1
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Lam L, Czer L, Runyan C, Otarola I, Jang J, Lau J, Gau M, Hernandez K, Ngo T, Cole R, Moriguchi J. Outcome of Enoxaparin Bridging in Left Ventricular Assist Devices (LVAD) in an Ambulatory Setting: A Continuation Study at Cedars Sinai Medical Center (CSMC). J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1380] [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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2
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Malas J, Chen Q, Akhmerov A, Tremblay P, Egorova N, Moriguchi J, Kobashigawa J, Czer L, Cole R, Emerson D, Chikwe J, Arabia F, Esmailian F. Does Extracorporeal Membrane Oxygenation Duration as a Bridge to Total Artificial Heart Affect Outcomes. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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3
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Srivastava P, Zhang X, Moriguchi J, Chang D, Czer L, Cole R, Kittleson M, Kransdorf E, Kobashigawa J, Patel J. Extreme HLA Homozygosity Contributing to Extreme HLA Sensitization. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.452] [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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4
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Kobashigawa J, Kittleson M, Kim S, Singer-Englar T, Esmailian G, Runyan C, Cole R, Moriguchi J, Megna D, Czer L, Patel J. The Outcome of Heart Transplant Patients with Severe Rejection Requiring ECMO Support: Is it Futile. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.590] [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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5
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Magua W, Okoh A, Pranav P, Wang J, Karadkhele G, Cole R, Daneshmand M, Gupta D, Larsen C, Morris A. Belatacept-Based Immunosuppression in Heart Transplant Recipients: National Trends with Outcomes from a Single Center. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.564] [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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6
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Kittleson M, Patel J, Moriguchi J, Cole R, Singer-Englar T, Patel N, Runyan C, Welton M, Czer L, Catarino P, Kobashigawa J. Do Older LVAD Patients Have Compromised Outcome after Heart Transplantation: Should They Stay as Destination Therapy? J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.190] [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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7
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Kim D, Youn J, Kim J, Kim I, Choi J, Kransdorf E, Chang D, Kittleson M, Patel J, Cole R, Moriguchi J, Esmailian F, Kobashigawa J. Clinical Outcomes of Heart Transplantation in Desensitized Durable Mechanical Circulatory Support Patients. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.121] [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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8
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Kim I, Youn J, Chang D, Nishihara K, Kransdorf E, Kittleson M, Patel J, Cole R, Nikolova A, Esmailian F, Czer L, Kobashigawa J. The Validation of Cardiac Rehabilitation after Heart Transplantation from Anonymized Patient-Reported Outcomes. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1262] [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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9
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Rudinsky S, Weissbrod E, Cole R. 109 The Impact of the Patient Role on Medical Student Learning During Peer Simulation. Ann Emerg Med 2022. [DOI: 10.1016/j.annemergmed.2022.08.133] [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: 11/27/2022]
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10
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Powell LR, Ryser TJ, Morey GE, Cole R. Kratom as a novel cause of photodistributed hyperpigmentation. JAAD Case Rep 2022; 28:145-148. [PMID: 36187435 PMCID: PMC9523091 DOI: 10.1016/j.jdcr.2022.07.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- Landon R. Powell
- Department of Biology, Whitworth University, Spokane, Washington
| | - Ted J. Ryser
- Dermatology and Laser Center of Canyon County, Nampa, Idaho,Correspondence to: Ted J. Ryser, MD, Dermatology and Laser Center of Canyon County, 318 2nd St. S., Nampa, ID 83651.
