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Harbeck N, Fasching PA, Würstlein R, Degenhardt T, Lüftner D, Kates RE, Schumacher J, Räth P, Hoffmann O, Lorenz R, Decker T, Reinisch M, Göhler T, Staib P, Gluz O, Schinköthe T, Schmidt M. Significantly longer time to deterioration of quality of life due to CANKADO PRO-React eHealth support in HR+ HER2- metastatic breast cancer patients receiving palbociclib and endocrine therapy: Primary outcome analysis of the multicenter randomized AGO-B WSG PreCycle trial. Ann Oncol 2023:S0923-7534(23)00684-1. [PMID: 37201751 DOI: 10.1016/j.annonc.2023.05.003] [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: 04/21/2023] [Revised: 05/05/2023] [Accepted: 05/07/2023] [Indexed: 05/20/2023] Open
Abstract
BACKGROUND The multicenter, randomized phase IV intergroup AGO-B WSG PreCycle trial (NCT03220178) evaluated the impact of CANKADO-based ePRO (electronic patient-reported outcomes) assessment on quality of life (QoL) in HR+ HER2- locally advanced or metastatic breast cancer (MBC) patients receiving palbociclib (P) and an aromatase inhibitor or P+fulvestrant. CANKADO PRO-React, an EU-registered medical device, is an interactive autonomous application reacting to patient self-reported observations. PATIENTS AND METHODS Between 2017 and 2021, 499 patients (median age 59 years) from 71 centers were randomized (2:1, stratified by therapy line) between an active version of CANKADO PRO-React (CANKADO-active arm) or a version with limited functionality (CANKADO-inform arm). 412 patients (271 CANKADO-active; 141 CANKADO-inform) were available for analysis of the primary endpoint, time to deterioration (TTD) of QoL (10-point drop on FACT-G), using an Aalen-Johansen estimator for cumulative incidence function of TTD DQoL with 95% pointwise confidence intervals (CI). Secondary endpoints included PFS, OS, and DQoL (QoL deterioration). RESULTS In all pts (ITT-ePRO), cumulative incidence of DQoL was significantly more favorable (lower) in the CANKADO-active arm (HR=0.698, 95%CI [0.506 - 0.963]). Among 1stL patients (n=295), the corresponding HR was 0.716 (0.484-1.060; p=0.09), and in 2ndL patients (n=117) it was 0.661 (0.374-1.168; p=0.2). Absolute patient numbers declined in later visits; FACT-G completion rates were 80% and higher until about visit 30; mean FACT-G scores showed steady decline from baseline and an offset in favor of CANKADO-active. No significant differences in clinical outcome were observed between arms: Median PFS (ITT population) was 21.4 (95%CI 19.4-23.7) (CANKADO-active) and 18.7 (15.1-23.5) months (CANKADO-inform); median OS was not reached (CANKADO-active) and 42.6 months (CANKADO-inform). CONCLUSIONS PreCycle is the first multicenter randomized eHealth trial demonstrating a significant benefit for MBC patients receiving oral tumor therapy when using an interactive autonomous patient empowerment application.
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Affiliation(s)
- N Harbeck
- Breast Center, Department of Obstetrics and Gynecology and CCC Munich LMU, University Hospital, Munich, Germany; West German Study Group, Statistics, Moenchengladbach, Germany.
| | - P A Fasching
- University Hospital Erlangen, Obstetrics and Gynecology, Erlangen, Germany
| | - R Würstlein
- Breast Center, Department of Obstetrics and Gynecology and CCC Munich LMU, University Hospital, Munich, Germany; West German Study Group, Statistics, Moenchengladbach, Germany
| | - T Degenhardt
- Breast Center, Department of Obstetrics and Gynecology and CCC Munich LMU, University Hospital, Munich, Germany; Hausarztpraxis Wolfratshausen, Wolfratshausen, Germany
| | - D Lüftner
- Immanuel Hospital Märkische Schweiz Buckow, Germany; Immanuel Hospital Rüdersdorf and Medical University of Brandenburg Theodor Fontane, Germany
| | - R E Kates
- West German Study Group, Statistics, Moenchengladbach, Germany
| | | | - P Räth
- palleos healthcare GmbH, Wiesbaden, Germany
| | - O Hoffmann
- University Hospital Essen, Breast Center, Essen, Germany
| | - R Lorenz
- Studien GbR Braunschweig, Braunschweig, Germany
| | - T Decker
- Hematology / Oncology, Ravensburg, Germany
| | - M Reinisch
- Breast Center, Kliniken Essen-Mitte, Essen, Germany; Charité - Universitätsmedizin Berlin, Department of Gynecology with Breast Center, Berlin, Germany
| | - T Göhler
- Oncocenter Dresden, Dresden, Germany
| | - P Staib
- St.-Antonius Hospital gGmbH, Clinic for Hematology and Oncology, Eschweiler, Germany
| | - O Gluz
- West German Study Group, Statistics, Moenchengladbach, Germany
| | - T Schinköthe
- CANKADO Service GmbH, Kirchheim, Germany; Research Center Smart Digital Health, University of the Bundeswehr, Neubiberg, Germany
| | - M Schmidt
- Department of Obstetrics and Gynecology, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany
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Stolze T, Franke S, Haybaeck J, Moehler M, Grimminger PP, Lang H, Roth W, Gockel I, Kreuser N, Bläker H, Wittekind C, Lordick F, Vieth M, Veits L, Waidmann O, Lingohr P, Peitz U, Schildberg C, Kruschewski M, Vassos N, Goni E, Bruns CJ, Ridwelski K, Wolff S, Lippert H, Schumacher J, Malfertheiner P, Venerito M. Mismatch repair deficiency, chemotherapy and survival for resectable gastric cancer: an observational study from the German staR cohort and a meta-analysis. J Cancer Res Clin Oncol 2023; 149:1007-1017. [PMID: 35211781 PMCID: PMC9984318 DOI: 10.1007/s00432-022-03953-y] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Accepted: 02/08/2022] [Indexed: 12/24/2022]
Abstract
PURPOSE In a post hoc analysis of the MAGIC trial, patients with curatively resected gastric cancer (GC) and mismatch repair (MMR) deficiency (MMRd) had better median overall survival (OS) when treated with surgery alone but worse median OS when treated with additional chemotherapy. Further data are required to corroborate these findings. METHODS Between April 2013 and December 2018, 458 patients with curatively resected GC, including cancers of the esophagogastric junction Siewert type II and III, were identified in the German centers of the staR consortium. Tumor sections were assessed for expression of MLH1, MSH2, MSH6 and PMS2 by immunohistochemistry. The association between MMR status and survival was assessed. Similar studies published up to January 2021 were then identified in a MEDLINE search for a meta-analysis. RESULTS MMR-status and survival data were available for 223 patients (median age 66 years, 62.8% male), 23 patients were MMRd (10.3%). After matching for baseline clinical characteristics, median OS was not reached in any subgroup. Compared to perioperative chemotherapy, patients receiving surgery alone with MMRd and MMRp had a HR of 0.67 (95% CI 0.13-3.37, P = 0.63) and 1.44 (95% CI 0.66-3.13, P = 0.36), respectively. The meta-analysis included pooled data from 385 patients. Compared to perioperative chemotherapy, patients receiving surgery alone with MMRd had an improved OS with a HR of 0.36 (95% CI 0.14-0.91, P = 0.03), whereas those with MMRp had a HR of 1.18 (95% CI 0.89-1.58, P = 0.26). CONCLUSION Our data support a positive prognostic effect for MMRd in GC patients treated with surgery only and a differentially negative prognostic effect in patients treated with perioperative chemotherapy. MMR status determined by preoperative biopsies may be used as a predictive biomarker to select patients for perioperative chemotherapy in curatively resectable GC.
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Affiliation(s)
- T Stolze
- Department of Gastroenterology, Hepatology and Infectious Diseases, Otto-von-Guericke University Hospital Magdeburg, Magdeburg, Germany
| | - S Franke
- Institute of Pathology, Otto-von-Guericke University Hospital Magdeburg, Magdeburg, Germany
| | - J Haybaeck
- Institute of Pathology, Otto-von-Guericke University Hospital Magdeburg, Magdeburg, Germany.,Institute of Pathology, Neuropathology and Molecular Pathology, Medical University of Innsbruck, Innsbruck, Austria.,Diagnostic and Research Center for Molecular BioMedicine, Institute of Pathology, Medical University Graz, Graz, Austria
| | - M Moehler
- Department of Internal Medicine I, Johannes Gutenberg-University of Mainz, Mainz, Germany
| | - P P Grimminger
- Department of General, Visceral and Transplant Surgery, Johannes Gutenberg-University of Mainz, Mainz, Germany
| | - H Lang
- Department of General, Visceral and Transplant Surgery, Johannes Gutenberg-University of Mainz, Mainz, Germany
| | - W Roth
- Institute of Pathology, University Hospital Mainz, Mainz, Germany
| | - I Gockel
- Department of Medicine II and University Cancer Center Leipzig (UCCL), Leipzig University Medical Center, Leipzig, Germany
| | - N Kreuser
- Department of Medicine II and University Cancer Center Leipzig (UCCL), Leipzig University Medical Center, Leipzig, Germany
| | - H Bläker
- Institute of Pathology, University Hospital Leipzig, Leipzig, Germany
| | - C Wittekind
- Institute of Pathology, University Hospital Leipzig, Leipzig, Germany
| | - F Lordick
- University Cancer Center Leipzig, University Hospital Leipzig, Leipzig, Germany
| | - M Vieth
- Institute of Pathology, Friedrich-Alexander University Erlangen-Nuremberg, Klinikum Bayreuth, Bayreuth, Germany
| | - L Veits
- Institute of Pathology, Friedrich-Alexander University Erlangen-Nuremberg, Klinikum Bayreuth, Bayreuth, Germany
| | - O Waidmann
- Department of Internal Medicine 1, Main Area Gastroenterology and Hepatology, University Hospital Frankfurt, Frankfurt am Main, Germany.,University Cancer Center, University Hospital Frankfurt, Frankfurt am Main, Germany
| | - P Lingohr
- Department of General, Visceral, Thoracic and Vascular Surgery, University Hospital Bonn, Bonn, Germany
| | - U Peitz
- Department of Gastroenterology, Raphaelshospital, Münster, Germany
| | - C Schildberg
- Department of General and Visceral Surgery, Brandenburg, University Hospital of Visceral Surgery, Brandenburg, Germany
| | - M Kruschewski
- Department of General and Visceral Surgery, Hospital Frankfurt (Oder), Frankfurt (Oder), Germany
| | - N Vassos
- Division of Surgical Oncology and Thoracic Surgery, Department of Surgery, University Medical Center Mannheim, University of Heidelberg, Mannheim, Germany
| | - E Goni
- Department of Medicine II, University Hospital, LMU Munich, Munich, Germany
| | - C J Bruns
- Department of General, Tumor and Transplantation Surgery, University Hospital Cologne, Köln, Germany
| | - K Ridwelski
- Department of General and Visceral Surgery, Municipal Hospital, Magdeburg, Germany.,AN-Institute of Quality Assurance in Operative Medicine, Otto-von-Guericke University Hospital, Magdeburg, Germany
| | - S Wolff
- Department of General, Visceral, Vascular and Transplantation Surgery, Otto-von-Guericke University Hospital, Magdeburg, Germany
| | - H Lippert
- AN-Institute of Quality Assurance in Operative Medicine, Otto-von-Guericke University Hospital, Magdeburg, Germany.,Department of General, Visceral, Vascular and Transplantation Surgery, Otto-von-Guericke University Hospital, Magdeburg, Germany
| | - J Schumacher
- Human Genetics Center, Philipps University of Marburg, Marburg, Germany
| | - P Malfertheiner
- Department of Gastroenterology, Hepatology and Infectious Diseases, Otto-von-Guericke University Hospital Magdeburg, Magdeburg, Germany.,Department of Medicine II, University Hospital, LMU Munich, Munich, Germany
| | - M Venerito
- Department of Gastroenterology, Hepatology and Infectious Diseases, Otto-von-Guericke University Hospital Magdeburg, Magdeburg, Germany. .,Department of Gastroenterology, Hepatology and Infectious Diseases, Medizinische Fakultät der Otto-Von-Guericke-Universität, Leipziger Straße 66, 39120, Magdeburg, Germany.
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Sukhanov S, Higashi Y, Yoshida T, Danchuk S, Alfortish M, Goodchild T, Scarboroogh A, Sharp T, Schumacher J, Sindi F, Bowles D, Ivy J, Tharp D, Rozenbaum Z, Jenkins J, Garcia D, Lefer D, Kolls J, Delafontaine P. Insulin-like growth factor I reduces human-like coronary atherosclerosis. Am J Med Sci 2023. [DOI: 10.1016/s0002-9629(23)00012-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
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Nitz U, Gluz O, Christgen M, Grischke EM, Augustin D, Kuemmel S, Braun M, Potenberg J, Kohls A, Krauss K, Stefek A, Schumacher C, Forstbauer H, Reimer T, Fischer H, Liedtke C, Wuerstlein R, Schumacher J, Kates R, Kreipe H, Harbeck N. Corrigendum to “De-escalation strategies in HER2-positive early breast cancer (EBC): final analysis of the WSG-ADAPT HER2+/HR− phase II trial: efficacy, safety, and predictive markers for 12weeks of neoadjuvant dual blockade with trastuzumab and pertuzumab ± weekly paclitaxel”. Ann Oncol 2022; 33:355. [DOI: 10.1016/j.annonc.2021.12.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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5
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Ahmed F, Ahmad G, Schumacher J, Brand T. Social media influencer marketing to build a counter-narrative for promoting sexuality education. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab165.168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
A recent cross sectional community readiness assessment carried out in Islamabad, Pakistan indicated that the community is at the denial or resistant stage for implementing school-based sexuality education in Pakistan. The resistance was attributed to lack of awareness and prevalent misconceptions regarding sexuality education. This study aims at qualitatively exploring strategies for targeting misconceptions and increase awareness regarding sexuality education with stakeholder involvement.
Methods
35 in-depth interviews and a focus group discussion was conducted to discuss the results of the readiness assessment comprising of community members, researchers, NGO representatives, and social media influencers. Discussion guide included topics on engagement strategies, intervention modes of delivery, target audience, misconceptions, community support, and optimizing sexuality education in local context. Qualitative content analysis was conducted for analyzing the data.
Results
Results indicate that current community support is usually passive in nature and digital or social media platforms are mostly used to talk about sexuality education. Participants believed social media can be used as a platform for disseminating information by involving social media influencers with careful narrative building around sexuality for rebranding the topic, as talking about sexuality is seen as a taboo in the society. Targeting misconceptions through counter narratives and scientific evidence was considered as a way forward for increasing community acceptability and readiness. Violence, staying safe, and age appropriateness were identified as some of the key features of sexuality education that need to be highlighted for garnering community support.
