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Tsalatsanis A, Dismuke-Greer C, Kumar A, Hoffman J, Monden KR, Magalang U, Schwartz D, Martin AM, Nakase-Richardson R. Cost-Effectiveness of Sleep Apnea Diagnosis and Treatment in Hospitalized Persons With Moderate to Severe Traumatic Brain Injury. J Head Trauma Rehabil 2024:00001199-990000000-00146. [PMID: 38652666 DOI: 10.1097/htr.0000000000000951] [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: 04/25/2024]
Abstract
OBJECTIVE To assess the cost-effectiveness of alternative approaches to diagnose and treat obstructive sleep apnea (OSA) in patients with traumatic brain injury (TBI) during inpatient rehabilitation. SETTING Data collected during the Comparison of Sleep Apnea Assessment Strategies to Maximize TBI Rehabilitation Participation and Outcome (C-SAS) clinical trial (NCT03033901) on an inpatient rehabilitation TBI cohort were used in this study. STUDY DESIGN Decision tree analysis was used to determine the cost-effectiveness of approaches to diagnosing and treating sleep apnea. Costs were determined using 2021 Centers for Medicare and Medicaid Services reimbursement codes. Effectiveness was defined in terms of the appropriateness of treatment. Costs averted were extracted from the literature. A sensitivity analysis was performed to account for uncertainty. Analyses were performed for all severity levels of OSA and a subgroup of those with moderate to severe OSA. Six inpatient approaches using various phases of screening, testing, and treatment that conform to usual care or guideline-endorsed interventions were evaluated: (1) usual care; (2) portable diagnostic testing followed by laboratory-quality testing; (3) screening with the snoring, tiredness, observed apnea, high BP, BMI, age, neck circumference, and male gender (STOP-Bang) questionnaire; (4) Multivariable Apnea Prediction Index (MAPI) followed by portable diagnostic testing and laboratory-quality testing; (5) laboratory-quality testing for all; and (6) treatment for all patients. MAIN MEASURES Cost, Effectiveness, and Incremental Cost-Effectiveness Ratio (ICER). RESULTS Phased approaches utilizing screening and diagnostic tools were more effective in diagnosing and allocating treatment for OSA than all alternatives in patients with mild to severe and moderate to severe OSA. Usual care was more costly and less effective than all other approaches for mild to severe and moderate to severe OSA. CONCLUSIONS Diagnosing and treating OSA in patients with TBI is a cost-effective strategy when compared with usual care.
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Affiliation(s)
- Athanasios Tsalatsanis
- Author Affiliations: Department of Internal Medicine, Morsani College of Medicine, University of South Florida, Tampa, Florida (Dr Tsalatsanis and Dr Kumar); Health Economics Resource Center, VA Palo Alto Health Care System, Menlo Park, California (Dr Dismuke-Greer); Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, Washington (Dr Hoffman); Department of Rehabilitation Medicine, University of Minnesota Medical School, Minneapolis, Minnesota (Dr Monden); The Ohio State University Wexner Medical Center, Columbus, Ohio (Dr Magalang); and Medicine Service (Dr Schwartz) Mental Health and Behavioral Science Service (Dr Martin), and Polytrauma TBI Rehabilitation (Dr Nakase-Richardson), James A. Haley Veterans' Hospital, Tampa, Florida
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Nitta T, Braine T, Du N, Guzzetti M, Hanretty C, Leum G, Rosenberg LJ, Rybka G, Sinnis J, Clarke J, Siddiqi I, Awida MH, Chou AS, Hollister M, Knirck S, Sonnenschein A, Wester W, Gleason JR, Hipp AT, Sikivie P, Sullivan NS, Tanner DB, Khatiwada R, Carosi G, Robertson N, Duffy LD, Boutan C, Lentz E, Oblath NS, Taubman MS, Yang J, Daw EJ, Perry MG, Bartram C, Buckley JH, Gaikwad C, Hoffman J, Murch KW, Goryachev M, Hartman E, McAllister BT, Quiskamp A, Thomson C, Tobar ME, Dror JA, Murayama H, Rodd NL. Search for a Dark-Matter-Induced Cosmic Axion Background with ADMX. Phys Rev Lett 2023; 131:101002. [PMID: 37739367 DOI: 10.1103/physrevlett.131.101002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/19/2023] [Revised: 06/05/2023] [Accepted: 08/16/2023] [Indexed: 09/24/2023]
Abstract
We report the first result of a direct search for a cosmic axion background (CaB)-a relativistic background of axions that is not dark matter-performed with the axion haloscope, the Axion Dark Matter eXperiment (ADMX). Conventional haloscope analyses search for a signal with a narrow bandwidth, as predicted for dark matter, whereas the CaB will be broad. We introduce a novel analysis strategy, which searches for a CaB induced daily modulation in the power measured by the haloscope. Using this, we repurpose data collected to search for dark matter to set a limit on the axion photon coupling of a CaB originating from dark matter cascade decay via a mediator in the 800-995 MHz frequency range. We find that the present sensitivity is limited by fluctuations in the cavity readout as the instrument scans across dark matter masses. Nevertheless, we suggest that these challenges can be surmounted using superconducting qubits as single photon counters, and allow ADMX to operate as a telescope searching for axions emerging from the decay of dark matter. The daily modulation analysis technique we introduce can be deployed for various broadband rf signals, such as other forms of a CaB or even high-frequency gravitational waves.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - J A Dror
- Santa Cruz Institute for Particle Physics and Department of Physics, University of California, 1156 High St, Santa Cruz, California 95060, USA
| | - H Murayama
- University of California, Berkeley, California 94720, USA
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
- Kavli Institute for the Physics and Mathematics of the Universe (WPI), The University of Tokyo, Kashiwa 277-8583, Japan
| | - N L Rodd
- Theoretical Physics Department, CERN, 1 Esplanade des Particules, CH-1211 Geneva 23, Switzerland
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Trahanas J, DeBose-Scarlett A, Siddiqi H, Amancherla K, Brinkley D, Lindenfeld J, Menachem J, Ooi H, Pedrotty D, Punnoose L, Rali A, Sacks S, Wigger M, Zalawadiya S, Hoffman J, McMaster W, Shah A, Schlendorf K, Pasrija C. Normothermic Regional Perfusion Versus Direct Procurement and Preservation: Is There a Difference for DCD Heart Recipients? J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.157] [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: 04/05/2023] Open
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McMillan KN, Hoffman J, Kriesberg C, Kane S, Dorsey V, Yousaf F, Waas A, Vricella L, Pophal S. Pediatric Heart Failure Program Development-Evaluation of a Single Center Experience. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1327] [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: 04/05/2023] Open
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Ching D, O'Connor D, Martin A, Takagishi C, Kane G, Scott S, Hoffman J, Harrison-Felix C, Nakase-Richardson R, Cotner B. Organizational Facilitators and Barriers to Providing Treatment to Persons with TBI and Chronic Pain. Arch Phys Med Rehabil 2023. [DOI: 10.1016/j.apmr.2022.12.118] [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: 03/05/2023]
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Sander AM, Christensen K, Loyo K, Williams M, Leon-Novelo L, Ngan E, Agtarap S, Martin AM, Neumann D, Hammond FM, Hanks R, Hoffman J. COPING WITH CHRONIC PAIN AFTER TRAUMATIC BRAIN INJURY: ROLE OF RACE/ETHNICITY AND IMPACT ON PARTICIPATION OUTCOMES IN A TBI MODEL SYSTEMS SAMPLE. Arch Phys Med Rehabil 2023:S0003-9993(23)00163-6. [PMID: 36966956 DOI: 10.1016/j.apmr.2023.03.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2022] [Revised: 03/07/2023] [Accepted: 03/08/2023] [Indexed: 04/05/2023]
Abstract
OBJECTIVE To investigate catastrophizing and self-efficacy for managing pain among Non-Hispanic Whites, Non-Hispanic Blacks, and Hispanics with chronic pain after traumatic brain injury (TBI), and whether coping interacts with race/ethnicity to predict participation outcomes. SETTING Community after discharge from inpatient rehabilitation. PARTICIPANTS 621 individuals with moderate to severe TBI and chronic pain, who completed follow-up as part of a national longitudinal study of TBI and also participated in a collaborative study on chronic pain. DESIGN Multicenter, cross-sectional, survey study. MAIN MEASURES Catastrophizing subscale from the Coping With Pain Scale; Pain Self-Efficacy Questionnaire; Participation Assessment With Recombined Tools-Objective. RESULTS After controlling for relevant sociodemographic variables, a significant interaction was observed between race/ethnicity and insurance status, such that Blacks who had public health insurance reported greater catastrophizing in response to pain compared with Whites. Race/ethnicity and self-efficacy for managing pain were unrelated. Greater catastrophizing was associated with lower participation but did not interact with race/ethnicity. Blacks reported lower participation relative to Whites, independent of catastrophizing. CONCLUSIONS Black individuals who have TBI and chronic pain, and who have public insurance, may be vulnerable to difficulties managing pain. They are more likely to cope by catastrophizing, and catastrophizing is related to worse participation outcomes. The results suggest that access to care may affect response to chronic pain after TBI.
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Cotner B, O'Connor D, Silva M, Carlozzi N, Finn J, Hammond F, Hoffman J, Chung J, Nakase-Richardson R. Facilitators and Barriers to Accessing Care by Service Members and Veterans With Traumatic Brain Injury. Arch Phys Med Rehabil 2023. [DOI: 10.1016/j.apmr.2022.12.083] [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: 03/05/2023]
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Clark RD, Hoffman J, Rabito F, Remcho P, Pociask D, Kolls J. Anti-CD20 permits secondary lung gene transfer: implications for gene therapy approaches in CF. Am J Med Sci 2023. [DOI: 10.1016/s0002-9629(23)00635-3] [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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Martin A, Pinto S, Tang X, Hoffman J, Wittine L, Walker W, Schwartz D, Kane G, Takagishi C, Nakase-Richardson R. Polysomnographic Differences Following Moderate-Severe Traumatic Brain Injury (TBI) Among Individuals With Chronic Pain. Arch Phys Med Rehabil 2022. [DOI: 10.1016/j.apmr.2022.08.608] [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: 12/03/2022]
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Hoffman J, Starosta A. SCI Thrive: Results From A Peer-Led Online Self-Management Program. Arch Phys Med Rehabil 2022. [DOI: 10.1016/j.apmr.2022.08.748] [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: 12/02/2022]
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Hoffman J, Curran M, Lucas S, Zumsteg J. Collaborative Care to Treat Chronic Pain after Traumatic Brain Injury: A Randomized Controlled Trial. Arch Phys Med Rehabil 2022. [DOI: 10.1016/j.apmr.2022.08.573] [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: 12/04/2022]
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Crain E, Licata A, Hoffman J. Associations between Diet, Stress, and Gastrointestinal Health in Endurance Runners. J Acad Nutr Diet 2022. [DOI: 10.1016/j.jand.2022.06.047] [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: 11/26/2022]
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Martin A, Tang X, Pinto S, Hoffman J, Schwartz D, Wittine L, Walker W, Kane G, Takagishi S, Nakase-Richardson R. 0632 Early sleep-disordered breathing in moderate-to-severe traumatic brain injury (TBI) is linked with chronic pain status at long-term follow-up: A TBI Model Systems study. Sleep 2022. [DOI: 10.1093/sleep/zsac079.629] [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: 11/12/2022] Open
Abstract
Abstract
Introduction
Sleep disorders and chronic pain (pain of >3 months duration) are common after traumatic brain injury (TBI). A recently completed multi-center trial found that two-thirds of adults with moderate-to-severe TBI had sleep apnea diagnosed during polysomnography (PSG) completed during inpatient rehabilitation. Although a bidirectional relationship between sleep and pain exists, attention to sleep apnea as a specific diagnosis and its possible role in chronic pain following TBI has not been explored. We hypothesized that PSG-derived respiratory indices shortly following TBI would be worse among those reporting chronic pain at 1- to 2-year follow-up compared to those without chronic pain.
Methods
Sample (N=66) derived from overlapping cohorts across two separate multicenter studies. Participants with moderate to severe TBI underwent PSG during inpatient rehabilitation and completed a telephone follow-up interview to assess chronic pain status using standardized measures at 1-2 years post-TBI (610-day average). Pairwise comparisons across participants with and without chronic pain were made to determine the magnitude of clinically significant differences on respiratory indices including oxygen desaturation, central and obstructive apneas, and total apnea-hypopnea index (AHI).
Results
Presence of chronic pain at follow-up was associated with elevated central apnea events (2.6) and oxygen desaturation (19.6) relative to those without chronic pain (0.8 and 7.9, respectively). Important differences were also seen between obstructive and total apnea hypopnea index (AHI) using Centers for Medicaid and Medicare Services scoring criteria, with those in the chronic pain cohort being 6.5 and 8.7 points higher than their non-pain counterparts, respectively. Group differences on obstructive and total AHI were considered minor when using the American Academy of Sleep Medicine scoring criteria, although those with current pain experienced categorically worse sleep apnea (total AHI = 19 versus 12.4).
Conclusion
This is the first study to find an association between PSG-derived respiratory indices and long-term chronic pain status following moderate-to-severe TBI. Sleep apnea represents an important modifiable factor following injury that may contribute to long-term pain-related outcomes. Given the prominence of chronic pain several years post injury, future studies should investigate the role of sleep apnea and early intervention among those following moderate-to-severe TBI to determine impact on long-term rehabilitation and pain outcomes.
Support (If Any)
PCORI; CER-1511-33005); VA TBI Model Systems Program of Research; GDIT; NIDILRR 90DPTB0008. Clinicaltrial.gov Registration Number: NCT03033901.
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Affiliation(s)
- Aaron Martin
- James A. Haley Veterans' Hospital, Mental Health & Behavioral Sciences Service
| | - Xinyu Tang
- Tampa VA Research and Education Foundation, Inc
| | - Shanti Pinto
- Department of Physical Medicine and Rehabilitation, Carolinas Rehabilitation
| | - Jeanne Hoffman
- Division of Rehabilitation Psychology, Department of Rehabilitation Medicine, University of Washington School of Medicine
| | - Daniel Schwartz
- Department of Internal Medicine, Division of Pulmonary and Sleep Medicine, University of South Florida
| | - Lara Wittine
- Department of Internal Medicine, Division of Pulmonary and Sleep Medicine, University of South Florida
| | - William Walker
- Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University
| | - Georgia Kane
- Department of Neurology, University of South Florida
| | - S Takagishi
- James A. Haley Veterans' Hospital, Mental Health & Behavioral Sciences Service
| | - Risa Nakase-Richardson
- Defense Health Agency Traumatic Brain Injury Center of Excellence at James A. Haley Veterans Hospital
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Choudhary A, Sandhaus E, Zalawadiya S, Schwartz C, Ruzevich-Scholl S, Dutton A, Wigger M, Brinkley D, Menachem J, Shah A, Balsara K, Punnoose L, Sacks S, Ooi H, Pedrotty D, Hoffman J, McMaster W, Nguyen D, Lindenfeld J, Schlendorf K. Demographics and Utilization of Hepatitis C Hearts: A Single Center Experience. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.413] [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] Open
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Davis J, Salih M, Cluckey A, Rega S, Feurer I, Shah A, Brinkley M, Lindenfeld J, Menachem J, Ooi H, Pedrotty D, Punnoose L, Sacks S, Wigger M, Zalawadiya S, Balsara K, McMaster W, Hoffman J, Nguyen D, Schlendorf K. Impact of Donor-Transmitted Hepatitis C Virus on Development of Early Cardiac Allograft Vasculopathy in the Current Era. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.300] [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] Open
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Zalawadiya S, Fossey S, Brinkley D, Harrison K, Tunney R, Sandhaus E, Schwartz C, Wigger M, Menachem J, Ooi H, Pedrotty D, Punnoose L, Brown Sacks S, Ray C, Hassler J, Rechel K, Rali A, Siddiqi H, Balsara K, McMaster W, Nguyen D, Hoffman J, Shah A, Lindenfeld J, Schlendorf K. Desensitization Therapy Among Highly Sensitized LVAD Patients. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1644] [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: 11/30/2022] Open
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Patel V, Dholaria B, Jayani R, Sengsayadeth S, Wigger M, Horst S, Lindenfeld J, Schlendorf K, Ooi H, Brinkley M, Zalawadiya S, Pedrotty D, Hoffman J, Hung R, Goodman S, Savani B, Kassim A, Harrell S, Punnoose L. Long Term Hematologic and Graft Outcomes After Cardiac Transplant in Al Amyloidosis. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1649] [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: 11/28/2022] Open
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Zalawadiya S, Lindenfeld J, Shah A, Menachem J, Balsara K, Hoffman J, Brinkley D, Rali A, Punnoose L, Wigger M, Sacks SB, Ooi H, Pedrotty D, Siddiqi H, McMaster W, Nguyen D, Schlendorf K. Heart-Kidney Transplantation and Hepatitis C Virus Positive Donors. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.066] [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] Open
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Bartram C, Braine T, Burns E, Cervantes R, Crisosto N, Du N, Korandla H, Leum G, Mohapatra P, Nitta T, Rosenberg LJ, Rybka G, Yang J, Clarke J, Siddiqi I, Agrawal A, Dixit AV, Awida MH, Chou AS, Hollister M, Knirck S, Sonnenschein A, Wester W, Gleason JR, Hipp AT, Jois S, Sikivie P, Sullivan NS, Tanner DB, Lentz E, Khatiwada R, Carosi G, Robertson N, Woollett N, Duffy LD, Boutan C, Jones M, LaRoque BH, Oblath NS, Taubman MS, Daw EJ, Perry MG, Buckley JH, Gaikwad C, Hoffman J, Murch KW, Goryachev M, McAllister BT, Quiskamp A, Thomson C, Tobar ME. Search for Invisible Axion Dark Matter in the 3.3-4.2 μeV Mass Range. Phys Rev Lett 2021; 127:261803. [PMID: 35029490 DOI: 10.1103/physrevlett.127.261803] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Accepted: 11/16/2021] [Indexed: 06/14/2023]
Abstract
We report the results from a haloscope search for axion dark matter in the 3.3-4.2 μeV mass range. This search excludes the axion-photon coupling predicted by one of the benchmark models of "invisible" axion dark matter, the Kim-Shifman-Vainshtein-Zakharov model. This sensitivity is achieved using a large-volume cavity, a superconducting magnet, an ultra low noise Josephson parametric amplifier, and sub-Kelvin temperatures. The validity of our detection procedure is ensured by injecting and detecting blind synthetic axion signals.
