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Anderson EK, Baker CJ, Bertsche W, Bhatt NM, Bonomi G, Capra A, Carli I, Cesar CL, Charlton M, Christensen A, Collister R, Cridland Mathad A, Duque Quiceno D, Eriksson S, Evans A, Evetts N, Fabbri S, Fajans J, Ferwerda A, Friesen T, Fujiwara MC, Gill DR, Golino LM, Gomes Gonçalves MB, Grandemange P, Granum P, Hangst JS, Hayden ME, Hodgkinson D, Hunter ED, Isaac CA, Jimenez AJU, Johnson MA, Jones JM, Jones SA, Jonsell S, Khramov A, Madsen N, Martin L, Massacret N, Maxwell D, McKenna JTK, Menary S, Momose T, Mostamand M, Mullan PS, Nauta J, Olchanski K, Oliveira AN, Peszka J, Powell A, Rasmussen CØ, Robicheaux F, Sacramento RL, Sameed M, Sarid E, Schoonwater J, Silveira DM, Singh J, Smith G, So C, Stracka S, Stutter G, Tharp TD, Thompson KA, Thompson RI, Thorpe-Woods E, Torkzaban C, Urioni M, Woosaree P, Wurtele JS. Observation of the effect of gravity on the motion of antimatter. Nature 2023; 621:716-722. [PMID: 37758891 PMCID: PMC10533407 DOI: 10.1038/s41586-023-06527-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2023] [Accepted: 08/09/2023] [Indexed: 09/29/2023]
Abstract
Einstein's general theory of relativity from 19151 remains the most successful description of gravitation. From the 1919 solar eclipse2 to the observation of gravitational waves3, the theory has passed many crucial experimental tests. However, the evolving concepts of dark matter and dark energy illustrate that there is much to be learned about the gravitating content of the universe. Singularities in the general theory of relativity and the lack of a quantum theory of gravity suggest that our picture is incomplete. It is thus prudent to explore gravity in exotic physical systems. Antimatter was unknown to Einstein in 1915. Dirac's theory4 appeared in 1928; the positron was observed5 in 1932. There has since been much speculation about gravity and antimatter. The theoretical consensus is that any laboratory mass must be attracted6 by the Earth, although some authors have considered the cosmological consequences if antimatter should be repelled by matter7-10. In the general theory of relativity, the weak equivalence principle (WEP) requires that all masses react identically to gravity, independent of their internal structure. Here we show that antihydrogen atoms, released from magnetic confinement in the ALPHA-g apparatus, behave in a way consistent with gravitational attraction to the Earth. Repulsive 'antigravity' is ruled out in this case. This experiment paves the way for precision studies of the magnitude of the gravitational acceleration between anti-atoms and the Earth to test the WEP.
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Affiliation(s)
- E K Anderson
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark
| | - C J Baker
- Department of Physics, Faculty of Science and Engineering, Swansea University, Swansea, UK
| | - W Bertsche
- School of Physics and Astronomy, University of Manchester, Manchester, UK.
- Cockcroft Institute, Sci-Tech Daresbury, Warrington, UK.
| | - N M Bhatt
- Department of Physics, Faculty of Science and Engineering, Swansea University, Swansea, UK
| | - G Bonomi
- University of Brescia, Brescia and INFN Pavia, Pavia, Italy
| | - A Capra
- TRIUMF, Vancouver, British Columbia, Canada
| | - I Carli
- TRIUMF, Vancouver, British Columbia, Canada
| | - C L Cesar
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - M Charlton
- Department of Physics, Faculty of Science and Engineering, Swansea University, Swansea, UK
| | - A Christensen
- Department of Physics, University of California at Berkeley, Berkeley, CA, USA
| | - R Collister
- TRIUMF, Vancouver, British Columbia, Canada
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia, Canada
| | - A Cridland Mathad
- Department of Physics, Faculty of Science and Engineering, Swansea University, Swansea, UK
| | - D Duque Quiceno
- TRIUMF, Vancouver, British Columbia, Canada
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia, Canada
| | - S Eriksson
- Department of Physics, Faculty of Science and Engineering, Swansea University, Swansea, UK
| | - A Evans
- TRIUMF, Vancouver, British Columbia, Canada
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia, Canada
| | - N Evetts
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia, Canada
| | - S Fabbri
- School of Physics and Astronomy, University of Manchester, Manchester, UK
- Accelerator and Technology Sector, CERN, Geneva, Switzerland
| | - J Fajans
- Department of Physics, University of California at Berkeley, Berkeley, CA, USA.
| | - A Ferwerda
- Department of Physics and Astronomy, York University, Toronto, Ontario, Canada
| | - T Friesen
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta, Canada
| | | | - D R Gill
- TRIUMF, Vancouver, British Columbia, Canada
| | - L M Golino
- Department of Physics, Faculty of Science and Engineering, Swansea University, Swansea, UK
| | - M B Gomes Gonçalves
- Department of Physics, Faculty of Science and Engineering, Swansea University, Swansea, UK
| | | | - P Granum
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark
| | - J S Hangst
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark.
| | - M E Hayden
- Department of Physics, Simon Fraser University, Burnaby, British Columbia, Canada
| | - D Hodgkinson
- School of Physics and Astronomy, University of Manchester, Manchester, UK
- Department of Physics, University of California at Berkeley, Berkeley, CA, USA
| | - E D Hunter
- Department of Physics, University of California at Berkeley, Berkeley, CA, USA
| | - C A Isaac
- Department of Physics, Faculty of Science and Engineering, Swansea University, Swansea, UK
| | | | - M A Johnson
- School of Physics and Astronomy, University of Manchester, Manchester, UK
- Cockcroft Institute, Sci-Tech Daresbury, Warrington, UK
| | - J M Jones
- Department of Physics, Faculty of Science and Engineering, Swansea University, Swansea, UK
| | - S A Jones
- Van Swinderen Institute for Particle Physics and Gravity, University of Groningen, Groningen, The Netherlands
| | - S Jonsell
- Department of Physics, Stockholm University, Stockholm, Sweden
| | - A Khramov
- TRIUMF, Vancouver, British Columbia, Canada
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia, Canada
- Department of Physics, British Columbia Institute of Technology, Burnaby, British Columbia, Canada
| | - N Madsen
- Department of Physics, Faculty of Science and Engineering, Swansea University, Swansea, UK
| | - L Martin
- TRIUMF, Vancouver, British Columbia, Canada
| | | | - D Maxwell
- Department of Physics, Faculty of Science and Engineering, Swansea University, Swansea, UK
| | - J T K McKenna
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark
- School of Physics and Astronomy, University of Manchester, Manchester, UK
| | - S Menary
- Department of Physics and Astronomy, York University, Toronto, Ontario, Canada
| | - T Momose
- TRIUMF, Vancouver, British Columbia, Canada
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia, Canada
- Department of Chemistry, University of British Columbia, Vancouver, British Columbia, Canada
| | - M Mostamand
- TRIUMF, Vancouver, British Columbia, Canada
- Department of Chemistry, University of British Columbia, Vancouver, British Columbia, Canada
| | - P S Mullan
- Department of Physics, Faculty of Science and Engineering, Swansea University, Swansea, UK
- Institute for Particle Physics and Astrophysics, ETH, Zurich, Switzerland
| | - J Nauta
- Department of Physics, Faculty of Science and Engineering, Swansea University, Swansea, UK
| | | | - A N Oliveira
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark
| | - J Peszka
- Department of Physics, Faculty of Science and Engineering, Swansea University, Swansea, UK
- Institute for Particle Physics and Astrophysics, ETH, Zurich, Switzerland
| | - A Powell
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta, Canada
| | - C Ø Rasmussen
- Experimental Physics Department, CERN, Geneva, Switzerland
| | - F Robicheaux
- Department of Physics and Astronomy, Purdue University, West Lafayette, IN, USA
| | - R L Sacramento
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - M Sameed