Conclusions
For promoting sexuality education in Pakistan, it is essential to tackle resistance by sensitizing the community and digital social media platforms offer an opportunity to do this through influencer marketing.
Key messages
Digital and social media offer an opportunity for promoting sexuality education in conservative settings like Pakistan. Social media influencer marketing might be useful in building counter narrative and for community engagement.
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Affiliation(s)
- F Ahmed
- Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology, Bremen, Germany
- Health Sciences Bremen, University of Bremen, Bremen, Germany
| | - G Ahmad
- International Business & Marketing, NUST Business School, National University of Sciences and Technology, Islamabad, Pakistan
| | - J Schumacher
- Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology, Bremen, Germany
| | - T Brand
- Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology, Bremen, Germany
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Affiliation(s)
| | - R. Reid Hanson
- Department of Clinical Science Auburn University Auburn Alabama USA
| | - J. Schumacher
- Department of Clinical Science Auburn University Auburn Alabama USA
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7
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Kelmer G, Cypher E, Schumacher J. Simple techniques to decrease tension on sutured wounds of horses. EQUINE VET EDUC 2021. [DOI: 10.1111/eve.13462] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- G. Kelmer
- Large Animal Department Veterinary Teaching Hospital Koret School of Veterinary Medicine The Robert H. Smith Faculty of Agriculture, Food & Environment The Hebrew University of Jerusalem Rehovot Israel
| | - E. Cypher
- Department of Large Animal Clinical Sciences College of Veterinary Medicine University of Tennessee Knoxville Tennessee USA
| | - J. Schumacher
- Department of Large Animal Clinical Sciences College of Veterinary Medicine University of Tennessee Knoxville Tennessee USA
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8
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Hanson RR, Schumacher J. Diagnosis, management and prognosis of large colon impactions. EQUINE VET EDUC 2021. [DOI: 10.1111/eve.13120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- R. Reid Hanson
- Department of Clinical Sciences JT Vaughan Teaching Hospital Auburn University Auburn Alabama USA
| | - J. Schumacher
- Department of Clinical Sciences JT Vaughan Teaching Hospital Auburn University Auburn Alabama USA
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Reid Hanson R, Schumacher J. Diagnosis, management and prognosis of small colon impactions. EQUINE VET EDUC 2021. [DOI: 10.1111/eve.13119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- R. Reid Hanson
- Department of Clinical Sciences JT Vaughan Teaching Hospital Auburn University Auburn Alabama USA
| | - J. Schumacher
- Department of Clinical Sciences JT Vaughan Teaching Hospital Auburn University Auburn Alabama USA
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Schumacher J, Fuchs M, Basrai M, Seethaler B, Bischoff S. Alcohol consumption and breast cancer risk in women with genetic predisposition due to BRCA1/2 mutations. Clin Nutr ESPEN 2020. [DOI: 10.1016/j.clnesp.2020.09.776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Magri C, Schramme M, Nottrott K, Schweizer‐Gorgas D, Segard E, Kelly G, Schumacher J. Coronoidectomy as a treatment for mandibular immobility caused by fracture of the coronoid process in three horses. EQUINE VET EDUC 2020. [DOI: 10.1111/eve.13396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- C. Magri
- Clinéquine VetAgro Sup Marcy l’Etoile France
| | - M. Schramme
- Clinéquine VetAgro Sup Marcy l’Etoile France
| | - K. Nottrott
- Clinéquine VetAgro Sup Marcy l’Etoile France
| | - D. Schweizer‐Gorgas
- Section of Diagnostic Imaging Vetsuisse Faculty University of Berne Berne Switzerland
| | - E. Segard
- Clinéquine VetAgro Sup Marcy l’Etoile France
| | - G. Kelly
- Fethard Equine Hospital Fethard Tipperary Ireland
| | - J. Schumacher
- Department of Large Animal Clinical Sciences College of Veterinary Medicine University of Tennessee Knoxville Tennessee USA
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Schumacher J, Greig P. A quantitative evaluation of aerosol generation during tracheal intubation and extubation: a response. Anaesthesia 2020; 76 Suppl 3:14-15. [PMID: 33169836 DOI: 10.1111/anae.15309] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/10/2020] [Indexed: 12/25/2022]
Affiliation(s)
- J Schumacher
- King's College London, St. Thomas' Campus, London, UK
| | - P Greig
- St. Thomas' Hospital, London, UK
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13
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Affiliation(s)
- S. Zetterström
- Department of Clinical Sciences College of Veterinary Medicine J. T. Vaughan Large Animal Teaching Hospital Auburn University Auburn Alabama USA
| | - R. Hanson
- Department of Clinical Sciences College of Veterinary Medicine J. T. Vaughan Large Animal Teaching Hospital Auburn University Auburn Alabama USA
| | - A. Velloso Alvarez
- Department of Clinical Sciences College of Veterinary Medicine J. T. Vaughan Large Animal Teaching Hospital Auburn University Auburn Alabama USA
| | - F. Caldwell
- Department of Clinical Sciences College of Veterinary Medicine J. T. Vaughan Large Animal Teaching Hospital Auburn University Auburn Alabama USA
| | - L. Boone
- Department of Clinical Sciences College of Veterinary Medicine J. T. Vaughan Large Animal Teaching Hospital Auburn University Auburn Alabama USA
| | - J. Schumacher
- Department of Clinical Sciences College of Veterinary Medicine J. T. Vaughan Large Animal Teaching Hospital Auburn University Auburn Alabama USA
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Livesey LC, Yorke E, Parra A, Gray Q, Davies C, Weldon D, Schumacher J, Kimura S, Howard C, Sierra‐Rodriguez T, Mora‐Pereira M. Use of a carbonated beverage to disintegrate a phytobezoar obstructing the intrathoracic portion of the oesophagus of a horse. EQUINE VET EDUC 2020. [DOI: 10.1111/eve.13082] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- L. C. Livesey
- Tuskegee University College of Veterinary Medicine Auburn AlabamaUSA
| | - E. Yorke
- Tuskegee University College of Veterinary Medicine Auburn AlabamaUSA
| | - A. Parra
- Tuskegee University College of Veterinary Medicine Auburn AlabamaUSA
| | - Q. Gray
- Tuskegee University College of Veterinary Medicine Auburn AlabamaUSA
| | - C. Davies
- Tuskegee University College of Veterinary Medicine Auburn AlabamaUSA
| | - D. Weldon
- Southeast Equine Veterinary Services Phenix City AlabamaUSA
| | - J. Schumacher
- J.T. Vaughan Large Animal Teaching Hospital Auburn University College of Veterinary Medicine Auburn Alabama USA
| | - S. Kimura
- J.T. Vaughan Large Animal Teaching Hospital Auburn University College of Veterinary Medicine Auburn Alabama USA
| | - C. Howard
- Bluegrass Animal Clinic Grayson Kentucky USA
| | - T. Sierra‐Rodriguez
- J.T. Vaughan Large Animal Teaching Hospital Auburn University College of Veterinary Medicine Auburn Alabama USA
| | - M. Mora‐Pereira
- J.T. Vaughan Large Animal Teaching Hospital Auburn University College of Veterinary Medicine Auburn Alabama USA
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Bakenecker AC, Schumacher J, Blümler P, Gräfe K, Ahlborg M, M Buzug T. A concept for a magnetic particle imaging scanner with Halbach arrays. Phys Med Biol 2020; 65:195014. [PMID: 32155606 DOI: 10.1088/1361-6560/ab7e7e] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Magnetic particle imaging (MPI) is a new medical imaging technique visualizing the concentration distribution of superparamagnetic nanoparticles used as tracer material. MPI is not yet in clinical routine, since one of the challenges is the upscaling of scanners. Typically, the magnetic fields of MPI scanners are generated electromagnetically, resulting in an immense power consumption but providing high flexibility in terms of adjusting the field strengths and very fast image acquisition rates. Permanent magnets provide high flux densities and do not need any power supply. However, the flux density is not adjustable, and a mechanical movement is slow compared to electromagnetically varying fields. The MPI scanner concept proposed here uses permanent magnets and provides high flexibility, with the possibility to choose between fast overview scanning and detailed image acquisition. By mechanical rotation of magnetic rings in Halbach array configuration, it is possible to adjust the field or gradient strengths. The latter allows for determining the spatial resolution and the size of the field of view. A continuous mechanical rotation defines the coarseness of the scanning trajectory and image acquisition rate. This concept provides a comparable flexibility, as an alternating magnetic field and an adjustable field gradient can be applied as known from electromagnetically driven MPI systems, and therefore yields high potential for an enlarged system. We present the idea of an arrangement of Halbach arrays and how to calculate the generated magnetic fields. Simulations for an exemplary geometry are provided to show the potential of the proposed setup.
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Affiliation(s)
- A C Bakenecker
- Institute of Medical Engineering, University of Luebeck, Ratzeburger Allee 160, 23562 Luebeck, Germany
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Schumacher J, Meyer D, Friedland J, Güttel R. Modeling and simulation of non‐isothermal catalyst pellets for unsteady‐state methanation of CO/CO
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mixtures. CHEM-ING-TECH 2020. [DOI: 10.1002/cite.202055361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- J. Schumacher
- Universität Ulm Institut für Chemieingenieurwesen Albert-Einstein-Allee 11 89081 Ulm Germany
| | - D. Meyer
- Universität Ulm Institut für Chemieingenieurwesen Albert-Einstein-Allee 11 89081 Ulm Germany
| | - J. Friedland
- Universität Ulm Institut für Chemieingenieurwesen Albert-Einstein-Allee 11 89081 Ulm Germany
| | - R. Güttel
- Universität Ulm Institut für Chemieingenieurwesen Albert-Einstein-Allee 11 89081 Ulm Germany
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17
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Meyer D, Schumacher J, Friedland J, Güttel R. Investigations on flexible operation of the methanation process with CO/CO
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mixtures. CHEM-ING-TECH 2020. [DOI: 10.1002/cite.202055360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- D. Meyer
- Universität Ulm Institut für Chemieingenieurwesen Albert-Einstein-Allee 11 89081 Ulm Germany
| | - J. Schumacher
- Universität Ulm Institut für Chemieingenieurwesen Albert-Einstein-Allee 11 89081 Ulm Germany
| | - J. Friedland
- Universität Ulm Institut für Chemieingenieurwesen Albert-Einstein-Allee 11 89081 Ulm Germany
| | - R. Güttel
- Universität Ulm Institut für Chemieingenieurwesen Albert-Einstein-Allee 11 89081 Ulm Germany
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Schumacher J, Peter RS, Nagel G, Rothenbacher D, Rosenbohm A, Ludolph AC, Dorst J. Statins, diabetes mellitus and prognosis of amyotrophic lateral sclerosis: data from 501 patients of a population-based registry in southwest Germany. Eur J Neurol 2020; 27:1405-1414. [PMID: 32396653 DOI: 10.1111/ene.14300] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [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: 04/09/2020] [Accepted: 04/30/2020] [Indexed: 12/23/2022]
Abstract
BACKGROUND AND PURPOSE A wide variety of metabolic changes, including an increased incidence of diabetes mellitus (DM) and dyslipidaemia, has been described in amyotrophic lateral sclerosis (ALS). The aim of this study was to investigate the associations of statin use and history of DM with onset of disease and survival in patients with ALS. METHODS In all, 501 patients (mean age 65.2 ± 10.9 years; 58.5% male) from the ALS Registry Swabia recruited between October 2010 and April 2016 were included in this prospective cohort study. Data were collected using a standardized questionnaire. RESULTS Statin use (n = 65) was not associated with overall survival (P = 0.62). Age of ALS onset in patients with DM was 4.2 years later (95% confidence interval 1.3-7.2 years) than in patients without DM (P < 0.01). The overall survival of patients with high body mass index at study entry (>27.0 kg/m2 , upper quartile, n = 127) was prolonged by more than 5 months compared to patients with low body mass index (<22.0 kg/m2 , lower quartile, n = 123; P = 0.04). CONCLUSIONS This study supports the view that statin use is not associated with overall survival of ALS patients, suggesting that statins are not harmful and should not be discontinued in ALS. Furthermore, the delayed onset of ALS in patients with DM may mirror the potentially protective metabolic profile associated with type 2 DM. Consistently, this study provides further evidence that high body mass index is a positive prognostic factor in ALS.
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Affiliation(s)
- J Schumacher
- Department of Neurology, University of Ulm, Ulm, Germany
| | - R S Peter
- Institute of Epidemiology and Medical Biometry, University of Ulm, Ulm, Germany
| | - G Nagel
- Institute of Epidemiology and Medical Biometry, University of Ulm, Ulm, Germany
| | - D Rothenbacher
- Institute of Epidemiology and Medical Biometry, University of Ulm, Ulm, Germany
| | - A Rosenbohm
- Department of Neurology, University of Ulm, Ulm, Germany
| | - A C Ludolph
- Department of Neurology, University of Ulm, Ulm, Germany
| | - J Dorst
- Department of Neurology, University of Ulm, Ulm, Germany
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Schumacher J, Arlidge J, Dudley D, Sicinski M, Ahmad I. The impact of respiratory protective equipment on difficult airway management: a randomised, crossover, simulation study. Anaesthesia 2020; 75:1301-1306. [PMID: 32335900 PMCID: PMC7267320 DOI: 10.1111/anae.15102] [Citation(s) in RCA: 37] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/24/2020] [Indexed: 01/07/2023]
Abstract
The current international COVID‐19 health crisis underlines the importance of adequate and suitable personal protective equipment for clinical staff during acute airway management. This study compares the impacts of standard air‐purifying respirators and powered air‐purifying respirators during simulated difficult airway scenarios. Twenty‐five anaesthetists carried out four different standardised difficult intubation drills, either unprotected (control), or wearing a standard or a powered respirator. Treatment times and wearer comfort were determined and compared. In the wearer comfort evaluation form, operators rated mobility, noise, heat, vision and speech intelligibility. All anaesthetists accomplished the treatment objectives of all study arms without adverse events. Total mean (SD) intubation times for the four interventions did not show significant differences between the powered and the standard respirator groups, being 16.4 (8.6) vs. 19.2 (5.2) seconds with the Airtraq™; 11.4 (3.4) vs. 10.0 (2.1) seconds with the videolaryngoscope; 39.2 (4.5) vs. 40.1 (4.8) seconds with the fibreoptic bronchoscope scope; and 15.4 (5.7) vs. 15.1 (5.0) seconds for standard tracheal intubation by direct laryngoscopy, respectively. Videolaryngoscopy allowed the shortest intubation times regardless of the respiratory protective device used. Anaesthetists rated heat and vision significantly higher in the powered respirator group; however, noise levels were perceived to be significantly lower than in the standard respirator group. We conclude that standard and powered respirators do not significantly prolong simulated advanced intubation procedures.
