SLE and their infants experienced adverse outcomes, particularly infants of women with SLE. Maternal/infant rehospitalization was more common; most marked in the early months postpartum. Close follow-up during these time periods is crucial to minimize adverse outcomes.
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Affiliation(s)
| | | | | | - David R Doody
- Fred Hutchinson Cancer Research Center, Seattle, Washington
| | - Melissa A Schiff
- University of New Mexico, Albuquerque, and University of Washington School of Public Health, Seattle
| | - Beth A Mueller
- Fred Hutchinson Cancer Research Center and University of Washington School of Public Health, Seattle
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Goldish DB, Bechtel EL, Jones MW, Carlbom DJ, Burns SP, Crane DA. Positive predictive value of a sepsis-screening protocol for patients with tetraplegia. PM R 2023; 15:976-981. [PMID: 36270009 DOI: 10.1002/pmrj.12919] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2021] [Revised: 09/28/2022] [Accepted: 10/01/2022] [Indexed: 01/21/2023]
Abstract
OBJECTIVE To determine the positive predictive value (PPV) of a sepsis-screening protocol in patients with cervical spinal cord injury (SCI). DESIGN/METHOD Retrospective review of all patients with cervical SCI who screened positive for two or more systemic inflammatory response syndrome (SIRS) criteria while hospitalized in acute care or inpatient rehabilitation units over a 3.5-year period. Sepsis was defined by the occurrence of (1) any culture order followed by an intravenous (IV) antibiotic within 72 hours or (2) an IV antimicrobial followed by a culture order within 24 hours. RESULTS A total of 134 patients screened positive for two or more SIRS criteria. Of these, 36 patients (26.9%) were diagnosed with sepsis. Factors associated with a true-positive SIRS screen on multivariable analysis included American Spinal Injury Association Impairment Scale (AIS) grade A-C (vs. D; p < .001). The PPV of the screen was 38% in patients with AIS A-C and 9% in patients with AIS D. Altered mental status (AMS) was strongly associated with a diagnosis of sepsis; 16 of 18 (88.9%) of those with AMS had sepsis (p < .001). Age, sex, and neurologic level of injury were not associated with true-positive screening. For patients with new SCI, the first true-positive screen occurred a median of 31 days post-injury. The most common SIRS criteria combinations in patients with true-positive screens were elevated heart rate and either abnormal white blood cell count (43% of true positives) or abnormal temperature (26% of true positives). Abnormally low body temperature (<36°C) contributed to false-positive screening for 10 of 38 (26%) AIS D patients who screened positive. CONCLUSION Sepsis screening using SIRS criteria in hospitalized patients with tetraplegia has a PPV of 26.9%; it is significantly higher in patients with AIS A-C versus D injuries. AMS, when combined with a positive SIRS screening, is strongly associated with sepsis.
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Affiliation(s)
- Daniel B Goldish
- Department of Rehabilitation Medicine, University of Washington, Seattle, Washington, USA
| | - Erica L Bechtel
- MultiCare Physical Medicine and Rehabilitation- Puyallup, Puyallup, Washington, USA
| | - Margaret W Jones
- Department of Physical Medicine and Rehabilitation, Vanderbilt University, Nashville, Tennessee, USA
| | - David J Carlbom
- Department of Medicine, Pulmonary Critical Care & Sleep Medicine, University of Washington, Seattle, Washington, USA
| | - Stephen P Burns
- Department of Rehabilitation Medicine, University of Washington, Seattle, Washington, USA
- Spinal Cord Injury Service, VA Puget Sound Health Care System, Seattle, Washington, USA
| | - Deborah A Crane
- Department of Rehabilitation Medicine, University of Washington, Seattle, Washington, USA
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Starosta AJ, Wright KS, Bombardier CH, Kahlia F, Barber J, Accardi-Ravid MC, Wiechman SA, Crane DA, Jensen MP. A Case Study of Hypnosis Enhanced Cognitive Therapy for Pain in a Ventilator Dependent Patient during Inpatient Rehabilitation for Spinal Cord Injury. J Clin Med 2023; 12:4539. [PMID: 37445573 DOI: 10.3390/jcm12134539] [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] [Subscribe] [Scholar Register] [Received: 05/20/2023] [Revised: 06/30/2023] [Accepted: 07/03/2023] [Indexed: 07/15/2023] Open
Abstract
Early, acute pain following spinal cord injury (SCI) is common, can negatively impact SCI rehabilitation, and is frequently not responsive to biomedical treatment. Nonpharmacological interventions show promise in reducing pain for individuals with SCI. However, most psychological interventions rely heavily on verbal interaction between the individual being treated and the clinician, making them inaccessible for individuals with impaired verbal output due to mechanical ventilation. This case study aims to describe the adaptation and implementation of hypnotic cognitive therapy (HYP-CT) intervention for early SCI pain in the context of mechanical ventilation dependence and weaning. The participant was a 54-year-old male with C2 AIS A SCI requiring mechanical ventilation. Four sessions of HYP-CT were provided during inpatient rehabilitation with assessment prior to intervention, after the intervention sessions, and prior to discharge. The participant reported immediate reductions in pain intensity following each intervention session. Overall, he reported increases in self-efficacy and pain acceptance. He did not report any negative treatment effects and thought the intervention provided support during mechanical ventilation weaning. During treatment, he discontinued opioid pain medications and reported actively using intervention strategies. Our results support the potential for early, hypnotic cognitive therapy for individuals with SCI experiencing pain or distress while dependent on mechanical ventilation.
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Affiliation(s)
- Amy J Starosta
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98195, USA
| | - Katherine S Wright
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98195, USA
| | - Charles H Bombardier
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98195, USA
| | - Faran Kahlia
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98195, USA
| | - Jason Barber
- Department of Neurological Surgery, University of Washington, Seattle, WA 98195, USA
| | - Michelle C Accardi-Ravid
- Department of Physical Medicine and Rehabilitation, University of Utah, Salt Lake City, UT 84132, USA
| | - Shelley A Wiechman
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98195, USA
| | - Deborah A Crane
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98195, USA
| | - Mark P Jensen
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98195, USA
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Schiff MA, Doody DR, Crane DA, Mueller BA. Pregnancy outcomes among visually impaired women in Washington State, 1987-2014. Disabil Health J 2020; 14:101057. [PMID: 33384279 DOI: 10.1016/j.dhjo.2020.101057] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [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: 06/02/2020] [Revised: 11/17/2020] [Accepted: 12/21/2020] [Indexed: 11/19/2022]
Abstract
BACKGROUND Women with visual impairment may have reduced ability to access standard care resources, however, information on their pregnancy and neonatal outcomes is limited. OBJECTIVE To assess risk of adverse pregnancy and neonatal outcomes among visually impaired women in Washington State from 1987 to 2014. METHODS We conducted a retrospective cohort study using linked Washington State birth/fetal death hospital discharge records to compare outcomes among women with and without visual impairment noted at their delivery hospitalization. Pregnancy conditions and outcomes evaluated included gestational diabetes, pre-eclampsia, labor induction and cesarean delivery. Neonatal outcomes included preterm delivery and birth weight <2500 g. We assessed length of maternal and infant delivery hospitalization. We performed Poisson regression to estimate relative risks (RR) and 95% confidence intervals (CIs) for each outcome, adjusting for year of delivery, maternal age, and parity. RESULTS Most adverse pregnancy and neonatal outcomes were similar for visually impaired (N = 232) and comparison women (N = 2362). However, visually impaired women had increased risks of severe pre-eclampsia (RR 3.77, 95% CI 1.69-8.43), labor induction (RR 1.33, 95% CI 1.10-1.61) and preterm delivery (RR 1.60, 95% CI 1.06-2.42). They were also more likely to have delivery hospitalizations of 3 or more days following a vaginal (RR 1.86, 95% CI 1.41-2.47). Among cesarean deliveries, infants of visually impaired women had increased risk (RR 1.24, 95% CI 1.02-1.51) of hospitalization for 3 or more days postpartum. CONCLUSION Our findings may be useful for obstetric providers in counseling their visually impaired patients.