- School of Physics and Astronomy, University of Manchester, Manchester, UK
- Accelerator Systems Department, CERN, Geneva, Switzerland
| | - E Sarid
- Soreq NRC, Yavne, Israel
- Department of Physics, Ben Gurion University, Beer Sheva, Israel
| | - J Schoonwater
- Department of Physics, Faculty of Science and Engineering, Swansea University, Swansea, UK
| | - D M Silveira
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - J Singh
- School of Physics and Astronomy, University of Manchester, Manchester, UK
| | - G Smith
- TRIUMF, Vancouver, British Columbia, Canada
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia, Canada
| | - C So
- TRIUMF, Vancouver, British Columbia, Canada
| | | | - G Stutter
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark
- School of Mathematical and Physical Sciences, University of Sussex, Brighton, UK
| | - T D Tharp
- Physics Department, Marquette University, Milwaukee, WI, USA
| | - K A Thompson
- Department of Physics, Faculty of Science and Engineering, Swansea University, Swansea, UK
| | - R I Thompson
- TRIUMF, Vancouver, British Columbia, Canada
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta, Canada
| | - E Thorpe-Woods
- Department of Physics, Faculty of Science and Engineering, Swansea University, Swansea, UK
| | - C Torkzaban
- Department of Physics, University of California at Berkeley, Berkeley, CA, USA
| | - M Urioni
- University of Brescia, Brescia and INFN Pavia, Pavia, Italy
| | - P Woosaree
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta, Canada
| | - J S Wurtele
- Department of Physics, University of California at Berkeley, Berkeley, CA, USA
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Selvanathan A, Forwood C, Russell J, Batten K, Thompson S, Palmer EE, Macintosh R, Nightingale S, Mitchell R, Alvaro F, Dudding-Byth T, Lunke S, Christodoulou J, Stark Z, White F, Jones SA, Bhattacharya K. Rapid whole-genome sequencing leading to specific treatment for two infants with haemophagocytic lymphohistiocytosis due to Wolman disease. Pediatr Blood Cancer 2023:e30394. [PMID: 37092873 DOI: 10.1002/pbc.30394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2023] [Revised: 04/08/2023] [Accepted: 04/10/2023] [Indexed: 04/25/2023]
Affiliation(s)
- Arthavan Selvanathan
- Genetic Metabolic Disorders Service, Sydney Children's Hospitals Network, Westmead, New South Wales, Australia
| | - C Forwood
- Centre for Clinical Genetics, Sydney Children's Hospital, Sydney Children's Hospitals Network, Westmead, New South Wales, Australia
| | - J Russell
- Genetic Metabolic Disorders Service, Sydney Children's Hospitals Network, Westmead, New South Wales, Australia
- Centre for Clinical Genetics, Sydney Children's Hospital, Sydney Children's Hospitals Network, Westmead, New South Wales, Australia
| | - K Batten
- Department of Nutrition and Dietetics, The Children's Hospital at Westmead, Sydney Children's Hospitals Network, Westmead, New South Wales, Australia
- Faculty of Medicine & Health, University of New South Wales, Sydney, New South Wales, Australia
| | - S Thompson
- Department of Nutrition and Dietetics, The Children's Hospital at Westmead, Sydney Children's Hospitals Network, Westmead, New South Wales, Australia
- Disciplines of Genetic Medicine and Child and Adolescent Health, The University of Sydney, Sydney, New South Wales, Australia
| | - E E Palmer
- Centre for Clinical Genetics, Sydney Children's Hospital, Sydney Children's Hospitals Network, Westmead, New South Wales, Australia
- Faculty of Medicine & Health, University of New South Wales, Sydney, New South Wales, Australia
| | - R Macintosh
- Centre for Clinical Genetics, Sydney Children's Hospital, Sydney Children's Hospitals Network, Westmead, New South Wales, Australia
| | - S Nightingale
- Department of Gastroenterology, John Hunter Children's Hospital, Newcastle, New South Wales, Australia
- School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia
| | - R Mitchell
- Faculty of Medicine & Health, University of New South Wales, Sydney, New South Wales, Australia
- Kids Cancer Centre, Sydney Children's Hospital, Sydney Children's Hospitals Network, Westmead, New South Wales, Australia
| | - F Alvaro
- School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia
- Children's Cancer and Haematology Service, John Hunter Children's Hospital, Newcastle, New South Wales, Australia
| | - T Dudding-Byth
- School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia
- NSW Genetics of Learning Disability (GOLD) Service, Hunter New England Health, Waratah, New South Wales, Australia
| | - S Lunke
- Victorian Clinical Genetics Services, Murdoch Children's Research Institute, Melbourne, Victoria, Australia
- Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia
| | - J Christodoulou
- Disciplines of Genetic Medicine and Child and Adolescent Health, The University of Sydney, Sydney, New South Wales, Australia
- Victorian Clinical Genetics Services, Murdoch Children's Research Institute, Melbourne, Victoria, Australia
- Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia
| | - Z Stark
- Victorian Clinical Genetics Services, Murdoch Children's Research Institute, Melbourne, Victoria, Australia
- Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia
- Australian Genomics Health Alliance, Darlinghurst, New South Wales, Australia
| | - F White
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester, UK
| | - S A Jones
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester, UK
| | - K Bhattacharya
- Genetic Metabolic Disorders Service, Sydney Children's Hospitals Network, Westmead, New South Wales, Australia
- Disciplines of Genetic Medicine and Child and Adolescent Health, The University of Sydney, Sydney, New South Wales, Australia
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Hennessee I, Shelus V, McArdle CE, Wolf M, Schatzman S, Carpenter A, Minhaj FS, Petras JK, Cash-Goldwasser S, Maloney M, Sosa L, Jones SA, Mangla AT, Harold RE, Beverley J, Saunders KE, Adams JN, Stanek DR, Feldpausch A, Pavlick J, Cahill M, O’Dell V, Kim M, Alarcón J, Finn LE, Goss M, Duwell M, Crum DA, Williams TW, Hansen K, Heddy M, Mallory K, McDermott D, Cuadera MKQ, Adler E, Lee EH, Shinall A, Thomas C, Ricketts EK, Koonce T, Rynk DB, Cogswell K, McLafferty M, Perella D, Stockdale C, Dell B, Roskosky M, White SL, Davis KR, Milleron RS, Mackey S, Barringer LA, Bruce H, Barrett D, D’Angeli M, Kocharian A, Klos R, Dawson P, Ellington SR, Mayer O, Godfred-Cato S, Labuda SM, McCormick DW, McCollum AM, Rao AK, Salzer JS, Kimball A, Gold JAW. Epidemiologic and Clinical Features of Children and Adolescents Aged <18 Years with Monkeypox - United States, May 17-September 24, 2022. MMWR Morb Mortal Wkly Rep 2022; 71:1407-1411. [PMID: 36331124 PMCID: PMC9639439 DOI: 10.15585/mmwr.mm7144a4] [Citation(s) in RCA: 24] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Data on monkeypox in children and adolescents aged <18 years are limited (1,2). During May 17–September 24, 2022, a total of 25,038 monkeypox cases were reported in the United States,† primarily among adult gay, bisexual, and other men who have sex with men (3). During this period, CDC and U.S. jurisdictional health departments identified Monkeypox virus (MPXV) infections in 83 persons aged <18 years, accounting for 0.3% of reported cases. Among 28 children aged 0–12 years with monkeypox, 64% were boys, and most had direct skin-to-skin contact with an adult with monkeypox who was caring for the child in a household setting. Among 55 adolescents aged 13–17 years, most were male (89%), and male-to-male sexual contact was the most common presumed exposure route (66%). Most children and adolescents with monkeypox were non-Hispanic Black or African American (Black) (47%) or Hispanic or Latino (Hispanic) (35%). Most (89%) were not hospitalized, none received intensive care unit (ICU)–level care, and none died. Monkeypox in children and adolescents remains rare in the United States. Ensuring equitable access to monkeypox vaccination, testing, and treatment is a critical public health priority. Vaccination for adolescents with risk factors and provision of prevention information for persons with monkeypox caring for children might prevent additional infections.