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Affiliation(s)
- C Bartram
- University of Washington, Seattle, Washington 98195, USA
| | - T Braine
- University of Washington, Seattle, Washington 98195, USA
| | - E Burns
- University of Washington, Seattle, Washington 98195, USA
| | - R Cervantes
- University of Washington, Seattle, Washington 98195, USA
| | - N Crisosto
- University of Washington, Seattle, Washington 98195, USA
| | - N Du
- University of Washington, Seattle, Washington 98195, USA
| | - H Korandla
- University of Washington, Seattle, Washington 98195, USA
| | - G Leum
- University of Washington, Seattle, Washington 98195, USA
| | - P Mohapatra
- University of Washington, Seattle, Washington 98195, USA
| | - T Nitta
- University of Washington, Seattle, Washington 98195, USA
| | - L J Rosenberg
- University of Washington, Seattle, Washington 98195, USA
| | - G Rybka
- University of Washington, Seattle, Washington 98195, USA
| | - J Yang
- University of Washington, Seattle, Washington 98195, USA
| | - John Clarke
- University of California, Berkeley, California 94720, USA
| | - I Siddiqi
- University of California, Berkeley, California 94720, USA
| | - A Agrawal
- University of Chicago, Illinois 60637, USA
| | - A V Dixit
- University of Chicago, Illinois 60637, USA
| | - M H Awida
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - A S Chou
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - M Hollister
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - S Knirck
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - A Sonnenschein
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - W Wester
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - J R Gleason
- University of Florida, Gainesville, Florida 32611, USA
| | - A T Hipp
- University of Florida, Gainesville, Florida 32611, USA
| | - S Jois
- University of Florida, Gainesville, Florida 32611, USA
| | - P Sikivie
- University of Florida, Gainesville, Florida 32611, USA
| | - N S Sullivan
- University of Florida, Gainesville, Florida 32611, USA
| | - D B Tanner
- University of Florida, Gainesville, Florida 32611, USA
| | - E Lentz
- University of Göttingen, Göttingen 37077, Germany
| | - R Khatiwada
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
- Illinois Institute of Technology, Chicago, Illinois 60616, USA
| | - G Carosi
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - N Robertson
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - N Woollett
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - L D Duffy
- Los Alamos National Laboratory, Los Alamos, New Mexico 87545, USA
| | - C Boutan
- Pacific Northwest National Laboratory, Richland, Washington 99354, USA
| | - M Jones
- Pacific Northwest National Laboratory, Richland, Washington 99354, USA
| | - B H LaRoque
- Pacific Northwest National Laboratory, Richland, Washington 99354, USA
| | - N S Oblath
- Pacific Northwest National Laboratory, Richland, Washington 99354, USA
| | - M S Taubman
- Pacific Northwest National Laboratory, Richland, Washington 99354, USA
| | - E J Daw
- University of Sheffield, Sheffield S3 7RH, United Kingdom
| | - M G Perry
- University of Sheffield, Sheffield S3 7RH, United Kingdom
| | - J H Buckley
- Washington University, St. Louis, Missouri 63130, USA
| | - C Gaikwad
- Washington University, St. Louis, Missouri 63130, USA
| | - J Hoffman
- Washington University, St. Louis, Missouri 63130, USA
| | - K W Murch
- Washington University, St. Louis, Missouri 63130, USA
| | - M Goryachev
- University of Western Australia, Perth, Western Australia 6009, Australia
| | - B T McAllister
- University of Western Australia, Perth, Western Australia 6009, Australia
| | - A Quiskamp
- University of Western Australia, Perth, Western Australia 6009, Australia
| | - C Thomson
- University of Western Australia, Perth, Western Australia 6009, Australia
| | - M E Tobar
- University of Western Australia, Perth, Western Australia 6009, Australia
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Cotner B, O'Connor D, Nakase-Richardson R, Scott S, Hoffman J. Facilitators and Barriers to Non-Pharmacologic Chronic Pain Treatment for Service Members and Veterans with Traumatic Brain Injury. Arch Phys Med Rehabil 2021. [DOI: 10.1016/j.apmr.2021.07.674] [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: 11/17/2022]
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Abstract
OBJECTIVE To summarize the current literature to identify what research has been conducted, examine the approaches used, and determine what is presently known about prescription and nonprescription opioid receipts and use among individuals with traumatic brain injury (TBI). DATA SOURCES The search strategy included the following: opioid; opiate; analgesics, opioid; opiate alkaloids; or opioid-related disorders; AND brain injury; brain injuries; brain injuries, traumatic; head injury; head injuries; head injuries, closed; head injuries, penetrating; brain concussion; diffuse axonal injury; diffuse axonal injuries; brain trauma/s; head trauma/s; concussion; craniocerebral trauma/s; or TBI. Filters included English and Adults (19+ years). Study Selection: Inclusion: English language, adults with stable TBI, and prescription opioid receipt or use after TBI. Exclusion: Animal models, populations with other acquired brain injury, acute TBI management, and non-peer-reviewed articles, theses, or conference abstracts. Multiple reviewers screened abstracts and full-text articles for eligibility. In total, 771 abstracts were screened, 183 full texts were reviewed, and 21 met eligibility criteria. Data Extraction: Relevant content was independently extracted by multiple observers, including authors, design, sample identification and data source/s, TBI severity, TBI assessment, opioid assessment, study population (demographics, N), military affiliation, comparison groups, date of data collection, and summary of findings. RESULTS Studies were published between 1987 and 2019; most data were collected prior to 2015. The majority utilized administrative and electronic medical record data from the Department of Veterans Affairs and retrospective cohort designs, and most focused on prescription opioids. There were no studies evaluating interventions to reduce use of opioids in TBI populations. Preliminary findings suggest that prescription opioid receipt is strongly related to psychological symptoms, including comorbid depression, anxiety, and posttraumatic stress disorder. CONCLUSIONS Despite increased awareness of opioid receipt and use following TBI, there is limited investigation on the examination of this issue. Future studies should include more varied patient populations as well as evaluate interventions to reduce opioid use following TBI.
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Affiliation(s)
- Amy J Starosta
- Division of Rehabilitation Psychology, Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle (Drs Starosta and Hoffman); Institute for Behavioral Health at the Heller School for Social Policy & Management, Brandeis University, Waltham, Massachusetts (Dr Adams); Rocky Mountain Mental Illness Research Education and Clinical Center, Veterans Health Administration, Aurora, Colorado (Dr Adams); Division of Rehabilitation Psychology and Neuropsychology (Dr Kreutzer), Department of Physical Medicine and Rehabilitation (Ms Marwitz), Department of Rehabilitation Medicine, University of Minnesota, Minneapolis (Dr Monden); Brain Injury Research Center of Mount Sinai, Departments of Rehabilitation Medicine and Neurology, Icahn School of Medicine at Mount Sinai, New York City, New York (Dr Dams O'Connor)
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Miller M, Williams R, Pagulayan K, Barber J, Ehde DM, Hoffman J. Correlates of sleep disturbance in Veterans with traumatic brain injury and chronic pain: A cross-sectional study. Disabil Health J 2021; 15:101203. [PMID: 34479850 DOI: 10.1016/j.dhjo.2021.101203] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Revised: 07/24/2021] [Accepted: 08/23/2021] [Indexed: 12/29/2022]
Abstract
BACKGROUND Few studies have investigated sleep in Veterans with comorbid traumatic brain injury (TBI) and chronic pain. OBJECTIVE To describe mood and cognitive correlates with sleep disturbance in a sample of Veterans with both TBI and chronic pain. RESEARCH METHOD Cross-sectional, correlational analyses were completed using baseline data from a randomized controlled trial comparing psychosocial treatments for pain in Veterans with TBI. Enrollment occurred between July 2015 and January 2017. Self-report measures of hours slept, insomnia severity, depression and PTSD symptoms were collected along with a brief neuropsychological assessment. RESULTS Participants (n = 221) were an average age of 37.2 years (SD = 8.2) and mostly male (89%). Participants reported sleeping an average of 4.9 h a night (SD = 1.4) with an average Insomnia Severity Index (ISI) score of 17.4 (SD = 5.4) suggesting moderate insomnia symptoms. Fewer hours slept was associated with higher depression scores (r = -0.28, p < 0.001) and slower processing speed (r = 0.23, p < 0.001). Increasing insomnia severity was associated with greater depression (r = 0.57, p < 0.001) and PTSD symptoms (r = 0.44, p < 0.001), and slower processing speed (r = -0.22, p < 0.001). CONCLUSIONS The average ISI score was above the clinical cut off for insomnia diagnosis. Results suggest that those with more severe insomnia symptoms report higher depression and PTSD symptoms as well as exhibit slower processing speed. Improving sleep in this population may be important for improving outcome following TBI.
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Affiliation(s)
- Megan Miller
- VA Puget Sound Health Care System, Seattle, WA, USA.
| | - Rhonda Williams
- VA Puget Sound Health Care System, Seattle, WA, USA; Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA
| | - Kathleen Pagulayan
- VA Puget Sound Health Care System, Seattle, WA, USA; Department of Psychiatry and Behavioural Sciences, University of Washington, Seattle, WA, USA
| | - Jason Barber
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA
| | - Dawn M Ehde
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA
| | - Jeanne Hoffman
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA
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Gesell SB, Prvu Bettger J, Lawrence RH, Li J, Hoffman J, Lutz BJ, Grudzen C, Johnson AM, Krishnan JA, Hsu LL, Zwart D, Williams MV, Schnipper JL. Implementation of Complex Interventions: Lessons Learned From the Patient-Centered Outcomes Research Institute Transitional Care Portfolio. Med Care 2021; 59:S344-S354. [PMID: 34228016 PMCID: PMC8263141 DOI: 10.1097/mlr.0000000000001591] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND Despite the well-documented risks to patient safety associated with transitions from one care setting to another, health care organizations struggle to identify which interventions to implement. Multiple strategies are often needed, and studying the effectiveness of these complex interventions is challenging. OBJECTIVE The objective of this study was to present lessons learned in implementing and evaluating complex transitional care interventions in routine clinical care. RESEARCH DESIGN Nine transitional care study teams share important common lessons in designing complex interventions with stakeholder engagement, implementation, and evaluation under pragmatic conditions (ie, using only existing resources), and disseminating findings in outlets that reach policy makers and the people who could ultimately benefit from the research. RESULTS Lessons learned serve as a guide for future studies in 3 areas: (1) Delineating the function (intended purpose) versus form (prespecified modes of delivery of the intervention); (2) Evaluating both the processes supporting implementation and the impact of adaptations; and (3) Engaging stakeholders in the design and delivery of the intervention and dissemination of study results. CONCLUSION These lessons can help guide future pragmatic studies of care transitions.
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Affiliation(s)
- Sabina B. Gesell
- Department of Social Sciences and Health Policy
- Department of Implementation Science, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem
| | - Janet Prvu Bettger
- Duke University School of Medicine, Duke Roybal Center on Aging, Durham, NC
| | - Raymona H. Lawrence
- Department Health Policy and Community Health, Jiann Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA
| | - Jing Li
- Department of Internal Medicine, Center for Health Services Research (CHSR), University of Kentucky, Lexington, KY
| | - Jeanne Hoffman
- Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA
| | - Barbara J. Lutz
- School of Nursing, University of North Carolina-Wilmington, Wilmington, NC
| | - Corita Grudzen
- Ronald O. Perelman Department of Emergency Medicine, NYU Grossman School of Medicine, New York, NY
| | - Anna M. Johnson
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC
| | - Jerry A. Krishnan
- Institute for Healthcare Delivery Design, Office of the Vice Chancellor for Health Affairs
| | - Lewis L. Hsu
- Department of Pediatrics, University of Illinois at Chicago, Chicago, IL
| | - Dorien Zwart
- Department of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands
| | - Mark V. Williams
- Department of Internal Medicine, Center for Health Services Research, University of Kentucky HealthCare, Lexington, KY
| | - Jeffrey L. Schnipper
- Brigham Health Hospital Medicine Unit and Division of General Internal Medicine and Primary Care, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA
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Cotner B, Nakase-Richardson R, Gius B, Fournier L, Watach A, Hoffman J. 806 Barriers to screening and diagnosis of obstructive sleep apnea during inpatient traumatic brain injury rehabilitation. Sleep 2021. [DOI: 10.1093/sleep/zsab072.803] [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: 11/12/2022] Open
Abstract
Abstract
Introduction
Obstructive Sleep Apnea (OSA) is prevalent after moderate to severe traumatic brain injury (TBI) and may diminish recovery when left untreated. Despite the demonstrated importance of treating OSA following TBI, assessment for OSA during or soon after inpatient rehabilitation for TBI is limited. Little is known about barriers to implementing OSA screening and early diagnosis during inpatient rehabilitation thus hindering the translation of evidence-based OSA assessment procedures into clinical practice and potentially delaying necessary OSA treatment. The current analysis explored facilitators and barriers to implementing OSA screening tools in an inpatient rehabilitation setting from the perspectives of end user stakeholders.
Methods
Patients, families, industry, clinical providers and administrators participated in a two-day meeting following completion of a diagnostic clinical trial of OSA screening and diagnostic tools during inpatient rehabilitation. Stakeholders were provided with open ended questions generated by study investigators and given the opportunity to respond on paper or a “graffiti wall” (i.e., white board). Example questions include “What are the greatest needs of the healthcare system related to sleep apnea and TBI?” and “What are the key things we need to consider to move results into real-world practice?” Qualitative content analyses using a rapid matrix approach were conducted from stakeholder feedback obtained during the two-day meeting, which included a guided review of emerging OSA research and discussion of potential implementation barriers of OSA assessment during inpatient rehabilitation.
Results
Improved screening and treatment practices for OSA were the greatest needs identified. To meet these needs, stakeholders identified the importance of improving patient, family, and staff understanding of OSA (e.g., health literacy) and other sleep disorders through education; inpatient rehabilitation access to resources (technology; sleep providers); and reimbursement for additional inpatient procedures.
Conclusion
Although treatment of OSA is crucial for recovery during inpatient rehabilitation following TBI, barriers to earlier recognition, diagnosis, and treatment of OSA exists across several different domains, including education, resources, and funding policies. Findings support future implementation efforts to translate evidence-based care into practice to improve patient outcomes.
Support (if any)
PCORI-NCT03033901
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Rigot SK, Boninger ML, Ding D, McKernan G, Field-Fote EC, Hoffman J, Hibbs R, Worobey LA. Toward Improving the Prediction of Functional Ambulation After Spinal Cord Injury Though the Inclusion of Limb Accelerations During Sleep and Personal Factors. Arch Phys Med Rehabil 2021; 103:676-687.e6. [PMID: 33839107 DOI: 10.1016/j.apmr.2021.02.029] [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: 10/10/2020] [Revised: 01/21/2021] [Accepted: 02/07/2021] [Indexed: 11/02/2022]
Abstract
OBJECTIVE To determine if functional measures of ambulation can be accurately classified using clinical measures; demographics; personal, psychosocial, and environmental factors; and limb accelerations (LAs) obtained during sleep among individuals with chronic, motor incomplete spinal cord injury (SCI) in an effort to guide future, longitudinal predictions models. DESIGN Cross-sectional, 1-5 days of data collection. SETTING Community-based data collection. PARTICIPANTS Adults with chronic (>1 year), motor incomplete SCI (N=27). INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES Ambulatory ability based on the 10-m walk test (10MWT) or 6-minute walk test (6MWT) categorized as nonambulatory, household ambulator (0.01-0.44 m/s, 1-204 m), or community ambulator (>0.44 m/s, >204 m). A random forest model classified ambulatory ability using input features including clinical measures of strength, sensation, and spasticity; demographics; personal, psychosocial, and environmental factors including pain, environmental factors, health, social support, self-efficacy, resilience, and sleep quality; and LAs measured during sleep. Machine learning methods were used explicitly to avoid overfitting and minimize the possibility of biased results. RESULTS The combination of LA, clinical, and demographic features resulted in the highest classification accuracies for both functional ambulation outcomes (10MWT=70.4%, 6MWT=81.5%). Adding LAs, personal, psychosocial, and environmental factors, or both increased the accuracy of classification compared with the clinical/demographic features alone. Clinical measures of strength and sensation (especially knee flexion strength), LA measures of movement smoothness, and presence of pain and comorbidities were among the most important features selected for the models. CONCLUSIONS The addition of LA and personal, psychosocial, and environmental features increased functional ambulation classification accuracy in a population with incomplete SCI for whom improved prognosis for mobility outcomes is needed. These findings provide support for future longitudinal studies that use LA; personal, psychosocial, and environmental factors; and advanced analyses to improve clinical prediction rules for functional mobility outcomes.
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Affiliation(s)
- Stephanie K Rigot
- Rehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA; Human Engineering Research Laboratories, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA
| | - Michael L Boninger
- Rehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA; Human Engineering Research Laboratories, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA; Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, PA; Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA
| | - Dan Ding
- Human Engineering Research Laboratories, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA; Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, PA
| | - Gina McKernan
- Human Engineering Research Laboratories, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA; Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA
| | - Edelle C Field-Fote
- Crawford Research Institute, Shepherd Center, Atlanta, GA; Division of Physical Therapy, Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA; Program in Applied Physiology, School of Biological Sciences, Georgia Institute of Technology, Atlanta, GA
| | - Jeanne Hoffman
- Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA
| | - Rachel Hibbs
- Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA; Physical Therapy, University of Pittsburgh, Pittsburgh, PA
| | - Lynn A Worobey
- Rehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA; Human Engineering Research Laboratories, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA; Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA; Physical Therapy, University of Pittsburgh, Pittsburgh, PA.