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Affiliation(s)
- Melissa A Schiff
- Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA; Department of Obstetrics and Gynecology, School of Medicine, University of Washington, Seattle, WA, USA; Division of Epidemiology, Biostatistics, and Preventive Medicine, Department of Internal Medicine, School of Medicine, University of New Mexico, Albuquerque, NM, USA.
| | - David R Doody
- Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
| | - Deborah A Crane
- Department of Rehabilitation Medicine, School of Medicine, University of Washington, Seattle, WA, USA
| | - Beth A Mueller
- Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA; Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
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Bombardier CH, Dyer JR, Burns P, Crane DA, Takahashi MM, Barber J, Nash MS. A tele-health intervention to increase physical fitness in people with spinal cord injury and cardiometabolic disease or risk factors: a pilot randomized controlled trial. Spinal Cord 2020; 59:63-73. [PMID: 32694748 DOI: 10.1038/s41393-020-0523-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2020] [Revised: 07/03/2020] [Accepted: 07/07/2020] [Indexed: 11/09/2022]
Abstract
STUDY DESIGN Clinical trial. OBJECTIVES We used a single-blind parallel-group design to test the feasibility and preliminary efficacy of a telehealth-based physical activity counseling intervention to increase physical fitness in people with SCI. SETTING Seattle, Washington, United States. METHODS We recruited under-active, manual wheelchair-using adults at least 1-year post-SCI who had at least two cardiometabolic risk factors/diseases. Participants underwent baseline tests of peak cardiorespiratory fitness; lipids, glucose and insulin; muscle and fat mass; self-reported physical activity, depression, pain and other factors. Participants were assigned 1:1 to treatment vs. usual care (UC) control conditions via concealed computerized randomization. Treatment was delivered via telephone and adapted from the 16-session Diabetes Prevention Program. All baseline tests were repeated at 6 months. Prespecified feasibility goals were to recruit at least nine participants/quarter and retain 85% with complete fitness testing at 6 months. Prespecified efficacy goals were to demonstrate at least a medium treatment effect size (0.50) on fitness, self-reported physical activity, and other outcomes. RESULTS Seven participants were randomized to treatment, 8 to UC over 15 months. Maximum recruitment was only 5.4 participants/quarter. Thirteen (87%) of participants were retained. The effects of treatment on fitness and most cardiometabolic risk factors did not meet expectations, whereas the effects on self-reported physical activity, depression, and pain did meet expectations. CONCLUSIONS The study did not meet key efficacy and feasibility objectives, yet there were some promising effects on self-report measures and lessons to be learned for designing future trials.
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Affiliation(s)
- Charles H Bombardier
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA.
| | | | - Patricia Burns
- The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Deborah A Crane
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA
| | | | - Jason Barber
- Department of Neurosurgery, University of Washington, Seattle, WA, USA
| | - Mark S Nash
- Departments of Neurological Surgery, Physical Medicine & Rehabilitation and Physical Therapy, University of Miami Miller School of Medicine, Miami, FL, USA
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Crane DA, Doody DR, Schiff MA, Mueller BA. Pregnancy Outcomes in Women with Spinal Cord Injuries: A Population-Based Study. PM R 2019; 11:795-806. [PMID: 30729746 DOI: 10.1002/pmrj.12122] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2018] [Accepted: 12/26/2018] [Indexed: 02/06/2023]
Abstract
BACKGROUND Pregnant women with congenital or acquired spinal cord injury face challenges due to compromised neurologic function and mobility, factors that may also affect fetal/infant health. Few studies have examined pregnancy course and longer-term outcomes in this population. OBJECTIVE To assess pregnancy outcomes among women with spinal cord injury, paralysis, or spina bifida using population-based data. DESIGN Retrospective cohort study. SETTING Washington state linked birth-hospital discharge records. PARTICIPANTS All women (N = 529) with spinal cord injury, paralysis, or spina bifida with singleton live birth deliveries 1987-2012, and a comparison group of women without disabilities (N = 5282). METHODS Diagnosis codes were screened to identify cases and a 10:1 random sample of comparison women. Relative risks (RRs) and 95% confidence intervals (CIs) were calculated overall and separately for each condition using multivariable regression. Subsequent hospitalizations or death were identified via linkage to hospital discharge/death records for 2 years after delivery. MAIN OUTCOME MEASUREMENTS Pregnancy course (weight gain, gestational diabetes, preeclampsia, infection, venous thromboembolism), delivery/labor characteristics, infant characteristics (birthweight/size, gestational age), and longer-term outcomes (occurrence/reasons for maternal/infant rehospitalization, mortality). RESULTS Women with these spinal conditions had increased adjusted risks of prenatal urinary tract infection/pyelonephritis (RR 26.43, 95% CI 13.97-49.99), venous thromboembolism (RR 9.16, 95% CI 2.17-38.60), preterm rupture of membranes (RR 2.15, 95% CI 1.18-3.90), and cesarean delivery (RR 1.88, 95% CI 1.70-2.09). They had longer hospitalizations and increased rehospitalization (RR 1.54, 95% CI 1.28-1.87), including for postpartum depression (RR 8.15, 4.29-15.48) or injury (RR 13.05, 95% CI 6.60-25.81). Their infants were more often small for gestational age (RR 1.65, 95% CI 1.33-2.06), but had no increased risk of rehospitalization or death. CONCLUSIONS We observed no increased long-term morbidity among infants of women with these conditions. Possible increased maternal morbidities during the first postpartum years indicate areas for intervention. LEVEL OF EVIDENCE III.