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Affiliation(s)
- J Schumacher
- Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - J Arlidge
- Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - D Dudley
- Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - M Sicinski
- Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - I Ahmad
- Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK
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Cypher EE, Blackford J, Snowden RT, Sexton JA, Schumacher J. Surgical correction of entrapment of the large colon and caecum through a mesoduodenal rent with standing laparoscopic repair in a mare. EQUINE VET EDUC 2020. [DOI: 10.1111/eve.12941] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- E. E. Cypher
- Department of Large Animal Clinical Sciences University of Tennessee College of Veterinary Medicine Knoxville Tennessee USA
| | - J. Blackford
- Department of Large Animal Clinical Sciences University of Tennessee College of Veterinary Medicine Knoxville Tennessee USA
| | - R. T. Snowden
- Department of Large Animal Clinical Sciences University of Tennessee College of Veterinary Medicine Knoxville Tennessee USA
| | - J. A. Sexton
- Department of Large Animal Clinical Sciences University of Tennessee College of Veterinary Medicine Knoxville Tennessee USA
| | - J. Schumacher
- Department of Large Animal Clinical Sciences University of Tennessee College of Veterinary Medicine Knoxville Tennessee USA
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Schumacher J, Ko S, Ratnayake G. Compliance with current anaesthetic equipment safety guidelines in the light of a cluster of avoidable anaesthetic deaths. Anaesthesia 2020; 75:277-278. [DOI: 10.1111/anae.14927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
| | - S. Ko
- Evelina London Children's Hospital London UK
| | - G. Ratnayake
- King's College Hospital NHS Foundation Trust London UK
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22
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Affiliation(s)
- J. Schumacher
- Department of Clinical Sciences College of Veterinary Medicine Auburn University Auburn Alabama USA
| | - L. Boone
- Department of Clinical Sciences College of Veterinary Medicine Auburn University Auburn Alabama USA
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Aab A, Abreu P, Aglietta M, Albuquerque I, Albury J, Allekotte I, Almela A, Alvarez Castillo J, Alvarez-Muñiz J, Anastasi G, Anchordoqui L, Andrada B, Andringa S, Aramo C, Asorey H, Assis P, Avila G, Badescu A, Bakalova A, Balaceanu A, Barbato F, Barreira Luz R, Baur S, Becker K, Bellido J, Berat C, Bertaina M, Bertou X, Biermann P, Biteau J, Blaess S, Blanco A, Blazek J, Bleve C, Boháčová M, Boncioli D, Bonifazi C, Borodai N, Botti A, Brack J, Bretz T, Bridgeman A, Briechle F, Buchholz P, Bueno A, Buitink S, Buscemi M, Caballero-Mora K, Caccianiga L, Calcagni L, Cancio A, Canfora F, Carceller J, Caruso R, Castellina A, Catalani F, Cataldi G, Cazon L, Cerda M, Chinellato J, Chudoba J, Chytka L, Clay R, Cobos Cerutti A, Colalillo R, Coleman A, Coluccia M, Conceição R, Condorelli A, Consolati G, Contreras F, Convenga F, Cooper M, Coutu S, Covault C, Daniel B, Dasso S, Daumiller K, Dawson B, Day J, de Almeida R, de Jong S, De Mauro G, de Mello Neto J, De Mitri I, de Oliveira J, de Oliveira Salles F, de Souza V, Debatin J, del Río M, Deligny O, Dhital N, Díaz Castro M, Diogo F, Dobrigkeit C, D’Olivo J, Dorosti Q, dos Anjos R, Dova M, Dundovic A, Ebr J, Engel R, Erdmann M, Escobar C, Etchegoyen A, Falcke H, Farmer J, Farrar G, Fauth A, Fazzini N, Feldbusch F, Fenu F, Ferreyro L, Figueira J, Filipčič A, Freire M, Fujii T, Fuster A, García B, Gemmeke H, Gherghel-Lascu A, Ghia P, Giaccari U, Giammarchi M, Giller M, Głas D, Glombitza J, Gobbi F, Golup G, Gómez Berisso M, Gómez Vitale P, Gongora J, González N, Goos I, Góra D, Gorgi A, Gottowik M, Grubb T, Guarino F, Guedes G, Guido E, Halliday R, Hampel M, Hansen P, Harari D, Harrison T, Harvey V, Haungs A, Hebbeker T, Heck D, Heimann P, Hill G, Hojvat C, Holt E, Homola P, Hörandel J, Horvath P, Hrabovský M, Huege T, Hulsman J, Insolia A, Isar P, Jandt I, Johnsen J, Josebachuili M, Jurysek J, Kääpä A, Kampert K, Keilhauer B, Kemmerich N, Kemp J, Klages H, Kleifges M, Kleinfeller J, Krause R, Kuempel D, Kukec Mezek G, Kuotb Awad A, Lago B, LaHurd D, Lang R, Legumina R, Leigui de Oliveira M, Lenok V, Letessier-Selvon A, Lhenry-Yvon I, Lippmann O, Lo Presti D, Lopes L, López R, López Casado A, Lorek R, Luce Q, Lucero A, Malacari M, Mancarella G, Mandat D, Manning B, Mantsch P, Mariazzi A, Mariş I, Marsella G, Martello D, Martinez H, Martínez Bravo O, Mastrodicasa M, Mathes H, Mathys S, Matthews J, Matthiae G, Mayotte E, Mazur P, Medina-Tanco G, Melo D, Menshikov A, Merenda KD, Michal S, Micheletti M, Middendorf L, Miramonti L, Mitrica B, Mockler D, Mollerach S, Montanet F, Morello C, Morlino G, Mostafá M, Müller A, Muller M, Müller S, Mussa R, Nellen L, Nguyen P, Niculescu-Oglinzanu M, Niechciol M, Nitz D, Nosek D, Novotny V, Nožka L, Nucita A, Núñez L, Olinto A, Palatka M, Pallotta J, Panetta M, Papenbreer P, Parente G, Parra A, Pech M, Pedreira F, Pȩkala J, Pelayo R, Peña-Rodriguez J, Pereira L, Perlin M, Perrone L, Peters C, Petrera S, Phuntsok J, Pierog T, Pimenta M, Pirronello V, Platino M, Poh J, Pont B, Porowski C, Prado R, Privitera P, Prouza M, Puyleart A, Querchfeld S, Quinn S, Ramos-Pollan R, Rautenberg J, Ravignani D, Reininghaus M, Ridky J, Riehn F, Risse M, Ristori P, Rizi V, Rodrigues de Carvalho W, Rodriguez Rojo J, Roncoroni M, Roth M, Roulet E, Rovero A, Ruehl P, Saffi S, Saftoiu A, Salamida F, Salazar H, Salina G, Sanabria Gomez J, Sánchez F, Santos E, Santos E, Sarazin F, Sarmento R, Sarmiento-Cano C, Sato R, Savina P, Schauer M, Scherini V, Schieler H, Schimassek M, Schimp M, Schlüter F, Schmidt D, Scholten O, Schovánek P, Schröder F, Schröder S, Schumacher J, Sciutto S, Scornavacche M, Shellard R, Sigl G, Silli G, Sima O, Šmída R, Snow G, Sommers P, Soriano J, Souchard J, Squartini R, Stanca D, Stanič S, Stasielak J, Stassi P, Stolpovskiy M, Streich A, Suarez F, Suárez-Durán M, Sudholz T, Suomijärvi T, Supanitsky A, Šupík J, Szadkowski Z, Taboada A, Taborda O, Tapia A, Timmermans C, Todero Peixoto C, Tomé B, Torralba Elipe G, Travaini A, Travnicek P, Trini M, Tueros M, Ulrich R, Unger M, Urban M, Valdés Galicia J, Valiño I, Valore L, van Bodegom P, van den Berg A, van Vliet A, Varela E, Vargas Cárdenas B, Veberič D, Ventura C, Vergara Quispe I, Verzi V, Vicha J, Villaseñor L, Vink J, Vorobiov S, Wahlberg H, Watson A, Weber M, Weindl A, Wiedeński M, Wiencke L, Wilczyński H, Winchen T, Wirtz M, Wittkowski D, Wundheiler B, Yang L, Yushkov A, Zas E, Zavrtanik D, Zavrtanik M, Zehrer L, Zepeda A, Zimmermann B, Ziolkowski M, Zong Z, Zuccarello F. Data-driven estimation of the invisible energy of cosmic ray showers with the Pierre Auger Observatory. Int J Clin Exp Med 2019. [DOI: 10.1103/physrevd.100.082003] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Degenhardt T, Fasching P, Lüftner D, Müller V, Thomssen C, Schem C, Witzel I, Decker T, Tesch H, Kuemmel S, Uleer C, Wuerstlein R, Riese C, Schinköthe T, Kates R, Schumacher J, Harbeck N, Schmidt M. PRECYCLE: Impact of CANKADO-based eHealth-support on quality of life in metastatic breast cancer patients treated with palbociclib and endocrine therapy. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz242.084] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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25
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Chesworth M, Brandenberger O, Cheetham J, Windley Z, Schumacher J, Cochran K, Piercy RJ, Perkins JD. Ex vivo investigation of the effect of the transverse arytenoid ligament on abduction of the arytenoid cartilage when performing equine laryngoplasty. N Z Vet J 2019; 67:264-269. [PMID: 31234719 DOI: 10.1080/00480169.2019.1635538] [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: 10/26/2022]
Abstract
Aims: To investigate the effect of the transverse arytenoid ligament (TAL) on abduction of the arytenoid cartilage when performing laryngoplasty. Methods: Modified prosthetic laryngoplasty was performed on right and left sides of 13 cadaver larynges. Increasing force was sequentially applied to the left arytenoid cartilage at 3 N intervals from 0-24 N, when the force on the right arytenoid cartilage was either 0 or 24 N, before and after TAL transection. Digital photographs of the rostral aspect of the larynx were used to determine the left arytenoid abduction angles for these given force combinations and results compared before and after TAL transection. Longitudinal and transverse sections of the TAL from seven other equine larynges were also examined histologically. Results: Increasing force on the left arytenoid cartilage from 0-24 N produced a progressive increase in the angle of the left arytenoid cartilage (p < 0.001) and increasing force on the right arytenoid cartilage from 0-24 N reduced the angle of the left arytenoid cartilage (p < 0.001). Following transection of the TAL the mean angle of the left arytenoid increased from 36.7 (95% CI = 30.5-42.8)° to 38.4 (95% CI = 32.3-44.5)°. Histological examination showed that the TAL was not a discrete ligament between the arytenoid cartilages but was formed by the convergence of the ligament and the left and right arytenoideus transversus muscles. Conclusions: Transection of the TAL in ex vivo equine larynges enabled greater abduction of the left arytenoid cartilage for a given force. These results indicate that TAL transection in conjunction with prosthetic laryngoplasty may have value, but the efficacy and safety of TAL transection under load in vivo, and in horses clinically affected with recurrent laryngeal neuropathy must be evaluated. Abbreviations: Fmax: Force needed to maximally abduct the left or right arytenoid; TAL: Transverse arytenoid ligament.
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Affiliation(s)
- M Chesworth
- a Department of Veterinary Clinical Sciences , Royal Veterinary College , Hatfield , UK
| | - O Brandenberger
- a Department of Veterinary Clinical Sciences , Royal Veterinary College , Hatfield , UK
| | - J Cheetham
- b Department of Clinical Sciences , College of Veterinary Medicine, Cornell University , Ithaca , NY , USA
| | - Z Windley
- a Department of Veterinary Clinical Sciences , Royal Veterinary College , Hatfield , UK
| | - J Schumacher
- a Department of Veterinary Clinical Sciences , Royal Veterinary College , Hatfield , UK
| | - K Cochran
- a Department of Veterinary Clinical Sciences , Royal Veterinary College , Hatfield , UK
| | - R J Piercy
- a Department of Veterinary Clinical Sciences , Royal Veterinary College , Hatfield , UK
| | - J D Perkins
- a Department of Veterinary Clinical Sciences , Royal Veterinary College , Hatfield , UK
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Derham AM, O'Leary JM, Connolly SE, Schumacher J, Kelly G. Performance comparison of 159 Thoroughbred racehorses and matched cohorts before and after desmotomy of the interspinous ligament. Vet J 2019; 249:16-23. [PMID: 31239160 DOI: 10.1016/j.tvjl.2019.05.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [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: 08/17/2018] [Revised: 05/09/2019] [Accepted: 05/09/2019] [Indexed: 11/16/2022]
Abstract
Racehorses may perform poorly because of impinging dorsal spinous processes (DSPs) of the thoracolumbar vertebrae. No study has looked objectively at the long-term outcome of racehorses undergoing desmotomy of the interspinous ligament as a treatment for horses with poor performance caused by impinging DSPs. The aim of this study was to examine objectively, by using pre-operative and post-operative racing records, the effectiveness of desmotomy of the interspinous ligament (DISL) in improving the performance of racehorses with impinging DSPs. Medical records of all horses undergoing desmotomy of one or more interspinous ligaments at a referral equine hospital, between February 2015 and September 2016, were reviewed. The study was confined to Thoroughbred racehorses with sufficient historical information and racetrack data to allow their racing performances be compared to that of matched controls. Matched controls were of the same age, sex, and racing type and were trained at the same time by the same trainer as those undergoing desmotomy. The time to follow-up was at least 12 months. Of the 6545 horses presented for poor performance or lameness during the study period, 236 horses (3.6%) underwent desmotomy of one or more interspinous ligaments, and of these, 159 met the inclusion criteria. Horses undergoing desmotomy had significantly better improvement in racing performance than did matched controls. Eight horses developed unilateral neurogenic atrophy of epaxial musculature. DISL between impinging DSPs can improve the performance of racehorses experiencing from poor performance caused by pain resulting from the impinging processes.