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Zalawadiya S, Schlendorf K, Wigger M, Shah A, Brinkley M, Menachem J, Punnoose L, Sacks SB, Ooi H, Hoffman J, Keki B, McMaster W, Frobes R, Concepcion B, Lindenfeld J. Size Matching and Combined Heart Kidney Transplantation - UNOS Registry Analysis. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.767] [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] Open
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28
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Shulein O, Hoffman J. The Impact of Early Medical Intervention on Concussion Recovery. Arch Phys Med Rehabil 2020. [DOI: 10.1016/j.apmr.2020.10.081] [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: 11/30/2022]
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29
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Cotner B, Ching D, Nakase-Richardson R, Murphy J, Martin A, Takagishi SC, Kane G, Scott S, Hoffman J. An Environmental Scan to Identify Current Chronic Pain Treatment Practices for Persons with Traumatic Brain Injury. Arch Phys Med Rehabil 2020. [DOI: 10.1016/j.apmr.2020.09.350] [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]
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30
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Starosta A, Adams R, Marwitz J, Monden K, Dams-O'Connor K, Hoffman J. Scoping Review of Opioid Use Following TBI. Arch Phys Med Rehabil 2020. [DOI: 10.1016/j.apmr.2020.09.343] [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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Richardson R, Schwartz D, Drasher-Phillips L, Ketchum J, Calero K, Dahdah M, Monden K, Bell K, Hoffman J, Magalang U, Bogner J, Whyte J, Zeitzer J. 0606 Comparative Effectiveness of Sleep Apnea Screening Tools During Inpatient Rehabilitation for Moderate to Severe TBI. Sleep 2020. [DOI: 10.1093/sleep/zsaa056.603] [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: 11/13/2022] Open
Abstract
Abstract
Introduction
Recent studies highlight prevalent obstructive sleep apnea after moderate to severe TBI during a time of critical neural repair. The purpose of this study is to determine the diagnostic sensitivity, specificity and comparative effectiveness of traditional sleep apnea screening tools in TBI neurorehabilitation admissions.
Methods
This is a prospective diagnostic comparative effectiveness trial of sleep apnea screening tools (STOPBANG, Berlin, MAPI [Multi-Apnea Prediction Index]) relative Level 1 polysomnography at six TBI Model System Inpatient Rehabilitation Centers. Between 05/2017 and 02/2019, 449 of 896 screened were eligible for the trial with 345 consented (77% consented). Additional screening left 263 eligible for and completing polysomnography with final analyses completed on 248. The primary outcome was the Area Under the Curve (AUC) of screening tools relative to total apnea hypopnea index ≥15 (AHI, moderate to severe apnea) measured at a median of 47 days post-TBI (IQR 29-47).
Results
Participants were primarily young to middle age (AGE IQR 28,40,59), male (81%), white (74%), and had primarily severe TBI (IQR GCS 3,6,14). A subset (26%) had a history of military service. Results revealed that the Berlin high risk score (ROC-AUC=0.63) was inferior to the MAPI (ROC-AUC = 0.7802) (p=.0211, CI: 0.0181, 0.2233) and STOPBANG (ROCAUC = 0.7852) (p=.0006, CI: 0.0629, 0.2302); both of which had comparable AUC (p=.7245, CI: -0.0472, 0.0678). Findings were similar for AHI≥30 (severe apnea); however, no differences across scales was observed at AHI>5. The pattern was similar across TBI severity subgroups except for delirium or post-traumatic amnesia status wherein the MAPI outperformed the Berlin and STOPBANG. Youden’s Index to determine risk yielded lower sensitivities but higher specificities relative to non-TBI samples.
Conclusion
This study is the first to provide clinicians with data to support a choice for which sleep apnea screening tools are more effective during inpatient rehabilitation for moderate to severe TBI (STOPBANG, MAPI vs Berlin) to help reduce comorbidity and possibly improve neurologic outcome.
Support
PCORI (CER-1511-33005), GDHS (W91YTZ-13-C-0015; HT0014-19-C-0004)) for DVBIC, NIDILRR (NSDC Grant # 90DPTB00070, #90DP0084, 90DPTB0013-01-00, 90DPTB0008, 90DPT80004-02).
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Affiliation(s)
| | - D Schwartz
- Medicine Service, James A. Haley Veterans’ Hospital, Tampa, FL
| | | | - J Ketchum
- Research Department, Craig Hospital, Denver, CO
| | - K Calero
- Medicine Service, James A. Haley Veterans’ Hospital, Tampa, FL
| | - M Dahdah
- Baylor Scott & White Institute for Rehabilitation, Dallas, TX; Baylor Scott & White Medical Center, Dallas, TX
| | | | - K Bell
- Department of Physical Medicine and Rehabilitation, UT Southwestern Medical Center, Dallas, TX
| | - J Hoffman
- Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA
| | - U Magalang
- Division of Pulmonary, Critical Care, and Sleep Medicine and Neuroscience Research Institute, The Ohio State University Wexner Medical Center, Columbus, OH
| | - J Bogner
- Department of Physical Medicine and Rehabilitation, Ohio State University, Columbus, OH
| | - J Whyte
- Moss Rehabilitation Research Institute, Albert Einstein Healthcare Network, Philadelphia, PA
| | - J Zeitzer
- Psychiatry and Behavioral Service, Stanford University, Palo Alto, CA
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Schlendorf K, Zalawadiya S, Shah A, Perri R, Wigger M, Brinkley M, Menachem J, Punnoose L, Sacks SB, Ooi H, Danter M, Balsara K, Hoffman J, Awad J, Sandhaus E, Schwartz C, Lindenfeld J. Successful Transplantation of 96 Hepatitis C-positive Donor Hearts in the Era of Direct-Acting Antiviral Therapies. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.998] [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: 10/24/2022] Open
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Hurwitz M, Lucas S, Bell KR, Temkin N, Dikmen S, Hoffman J. Use of Amitriptyline in the Treatment of Headache After Traumatic Brain Injury: Lessons Learned From a Clinical Trial. Headache 2020; 60:713-723. [PMID: 31943197 DOI: 10.1111/head.13748] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/21/2019] [Indexed: 11/29/2022]
Abstract
OBJECTIVES The primary outcome of this study was to assess the efficacy and safety of preventive treatment with amitriptyline on headache frequency and severity after mild traumatic brain injury (mTBI). BACKGROUND Despite the fact that headache is the most common and persistent physical symptom after TBI, there has been little research on the longitudinal course or pharmacologic treatment of this disorder. Of those who have headache after injury, about 60% continue to complain of headache at 3 months post injury, with higher levels of disability than those without headache. There have been no prospective, randomized, controlled trials of a pharmacologic agent for headache after TBI. Additionally, a brain-injured population may be more susceptible to side effects of medication. DESIGN This is a single-center phase II trial of amitriptyline to prevent persistent headache after an mTBI. Medication dose was gradually increased from 10 to 50 mg daily. RESULTS Fifty participants were enrolled and 33 who completed the 90-day assessment were included in the final analysis. In order to detect a possible cognitive impact of the study drug, 24 participants were randomly assigned to start amitriptyline immediately after study enrollment and 26 were assigned to start 30 days after enrollment. Forty-nine percent (18/37) of those assigned to take medication took none throughout the study period, with less compliance in younger participants with mean ages of 32.7 in those who did not take any medication, 33.4 who were less than 80% compliant, and 42.3 who were compliant (P = .013). Compliance in keeping a daily headache diary was low, with 29/50 participants (58%) meeting daily entry completion, and only 10 participants maintaining 100% diary completion. No differences were found between those who started medication immediately vs at day 30 in headache frequency or severity. CONCLUSIONS While headache is the most common symptom following mTBI, current evidence does not support a specific treatment. No differences were noted in headache frequency compared to our prior study. However, the current sample had significantly lower headache severity (15% vs 36% with pain rating of 6 or above, P = .015) compared to our prior study. Our current study was not able to determine whether there is any benefit for the use of amitriptyline as a headache preventive because of difficulty with study recruitment and compliance. The challenges with recruitment and retention in the mTBI population were instructive, and future research in this area will need to identify strategies to improve recruitment, diary compliance, and medication adherence in this population.
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Affiliation(s)
- Max Hurwitz
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA
| | - Sylvia Lucas
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA.,Department of Neurological Surgery, University of Washington, Seattle, WA, USA.,Department of Neurology, University of Washington, Seattle, WA, USA
| | - Kathleen R Bell
- Department of Physical Medicine and Rehabilitation, University of Texas Southwestern, Dallas, TX, USA
| | - Nancy Temkin
- Department of Neurological Surgery, University of Washington, Seattle, WA, USA.,Department of Biostatistics, University of Washington, Seattle, WA, USA
| | - Sureyya Dikmen
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA.,Department of Neurological Surgery, University of Washington, Seattle, WA, USA.,Department of Psychiatry and Behavioral Medicine, University of Washington, Seattle, WA, USA
| | - Jeanne Hoffman
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA
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Graham K, Klyce D, Walker W, Hoffman J, Marwitz J, Agyemang A, Stromberg K, Sima A. Examining Depression as a Predictor of Employment after Traumatic Brain Injury. Arch Phys Med Rehabil 2019. [DOI: 10.1016/j.apmr.2019.10.048] [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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Brown ED, Nolfi D, Wallace S, Eskander J, Hoffman J. Supporting Adherence to Rehabilitation Home Programs for Persons Post-stroke: A Scoping Review. Arch Phys Med Rehabil 2019. [DOI: 10.1016/j.apmr.2019.10.175] [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: 11/24/2022]
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Hoffman J, Shulein O, Lucas S, Temkin N. Blame Attribution and Mild Traumatic Brain Injury Recovery. Arch Phys Med Rehabil 2019. [DOI: 10.1016/j.apmr.2019.08.124] [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: 10/26/2022]
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Zheng L, Cockerham G, Hoffman J, Heydlauf M, Peterson D, Bhalla A. A statistical analysis solution to measure the impact of sample processing methods on diagnostic laboratory turnaround time. Clin Chim Acta 2019. [DOI: 10.1016/j.cca.2019.03.083] [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: 11/30/2022]
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Hoffman J, Chakrabarti J, Wainberg ZA, Plotka A, Babu S, Milillo Naraine A, Kanamori D, Moroose R, Nguyen L, Wang D. Abstract P3-14-07: Evaluation of the effects of talazoparib on QT interval prolongation. Cancer Res 2019. [DOI: 10.1158/1538-7445.sabcs18-p3-14-07] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [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: Talazoparib (TAL), an oral poly ADP-ribose polymerase inhibitor, is under investigation in multiple oncologic clinical trials and has been submitted to the US FDA for use in patients (pts) with germline BRCA-mutated, HER2-negative advanced breast cancer.
International Conference on Harmonisation guidance recommends all new drugs be evaluated for effects on cardiac repolarization in a well-controlled clinical study. For drugs for which such evaluation cannot be conducted in healthy volunteers (eg, most anticancer agents), collection of robust corrected QT (QTc) interval data from a dedicated QTc study (hybrid thorough QT/QTc study) in pts is required in the registration dossier. The effect of steady-state (ss) TAL (1 mg once daily) on cardiac repolarization in pts with advanced solid tumors was evaluated in an open-label phase 1 study (NCT03042910).
Methods: Continuous 12-lead electrocardiogram (ECG) recordings were collected at baseline (Day -1); time-matched pharmacokinetic (PK) samples and continuous ECG recordings were obtained on Days 1, 2, and 22 (when TAL concentrations achieved ss). On Day -1, pts had continuous 12-lead ECG recording starting at Time 0 (Day 1 dosing time) for 6 hrs. On Days 1 and 22, ECG recording started 45 min before TAL administration and continued for 6 hrs post dose and blood samples for PK were collected before dose and at 1, 2, 4, and 6 hrs post dose. On Day 2, a 30-min ECG recording and a PK sample were obtained before dose at Time 0.
Continuous ECG recordings were submitted to a central laboratory; triplicate 10-sec ECGs were extracted from a 5-min extraction window beginning 15 min before each PK collection time. ECG measurements were reported via blinded manual adjudication process and included PR interval, QT interval, RR interval, and QRS complex. The QT interval was corrected for effect of heart rate using Fridericia's correction (QTcF) and Bazett's correction (QTcB).
The estimate of change from time-matched baseline and its 2-sided 90% confidence interval (CI) was calculated for each nominal time point using PROC MEANS. Additionally, a prespecified PK/pharmacodynamic (PD) model was used to describe the relationship between plasma TAL concentrations ([TAL]) and QTc. The prespecified linear mixed-effects model included [TAL], time (categorical), and treatment with random pt effects on [TAL] and the intercept. If the upper bounds (UB) of 1-sided 95% CIs of time-matched ΔQTc for all ECG time points were <20 msec and the UB of 1-sided 95% CIs of the predicted ΔQTc at the mean ss maximum [TAL] was <20 msec, the effect of TAL on QTc was not of clinical relevance.
Results: 37 of 38 pts enrolled received TAL and were included in the ECG and PK/PD analyses. No pts had a postbaseline absolute maximum QTcF or QTcB ≥500 msec or ΔQTc ≥60 msec. The UB of the 1-sided 95% CI for the time-matched ΔQTcF and ΔQTcB were <12 msec at all nominal ECG time points. In the PK/PD analysis, the slopes (95% CI) of QTcF-[TAL] and QTcB-[TAL] relationships were -0.14 (-0.78 to 0.50) msec/ng/mL and -0.24 (-0.88 to 0.41) msec/ng/mL, respectively, indicating that TAL did not have a concentration-dependent effect on QTcF or QTcB.
Conclusion: TAL does not have a clinically relevant effect on QTc.
Funding: Medivation LLC, acquired by Pfizer.
Citation Format: Hoffman J, Chakrabarti J, Wainberg ZA, Plotka A, Babu S, Milillo Naraine A, Kanamori D, Moroose R, Nguyen L, Wang D. Evaluation of the effects of talazoparib on QT interval prolongation [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr P3-14-07.
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Affiliation(s)
- J Hoffman
- Pfizer, Inc., La Jolla, CA; Pfizer, Inc., Tadworth, United Kingdom; University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA; Pfizer, Inc., Collegeville, PA; Fort Wayne Medical Oncology and Hematology, Inc., Fort Wayne, IN; Memorial Cancer Institute at Memorial Regional Hospital, Hollywood, FL; Comprehensive Blood and Cancer Center, Bakersfield, CA; Orlando Health, Inc., Orlando, FL; Pfizer, Inc., San Francisco, CA
| | - J Chakrabarti
- Pfizer, Inc., La Jolla, CA; Pfizer, Inc., Tadworth, United Kingdom; University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA; Pfizer, Inc., Collegeville, PA; Fort Wayne Medical Oncology and Hematology, Inc., Fort Wayne, IN; Memorial Cancer Institute at Memorial Regional Hospital, Hollywood, FL; Comprehensive Blood and Cancer Center, Bakersfield, CA; Orlando Health, Inc., Orlando, FL; Pfizer, Inc., San Francisco, CA
| | - ZA Wainberg
- Pfizer, Inc., La Jolla, CA; Pfizer, Inc., Tadworth, United Kingdom; University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA; Pfizer, Inc., Collegeville, PA; Fort Wayne Medical Oncology and Hematology, Inc., Fort Wayne, IN; Memorial Cancer Institute at Memorial Regional Hospital, Hollywood, FL; Comprehensive Blood and Cancer Center, Bakersfield, CA; Orlando Health, Inc., Orlando, FL; Pfizer, Inc., San Francisco, CA
| | - A Plotka
- Pfizer, Inc., La Jolla, CA; Pfizer, Inc., Tadworth, United Kingdom; University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA; Pfizer, Inc., Collegeville, PA; Fort Wayne Medical Oncology and Hematology, Inc., Fort Wayne, IN; Memorial Cancer Institute at Memorial Regional Hospital, Hollywood, FL; Comprehensive Blood and Cancer Center, Bakersfield, CA; Orlando Health, Inc., Orlando, FL; Pfizer, Inc., San Francisco, CA
| | - S Babu
- Pfizer, Inc., La Jolla, CA; Pfizer, Inc., Tadworth, United Kingdom; University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA; Pfizer, Inc., Collegeville, PA; Fort Wayne Medical Oncology and Hematology, Inc., Fort Wayne, IN; Memorial Cancer Institute at Memorial Regional Hospital, Hollywood, FL; Comprehensive Blood and Cancer Center, Bakersfield, CA; Orlando Health, Inc., Orlando, FL; Pfizer, Inc., San Francisco, CA
| | - A Milillo Naraine
- Pfizer, Inc., La Jolla, CA; Pfizer, Inc., Tadworth, United Kingdom; University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA; Pfizer, Inc., Collegeville, PA; Fort Wayne Medical Oncology and Hematology, Inc., Fort Wayne, IN; Memorial Cancer Institute at Memorial Regional Hospital, Hollywood, FL; Comprehensive Blood and Cancer Center, Bakersfield, CA; Orlando Health, Inc., Orlando, FL; Pfizer, Inc., San Francisco, CA
| | - D Kanamori
- Pfizer, Inc., La Jolla, CA; Pfizer, Inc., Tadworth, United Kingdom; University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA; Pfizer, Inc., Collegeville, PA; Fort Wayne Medical Oncology and Hematology, Inc., Fort Wayne, IN; Memorial Cancer Institute at Memorial Regional Hospital, Hollywood, FL; Comprehensive Blood and Cancer Center, Bakersfield, CA; Orlando Health, Inc., Orlando, FL; Pfizer, Inc., San Francisco, CA
| | - R Moroose
- Pfizer, Inc., La Jolla, CA; Pfizer, Inc., Tadworth, United Kingdom; University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA; Pfizer, Inc., Collegeville, PA; Fort Wayne Medical Oncology and Hematology, Inc., Fort Wayne, IN; Memorial Cancer Institute at Memorial Regional Hospital, Hollywood, FL; Comprehensive Blood and Cancer Center, Bakersfield, CA; Orlando Health, Inc., Orlando, FL; Pfizer, Inc., San Francisco, CA
| | - L Nguyen
- Pfizer, Inc., La Jolla, CA; Pfizer, Inc., Tadworth, United Kingdom; University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA; Pfizer, Inc., Collegeville, PA; Fort Wayne Medical Oncology and Hematology, Inc., Fort Wayne, IN; Memorial Cancer Institute at Memorial Regional Hospital, Hollywood, FL; Comprehensive Blood and Cancer Center, Bakersfield, CA; Orlando Health, Inc., Orlando, FL; Pfizer, Inc., San Francisco, CA
| | - D Wang
- Pfizer, Inc., La Jolla, CA; Pfizer, Inc., Tadworth, United Kingdom; University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA; Pfizer, Inc., Collegeville, PA; Fort Wayne Medical Oncology and Hematology, Inc., Fort Wayne, IN; Memorial Cancer Institute at Memorial Regional Hospital, Hollywood, FL; Comprehensive Blood and Cancer Center, Bakersfield, CA; Orlando Health, Inc., Orlando, FL; Pfizer, Inc., San Francisco, CA
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Steyn L, Hoffman J, Bouwman H, Maina AW, Maina JN. Bone density and asymmetry are not related to DDT in House Sparrows: Insights from micro-focus X-ray computed tomography. Chemosphere 2018; 212:734-743. [PMID: 30179838 DOI: 10.1016/j.chemosphere.2018.08.119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2018] [Revised: 08/09/2018] [Accepted: 08/23/2018] [Indexed: 06/08/2023]
Abstract
In organisms, DDT (Dichlorodiphenyltrichloroethane) and its metabolites, DDE (Dichlorodiphenyldichloroethylene) and DDD (Dichlorobischlorophenylethane) are endocrine mimics. They can influence bone density and other bone structural features. This study was conducted on House Sparrows (Passer domesticus) caught from the Free State - and the Limpopo Provinces of South Africa (SA). The sites were chosen based on spraying patterns of DDT for malaria control or non-spraying. The bone mineral densities of the femurs as well as the lengths of the left- and right leg bones were determined using micro-focus X-ray computed tomography (μ-XCT). The concentrations of DDT and its metabolites in the liver were determined with gas-chromatography mass-spectrometry to provide baseline concentrations of DDT in the body, allowing comparison of the various groups of birds. There was no asymmetry between the lengths of the bones of the left- and the right legs. DDT concentrations in the liver did not correlate with bone lengths. In addition, there were no significant differences between the relative densities of the left- and right leg bones with increase of concentrations of DDT. The concentrations of DDT and its metabolites did not have a significant effect on the measured bone parameters of House Sparrows. It is possible that the concentrations of DDT and its metabolites in the environments were too low to be injurious to the birds and/or tolerance to the insecticide has developed in the birds over more than six decades of almost continuous application of DDT.