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Affiliation(s)
- Deborah A Crane
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA
| | - David R Doody
- Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA
| | - Melissa A Schiff
- Department of Epidemiology, University of Washington, Seattle, WA.,Department of Obstetrics & Gynecology, University of Washington, Seattle, WA.,Department of Internal Medicine, Division of Epidemiology, Biostatistics & Preventive Medicine, University of New Mexico School of Medicine, Albuquerque, NM (current)
| | - Beth A Mueller
- Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA
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Abstract
OBJECTIVE To describe the initial benefits of a structured group exercise program on exercise frequency and intensity, perceived health, pain, mood, and television watching habits. DESIGN Pre-test/post-test. PARTICIPANTS/METHODS Eighty-nine persons with SCI participated voluntarily in a no-cost, twice weekly physical therapy group exercise class over 3 months. Forty-five persons completed pre- and post-participation interviews on exercise frequency and intensity, perceived health, pain, mood, sleep, and television watching habits. RESULTS Mean participant age of the respondents was 43.82 years. 49% had AIS C or D injuries, 24% had AIS A,B paraplegia, 9% had AIS A,B C1-C4 and 18% had AIS A,B C5-C8. 75.6% of participants were male and 84.4% had a traumatic etiology as the cause of their SCI. There was a significant improvement in days of strenuous and moderate exercise as well as health state. There was an average decrease in pain scores, depression scores, number of hours spent watching television, and days/week of mild exercise. CONCLUSION Participation in structured, small group exercise as a component of a wellness program after SCI shows promise for improving regular exercise participation and health state, but benefits may also occur across other areas of health and function including mood, pain, and hours spent watching television. Further follow-up is needed to determine whether improvements can be maintained after program completion and across all neurological levels.
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Affiliation(s)
- Deborah A. Crane
- Correspondence to: Deborah A. Crane, Department of Rehabilitation Medicine, University of Washington/Harborview Medical Center, 325 9th Avenue, Box 359740, Seattle, WA 98104, USA.
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Khot SP, Davis AP, Crane DA, Tanzi PM, Lue DL, Claflin ES, Becker KJ, Longstreth WT, Watson NF, Billings ME. Effect of Continuous Positive Airway Pressure on Stroke Rehabilitation: A Pilot Randomized Sham-Controlled Trial. J Clin Sleep Med 2016; 12:1019-26. [PMID: 27092703 DOI: 10.5664/jcsm.5940] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2015] [Accepted: 03/17/2016] [Indexed: 11/13/2022]
Abstract
STUDY OBJECTIVES Obstructive sleep apnea (OSA) predicts poor functional outcome after stroke and increases the risk for recurrent stroke. Less is known about continuous positive airway pressure (CPAP) treatment on stroke recovery. METHODS In a pilot randomized, double-blind, sham-controlled trial, adult stroke rehabilitation patients were assigned to auto-titrating or sham CPAP without diagnostic testing for OSA. Change in Functional Independence Measure (FIM), a measure of disability, was assessed between rehabilitation admission and discharge. RESULTS Over 18 months, 40 patients were enrolled and 10 withdrew from the study: 7 from active and 3 from sham CPAP (p > 0.10). For the remaining 30 patients, median duration of CPAP use was 14 days. Average CPAP use was 3.7 h/night, with at least 4 h nightly use among 15 patients. Adherence was not influenced by treatment assignment or stroke severity. In intention-to-treat analyses (n = 40), the median change in FIM favored active CPAP over sham but did not reach statistical significance (34 versus 26, p = 0.25), except for the cognitive component (6 versus 2.5, p = 0.04). The on-treatment analyses (n = 30) yielded similar results (total FIM: 32 versus 26, p = 0.11; cognitive FIM: 6 versus 2, p = 0.06). CONCLUSIONS A sham-controlled CPAP trial among stroke rehabilitation patients was feasible in terms of recruitment, treatment without diagnostic testing and adequate blinding-though was limited by study retention and CPAP adherence. Despite these limitations, a trend towards a benefit of CPAP on recovery was evident. Tolerance and adherence must be improved before the full benefits of CPAP on recovery can be assessed in larger trials.
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Affiliation(s)
- Sandeep P Khot
- Department of Neurology, Division of Pulmonary and Critical Care Medicine, University of Washington School of Medicine, Seattle, WA
| | - Arielle P Davis
- Department of Neurology, Division of Pulmonary and Critical Care Medicine, University of Washington School of Medicine, Seattle, WA
| | - Deborah A Crane
- Department of Physical Medicine and Rehabilitation, Division of Pulmonary and Critical Care Medicine, University of Washington School of Medicine, Seattle, WA
| | - Patricia M Tanzi
- Department of Neurology, Division of Pulmonary and Critical Care Medicine, University of Washington School of Medicine, Seattle, WA
| | - Denise Li Lue
- Department of Physical Medicine and Rehabilitation, Division of Pulmonary and Critical Care Medicine, University of Washington School of Medicine, Seattle, WA
| | - Edward S Claflin
- Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI
| | - Kyra J Becker
- Department of Neurology, Division of Pulmonary and Critical Care Medicine, University of Washington School of Medicine, Seattle, WA
| | - W T Longstreth
- Department of Neurology, Division of Pulmonary and Critical Care Medicine, University of Washington School of Medicine, Seattle, WA
| | - Nathaniel F Watson
- Department of Neurology, Division of Pulmonary and Critical Care Medicine, University of Washington School of Medicine, Seattle, WA
| | - Martha E Billings
- Department of Medicine, Division of Pulmonary and Critical Care Medicine, University of Washington School of Medicine, Seattle, WA
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Capps E, Linnau KF, Crane DA. Beyond broken spines-what the radiologist needs to know about late complications of spinal cord injury. Insights Imaging 2015; 6:111-22. [PMID: 25503997 PMCID: PMC4330228 DOI: 10.1007/s13244-014-0375-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2014] [Revised: 11/18/2014] [Accepted: 11/25/2014] [Indexed: 12/23/2022] Open
Abstract
OBJECTIVE To describe expected imaging findings to assist the emergency room radiologist with recognising complications and pathology unique to the spinal cord injury (SCI) patient population to ensure rapid and accurate diagnosis. METHODS Pictorial review. RESULTS We review several imaging findings common to persons with chronic SCI, emphasising imaging in the emergency setting and on CT. CONCLUSION SCI patients present a unique diagnostic challenge, as they may present with symptoms that are difficult to localise because of abnormal sensation and autonomic instability. Imaging plays an important role in the emergent setting, rapidly differentiating the most commonly encountered complications from less common, unanticipated complications. Radiologists need to be attuned to both the expected findings and potential complications, which may be unique to SCI patients, to ensure accurate diagnosis and treatment in the emergency setting. MAIN MESSAGES • Medical complications after spinal cord injury are common and associated with significant morbidity. • Radiologists should be aware of complications unique to the SCI population to aid diagnosis. • Due to abnormal sensation, SCI patients often present with symptoms that are difficult to localise. • In the ED, imaging helps to rapidly differentiate common complications from less anticipated ones.