| | | | - Ryan Cole
- Cole Diagnostics, Garden City, Idaho
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11
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Fischer JH, Wittmer HU, Kenup CF, Parker KA, Cole R, Debski I, Taylor GA, Ewen JG, Armstrong DP. Predicting harvest impact and establishment success when translocating highly mobile and endangered species. J Appl Ecol 2022. [DOI: 10.1111/1365-2664.14219] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- JH Fischer
- School of Biological Sciences Victoria University of Wellington New Zealand
- Aquatic Unit Department of Conservation Wellington
| | - HU Wittmer
- School of Biological Sciences Victoria University of Wellington New Zealand
| | - CF Kenup
- Wildlife Ecology Group Massey University Palmerston North New Zealand
| | | | - R Cole
- Murihiku District Office Department of Conservation Invercargill
| | - I Debski
- Aquatic Unit Department of Conservation Wellington
| | - GA Taylor
- Aquatic Unit Department of Conservation Wellington
| | - JG Ewen
- Institute of Zoology Zoological Society of London London UK
| | - DP Armstrong
- Wildlife Ecology Group Massey University Palmerston North New Zealand
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12
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Cole R, Moriguchi J, Kittleson M, Patel J, Chang D, Patel N, Singer-Englar T, Azarbal B, Emerson D, Czer L, Kobashigawa J. Do Temporary Mechanical Circulatory Support Devices Activate Sensitization Pathways in Patients Awaiting Heart Transplantation? J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1184] [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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13
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Akhmerov A, Emerson D, Megna D, Cole R, Moriguchi J, Esmailian F, Ramzy D. Extracorporeal Membrane Oxygenation as a Bridge to Total Artificial Hearts. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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14
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Emerson D, Patel N, Singer-Englar T, Megna D, Catarino P, Ramzy D, Moriguchi J, Cole R, Chikwe J, Kobashigawa J, Esmailian F. Complexities of Explanting Durable LVADs (Done at Outside Facilities) at the Time of Heart Transplant Surgery. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1538] [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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15
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Kobashigawa J, Patel J, Kittleson M, Cole R, Patel N, Singer-Englar T, Runyan C, Geft D, Czer L, Esmailian F. Intra-Aortic Balloon Placement without Inotropes: A Shift in Practice for Higher Urgency Status for Patients Awaiting Heart Transplant? J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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16
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Cole R, Pascal LE, Wang Z. The classical and updated models of androgen receptor nucleocytoplasmic trafficking. Am J Clin Exp Urol 2021; 9:287-291. [PMID: 34541027 PMCID: PMC8446772] [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] [Subscribe] [Scholar Register] [Received: 08/12/2021] [Accepted: 08/25/2021] [Indexed: 06/13/2023]
Abstract
This mini-review covers the classical model of androgen receptor (AR) nucleocytoplasmic trafficking and provides an overview of new data that updates the existing paradigm. The classical model of androgen receptor trafficking involves AR translocating to the nucleus in the presence of androgens and subsequently being exported back to the cytoplasm following the withdrawal of androgens. New data challenges and updates the fate of nuclear AR. In the updated model, the AR can be imported into the nucleus in the absence of androgens and nuclear AR is degraded, not exported. Further, androgens can enhance AR nuclear import and inhibit AR degradation in the nucleus; androgen withdrawal causes nuclear AR degradation, but not export. Enhanced androgen-independent AR nuclear localization and AR nuclear stability may be a hallmark of castration-resistant prostate cancer (CRPC). Further characterization of AR trafficking may aid in the development of new therapies for patients with CRPC.