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Philpott D, Hughes CM, Alroy KA, Kerins JL, Pavlick J, Asbel L, Crawley A, Newman AP, Spencer H, Feldpausch A, Cogswell K, Davis KR, Chen J, Henderson T, Murphy K, Barnes M, Hopkins B, Fill MMA, Mangla AT, Perella D, Barnes A, Hughes S, Griffith J, Berns AL, Milroy L, Blake H, Sievers MM, Marzan-Rodriguez M, Tori M, Black SR, Kopping E, Ruberto I, Maxted A, Sharma A, Tarter K, Jones SA, White B, Chatelain R, Russo M, Gillani S, Bornstein E, White SL, Johnson SA, Ortega E, Saathoff-Huber L, Syed A, Wills A, Anderson BJ, Oster AM, Christie A, McQuiston J, McCollum AM, Rao AK, Negrón ME. Epidemiologic and Clinical Characteristics of Monkeypox Cases - United States, May 17-July 22, 2022. MMWR Morb Mortal Wkly Rep 2022; 71:1018-1022. [PMID: 35951487 PMCID: PMC9400536 DOI: 10.15585/mmwr.mm7132e3] [Citation(s) in RCA: 198] [Impact Index Per Article: 99.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Hassall S, Smith DM, Rust S, Jones SA, Wittkowski A. "Why them, why me, why us?" The experiences of parents of children with lysosomal acid lipase deficiency: an interpretative phenomenological analysis study. Orphanet J Rare Dis 2022; 17:193. [PMID: 35550173 PMCID: PMC9097427 DOI: 10.1186/s13023-022-02335-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Accepted: 04/26/2022] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Lysosomal acid lipase deficiency (LALD) is an ultra-rare, inherited metabolic disease within the category of lysosomal storage disorders, affecting an infant's ability to metabolise cholesterol. Developments in treatment, including Enzyme Replacement Therapy, have proven successful, with some children living for a number of years with treatment, although the future still remains unknown. The aim of this study was to explore the lived experiences of parents of children with LALD. MAIN TEXT Participants were recruited from across the United Kingdom between 2020 and 2021. Eight parents (five mothers and three fathers) whose child had a confirmed diagnosis of LALD were interviewed. Data collected from the semi-structured interviews were audio-record, transcribed and analysed using Interpretative Phenomenological Analysis (IPA). Three superordinate and nine subordinate themes emerged from the data: (1) Uncertainty-a double-edged sword (plunged into an uncertain world, living life with worry and walking the tightrope of stability), (2) Powerless against a shared battle with LALD (a helpless parent, a joint battle, protection against distress and a vulnerable parent needing help) and 3) Accepting a life with LALD (coming to terms with a diagnosis of LALD and a hidden condition). CONCLUSIONS The findings of this study highlight that the diagnosis of LALD proves to be a very challenging and emotionally distressing time in parents' lives, with increased uncertainty about what the future will hold for their child. This study signified the importance of healthcare pathways and service provisions to support parents and their children throughout diagnosis and beyond.
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Affiliation(s)
- S Hassall
- Faculty of Biology, Medicine and Health, Division of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Science Centre, The University of Manchester, 2nd Floor Zochonis Building, Brunswick Street, Manchester, M13 9NY, UK
- Greater Manchester Mental Health NHS Foundation Trust, Prestwich, UK
| | - D M Smith
- Faculty of Biology, Medicine and Health, Division of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Science Centre, The University of Manchester, 2nd Floor Zochonis Building, Brunswick Street, Manchester, M13 9NY, UK
- Manchester Academic Health Science Centre, Manchester, UK
| | - S Rust
- Royal Manchester Children's Hospital, Manchester, UK
| | - S A Jones
- Faculty of Biology, Medicine and Health, Division of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Science Centre, The University of Manchester, 2nd Floor Zochonis Building, Brunswick Street, Manchester, M13 9NY, UK
- Royal Manchester Children's Hospital, Manchester, UK
| | - A Wittkowski
- Faculty of Biology, Medicine and Health, Division of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Science Centre, The University of Manchester, 2nd Floor Zochonis Building, Brunswick Street, Manchester, M13 9NY, UK.
- Greater Manchester Mental Health NHS Foundation Trust, Prestwich, UK.
- Manchester Academic Health Science Centre, Manchester, UK.
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Crawford FW, Jones SA, Cartter M, Dean SG, Warren JL, Li ZR, Barbieri J, Campbell J, Kenney P, Valleau T, Morozova O. Impact of close interpersonal contact on COVID-19 incidence: Evidence from 1 year of mobile device data. Sci Adv 2022; 8:eabi5499. [PMID: 34995121 PMCID: PMC8741180 DOI: 10.1126/sciadv.abi5499] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Accepted: 11/17/2021] [Indexed: 05/06/2023]
Abstract
Close contact between people is the primary route for transmission of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19). We quantified interpersonal contact at the population level using mobile device geolocation data. We computed the frequency of contact (within 6 feet) between people in Connecticut during February 2020 to January 2021 and aggregated counts of contact events by area of residence. When incorporated into a SEIR-type model of COVID-19 transmission, the contact rate accurately predicted COVID-19 cases in Connecticut towns. Contact in Connecticut explains the initial wave of infections during March to April, the drop in cases during June to August, local outbreaks during August to September, broad statewide resurgence during September to December, and decline in January 2021. The transmission model fits COVID-19 transmission dynamics better using the contact rate than other mobility metrics. Contact rate data can help guide social distancing and testing resource allocation.