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Affiliation(s)
- Erin Capps
- Department of Radiology, The Queen’s Medical Center, 1301 Punchbowl Street, Honolulu, HI 96813 USA
| | - Ken F. Linnau
- Department of Radiology, University of Washington/Harborview Medical Center, 325 9th Avenue, Box 359728, Seattle, WA 98104 USA
| | - Deborah A. Crane
- Department of Rehabilitation Medicine, University of Washington/Harborview Medical Center, 325 9th Avenue, Box 359740, Seattle, WA 98104 USA
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Sepahpanah F, Crane DA, Durga A. Poster 428 Prevalence of Testosterone Deficiency After Spinal Cord Injury. PM R 2011. [DOI: 10.1016/j.pmrj.2011.08.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Affiliation(s)
- Farhad Sepahpanah
- VA Medical Center/Medical College of Wisconsin, Milwaukee, WI, United States
| | - Deborah A. Crane
- VA Medical Center/Medical College of Wisconsin, Milwaukee, WI, United States
| | - Anita Durga
- VA Medical Center/Medical College of Wisconsin, Milwaukee, WI, United States
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Comrie F, Crane DA. Poster 457 Rehabilitation Needs of Patients With Acute Neuromyelitis: A Case Series. PM R 2011. [DOI: 10.1016/j.pmrj.2011.08.487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Frederick Comrie
- University of Washington Medical Center, Seattle, WA, United States
| | - Deborah A. Crane
- University of Washington Medical Center, Seattle, WA, United States
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Abstract
STUDY DESIGN Retrospective chart review. OBJECTIVE To define the temporal course of weight gain in persons with new spinal cord injury (SCI), and to identify predictors of weight gain in this population. SETTING A United States Department of Veterans Affairs (VA) SCI Unit. METHODS A retrospective chart review in a VA SCI Unit was conducted. Participants (n = 85) included all persons with new SCI completing initial rehabilitation at the center between 1998 and 2006. Outcome measures were mean change in body mass index (BMI) between rehabilitation admission and final follow-up, time of greatest BMI change, and distribution of participants by BMI classification. These measures were also examined relative to SCI level, American Spinal Injury Association Impairment Scale (AIS) grade, primary mode of mobility, and age at rehabilitation admission. RESULTS Mean BMI increased by 2.3 kg/m2 between rehabilitation admission (mean 45 days post-injury) and final follow-up (mean 5 years post-injury). The distribution of participants shifted from lower BMI classifications at rehabilitation admission to higher BMI classifications at final follow-up. For participants transitioning from normal to overweight or obese, the greatest increase occurred during the first year after acute rehabilitation. Neurological level, impairment category, primary mode of mobility, and age at rehabilitation admission did not significantly predict BMI change. BMI at rehabilitation admission correlated significantly with BMI at final follow-up (P < 0.0005). CONCLUSIONS These findings confirm a significant increase in BMI after new SCI and suggest that persons with new SCI are at greatest weight gain risk during the first year following acute rehabilitation.
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Affiliation(s)
- Deborah A. Crane
- Veterans Affairs Puget Sound Health Care System, Seattle, WA,Department of Rehabilitation Medicine, University of Washington, Seattle, WA,Correspondence to: Deborah A. Crane, Harborview Medical Center, Box 359740, 325 9th Avenue, Seattle, WA 98104, USA.
| | - James W. Little
- Veterans Affairs Puget Sound Health Care System, Seattle, WA,Department of Rehabilitation Medicine, University of Washington, Seattle, WA
| | - Stephen P. Burns
- Veterans Affairs Puget Sound Health Care System, Seattle, WA,Department of Rehabilitation Medicine, University of Washington, Seattle, WA
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Abstract
BACKGROUND This report describes a young woman with incomplete traumatic cervical spinal cord injury and intractable pruritus involving her dorsal forearm. METHOD Case report. FINDINGS Anatomic distribution of the pruritus corresponded to the dermatomal distribution of her level of spinal cord injury and vertebral fusion. Symptoms were attributed to the spinal cord injury and possible cervical root injury. Pruritus was refractory to all treatments, including topical lidocaine, gabapentin, transcutaneous electrical nerve stimulation, intravenous Bier block, stellate ganglion block, and acupuncture. CONCLUSIONS Further understanding of neuropathic pruritus is needed. Diagnostic workup of intractable pruritus should include advanced imaging to detect ongoing nerve root compression. If diagnostic studies suggest radiculopathy, epidural steroid injection should be considered. Because the autonomic nervous system may be involved in complex chronic pain or pruritic syndromes, sympatholysis via such techniques as stellate ganglion block might be effective.
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Affiliation(s)
- Deborah A Crane
- Department of Rehabilitation Medicine, University of Washington, 1959 NE Pacific Street, Box 356490, Seattle, WA 98195-6490, USA.