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Affiliation(s)
- Ryan Cole
- Department of Urology, University of Pittsburgh School of MedicinePittsburgh, PA 15232, USA
| | - Laura E Pascal
- Department of Urology, University of Pittsburgh School of MedicinePittsburgh, PA 15232, USA
- UPMC Hillman Cancer Center, University of Pittsburgh School of MedicinePittsburgh, PA 15232, USA
| | - Zhou Wang
- Department of Urology, University of Pittsburgh School of MedicinePittsburgh, PA 15232, USA
- UPMC Hillman Cancer Center, University of Pittsburgh School of MedicinePittsburgh, PA 15232, USA
- Department of Pharmacology and Chemical Biology, University of Pittsburgh School of MedicinePittsburgh, PA 15232, USA
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17
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Singer-Englar T, Kittleson M, Patel J, Tor K, Patel N, Velleca A, Chang D, Cole R, Czer L, Ramzy D, Esmailian F, Kobashigawa J. Use of Declined Donor Hearts: Is Quality Important? J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.1777] [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] Open
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18
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Lam L, Czer L, Cole R, Zhao M, Chen S, Le T, Kasper L, Singer-Englar T, Aguillon M, Knabe K, Huie N, Chen W, Runyan C, Moriguchi J, Zabner R, Kobashigawa J, Esmailian F. Incidence of Surgical-Related Infections in Temporary Mechanical Circulatory Support Patients Using Narrow Spectrum versus Broad Spectrum Peri-Operative Antibiotic Prophylaxis. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.1158] [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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19
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Ramzy D, Akhmerov A, Esmailian F, Megna D, Emerson D, Levine R, Cole R, Runyan C, Kobashigawa J, Moriguchi J. Landscape of Heart Transplantation Following Changes in UNOS Donor Allocation Policy. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.362] [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: 11/25/2022] Open
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20
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Volod O, Cole R, Esmailian F, Emerson D, Halprin C, Hayes C, Lam L, Kitahara S, Martin-Stone S, Megna D, Moriguchi J, Ramzy D, Yur J, Czer L. Incidence of Heparin Induced Thrombocytopenia in Patients Undergoing Implantation of Durable and Non-Durable Mechanical Circulatory Support Devices. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.1954] [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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21
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Patel J, Kittleson M, Cole R, Patel N, Singer-Englar T, Runyan C, Geft D, Czer L, Ramzy D, Esmailian F, Moriguchi J, Kobashigawa J. The Impact of Renal Dysfunction in Mechanical Circulatory Support Device Patients on Post-Heart Transplant Outcomes. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.1198] [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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22
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Kittleson M, Patel J, Patel N, Singer-Englar T, Kim S, Kissling N, Chang D, Cole R, Trento A, Czer L, Kobashigawa J. In the Current Era, Do We Have Improved Outcomes in Hemodynamic Compromise Rejection after Heart Transplantation? J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.843] [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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23
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Pinnelas R, Cole R, Megna D, Lorber J, Ramzy D, Emerson D, Benck L, Sedrak S, Czer L, Chang D, Esmailian F, Kobashigawa J, Moriguchi J. Heparin-Induced Thrombocytopenia and Thrombosis with Axillary Impella 5.5 as Bridge-to-Transplant. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.2113] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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24
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Lv S, Song Q, Chen G, Cheng E, Chen W, Cole R, Wu Z, Pascal LE, Wang K, Wipf P, Nelson JB, Wei Q, Huang W, Wang Z. Regulation and targeting of androgen receptor nuclear localization in castration-resistant prostate cancer. J Clin Invest 2021; 131:141335. [PMID: 33332287 DOI: 10.1172/jci141335] [Citation(s) in RCA: 28] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Accepted: 12/09/2020] [Indexed: 12/14/2022] Open
Abstract
Nuclear localization of the androgen receptor (AR) is necessary for its activation as a transcription factor. Defining the mechanisms regulating AR nuclear localization in androgen-sensitive cells and how these mechanisms are dysregulated in castration-resistant prostate cancer (CRPC) cells is fundamentally important and clinically relevant. According to the classical model of AR intracellular trafficking, androgens induce AR nuclear import and androgen withdrawal causes AR nuclear export. The present study has led to an updated model that AR could be imported in the absence of androgens, ubiquitinated, and degraded in the nucleus. Androgen withdrawal caused nuclear AR degradation, but not export. In comparison with their parental androgen-sensitive LNCaP prostate cancer cells, castration-resistant C4-2 cells exhibited reduced nuclear AR polyubiquitination and increased nuclear AR level. We previously identified 3-(4-chlorophenyl)-6,7-dihydro-5H-pyrrolo[1,2-a]imidazole (CPPI) in a high-throughput screen for its inhibition of androgen-independent AR nuclear localization in CRPC cells. The current study shows that CPPI is a competitive AR antagonist capable of enhancing AR interaction with its E3 ligase MDM2 and degradation of AR in the nuclei of CRPC cells. Also, CPPI blocked androgen-independent AR nuclear import. Overall, these findings suggest the feasibility of targeting androgen-independent AR nuclear import and stabilization, two necessary steps leading to AR nuclear localization and activation in CRPC cells, with small molecule inhibitors.