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Affiliation(s)
- Forrest W. Crawford
- Department of Biostatistics, Yale School of Public Health, New Haven, CT, USA
- Department of Statistics and Data Science, Yale University, New Haven, CT, USA
- Department of Ecology and Evolutionary Biology, Yale University, New Haven, CT, USA
- Yale School of Management, New Haven, CT, USA
| | - Sydney A. Jones
- Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA, USA
- Infectious Diseases Section, Connecticut Department of Public Health, Hartford, CT, USA
| | - Matthew Cartter
- Infectious Diseases Section, Connecticut Department of Public Health, Hartford, CT, USA
| | - Samantha G. Dean
- Department of Biostatistics, Yale School of Public Health, New Haven, CT, USA
| | - Joshua L. Warren
- Department of Biostatistics, Yale School of Public Health, New Haven, CT, USA
| | - Zehang Richard Li
- Department of Statistics, University of California, Santa Cruz, Santa Cruz, CA, USA
| | | | | | | | | | - Olga Morozova
- Program in Public Health and Department of Family, Population and Preventive Medicine, Stony Brook University, Stony Brook, NY, USA
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Farrell L, Almond CR, Porterfield DS, Mobley V, Jones SA, Smelyanskaya M, Samoff E. Automated Digital Notification of COVID-19 Diagnoses Through Text and Email Messaging — North Carolina, December 2020–January 2021. MMWR Morb Mortal Wkly Rep 2021; 70:1603-1607. [PMID: 34793421 PMCID: PMC8601409 DOI: 10.15585/mmwr.mm7046a3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Saleh MM, Lawrence KP, Jones SA, Young AR. The photoprotective properties of α-tocopherol phosphate against long-wave UVA1 (385 nm) radiation in keratinocytes in vitro. Sci Rep 2021; 11:22400. [PMID: 34789788 PMCID: PMC8599454 DOI: 10.1038/s41598-021-01299-y] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Accepted: 10/12/2021] [Indexed: 11/14/2022] Open
Abstract
UVA1 radiation (340–400 nm), especially longwave UVA1 (> 370 nm), is often ignored when assessing sun protection due to its low sunburning potential, but it generates reactive oxygen species (ROS) and is poorly attenuated by sunscreens. This study aimed to investigate if α-tocopherol phosphate, (α-TP) a promising new antioxidant, could protect against long-wave UVA1 induced cell death and scavenge UVA1 induced ROS in a skin cell model. HaCaT keratinocyte cell viability (24 h) was assessed with Alamar Blue and Neutral Red assays. The metabolism of α-TP into α-T, assessed using mass spectrometry, and the compound's radical scavenging efficacy, assessed by the dichlorodihydrofluorescein (H2DCFDA) ROS detection assay, was monitored in HaCaTs. The mechanism of α-TP ROS scavenging was determined using non-cell based DPPH and ORAC assays. In HaCaT keratinocytes, irradiated with 226 J/cm2 UVA1 in low-serum (2%, starved) cell culture medium, pretreatment with 80 µM α-TP significantly enhanced cell survival (88%, Alamar Blue) compared to control, whereas α-T pre-treatment had no effect survival (70%, Alamar Blue). Pre-treatment of cells with 100 μM α-TP or 100 μM α-T before 57 J/cm2 UVA1 also significantly reduced ROS generation over 2 h (24.1% and 23.9% respectively) compared to the control and resulted in α-TP bioconversion into α-T. As α-TP displayed weak antioxidant activity in the cell-free assays thus its photoprotection was assigned to its bioconversion to α-T by cellular phosphatases. Through this mechanism α-TP prevented long-wave UVA1 induced cell death and scavenged UVA1 induced ROS in skin cells when added to the starved cell culture medium before UVA1 exposure by bioconversion into α-T.
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Affiliation(s)
- M M Saleh
- Department of Pharmaceutics and Pharmaceutical Technology, School of Pharmacy, The University of Jordan, Amman, 11942, Jordan
| | - K P Lawrence
- St John's Institute of Dermatology, King's College London, London, SE1 9RT, UK
| | - S A Jones
- Institute of Pharmaceutical Science, Faculty of Life Sciences and Medicine, School of Cancer and Pharmaceutical Sciences, King's College London, Franklin-Wilkins Building, 150 Stamford Street, London, SE1 9NH, UK.
| | - A R Young
- St John's Institute of Dermatology, King's College London, London, SE1 9RT, UK
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9
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Baker CJ, Bertsche W, Capra A, Cesar CL, Charlton M, Mathad AC, Eriksson S, Evans A, Evetts N, Fabbri S, Fajans J, Friesen T, Fujiwara MC, Grandemange P, Granum P, Hangst JS, Hayden ME, Hodgkinson D, Isaac CA, Johnson MA, Jones JM, Jones SA, Jonsell S, Kurchaninov L, Madsen N, Maxwell D, McKenna JTK, Menary S, Momose T, Mullan P, Olchanski K, Olin A, Peszka J, Powell A, Pusa P, Rasmussen CØ, Robicheaux F, Sacramento RL, Sameed M, Sarid E, Silveira DM, Stutter G, So C, Tharp TD, Thompson RI, van der Werf DP, Wurtele JS. Sympathetic cooling of positrons to cryogenic temperatures for antihydrogen production. Nat Commun 2021; 12:6139. [PMID: 34686658 PMCID: PMC8536749 DOI: 10.1038/s41467-021-26086-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Accepted: 09/13/2021] [Indexed: 11/25/2022] Open
Abstract
The positron, the antiparticle of the electron, predicted by Dirac in 1931 and discovered by Anderson in 1933, plays a key role in many scientific and everyday endeavours. Notably, the positron is a constituent of antihydrogen, the only long-lived neutral antimatter bound state that can currently be synthesized at low energy, presenting a prominent system for testing fundamental symmetries with high precision. Here, we report on the use of laser cooled Be+ ions to sympathetically cool a large and dense plasma of positrons to directly measured temperatures below 7 K in a Penning trap for antihydrogen synthesis. This will likely herald a significant increase in the amount of antihydrogen available for experimentation, thus facilitating further improvements in studies of fundamental symmetries.
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Affiliation(s)
- C J Baker
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - W Bertsche
- School of Physics and Astronomy, University of Manchester, Manchester, M12 9PL, UK
- Cockcroft Institute, Sci-Tech Daresbury, Warrington, WA4 4AD, UK
| | - A Capra
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, V6T 2A3, Canada
| | - C L Cesar
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, 21941-972, Brazil
| | - M Charlton
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - A Cridland Mathad
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - S Eriksson
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - A Evans
- Department of Physics and Astronomy, University of Calgary, Calgary, AB, T2N 1N4, Canada
| | - N Evetts
- Department of Physics and Astronomy, University of British Columbia, Vancouver, BC, V6T 1Z1, Canada
| | - S Fabbri
- School of Physics and Astronomy, University of Manchester, Manchester, M12 9PL, UK
| | - J Fajans
- Department of Physics, University of California at Berkeley, Berkeley, CA, 94720-7300, USA
| | - T Friesen
- Department of Physics and Astronomy, University of Calgary, Calgary, AB, T2N 1N4, Canada
| | - M C Fujiwara
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, V6T 2A3, Canada
| | - P Grandemange
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, V6T 2A3, Canada
| | - P Granum
- Department of Physics and Astronomy, Aarhus University, DK-8000, Aarhus C, Denmark
| | - J S Hangst
- Department of Physics and Astronomy, Aarhus University, DK-8000, Aarhus C, Denmark
| | - M E Hayden
- Department of Physics, Simon Fraser University, Burnaby, BC, V5A 1S6, Canada
| | - D Hodgkinson
- School of Physics and Astronomy, University of Manchester, Manchester, M12 9PL, UK
| | - C A Isaac
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - M A Johnson
- School of Physics and Astronomy, University of Manchester, Manchester, M12 9PL, UK
| | - J M Jones
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - S A Jones
- Department of Physics and Astronomy, Aarhus University, DK-8000, Aarhus C, Denmark
| | - S Jonsell
- Department of Physics, Stockholm University, SE-10691, Stockholm, Sweden
| | - L Kurchaninov
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, V6T 2A3, Canada
| | - N Madsen
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK.
| | - D Maxwell
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK.