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Michael DG, Adamson P, Alexopoulos T, Allison WWM, Alner GJ, Anderson K, Andreopoulos C, Andrews M, Andrews R, Arms KE, Armstrong R, Arroyo C, Auty DJ, Avvakumov S, Ayres DS, Baller B, Barish B, Barker MA, Barnes PD, Barr G, Barrett WL, Beall E, Becker BR, Belias A, Bergfeld T, Bernstein RH, Bhattacharya D, Bishai M, Blake A, Bocean V, Bock B, Bock GJ, Boehm J, Boehnlein DJ, Bogert D, Border PM, Bower C, Boyd S, Buckley-Geer E, Bungau C, Byon-Wagner A, Cabrera A, Chapman JD, Chase TR, Cherdack D, Chernichenko SK, Childress S, Choudhary BC, Cobb JH, Cossairt JD, Courant H, Crane DA, Culling AJ, Dawson JW, de Jong JK, DeMuth DM, De Santo A, Dierckxsens M, Diwan MV, Dorman M, Drake G, Drakoulakos D, Ducar R, Durkin T, Erwin AR, Escobar CO, Evans JJ, Fackler OD, Falk Harris E, Feldman GJ, Felt N, Fields TH, Ford R, Frohne MV, Gallagher HR, Gebhard M, Giurgiu GA, Godley A, Gogos J, Goodman MC, Gornushkin Y, Gouffon P, Gran R, Grashorn E, Grossman N, Grudzinski JJ, Grzelak K, Guarino V, Habig A, Halsall R, Hanson J, Harris D, Harris PG, Hartnell J, Hartouni EP, Hatcher R, Heller K, Hill N, Ho Y, Holin A, Howcroft C, Hylen J, Ignatenko M, Indurthy D, Irwin GM, Ishitsuka M, Jaffe DE, James C, Jenner L, Jensen D, Joffe-Minor T, Kafka T, Kang HJ, Kasahara SMS, Kilmer J, Kim H, Kim MS, Koizumi G, Kopp S, Kordosky M, Koskinen DJ, Kostin M, Kotelnikov SK, Krakauer DA, Kreymer A, Kumaratunga S, Ladran AS, Lang K, Laughton C, Lebedev A, Lee R, Lee WY, Libkind MA, Ling J, Liu J, Litchfield PJ, Litchfield RP, Longley NP, Lucas P, Luebke W, Madani S, Maher E, Makeev V, Mann WA, Marchionni A, Marino AD, Marshak ML, Marshall JS, Mayer N, McDonald J, McGowan AM, Meier JR, Merzon GI, Messier MD, Milburn RH, Miller JL, Miller WH, Mishra SR, Mislivec A, Miyagawa PS, Moore CD, Morfín J, Morse R, Mualem L, Mufson S, Murgia S, Murtagh MJ, Musser J, Naples D, Nelson C, Nelson JK, Newman HB, Nezrick F, Nichol RJ, Nicholls TC, Ochoa-Ricoux JP, Oliver J, Oliver WP, Onuchin VA, Osiecki T, Ospanov R, Paley J, Paolone V, Para A, Patzak T, Pavlović Z, Pearce GF, Pearson N, Peck CW, Perry C, Peterson EA, Petyt DA, Ping H, Piteira R, Pittam R, Pla-Dalmau A, Plunkett RK, Price LE, Proga M, Pushka DR, Rahman D, Rameika RA, Raufer TM, Read AL, Rebel B, Reichenbacher J, Reyna DE, Rosenfeld C, Rubin HA, Ruddick K, Ryabov VA, Saakyan R, Sanchez MC, Saoulidou N, Schneps J, Schoessow PV, Schreiner P, Schwienhorst R, Semenov VK, Seun SM, Shanahan P, Shield PD, Smart W, Smirnitsky V, Smith C, Smith PN, Sousa A, Speakman B, Stamoulis P, Stefanik A, Sullivan P, Swan JM, Symes PA, Tagg N, Talaga RL, Terekhov A, Tetteh-Lartey E, Thomas J, Thompson J, Thomson MA, Thron JL, Tinti G, Trendler R, Trevor J, Trostin I, Tsarev VA, Tzanakos G, Urheim J, Vahle P, Vakili M, Vaziri K, Velissaris C, Verebryusov V, Viren B, Wai L, Ward CP, Ward DR, Watabe M, Weber A, Webb RC, Wehmann A, West N, White C, White RF, Wojcicki SG, Wright DM, Wu QK, Yan WG, Yang T, Yumiceva FX, Yun JC, Zheng H, Zois M, Zwaska R. Observation of muon neutrino disappearance with the MINOS detectors in the NuMI neutrino beam. Phys Rev Lett 2006; 97:191801. [PMID: 17155614 DOI: 10.1103/physrevlett.97.191801] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/04/2006] [Indexed: 05/12/2023]
Abstract
This Letter reports results from the MINOS experiment based on its initial exposure to neutrinos from the Fermilab NuMI beam. The rates and energy spectra of charged current nu(mu) interactions are compared in two detectors located along the beam axis at distances of 1 and 735 km. With 1.27 x 10(20) 120 GeV protons incident on the NuMI target, 215 events with energies below 30 GeV are observed at the Far Detector, compared to an expectation of 336+/-14 events. The data are consistent with nu(mu) disappearance via oscillations with |Delta(m)2/32|=2.74 +0.44/-0.26 x10(-3)eV(2) and sin(2)(2theta(23))>0.87 (68% C.L.).
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Affiliation(s)
- D G Michael
- Lauritsen Laboratory, California Institute of Technology, Pasadena, CA 91125, USA
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Aihara H, Alston-Garnjost M, Avery RE, Barker AR, Bauer DA, Bay A, Belcinski R, Bingham HH, Bloom ED, Buchanan CD, Caldwell DO, Chao HY, Chun SB, Clark AR, Cowan GD, Crane DA, Dahl OI, Daoudi M, Derby KA, Eastman JJ, Eberhard PH, Edberg TK, Eisner AM, Erné FC, Fairfield KH, Fridman A, Godfrey G, Hauptman JM, Ho C, Hofmann W, Kamae T, Kenney RW, Khacheryan S, Kofler RR, Lambert DJ, Langeveld WG, Layter JG, Lin WT, Linde FL, Loken SC, Lu A, Lynch GR, Lys JE, Madaras RJ, Magnuson BD, Marsiske H, Masek GE, Mathis LG, Maxfield SJ, Miller ES, Nicol NA, Nygren DR, Oddone PJ, Oh H, Oyang YT, Paar HP, Palounek AP, Park SK, Pellett DE, Pripstein M, Ronan MT, Ross RR, Rouse FR, Schwitkis KA. Test of spin dependence in charm-quark fragmentation to D*. Phys Rev D Part Fields 1991; 43:29-33. [PMID: 10013225 DOI: 10.1103/physrevd.43.29] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