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Affiliation(s)
- Shidong Lv
- Department of Urology, Nanfang Hospital, Southern Medical University, and.,National Key Discipline of Human Anatomy, School of Basic Medical Sciences, Southern Medical University, Guangzhou, Guangdong, China.,Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Qiong Song
- Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.,Key Laboratory of Longevity and Ageing Related Disease of Chinese Ministry of Education, Center for Translational Medicine and School of Preclinical Medicine, Guangxi Medical University, Nanning, Guangxi, China
| | - Guang Chen
- Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.,Department of Urology, The Fourth Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China
| | - Erdong Cheng
- Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Wei Chen
- Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Ryan Cole
- Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Zeyu Wu
- Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Laura E Pascal
- Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.,UPMC Hillman Cancer Center, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Ke Wang
- Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.,Department of Urology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shanxi, China
| | - Peter Wipf
- UPMC Hillman Cancer Center, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.,Department of Chemistry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Joel B Nelson
- Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.,UPMC Hillman Cancer Center, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Qiang Wei
- Department of Urology, Nanfang Hospital, Southern Medical University, and
| | - Wenhua Huang
- National Key Discipline of Human Anatomy, School of Basic Medical Sciences, Southern Medical University, Guangzhou, Guangdong, China
| | - Zhou Wang
- Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.,UPMC Hillman Cancer Center, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.,Department of Pharmacology and Chemical Biology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
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25
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Bukhari A, Cole R, Champagne C, McGraw S, Moylan E, Armstrong N. Nutrition Interventions in Military Dining Facilities Can Enhance Diet Quality and Meal Satisfaction. J Acad Nutr Diet 2020. [DOI: 10.1016/j.jand.2020.06.086] [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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26
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Youn J, Seguchi O, Cole R, Geft D, Nishihara K, Shen A, Sharoff R, Ramzy D, Kobashigawa J, Moriguchi J. Desensitization in Mechanical Circulatory Support Patients Awaiting Heart Transplantation: What is the Post-Transplant Outcome? J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.269] [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: 11/25/2022] Open
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27
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Ramzy D, Esmailian F, Emerson D, Megna D, Levine R, Cole R, Passano E, Runyan C, Velleca A, Kobashigawa J, Moriguchi J. The New UNOS Heart Allocation Changes Significantly Changed the Landscape of Heart Transplantation. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.1287] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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28
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Gerhard E, Singh R, Psotka M, Cavallo K, Genovese L, Cooper L, Edwards L, May C, Cole R, Sinha S, Desai S, Shah P. Long-Term Cardiac Remodeling after LVAD Deactivation for Myocardial Recovery. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.404] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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29
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Runyan C, Zabner R, Ramzy D, Esmailian F, Emerson D, Megna D, Passano E, Hajj J, Huie N, Lindsay M, Aguillon M, Lam L, Chang D, Kobashigawa J, Moriguchi J, Cole R. Increased Incidence of Cholecystitis with Total Artificial Heart versus Left Ventricular Assist Device. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.053] [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: 12/01/2022] Open
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30
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Emerson D, Megna D, Cole R, Levine R, Esmailian F, Chikwe J, Trento A, Ramzy D, Kransdorf E, Kobashigawa J. Does Brain Death Related to Underlying Donor Disease Correlate with Adverse Outcomes after Heart Transplant? J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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31