| | - J T K McKenna
- Department of Physics and Astronomy, Aarhus University, DK-8000, Aarhus C, Denmark
| | - S Menary
- Department of Physics and Astronomy, York University, Toronto, ON, M3J 1P3, Canada
| | - T Momose
- Department of Physics and Astronomy, University of British Columbia, Vancouver, BC, V6T 1Z1, Canada
| | - P Mullan
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - K Olchanski
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, V6T 2A3, Canada
| | - A Olin
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, V6T 2A3, Canada
| | - J Peszka
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - A Powell
- Department of Physics and Astronomy, University of Calgary, Calgary, AB, T2N 1N4, Canada
| | - P Pusa
- Department of Physics, University of Liverpool, Liverpool, L69 7ZE, UK
| | - C Ø Rasmussen
- Experimental Physics Department, CERN, Geneva, 1211, Switzerland
| | - F Robicheaux
- Department of Physics and Astronomy, Purdue University, West Lafayette, IN, 47907, USA
| | - R L Sacramento
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, 21941-972, Brazil
| | - M Sameed
- School of Physics and Astronomy, University of Manchester, Manchester, M12 9PL, UK
| | - E Sarid
- Soreq NRC, 81800, Yavne, Israel
- Department of Physics, Ben Gurion University, 8410501, Beer Sheva, Israel
| | - D M Silveira
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, 21941-972, Brazil
| | - G Stutter
- Department of Physics and Astronomy, Aarhus University, DK-8000, Aarhus C, Denmark
| | - C So
- Department of Physics and Astronomy, University of Calgary, Calgary, AB, T2N 1N4, Canada
| | - T D Tharp
- Physics Department, Marquette University, P.O. Box 1881, Milwaukee, WI, 53201-1881, USA
| | - R I Thompson
- Department of Physics and Astronomy, University of Calgary, Calgary, AB, T2N 1N4, Canada
| | - D P van der Werf
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - J S Wurtele
- Department of Physics, University of California at Berkeley, Berkeley, CA, 94720-7300, USA
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10
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Baker CJ, Bertsche W, Capra A, Carruth C, Cesar CL, Charlton M, Christensen A, Collister R, Mathad AC, Eriksson S, Evans A, Evetts N, Fajans J, Friesen T, Fujiwara MC, Gill DR, Grandemange P, Granum P, Hangst JS, Hardy WN, Hayden ME, Hodgkinson D, Hunter E, Isaac CA, Johnson MA, Jones JM, Jones SA, Jonsell S, Khramov A, Knapp P, Kurchaninov L, Madsen N, Maxwell D, McKenna JTK, Menary S, Michan JM, Momose T, Mullan PS, Munich JJ, Olchanski K, Olin A, Peszka J, Powell A, Pusa P, Rasmussen CØ, Robicheaux F, Sacramento RL, Sameed M, Sarid E, Silveira DM, Starko DM, So C, Stutter G, Tharp TD, Thibeault A, Thompson RI, van der Werf DP, Wurtele JS. Laser cooling of antihydrogen atoms. Nature 2021; 592:35-42. [PMID: 33790445 PMCID: PMC8012212 DOI: 10.1038/s41586-021-03289-6] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Accepted: 01/26/2021] [Indexed: 11/08/2022]
Abstract
The photon-the quantum excitation of the electromagnetic field-is massless but carries momentum. A photon can therefore exert a force on an object upon collision1. Slowing the translational motion of atoms and ions by application of such a force2,3, known as laser cooling, was first demonstrated 40 years ago4,5. It revolutionized atomic physics over the following decades6-8, and it is now a workhorse in many fields, including studies on quantum degenerate gases, quantum information, atomic clocks and tests of fundamental physics. However, this technique has not yet been applied to antimatter. Here we demonstrate laser cooling of antihydrogen9, the antimatter atom consisting of an antiproton and a positron. By exciting the 1S-2P transition in antihydrogen with pulsed, narrow-linewidth, Lyman-α laser radiation10,11, we Doppler-cool a sample of magnetically trapped antihydrogen. Although we apply laser cooling in only one dimension, the trap couples the longitudinal and transverse motions of the anti-atoms, leading to cooling in all three dimensions. We observe a reduction in the median transverse energy by more than an order of magnitude-with a substantial fraction of the anti-atoms attaining submicroelectronvolt transverse kinetic energies. We also report the observation of the laser-driven 1S-2S transition in samples of laser-cooled antihydrogen atoms. The observed spectral line is approximately four times narrower than that obtained without laser cooling. The demonstration of laser cooling and its immediate application has far-reaching implications for antimatter studies. A more localized, denser and colder sample of antihydrogen will drastically improve spectroscopic11-13 and gravitational14 studies of antihydrogen in ongoing experiments. Furthermore, the demonstrated ability to manipulate the motion of antimatter atoms by laser light will potentially provide ground-breaking opportunities for future experiments, such as anti-atomic fountains, anti-atom interferometry and the creation of antimatter molecules.
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Affiliation(s)
- C J Baker
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - W Bertsche
- School of Physics and Astronomy, University of Manchester, Manchester, UK
- Cockcroft Institute, Sci-Tech Daresbury, Warrington, UK
| | - A Capra
- TRIUMF, Vancouver, British Columbia, Canada
| | - C Carruth
- Department of Physics, University of California at Berkeley, Berkeley, CA, USA
| | - C L Cesar
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - M Charlton
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - A Christensen
- Department of Physics, University of California at Berkeley, Berkeley, CA, USA
| | | | - A Cridland Mathad
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - S Eriksson
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - A Evans
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta, Canada
| | - N Evetts
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia, Canada
| | - J Fajans
- Department of Physics, University of California at Berkeley, Berkeley, CA, USA
| | - T Friesen
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta, Canada
| | | | - D R Gill
- TRIUMF, Vancouver, British Columbia, Canada
| | - P Grandemange
- TRIUMF, Vancouver, British Columbia, Canada
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta, Canada
| | - P Granum
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark
| | - J S Hangst
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark.
| | - W N Hardy
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia, Canada
| | - M E Hayden
- Department of Physics, Simon Fraser University, Burnaby, British Columbia, Canada
| | - D Hodgkinson
- School of Physics and Astronomy, University of Manchester, Manchester, UK
| | - E Hunter
- Department of Physics, University of California at Berkeley, Berkeley, CA, USA
| | - C A Isaac
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - M A Johnson
- School of Physics and Astronomy, University of Manchester, Manchester, UK
- Cockcroft Institute, Sci-Tech Daresbury, Warrington, UK
| | - J M Jones
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - S A Jones
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark
| | - S Jonsell
- Department of Physics, Stockholm University, Stockholm, Sweden
| | - A Khramov
- TRIUMF, Vancouver, British Columbia, Canada
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia, Canada
- Department of Physics, British Columbia Institute of Technology, Burnaby, British Columbia, Canada
| | - P Knapp
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | | | - N Madsen
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - D Maxwell
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - J T K McKenna
- TRIUMF, Vancouver, British Columbia, Canada
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark
| | - S Menary
- Department of Physics and Astronomy, York University, Toronto, Ontario, Canada
| | - J M Michan
- TRIUMF, Vancouver, British Columbia, Canada
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia, Canada
| | - T Momose
- TRIUMF, Vancouver, British Columbia, Canada.
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia, Canada.
- Department of Chemistry, University of British Columbia, Vancouver, British Columbia, Canada.