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Aihara H, Alston-Garnjost M, Avery RE, Barker AR, Bauer DA, Bay A, Belcinski R, Bingham HH, Bloom ED, Buchanan CD, Caldwell DO, Chao HY, Chun SB, Clark AR, Cowan GD, Crane DA, Dahl OI, Daoudi M, Derby KA, Eastman JJ, Eberhard PH, Edberg TK, Eisner AM, Erné FC, Fairfield KH, Fridman A, Godfrey G, Hauptman JM, Ho C, Hofmann W, Kamae T, Kenney RW, Khacheryan S, Kofler RR, Lambert DJ, Langeveld WG, Layter JG, Lin WT, Linde FL, Loken SC, Lu A, Lynch GR, Lys JE, Madaras RJ, Magnuson BD, Marsiske H, Masek GE, Mathis LG, Maxfield SJ, McNeil RR, Miller ES, Nicol NA, Nygren DR, Oddone PJ, Oh H, Oyang YT, Paar HP, Palounek AP, Park SK, Pellett DE, Pripstein M, Ronan MT, Ross RR, Rouse FR. Measurement of the total hadronic cross section in tagged gamma gamma reactions. Phys Rev D Part Fields 1990; 41:2667-2674. [PMID: 10012660 DOI: 10.1103/physrevd.41.2667] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
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Aihara H, Alston-Garnjost M, Avery RE, Barbaro-Galtieri A, Barker AR, Barnett BA, Bauer DA, Bay A, Bobbink GJ, Buchanan CD, Buijs A, Caldwell DO, Chao HY, Chun SB, Clark AR, Cowan GD, Crane DA, Dahl OI, Daoudi M, Derby KA, Eastman JJ, Eberhard PH, Edberg TK, Eisner AM, Erné FC, Fairfield KH, Hauptman JM, Hofmann W, Hylen J, Kamae T, Kaye HS, Kenney RW, Khacheryan S, Kofler RR, Langeveld WG, Layter JG, Lin WT, Linde FL, Loken SC, Lu A, Lynch GR, Madaras RJ, Magnuson BD, Masek GE, Mathis LG, Matthews JA, Maxfield SJ, Miller ES, Moses W, Nygren DR, Oddone PJ, Paar HP, Park SK, Pellett DE, Pripstein M, Ronan MT, Ross RR, Rouse FR, Schwitkis KA, Sens JC, Shapiro G, Shen BC, Smith JR, Steinman JS. Investigation of the electromagnetic structure of eta and eta ' mesons by two-photon interactions. Phys Rev Lett 1990; 64:172-175. [PMID: 10041668 DOI: 10.1103/physrevlett.64.172] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Aihara H, Alston-Garnjost M, Avery RE, Barbaro-Galtieri A, Barker AR, Barnett BA, Bauer DA, Bay A, Bobbink GJ, Buchanan CD, Buijs A, Caldwell DO, Chao H, Chun S, Clark AR, Cowan GD, Crane DA, Dahl OI, Daoudi M, Derby KA, Eastman JJ, Eberhard PH, Edberg TK, Eisner AM, Enomoto R, Erné FC, Fairfield KH, Hauptman JM, Hofmann W, Hylen J, Kamae T, Kaye HS, Kenney RW, Khacheryan S, Kofler RR, Langeveld WG, Layter JG, Lin WT, Linde FL, Loken SC, Lu A, Lynch GR, Madaras RJ, Magnuson BD, Masek GE, Mathis LG, Matthews JA, Maxfield SJ, Miller ES, Moses W, Nygren DR, Oddone PJ, Paar HP, Park SK, Pellett DE, Pripstein M, Ronan MT, Ross RR, Rouse FR, Schwitkis KA, Sens JC, Shapiro G, Shen BC, Smith JR. Charged-hadron inclusive cross sections and fractions in e+e- annihilation at sqrt s =29 GeV. Phys Rev Lett 1988; 61:1263-1266. [PMID: 10038747 DOI: 10.1103/physrevlett.61.1263] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Aihara H, Alston-Garnjost M, Avery RE, Barbaro-Galtieri A, Barker AR, Barnett BA, Bauer DA, Bay A, Bengtsson HU, Bobbink GJ, Buchanan CD, Buijs A, Caldwell DO, Chao HY, Chun SB, Clark AR, Cowan GD, Crane DA, Dahl OI, Daoudi M, Derby KA, Eastman JJ, Eberhard PH, Edberg TK, Eisner AM, Enomoto R, Erné FC, Fairfield KH, Hauptman JM, Hofmann W, Hylen J, Kamae T, Kaye HS, Kenney RW, Khacheryan S, Kofler RR, Langeveld WG, Layter JG, Lin WT, Linde FL, Loken SC, Lu A, Lynch GR, Madaras RJ, Magnuson BD, Masek GE, Mathis LG, Matthews JA, Maxfield SJ, Miller ES, Moses W, Nygren DR, Oddone PJ, Paar HP, Park SK, Pellett DE, Pripstein M, Ronan MT, Ross RR, Rouse FR, Schwitkis KA, Sens JC, Shapiro G, Shen BC. Formation of spin-one mesons by photon-photon fusion. Phys Rev D Part Fields 1988; 38:1-18. [PMID: 9958992 DOI: 10.1103/physrevd.38.1] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
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Aihara H, Alston-Garnjost M, Avery RE, Barbaro-Galtieri A, Barker AR, Barnett BA, Bauer DA, Bay A, Bengtsson H, Bobbink GJ, Buchanan CD, Buijs A, Caldwell DO, Chao H, Chun S, Clark AR, Cowan GD, Crane DA, Dahl OI, Daoudi M, Derby KA, Eastman JJ, Eberhard PH, Edberg TK, Eisner AM, Enomoto R, Erné FC, Fairfield KH, Hauptman JM, Hofmann W, Hylen J, Kamae T, Kaye HS, Kenney RW, Khacheryan S, Kofler RR, Langeveld WG, Layter JG, Lin WT, Linde FL, Loken SC, Lu A, Lynch GR, Madaras RJ, Magnuson BD, Masek GE, Mathis LG, Matthews JA, Maxfield SJ, Miller ES, Moses W, Nygren DR, Oddone PJ, Paar HP, Park SK, Pellett DE, Pripstein M, Ronan MT, Ross RR, Rouse FR, Schwitkis KA, Sens JC, Shapiro G, Shen BC. Charmonium production in photon-photon collisions. Phys Rev Lett 1988; 60:2355-2358. [PMID: 10038330 DOI: 10.1103/physrevlett.60.2355] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Aihara H, Alston-Garnjost M, Avery RE, Barbaro-Galtieri A, Barker AR, Barnes AV, Barnett BA, Bauer DA, Bengtsson H, Bintinger DL, Bobbink GJ, Bolognese TS, Bross AD, Buchanan CD, Buijs A, Caldwell DO, Clark AR, Cowan GD, Crane DA, Dahl OI, Derby KA, Eastman JJ, Eberhard PH, Edberg TK, Eisner AM, Enomoto R, Erné FC, Fujii T, Gary JW, Gorn W, Hauptman JM, Hofmann W, Huth JE, Hylen J, Kamae T, Kaye HS, Kees KH, Kenney RW, Kerth LT, Ko W, Koda RI, Kofler RR, Kwong KK, Lander RL, Langeveld WG, Layter JG, Linde FL, Lindsey CS, Loken SC, Lu A, Lu XQ, Lynch GR, Madaras RJ, Maeshima K, Magnuson BD, Marx JN, Masek GE, Mathis LG, Matthews JA, Maxfield SJ, Melnikoff SO, Miller ES, Moses W, McNeil RR. Production of four-prong final states in photon-photon collisions. Phys Rev D Part Fields 1988; 37:28-40. [PMID: 9958516 DOI: 10.1103/physrevd.37.28] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