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Seguchi O, Youn J, Geft D, Cole R, Shen A, Nishihara K, Mersola S, Runyan C, Hajj J, Ramzy D, Kobashigawa J, Moriguchi J. The Burden of Total Artificial Heart Patients and Complications after Heart Transplantation. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.158] [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: 11/29/2022] Open
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32
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Sandau K, Williams M, Canakes K, Martinez B, Barone H, Aronow H, Hajj J, Huie N, Lindsay M, Aguillon M, Runyan C, Cole R, Coleman B. Patient Perspectives of Managing Life with a Left Ventricular Assist Device: “I Could Connect How I Felt with What Was Going on.” A Qualitative Analysis. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.082] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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33
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Megna D, Emerson D, Cole R, Levine R, Chikwe J, Esmailian F, Trento A, Ramzy D, Kobashigawa J. Orthotopic Heart Transplantation in the Diabetic Patient, are We Still Worried? A Review of 952 Consecutive Patients. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.545] [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] Open
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34
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Lane D, Alghamdi R, Muscat M, Kaur MS, Davis T, Cole R, Patel P, Tomaszewski M, Gupta P. 1424The diagnosis of non-adherence in hypertension using a urine biochemical screen is unaffected by drug pharmacokinetics. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz748.0070] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Introduction
Suboptimal drug adherence in hypertension is pandemic and traditional diagnostic tools to detect non-adherence have lacked accuracy and robustness. The inability to identify non-adherence has therefore driven the development of biochemical drug screening by liquid chromatography tandem mass spectrometry (LC- MS/MS) in urine and blood, which are the most accurate metrics presently available. Urinary antihypertensive testing is evidenced to improve non-adherence rates, significantly decrease blood pressure after physician intervention, and be cost effective. The European Society of Cardiology (ESC) and European Society of Hypertension (ESH) 2018 guidelines have recommended the use of biochemical testing for non-adherence diagnosis. However, it has been argued that the variable pharmacokinetic parameters of the medication (such as their half-lives and clearance rates) may affect the detection of medications in urine and hence the determination of adherence. We hypothesized that pharmacokinetic parameters do not affect the detection of antihypertensive medications in urine.
Aim
This study compared the pharmacokinetic parameters of the most commonly prescribed antihypertensive medications against their detection in urine by LC-MS/MS.
Methods
Results of urinary drug screens from 463 hypertensive patients (total prescribed medications N=1709) were collated. An adherence score termed as the C score (number of detected vs. prescribed medication) was generated for each of the 27 common antihypertensive medications. Pharmacokinetic parameters such as bioavailability, plasma concentration, volume of distribution, half-life, plasma clearance and urinary excretion values for each drug were obtained from published literature. Partial linear correlation was conducted between the C score of all the medications and each pharmacokinetic parameter studied.
Results
40% of patients were non-adherent. The average number of prescribed medications was high (N=3.7, SD: 1.5), and the average number of drugs detected was lower (N=2.5, SD: 1.6). Amlodipine was the most prescribed (N=224), and clonidine was the least (N=10). The half-lives ranged from 0.87 to 39 hours for bumetanide and amlodipine respectively. The urinary excretion percentage varied from <1% for nifedipine, and 94% for benfroflumethiazide. No significant correlation was found between any drug C score and their respective pharmacokinetic variables such as the medication half-lives (figure1).
Half-life versus adherence score
Conclusion
This study reports no significant correlation between drug pharmacokinetics and adherence. To the best of our knowledge this is the first study of its kind. Urinary biochemical testing by LC-MS/MS for non-adherence remains a valid tool for diagnosis although further detailed pharmacokinetic studies are needed to confirm this finding.