| | - P S Mullan
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - J J Munich
- Department of Physics, Simon Fraser University, Burnaby, British Columbia, Canada
| | | | - A Olin
- TRIUMF, Vancouver, British Columbia, Canada
- Department of Physics and Astronomy, University of Victoria, Victoria, British Columbia, Canada
| | - J Peszka
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - A Powell
- Department of Physics, College of Science, Swansea University, Swansea, UK
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta, Canada
| | - P Pusa
- Department of Physics, University of Liverpool, Liverpool, UK
| | - C Ø Rasmussen
- Experimental Physics Department, CERN, Geneva, Switzerland
| | - F Robicheaux
- Department of Physics and Astronomy, Purdue University, West Lafayette, IN, USA
| | - R L Sacramento
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - M Sameed
- School of Physics and Astronomy, University of Manchester, Manchester, UK
| | - E Sarid
- Soreq NRC, Yavne, Israel
- Department of Physics, Ben Gurion University, Beer Sheva, Israel
| | - D M Silveira
- TRIUMF, Vancouver, British Columbia, Canada
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - D M Starko
- Department of Physics and Astronomy, York University, Toronto, Ontario, Canada
| | - C So
- TRIUMF, Vancouver, British Columbia, Canada
| | - G Stutter
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark
| | - T D Tharp
- Physics Department, Marquette University, Milwaukee, WI, USA
| | - A Thibeault
- TRIUMF, Vancouver, British Columbia, Canada
- Faculté de Génie, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | - R I Thompson
- TRIUMF, Vancouver, British Columbia, Canada
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta, Canada
| | - D P van der Werf
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - J S Wurtele
- Department of Physics, University of California at Berkeley, Berkeley, CA, USA
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11
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Crawford FW, Jones SA, Cartter M, Dean SG, Warren JL, Li ZR, Barbieri J, Campbell J, Kenney P, Valleau T, Morozova O. Impact of close interpersonal contact on COVID-19 incidence: evidence from one year of mobile device data. medRxiv 2021:2021.03.10.21253282. [PMID: 33758869 PMCID: PMC7987027 DOI: 10.1101/2021.03.10.21253282] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
Close contact between people is the primary route for transmission of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19). We sought to quantify interpersonal contact at the population-level by using anonymized mobile device geolocation data. We computed the frequency of contact (within six feet) between people in Connecticut during February 2020 - January 2021. Then we aggregated counts of contact events by area of residence to obtain an estimate of the total intensity of interpersonal contact experienced by residents of each town for each day. When incorporated into a susceptible-exposed-infective-removed (SEIR) model of COVID-19 transmission, the contact rate accurately predicted COVID-19 cases in Connecticut towns during the timespan. The pattern of contact rate in Connecticut explains the large initial wave of infections during March-April, the subsequent drop in cases during June-August, local outbreaks during August-September, broad statewide resurgence during September-December, and decline in January 2021. Contact rate data can help guide public health messaging campaigns to encourage social distancing and in the allocation of testing resources to detect or prevent emerging local outbreaks more quickly than traditional case investigation. ONE SENTENCE SUMMARY Close interpersonal contact measured using mobile device location data explains dynamics of COVID-19 transmission in Connecticut during the first year of the pandemic.
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Affiliation(s)
- Forrest W Crawford
- Department of Biostatistics, Yale School of Public Health, New Haven, CT, USA
- Department of Statistics & Data Science, Yale University, New Haven, CT, USA
- Department of Ecology & Evolutionary Biology, Yale University, New Haven, CT, USA
- Yale School of Management, New Haven, CT, USA
| | - Sydney A Jones
- Epidemic Intelligence Service, Centers for Disease Control & Prevention, Atlanta, GA, USA
- Infectious Diseases Section, Connecticut Department of Public Health, New Haven, CT, USA
| | - Matthew Cartter
- Infectious Diseases Section, Connecticut Department of Public Health, New Haven, CT, USA
| | - Samantha G Dean
- Department of Biostatistics, Yale School of Public Health, New Haven, CT, USA
| | - Joshua L Warren
- Department of Biostatistics, Yale School of Public Health, New Haven, CT, USA
| | - Zehang Richard Li
- Department of Statistics, University of California, Santa Cruz, Santa Cruz, CA, USA
| | | | | | | | | | - Olga Morozova
- Program in Public Health and Department of Family, Population and Preventive Medicine, Stony Brook University, NY, USA
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12
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Broomfield A, Sims J, Mercer J, Hensman P, Ghosh A, Tylee K, Stepien KM, Oldham A, Prathivadi Bhayankaram N, Wynn R, Wright NB, Jones SA, Wilkinson S. The evolution of pulmonary function in childhood onset Mucopolysaccharidosis type I. Mol Genet Metab 2021; 132:94-99. [PMID: 32713717 DOI: 10.1016/j.ymgme.2020.07.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2020] [Revised: 06/30/2020] [Accepted: 07/07/2020] [Indexed: 11/24/2022]
Abstract
Respiratory outcomes in Mucopolysaccharidosis Type I (MPS I), have mainly focused on upper airway obstruction, with the evolution of the restrictive lung disease being poorly documented. We report the long-term pulmonary function outcomes and examine the potential factors affecting these in 2 cohorts of MPS I patients, those who have undergone Haematopoietic Stem Cell Transplantation (HSCT) and those treated with Enzyme Replacement Therapy (ERT). The results were stratified using the American Thoracic Society (ATS) guidelines. 66 patients, capable of adequately performing testing, were identified by a retrospective case note review, 46 transplanted (45 Hurler, 1 Non-Hurler) and 20 having ERT (17 Non-Hurler and 3 Hurler diagnosed too late for HSCT). 5 patients died; 4 in the ERT group including the 3 Hurler patients. Overall 14% of patients required respiratory support (non-invasive ventilation (NIV) or supplemental oxygen)) at the end of follow up. Median length of follow-up was 12.2 (range = 4.9-32) years post HSCT and 14.34 (range = 3.89-20.4) years on ERT. All patients had restrictive lung disease. Cobb angle and male sex were significantly associated with more severe outcomes in the HSCT cohort, with 49% having severe to very severe disease. In the 17 Non-Hurler ERT treated patients there was no variable predictive of severity of disease with 59% having severe to very severe disease. During the course of follow up 67% of the HSCT cohort had no change or improved pulmonary function as did 52% of the ERT patients. However, direct comparison between therapeutic modalities was not possible. This initial evidence would suggest that a degree of restrictive lung disease is present in all treated paediatrically diagnosed MPS I and is still a significant cause of morbidity, though further stratification incorporating diffusing capacity for carbon monoxide (DLCO) is needed.
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Affiliation(s)
- A Broomfield
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
| | - J Sims
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK
| | - J Mercer
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK
| | - P Hensman
- Department of physiotherapy, Royal Manchester Children's Hospital, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK
| | - A Ghosh
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK
| | - K Tylee
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK
| | - K M Stepien
- Mark Holland Metabolic Unit, Adult Inherited Metabolic Disorders, Salford Royal NHS Foundation Trust, Salford, M6 8, HD, UK
| | - A Oldham
- Mark Holland Metabolic Unit, Adult Inherited Metabolic Disorders, Salford Royal NHS Foundation Trust, Salford, M6 8, HD, UK
| | - N Prathivadi Bhayankaram
- Department of Paediatric Blood and Marrow Transplant, Royal Manchester Children's Hospital, Oxford Rd, Manchester M13 9WL, UK
| | - R Wynn
- Department of Paediatric Blood and Marrow Transplant, Royal Manchester Children's Hospital, Oxford Rd, Manchester M13 9WL, UK
| | - N B Wright
- Department of Radiology, Royal Manchester Children's Hospital, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK
| | - S A Jones
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK
| | - S Wilkinson
- Respiratory Department Royal Manchester Children's Hospital, Manchester University, NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK
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13
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Abstract
BACKGROUND Foam sclerotherapy is the process of using an aqueous foam to deliver surfactant to a varicose vein to damage vein wall endothelial cells, causing the vein to spasm, collapse and ultimately be re-absorbed into the body. Aqueous foams are complex fluids that can exhibit a significant yield stress and high effective viscosity which depend on their composition, particularly the bubble size and liquid fraction. OBJECTIVE To characterise the properties of foams used for varicose vein sclerotherapy and determine their effectiveness in the displacement of blood during sclerotherapy. METHODS Foams are modelled as yield stress fluids and their flow profiles in a model vein are predicted. Values of the yield stress are determined from experimental data for three different foams using the Sauter mean of the bubble size distribution. Along with the measured liquid fraction of the foams, this information is collected into a Bingham number which entirely characterises the process of sclerotherapy. RESULTS Polydispersity in bubble size has a strong effect on the yield stress of a foam and the Sauter mean of the size distribution better captures the effects of a few large bubbles. Reducing the polydispersity increases the yield stress, and a higher yield stress results in a larger plug region moving along the vein, which is more effective in displacing blood. The width of the plug region is proportional to the Bingham number, which also has a quadratic dependence on the liquid fraction of the foam. Assuming typical values for the rate of injection of a foam, we predict that for a vein of diameter 5 mm, the most effective foams have low liquid fraction, a narrow size distribution, and a Bingham number B ≈ 4.5. CONCLUSIONS The Sauter mean radius provides the most appropriate measure of the bubble size for sclerotherapy and the Bingham number then provides a simple measure of the efficacy of foam sclerotherapy in a vein of a given size, and explains the ability of different foams to remove varicose veins. Foams containing small bubbles, with a narrow size distribution, and a low liquid fraction are beneficial for sclerotherapy.