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Affiliation(s)
- L Steyn
- Department of Zoology, University of Johannesburg, Auckland Park, 2006, South Africa.
| | - J Hoffman
- Department of Radiation Science, South African Nuclear Energy Corporation, (Necsa), Pelindaba, Pretoria, South Africa
| | - H Bouwman
- Research Unit, Environmental Sciences and Management, North-West University, Potchefstroom, 2520, South Africa
| | - A W Maina
- Department of Orthopaedic Surgery, Department of Surgery, University of the Witwatersrand, Parktown, Johannesburg, South Africa; Consultant Orthopaedic Surgeon, Department of Orthopaedic Surgery, Department of Surgery, Charlotte Maxeke Johannesburg Academic Hospital Parktown, Johannesburg, South Africa
| | - J N Maina
- Department of Zoology, University of Johannesburg, Auckland Park, 2006, South Africa
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Hoffman J. THE METABOLOMIC CONSEQUENCES OF AGING: A COMPARATIVE ANALYSIS. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.2245] [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)
- J Hoffman
- University of Alabama at Birmingham, Birmingham, Alabama, United States
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Ehde D, Hoffman J, Temkin N, Williams R, Dikmen S, Lucas S, Dillworth T. Telephone-Delivered Cognitive Behavioral Therapy for Veterans With Chronic Pain Following Traumatic Brain Injury. Arch Phys Med Rehabil 2018. [DOI: 10.1016/j.apmr.2018.08.065] [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: 10/28/2022]
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Hoffman J, Petriello M, Barney J, Deng P, Flythe M, Hennig B. Prebiotic Fiber (Inulin) Attenuates PCB 126-Induced Disruption of Gut Microbiota and Host Metabolism. J Acad Nutr Diet 2018. [DOI: 10.1016/j.jand.2018.08.110] [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: 10/28/2022]
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Maughan B, Hahn A, Hoffman J, Morton K, Gupta S, Batten J, Thorley J, Hawks J, Nachaegari G, Nussenzveig R, Boucher K, Agarwal N. Randomized phase II trial of radium-223 (RA) plus enzalutamide (EZ) vs. EZ alone in metastatic castration refractory prostate cancer (mCRPC). Ann Oncol 2018. [DOI: 10.1093/annonc/mdy284.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Aguilar M, Ali Cavasonza L, Alpat B, Ambrosi G, Arruda L, Attig N, Aupetit S, Azzarello P, Bachlechner A, Barao F, Barrau A, Barrin L, Bartoloni A, Basara L, Başeğmez-du Pree S, Battarbee M, Battiston R, Becker U, Behlmann M, Beischer B, Berdugo J, Bertucci B, Bindel KF, Bindi V, de Boer W, Bollweg K, Bonnivard V, Borgia B, Boschini MJ, Bourquin M, Bueno EF, Burger J, Cadoux F, Cai XD, Capell M, Caroff S, Casaus J, Castellini G, Cervelli F, Chae MJ, Chang YH, Chen AI, Chen GM, Chen HS, Chen Y, Cheng L, Chou HY, Choumilov E, Choutko V, Chung CH, Clark C, Clavero R, Coignet G, Consolandi C, Contin A, Corti C, Creus W, Crispoltoni M, Cui Z, Dadzie K, Dai YM, Datta A, Delgado C, Della Torre S, Demirköz MB, Derome L, Di Falco S, Dimiccoli F, Díaz C, von Doetinchem P, Dong F, Donnini F, Duranti M, D'Urso D, Egorov A, Eline A, Eronen T, Feng J, Fiandrini E, Fisher P, Formato V, Galaktionov Y, Gallucci G, García-López RJ, Gargiulo C, Gast H, Gebauer I, Gervasi M, Ghelfi A, Giovacchini F, Gómez-Coral DM, Gong J, Goy C, Grabski V, Grandi D, Graziani M, Guo KH, Haino S, Han KC, He ZH, Heil M, Hoffman J, Hsieh TH, Huang H, Huang ZC, Huh C, Incagli M, Ionica M, Jang WY, Jia Y, Jinchi H, Kang SC, Kanishev K, Khiali B, Kim GN, Kim KS, Kirn T, Konak C, Kounina O, Kounine A, Koutsenko V, Kulemzin A, La Vacca G, Laudi E, Laurenti G, Lazzizzera I, Lebedev A, Lee HT, Lee SC, Leluc C, Li HS, Li JQ, Li Q, Li TX, Li ZH, Li ZY, Light C, Lim S, Lin CH, Lipari P, Lippert T, Liu D, Liu H, Lordello VD, Lu SQ, Lu YS, Luebelsmeyer K, Luo F, Luo JZ, Luo X, Lyu SS, Machate F, Mañá C, Marín J, Martin T, Martínez G, Masi N, Maurin D, Menchaca-Rocha A, Meng Q, Mikuni VM, Mo DC, Mott P, Nelson T, Ni JQ, Nikonov N, Nozzoli F, Oliva A, Orcinha M, Palermo M, Palmonari F, Palomares C, Paniccia M, Pauluzzi M, Pensotti S, Perrina C, Phan HD, Picot-Clemente N, Pilo F, Pizzolotto C, Plyaskin V, Pohl M, Poireau V, Popkow A, Quadrani L, Qi XM, Qin X, Qu ZY, Räihä T, Rancoita PG, Rapin D, Ricol JS, Rosier-Lees S, Rozhkov A, Rozza D, Sagdeev R, Schael S, Schmidt SM, Schulz von Dratzig A, Schwering G, Seo ES, Shan BS, Shi JY, Siedenburg T, Son D, Song JW, Tacconi M, Tang XW, Tang ZC, Tescaro D, Ting SCC, Ting SM, Tomassetti N, Torsti J, Türkoğlu C, Urban T, Vagelli V, Valente E, Valtonen E, Vázquez Acosta M, Vecchi M, Velasco M, Vialle JP, Wang LQ, Wang NH, Wang QL, Wang X, Wang XQ, Wang ZX, Wei CC, Weng ZL, Whitman K, Wu H, Wu X, Xiong RQ, Xu W, Yan Q, Yang J, Yang M, Yang Y, Yi H, Yu YJ, Yu ZQ, Zannoni M, Zeissler S, Zhang C, Zhang F, Zhang J, Zhang JH, Zhang SW, Zhang Z, Zheng ZM, Zhuang HL, Zhukov V, Zichichi A, Zimmermann N, Zuccon P. Observation of Fine Time Structures in the Cosmic Proton and Helium Fluxes with the Alpha Magnetic Spectrometer on the International Space Station. Phys Rev Lett 2018; 121:051101. [PMID: 30118264 DOI: 10.1103/physrevlett.121.051101] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2017] [Revised: 05/09/2018] [Indexed: 06/08/2023]
Abstract
We present the precision measurement from May 2011 to May 2017 (79 Bartels rotations) of the proton fluxes at rigidities from 1 to 60 GV and the helium fluxes from 1.9 to 60 GV based on a total of 1×10^{9} events collected with the Alpha Magnetic Spectrometer aboard the International Space Station. This measurement is in solar cycle 24, which has the solar maximum in April 2014. We observed that, below 40 GV, the proton flux and the helium flux show nearly identical fine structures in both time and relative amplitude. The amplitudes of the flux structures decrease with increasing rigidity and vanish above 40 GV. The amplitudes of the structures are reduced during the time period, which started one year after solar maximum, when the proton and helium fluxes steadily increase. Above ∼3 GV the p/He flux ratio is time independent. We observed that below ∼3 GV the ratio has a long-term decrease coinciding with the period during which the fluxes start to rise.
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Affiliation(s)
- M Aguilar
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - L Ali Cavasonza
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - B Alpat
- INFN Sezione di Perugia, I-06100 Perugia, Italy
| | - G Ambrosi
- INFN Sezione di Perugia, I-06100 Perugia, Italy
| | - L Arruda
- Laboratório de Instrumentação e Física Experimental de Partículas (LIP), P-1000 Lisboa, Portugal
| | - N Attig
- Jülich Supercomputing Centre and JARA-FAME, Research Centre Jülich, D-52425 Jülich, Germany
| | - S Aupetit
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), CNRS/IN2P3 and Université Grenoble-Alpes, F-38026 Grenoble, France
| | - P Azzarello
- DPNC, Université de Genève, CH-1211 Genève 4, Switzerland
| | - A Bachlechner
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - F Barao
- Laboratório de Instrumentação e Física Experimental de Partículas (LIP), P-1000 Lisboa, Portugal
| | - A Barrau
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), CNRS/IN2P3 and Université Grenoble-Alpes, F-38026 Grenoble, France
| | - L Barrin
- European Organization for Nuclear Research (CERN), CH-1211 Geneva 23, Switzerland
| | | | - L Basara
- INFN TIFPA, I-38123 Povo, Trento, Italy
| | - S Başeğmez-du Pree
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing, 100049, China
| | - M Battarbee
- Space Research Laboratory, Department of Physics and Astronomy, University of Turku, FI-20014 Turku, Finland
| | - R Battiston
- INFN TIFPA, I-38123 Povo, Trento, Italy
- Università di Trento, I-38123 Povo, Trento, Italy
| | - U Becker
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - M Behlmann
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - B Beischer
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - J Berdugo
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - B Bertucci
- INFN Sezione di Perugia, I-06100 Perugia, Italy
- Università di Perugia, I-06100 Perugia, Italy
| | - K F Bindel
- Institut für Experimentelle Teilchenphysik, Karlsruhe Institute of Technology (KIT), D-76131 Karlsruhe, Germany
| | - V Bindi
- Physics and Astronomy Department, University of Hawaii, Honolulu, Hawaii 96822, USA
| | - W de Boer
- Institut für Experimentelle Teilchenphysik, Karlsruhe Institute of Technology (KIT), D-76131 Karlsruhe, Germany
| | - K Bollweg
- National Aeronautics and Space Administration Johnson Space Center (JSC), Jacobs Engineering, and Business Integra, Houston, Texas 77058, USA
| | - V Bonnivard
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), CNRS/IN2P3 and Université Grenoble-Alpes, F-38026 Grenoble, France
| | - B Borgia
- INFN Sezione di Roma 1, I-00185 Roma, Italy
- Università di Roma La Sapienza, I-00185 Roma, Italy
| | - M J Boschini
- INFN Sezione di Milano-Bicocca, I-20126 Milano, Italy
| | - M Bourquin
- DPNC, Université de Genève, CH-1211 Genève 4, Switzerland
| | - E F Bueno
- Instituto de Física de São Carlos, Universidade de São Paulo, CP 369, 13560-970, São Carlos, São Paulo, SP, Brazil
| | - J Burger
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - F Cadoux
- DPNC, Université de Genève, CH-1211 Genève 4, Switzerland
| | - X D Cai
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - M Capell
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - S Caroff
- Laboratoire d'Annecy-le-Vieux de Physique des Particules (LAPP), CNRS/IN2P3 and Université Savoie Mont Blanc, F-74941 Annecy-le-Vieux, France
| | - J Casaus
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | | | - F Cervelli
- INFN Sezione di Pisa, I-56100 Pisa, Italy
| | - M J Chae
- Department of Physics, Ewha Womans University, Seoul, 120-750, Korea
| | - Y H Chang
- National Central University (NCU), Chung-Li, Tao Yuan, 32054, Taiwan
| | - A I Chen
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - G M Chen
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing, 100049, China
| | - H S Chen
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing, 100049, China
- University of Chinese Academy of Sciences (UCAS), Beijing, 100049, China
| | - Y Chen
- DPNC, Université de Genève, CH-1211 Genève 4, Switzerland
| | - L Cheng
- Shandong University (SDU), Jinan, Shandong, 250100, China
| | - H Y Chou
- National Central University (NCU), Chung-Li, Tao Yuan, 32054, Taiwan
| | - E Choumilov
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - V Choutko
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - C H Chung
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - C Clark
- National Aeronautics and Space Administration Johnson Space Center (JSC), Jacobs Engineering, and Business Integra, Houston, Texas 77058, USA
| | - R Clavero
- Instituto de Astrofísica de Canarias (IAC), E-38205 La Laguna, and Departamento de Astrofísica, Universidad de La Laguna, E-38206 La Laguna, Tenerife, Spain
| | - G Coignet
- Laboratoire d'Annecy-le-Vieux de Physique des Particules (LAPP), CNRS/IN2P3 and Université Savoie Mont Blanc, F-74941 Annecy-le-Vieux, France
| | - C Consolandi
- Physics and Astronomy Department, University of Hawaii, Honolulu, Hawaii 96822, USA
| | - A Contin
- INFN Sezione di Bologna, I-40126 Bologna, Italy
- Università di Bologna, I-40126 Bologna, Italy
| | - C Corti
- Physics and Astronomy Department, University of Hawaii, Honolulu, Hawaii 96822, USA
| | - W Creus
- Institute of Physics, Academia Sinica, Nankang, Taipei, 11529, Taiwan
| | - M Crispoltoni
- INFN Sezione di Perugia, I-06100 Perugia, Italy
- Università di Perugia, I-06100 Perugia, Italy
| | - Z Cui
- Shandong University (SDU), Jinan, Shandong, 250100, China
| | - K Dadzie
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - Y M Dai
- Institute of Electrical Engineering (IEE), Chinese Academy of Sciences, Beijing, 100190, China
| | - A Datta
- Physics and Astronomy Department, University of Hawaii, Honolulu, Hawaii 96822, USA
| | - C Delgado
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - S Della Torre
- INFN Sezione di Milano-Bicocca, I-20126 Milano, Italy
| | - M B Demirköz
- Department of Physics, Middle East Technical University (METU), 06800 Ankara, Turkey
| | - L Derome
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), CNRS/IN2P3 and Université Grenoble-Alpes, F-38026 Grenoble, France
| | - S Di Falco
- INFN Sezione di Pisa, I-56100 Pisa, Italy
| | - F Dimiccoli
- INFN TIFPA, I-38123 Povo, Trento, Italy
- Università di Trento, I-38123 Povo, Trento, Italy
| | - C Díaz
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - P von Doetinchem
- Physics and Astronomy Department, University of Hawaii, Honolulu, Hawaii 96822, USA
| | - F Dong
- Southeast University (SEU), Nanjing, 210096, China
| | - F Donnini
- INFN Sezione di Perugia, I-06100 Perugia, Italy
- Università di Perugia, I-06100 Perugia, Italy
| | - M Duranti
- INFN Sezione di Perugia, I-06100 Perugia, Italy
| | - D D'Urso
- INFN Sezione di Perugia, I-06100 Perugia, Italy
| | - A Egorov
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - A Eline
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - T Eronen
- Space Research Laboratory, Department of Physics and Astronomy, University of Turku, FI-20014 Turku, Finland
| | - J Feng
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - E Fiandrini
- INFN Sezione di Perugia, I-06100 Perugia, Italy
- Università di Perugia, I-06100 Perugia, Italy
| | - P Fisher
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - V Formato
- INFN Sezione di Perugia, I-06100 Perugia, Italy
| | - Y Galaktionov
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - G Gallucci
- INFN Sezione di Pisa, I-56100 Pisa, Italy
| | - R J García-López
- Instituto de Astrofísica de Canarias (IAC), E-38205 La Laguna, and Departamento de Astrofísica, Universidad de La Laguna, E-38206 La Laguna, Tenerife, Spain
| | - C Gargiulo
- European Organization for Nuclear Research (CERN), CH-1211 Geneva 23, Switzerland
| | - H Gast
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - I Gebauer
- Institut für Experimentelle Teilchenphysik, Karlsruhe Institute of Technology (KIT), D-76131 Karlsruhe, Germany
| | - M Gervasi
- INFN Sezione di Milano-Bicocca, I-20126 Milano, Italy
- Università di Milano-Bicocca, I-20126 Milano, Italy
| | - A Ghelfi
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), CNRS/IN2P3 and Université Grenoble-Alpes, F-38026 Grenoble, France
| | - F Giovacchini
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - D M Gómez-Coral
- Instituto de Física, Universidad Nacional Autónoma de México (UNAM), México, D. F., 01000 Mexico
| | - J Gong
- Southeast University (SEU), Nanjing, 210096, China
| | - C Goy
- Laboratoire d'Annecy-le-Vieux de Physique des Particules (LAPP), CNRS/IN2P3 and Université Savoie Mont Blanc, F-74941 Annecy-le-Vieux, France
| | - V Grabski
- Instituto de Física, Universidad Nacional Autónoma de México (UNAM), México, D. F., 01000 Mexico
| | - D Grandi
- INFN Sezione di Milano-Bicocca, I-20126 Milano, Italy
| | - M Graziani
- Institut für Experimentelle Teilchenphysik, Karlsruhe Institute of Technology (KIT), D-76131 Karlsruhe, Germany
| | - K H Guo
- Sun Yat-Sen University (SYSU), Guangzhou, 510275, China
| | - S Haino
- Institute of Physics, Academia Sinica, Nankang, Taipei, 11529, Taiwan
| | - K C Han
- National Chung-Shan Institute of Science and Technology (NCSIST), Longtan, Tao Yuan, 32546, Taiwan
| | - Z H He
- Sun Yat-Sen University (SYSU), Guangzhou, 510275, China
| | - M Heil
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - J Hoffman
- Physics and Astronomy Department, University of Hawaii, Honolulu, Hawaii 96822, USA
| | - T H Hsieh
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - H Huang
- Institute of Physics, Academia Sinica, Nankang, Taipei, 11529, Taiwan
| | - Z C Huang
- Sun Yat-Sen University (SYSU), Guangzhou, 510275, China
| | - C Huh
- CHEP, Kyungpook National University, 41566 Daegu, Korea