Acknowledgement/Funding
None
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Affiliation(s)
- D Lane
- University Hospitals of Leicester NHS Trust, Department of Chemical Pathology and Metabolic Medicine, Leicester, United Kingdom
| | - R Alghamdi
- University Hospitals of Leicester NHS Trust, Department of Chemical Pathology and Metabolic Medicine, Leicester, United Kingdom
| | - M Muscat
- University Hospitals of Leicester NHS Trust, Department of Chemical Pathology and Metabolic Medicine, Leicester, United Kingdom
| | - M S Kaur
- University Hospitals of Leicester NHS Trust, Department of Chemical Pathology and Metabolic Medicine, Leicester, United Kingdom
| | - T Davis
- University Hospitals of Leicester NHS Trust, Department of Chemical Pathology and Metabolic Medicine, Leicester, United Kingdom
| | - R Cole
- University Hospitals of Leicester NHS Trust, Department of Chemical Pathology and Metabolic Medicine, Leicester, United Kingdom
| | - P Patel
- University Hospitals of Leicester NHS Trust, Department of Chemical Pathology and Metabolic Medicine, Leicester, United Kingdom
| | - M Tomaszewski
- University of Manchester, Division of Cardiovascular Sciences, Faculty of Biology, Medicine and Health, Manchester, United Kingdom
| | - P Gupta
- University Hospitals of Leicester NHS Trust, Department of Chemical Pathology and Metabolic Medicine, Leicester, United Kingdom
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Fischer JH, Taylor GA, Cole R, Debski I, Armstrong DP, Wittmer HU. Population growth estimates of a threatened seabird indicate necessity for additional management following invasive predator eradications. Anim Conserv 2019. [DOI: 10.1111/acv.12516] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- J. H. Fischer
- School of Biological Sciences Victoria University of Wellington Wellington New Zealand
| | - G. A. Taylor
- Aquatic Unit Department of Conservation Wellington New Zealand
| | - R. Cole
- Murikihu District OfficeDepartment of Conservation Invercargill New Zealand
| | - I. Debski
- Aquatic Unit Department of Conservation Wellington New Zealand
| | - D. P. Armstrong
- Wildlife Ecology Group Massey University Palmerston North New Zealand
| | - H. U. Wittmer
- School of Biological Sciences Victoria University of Wellington Wellington New Zealand
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36
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Kittleson M, Patel J, Cole R, Geft D, Dimbil S, Levine R, Mersola S, Czer L, Azarbal B, Zabner R, Zakowski P, Kobashigawa J. Does Thymoglobulin Induction Lead to Increased CMV Infection after Heart Transplantation in the Current Tacrolimus Era. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.783] [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: 10/27/2022] Open
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37
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Barone H, Olman M, Fishman A, Olanisa L, Runyan C, Hajj J, Huie N, Lindsay M, Passano E, Kobashigawa J, Moriguchi J, Cole R, Esmailian F, Chung J, Ramzy D. The Value of Licensed Clinical Social Worker Pre-Implant Assessment in Predicting Non-Compliance in Durable Mechanical Circulatory Support Device Patients. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.219] [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: 10/27/2022] Open
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38
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Patel J, Kittleson M, Chang D, Kransdorf E, Levine R, Dimbil S, Kao T, Czer L, Cole R, Esmailian F, Kobashigawa J. 5-Year Outcome of Photopheresis in Heart-Transplantation with Refractory/Persistent Rejection. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.689] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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39
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Patel J, Kittleson M, Chang D, Cole R, Levine R, Dimbil S, Jain A, Kearney B, Czer L, Hage A, Esmailian F, Kobashigawa J. The Evolving Long-Term Outcome of Heart Transplantation in Amyloid Patients. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.525] [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: 10/27/2022] Open
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40