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Affiliation(s)
- T G Roberts
- Department of Mathematics, Aberystwyth University, UK
| | - S J Cox
- Department of Mathematics, Aberystwyth University, UK
| | - A L Lewis
- Biocompatibles UK Ltd, a Boston Scientific Company, Lakeview, Camberley, Surrey, UK
| | - S A Jones
- Biocompatibles UK Ltd, a Boston Scientific Company, Lakeview, Camberley, Surrey, UK
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14
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Abstract
BACKGROUND Women are less likely than men to be physically active and more likely to reduce their physical activity as they age. The objective of this research was to understand barriers that might prevent North Carolina women from being physically active after retirement as well as aspects of retirement that might facilitate a more physically active lifestyle to inform intervention strategies applicable to retired women.METHOD Semi-structured interviews were conducted with 15 recently retired women living in North Carolina. Interviews were recorded and transcribed. Content analysis was used to identify themes related to barriers and facilitators of physical activity after retirement.RESULTS Six themes were identified. One theme was the development of leisure-time physical activity habits over the lifespan. Five other themes described how physical activity after retirement was influenced by prior occupational physical activity, concurrent life transitions (e.g., becoming a caregiver), health, social support, and the community environment.LIMITATIONS Women in this study were active participants in community organizations, which might make their experiences unique from those of women who are not engaged with their communities. However, similarities in themes in this and other qualitative studies corroborate the broader transferability of findings.CONCLUSION Interventions to promote physical activity among retired North Carolina women should consider emphasizing health benefits of physical activity and improving walking environments and access to physical activity facilities. Local residents should be involved in intervention design to address unique barriers among women who retire from physically demanding jobs or become caregivers.
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Affiliation(s)
- Sydney A Jones
- epidemiologist, Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina
| | - Jennifer Leeman
- associate professor, School of Nursing, University of North Carolina, Chapel Hill, North Carolina
| | - Kelly R Evenson
- professor, Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina
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15
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Jones SA, Soto K, Grogan E, Senetcky A, Logan S, Cartter M. Notes from the Field: Syndromic Surveillance Used To Monitor Emergency Department Visits During a Synthetic Cannabinoid Overdose Outbreak - Connecticut, August 2018. MMWR Morb Mortal Wkly Rep 2020; 69:220-221. [PMID: 32107368 PMCID: PMC7367072 DOI: 10.15585/mmwr.mm6908a4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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16
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Livingston MH, Elliott T, Williams C, Jones SA, Rosenbaum PL, Walton JM. Glycerin suppositories used prophylactically in premature infants (supp): A pilot randomized controlled trial. J Neonatal Perinatal Med 2020; 13:495-505. [PMID: 32083593 DOI: 10.3233/npm-190310] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Glycerin suppositories are often used to facilitate meconium evacuation in premature infants. The evidence for this practice is inconclusive. The purpose of this study was to assess the feasibility of a multicenter randomized controlled trial on the effectiveness of this treatment strategy. STUDY DESIGN We conducted an external pilot study for a multicenter randomized controlled trial of premature infants randomized to glycerin suppositories or placebo procedure. Participants were included if they were gestational age of 24 weeks 0 days to 31 weeks 6 days and/or birthweight of 500 to 1500 grams. We excluded infants with life-threatening congenital anomalies, contraindications to receiving suppositories, or signs of clinical instability. Outcomes included cost, recruitment, and treatment-related adverse events. RESULT A total of 109 were screened, 79 were initially eligible, and 34 consented to participate. Four of these infants were excluded prior to randomization due to thrombocytopenia, 30 were randomized, and 26 reached full enteral feeds. Three infants (10%) experienced rectal bleeding 5 to 43 days after completing study treatments. An anal fissure was noted in two of these patients. There were no cases of rectal perforation but one infant assigned to active treatment developed necrotizing enterocolitis. CONCLUSIONS Conducting a multicenter randomized controlled trial on the use of glycerin suppositories in premature infants is feasible. Minor modifications to the study protocol are needed to increase participant recruitment and simplify the administration of study treatments.
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Affiliation(s)
| | - T Elliott
- McMaster Pediatric Surgery Research Collaborative.,Division of Pediatric Surgery, McMaster University, Hamilton, ON, Canada
| | - C Williams
- Department of Pediatrics, McMaster University, Hamilton, ON, Canada.,Division of Neonatology, McMaster University, Hamilton, ON, Canada
| | - S A Jones
- Division of Pediatric Surgery, Western University, London, ON, Canada
| | - P L Rosenbaum
- Division of Neonatology, McMaster University, Hamilton, ON, Canada.,CanChild Center for Childhood Disability Research, McMaster University, Hamilton, ON, Canada
| | - J M Walton
- McMaster Pediatric Surgery Research Collaborative.,Division of Pediatric Surgery, McMaster University, Hamilton, ON, Canada
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17
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Broomfield A, Davison J, Roberts J, Stewart C, Hensman P, Beesley C, Tylee K, Rust S, Schwahn B, Jameson E, Vijay S, Santra S, Sreekantam S, Ramaswami U, Chakrapani A, Raiman J, Cleary MA, Jones SA. Ten years of enzyme replacement therapy in paediatric onset mucopolysaccharidosis II in England. Mol Genet Metab 2020; 129:98-105. [PMID: 31383595 DOI: 10.1016/j.ymgme.2019.07.016] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2019] [Revised: 07/26/2019] [Accepted: 07/26/2019] [Indexed: 11/23/2022]
Abstract
The outcome of 110 patients with paediatric onset mucopolysaccharidosis II (MPS II) since the commercial introduction of enzyme replacement therapy (ERT) in England in 2007 is reported. Median length of follow up was 10 years 3 months (range = 1 y 2 m to 18 years 6 month). 78 patients were treated with ERT, 18 had no ERT or disease modifying treatment 7 had haematopoietic stem cell transplant, 4 experimental intrathecal therapy and 3 were lost to follow up. There is clear evidence of improved survival (median age of death of ERT treated (n = 16) = 15.13 years (range = 9.53 to 20.58 y), and untreated (n = 17) = 11.43 y (0.5 to 19.13 y) p = .0005). Early introduction of ERT improved respiratory outcome at 16 years, the median FVC (% predicted) of those in whom ERT initiated <8 years = 69% (range = 34-86%) and 48% (25-108) (p = .045) in those started >8 years. However, ERT appears to have minimal impact on hearing, carpal tunnel syndrome or progression of cardiac valvular disease. Cardiac valvular disease occurred in 18/46 (40%), with progression occurring most frequently in the aortic valve 13/46 (28%). The lack of requirement for neurosurgical intervention in the first 8 years of life suggests that targeted imaging based on clinical symptomology would be safe in this age group after baseline assessments. There is also emerging evidence that the neurological phenotype is more nuanced than the previously recognized dichotomy of severe and attenuated phenotypes in patients presenting in early childhood.