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Aihara H, Alston-Garnjost M, Avery RE, Barbaro-Galtieri A, Barker AR, Barnes AV, Barnett BA, Bauer DA, Bengtsson H, Bintinger DL, Bobbink GJ, Bolognese TS, Bross AD, Buchanan CD, Buijs A, Caldwell DO, Clark AR, Cowan GD, Crane DA, Dahl OI, Derby KA, Eastman JJ, Eberhard PH, Edberg TK, Eisner AM, Enomoto R, Erné FC, Fujii T, Gary JW, Gorn W, Hauptman JM, Hofmann W, Huth JE, Hylen J, Kamae T, Kaye HS, Kees KH, Kenney RW, Kerth LT, Ko W, Koda RI, Kofler RR, Kwong KK, Lander RL, Langeveld WG, Layter JG, Linde FL, Lindsey CS, Loken SC, Lu A, Lu X, Lynch GR, Madaras RJ, Maeshima K, Magnuson BD, Marx JN, Masek GE, Mathis LG, Matthews JA, Maxfield SJ, Melnikoff SO, Miller ES, Moses W, McNeil RR. Experimental limit on the decay tau ---> nu tau K-K0. Phys Rev Lett 1987; 59:751-754. [PMID: 10035862 DOI: 10.1103/physrevlett.59.751] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Aihara H, Alston-Garnjost M, Avery RE, Barbaro-Galtieri A, Barker AR, Barnes AV, Barnett BA, Bauer DA, Bengtsson H, Bintinger DL, Bobbink GJ, Bolognese TS, Bross AD, Buchanan CD, Buijs A, Caldwell DO, Clark AR, Cowan GD, Crane DA, Dahl OI, Derby KA, Eastman JJ, Eberhard PH, Edberg TK, Eisner AM, Enomoto R, Erné FC, Fujii T, Gary JW, Gorn W, Hauptman JM, Hofmann W, Huth JE, Hylen J, Kamae T, Kaye HS, Kees KH, Kenney RW, Kerth LT, Ko W, Koda RI, Kofler RR, Kwong KK, Lander RL, Langeveld WG, Layter JG, Linde FL, Lindsey CS, Loken SC, Lu A, Lu XQ, Lynch GR, Madaras RJ, Maeshima K, Magnuson BD, Marx JN, Masek GE, Mathis LG, Matthews JA, Maxfield SJ, Melnikoff SO, Miller ES, Moses W, McNeil RR. Study of eta ' formation in photon-photon collisions. Phys Rev D Part Fields 1987; 35:2650-2654. [PMID: 9957978 DOI: 10.1103/physrevd.35.2650] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
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Aihara H, Alston-Garnjost M, Avery RE, Bakken JA, Barbaro-Galtieri A, Barker AR, Barnes AV, Barnett BA, Bauer DA, Bengtsson H, Bintinger DL, Bobbink GJ, Bolognese TS, Bross AD, Buchanan CD, Buijs A, Caldwell DO, Chien CY, Clark AR, Cowan GD, Crane DA, Dahl OI, Derby KA, Eastman JJ, Edberg TK, Eberhard PH, Eisner AM, Enomoto R, Erné FC, Fujii T, Gary JW, Gorn W, Hauptman JM, Hofmann W, Huth JE, Hylen J, Kamae T, Kaye HS, Kees KH, Kenney RW, Kerth LT, Ko W, Koda RI, Kofler RR, Kwong KK, Lander RL, Langeveld WG, Layter JG, Linde FL, Lindsey CS, Loken SC, Lu A, Lu XQ, Lynch GR, Madansky L, Madaras RJ, Maeshima K, Magnuson BD, Marx JN, Masek GE, Mathis LG, Matthews JA, Maxfield SJ. Measurement of tau branching ratios. Phys Rev D Part Fields 1987; 35:1553-1561. [PMID: 9957822 DOI: 10.1103/physrevd.35.1553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
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Aihara H, Alston-Garnjost M, Avery RE, Barbaro-Galtieri A, Barker AR, Barnes AV, Barnett BA, Bauer DA, Bengtsson PH, Bintinger DL, Bobbink GJ, Bolognese TS, Bross AD, Buchanan CD, Buijs A, Caldwell DO, Clark AR, Cowan GD, Crane DA, Dahl OI, Derby KA, Eastman JJ, Eberhard PH, Edberg TK, Eisner AM, Enomoto R, Erné FC, Fujii T, Gary JW, Gorn W, Hauptman JM, Hofmann W, Huth JE, Hylen J, Kamae T, Kaye HS, Kees KH, Kenney RW, Kerth LT, Ko W, Koda RI, Kofler RR, Kwong KK, Lander RL, Langeveld WG, Layter JG, Linde FL, Lindsey CS, Loken SC, Lu A, Lu XQ, Lynch GR, Madaras RJ, Maeshima K, Magnuson BD, Marx JN, Masek GE, Mathis LG, Matthews JA, Maxfield SJ, Melnikoff SO, Miller ES, Moses W, McNeil RR. Observation of scaling of the photon structure function F2 gamma at low Q2. Phys Rev Lett 1987; 58:97-100. [PMID: 10034602 DOI: 10.1103/physrevlett.58.97] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Aihara H, Alston-Garnjost M, Avery RE, Barbaro-Galtieri A, Barker AR, Barnes AV, Barnett BA, Bauer DA, Bengtsson H, Bintinger DL, Bobbink GJ, Bolognese TS, Bross AD, Buchanan CD, Buijs A, Caldwell DO, Clark AR, Cowan GD, Crane DA, Dahl OI, Derby KA, Eastman JJ, Eberhard PH, Edberg TK, Eisner AM, Enomoto R, Erné FC, Fujii T, Gary JW, Gorn W, Hauptman JM, Hofmann W, Huth JE, Hylen J, Kamae T, Kaye HS, Kees KH, Kenney RW, Kerth LT, Ko W, Koda RI, Kofler RR, Kwong KK, Lander RL, Langeveld WG, Layter JG, Linde FL, Lindsey CS, Loken SC, Lu A, Lu X, Lynch GR, Madaras RJ, Maeshima K, Magnuson BD, Marx JN, Masek GE, Mathis LG, Matthews JA, Maxfield SJ, Melnikoff SO, Miller ES, Moses W, McNeil RR. Search for high-mass narrow resonances in virtual photon-photon interactions. Phys Rev Lett 1986; 57:3245-3248. [PMID: 10033996 DOI: 10.1103/physrevlett.57.3245] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Aihara H, Alston-Garnjost M, Avery RE, Barbaro-Galtieri A, Barker AR, Barnes AV, Barnett BA, Bauer DA, Bengtsson H, Bintinger DL, Bobbink GJ, Bolognese TS, Bross AD, Buchanan CD, Buijs A, Caldwell DO, Clark AR, Cowan GD, Crane DA, Dahl OI, Derby KA, Eastman JJ, Eberhard PH, Edberg TK, Eisner