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Affiliation(s)
- A M Derham
- University College Dublin, University Veterinary Hospital, UCD, Belfield, Dublin 4, Ireland.
| | - J M O'Leary
- University College Dublin, University Veterinary Hospital, UCD, Belfield, Dublin 4, Ireland
| | - S E Connolly
- MRC Biostatistics Unit, University of Cambridge, Cambridge Institute of Public Health, Forvie Site, Robinson Way, Cambridge Biomedical Campus, Cambridge CB2 0SR, UK
| | - J Schumacher
- Department of Large Animal Clinical Sciences, University of Tennessee, Knoxville, TN 37996, USA
| | - G Kelly
- Fethard Equine Hospital, Tipperary, Ireland
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Adair S, Baus M, Bell R, Boero M, Bussy C, Cardenas F, Casey T, Castro J, Davis W, Erskine M, Farr R, Fischer A, Forbes B, Ford T, Genovese R, Gottschalk R, Hoge M, Honnas C, Hunter G, Joyce J, Kaneps A, Keegan K, Kramer J, Labens R, Lischer C, Marshall J, Oosterlinck M, Radue P, Redding R, Reed S, Rick M, Santschi E, Schoonover M, Schramme M, Schumacher J, Stephenson R, Thaler R, Nielsen JV, Wilson D. Letter to the Editor: A response to 'What is lameness and what (or who) is the gold standard to detect it?'. Equine Vet J 2018; 51:270-272. [PMID: 30570777 DOI: 10.1111/evj.13043] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- S Adair
- University of Tennessee, Knoxville, Tennessee, USA
| | - M Baus
- Gran Prix Equine, Hawleyville, Connecticut, USA
| | - R Bell
- Park Equine Hospital, Lexington, Kentucky, USA
| | | | - C Bussy
- Clinique Vétérinaire du Grand Renaud, Saint Saturnin, France
| | - F Cardenas
- 3H Equine Hospital and Mobile Veterinary Services, New Hill, North Carolina, USA
| | - T Casey
- Fourways Equine Clinic, Johannesburg, South Africa
| | - J Castro
- Davie County Large Animal Hospital, Mocksville, North Carolina, USA
| | - W Davis
- Palm Beach Equine Clinic, Wellington, Florida, USA
| | - M Erskine
- Virginia Tech, Leesburg, Virginia, USA
| | - R Farr
- Farr and Pursey Equine Veterinary Services, Aldbury, Hertfordshire, UK
| | - A Fischer
- Chino Valley Equine Hospital, Chino Hills, California, USA
| | - B Forbes
- Singapore Turf Club, Singapore, Singapore
| | - T Ford
- Ford Veterinary Surgery Center, Clovis, California, USA
| | - R Genovese
- Cleveland Equine Clinic, Ravenna, Ohio, USA
| | - R Gottschalk
- Witbos Veterinary Clinic, Blue Hills AH, South Africa
| | - M Hoge
- Murrieta Equine, Murrieta, California, USA
| | - C Honnas
- Texas Equine Hospital, Bryan, Texas, USA
| | - G Hunter
- Ardene House Veterinary Practice, Aberdeen, UK
| | - J Joyce
- Total Equine Veterinary Associates, Leesburg, Virginia, USA
| | - A Kaneps
- Kaneps Equine Sports Medicine and Surgery, Beverly, Massachusetts, USA
| | - K Keegan
- University of Missouri, Columbia, Missouri, USA
| | - J Kramer
- University of Missouri, Columbia, Missouri, USA
| | - R Labens
- Charles Sturt University, Albury, New South Wales, Australia
| | - C Lischer
- Freie Universität Berlin, Berlin, Germany
| | | | | | - P Radue
- Damascus Equine Associates, Mount Airy, Maryland, USA
| | - R Redding
- North Carolina State University, Raleigh, North Carolina, USA
| | - S Reed
- Ohio State University, Columbus, Ohio, USA
| | - M Rick
- Alamo Pintado Equine Medical Centre, Los Olivos, California, USA
| | - E Santschi
- Kansas State University, Manhattan, Kansas, USA
| | - M Schoonover
- Oklahoma State University, Stillwater, Oklahoma, USA
| | | | | | | | - R Thaler
- Metamora Equine PC, Metamora, Michigan, USA
| | - J V Nielsen
- Ansager Veterinary Hospital, Ansager, Denmark
| | - D Wilson
- University of Missouri, Columbia, Missouri, USA
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Schumacher J, Tucker G, Lundhal S, Bajracharya R, Sahoo S. CONTRASTING PATTERNS OF HEALTH TALK BY ASSISTED LIVING RESIDENTS, FAMILIES, AND STAFF. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.1768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
| | - G Tucker
- University of Maryland, Baltimore County
| | - S Lundhal
- University of Maryland, Baltimore County
| | | | - S Sahoo
- University of Maryland, Baltimore County
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Schumacher J. GERONTOLOGISTS ROLE IN PROMOTING PRINCIPLES OF GERIATRIC EMERGENCY MEDICINE – FOCUS ON SEVEN WORD MODEL. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.2565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Coleridge M, Schumacher J, DeGraves F. Comparison of lameness scores after a low 4‐point nerve block to lameness scores after additional desensitisation of the dorsal metatarsal nerves in horses with experimentally induced pain in the metatarsophalangeal joint. EQUINE VET EDUC 2018. [DOI: 10.1111/eve.12942] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
| | - J. Schumacher
- Department of Clinical Sciences Auburn University Auburn Alabama USA
| | - F. DeGraves
- Department of Agriculture Western Kentucky University Bowling Green Kentucky USA
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Valk N, Schumacher J. Successful outcome of a Standardbred filly after conservative treatment for a Salter–Harris type
III
fracture of the distal femoral condyle. EQUINE VET EDUC 2018. [DOI: 10.1111/eve.12935] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- N. Valk
- Department of Large Animal Clinical Sciences College of Veterinary Medicine University of Tennessee Knoxville Tennessee USA
| | - J. Schumacher
- Department of Large Animal Clinical Sciences College of Veterinary Medicine University of Tennessee Knoxville Tennessee USA
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Affiliation(s)
- F. Tóth
- College of Veterinary Medicine The University of Minnesota St Paul Minnesota USA
| | - J. Schumacher
- College of Veterinary Medicine University of Tennessee Knoxville Tennessee USA
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Vacek JR, Schumacher J, Honnas CM. Arthrodesis of the Distal Interphalangeal Joint in a Horse Using Stainless Steel Baskets and Transarticular 4.5-mm Cortical Screws. Vet Comp Orthop Traumatol 2018. [DOI: 10.1055/s-0038-1632426] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
SummaryThe distal interphalangeal joint was successfully arthrodesed in a 7-monthold horse using two 13-mm stainless steel baskets that were packed with autogenous cancellous bone and held in place with transarticular 4.5-mm cortical screws. The baskets were placed midway between the extensor process of the distal phalanx and the collateral ligament on the corresponding side of the joint. The screws were directed from the abaxial side of the middle phalanx, axially and distally through the basket and across the joint space, into the distal phalanx. Bony fusion of the distal interphalangeal joint occurred through the region occupied by the baskets as well as through the central region of the joint. The horse was free of lameness at the walk in the operated limb from the fourth until the tenth postoperative month, at which time lameness recurred as a result of sepsis in the region of the lateral implant. An additional complication was the development of a carpus varus deformity in the contralateral forelimb, presumably as a result of stretching of the lateral collateral carpal ligaments from excessive weight-bearing coupled with an abnormal posture (tripod stance) during convalescence. The horse was euthanatized 10 months after the arthodesis procedure because of severe lameness associated with sepsis in the region of the lateral implant.Arthrodesis of the distal interphalangeal joint can be accomplished by inserting perforated stainless steel baskets into the joint.Modifications in the surgical approach to avoid complications of sepsis need to be made before this technique can be recommended for clinical application.Although the horse did not survive long-term, presentation of this technique should prove useful to other investigators as they attempt to devise techniques to fuse the distal interphalangeal joint.
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Aab A, Abreu P, Aglietta M, Al Samarai I, Albuquerque I, Allekotte I, Almela A, Alvarez Castillo J, Alvarez-Muñiz J, Anastasi G, Anchordoqui L, Andrada B, Andringa S, Aramo C, Arqueros F, Arsene N, Asorey H, Assis P, Aublin J, Avila G, Badescu A, Balaceanu A, Barbato F, Barreira Luz R, Beatty J, Becker K, Bellido J, Berat C, Bertaina M, Bertou X, Biermann P, Biteau J, Blaess S, Blanco A, Blazek J, Bleve C, Boháčová M, Boncioli D, Bonifazi C, Borodai N, Botti A, Brack J, Brancus I, Bretz T, Bridgeman A, Briechle F, Buchholz P, Bueno A, Buitink S, Buscemi M, Caballero-Mora K, Caccianiga L, Cancio A, Canfora F, Caramete L, Caruso R, Castellina A, Catalani F, Cataldi G, Cazon L, Chavez A, Chinellato J, Chudoba J, Clay R, Cobos A, Colalillo R, Coleman A, Collica L, Coluccia M, Conceição R, Consolati G, Contreras F, Cooper M, Coutu S, Covault C, Cronin J, D’Amico S, Daniel B, Dasso S, Daumiller K, Dawson B, de Almeida R, de Jong S, De Mauro G, de Mello Neto J, De Mitri I, de Oliveira J, de Souza V, Debatin J, Deligny O, Díaz Castro M, Diogo F, Dobrigkeit C, D’Olivo J, Dorosti Q, dos Anjos R, Dova M, Dundovic A, Ebr J, Engel R, Erdmann M, Erfani M, Escobar C, Espadanal J, Etchegoyen A, Falcke H, Farmer J, Farrar G, Fauth A, Fazzini N, Fenu F, Fick B, Figueira J, Filipčič A, Fratu O, Freire M, Fujii T, Fuster A, Gaior R, García B, Garcia-Pinto D, Gaté F, Gemmeke H, Gherghel-Lascu A, Ghia P, Giaccari U, Giammarchi M, Giller M, Głas D, Glaser C, Golup G, Gómez Berisso M, Gómez Vitale P, González N, Gorgi A, Gorham P, Grillo A, Grubb T, Guarino F, Guedes G, Halliday R, Hampel M, Hansen P, Harari D, Harrison T, Harton J, Haungs A, Hebbeker T, Heck D, Heimann P, Herve A, Hill G, Hojvat C, Holt E, Homola P, Hörandel J, Horvath P, Hrabovský M, Huege T, Hulsman J, Insolia A, Isar P, Jandt I, Johnsen J, Josebachuili M, Jurysek J, Kääpä A, Kambeitz O, Kampert K, Keilhauer B, Kemmerich N, Kemp E, Kemp J, Kieckhafer R, Klages H, Kleifges M, Kleinfeller J, Krause R, Krohm N, Kuempel D, Kukec Mezek G, Kunka N, Kuotb Awad A, Lago B, LaHurd D, Lang R, Lauscher M, Legumina R, Leigui de Oliveira M, Letessier-Selvon A, Lhenry-Yvon I, Link K, Lo Presti D, Lopes L, López R, López Casado A, Lorek R, Luce Q, Lucero A, Malacari M, Mallamaci M, Mandat D, Mantsch P, Mariazzi A, Mariş I, Marsella G, Martello D, Martinez H, Martínez Bravo O, Masías Meza J, Mathes H, Mathys S, Matthews J, Matthews J, Matthiae G, Mayotte E, Mazur P, Medina C, Medina-Tanco G, Melo D, Menshikov A, Merenda KD, Michal S, Micheletti M, Middendorf L, Miramonti L, Mitrica B, Mockler D, Mollerach S, Montanet F, Morello C, Mostafá M, Müller A, Müller G, Muller M, Müller S, Mussa R, Naranjo I, Nellen L, Nguyen P, Niculescu-Oglinzanu M, Niechciol M, Niemietz L, Niggemann T, Nitz D, Nosek D, Novotny V, Nožka L, Núñez L, Ochilo L, Oikonomou F, Olinto A, Palatka M, Pallotta J, Papenbreer P, Parente G, Parra A, Paul T, Pech M, Pedreira F, Pękala J, Pelayo R, Peña-Rodriguez J, Pereira L, Perlin M, Perrone L, Peters C, Petrera S, Phuntsok J, Piegaia R, Pierog T, Pimenta M, Pirronello V, Platino M, Plum M, Porowski C, Prado R, Privitera P, Prouza M, Quel E, Querchfeld S, Quinn S, Ramos-Pollan R, Rautenberg J, Ravignani D, Ridky J, Riehn F, Risse M, Ristori P, Rizi V, Rodrigues de Carvalho W, Rodriguez Fernandez G, Rodriguez Rojo J, Rogozin D, Roncoroni M, Roth M, Roulet E, Rovero A, Ruehl P, Saffi S, Saftoiu A, Salamida F, Salazar H, Saleh A, Salesa Greus F, Salina G, Sánchez F, Sanchez-Lucas P, Santos E, Santos E, Sarazin F, Sarmento R, Sarmiento-Cano C, Sato R, Schauer M, Scherini V, Schieler H, Schimp M, Schmidt D, Scholten O, Schovánek P, Schröder F, Schröder S, Schulz A, Schumacher J, Sciutto S, Segreto A, Shadkam A, Shellard R, Sigl G, Silli G, Sima O, Śmiałkowski A, Šmída R, Smith B, Snow G, Sommers P, Sonntag S, Squartini R, Stanca D, Stanič S, Stasielak J, Stassi P, Stolpovskiy M, Strafella F, Streich A, Suarez F, Suarez Durán M, Sudholz T, Suomijärvi T, Supanitsky A, Šupík J, Swain J, Szadkowski Z, Taboada A, Taborda O, Theodoro V, Timmermans C, Todero Peixoto C, Tomankova L, Tomé B, Torralba Elipe G, Travnicek P, Trini M, Ulrich R, Unger M, Urban M, Valdés Galicia J, Valiño I, Valore L, van Aar G, van Bodegom P, van den Berg A, van Vliet A, Varela E, Vargas Cárdenas B, Varner G, Vázquez R, Veberič D, Ventura C, Vergara Quispe I, Verzi V, Vicha J, Villaseñor L, Vorobiov S, Wahlberg H, Wainberg O, Walz D, Watson A, Weber M, Weindl A, Wiencke L, Wilczyński H, Wileman C, Wirtz M, Wittkowski D, Wundheiler B, Yang L, Yushkov A, Zas E, Zavrtanik D, Zavrtanik M, Zepeda A, Zimmermann B, Ziolkowski M, Zong Z, Zuccarello F. Inferences on mass composition and tests of hadronic interactions from 0.3 to 100 EeV using the water-Cherenkov detectors of the Pierre Auger Observatory. Int J Clin Exp Med 2017. [DOI: 10.1103/physrevd.96.122003] [Citation(s) in RCA: 63] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Nitz UA, Gluz O, Christgen M, Grischke EM, Augustin D, Kuemmel S, Braun M, Potenberg J, Kohls A, Krauss K, Stefek A, Schumacher C, Forstbauer H, Reimer T, Fischer H, Liedtke C, Wuerstlein R, Schumacher J, Kates R, Kreipe H, Harbeck N. De-escalation strategies in HER2-positive early breast cancer (EBC): final analysis of the WSG-ADAPT HER2+/HR- phase II trial: efficacy, safety, and predictive markers for 12 weeks of neoadjuvant dual blockade with trastuzumab and pertuzumab ± weekly paclitaxel. Ann Oncol 2017; 28:2768-2772. [PMID: 28945833 DOI: 10.1093/annonc/mdx494] [Citation(s) in RCA: 92] [Impact Index Per Article: 13.1] [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] [Indexed: 08/08/2023] Open
Abstract
BACKGROUND Response rates in HER2-overexpressing EBC treated with neoadjuvant chemotherapy and trastuzumab (T) have been improved by addition of pertuzumab (P). The prospective, phase II, neoadjuvant WSG-ADAPT HER2+/HR- trial assessed whether patients with strong early response to dual blockade alone might achieve pathological complete response (pCR) comparable to that of patients receiving dual blockade and chemotherapy. PATIENTS AND METHODS Female patients with HER2+/HR- EBC (M0) were randomized (5:2) to 12 weeks of T + P ± weekly paclitaxel (pac) at 80 mg/m2. Early response was defined as proliferation decrease ≥30% of Ki-67 (versus baseline) or low cellularity (<500 invasive tumor cells) in the 3-week biopsy. The trial was designed to test non-inferiority for pCR in early responding patients of the T + P arm versus all chemotherapy-treated patients. RESULTS From February 2014 to December 2015, 160 patients were screened, 92 were randomized to T + P and 42 to T + P+pac. Baseline characteristics were well balanced (median age 54 versus 51.5 years, cT2 51.1 versus 52.4%, cN0 54.3 versus 61.9%); 91.3% of patients completed T + P per protocol and 92.9% T + P+pac. The pCR rate in the T + P+pac arm was 90.5%, compared with 36.3% in the T + P arm as a whole. In the T + P arm, 24/92 were classified as non-responders, and their pCR rate was only 8.3% compared with 44.7% in responders (38/92) and 42.9% in patients with unclassified early response (30/92). No new safety signals were observed in the study population. CONCLUSION Addition of taxane monotherapy to dual HER2 blockade in a 12-week neoadjuvant setting substantially increases pCR rates in HER2+/HR- EBC compared with dual blockade alone, even within early responders to dual blockade. Early non-response under dual blockade strongly predicts failure to achieve pCR.