| | - M Incagli
- INFN Sezione di Pisa, I-56100 Pisa, Italy
| | - M Ionica
- INFN Sezione di Perugia, I-06100 Perugia, Italy
| | - W Y Jang
- CHEP, Kyungpook National University, 41566 Daegu, Korea
| | - Yi Jia
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - H Jinchi
- National Chung-Shan Institute of Science and Technology (NCSIST), Longtan, Tao Yuan, 32546, Taiwan
| | - S C Kang
- CHEP, Kyungpook National University, 41566 Daegu, Korea
| | - K Kanishev
- European Organization for Nuclear Research (CERN), CH-1211 Geneva 23, Switzerland
- INFN TIFPA, I-38123 Povo, Trento, Italy
| | - B Khiali
- National Central University (NCU), Chung-Li, Tao Yuan, 32054, Taiwan
| | - G N Kim
- CHEP, Kyungpook National University, 41566 Daegu, Korea
| | - K S Kim
- CHEP, Kyungpook National University, 41566 Daegu, Korea
| | - Th Kirn
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - C Konak
- Department of Physics, Middle East Technical University (METU), 06800 Ankara, Turkey
| | - O Kounina
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - A Kounine
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - V Koutsenko
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - A Kulemzin
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - G La Vacca
- INFN Sezione di Milano-Bicocca, I-20126 Milano, Italy
- Università di Milano-Bicocca, I-20126 Milano, Italy
| | - E Laudi
- European Organization for Nuclear Research (CERN), CH-1211 Geneva 23, Switzerland
| | - G Laurenti
- INFN Sezione di Bologna, I-40126 Bologna, Italy
| | - I Lazzizzera
- INFN TIFPA, I-38123 Povo, Trento, Italy
- Università di Trento, I-38123 Povo, Trento, Italy
| | - A Lebedev
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - H T Lee
- Academia Sinica Grid Center (ASGC), Nankang, Taipei, 11529, Taiwan
| | - S C Lee
- Institute of Physics, Academia Sinica, Nankang, Taipei, 11529, Taiwan
| | - C Leluc
- DPNC, Université de Genève, CH-1211 Genève 4, Switzerland
| | - H S Li
- National Cheng Kung University, Tainan, 70101, Taiwan
| | - J Q Li
- Southeast University (SEU), Nanjing, 210096, China
| | - Q Li
- Southeast University (SEU), Nanjing, 210096, China
| | - T X Li
- Sun Yat-Sen University (SYSU), Guangzhou, 510275, China
| | - Z H Li
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing, 100049, China
| | - Z Y Li
- Institute of Physics, Academia Sinica, Nankang, Taipei, 11529, Taiwan
| | - C Light
- Physics and Astronomy Department, University of Hawaii, Honolulu, Hawaii 96822, USA
| | - S Lim
- CHEP, Kyungpook National University, 41566 Daegu, Korea
| | - C H Lin
- Institute of Physics, Academia Sinica, Nankang, Taipei, 11529, Taiwan
| | - P Lipari
- INFN Sezione di Roma 1, I-00185 Roma, Italy
| | - T Lippert
- Jülich Supercomputing Centre and JARA-FAME, Research Centre Jülich, D-52425 Jülich, Germany
| | - D Liu
- National Central University (NCU), Chung-Li, Tao Yuan, 32054, Taiwan
| | - Hu Liu
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - V D Lordello
- Instituto de Física de São Carlos, Universidade de São Paulo, CP 369, 13560-970, São Carlos, São Paulo, SP, Brazil
| | - S Q Lu
- Institute of Physics, Academia Sinica, Nankang, Taipei, 11529, Taiwan
| | - Y S Lu
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing, 100049, China
| | - K Luebelsmeyer
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - F Luo
- Shandong University (SDU), Jinan, Shandong, 250100, China
| | - J Z Luo
- Southeast University (SEU), Nanjing, 210096, China
| | - X Luo
- Physics and Astronomy Department, University of Hawaii, Honolulu, Hawaii 96822, USA
| | - S S Lyu
- Sun Yat-Sen University (SYSU), Guangzhou, 510275, China
| | - F Machate
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - C Mañá
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - J Marín
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - T Martin
- National Aeronautics and Space Administration Johnson Space Center (JSC), Jacobs Engineering, and Business Integra, Houston, Texas 77058, USA
| | - G Martínez
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - N Masi
- INFN Sezione di Bologna, I-40126 Bologna, Italy
| | - D Maurin
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), CNRS/IN2P3 and Université Grenoble-Alpes, F-38026 Grenoble, France
| | - A Menchaca-Rocha
- Instituto de Física, Universidad Nacional Autónoma de México (UNAM), México, D. F., 01000 Mexico
| | - Q Meng
- Southeast University (SEU), Nanjing, 210096, China
| | - V M Mikuni
- Instituto de Física de São Carlos, Universidade de São Paulo, CP 369, 13560-970, São Carlos, São Paulo, SP, Brazil
| | - D C Mo
- Sun Yat-Sen University (SYSU), Guangzhou, 510275, China
| | - P Mott
- National Aeronautics and Space Administration Johnson Space Center (JSC), Jacobs Engineering, and Business Integra, Houston, Texas 77058, USA
| | - T Nelson
- Physics and Astronomy Department, University of Hawaii, Honolulu, Hawaii 96822, USA
| | - J Q Ni
- Sun Yat-Sen University (SYSU), Guangzhou, 510275, China
| | - N Nikonov
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - F Nozzoli
- INFN Sezione di Perugia, I-06100 Perugia, Italy
| | - A Oliva
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - M Orcinha
- Laboratório de Instrumentação e Física Experimental de Partículas (LIP), P-1000 Lisboa, Portugal
| | - M Palermo
- Physics and Astronomy Department, University of Hawaii, Honolulu, Hawaii 96822, USA
| | - F Palmonari
- INFN Sezione di Bologna, I-40126 Bologna, Italy
- Università di Bologna, I-40126 Bologna, Italy
| | - C Palomares
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - M Paniccia
- DPNC, Université de Genève, CH-1211 Genève 4, Switzerland
| | - M Pauluzzi
- INFN Sezione di Perugia, I-06100 Perugia, Italy
- Università di Perugia, I-06100 Perugia, Italy
| | - S Pensotti
- INFN Sezione di Milano-Bicocca, I-20126 Milano, Italy
- Università di Milano-Bicocca, I-20126 Milano, Italy
| | - C Perrina
- DPNC, Université de Genève, CH-1211 Genève 4, Switzerland
| | - H D Phan
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | | | - F Pilo
- INFN Sezione di Pisa, I-56100 Pisa, Italy
| | | | - V Plyaskin
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - M Pohl
- DPNC, Université de Genève, CH-1211 Genève 4, Switzerland
| | - V Poireau
- Laboratoire d'Annecy-le-Vieux de Physique des Particules (LAPP), CNRS/IN2P3 and Université Savoie Mont Blanc, F-74941 Annecy-le-Vieux, France
| | - A Popkow
- Physics and Astronomy Department, University of Hawaii, Honolulu, Hawaii 96822, USA
| | - L Quadrani
- INFN Sezione di Bologna, I-40126 Bologna, Italy
- Università di Bologna, I-40126 Bologna, Italy
| | - X M Qi
- Sun Yat-Sen University (SYSU), Guangzhou, 510275, China
| | - X Qin
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - Z Y Qu
- Institute of Physics, Academia Sinica, Nankang, Taipei, 11529, Taiwan
| | - T Räihä
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - P G Rancoita
- INFN Sezione di Milano-Bicocca, I-20126 Milano, Italy
| | - D Rapin
- DPNC, Université de Genève, CH-1211 Genève 4, Switzerland
| | - J S Ricol
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), CNRS/IN2P3 and Université Grenoble-Alpes, F-38026 Grenoble, France
| | - S Rosier-Lees
- Laboratoire d'Annecy-le-Vieux de Physique des Particules (LAPP), CNRS/IN2P3 and Université Savoie Mont Blanc, F-74941 Annecy-le-Vieux, France
| | - A Rozhkov
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - D Rozza
- INFN Sezione di Milano-Bicocca, I-20126 Milano, Italy
- Università di Milano-Bicocca, I-20126 Milano, Italy
| | - R Sagdeev
- East-West Center for Space Science, University of Maryland, College Park, Maryland 20742, USA
| | - S Schael
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - S M Schmidt
- Jülich Supercomputing Centre and JARA-FAME, Research Centre Jülich, D-52425 Jülich, Germany
| | - A Schulz von Dratzig
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - G Schwering
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - E S Seo
- IPST, University of Maryland, College Park, Maryland 20742, USA
| | - B S Shan
- Beihang University (BUAA), Beijing, 100191, China
| | - J Y Shi
- Southeast University (SEU), Nanjing, 210096, China
| | - T Siedenburg
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - D Son
- CHEP, Kyungpook National University, 41566 Daegu, Korea
| | - J W Song
- Shandong University (SDU), Jinan, Shandong, 250100, China
| | - M Tacconi
- INFN Sezione di Milano-Bicocca, I-20126 Milano, Italy
- Università di Milano-Bicocca, I-20126 Milano, Italy
| | - X W Tang
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing, 100049, China
| | - Z C Tang
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing, 100049, China
| | - D Tescaro
- Instituto de Astrofísica de Canarias (IAC), E-38205 La Laguna, and Departamento de Astrofísica, Universidad de La Laguna, E-38206 La Laguna, Tenerife, Spain
| | - Samuel C C Ting
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
- European Organization for Nuclear Research (CERN), CH-1211 Geneva 23, Switzerland
| | - S M Ting
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - N Tomassetti
- INFN Sezione di Perugia, I-06100 Perugia, Italy
- Università di Perugia, I-06100 Perugia, Italy
| | - J Torsti
- Space Research Laboratory, Department of Physics and Astronomy, University of Turku, FI-20014 Turku, Finland
| | - C Türkoğlu
- Department of Physics, Middle East Technical University (METU), 06800 Ankara, Turkey
| | - T Urban
- National Aeronautics and Space Administration Johnson Space Center (JSC), Jacobs Engineering, and Business Integra, Houston, Texas 77058, USA
| | - V Vagelli
- INFN Sezione di Perugia, I-06100 Perugia, Italy
- Università di Perugia, I-06100 Perugia, Italy
| | - E Valente
- INFN Sezione di Roma 1, I-00185 Roma, Italy
- Università di Roma La Sapienza, I-00185 Roma, Italy
| | - E Valtonen
- Space Research Laboratory, Department of Physics and Astronomy, University of Turku, FI-20014 Turku, Finland
| | - M Vázquez Acosta
- Instituto de Astrofísica de Canarias (IAC), E-38205 La Laguna, and Departamento de Astrofísica, Universidad de La Laguna, E-38206 La Laguna, Tenerife, Spain
| | - M Vecchi
- Instituto de Física de São Carlos, Universidade de São Paulo, CP 369, 13560-970, São Carlos, São Paulo, SP, Brazil
| | - M Velasco
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - J P Vialle
- Laboratoire d'Annecy-le-Vieux de Physique des Particules (LAPP), CNRS/IN2P3 and Université Savoie Mont Blanc, F-74941 Annecy-le-Vieux, France
| | - L Q Wang
- Shandong University (SDU), Jinan, Shandong, 250100, China
| | - N H Wang
- Shandong University (SDU), Jinan, Shandong, 250100, China
| | - Q L Wang
- Institute of Electrical Engineering (IEE), Chinese Academy of Sciences, Beijing, 100190, China
| | - X Wang
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - X Q Wang
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing, 100049, China
- University of Chinese Academy of Sciences (UCAS), Beijing, 100049, China
| | - Z X Wang
- Sun Yat-Sen University (SYSU), Guangzhou, 510275, China
| | - C C Wei
- Institute of Physics, Academia Sinica, Nankang, Taipei, 11529, Taiwan
| | - Z L Weng
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - K Whitman
- Physics and Astronomy Department, University of Hawaii, Honolulu, Hawaii 96822, USA
| | - H Wu
- Southeast University (SEU), Nanjing, 210096, China
| | - X Wu
- DPNC, Université de Genève, CH-1211 Genève 4, Switzerland
| | - R Q Xiong
- Southeast University (SEU), Nanjing, 210096, China
| | - W Xu
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - Q Yan
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - J Yang
- Department of Physics, Ewha Womans University, Seoul, 120-750, Korea
| | - M Yang
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing, 100049, China
| | - Y Yang
- National Cheng Kung University, Tainan, 70101, Taiwan
| | - H Yi
- Southeast University (SEU), Nanjing, 210096, China
| | - Y J Yu
- Institute of Electrical Engineering (IEE), Chinese Academy of Sciences, Beijing, 100190, China
| | - Z Q Yu
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing, 100049, China
| | - M Zannoni
- INFN Sezione di Milano-Bicocca, I-20126 Milano, Italy
- Università di Milano-Bicocca, I-20126 Milano, Italy
| | - S Zeissler
- Institut für Experimentelle Teilchenphysik, Karlsruhe Institute of Technology (KIT), D-76131 Karlsruhe, Germany
| | - C Zhang
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing, 100049, China
| | - F Zhang
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing, 100049, China
| | - J Zhang
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - J H Zhang
- Southeast University (SEU), Nanjing, 210096, China
| | - S W Zhang
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing, 100049, China
- University of Chinese Academy of Sciences (UCAS), Beijing, 100049, China
| | - Z Zhang
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - Z M Zheng
- Beihang University (BUAA), Beijing, 100191, China
| | - H L Zhuang
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing, 100049, China
| | - V Zhukov
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - A Zichichi
- INFN Sezione di Bologna, I-40126 Bologna, Italy
- Università di Bologna, I-40126 Bologna, Italy
| | - N Zimmermann
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - P Zuccon
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
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Edlow BL, Keene CD, Perl DP, Iacono D, Folkerth RD, Stewart W, Mac Donald CL, Augustinack J, Diaz-Arrastia R, Estrada C, Flannery E, Gordon WA, Grabowski TJ, Hansen K, Hoffman J, Kroenke C, Larson EB, Lee P, Mareyam A, McNab JA, McPhee J, Moreau AL, Renz A, Richmire K, Stevens A, Tang CY, Tirrell LS, Trittschuh EH, van der Kouwe A, Varjabedian A, Wald LL, Wu O, Yendiki A, Young L, Zöllei L, Fischl B, Crane PK, Dams-O'Connor K. Multimodal Characterization of the Late Effects of Traumatic Brain Injury: A Methodological Overview of the Late Effects of Traumatic Brain Injury Project. J Neurotrauma 2018; 35:1604-1619. [PMID: 29421973 DOI: 10.1089/neu.2017.5457] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
Epidemiological studies suggest that a single moderate-to-severe traumatic brain injury (TBI) is associated with an increased risk of neurodegenerative disease, including Alzheimer's disease (AD) and Parkinson's disease (PD). Histopathological studies describe complex neurodegenerative pathologies in individuals exposed to single moderate-to-severe TBI or repetitive mild TBI, including chronic traumatic encephalopathy (CTE). However, the clinicopathological links between TBI and post-traumatic neurodegenerative diseases such as AD, PD, and CTE remain poorly understood. Here, we describe the methodology of the Late Effects of TBI (LETBI) study, whose goals are to characterize chronic post-traumatic neuropathology and to identify in vivo biomarkers of post-traumatic neurodegeneration. LETBI participants undergo extensive clinical evaluation using National Institutes of Health TBI Common Data Elements, proteomic and genomic analysis, structural and functional magnetic resonance imaging (MRI), and prospective consent for brain donation. Selected brain specimens undergo ultra-high resolution ex vivo MRI and histopathological evaluation including whole-mount analysis. Co-registration of ex vivo and in vivo MRI data enables identification of ex vivo lesions that were present during life. In vivo signatures of postmortem pathology are then correlated with cognitive and behavioral data to characterize the clinical phenotype(s) associated with pathological brain lesions. We illustrate the study methods and demonstrate proof of concept for this approach by reporting results from the first LETBI participant, who despite the presence of multiple in vivo and ex vivo pathoanatomic lesions had normal cognition and was functionally independent until her mid-80s. The LETBI project represents a multidisciplinary effort to characterize post-traumatic neuropathology and identify in vivo signatures of postmortem pathology in a prospective study.