AM, Enomoto R, Erné FC, Fujii T, Gary JW, Gorn W, Hauptman JM, Hofmann W, Huth JE, Hylen J, Kamae T, Kaye HS, Kees KH, Kenney RW, Kerth LT, Ko W, Koda RI, Kofler RR, Kwong KK, Lander RL, Langeveld WG, Layter JG, Linde FL, Lindsey CS, Loken SC, Lu A, Lu X, Lynch GR, Madaras RJ, Maeshima K, Magnuson BD, Marx JN, Masek GE, Mathis LG, Matthews JA, Maxfield SJ, Melnikoff SO, Miller ES, Moses W, McNeil RR. Study of baryon correlations in e+e- annihilation at 29 GeV. Phys Rev Lett 1986; 57:3140-3143. [PMID: 10033967 DOI: 10.1103/physrevlett.57.3140] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Aihara H, Alston-Garnjost M, Avery RE, Barbaro-Galtieri A, Barker AR, Barnes AV, Barnett BA, Bauer DA, Bengtsson H, Bintinger DL, Bobbink GJ, Bolognese TS, Bross AD, Buchanan CD, Buijs A, Caldwell DO, Clark AR, Cowan GD, Crane DA, Dahl OI, Derby KA, Eastman JJ, Eberhard PH, Edberg TK, Eisner AM, Enomoto R, Erné FC, Fujii T, Gary JW, Gorn W, Hauptman JM, Hofmann W, Huth JE, Hylen J, Kamae T, Kaye HS, Kees KH, Kenney RW, Kerth LT, Ko W, Koda RI, Kofler RR, Kwong KK, Lander RL, Langeveld WG, Layter JG, Linde FL, Lindsey CS, Loken SC, Lu A, Lu XQ, Lynch GR, Madaras RJ, Maeshima K, Magnuson BD, Marx JN, Masek GE, Mathis LG, Matthews JA, Maxfield SJ, Melnikoff SO, Miller ES, Moses W, McNeil RR. Evidence for a spin-1 particle produced by two photons. Phys Rev Lett 1986; 57:2500-2503. [PMID: 10033783 DOI: 10.1103/physrevlett.57.2500] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Aihara H, Alston-Garnjost M, Avery RE, Barbaro-Galtieri A, Barker AR, Barnes AV, Barnett BA, Bauer DA, Bengtsson H, Bintinger DL, Bobbink GJ, Bolognese TS, Bross AD, Buchanan CD, Buijs A, Caldwell DO, Clark AR, Cowan GD, Crane DA, Dahl OI, Derby KA, Eastman JJ, Eberhard PH, Edberg TK, Eisner AM, Enomoto R, Erné FC, Fujii T, Gary JW, Gorn W, Hauptman JM, Hofmann W, Huth JE, Hylen J, Kamae T, Kaye HS, Kees KH, Kenney RW, Kerth LT, Ko W, Koda RI, Kofler RR, Kwong KK, Lander RL, Langeveld WG, Layter JG, Linde FL, Lindsey CS, Loken SC, Lu A, Lu X, Lynch GR, Madaras RJ, Maeshima K, Magnuson BD, Marx JN, Masek GE, Mathis LG, Matthews JA, Maxfield SJ, Melnikoff SO, Miller ES, Moses W, McNeil RR. Measurement of the inclusive branching fraction tau ---> nu tau pi - pi 0+ neutral meson(s). Phys Rev Lett 1986; 57:1836-1838. [PMID: 10033562 DOI: 10.1103/physrevlett.57.1836] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Aihara H, Alston-Garnjost M, Avery RE, Barbaro-Galtieri A, Barker AR, Barnes AV, Barnett BA, Bauer DA, Bengtsson H, Bintinger DL, Bobbink GJ, Bolognese TS, Bross AD, Buchanan CD, Buijs A, Cain MP, Caldwell DO, Clark AR, Cowan GD, Crane DA, Dahl OI, Derby KA, Eastman JJ, Eberhard PH, Eisner AM, Enomoto R, Erné FC, Fujii T, Gary JW, Gorn W, Hauptman JM, Hofmann W, Huth JE, Hylen J, Kamae T, Kaye HS, Kees KH, Kenney RW, Kerth LT, Ko W, Koda RI, Kofler RR, Kwong KK, Lander RL, Langeveld WG, Layter JG, Linde FL, Lindsey CS, Loken SC, Lu A, Lu X, Lynch GR, Madaras RJ, Maeshima K, Magnuson BD, Marx JN, Maruyama K, Masek GE, Mathis LG, Matthews JA, Maxfield SJ, Melnikoff SO, Miller ES, Moses W. Comparison of the particle flow in qq-barg and qq-bar gamma events in e+e- annihilation. Phys Rev Lett 1986; 57:945-948. [PMID: 10034206 DOI: 10.1103/physrevlett.57.945] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Aihara H, Alston-Garnjost M, Avery RE, Barbaro-Galtieri A, Barker AR, Barnes AV, Barnett BA, Bauer DA, Bengtsson H, Bintinger DL, Blumenfeld BJ, Bobbink GJ, Bross AD, Buchanan CD, Buijs A, Cain MP, Caldwell DO, Chamberlain O, Chien C, Clark AR, Cowan GD, Crane DA, Dahl OI, Derby KA, Eastman JJ, Eberhard PH, Eisner AM, Enomoto R, Erné FC, Fujii T, Gabioud B, Gary JW, Gorn W, Hauptman JM, Hofmann W, Huth JE, Hylen J, Joshi UP, Kamae T, Kaye HS, Kees KH, Kenney RW, Kerth LT, Ko W, Koda RI, Kofler RR, Kwong KK, Lander RL, Langeveld WG, Layter JG, Linde FL, Lindsey CS, Loken SC, Lu A, Lu X, Lynch GR, Madaras RJ, Maeshima K, Magnuson BD, Marx JN, Maruyama K, Masek GE, Mathis LG, Matthews JA. Pion and kaon pair production in photon-photon collisions. Phys Rev Lett 1986; 57:404-407. [PMID: 10034051 DOI: 10.1103/physrevlett.57.404] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Aihara H, Alston-Garnjost M, Avery RE, Barbaro-Galtieri A, Barker AR, Barnes AV, Barnett BA, Bauer DA, Bengtsson H, Bintinger DL, Blumenfeld BJ, Bobbink GJ, Bross AD, Buchanan CD, Buijs A, Cain MP, Caldwell DO, Chamberlain O, Chien C, Clark AR, Cowan GD, Crane DA, Dahl OI, Derby KA, Eastman JJ, Eberhard PH, Eisner AM, Enomoto R, Erne FC, Fujii T, Gabioud B, Gary JW, Gorn W, Hauptman JM, Hofmann W, Huth JE, Hylen J, Joshi UP, Kamae T, Kaye HS, Kees KH, Kenney RW, Kerth LT, Ko W, Koda RI, Kofler RR, Kwong KK, Lander RL, Langeveld WG, Layter JG, Linde FL, Lindsey CS, Loken SC, Lu A, Lu XQ, Lynch GR, Madaras RJ, Maeshima K, Magnuson BD, Marx JN, Maruyama K, Masek GE, Mathis LG, Matthews JA. Experimental limit on iota --> gamma gamma and the interpretation of the iota as a glueball. Phys Rev Lett 1986; 57:51-54. [PMID: 10033355 DOI: 10.1103/physrevlett.57.51] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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