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Affiliation(s)
- U A Nitz
- West German Study Group GmbH, Moenchengladabach; Evangelical Hospital Johanniter Bethesda, Breast Center Niederrhein, Moenchengladbach
| | - O Gluz
- West German Study Group GmbH, Moenchengladabach; Evangelical Hospital Johanniter Bethesda, Breast Center Niederrhein, Moenchengladbach; University of Cologne, Cologne.
| | - M Christgen
- Institute of Pathology, Medical School Hannover, Hannover
| | - E-M Grischke
- Department of Gynecology and Obstetrics, University Clinics Tuebingen, Tuebingen
| | | | - S Kuemmel
- Breast Center, Clinics Essen-Mitte, Essen
| | - M Braun
- Rotkreuz Clinics Munich Breast Center, Munich
| | - J Potenberg
- Department of Oncology Evangelical Waldkrankenhaus Berlin, Berlin
| | - A Kohls
- Department of Gynecology and Obstetrics, Evangelical Hospital, Ludwigsfelde
| | - K Krauss
- Department of Gynecology and Obstetrics, University Clinics RWTH, Aachen
| | - A Stefek
- Breast Center, Evangelical Hospital Johanniter, Stendal
| | - C Schumacher
- Breast Center, St. Elisabeth Hospital Cologne, Cologne
| | | | - T Reimer
- Department of Gynecology and Obstetrics, University Clinics Rostock, Suedstadt
| | - H Fischer
- Breast Center, Evangelical Hospital Gelsenkirchen, Gelsenkirchen
| | - C Liedtke
- Department of Gynecology and Obstetrics, University Clinics Schleswig-Holstein/Campus Luebeck, Luebeck; Charite Berlin
| | - R Wuerstlein
- Breast Center, Department of Gynecology and Obstetrics, University of Munich (LMU) and CCCLMU, Munich
| | - J Schumacher
- Palleos Healthcare, Statistics, Wiesbaden, Germany
| | - R Kates
- West German Study Group GmbH, Moenchengladabach
| | | | - N Harbeck
- West German Study Group GmbH, Moenchengladabach; Breast Center, Department of Gynecology and Obstetrics, University of Munich (LMU) and CCCLMU, Munich
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Loughran T, Schumacher J, Harpel T, Vollmer R. Effectiveness of Intuitive Eating Intervention through a Text Messaging Program among College Students. J Acad Nutr Diet 2017. [DOI: 10.1016/j.jand.2017.08.065] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Black H, Schumacher J, Harpel T, Vollmer R. Analysis of Pinterest as a Tool for Dissemination of Nutrition Information for Parents of Teenagers. J Acad Nutr Diet 2017. [DOI: 10.1016/j.jand.2017.08.084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Magidson P, Schumacher J, Hirshon J, Chrisman M, Hogan T. 241 Responding to Older Adults in the Emergency Department: A National Survey of Geriatric Emergency Departments. Ann Emerg Med 2017. [DOI: 10.1016/j.annemergmed.2017.07.463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Affiliation(s)
- T. Prado
- Department of Large Animal Clinical Sciences College of Veterinary Medicine University of Tennessee Knoxville Tennessee USA
| | - J. Schumacher
- Department of Large Animal Clinical Sciences College of Veterinary Medicine University of Tennessee Knoxville Tennessee USA
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Schumacher J, Arlidge J, Garnham F, Ahmad I. A randomised crossover simulation study comparing the impact of chemical, biological, radiological or nuclear substance personal protection equipment on the performance of advanced life support interventions. Anaesthesia 2017; 72:592-597. [DOI: 10.1111/anae.13842] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/26/2017] [Indexed: 11/28/2022]
Affiliation(s)
- J. Schumacher
- Department of Anaesthetics; Guy's and St Thomas' NHS Foundation Trust; London UK
| | - J. Arlidge
- Department of Anaesthetics; Guy's and St Thomas' NHS Foundation Trust; London UK
| | - F. Garnham
- Department of Emergency Medicine; Guy's and St Thomas' NHS Foundation Trust; London UK
| | - I. Ahmad
- Department of Anaesthetics; Guy's and St Thomas' NHS Foundation Trust; London UK
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Harbeck N, Nitz UA, Matthias C, Kates R, Braun M, Kümmel S, Schumacher C, Potenberg J, Kraemer S, Kleine-Tebbe A, Augustin D, Aktas B, Forstbauer H, Tio J, Liedtke C, Grischke EM, de Haas SL, Deurloo R, Schumacher J, Wuerstlein R, Kreipe HH, Gluz O. Abstract P1-09-05: The role of immune and apoptosis markers for prediction of pCR in the WSG-ADAPT HER2+/HR+ phase II trial evaluating 12-weeks of neoadjuvant TDM1 ± endocrine therapy (ET) versus T + ET in HER2-positive hormone-receptor-positive early breast cancer (EBC). Cancer Res 2017. [DOI: 10.1158/1538-7445.sabcs16-p1-09-05] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: Immune and apoptosis biomarkers are potential prognostic/predictive markers in HER2+ EBC. High PD-L1 expression was shown to be predictive for lower pCR after chemotherapy+trastuzumab+/-pertuzumab, particularly in HER2+, ER- disease. Yet, HER2+ EBC co-expressing hormone receptors is a distinct entity.
The ADAPT HER2+/HR+ phase II trial (n=376) compared 12 weeks of neoadjuvant T-DM1 + ET vs. trastuzumab (T)+ET and demonstrated pCR rates of about 41% in both (well tolerated) T-DM1 arms.
Methods: In order to identify potential early predictors for pCR (i.e. no invasive tumor in breast and lymph nodes), immune markers (PDL1 on infiltrating immune cells (IIC) and on tumor cells (TC); CD8 in invasive margin and in tumor center) and apoptosis markers (bcl-2; mcl-2) were determined by immunohistochemistry (IHC; H-scores) in core biopsy sections obtained at primary diagnosis and at cycle 2. For multivariate logistic regression, each biomarker (separately), clinical factors (Ki-67, cT, cN) and therapy were entered. All analyses were exploratory.
Results:Biomarkers were available in up to 326 patients (pts) at baseline and up to 170 pts at 3 weeks (due to low tumor content in 2nd core biopsy).
Baseline IIC-PDL1 was associated with pCR in the T-DM1 arm (OR 2.89; 95%CI: 1.11-7.51); IIC-PDL1 at cycle 2 was not associated with pCR.
PD-L1 expression in TC was rare (2%); cycle-2 TC-PD-L1 was associated with pCR in all pts and in the pooled TDM-1 arms.
High baseline CD8 in tumor center was associated with pCR in the whole cohort (OR 2.4; CI: 1.04 – 5.5) and in the T+ET arm (OR=10.1; CI: 1.12 - 91.6) and at cycle 2 in all pts (OR=9.52; CI: 2.17 – 41), in pooled TDM-1 arms (OR=15.7; CI: 2.49 – 99), and in TDM-1+ET (OR=25.05; CI: 2.12 – 295). Increases in this marker also predicted pCR in all pts, pooled TDM-1, and in TDM-1+ET. Association of cycle-2 CD8 in tumor center with pCR persisted in multivariate models.
Lower baseline CD8 in invasive margin was associated with pCR in the T-DM1 arm (OR=0.09; CI: 0.01-0.69), but at cycle 2 in all pts (OR=18.1; CI: 1.60 – 204) and in pooled TDM-1 arms (OR=23.5; CI: 1.1 - 500). This positive impact persisted in multivariate models.
Bcl-2 expression at baseline was associated with non-pCR in all pts (OR=0.28, CI: 0.12 - 0.66), in the pooled T-DM1 arms (OR=0.216, CI: 0.08 - 0.61), and particularly in the T-DM1+ET arm (OR=0.14; CI: 0.03 - 0.71). This association persisted in multivariate analysis. At cycle 2, lower bcl-2 had OR=0.16 (CI: 0.03 - 0.96) in the pooled T-DM1 arms. No association with efficacy was seen for mcl-1.
Conclusions: The WSG-ADAPT HER2+/HR+ phase II trial is the first international trial to focus on HER2+/HR+ EBC alone and the first to show substantial pCR rates of > 40% after only 12 weeks of T-DM1 -- without standard chemotherapy.
Expression of bcl-2 may affect resistance to T-DM1. High immune activity at baseline and/or cycle 2 seems to be associated with pCR. The association of CD8 expression and its changes with therapy efficacy is complex and could depend on ET.
Further biomarker analyses are ongoing and will be presented at the meeting.
Citation Format: Harbeck N, Nitz UA, Matthias C, Kates R, Braun M, Kümmel S, Schumacher C, Potenberg J, Kraemer S, Kleine-Tebbe A, Augustin D, Aktas B, Forstbauer H, Tio J, Liedtke C, Grischke E-M, de Haas SL, Deurloo R, Schumacher J, Wuerstlein R, Kreipe HH, Gluz O. The role of immune and apoptosis markers for prediction of pCR in the WSG-ADAPT HER2+/HR+ phase II trial evaluating 12-weeks of neoadjuvant TDM1 ± endocrine therapy (ET) versus T + ET in HER2-positive hormone-receptor-positive early breast cancer (EBC) [abstract]. In: Proceedings of the 2016 San Antonio Breast Cancer Symposium; 2016 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2017;77(4 Suppl):Abstract nr P1-09-05.
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Affiliation(s)
- N Harbeck
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
| | - UA Nitz
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
| | - C Matthias
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
| | - R Kates
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
| | - M Braun
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
| | - S Kümmel
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
| | - C Schumacher
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
| | - J Potenberg
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
| | - S Kraemer
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
| | - A Kleine-Tebbe
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
| | - D Augustin
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
| | - B Aktas
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
| | - H Forstbauer
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
| | - J Tio
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
| | - C Liedtke
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
| | - E-M Grischke
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
| | - SL de Haas
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
| | - R Deurloo
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
| | - J Schumacher
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
| | - R Wuerstlein
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
| | - HH Kreipe
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
| | - O Gluz
- Breast Center, University of Munich and CCCLMU, Munich, Bavaria, Germany; West German Study Group, Moenchengladbach, North Rhine Westfalia, Germany; Medical School Hannover, Institute of Pathology, Hannover, Niedersachsen, Germany; Rotkreuz Clinic Munich, Breast Center, Munich, Bavaria, Germany; Clinics Essen-Mitte Breast Center, Essen, North Rhine Westfalia, Germany; St. Elisabeth Hospital Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; Ev. Waldkrankenhaus Berlin, Berlin, Germany; University Clinic Cologne, Breast Center, Cologne, North Rhine Westfalia, Germany; DRK Clinic Berlin Koepenick, Breast Center, Berlin, Germany; Clinic Deggendorf, Breast Center, Deggendorf, Bavaria, Germany; University Clinic Essen, Women's Clinic, Essen, North Rhine Westfalia, Germany; Oncology Practice Network Troisdorf, Troisdorf, North Rhine Westfalia, Germany; University Clinic Muenster, Women's Clinic, Muenster, North Rhine Westfalia, Germany; University Clinics Schleswig-Holstein/Campus Luebeck, Women's Cli
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Stenzel O, Wilbrandt S, Wolf J, Schürmann M, Kaiser N, Ristau D, Ehlers H, Carstens F, Schippel S, Mechold L, Rauhut R, Kennedy M, Bischoff M, Nowitzki T, Zöller A, Hagedorn H, Reus H, Hegemann T, Starke K, Harhausen J, Foest R, Schumacher J. Investigation of the refractive index repeatability for tantalum pentoxide coatings, prepared by physical vapor film deposition techniques. Appl Opt 2017; 56:C193-C200. [PMID: 28158073 DOI: 10.1364/ao.56.00c193] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Random effects in the repeatability of refractive index and absorption edge position of tantalum pentoxide layers prepared by plasma-ion-assisted electron-beam evaporation, ion beam sputtering, and magnetron sputtering are investigated and quantified. Standard deviations in refractive index between 4*10-4 and 4*10-3 have been obtained. Here, lowest standard deviations in refractive index close to our detection threshold could be achieved by both ion beam sputtering and plasma-ion-assisted deposition. In relation to the corresponding mean values, the standard deviations in band-edge position and refractive index are of similar order.
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Böhmer AC, Schumacher J. Insights into the genetics of gastroesophageal reflux disease (GERD) and GERD-related disorders. Neurogastroenterol Motil 2017; 29. [PMID: 28132438 DOI: 10.1111/nmo.13017] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2016] [Accepted: 11/30/2016] [Indexed: 12/31/2022]
Abstract
Gastroesophageal reflux disease (GERD) is associated with obesity and hiatal hernia, and often precedes the development of Barrett's esophagus (BE) and esophageal adenocarcinoma (EA). Epidemiological studies show that the global prevalence of GERD is increasing. GERD is a multifactorial disease with a complex genetic architecture. Genome-wide association studies (GWAS) have provided initial insights into the genetic background of GERD. The present review summarizes current knowledge of the genetics of GERD and a possible genetic overlap between GERD and BE and EA. The review discusses genes and cellular pathways that have been implicated through GWAS, and provides an outlook on how future molecular research will enhance understanding of GERD pathophysiology.