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Affiliation(s)
- Brian L Edlow
- 1 Department of Neurology, Massachusetts General Hospital and Harvard Medical School , Boston, Massachusetts.,2 Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School , Charlestown, Massachusetts
| | - C Dirk Keene
- 3 Department of Pathology, University of Washington , Seattle, Washington
| | - Daniel P Perl
- 4 Brain Tissue Repository and Neuropathology Core, Uniformed Services University of the Health Sciences , Bethesda, Maryland.,5 Department of Pathology, Uniformed Services University of the Health Sciences , Bethesda, Maryland
| | - Diego Iacono
- 4 Brain Tissue Repository and Neuropathology Core, Uniformed Services University of the Health Sciences , Bethesda, Maryland.,5 Department of Pathology, Uniformed Services University of the Health Sciences , Bethesda, Maryland.,6 Department of Neurology, Uniformed Services University of the Health Sciences , Bethesda, Maryland.,7 The Henry M. Jackson Foundation for the Advancement of Military Medicine , Bethesda, Maryland
| | - Rebecca D Folkerth
- 8 Department of Pathology, Brigham and Women's Hospital , Harvard Medical School, Boston, Massachusetts.,9 City of New York Office of the Chief Medical Examiner and New York University School of Medicine , New York, New York
| | - William Stewart
- 10 Department of Neuropathology, Queen Elizabeth University Hospital and Institute of Neuroscience and Psychology, University of Glasgow , United Kingdom
| | | | - Jean Augustinack
- 2 Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School , Charlestown, Massachusetts
| | - Ramon Diaz-Arrastia
- 12 Department of Neurology and Center for Brain Injury and Repair, Hospital of the University of Pennsylvania , Philadelphia
| | - Camilo Estrada
- 13 Kaiser Permanente Washington Health Research Institute , Seattle, Washington
| | - Elissa Flannery
- 14 Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai , New York, New York
| | - Wayne A Gordon
- 14 Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai , New York, New York
| | - Thomas J Grabowski
- 15 Department of Neurology, University of Washington , Seattle, Washington.,16 Department of Radiology, University of Washington , Seattle, Washington
| | - Kelly Hansen
- 13 Kaiser Permanente Washington Health Research Institute , Seattle, Washington
| | - Jeanne Hoffman
- 17 Department of Rehabilitation Medicine, University of Washington , Seattle, Washington
| | - Christopher Kroenke
- 18 Advanced Imaging Research Center, Oregon Health and Science University , Portland, Oregon
| | - Eric B Larson
- 13 Kaiser Permanente Washington Health Research Institute , Seattle, Washington
| | - Patricia Lee
- 4 Brain Tissue Repository and Neuropathology Core, Uniformed Services University of the Health Sciences , Bethesda, Maryland.,7 The Henry M. Jackson Foundation for the Advancement of Military Medicine , Bethesda, Maryland
| | - Azma Mareyam
- 2 Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School , Charlestown, Massachusetts
| | - Jennifer A McNab
- 19 Department of Radiology, Stanford University , Stanford, California
| | - Jeanne McPhee
- 14 Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai , New York, New York
| | - Allison L Moreau
- 2 Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School , Charlestown, Massachusetts
| | - Anne Renz
- 13 Kaiser Permanente Washington Health Research Institute , Seattle, Washington
| | - KatieRose Richmire
- 13 Kaiser Permanente Washington Health Research Institute , Seattle, Washington
| | - Allison Stevens
- 2 Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School , Charlestown, Massachusetts
| | - Cheuk Y Tang
- 20 Department of Radiology, Icahn School of Medicine at Mount Sinai , New York, New York
| | - Lee S Tirrell
- 2 Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School , Charlestown, Massachusetts
| | - Emily H Trittschuh
- 21 Department of Psychiatry and Behavioral Sciences, University of Washington , Seattle, Washington.,22 Geriatric Research Education and Clinical Center , VA Puget Sound Health Care System, Seattle, Washington
| | - Andre van der Kouwe
- 2 Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School , Charlestown, Massachusetts
| | - Ani Varjabedian
- 2 Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School , Charlestown, Massachusetts
| | - Lawrence L Wald
- 2 Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School , Charlestown, Massachusetts
| | - Ona Wu
- 2 Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School , Charlestown, Massachusetts
| | - Anastasia Yendiki
- 2 Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School , Charlestown, Massachusetts
| | - Liza Young
- 16 Department of Radiology, University of Washington , Seattle, Washington
| | - Lilla Zöllei
- 2 Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School , Charlestown, Massachusetts
| | - Bruce Fischl
- 2 Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School , Charlestown, Massachusetts
| | - Paul K Crane
- 23 Department of Medicine, University of Washington , Seattle, Washington
| | - Kristen Dams-O'Connor
- 14 Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai , New York, New York.,24 Department of Neurology, Icahn School of Medicine at Mount Sinai , New York, New York
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Dams-OʼConnor K, Mellick D, Dreer LE, Hammond FM, Hoffman J, Landau A, Zafonte R, Pretz C. Rehospitalization Over 10 Years Among Survivors of TBI: A National Institute on Disability, Independent Living, and Rehabilitation Research Traumatic Brain Injury Model Systems Study. J Head Trauma Rehabil 2018; 32:147-157. [PMID: 28476056 PMCID: PMC5421391 DOI: 10.1097/htr.0000000000000263] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To describe the rates and causes for rehospitalization over 10 years after moderate-severe traumatic brain injury (TBI), and to characterize longitudinal trajectories of the probability of rehospitalization using generalized linear mixed models and individual growth curve models conditioned on factors that help explain individual variability in rehospitalization risk over time. DESIGN Secondary analysis of data from a multicenter longitudinal cohort study. SETTING Acute inpatient rehabilitation facilities and community follow-up. PARTICIPANTS Individuals 16 years and older with a primary diagnosis of TBI. MAIN OUTCOME MEASURES Rehospitalization (and reason for rehospitalization) as reported by participants or proxy during follow-up telephone interviews at 1, 2, 5, and 10 years postinjury. RESULTS The greatest number of rehospitalizations occurred in the first year postinjury (27.8% of the sample), and the rates of rehospitalization remained largely stable (22.1%-23.4%) at 2, 5, and 10 years. Reasons for rehospitalization varied over time: Orthopedic and reconstructive surgery rehospitalizations were most common in year 1, whereas general health maintenance was most common by year 2 with rates increasing at each follow-up. Longitudinal models indicate that multiple demographic and injury-related factors are associated with the probability of rehospitalization over time. CONCLUSIONS These findings can inform the content and timing of interventions to improve health and longevity after TBI.
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Affiliation(s)
- Kristen Dams-OʼConnor
- Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, New York (Dr Dams-O'Connor and Ms Landau); Research Department, Craig Hospital, Englewood, Colorado (Mr Mellick and Dr Pretz); Departments of Physical Medicine and Rehabilitation and Ophthalmology, University of Alabama, Birmingham (Dr Dreer); Indiana University School of Medicine, Indianapolis (Dr Hammond); Department of Rehabilitation Medicine, University of Washington, Seattle (Dr Hoffman); and Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Massachusetts General Hospital, Brigham and Women's Hospital Harvard Medical School, Boston (Dr Zafonte)
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Martín M, Hoffman J, Ruiz-Borrego M, Muñoz M, Calvo L, Crownover P, García-Sáenz JA, Alba E, Wang D, Thallinger C, Stradella A, Montaño Á, Adamo B, Antolín S, Moreno-Antón F, Falo C, Ruiz V, Martín N, Caballero R, Carrasco E, Gil-Gil M. Abstract P5-21-23: Evaluation of the drug interaction potential of palbociclib and exemestane – Results from the PEARL pharmacokinetic sub-Study. Cancer Res 2018. [DOI: 10.1158/1538-7445.sabcs17-p5-21-23] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [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: Palbociclib (PAL) is an oral cyclin-dependent kinase (CDK) 4/6 inhibitor that is under investigation in multiple oncologic clinical trials and is currently approved for use in combination with aromatase inhibitors (AIs) or fulvestrant (FUL) in patients with hormone receptor positive (HR+), human epidermal growth factor receptor 2 negative (HER2–) advanced breast cancer (BC).
The PEARL Study is an ongoing international, open label, controlled, randomized Phase 3 study comparing the efficacy and safety of PAL in combination with endocrine therapy (exemestane [EXE] or FUL) versus capecitabine in postmenopausal women with HR+/ HER2– metastatic BC whose disease progressed on AIs. A secondary objective of the study was to evaluate the pharmacokinetics (PK) of PAL (125mg QD, 3 weeks on/1 week off) and EXE (25mg QD, continuously) when coadministered. This is the first study to investigate the drug-drug interaction (DDI) potential of the combination of PAL and the AI EXE.
Methods: Patients (pts) randomized to the PAL+EXE arm of the PEARL Study in seven selected sites had the option of participating in the PK sub-study. Those who enrolled in the PK sub-study received EXE alone in a 7-day lead-in period immediately prior to Cycle 1 Day 1, when both drugs were coadministered on their standard dosing regimens. Sub-study pts were to have 2 pre-dose plasma PK samples drawn at steady-state (ss) during the lead-in period ("EXE Alone") for EXE determination, and 2 ss PK samples drawn for EXE and PAL determination (2 per analyte) during coadministration ("PAL+EXE"). Plasma concentrations of PAL and EXE were measured using validated liquid chromatography-tandem mass spectrometry (LC-MS/MS) methods. The withinpatient mean concentration of the PK samples which met ss acceptance criteria (WPM-Ctrough) for each analyte were generated for each treatment period as the input for DDI analyses.
To assess the effect of coadministration of PAL on EXE PK, the WPM-Ctrough of EXE was compared within patients between the "PAL+EXE" (Test) and "EXE Alone" (Reference) treatment periods using a one-way analysis of variance (ANOVA) model with treatment as a fixed effect and patient as a random effect. To assess the effect of coadministration of EXE on PAL PK, the WPM-Ctrough of PAL was compared between the "PAL+EXE" period (Test) and historical data (Reference) using an ANOVA model. Analysis of covariance (ANCOVA) models were used to assess the impact of demographic differences between analysis populations in covariates known to impact PAL PK on the ANOVA model conclusions.
Results: A total of 26 pts randomized to the PAL+EXE arm were enrolled in the PK sub-study and had PK samples analysed, of which 23 meet ss acceptance criteria. The ratio of the adjusted geometric means for EXE WPM-Ctrough was 106.9% (90%CI: 82.4-138.8), when EXE was administered with PAL, compared with its administration alone. Likewise, the models to assess potential for EXE to perpetrate DDI on PAL PK showed ratios of adjusted geometric means of 102.4% (90%CI: 82.0-127.9) and 111.6% (90%CI: 90.3137.8), when adjusted for covariates.
Conclusion: The PK data indicate a lack of a clinically meaningful DDI between PAL and EXE when the 2 drugs are coadministered.
Sponsor: GEICAM
Citation Format: Martín M, Hoffman J, Ruiz-Borrego M, Muñoz M, Calvo L, Crownover P, García-Sáenz JA, Alba E, Wang D, Thallinger C, Stradella A, Montaño Á, Adamo B, Antolín S, Moreno-Antón F, Falo C, Ruiz V, Martín N, Caballero R, Carrasco E, Gil-Gil M. Evaluation of the drug interaction potential of palbociclib and exemestane – Results from the PEARL pharmacokinetic sub-Study [abstract]. In: Proceedings of the 2017 San Antonio Breast Cancer Symposium; 2017 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2018;78(4 Suppl):Abstract nr P5-21-23.
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Affiliation(s)
- M Martín
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; GEICAM Spanish Breast Cancer Group, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Pfizer, Inc, CA; Hospital Universitario Virgen del Rocío, Madrid, Spain; Hospital Universitari Clinic de Barcelona, Barcelona, Spain; Complejo Hospitalario Universitario A Coruña, A Coruna, Spain; Hospital Universitario Clínico San Carlos, Madrid, Spain; Hospital Universitario Regional y Virgen de la Victoria. IBIMA, Malaga, Spain; Univ. Klinik für Innere Medizin I, Währinger Gürtel, Vienna, Austria; Institut Catalá d'Oncologia (ICO), L'Hospitalet, Barcelona, Spain; Pfizer, Inc., CT
| | - J Hoffman
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; GEICAM Spanish Breast Cancer Group, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Pfizer, Inc, CA; Hospital Universitario Virgen del Rocío, Madrid, Spain; Hospital Universitari Clinic de Barcelona, Barcelona, Spain; Complejo Hospitalario Universitario A Coruña, A Coruna, Spain; Hospital Universitario Clínico San Carlos, Madrid, Spain; Hospital Universitario Regional y Virgen de la Victoria. IBIMA, Malaga, Spain; Univ. Klinik für Innere Medizin I, Währinger Gürtel, Vienna, Austria; Institut Catalá d'Oncologia (ICO), L'Hospitalet, Barcelona, Spain; Pfizer, Inc., CT
| | - M Ruiz-Borrego
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; GEICAM Spanish Breast Cancer Group, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Pfizer, Inc, CA; Hospital Universitario Virgen del Rocío, Madrid, Spain; Hospital Universitari Clinic de Barcelona, Barcelona, Spain; Complejo Hospitalario Universitario A Coruña, A Coruna, Spain; Hospital Universitario Clínico San Carlos, Madrid, Spain; Hospital Universitario Regional y Virgen de la Victoria. IBIMA, Malaga, Spain; Univ. Klinik für Innere Medizin I, Währinger Gürtel, Vienna, Austria; Institut Catalá d'Oncologia (ICO), L'Hospitalet, Barcelona, Spain; Pfizer, Inc., CT
| | - M Muñoz
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; GEICAM Spanish Breast Cancer Group, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Pfizer, Inc, CA; Hospital Universitario Virgen del Rocío, Madrid, Spain; Hospital Universitari Clinic de Barcelona, Barcelona, Spain; Complejo Hospitalario Universitario A Coruña, A Coruna, Spain; Hospital Universitario Clínico San Carlos, Madrid, Spain; Hospital Universitario Regional y Virgen de la Victoria. IBIMA, Malaga, Spain; Univ. Klinik für Innere Medizin I, Währinger Gürtel, Vienna, Austria; Institut Catalá d'Oncologia (ICO), L'Hospitalet, Barcelona, Spain; Pfizer, Inc., CT
| | - L Calvo
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; GEICAM Spanish Breast Cancer Group, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Pfizer, Inc, CA; Hospital Universitario Virgen del Rocío, Madrid, Spain; Hospital Universitari Clinic de Barcelona, Barcelona, Spain; Complejo Hospitalario Universitario A Coruña, A Coruna, Spain; Hospital Universitario Clínico San Carlos, Madrid, Spain; Hospital Universitario Regional y Virgen de la Victoria. IBIMA, Malaga, Spain; Univ. Klinik für Innere Medizin I, Währinger Gürtel, Vienna, Austria; Institut Catalá d'Oncologia (ICO), L'Hospitalet, Barcelona, Spain; Pfizer, Inc., CT
| | - P Crownover
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; GEICAM Spanish Breast Cancer Group, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Pfizer, Inc, CA; Hospital Universitario Virgen del Rocío, Madrid, Spain; Hospital Universitari Clinic de Barcelona, Barcelona, Spain; Complejo Hospitalario Universitario A Coruña, A Coruna, Spain; Hospital Universitario Clínico San Carlos, Madrid, Spain; Hospital Universitario Regional y Virgen de la Victoria. IBIMA, Malaga, Spain; Univ. Klinik für Innere Medizin I, Währinger Gürtel, Vienna, Austria; Institut Catalá d'Oncologia (ICO), L'Hospitalet, Barcelona, Spain; Pfizer, Inc., CT
| | - JA García-Sáenz
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; GEICAM Spanish Breast Cancer Group, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Pfizer, Inc, CA; Hospital Universitario Virgen del Rocío, Madrid, Spain; Hospital Universitari Clinic de Barcelona, Barcelona, Spain; Complejo Hospitalario Universitario A Coruña, A Coruna, Spain; Hospital Universitario Clínico San Carlos, Madrid, Spain; Hospital Universitario Regional y Virgen de la Victoria. IBIMA, Malaga, Spain; Univ. Klinik für Innere Medizin I, Währinger Gürtel, Vienna, Austria; Institut Catalá d'Oncologia (ICO), L'Hospitalet, Barcelona, Spain; Pfizer, Inc., CT
| | - E Alba
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; GEICAM Spanish Breast Cancer Group, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Pfizer, Inc, CA; Hospital Universitario Virgen del Rocío, Madrid, Spain; Hospital Universitari Clinic de Barcelona, Barcelona, Spain; Complejo Hospitalario Universitario A Coruña, A Coruna, Spain; Hospital Universitario Clínico San Carlos, Madrid, Spain; Hospital Universitario Regional y Virgen de la Victoria. IBIMA, Malaga, Spain; Univ. Klinik für Innere Medizin I, Währinger Gürtel, Vienna, Austria; Institut Catalá d'Oncologia (ICO), L'Hospitalet, Barcelona, Spain; Pfizer, Inc., CT
| | - D Wang