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McGlinchey L, Cole R, Caldwell FJ. Reoccurrence of a paranasal osteoma following surgical removal in a 6‐month‐old Warmblood filly. EQUINE VET EDUC 2019. [DOI: 10.1111/eve.13055] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- L. McGlinchey
- Department of Veterinary Clinical Sciences Auburn University College of Veterinary Medicine Auburn Alabama USA
| | - R. Cole
- Department of Veterinary Clinical Sciences Auburn University College of Veterinary Medicine Auburn Alabama USA
| | - F. J. Caldwell
- Department of Veterinary Clinical Sciences Auburn University College of Veterinary Medicine Auburn Alabama USA
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Burns AD, Lane D, Cole R, Patel P, Gupta P. Cardiovascular Medication Stability in Urine for Non-Adherence Screening by LC–MS-MS. J Anal Toxicol 2018; 43:325-329. [DOI: 10.1093/jat/bky090] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2018] [Revised: 09/21/2018] [Indexed: 12/20/2022] Open
Affiliation(s)
- A D Burns
- Department of Chemical Pathology and Metabolic Diseases, Level 4, Sandringham Building, Leicester Royal Infirmary, UK
- Department of Cardiovascular Sciences, University of Leicester, Leicester, UK
| | - D Lane
- Department of Chemical Pathology and Metabolic Diseases, Level 4, Sandringham Building, Leicester Royal Infirmary, UK
- Department of Cardiovascular Sciences, University of Leicester, Leicester, UK
| | | | - P Patel
- Department of Chemical Pathology and Metabolic Diseases, Level 4, Sandringham Building, Leicester Royal Infirmary, UK
- Department of Cardiovascular Sciences, University of Leicester, Leicester, UK
| | - P Gupta
- Department of Chemical Pathology and Metabolic Diseases, Level 4, Sandringham Building, Leicester Royal Infirmary, UK
- Department of Cardiovascular Sciences, University of Leicester, Leicester, UK
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42
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Colnel J, Ravenel N, Nouailletas R, Caulier G, Moreau P, Treutterer W, Lueddecke K, Cole R. Adapting DCS real time framework for WEST plasma control. Fusion Engineering and Design 2018. [DOI: 10.1016/j.fusengdes.2018.02.050] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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43
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Esmailian F, Arabia F, Czer L, Kittleson M, Geft D, Cole R, Esmailian G, Rafiei M, Passano E, Barone H, Moriguchi J. Does the Type of Mechanical Circulatory Support as a Bridge to Heart Transplant Affect Outcome after Transplant? J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.729] [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] Open
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44
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Stains M, Harshman J, Barker MK, Chasteen SV, Cole R, DeChenne-Peters SE, Eagan MK, Esson JM, Knight JK, Laski FA, Levis-Fitzgerald M, Lee CJ, Lo SM, McDonnell LM, McKay TA, Michelotti N, Musgrove A, Palmer MS, Plank KM, Rodela TM, Sanders ER, Schimpf NG, Schulte PM, Smith MK, Stetzer M, Van Valkenburgh B, Vinson E, Weir LK, Wendel PJ, Wheeler LB, Young AM. Anatomy of STEM teaching in North American universities. Science 2018; 359:1468-1470. [PMID: 29599232 PMCID: PMC6310123 DOI: 10.1126/science.aap8892] [Citation(s) in RCA: 120] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
National and local initiatives focused on the transformation of STEM teaching in higher education have multiplied over the last decade. These initiatives often focus on measuring change in instructional practices, but it is difficult to monitor such change without a national picture of STEM educational practices, especially as characterized by common observational instruments. We characterized a snapshot of this landscape by conducting the first large scale observation-based study. We found that lecturing was prominent throughout the undergraduate STEM curriculum, even in classrooms with infrastructure designed to support active learning, indicating that further work is required to reform STEM education. Additionally, we established that STEM faculty’s instructional practices can vary substantially within a course, invalidating the commonly-used teaching evaluations based on a one-time observation. Although lecture is prominent throughout the undergraduate STEM curriculum, STEM faculty employ varied teaching practices within the same course.