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Affiliation(s)
- A C Böhmer
- Institute of Human Genetics, University of Bonn, Bonn, Germany.,Department of Genomics, Life and Brain Research Center, University of Bonn, Bonn, Germany
| | - J Schumacher
- Institute of Human Genetics, University of Bonn, Bonn, Germany
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Affiliation(s)
- J. Schumacher
- Department of Clinical Sciences; College of Veterinary Medicine; Auburn University; Auburn Alabama USA
| | - R. Legere
- Department of Clinical Sciences; College of Veterinary Medicine; Auburn University; Auburn Alabama USA
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Henneke LE, Brückner S, Tautenhahn HM, Heß T, Schumacher J, Christ B. Charakterisierung der Akut-Phase Reaktion in humanen Lebergewebekulturen mittels transkriptomweiter Expressionsanalysen. Z Gastroenterol 2016. [DOI: 10.1055/s-0036-1597461] [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] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- LE Henneke
- Universität Leipzig, Klinik und Poliklinik für Viszeral-, Transplantations-, Thorax- und Gefäßchirurgie, Angewandte Molekulare Hepatologie, Leipzig, Germany
| | - S Brückner
- Universität Leipzig, Klinik und Poliklinik für Viszeral-, Transplantations-, Thorax- und Gefäßchirurgie, Angewandte Molekulare Hepatologie, Leipzig, Germany
| | - HM Tautenhahn
- Universität Leipzig, Klinik und Poliklinik für Viszeral-, Transplantations-, Thorax- und Gefäßchirurgie, Angewandte Molekulare Hepatologie, Leipzig, Germany
| | - T Heß
- Universität Bonn, Institute of Human Genetics, Department of Genomics, Life and Brain Center, Bonn, Germany
| | - J Schumacher
- Universität Bonn, Institute of Human Genetics, Biomedical Center, Bonn, Germany
| | - B Christ
- Universität Leipzig, Klinik und Poliklinik für Viszeral-, Transplantations-, Thorax- und Gefäßchirurgie, Angewandte Molekulare Hepatologie, Leipzig, Germany
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Affiliation(s)
- J Schumacher
- Guy's and St Thomas NHS Foundation Trust, London, UK
| | - E Stößlein
- Federal Institute for Drugs and Medical Devices, BfArM, Bonn, Germany
| | - A Brinker
- Federal Institute for Drugs and Medical Devices, BfArM, Bonn, Germany
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Aab A, Abreu P, Aglietta M, Ahn EJ, Al Samarai I, Albuquerque IFM, Allekotte I, Allen JD, Allison P, Almela A, Alvarez Castillo J, Alvarez-Muñiz J, Ambrosio M, Anastasi GA, Anchordoqui L, Andrada B, Andringa S, Aramo C, Arqueros F, Arsene N, Asorey H, Assis P, Aublin J, Avila G, Badescu AM, Baus C, Beatty JJ, Becker KH, Bellido JA, Berat C, Bertaina ME, Bertou X, Biermann PL, Billoir P, Biteau J, Blaess SG, Blanco A, Blazek J, Bleve C, Blümer H, Boháčová M, Boncioli D, Bonifazi C, Borodai N, Botti AM, Brack J, Brancus I, Bretz T, Bridgeman A, Briechle FL, Buchholz P, Bueno A, Buitink S, Buscemi M, Caballero-Mora KS, Caccianiga B, Caccianiga L, Cancio A, Canfora F, Caramete L, Caruso R, Castellina A, Cataldi G, Cazon L, Cester R, Chavez AG, Chiavassa A, Chinellato JA, Chirinos Diaz JC, Chudoba J, Clay RW, Colalillo R, Coleman A, Collica L, Coluccia MR, Conceição R, Contreras F, Cooper MJ, Coutu S, Covault CE, Cronin J, Dallier R, D'Amico S, Daniel B, Dasso S, Daumiller K, Dawson BR, de Almeida RM, de Jong SJ, De Mauro G, de Mello Neto JRT, De Mitri I, de Oliveira J, de Souza V, Debatin J, Del Peral L, Deligny O, Dhital N, Di Giulio C, Di Matteo A, Díaz Castro ML, Diogo F, Dobrigkeit C, D'Olivo JC, Dorofeev A, Dos Anjos RC, Dova MT, Dundovic A, Ebr J, Engel R, Erdmann M, Erfani M, Escobar CO, Espadanal J, Etchegoyen A, Falcke H, Fang K, Farrar GR, Fauth AC, Fazzini N, Ferguson AP, Fick B, Figueira JM, Filevich A, Filipčič A, Fratu O, Freire MM, Fujii T, Fuster A, Gallo F, García B, Garcia-Pinto D, Gate F, Gemmeke H, Gherghel-Lascu A, Ghia PL, Giaccari U, Giammarchi M, Giller M, Głas D, Glaser C, Glass H, Golup G, Gómez Berisso M, Gómez Vitale PF, González N, Gookin B, Gordon J, Gorgi A, Gorham P, Gouffon P, Griffith N, Grillo AF, Grubb TD, Guarino F, Guedes GP, Hampel MR, Hansen P, Harari D, Harrison TA, Harton JL, Hasankiadeh Q, Haungs A, Hebbeker T, Heck D, Heimann P, Herve AE, Hill GC, Hojvat C, Hollon N, Holt E, Homola P, Hörandel JR, Horvath P, Hrabovský M, Huege T, Hulsman J, Insolia A, Isar PG, Jandt I, Jansen S, Jarne C, Johnsen JA, Josebachuili M, Kääpä A, Kambeitz O, Kampert KH, Kasper P, Katkov I, Keilhauer B, Kemp E, Kieckhafer RM, Klages HO, Kleifges M, Kleinfeller J, Krause R, Krohm N, Kuempel D, Kukec Mezek G, Kunka N, Kuotb Awad A, LaHurd D, Latronico L, Lauscher M, Lautridou P, Lebrun P, Legumina R, Leigui de Oliveira MA, Letessier-Selvon A, Lhenry-Yvon I, Link K, Lopes L, López R, López Casado A, Lucero A, Malacari M, Mallamaci M, Mandat D, Mantsch P, Mariazzi AG, Marin V, Mariş IC, Marsella G, Martello D, Martinez H, Martínez Bravo O, Masías Meza JJ, Mathes HJ, Mathys S, Matthews J, Matthews JAJ, Matthiae G, Maurizio D, Mayotte E, Mazur PO, Medina C, Medina-Tanco G, Mello VBB, Melo D, Menshikov A, Messina S, Micheletti MI, Middendorf L, Minaya IA, Miramonti L, Mitrica B, Molina-Bueno L, Mollerach S, Montanet F, Morello C, Mostafá M, Moura CA, Müller G, Muller MA, Müller S, Naranjo I, Navas S, Necesal P, Nellen L, Nelles A, Neuser J, Nguyen PH, Niculescu-Oglinzanu M, Niechciol M, Niemietz L, Niggemann T, Nitz D, Nosek D, Novotny V, Nožka H, Núñez LA, Ochilo L, Oikonomou F, Olinto A, Pakk Selmi-Dei D, Palatka M, Pallotta J, Papenbreer P, Parente G, Parra A, Paul T, Pech M, Pedreira F, Pękala J, Pelayo R, Peña-Rodriguez J, Pepe IM, Pereira LAS, Perrone L, Petermann E, Peters C, Petrera S, Phuntsok J, Piegaia R, Pierog T, Pieroni P, Pimenta M, Pirronello V, Platino M, Plum M, Porowski C, Prado RR, Privitera P, Prouza M, Quel EJ, Querchfeld S, Quinn S, Rautenberg J, Ravel O, Ravignani D, Revenu B, Ridky J, Risse M, Ristori P, Rizi V, Rodrigues de Carvalho W, Rodriguez Rojo J, Rodríguez-Frías MD, Rogozin D, Rosado J, Roth M, Roulet E, Rovero AC, Saffi SJ, Saftoiu A, Salazar H, Saleh A, Salesa Greus F, Salina G, Sanabria Gomez JD, Sánchez F, Sanchez-Lucas P, Santos EM, Santos E, Sarazin F, Sarkar B, Sarmento R, Sarmiento-Cano C, Sato R, Scarso C, Schauer M, Scherini V, Schieler H, Schmidt D, Scholten O, Schoorlemmer 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Zavrtanik D, Zavrtanik M, Zepeda A, Zimmermann B, Ziolkowski M, Zong Z, Zuccarello F. Testing Hadronic Interactions at Ultrahigh Energies with Air Showers Measured by the Pierre Auger Observatory. Phys Rev Lett 2016; 117:192001. [PMID: 27858429 DOI: 10.1103/physrevlett.117.192001] [Citation(s) in RCA: 35] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/23/2016] [Indexed: 06/06/2023]
Abstract
Ultrahigh energy cosmic ray air showers probe particle physics at energies beyond the reach of accelerators. Here we introduce a new method to test hadronic interaction models without relying on the absolute energy calibration, and apply it to events with primary energy 6-16 EeV (E_{CM}=110-170 TeV), whose longitudinal development and lateral distribution were simultaneously measured by the Pierre Auger Observatory. The average hadronic shower is 1.33±0.16 (1.61±0.21) times larger than predicted using the leading LHC-tuned models EPOS-LHC (QGSJetII-04), with a corresponding excess of muons.
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Affiliation(s)
- A Aab
- Universität Siegen, Fachbereich 7 Physik-Experimentelle Teilchenphysik, Germany
| | - P Abreu
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - M Aglietta
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
- INFN, Sezione di Torino, Italy
| | - E J Ahn
- Fermi National Accelerator Laboratory, Batavia, Illinois, USA
| | - I Al Samarai
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, France
| | | | - I Allekotte
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), Argentina
| | - J D Allen
- New York University, New York, New York, USA
| | - P Allison
- Ohio State University, Columbus, Ohio, USA
| | - A Almela
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Argentina
| | | | | | | | | | - L Anchordoqui
- Department of Physics and Astronomy, Lehman College, City University of New York, Bronx, New York, USA
| | - B Andrada
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - S Andringa
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - C Aramo
- INFN, Sezione di Napoli, Italy
| | - F Arqueros
- Universidad Complutense de Madrid, Spain
| | - N Arsene
- University of Bucharest, Physics Department, Romania
| | - H Asorey
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), Argentina
- Universidad Industrial de Santander, Colombia
| | - P Assis
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - J Aublin
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, France
| | - G Avila
- Observatorio Pierre Auger, Argentina
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Argentina
| | - A M Badescu
- University Politehnica of Bucharest, Romania
| | - C Baus
- Karlsruhe Institute of Technology, Institut für Experimentelle Kernphysik (IEKP), Germany
| | - J J Beatty
- Ohio State University, Columbus, Ohio, USA
| | - K H Becker
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | | | - C Berat
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Université Grenoble-Alpes, CNRS/IN2P3, France
| | - M E Bertaina
- INFN, Sezione di Torino, Italy
- Università Torino, Dipartimento di Fisica, Italy
| | - X Bertou
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), Argentina
| | - P L Biermann
- Max-Planck-Institut für Radioastronomie, Bonn, Germany
| | - P Billoir
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, France
| | - J Biteau
- Institut de Physique Nucléaire d'Orsay (IPNO), Université Paris 11, CNRS-IN2P3, France
| | | | - A Blanco
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - J Blazek
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - C Bleve
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi", Italy
- INFN, Sezione di Lecce, Italy
| | - H Blümer
- Karlsruhe Institute of Technology, Institut für Experimentelle Kernphysik (IEKP), Germany
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - M Boháčová
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - D Boncioli
- INFN Laboratori del Gran Sasso, Italy
- Universidade Federal do Rio de Janeiro (UFRJ), Instituto de Física, Brazil
| | - C Bonifazi
- Universidade Federal do Rio de Janeiro (UFRJ), Instituto de Física, Brazil
| | - N Borodai
- Institute of Nuclear Physics PAN, Poland
| | - A M Botti
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - J Brack
- Colorado State University, Fort Collins, Colorado, USA
| | - I Brancus
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Romania
| | - T Bretz
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - A Bridgeman
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - F L Briechle
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - P Buchholz
- Universität Siegen, Fachbereich 7 Physik-Experimentelle Teilchenphysik, Germany
| | - A Bueno
- Universidad de Granada and C.A.F.P.E., Spain
| | - S Buitink
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
| | - M Buscemi
- Università di Catania, Dipartimento di Fisica e Astronomia, Italy
- INFN, Sezione di Catania, Italy
| | | | | | - L Caccianiga
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, France
| | - A Cancio
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Argentina
| | - F Canfora
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
| | | | - R Caruso
- Università di Catania, Dipartimento di Fisica e Astronomia, Italy
- INFN, Sezione di Catania, Italy
| | - A Castellina
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
- INFN, Sezione di Torino, Italy
| | | | - L Cazon
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - R Cester
- INFN, Sezione di Torino, Italy
- Università Torino, Dipartimento di Fisica, Italy
| | - A G Chavez
- Universidad Michoacana de San Nicolás de Hidalgo, Mexico
| | - A Chiavassa
- INFN, Sezione di Torino, Italy
- Università Torino, Dipartimento di Fisica, Italy
| | | | | | - J Chudoba
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - R W Clay
- University of Adelaide, Australia
| | - R Colalillo
- INFN, Sezione di Napoli, Italy
- Università di Napoli "Federico II", Dipartimento di Fisica, Italy
| | - A Coleman
- Pennsylvania State University, University Park, Pennsylvania, USA
| | | | - M R Coluccia
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi", Italy
- INFN, Sezione di Lecce, Italy
| | - R Conceição
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - F Contreras
- Observatorio Pierre Auger, Argentina
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Argentina
| | | | - S Coutu
- Pennsylvania State University, University Park, Pennsylvania, USA
| | - C E Covault
- Case Western Reserve University, Cleveland, Ohio, USA
| | - J Cronin
- University of Chicago, Chicago, Illinois, USA
| | - R Dallier
- SUBATECH, École des Mines de Nantes, CNRS-IN2P3, Université de Nantes, France
- Station de Radioastronomie de Nançay, France
| | - S D'Amico
- INFN, Sezione di Lecce, Italy
- Università del Salento, Dipartimento di Ingegneria, Italy
| | - B Daniel
- Universidade Estadual de Campinas (UNICAMP), Brazil
| | - S Dasso
- Instituto de Astronomía y Física del Espacio (IAFE, CONICET-UBA), Argentina
- Departamento de Física and Departamento de Ciencias de la Atmósfera y los Océanos, FCEyN, Universidad de Buenos Aires, Argentina
| | - K Daumiller
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | | | | | - S J de Jong
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Netherlands
| | - G De Mauro
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
| | | | - I De Mitri
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi", Italy
- INFN, Sezione di Lecce, Italy
| | | | - V de Souza
- Universidade de São Paulo, Inst. de Física de São Carlos, São Carlos, Brazil
| | - J Debatin
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | | | - O Deligny
- Institut de Physique Nucléaire d'Orsay (IPNO), Université Paris 11, CNRS-IN2P3, France
| | - N Dhital
- Michigan Technological University, Houghton, Michigan, USA
| | - C Di Giulio
- Università di Roma "Tor Vergata", Dipartimento di Fisica, Italy
- INFN, Sezione di Roma "Tor Vergata", Italy
| | - A Di Matteo
- INFN, Sezione di L'Aquila, Italy
- Università dell'Aquila, Dipartimento di Chimica e Fisica, Italy
| | | | - F Diogo
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - C Dobrigkeit
- Universidade Estadual de Campinas (UNICAMP), Brazil
| | - J C D'Olivo
- Universidad Nacional Autónoma de México, Mexico
| | - A Dorofeev
- Colorado State University, Fort Collins, Colorado, USA
| | - R C Dos Anjos
- Universidade Federal do Paraná, Setor Palotina, Brazil
| | - M T Dova
- IFLP, Universidad Nacional de La Plata and CONICET, Argentina
| | - A Dundovic
- Universität Hamburg, II. Institut für Theoretische Physik, Germany
| | - J Ebr
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - R Engel
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - M Erdmann
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - M Erfani
- Universität Siegen, Fachbereich 7 Physik-Experimentelle Teilchenphysik, Germany