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; GEICAM Spanish Breast Cancer Group, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Pfizer, Inc, CA; Hospital Universitario Virgen del Rocío, Madrid, Spain; Hospital Universitari Clinic de Barcelona, Barcelona, Spain; Complejo Hospitalario Universitario A Coruña, A Coruna, Spain; Hospital Universitario Clínico San Carlos, Madrid, Spain; Hospital Universitario Regional y Virgen de la Victoria. IBIMA, Malaga, Spain; Univ. Klinik für Innere Medizin I, Währinger Gürtel, Vienna, Austria; Institut Catalá d'Oncologia (ICO), L'Hospitalet, Barcelona, Spain; Pfizer, Inc., CT
| | - C Thallinger
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; GEICAM Spanish Breast Cancer Group, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Pfizer, Inc, CA; Hospital Universitario Virgen del Rocío, Madrid, Spain; Hospital Universitari Clinic de Barcelona, Barcelona, Spain; Complejo Hospitalario Universitario A Coruña, A Coruna, Spain; Hospital Universitario Clínico San Carlos, Madrid, Spain; Hospital Universitario Regional y Virgen de la Victoria. IBIMA, Malaga, Spain; Univ. Klinik für Innere Medizin I, Währinger Gürtel, Vienna, Austria; Institut Catalá d'Oncologia (ICO), L'Hospitalet, Barcelona, Spain; Pfizer, Inc., CT
| | - A Stradella
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; GEICAM Spanish Breast Cancer Group, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Pfizer, Inc, CA; Hospital Universitario Virgen del Rocío, Madrid, Spain; Hospital Universitari Clinic de Barcelona, Barcelona, Spain; Complejo Hospitalario Universitario A Coruña, A Coruna, Spain; Hospital Universitario Clínico San Carlos, Madrid, Spain; Hospital Universitario Regional y Virgen de la Victoria. IBIMA, Malaga, Spain; Univ. Klinik für Innere Medizin I, Währinger Gürtel, Vienna, Austria; Institut Catalá d'Oncologia (ICO), L'Hospitalet, Barcelona, Spain; Pfizer, Inc., CT
| | - Á Montaño
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; GEICAM Spanish Breast Cancer Group, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Pfizer, Inc, CA; Hospital Universitario Virgen del Rocío, Madrid, Spain; Hospital Universitari Clinic de Barcelona, Barcelona, Spain; Complejo Hospitalario Universitario A Coruña, A Coruna, Spain; Hospital Universitario Clínico San Carlos, Madrid, Spain; Hospital Universitario Regional y Virgen de la Victoria. IBIMA, Malaga, Spain; Univ. Klinik für Innere Medizin I, Währinger Gürtel, Vienna, Austria; Institut Catalá d'Oncologia (ICO), L'Hospitalet, Barcelona, Spain; Pfizer, Inc., CT
| | - B Adamo
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; GEICAM Spanish Breast Cancer Group, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Pfizer, Inc, CA; Hospital Universitario Virgen del Rocío, Madrid, Spain; Hospital Universitari Clinic de Barcelona, Barcelona, Spain; Complejo Hospitalario Universitario A Coruña, A Coruna, Spain; Hospital Universitario Clínico San Carlos, Madrid, Spain; Hospital Universitario Regional y Virgen de la Victoria. IBIMA, Malaga, Spain; Univ. Klinik für Innere Medizin I, Währinger Gürtel, Vienna, Austria; Institut Catalá d'Oncologia (ICO), L'Hospitalet, Barcelona, Spain; Pfizer, Inc., CT
| | - S Antolín
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; GEICAM Spanish Breast Cancer Group, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Pfizer, Inc, CA; Hospital Universitario Virgen del Rocío, Madrid, Spain; Hospital Universitari Clinic de Barcelona, Barcelona, Spain; Complejo Hospitalario Universitario A Coruña, A Coruna, Spain; Hospital Universitario Clínico San Carlos, Madrid, Spain; Hospital Universitario Regional y Virgen de la Victoria. IBIMA, Malaga, Spain; Univ. Klinik für Innere Medizin I, Währinger Gürtel, Vienna, Austria; Institut Catalá d'Oncologia (ICO), L'Hospitalet, Barcelona, Spain; Pfizer, Inc., CT
| | - F Moreno-Antón
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; GEICAM Spanish Breast Cancer Group, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Pfizer, Inc, CA; Hospital Universitario Virgen del Rocío, Madrid, Spain; Hospital Universitari Clinic de Barcelona, Barcelona, Spain; Complejo Hospitalario Universitario A Coruña, A Coruna, Spain; Hospital Universitario Clínico San Carlos, Madrid, Spain; Hospital Universitario Regional y Virgen de la Victoria. IBIMA, Malaga, Spain; Univ. Klinik für Innere Medizin I, Währinger Gürtel, Vienna, Austria; Institut Catalá d'Oncologia (ICO), L'Hospitalet, Barcelona, Spain; Pfizer, Inc., CT
| | - C Falo
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; GEICAM Spanish Breast Cancer Group, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Pfizer, Inc, CA; Hospital Universitario Virgen del Rocío, Madrid, Spain; Hospital Universitari Clinic de Barcelona, Barcelona, Spain; Complejo Hospitalario Universitario A Coruña, A Coruna, Spain; Hospital Universitario Clínico San Carlos, Madrid, Spain; Hospital Universitario Regional y Virgen de la Victoria. IBIMA, Malaga, Spain; Univ. Klinik für Innere Medizin I, Währinger Gürtel, Vienna, Austria; Institut Catalá d'Oncologia (ICO), L'Hospitalet, Barcelona, Spain; Pfizer, Inc., CT
| | - V Ruiz
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; GEICAM Spanish Breast Cancer Group, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Pfizer, Inc, CA; Hospital Universitario Virgen del Rocío, Madrid, Spain; Hospital Universitari Clinic de Barcelona, Barcelona, Spain; Complejo Hospitalario Universitario A Coruña, A Coruna, Spain; Hospital Universitario Clínico San Carlos, Madrid, Spain; Hospital Universitario Regional y Virgen de la Victoria. IBIMA, Malaga, Spain; Univ. Klinik für Innere Medizin I, Währinger Gürtel, Vienna, Austria; Institut Catalá d'Oncologia (ICO), L'Hospitalet, Barcelona, Spain; Pfizer, Inc., CT
| | - N Martín
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; GEICAM Spanish Breast Cancer Group, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Pfizer, Inc, CA; Hospital Universitario Virgen del Rocío, Madrid, Spain; Hospital Universitari Clinic de Barcelona, Barcelona, Spain; Complejo Hospitalario Universitario A Coruña, A Coruna, Spain; Hospital Universitario Clínico San Carlos, Madrid, Spain; Hospital Universitario Regional y Virgen de la Victoria. IBIMA, Malaga, Spain; Univ. Klinik für Innere Medizin I, Währinger Gürtel, Vienna, Austria; Institut Catalá d'Oncologia (ICO), L'Hospitalet, Barcelona, Spain; Pfizer, Inc., CT
| | - R Caballero
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; GEICAM Spanish Breast Cancer Group, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Pfizer, Inc, CA; Hospital Universitario Virgen del Rocío, Madrid, Spain; Hospital Universitari Clinic de Barcelona, Barcelona, Spain; Complejo Hospitalario Universitario A Coruña, A Coruna, Spain; Hospital Universitario Clínico San Carlos, Madrid, Spain; Hospital Universitario Regional y Virgen de la Victoria. IBIMA, Malaga, Spain; Univ. Klinik für Innere Medizin I, Währinger Gürtel, Vienna, Austria; Institut Catalá d'Oncologia (ICO), L'Hospitalet, Barcelona, Spain; Pfizer, Inc., CT
| | - E Carrasco
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; GEICAM Spanish Breast Cancer Group, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Pfizer, Inc, CA; Hospital Universitario Virgen del Rocío, Madrid, Spain; Hospital Universitari Clinic de Barcelona, Barcelona, Spain; Complejo Hospitalario Universitario A Coruña, A Coruna, Spain; Hospital Universitario Clínico San Carlos, Madrid, Spain; Hospital Universitario Regional y Virgen de la Victoria. IBIMA, Malaga, Spain; Univ. Klinik für Innere Medizin I, Währinger Gürtel, Vienna, Austria; Institut Catalá d'Oncologia (ICO), L'Hospitalet, Barcelona, Spain; Pfizer, Inc., CT
| | - M Gil-Gil
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; GEICAM Spanish Breast Cancer Group, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Pfizer, Inc, CA; Hospital Universitario Virgen del Rocío, Madrid, Spain; Hospital Universitari Clinic de Barcelona, Barcelona, Spain; Complejo Hospitalario Universitario A Coruña, A Coruna, Spain; Hospital Universitario Clínico San Carlos, Madrid, Spain; Hospital Universitario Regional y Virgen de la Victoria. IBIMA, Malaga, Spain; Univ. Klinik für Innere Medizin I, Währinger Gürtel, Vienna, Austria; Institut Catalá d'Oncologia (ICO), L'Hospitalet, Barcelona, Spain; Pfizer, Inc., CT
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Affiliation(s)
- Kristen Dams-O’Connor
- Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Alexandra Landau
- Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Jeanne Hoffman
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA
| | - Jef St De Lore
- Department of Neurological Surgery, University of Washington, Seattle, WA, USA
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Aguilar M, Ali Cavasonza L, Alpat B, Ambrosi G, Arruda L, Attig N, Aupetit S, Azzarello P, Bachlechner A, Barao F, Barrau A, Barrin L, Bartoloni A, Basara L, Başeğmez-du Pree S, Battarbee M, Battiston R, Becker U, Behlmann M, Beischer B, Berdugo J, Bertucci B, Bindel KF, Bindi V, de Boer W, Bollweg K, Bonnivard V, Borgia B, Boschini MJ, Bourquin M, Bueno EF, Burger J, Burger WJ, Cadoux F, Cai XD, Capell M, Caroff S, Casaus J, Castellini G, Cervelli F, Chae MJ, Chang YH, Chen AI, Chen GM, Chen HS, Cheng L, Chou HY, Choumilov E, Choutko V, Chung CH, Clark C, Clavero R, Coignet G, Consolandi C, Contin A, Corti C, Creus W, Crispoltoni M, Cui Z, Dadzie K, Dai YM, Datta A, Delgado C, Della Torre S, Demakov O, Demirköz MB, Derome L, Di Falco S, Dimiccoli F, Díaz C, von Doetinchem P, Dong F, Donnini F, Duranti M, D'Urso D, Egorov A, Eline A, Eronen T, Feng J, Fiandrini E, Fisher P, Formato V, Galaktionov Y, Gallucci G, García-López RJ, Gargiulo C, Gast H, Gebauer I, Gervasi M, Ghelfi A, Giovacchini F, Gómez-Coral DM, Gong J, Goy C, Grabski V, Grandi D, Graziani M, Guo KH, Haino S, Han KC, He ZH, Heil M, Hoffman J, Hsieh TH, Huang H, Huang ZC, Huh C, Incagli M, Ionica M, Jang WY, Jia Y, Jinchi H, Kang SC, Kanishev K, Khiali B, Kim GN, Kim KS, Kirn T, Konak C, Kounina O, Kounine A, Koutsenko V, Kulemzin A, La Vacca G, Laudi E, Laurenti G, Lazzizzera I, Lebedev A, Lee HT, Lee SC, Leluc C, Li HS, Li JQ, Li Q, Li TX, Li Y, Li ZH, Li ZY, Lim S, Lin CH, Lipari P, Lippert T, Liu D, Liu H, Lordello VD, Lu SQ, Lu YS, Luebelsmeyer K, Luo F, Luo JZ, Lyu SS, Machate F, Mañá C, Marín J, Martin T, Martínez G, Masi N, Maurin D, Menchaca-Rocha A, Meng Q, Mikuni VM, Mo DC, Mott P, Nelson T, Ni JQ, Nikonov N, Nozzoli F, Oliva A, Orcinha M, Palmonari F, Palomares C, Paniccia M, Pauluzzi M, Pensotti S, Perrina C, Phan HD, Picot-Clemente N, Pilo F, Pizzolotto C, Plyaskin V, Pohl M, Poireau V, Quadrani L, Qi XM, Qin X, Qu ZY, Räihä T, Rancoita PG, Rapin D, Ricol JS, Rosier-Lees S, Rozhkov A, Rozza D, Sagdeev R, Schael S, Schmidt SM, Schulz von Dratzig A, Schwering G, Seo ES, Shan BS, Shi JY, Siedenburg T, Son D, Song JW, Tacconi M, Tang XW, Tang ZC, Tescaro D, Ting SCC, Ting SM, Tomassetti N, Torsti J, Türkoğlu C, Urban T, Vagelli V, Valente E, Valtonen E, Vázquez Acosta M, Vecchi M, Velasco M, Vialle JP, Vitale V, Vitillo S, Wang LQ, Wang NH, Wang QL, Wang X, Wang XQ, Wang ZX, Wei CC, Weng ZL, Whitman K, Wu H, Wu X, Xiong RQ, Xu W, Yan Q, Yang J, Yang M, Yang Y, Yi H, Yu YJ, Yu ZQ, Zannoni M, Zeissler S, Zhang C, Zhang F, Zhang J, Zhang JH, Zhang SW, Zhang Z, Zheng ZM, Zhuang HL, Zhukov V, Zichichi A, Zimmermann N, Zuccon P. Observation of the Identical Rigidity Dependence of He, C, and O Cosmic Rays at High Rigidities by the Alpha Magnetic Spectrometer on the International Space Station. Phys Rev Lett 2017; 119:251101. [PMID: 29303302 DOI: 10.1103/physrevlett.119.251101] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/28/2017] [Indexed: 06/07/2023]
Abstract
We report the observation of new properties of primary cosmic rays He, C, and O measured in the rigidity (momentum/charge) range 2 GV to 3 TV with 90×10^{6} helium, 8.4×10^{6} carbon, and 7.0×10^{6} oxygen nuclei collected by the Alpha Magnetic Spectrometer (AMS) during the first five years of operation. Above 60 GV, these three spectra have identical rigidity dependence. They all deviate from a single power law above 200 GV and harden in an identical way.
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Affiliation(s)
- M Aguilar
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - L Ali Cavasonza
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - B Alpat
- INFN Sezione di Perugia, I-06100 Perugia, Italy
| | - G Ambrosi
- INFN Sezione di Perugia, I-06100 Perugia, Italy
| | - L Arruda
- Laboratório de Instrumentação e Física Experimental de Partículas (LIP), P-1000 Lisboa, Portugal
| | - N Attig
- Jülich Supercomputing Centre and JARA-FAME, Research Centre Jülich, D-52425 Jülich, Germany
| | - S Aupetit
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), CNRS/IN2P3 and Université Grenoble-Alpes, F-38026 Grenoble, France
| | - P Azzarello
- DPNC, Université de Genève, CH-1211 Genève 4, Switzerland
| | - A Bachlechner
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - F Barao
- Laboratório de Instrumentação e Física Experimental de Partículas (LIP), P-1000 Lisboa, Portugal
| | - A Barrau
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), CNRS/IN2P3 and Université Grenoble-Alpes, F-38026 Grenoble, France
| | - L Barrin
- European Organization for Nuclear Research (CERN), CH-1211 Geneva 23, Switzerland
| | | | - L Basara
- INFN TIFPA, I-38123 Povo, Trento, Italy
| | - S Başeğmez-du Pree
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing 100049, China
| | - M Battarbee
- Space Research Laboratory, Department of Physics and Astronomy, University of Turku, FI-20014 Turku, Finland
| | - R Battiston
- INFN TIFPA, I-38123 Povo, Trento, Italy
- Università di Trento, I-38123 Povo, Trento, Italy
| | - U Becker
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - M Behlmann
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - B Beischer
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - J Berdugo
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - B Bertucci
- INFN Sezione di Perugia, I-06100 Perugia, Italy
- Università di Perugia, I-06100 Perugia, Italy
| | - K F Bindel
- Institut für Experimentelle Teilchenphysik, Karlsruhe Institute of Technology (KIT), D-76131 Karlsruhe, Germany
| | - V Bindi
- Physics and Astronomy Department, University of Hawaii, Honolulu, Hawaii 96822, USA
| | - W de Boer
- Institut für Experimentelle Teilchenphysik, Karlsruhe Institute of Technology (KIT), D-76131 Karlsruhe, Germany
| | - K Bollweg
- National Aeronautics and Space Administration Johnson Space Center (JSC), Jacobs Engineering, and Business Integra, Houston, Texas 77058, USA
| | - V Bonnivard
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), CNRS/IN2P3 and Université Grenoble-Alpes, F-38026 Grenoble, France
| | - B Borgia
- INFN Sezione di Roma 1, I-00185 Roma, Italy
- Università di Roma La Sapienza, I-00185 Roma, Italy
| | - M J Boschini
- INFN Sezione di Milano-Bicocca, I-20126 Milano, Italy
| | - M Bourquin
- DPNC, Université de Genève, CH-1211 Genève 4, Switzerland
| | - E F Bueno
- Instituto de Física de São Carlos, Universidade de São Paulo, CP 369, 13560-970 São Carlos, São Paulo, São Paulo, Brazil
| | - J Burger
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | | | - F Cadoux
- DPNC, Université de Genève, CH-1211 Genève 4, Switzerland
| | - X D Cai
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - M Capell
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - S Caroff
- Laboratoire d'Annecy-le-Vieux de Physique des Particules (LAPP), CNRS/IN2P3 and Université Savoie Mont Blanc, F-74941 Annecy-le-Vieux, France
| | - J Casaus
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | | | - F Cervelli
- INFN Sezione di Pisa, I-56100 Pisa, Italy
| | - M J Chae
- Department of Physics, Ewha Womans University, Seoul 120-750, Korea
| | - Y H Chang
- National Central University (NCU), Chung-Li, Tao Yuan 32054, Taiwan
| | - A I Chen
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - G M Chen
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing 100049, China
| | - H S Chen
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing 100049, China
- University of Chinese Academy of Sciences (UCAS), Beijing 100049, China
| | - L Cheng
- Shandong University (SDU), Jinan, Shandong 250100, China
| | - H Y Chou
- National Central University (NCU), Chung-Li, Tao Yuan 32054, Taiwan
| | - E Choumilov
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - V Choutko
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - C H Chung
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - C Clark
- National Aeronautics and Space Administration Johnson Space Center (JSC), Jacobs Engineering, and Business Integra, Houston, Texas 77058, USA
| | - R Clavero
- Instituto de Astrofísica de Canarias (IAC), E-38205 La Laguna, and Departamento de Astrofísica, Universidad de La Laguna, E-38206 La Laguna, Tenerife, Spain
| | - G Coignet
- Laboratoire d'Annecy-le-Vieux de Physique des Particules (LAPP), CNRS/IN2P3 and Université Savoie Mont Blanc, F-74941 Annecy-le-Vieux, France
| | - C Consolandi
- Physics and Astronomy Department, University of Hawaii, Honolulu, Hawaii 96822, USA
| | - A Contin
- INFN Sezione di Bologna, I-40126 Bologna, Italy
- Università di Bologna, I-40126 Bologna, Italy
| | - C Corti
- Physics and Astronomy Department, University of Hawaii, Honolulu, Hawaii 96822, USA
| | - W Creus
- Institute of Physics, Academia Sinica, Nankang, Taipei 11529, Taiwan
| | - M Crispoltoni
- INFN Sezione di Perugia, I-06100 Perugia, Italy
- Università di Perugia, I-06100 Perugia, Italy
| | - Z Cui
- Shandong University (SDU), Jinan, Shandong 250100, China
| | - K Dadzie
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - Y M Dai
- Institute of Electrical Engineering (IEE), Chinese Academy of Sciences, Beijing 100190, China
| | - A Datta