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Affiliation(s)
- M Stains
- The list of author affiliations is provided in the supplementary materials.
| | - J Harshman
- The list of author affiliations is provided in the supplementary materials
| | - M K Barker
- The list of author affiliations is provided in the supplementary materials
| | - S V Chasteen
- The list of author affiliations is provided in the supplementary materials
| | - R Cole
- The list of author affiliations is provided in the supplementary materials
| | | | - M K Eagan
- The list of author affiliations is provided in the supplementary materials
| | - J M Esson
- The list of author affiliations is provided in the supplementary materials
| | - J K Knight
- The list of author affiliations is provided in the supplementary materials
| | - F A Laski
- The list of author affiliations is provided in the supplementary materials
| | - M Levis-Fitzgerald
- The list of author affiliations is provided in the supplementary materials
| | - C J Lee
- The list of author affiliations is provided in the supplementary materials
| | - S M Lo
- The list of author affiliations is provided in the supplementary materials
| | - L M McDonnell
- The list of author affiliations is provided in the supplementary materials
| | - T A McKay
- The list of author affiliations is provided in the supplementary materials
| | - N Michelotti
- The list of author affiliations is provided in the supplementary materials
| | - A Musgrove
- The list of author affiliations is provided in the supplementary materials
| | - M S Palmer
- The list of author affiliations is provided in the supplementary materials
| | - K M Plank
- The list of author affiliations is provided in the supplementary materials
| | - T M Rodela
- The list of author affiliations is provided in the supplementary materials
| | - E R Sanders
- The list of author affiliations is provided in the supplementary materials
| | - N G Schimpf
- The list of author affiliations is provided in the supplementary materials
| | - P M Schulte
- The list of author affiliations is provided in the supplementary materials
| | - M K Smith
- The list of author affiliations is provided in the supplementary materials
| | - M Stetzer
- The list of author affiliations is provided in the supplementary materials
| | - B Van Valkenburgh
- The list of author affiliations is provided in the supplementary materials
| | - E Vinson
- The list of author affiliations is provided in the supplementary materials
| | - L K Weir
- The list of author affiliations is provided in the supplementary materials
| | - P J Wendel
- The list of author affiliations is provided in the supplementary materials
| | - L B Wheeler
- The list of author affiliations is provided in the supplementary materials
| | - A M Young
- The list of author affiliations is provided in the supplementary materials
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Hatch A, Cole R, McGraw S, DiChiara A, Merrill E, Wright A, Lieberman H, Bukhari A. Increased Dietary Supplement Use by Soldiers Suggests a Need to Promote Food-Based Strategies for Optimal Nutrition. J Acad Nutr Diet 2017. [DOI: 10.1016/j.jand.2017.06.257] [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: 10/19/2022]
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46
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Gupta P, Patel P, Strauch B, Lai F, Akbarov A, Gulsin G, Maresova V, Rosa J, Cole R, Smith P, Widimsky J, Samani N, Williams B, Tomaszewski M. 3894Predictors of non-adherence to antihypertensive treatment: insights from liquid chromatography tandem mass spectrometry based analysis. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.3894] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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47
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Kim J, Pekarek A, Nguyen D, Vega J, Cole R, Morris A, Smith A, Laskar S, Gupta D. (1297) Elevated Pre-Operative Creatinine Is a Risk Factor for Late-Onset Right Heart Failure After Left Ventricular Assist Device Implantation. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.1209] [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: 10/19/2022] Open
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48
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Yin M, Esmaeeli A, Morris A, Gupta D, Vega D, Laskar R, Smith A, Cole R. Early Exposure to ISHLT Grade 1R Rejection Reduces Long-Term Mortality in Heart Transplant Recipients Surviving the First Year. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.1445] [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] Open
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49
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Kim J, Pekarek A, Nguyen D, Vega J, Cole R, Morris A, Smith A, Laskar S, Gupta D. Late-Onset Right Heart Failure After Left Ventricular Assist Device Implantation Is Associated with Poor Prognosis. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.1223] [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: 10/19/2022] Open
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50
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Jolley CJ, Healey A, Cole R, Baker-Wilding R, Tas B, Moxham J, Strang J, Kelleher M. P214 The prevalence of respiratory symptoms and lung disease in a south london “lung health in addictions” service. Thorax 2016. [DOI: 10.1136/thoraxjnl-2016-209333.357] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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