| | - C O Escobar
- Fermi National Accelerator Laboratory, Batavia, Illinois, USA
- Universidade Estadual de Campinas (UNICAMP), Brazil
| | - J Espadanal
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - A Etchegoyen
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Argentina
| | - H Falcke
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Netherlands
- Stichting Astronomisch Onderzoek in Nederland (ASTRON), Dwingeloo, Netherlands
| | - K Fang
- University of Chicago, Chicago, Illinois, USA
| | - G R Farrar
- New York University, New York, New York, USA
| | - A C Fauth
- Universidade Estadual de Campinas (UNICAMP), Brazil
| | - N Fazzini
- Fermi National Accelerator Laboratory, Batavia, Illinois, USA
| | - A P Ferguson
- Case Western Reserve University, Cleveland, Ohio, USA
| | - B Fick
- Michigan Technological University, Houghton, Michigan, USA
| | - J M Figueira
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - A Filevich
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - A Filipčič
- Experimental Particle Physics Department, J. Stefan Institute, Slovenia
- Laboratory for Astroparticle Physics, University of Nova Gorica, Slovenia
| | - O Fratu
- University Politehnica of Bucharest, Romania
| | - M M Freire
- Instituto de Física de Rosario (IFIR)-CONICET/U.N.R. and Facultad de Ciencias Bioquímicas y Farmacéuticas U.N.R., Argentina
| | - T Fujii
- University of Chicago, Chicago, Illinois, USA
| | - A Fuster
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Argentina
| | - F Gallo
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - B García
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM) and Universidad Tecnológica Nacional-Facultad Regional Mendoza (CONICET/CNEA), Argentina
| | | | - F Gate
- SUBATECH, École des Mines de Nantes, CNRS-IN2P3, Université de Nantes, France
| | - H Gemmeke
- Karlsruhe Institute of Technology, Institut für Prozessdatenverarbeitung und Elektronik (IPE), Germany
| | - A Gherghel-Lascu
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Romania
| | - P L Ghia
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, France
| | - U Giaccari
- Universidade Federal do Rio de Janeiro (UFRJ), Instituto de Física, Brazil
| | | | | | - D Głas
- University of Łódź, Poland
| | - C Glaser
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - H Glass
- Fermi National Accelerator Laboratory, Batavia, Illinois, USA
| | - G Golup
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), Argentina
| | - M Gómez Berisso
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), Argentina
| | - P F Gómez Vitale
- Observatorio Pierre Auger, Argentina
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Argentina
| | - N González
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - B Gookin
- Colorado State University, Fort Collins, Colorado, USA
| | - J Gordon
- Ohio State University, Columbus, Ohio, USA
| | - A Gorgi
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
- INFN, Sezione di Torino, Italy
| | - P Gorham
- University of Hawaii, Honolulu, Hawaii, USA
| | - P Gouffon
- Universidade de São Paulo, Inst. de Física, São Paulo, Brazil
| | - N Griffith
- Ohio State University, Columbus, Ohio, USA
| | | | | | - F Guarino
- INFN, Sezione di Napoli, Italy
- Università di Napoli "Federico II", Dipartimento di Fisica, Italy
| | - G P Guedes
- Universidade Estadual de Feira de Santana (UEFS), Brazil
| | - M R Hampel
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - P Hansen
- IFLP, Universidad Nacional de La Plata and CONICET, Argentina
| | - D Harari
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), Argentina
| | | | - J L Harton
- Colorado State University, Fort Collins, Colorado, USA
| | - Q Hasankiadeh
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - A Haungs
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - T Hebbeker
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - D Heck
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - P Heimann
- Universität Siegen, Fachbereich 7 Physik-Experimentelle Teilchenphysik, Germany
| | - A E Herve
- Karlsruhe Institute of Technology, Institut für Experimentelle Kernphysik (IEKP), Germany
| | - G C Hill
- University of Adelaide, Australia
| | - C Hojvat
- Fermi National Accelerator Laboratory, Batavia, Illinois, USA
| | - N Hollon
- University of Chicago, Chicago, Illinois, USA
| | - E Holt
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - P Homola
- Institute of Nuclear Physics PAN, Poland
| | - J R Hörandel
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Netherlands
| | - P Horvath
- Palacky University, RCPTM, Czech Republic
| | | | - T Huege
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - J Hulsman
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - A Insolia
- Università di Catania, Dipartimento di Fisica e Astronomia, Italy
- INFN, Sezione di Catania, Italy
| | - P G Isar
- Institute of Space Science, Romania
| | - I Jandt
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - S Jansen
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Netherlands
| | - C Jarne
- IFLP, Universidad Nacional de La Plata and CONICET, Argentina
| | - J A Johnsen
- Colorado School of Mines, Golden, Colorado, USA
| | - M Josebachuili
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - A Kääpä
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - O Kambeitz
- Karlsruhe Institute of Technology, Institut für Experimentelle Kernphysik (IEKP), Germany
| | - K H Kampert
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - P Kasper
- Fermi National Accelerator Laboratory, Batavia, Illinois, USA
| | - I Katkov
- Karlsruhe Institute of Technology, Institut für Experimentelle Kernphysik (IEKP), Germany
| | - B Keilhauer
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - E Kemp
- Universidade Estadual de Campinas (UNICAMP), Brazil
| | - R M Kieckhafer
- Michigan Technological University, Houghton, Michigan, USA
| | - H O Klages
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - M Kleifges
- Karlsruhe Institute of Technology, Institut für Prozessdatenverarbeitung und Elektronik (IPE), Germany
| | | | - R Krause
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - N Krohm
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - D Kuempel
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - G Kukec Mezek
- Laboratory for Astroparticle Physics, University of Nova Gorica, Slovenia
| | - N Kunka
- Karlsruhe Institute of Technology, Institut für Prozessdatenverarbeitung und Elektronik (IPE), Germany
| | - A Kuotb Awad
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - D LaHurd
- Case Western Reserve University, Cleveland, Ohio, USA
| | | | - M Lauscher
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - P Lautridou
- SUBATECH, École des Mines de Nantes, CNRS-IN2P3, Université de Nantes, France
| | - P Lebrun
- Fermi National Accelerator Laboratory, Batavia, Illinois, USA
| | | | | | - A Letessier-Selvon
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, France
| | - I Lhenry-Yvon
- Institut de Physique Nucléaire d'Orsay (IPNO), Université Paris 11, CNRS-IN2P3, France
| | - K Link
- Karlsruhe Institute of Technology, Institut für Experimentelle Kernphysik (IEKP), Germany
| | - L Lopes
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - R López
- Benemérita Universidad Autónoma de Puebla (BUAP), Mexico
| | | | - A Lucero
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Argentina
| | | | - M Mallamaci
- INFN, Sezione di Milano, Italy
- Università di Milano, Dipartimento di Fisica, Italy
| | - D Mandat
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - P Mantsch
- Fermi National Accelerator Laboratory, Batavia, Illinois, USA
| | - A G Mariazzi
- IFLP, Universidad Nacional de La Plata and CONICET, Argentina
| | - V Marin
- SUBATECH, École des Mines de Nantes, CNRS-IN2P3, Université de Nantes, France
| | - I C Mariş
- Universidad de Granada and C.A.F.P.E., Spain
| | - G Marsella
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi", Italy
- INFN, Sezione di Lecce, Italy
| | - D Martello
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi", Italy
- INFN, Sezione di Lecce, Italy
| | - H Martinez
- Centro de Investigación y de Estudios Avanzados del IPN (CINVESTAV), Mexico
| | | | - J J Masías Meza
- Departamento de Física and Departamento de Ciencias de la Atmósfera y los Océanos, FCEyN, Universidad de Buenos Aires, Argentina
| | - H J Mathes
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - S Mathys
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - J Matthews
- Louisiana State University, Baton Rouge, Louisiana, USA
| | | | - G Matthiae
- Università di Roma "Tor Vergata", Dipartimento di Fisica, Italy
- INFN, Sezione di Roma "Tor Vergata", Italy
| | - D Maurizio
- Centro Brasileiro de Pesquisas Fisicas (CBPF), Brazil
| | - E Mayotte
- Colorado School of Mines, Golden, Colorado, USA
| | - P O Mazur
- Fermi National Accelerator Laboratory, Batavia, Illinois, USA
| | - C Medina
- Colorado School of Mines, Golden, Colorado, USA
| | | | - V B B Mello
- Universidade Federal do Rio de Janeiro (UFRJ), Instituto de Física, Brazil
| | - D Melo
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - A Menshikov
- Karlsruhe Institute of Technology, Institut für Prozessdatenverarbeitung und Elektronik (IPE), Germany
| | - S Messina
- KVI-Center for Advanced Radiation Technology, University of Groningen, Netherlands
| | - M I Micheletti
- Instituto de Física de Rosario (IFIR)-CONICET/U.N.R. and Facultad de Ciencias Bioquímicas y Farmacéuticas U.N.R., Argentina
| | - L Middendorf
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - I A Minaya
- Universidad Complutense de Madrid, Spain
| | - L Miramonti
- INFN, Sezione di Milano, Italy
- Università di Milano, Dipartimento di Fisica, Italy
| | - B Mitrica
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Romania
| | | | - S Mollerach
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), Argentina
| | - F Montanet
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Université Grenoble-Alpes, CNRS/IN2P3, France
| | - C Morello
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
- INFN, Sezione di Torino, Italy
| | - M Mostafá
- Pennsylvania State University, University Park, Pennsylvania, USA
| | - C A Moura
- Universidade Federal do ABC (UFABC), Brazil
| | - G Müller
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - M A Muller
- Universidade Estadual de Campinas (UNICAMP), Brazil
- Universidade Federal de Pelotas, Brazil
| | - S Müller
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - I Naranjo
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), Argentina
| | - S Navas
- Universidad de Granada and C.A.F.P.E., Spain
| | - P Necesal
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - L Nellen
- Universidad Nacional Autónoma de México, Mexico
| | - A Nelles
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Netherlands
| | - J Neuser
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | | | | | - M Niechciol
- Universität Siegen, Fachbereich 7 Physik-Experimentelle Teilchenphysik, Germany
| | - L Niemietz
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - T Niggemann
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - D Nitz
- Michigan Technological University, Houghton, Michigan, USA
| | - D Nosek
- University Prague, Institute of Particle and Nuclear Physics, Czech Republic
| | - V Novotny
- University Prague, Institute of Particle and Nuclear Physics, Czech Republic
| | - H Nožka
- Palacky University, RCPTM, Czech Republic
| | - L A Núñez
- Universidad Industrial de Santander, Colombia
| | - L Ochilo
- Universität Siegen, Fachbereich 7 Physik-Experimentelle Teilchenphysik, Germany
| | - F Oikonomou
- Pennsylvania State University, University Park, Pennsylvania, USA
| | - A Olinto
- University of Chicago, Chicago, Illinois, USA
| | | | - M Palatka
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - J Pallotta
- Centro de Investigaciones en Láseres y Aplicaciones, CITEDEF and CONICET, Argentina
| | - P Papenbreer
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - G Parente
- Universidad de Santiago de Compostela, Spain
| | - A Parra
- Benemérita Universidad Autónoma de Puebla (BUAP), Mexico
| | - T Paul
- Department of Physics and Astronomy, Lehman College, City University of New York, Bronx, New York, USA
- Northeastern University, Boston, Massachusetts, USA
| | - M Pech
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - F Pedreira
- Universidad de Santiago de Compostela, Spain
| | - J Pękala
- Institute of Nuclear Physics PAN, Poland
| | - R Pelayo
- Unidad Profesional Interdisciplinaria en Ingeniería y Tecnologías Avanzadas del Instituto Politécnico Nacional (UPIITA-IPN), Mexico
| | | | - I M Pepe
- Universidade Federal da Bahia, Brazil
| | | | - L Perrone
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi", Italy
- INFN, Sezione di Lecce, Italy
| | - E Petermann
- University of Nebraska, Lincoln, Nebraska, USA
| | - C Peters
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - S Petrera
- INFN, Sezione di L'Aquila, Italy
- Università dell'Aquila, Dipartimento di Chimica e Fisica, Italy
| | - J Phuntsok
- Pennsylvania State University, University Park, Pennsylvania, USA
| | - R Piegaia
- Departamento de Física and Departamento de Ciencias de la Atmósfera y los Océanos, FCEyN, Universidad de Buenos Aires, Argentina
| | - T Pierog
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - P Pieroni
- Departamento de Física and Departamento de Ciencias de la Atmósfera y los Océanos, FCEyN, Universidad de Buenos Aires, Argentina
| | - M Pimenta
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - V Pirronello
- Università di Catania, Dipartimento di Fisica e Astronomia, Italy
- INFN, Sezione di Catania, Italy
| | - M Platino
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - M Plum
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - C Porowski
- Institute of Nuclear Physics PAN, Poland
| | - R R Prado
- Universidade de São Paulo, Inst. de Física de São Carlos, São Carlos, Brazil
| | - P Privitera
- University of Chicago, Chicago, Illinois, USA
| | - M Prouza
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - E J Quel
- Centro de Investigaciones en Láseres y Aplicaciones, CITEDEF and CONICET, Argentina
| | - S Querchfeld
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - S Quinn
- Case Western Reserve University, Cleveland, Ohio, USA
| | - J Rautenberg
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - O Ravel
- SUBATECH, École des Mines de Nantes, CNRS-IN2P3, Université de Nantes, France
| | - D Ravignani
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - B Revenu
- SUBATECH, École des Mines de Nantes, CNRS-IN2P3, Université de Nantes, France
| | - J Ridky
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - M Risse
- Universität Siegen, Fachbereich 7 Physik-Experimentelle Teilchenphysik, Germany
| | - P Ristori
- Centro de Investigaciones en Láseres y Aplicaciones, CITEDEF and CONICET, Argentina
| | - V Rizi
- INFN, Sezione di L'Aquila, Italy
- Università dell'Aquila, Dipartimento di Chimica e Fisica, Italy
| | | | | | | | - D Rogozin
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - J Rosado
- Universidad Complutense de Madrid, Spain
| | - M Roth
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - E Roulet