- Physics and Astronomy Department, University of Hawaii, Honolulu, Hawaii 96822, USA
| | - C Delgado
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - S Della Torre
- INFN Sezione di Milano-Bicocca, I-20126 Milano, Italy
| | - O Demakov
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - M B Demirköz
- Department of Physics, Middle East Technical University (METU), 06800 Ankara, Turkey
| | - L Derome
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), CNRS/IN2P3 and Université Grenoble-Alpes, F-38026 Grenoble, France
| | - S Di Falco
- INFN Sezione di Pisa, I-56100 Pisa, Italy
| | - F Dimiccoli
- INFN TIFPA, I-38123 Povo, Trento, Italy
- Università di Trento, I-38123 Povo, Trento, Italy
| | - C Díaz
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - P von Doetinchem
- Physics and Astronomy Department, University of Hawaii, Honolulu, Hawaii 96822, USA
| | - F Dong
- Southeast University (SEU), Nanjing 210096, China
| | - F Donnini
- INFN Sezione di Perugia, I-06100 Perugia, Italy
- Università di Perugia, I-06100 Perugia, Italy
| | - M Duranti
- INFN Sezione di Perugia, I-06100 Perugia, Italy
| | - D D'Urso
- INFN Sezione di Perugia, I-06100 Perugia, Italy
| | - A Egorov
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - A Eline
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - T Eronen
- Space Research Laboratory, Department of Physics and Astronomy, University of Turku, FI-20014 Turku, Finland
| | - J Feng
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
- Institute of Physics, Academia Sinica, Nankang, Taipei 11529, Taiwan
| | - E Fiandrini
- INFN Sezione di Perugia, I-06100 Perugia, Italy
- Università di Perugia, I-06100 Perugia, Italy
| | - P Fisher
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - V Formato
- INFN Sezione di Perugia, I-06100 Perugia, Italy
| | - Y Galaktionov
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - G Gallucci
- INFN Sezione di Pisa, I-56100 Pisa, Italy
| | - R J García-López
- Instituto de Astrofísica de Canarias (IAC), E-38205 La Laguna, and Departamento de Astrofísica, Universidad de La Laguna, E-38206 La Laguna, Tenerife, Spain
| | - C Gargiulo
- European Organization for Nuclear Research (CERN), CH-1211 Geneva 23, Switzerland
| | - H Gast
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - I Gebauer
- Institut für Experimentelle Teilchenphysik, Karlsruhe Institute of Technology (KIT), D-76131 Karlsruhe, Germany
| | - M Gervasi
- INFN Sezione di Milano-Bicocca, I-20126 Milano, Italy
- Università di Milano-Bicocca, I-20126 Milano, Italy
| | - A Ghelfi
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), CNRS/IN2P3 and Université Grenoble-Alpes, F-38026 Grenoble, France
| | - F Giovacchini
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - D M Gómez-Coral
- Instituto de Física, Universidad Nacional Autónoma de México (UNAM), Mexico, D. F. 01000 Mexico
| | - J Gong
- Southeast University (SEU), Nanjing 210096, China
| | - C Goy
- Laboratoire d'Annecy-le-Vieux de Physique des Particules (LAPP), CNRS/IN2P3 and Université Savoie Mont Blanc, F-74941 Annecy-le-Vieux, France
| | - V Grabski
- Instituto de Física, Universidad Nacional Autónoma de México (UNAM), Mexico, D. F. 01000 Mexico
| | - D Grandi
- INFN Sezione di Milano-Bicocca, I-20126 Milano, Italy
| | - M Graziani
- Institut für Experimentelle Teilchenphysik, Karlsruhe Institute of Technology (KIT), D-76131 Karlsruhe, Germany
| | - K H Guo
- Sun Yat-Sen University (SYSU), Guangzhou 510275, China
| | - S Haino
- Institute of Physics, Academia Sinica, Nankang, Taipei 11529, Taiwan
| | - K C Han
- National Chung-Shan Institute of Science and Technology (NCSIST), Longtan, Tao Yuan 32546, Taiwan
| | - Z H He
- Sun Yat-Sen University (SYSU), Guangzhou 510275, China
| | - M Heil
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - J Hoffman
- Physics and Astronomy Department, University of Hawaii, Honolulu, Hawaii 96822, USA
| | - T H Hsieh
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - H Huang
- Institute of Physics, Academia Sinica, Nankang, Taipei 11529, Taiwan
| | - Z C Huang
- Sun Yat-Sen University (SYSU), Guangzhou 510275, China
| | - C Huh
- CHEP, Kyungpook National University, 41566 Daegu, Korea
| | - M Incagli
- INFN Sezione di Pisa, I-56100 Pisa, Italy
| | - M Ionica
- INFN Sezione di Perugia, I-06100 Perugia, Italy
| | - W Y Jang
- CHEP, Kyungpook National University, 41566 Daegu, Korea
| | - Yi Jia
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - H Jinchi
- National Chung-Shan Institute of Science and Technology (NCSIST), Longtan, Tao Yuan 32546, Taiwan
| | - S C Kang
- CHEP, Kyungpook National University, 41566 Daegu, Korea
| | - K Kanishev
- European Organization for Nuclear Research (CERN), CH-1211 Geneva 23, Switzerland
- INFN TIFPA, I-38123 Povo, Trento, Italy
| | - B Khiali
- National Central University (NCU), Chung-Li, Tao Yuan 32054, Taiwan
| | - G N Kim
- CHEP, Kyungpook National University, 41566 Daegu, Korea
| | - K S Kim
- CHEP, Kyungpook National University, 41566 Daegu, Korea
| | - Th Kirn
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - C Konak
- Department of Physics, Middle East Technical University (METU), 06800 Ankara, Turkey
| | - O Kounina
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - A Kounine
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - V Koutsenko
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - A Kulemzin
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - G La Vacca
- INFN Sezione di Milano-Bicocca, I-20126 Milano, Italy
- Università di Milano-Bicocca, I-20126 Milano, Italy
| | - E Laudi
- European Organization for Nuclear Research (CERN), CH-1211 Geneva 23, Switzerland
| | - G Laurenti
- INFN Sezione di Bologna, I-40126 Bologna, Italy
| | - I Lazzizzera
- INFN TIFPA, I-38123 Povo, Trento, Italy
- Università di Trento, I-38123 Povo, Trento, Italy
| | - A Lebedev
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - H T Lee
- Academia Sinica Grid Center (ASGC), Nankang, Taipei 11529, Taiwan
| | - S C Lee
- Institute of Physics, Academia Sinica, Nankang, Taipei 11529, Taiwan
| | - C Leluc
- DPNC, Université de Genève, CH-1211 Genève 4, Switzerland
| | - H S Li
- National Cheng Kung University, Tainan 70101, Taiwan
| | - J Q Li
- Southeast University (SEU), Nanjing 210096, China
| | - Q Li
- Southeast University (SEU), Nanjing 210096, China
| | - T X Li
- Sun Yat-Sen University (SYSU), Guangzhou 510275, China
| | - Y Li
- DPNC, Université de Genève, CH-1211 Genève 4, Switzerland
| | - Z H Li
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing 100049, China
| | - Z Y Li
- Institute of Physics, Academia Sinica, Nankang, Taipei 11529, Taiwan
| | - S Lim
- CHEP, Kyungpook National University, 41566 Daegu, Korea
| | - C H Lin
- Institute of Physics, Academia Sinica, Nankang, Taipei 11529, Taiwan
| | - P Lipari
- INFN Sezione di Roma 1, I-00185 Roma, Italy
| | - T Lippert
- Jülich Supercomputing Centre and JARA-FAME, Research Centre Jülich, D-52425 Jülich, Germany
| | - D Liu
- National Central University (NCU), Chung-Li, Tao Yuan 32054, Taiwan
| | - Hu Liu
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - V D Lordello
- Instituto de Física de São Carlos, Universidade de São Paulo, CP 369, 13560-970 São Carlos, São Paulo, São Paulo, Brazil
| | - S Q Lu
- Institute of Physics, Academia Sinica, Nankang, Taipei 11529, Taiwan
| | - Y S Lu
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing 100049, China
| | - K Luebelsmeyer
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - F Luo
- Shandong University (SDU), Jinan, Shandong 250100, China
| | - J Z Luo
- Southeast University (SEU), Nanjing 210096, China
| | - S S Lyu
- Sun Yat-Sen University (SYSU), Guangzhou 510275, China
| | - F Machate
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - C Mañá
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - J Marín
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - T Martin
- National Aeronautics and Space Administration Johnson Space Center (JSC), Jacobs Engineering, and Business Integra, Houston, Texas 77058, USA
| | - G Martínez
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - N Masi
- INFN Sezione di Bologna, I-40126 Bologna, Italy
| | - D Maurin
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), CNRS/IN2P3 and Université Grenoble-Alpes, F-38026 Grenoble, France
| | - A Menchaca-Rocha
- Instituto de Física, Universidad Nacional Autónoma de México (UNAM), Mexico, D. F. 01000 Mexico
| | - Q Meng
- Southeast University (SEU), Nanjing 210096, China
| | - V M Mikuni
- Instituto de Física de São Carlos, Universidade de São Paulo, CP 369, 13560-970 São Carlos, São Paulo, São Paulo, Brazil
| | - D C Mo
- Sun Yat-Sen University (SYSU), Guangzhou 510275, China
| | - P Mott
- National Aeronautics and Space Administration Johnson Space Center (JSC), Jacobs Engineering, and Business Integra, Houston, Texas 77058, USA
| | - T Nelson
- Physics and Astronomy Department, University of Hawaii, Honolulu, Hawaii 96822, USA
| | - J Q Ni
- Sun Yat-Sen University (SYSU), Guangzhou 510275, China
| | - N Nikonov
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - F Nozzoli
- INFN Sezione di Perugia, I-06100 Perugia, Italy
| | - A Oliva
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - M Orcinha
- Laboratório de Instrumentação e Física Experimental de Partículas (LIP), P-1000 Lisboa, Portugal
| | - F Palmonari
- INFN Sezione di Bologna, I-40126 Bologna, Italy
- Università di Bologna, I-40126 Bologna, Italy
| | - C Palomares
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - M Paniccia
- DPNC, Université de Genève, CH-1211 Genève 4, Switzerland
| | - M Pauluzzi
- INFN Sezione di Perugia, I-06100 Perugia, Italy
- Università di Perugia, I-06100 Perugia, Italy
| | - S Pensotti
- INFN Sezione di Milano-Bicocca, I-20126 Milano, Italy
- Università di Milano-Bicocca, I-20126 Milano, Italy
| | - C Perrina
- DPNC, Université de Genève, CH-1211 Genève 4, Switzerland
| | - H D Phan
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | | | - F Pilo
- INFN Sezione di Pisa, I-56100 Pisa, Italy
| | | | - V Plyaskin
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - M Pohl
- DPNC, Université de Genève, CH-1211 Genève 4, Switzerland
| | - V Poireau
- Laboratoire d'Annecy-le-Vieux de Physique des Particules (LAPP), CNRS/IN2P3 and Université Savoie Mont Blanc, F-74941 Annecy-le-Vieux, France
| | - L Quadrani
- INFN Sezione di Bologna, I-40126 Bologna, Italy
- Università di Bologna, I-40126 Bologna, Italy
| | - X M Qi
- Sun Yat-Sen University (SYSU), Guangzhou 510275, China
| | - X Qin
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - Z Y Qu
- Institute of Physics, Academia Sinica, Nankang, Taipei 11529, Taiwan
| | - T Räihä
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - P G Rancoita
- INFN Sezione di Milano-Bicocca, I-20126 Milano, Italy
| | - D Rapin
- DPNC, Université de Genève, CH-1211 Genève 4, Switzerland
| | - J S Ricol
- Laboratoire de Physique Subatomique et de Cosmologie (LPSC), CNRS/IN2P3 and Université Grenoble-Alpes, F-38026 Grenoble, France
| | - S Rosier-Lees
- Laboratoire d'Annecy-le-Vieux de Physique des Particules (LAPP), CNRS/IN2P3 and Université Savoie Mont Blanc, F-74941 Annecy-le-Vieux, France
| | - A Rozhkov
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - D Rozza
- INFN Sezione di Milano-Bicocca, I-20126 Milano, Italy
- Università di Milano-Bicocca, I-20126 Milano, Italy
| | - R Sagdeev
- East-West Center for Space Science, University of Maryland, College Park, Maryland 20742, USA
| | - S Schael
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - S M Schmidt
- Jülich Supercomputing Centre and JARA-FAME, Research Centre Jülich, D-52425 Jülich, Germany
| | - A Schulz von Dratzig
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - G Schwering
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - E S Seo
- IPST, University of Maryland, College Park, Maryland 20742, USA
| | - B S Shan
- Beihang University (BUAA), Beijing 100191, China
| | - J Y Shi
- Southeast University (SEU), Nanjing 210096, China
| | - T Siedenburg
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - D Son
- CHEP, Kyungpook National University, 41566 Daegu, Korea
| | - J W Song
- Shandong University (SDU), Jinan, Shandong 250100, China
| | - M Tacconi
- INFN Sezione di Milano-Bicocca, I-20126 Milano, Italy
- Università di Milano-Bicocca, I-20126 Milano, Italy
| | - X W Tang
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing 100049, China
| | - Z C Tang
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing 100049, China
| | - D Tescaro
- Instituto de Astrofísica de Canarias (IAC), E-38205 La Laguna, and Departamento de Astrofísica, Universidad de La Laguna, E-38206 La Laguna, Tenerife, Spain
| | - Samuel C C Ting
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
- European Organization for Nuclear Research (CERN), CH-1211 Geneva 23, Switzerland
| | - S M Ting
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - N Tomassetti
- INFN Sezione di Perugia, I-06100 Perugia, Italy
- Università di Perugia, I-06100 Perugia, Italy
| | - J Torsti
- Space Research Laboratory, Department of Physics and Astronomy, University of Turku, FI-20014 Turku, Finland
| | - C Türkoğlu
- Department of Physics, Middle East Technical University (METU), 06800 Ankara, Turkey
| | - T Urban
- National Aeronautics and Space Administration Johnson Space Center (JSC), Jacobs Engineering, and Business Integra, Houston, Texas 77058, USA
| | - V Vagelli
- INFN Sezione di Perugia, I-06100 Perugia, Italy
- Università di Perugia, I-06100 Perugia, Italy
| | - E Valente
- INFN Sezione di Roma 1, I-00185 Roma, Italy
- Università di Roma La Sapienza, I-00185 Roma, Italy
| | - E Valtonen
- Space Research Laboratory, Department of Physics and Astronomy, University of Turku, FI-20014 Turku, Finland
| | - M Vázquez Acosta
- Instituto de Astrofísica de Canarias (IAC), E-38205 La Laguna, and Departamento de Astrofísica, Universidad de La Laguna, E-38206 La Laguna, Tenerife, Spain
| | - M Vecchi
- Instituto de Física de São Carlos, Universidade de São Paulo, CP 369, 13560-970 São Carlos, São Paulo, São Paulo, Brazil
| | - M Velasco
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain
| | - J P Vialle
- Laboratoire d'Annecy-le-Vieux de Physique des Particules (LAPP), CNRS/IN2P3 and Université Savoie Mont Blanc, F-74941 Annecy-le-Vieux, France
| | - V Vitale
- INFN TIFPA, I-38123 Povo, Trento, Italy
| | - S Vitillo
- DPNC, Université de Genève, CH-1211 Genève 4, Switzerland
| | - L Q Wang
- Shandong University (SDU), Jinan, Shandong 250100, China
| | - N H Wang
- Shandong University (SDU), Jinan, Shandong 250100, China
| | - Q L Wang
- Institute of Electrical Engineering (IEE), Chinese Academy of Sciences, Beijing 100190, China
| | - X Wang
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - X Q Wang
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing 100049, China
- University of Chinese Academy of Sciences (UCAS), Beijing 100049, China
| | - Z X Wang
- Sun Yat-Sen University (SYSU), Guangzhou 510275, China
| | - C C Wei
- Institute of Physics, Academia Sinica, Nankang, Taipei 11529, Taiwan
| | - Z L Weng
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - K Whitman
- Physics and Astronomy Department, University of Hawaii, Honolulu, Hawaii 96822, USA
| | - H Wu
- Southeast University (SEU), Nanjing 210096, China
| | - X Wu
- DPNC, Université de Genève, CH-1211 Genève 4, Switzerland
| | - R Q Xiong
- Southeast University (SEU), Nanjing 210096, China
| | - W Xu
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - Q Yan
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - J Yang
- Department of Physics, Ewha Womans University, Seoul 120-750, Korea
| | - M Yang
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing 100049, China
| | - Y Yang
- National Cheng Kung University, Tainan 70101, Taiwan
| | - H Yi
- Southeast University (SEU), Nanjing 210096, China
| | - Y J Yu
- Institute of Electrical Engineering (IEE), Chinese Academy of Sciences, Beijing 100190, China
| | - Z Q Yu
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing 100049, China
| | - M Zannoni
- INFN Sezione di Milano-Bicocca, I-20126 Milano, Italy
- Università di Milano-Bicocca, I-20126 Milano, Italy
| | - S Zeissler
- Institut für Experimentelle Teilchenphysik, Karlsruhe Institute of Technology (KIT), D-76131 Karlsruhe, Germany
| | - C Zhang
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing 100049, China
| | - F Zhang
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing 100049, China
| | - J Zhang
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - J H Zhang
- Southeast University (SEU), Nanjing 210096, China
| | - S W Zhang
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing 100049, China
- University of Chinese Academy of Sciences (UCAS), Beijing 100049, China
| | - Z Zhang
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
| | - Z M Zheng
- Beihang University (BUAA), Beijing 100191, China
| | - H L Zhuang
- Institute of High Energy Physics (IHEP), Chinese Academy of Sciences, Beijing 100049, China
| | - V Zhukov
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - A Zichichi
- INFN Sezione di Bologna, I-40126 Bologna, Italy
- Università di Bologna, I-40126 Bologna, Italy
| | - N Zimmermann
- I. Physics Institute and JARA-FAME, RWTH Aachen University, D-52056 Aachen, Germany
| | - P Zuccon
- Massachusetts Institute of Technology (MIT), Cambridge, Massachusetts 02139, USA
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Amtmann D, Gibran N, Hoffman J, Bombardier C, McMullen K, Carrougher GJ, Johnson K. Pain Comparison Among Traumatic Injury Groups. Arch Phys Med Rehabil 2017. [DOI: 10.1016/j.apmr.2017.08.021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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