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), Argentina
| | - A C Rovero
- Instituto de Astronomía y Física del Espacio (IAFE, CONICET-UBA), Argentina
| | | | - A Saftoiu
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Romania
| | - H Salazar
- Benemérita Universidad Autónoma de Puebla (BUAP), Mexico
| | - A Saleh
- Laboratory for Astroparticle Physics, University of Nova Gorica, Slovenia
| | - F Salesa Greus
- Pennsylvania State University, University Park, Pennsylvania, USA
| | - G Salina
- INFN, Sezione di Roma "Tor Vergata", Italy
| | | | - F Sánchez
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | | | - E M Santos
- Universidade de São Paulo, Inst. de Física, São Paulo, Brazil
| | - E Santos
- Universidade Estadual de Campinas (UNICAMP), Brazil
| | - F Sarazin
- Colorado School of Mines, Golden, Colorado, USA
| | - B Sarkar
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - R Sarmento
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | | | - R Sato
- Observatorio Pierre Auger, Argentina
| | - C Scarso
- Observatorio Pierre Auger, Argentina
| | - M Schauer
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - V Scherini
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi", Italy
- INFN, Sezione di Lecce, Italy
| | - H Schieler
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - D Schmidt
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - O Scholten
- KVI-Center for Advanced Radiation Technology, University of Groningen, Netherlands
| | | | - P Schovánek
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - F G Schröder
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - A Schulz
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - J Schulz
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
| | - J Schumacher
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - S J Sciutto
- IFLP, Universidad Nacional de La Plata and CONICET, Argentina
| | - A Segreto
- INFN, Sezione di Catania, Italy
- INAF-Istituto di Astrofisica Spaziale e Fisica Cosmica di Palermo, Italy
| | - M Settimo
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Universités Paris 6 et Paris 7, CNRS-IN2P3, France
| | - A Shadkam
- Louisiana State University, Baton Rouge, Louisiana, USA
| | - R C Shellard
- Centro Brasileiro de Pesquisas Fisicas (CBPF), Brazil
| | - G Sigl
- Universität Hamburg, II. Institut für Theoretische Physik, Germany
| | - O Sima
- University of Bucharest, Physics Department, Romania
| | | | - R Šmída
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - G R Snow
- University of Nebraska, Lincoln, Nebraska, USA
| | - P Sommers
- Pennsylvania State University, University Park, Pennsylvania, USA
| | - S Sonntag
- Universität Siegen, Fachbereich 7 Physik-Experimentelle Teilchenphysik, Germany
| | | | | | - D Stanca
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Romania
| | - S Stanič
- Laboratory for Astroparticle Physics, University of Nova Gorica, Slovenia
| | | | | | - F Strafella
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi", Italy
- INFN, Sezione di Lecce, Italy
| | - A Stutz
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Université Grenoble-Alpes, CNRS/IN2P3, France
| | - F Suarez
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Argentina
| | | | | | - T Suomijärvi
- Institut de Physique Nucléaire d'Orsay (IPNO), Université Paris 11, CNRS-IN2P3, France
| | - A D Supanitsky
- Instituto de Astronomía y Física del Espacio (IAFE, CONICET-UBA), Argentina
| | | | - J Swain
- Northeastern University, Boston, Massachusetts, USA
| | | | - O A Taborda
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), Argentina
| | - A Tapia
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - A Tepe
- Universität Siegen, Fachbereich 7 Physik-Experimentelle Teilchenphysik, Germany
| | - V M Theodoro
- Universidade Estadual de Campinas (UNICAMP), Brazil
| | - C Timmermans
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Netherlands
| | | | - L Tomankova
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - B Tomé
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Portugal
| | - A Tonachini
- INFN, Sezione di Torino, Italy
- Università Torino, Dipartimento di Fisica, Italy
| | | | - D Torres Machado
- Universidade Federal do Rio de Janeiro (UFRJ), Instituto de Física, Brazil
| | - P Travnicek
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - M Trini
- Laboratory for Astroparticle Physics, University of Nova Gorica, Slovenia
| | - R Ulrich
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - M Unger
- New York University, New York, New York, USA
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - M Urban
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | | | | | - I Valiño
- Universidad de Santiago de Compostela, Spain
| | - L Valore
- INFN, Sezione di Napoli, Italy
- Università di Napoli "Federico II", Dipartimento di Fisica, Italy
| | - G van Aar
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
| | | | - A M van den Berg
- KVI-Center for Advanced Radiation Technology, University of Groningen, Netherlands
| | - A van Vliet
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
| | - E Varela
- Benemérita Universidad Autónoma de Puebla (BUAP), Mexico
| | | | - G Varner
- University of Hawaii, Honolulu, Hawaii, USA
| | | | - R A Vázquez
- Universidad de Santiago de Compostela, Spain
| | - D Veberič
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - V Verzi
- INFN, Sezione di Roma "Tor Vergata", Italy
| | - J Vicha
- Institute of Physics (FZU) of the Academy of Sciences of the Czech Republic, Czech Republic
| | - M Videla
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - L Villaseñor
- Universidad Michoacana de San Nicolás de Hidalgo, Mexico
| | - S Vorobiov
- Laboratory for Astroparticle Physics, University of Nova Gorica, Slovenia
| | - H Wahlberg
- IFLP, Universidad Nacional de La Plata and CONICET, Argentina
| | - O Wainberg
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Argentina
| | - D Walz
- RWTH Aachen University, III. Physikalisches Institut A, Germany
| | - A A Watson
- School of Physics and Astronomy, University of Leeds, Leeds, United Kingdom
| | - M Weber
- Karlsruhe Institute of Technology, Institut für Prozessdatenverarbeitung und Elektronik (IPE), Germany
| | - A Weindl
- Karlsruhe Institute of Technology, Institut für Kernphysik (IKP), Germany
| | - L Wiencke
- Colorado School of Mines, Golden, Colorado, USA
| | | | - T Winchen
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - D Wittkowski
- Bergische Universität Wuppertal, Department of Physics, Germany, Germany
| | - B Wundheiler
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
| | - S Wykes
- Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud Universiteit, Nijmegen, Netherlands
| | - L Yang
- Laboratory for Astroparticle Physics, University of Nova Gorica, Slovenia
| | - T Yapici
- Michigan Technological University, Houghton, Michigan, USA
| | - D Yelos
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Centro Atómico Constituyentes, Comisión Nacional de Energía Atómica, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Argentina
| | - E Zas
- Universidad de Santiago de Compostela, Spain
| | - D Zavrtanik
- Experimental Particle Physics Department, J. Stefan Institute, Slovenia
- Laboratory for Astroparticle Physics, University of Nova Gorica, Slovenia
| | - M Zavrtanik
- Experimental Particle Physics Department, J. Stefan Institute, Slovenia
- Laboratory for Astroparticle Physics, University of Nova Gorica, Slovenia
| | - A Zepeda
- Centro de Investigación y de Estudios Avanzados del IPN (CINVESTAV), Mexico
| | - B Zimmermann
- Karlsruhe Institute of Technology, Institut für Prozessdatenverarbeitung und Elektronik (IPE), Germany
| | - M Ziolkowski
- Universität Siegen, Fachbereich 7 Physik-Experimentelle Teilchenphysik, Germany
| | - Z Zong
- Institut de Physique Nucléaire d'Orsay (IPNO), Université Paris 11, CNRS-IN2P3, France
| | - F Zuccarello
- Università di Catania, Dipartimento di Fisica e Astronomia, Italy
- INFN, Sezione di Catania, Italy
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48
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Zwink N, Choinitzki V, Baudisch F, Hölscher A, Boemers TM, Turial S, Kurz R, Heydweiller A, Keppler K, Müller A, Bagci S, Pauly M, Brokmeier U, Leutner A, Degenhardt P, Schmiedeke E, Märzheuser S, Grasshoff-Derr S, Holland-Cunz S, Palta M, Schäfer M, Ure BM, Lacher M, Nöthen MM, Schumacher J, Jenetzky E, Reutter H. Comparison of environmental risk factors for esophageal atresia, anorectal malformations, and the combined phenotype in 263 German families. Dis Esophagus 2016; 29:1032-1042. [PMID: 26541887 DOI: 10.1111/dote.12431] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [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] [Indexed: 12/11/2022]
Abstract
Esophageal atresia with or without tracheoesophageal fistula (EA/TEF) and anorectal malformations (ARM) represent the severe ends of the fore- and hindgut malformation spectra. Previous research suggests that environmental factors are implicated in their etiology. These risk factors might indicate the influence of specific etiological mechanisms on distinct developmental processes (e.g. fore- vs. hindgut malformation). The present study compared environmental factors in patients with isolated EA/TEF, isolated ARM, and the combined phenotype during the periconceptional period and the first trimester of pregnancy in order to investigate the hypothesis that fore- and hindgut malformations involve differing environmental factors. Patients with isolated EA/TEF (n = 98), isolated ARM (n = 123), and the combined phenotype (n = 42) were included. Families were recruited within the context of two German multicenter studies of the genetic and environmental causes of EA/TEF (great consortium) and ARM (CURE-Net). Exposures of interest were ascertained using an epidemiological questionnaire. Chi-square, Fisher's exact, and Mann-Whitney U-tests were used to assess differences between the three phenotypes. Newborns with isolated EA/TEF and the combined phenotype had significantly lower birth weights than newborns with isolated ARM (P = 0.001 and P < 0.0001, respectively). Mothers of isolated EA/TEF consumed more alcohol periconceptional (80%) than mothers of isolated ARM or the combined phenotype (each 67%). Parental smoking (P = 0.003) and artificial reproductive techniques (P = 0.03) were associated with isolated ARM. Unexpectedly, maternal periconceptional multivitamin supplementation was most frequent among patients with the most severe form of disorder, i.e. the combined phenotype (19%). Significant differences in birth weight were apparent between the three phenotype groups. This might be attributable to the limited ability of EA/TEF fetuses to swallow amniotic fluid, thus depriving them of its nutritive properties. Furthermore, the present data suggest that fore- and hindgut malformations involve differing environmental factors. Maternal periconceptional multivitamin supplementation was highest among patients with the combined phenotype. This latter finding is contrary to expectation, and warrants further analysis in large prospective epidemiological studies.
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Affiliation(s)
- N Zwink
- Division of Clinical Epidemiology and Aging Research, German Cancer Research Center, Heidelberg, Germany
| | - V Choinitzki
- Institute of Human Genetics, University of Bonn, Bonn, Germany
| | - F Baudisch
- Institute of Human Genetics, University of Bonn, Bonn, Germany
| | - A Hölscher
- Department of Pediatric Surgery and Urology, University Hospital Cologne, Cologne, Germany
| | - T M Boemers
- Department of Pediatric Surgery and Urology, University Hospital Cologne, Cologne, Germany
| | - S Turial
- Department of Pediatric Surgery, University Hospital Mainz, Mainz, Germany
| | - R Kurz
- Department of Pediatric Surgery, University Hospital Bonn, Bonn, Germany
| | - A Heydweiller
- Department of Pediatric Surgery, University Hospital Bonn, Bonn, Germany
| | - K Keppler
- Institute of Human Genetics, University of Bonn, Bonn, Germany
| | - A Müller
- Department of Neonatology and Pediatric Intensive Care, Children's Hospital, University of Bonn, Bonn, Germany
| | - S Bagci
- Department of Neonatology and Pediatric Intensive Care, Children's Hospital, University of Bonn, Bonn, Germany
| | - M Pauly
- Department of Pediatric Surgery, Asklepios Children's Hospital St. Augustin, St. Augustin, Germany
| | - U Brokmeier
- Department of Pediatric Surgery, Asklepios Children's Hospital St. Augustin, St. Augustin, Germany
| | - A Leutner
- Department of Pediatric Surgery, Medical Center Dortmund, Dortmund, Germany
| | - P Degenhardt
- Department of Pediatric Surgery, Charité University Medicine Berlin, Berlin, Germany
| | - E Schmiedeke
- Department of Pediatric Surgery and Urology, Center for Child and Youth Health, Klinikum Bremen-Mitte, Bremen, Germany
| | - S Märzheuser
- Department of Pediatric Surgery, Charité University Medicine Berlin, Berlin, Germany
| | - S Grasshoff-Derr
- Unit of Pediatric Surgery, University Hospital Wurzburg, Wurzburg, Germany
| | - S Holland-Cunz
- Department of Pediatric Surgery, University Hospital Heidelberg, Heidelberg, Germany
| | - M Palta
- Department of Pediatric Surgery, Evangelisches Krankenhaus Hamm, Hamm, Germany
| | - M Schäfer
- Department of Pediatric Surgery and Urology, Cnopf'sche Kinderklinik, Nürnberg, Germany
| | - B M Ure
- Center of Pediatric Surgery Hannover, Hannover Medical School and Bult Children's Hospital, Hannover, Germany
| | - M Lacher
- Center of Pediatric Surgery Hannover, Hannover Medical School and Bult Children's Hospital, Hannover, Germany
| | - M M Nöthen
- Institute of Human Genetics, University of Bonn, Bonn, Germany.,Department of Genomics, Life and Brain Center, University of Bonn, Bonn, Germany
| | - J Schumacher
- Institute of Human Genetics, University of Bonn, Bonn, Germany.,Department of Genomics, Life and Brain Center, University of Bonn, Bonn, Germany
| | - E Jenetzky
- Division of Clinical Epidemiology and Aging Research, German Cancer Research Center, Heidelberg, Germany.,Department of Child and Adolescent Psychiatry and Psychotherapy, Johannes-Gutenberg University, Mainz, Germany.,Child Center Maulbronn gGmbH, Hospital for Pediatric Neurology and Social Pediatrics, Maulbronn, Germany
| | - H Reutter
- Institute of Human Genetics, University of Bonn, Bonn, Germany.,Department of Neonatology and Pediatric Intensive Care, Children's Hospital, University of Bonn, Bonn, Germany
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Schumacher J, Lanier J. Increasing Access to Fresh Produce through a Farmer’s Market Gleaning Program: Perceptions from Farmers, Volunteers and Neighborhood Residents. J Acad Nutr Diet 2016. [DOI: 10.1016/j.jand.2016.06.071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Steidley D, Schumacher J, Carlsson M, Ong ML, Maurer M. Myocardial Contraction Fraction: A Volumetric Index for Predicting Mortality in Transthyretin Cardiomyopathy. J Card Fail 2016. [DOI: 10.1016/j.cardfail.2016.06.144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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