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Affiliation(s)
- A Broomfield
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester Foundation Trust, Manchester M13 9WL, UK.
| | - J Davison
- Metabolic Medicine Unit, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK
| | - J Roberts
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester Foundation Trust, Manchester M13 9WL, UK
| | - C Stewart
- Department of Inherited Metabolic Disorders, Birmingham Women's and Children's Hospital Foundation Trust, Steelhouse Lane, Birmingham, UK
| | - P Hensman
- Department of Physiotherapy, Royal Manchester Children's Hospital, Manchester Foundation Trust, Manchester M13 9WL, UK
| | - C Beesley
- Regional Genetics Laboratories, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - K Tylee
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester Foundation Trust, Manchester M13 9WL, UK
| | - S Rust
- Department of Psychology, Royal Manchester Children's Hospital, Manchester Foundation Trust, Manchester M13 9WL, UK
| | - B Schwahn
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester Foundation Trust, Manchester M13 9WL, UK
| | - E Jameson
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester Foundation Trust, Manchester M13 9WL, UK
| | - S Vijay
- Metabolic Medicine Unit, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK
| | - S Santra
- Metabolic Medicine Unit, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK
| | - S Sreekantam
- Metabolic Medicine Unit, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK
| | - U Ramaswami
- Lysosomal Disorders Unit, Institute of Immunity and Transplantation, Royal Free London NHS Foundation Trust, Pond Street, London NW32QG, UK
| | - A Chakrapani
- Metabolic Medicine Unit, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK
| | - J Raiman
- Department of Inherited Metabolic Disorders, Birmingham Women's and Children's Hospital Foundation Trust, Steelhouse Lane, Birmingham, UK
| | - M A Cleary
- Metabolic Medicine Unit, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK
| | - S A Jones
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester Foundation Trust, Manchester M13 9WL, UK
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18
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Rispens JR, Jones SA, Clemmons NS, Ahmed S, Harduar-Morano L, Johnson MD, Edge C, Vyas A, Bourgikos E, Orr MF. Anhydrous Ammonia Chemical Release — Lake County, Illinois, April 2019. MMWR Morb Mortal Wkly Rep 2020; 69:109-113. [PMID: 31999683 PMCID: PMC7004403 DOI: 10.15585/mmwr.mm6904a4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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19
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Abstract
Patient outcomes for hedgehog (Erinaceus europaeus) casualties are not limited to release versus euthanasia; some hedgehogs have conditions that do not preclude their ability to survive in captivity with human intervention. This research explored the welfare implications and ethical issues of keeping disabled hedgehogs in permanent captivity. Currently, there is very little in the literature and the subject is highly emotive and controversial. A questionnaire was used to assess welfare and these data contrasted with the normal behaviors, environment, and diet of free-living hedgehogs. The most convincing argument for keeping wild animals in captivity is species conservation; however, hedgehogs are not currently listed as endangered. Sixty-six datasets were obtained, representing 194 hedgehogs kept in permanent captivity. Results were mixed, i.e., many respondents providing suitable habitat features (for example, grass and soil 83.3% of respondents, shrubs and/or hedges 69.7% of respondents) observing "positive" behaviors such as foraging for natural foods (69.7% of respondents), and observing appropriate behavioral responses to humans; and some areas for concern, i.e., habitat size (22.7% of respondents reported habitats <10m2), presence of badgers (only 48.5% of respondents reported no badgers in the area), evidence of aggressive behavior (22.7% of respondents had observed non-food-related aggression between hedgehogs) and seven hedgehogs having sustained bite wounds whilst in captivity. The authors are cautious about drawing any definitive conclusions from this research, though it would appear that some of the hedgehogs in the survey had welfare comparable to their free-living counterparts.
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Affiliation(s)
- S A Jones
- School of Veterinary Medicine, University of Surrey , Guildford, UK
| | - Stella Chapman
- Independent Researcher, Roslyn House, Brierley Banks , Drybrook, UK
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20
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Jones SA, Jones JM, Leung V, Nakashima AK, Oakeson KF, Smith AR, Hunter R, Kim JJ, Cumming M, McHale E, Young PP, Fridey JL, Kelley WE, Stramer SL, Wagner SJ, West FB, Herron R, Snyder E, Hendrickson JE, Peaper DR, Gundlapalli AV, Langelier C, Miller S, Nambiar A, Moayeri M, Kamm J, Moulton-Meissner H, Annambhotla P, Gable P, McAllister GA, Breaker E, Sula E, Halpin AL, Basavaraju SV. Sepsis Attributed to Bacterial Contamination of Platelets Associated with a Potential Common Source - Multiple States, 2018. MMWR Morb Mortal Wkly Rep 2019; 68:519-523. [PMID: 31194723 PMCID: PMC6613552 DOI: 10.15585/mmwr.mm6823a2] [Citation(s) in RCA: 37] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
During May-October 2018, four patients from three states experienced sepsis after transfusion of apheresis platelets contaminated with Acinetobacter calcoaceticus-baumannii complex (ACBC) and Staphylococcus saprophyticus; one patient died. ACBC isolates from patients' blood, transfused platelet residuals, and two environmental samples were closely related by whole genome sequencing. S. saprophyticus isolates from two patients' blood, three transfused platelet residuals, and one hospital environmental sample formed two whole genome sequencing clusters. This whole genome sequencing analysis indicated a potential common source of bacterial contamination; investigation into the contamination source continues. All platelet donations were collected using apheresis cell separator machines and collection sets from the same manufacturer; two of three collection sets were from the same lot. One implicated platelet unit had been treated with pathogen-inactivation technology, and two had tested negative with a rapid bacterial detection device after negative primary culture. Because platelets are usually stored at room temperature, bacteria in contaminated platelet units can proliferate to clinically relevant levels by the time of transfusion. Clinicians should monitor for sepsis after platelet transfusions even after implementation of bacterial contamination mitigation strategies. Recognizing adverse transfusion reactions and reporting to the platelet supplier and hemovigilance systems is crucial for public health practitioners to detect and prevent sepsis associated with contaminated platelets.
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21
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Koton S, Wruck L, Quibrera PM, Gottesman RF, Agarwal SK, Jones SA, Wright JD, Shahar E, Coresh J, Rosamond WD. Temporal trends in validated ischaemic stroke hospitalizations in the USA. Int J Epidemiol 2019; 48:994-1003. [PMID: 30879069 DOI: 10.1093/ije/dyz025] [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] [Accepted: 03/13/2019] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Accurate assessment of the burden of stroke, a major cause of disability and death, is crucial. We aimed to estimate rates of validated ischaemic stroke hospitalizations in the USA during 1998-2011. METHODS We used the Atherosclerosis Risk in Communities (ARIC) study cohort's adjudicated stroke data for participants aged ≥55 years, to construct validation models for each International Classification of Diseases (ICD)-code group and patient covariates. These models were applied to the Nationwide Inpatient Sample (NIS) data to estimate the probability of validated ischaemic stroke for each eligible hospitalization. Rates and trends in NIS using ICD codes vs estimates of validated ischaemic stroke were compared. RESULTS After applying validation models, the estimated annual average rate of validated ischaemic stroke hospitalizations in the USA during 1998-2011 was 3.37 [95% confidence interval (CI): 3.31, 3.43) per 1000 person-years. Validated rates declined during 1998-2011 from 4.7/1000 to 2.9/1000; however, the decline was limited to 1998-2007, with no further decline subsequently through 2011. Validation models showed that the false-positive (∼23% of strokes) and false-negative rates of ICD-9-CM codes in primary position for ischaemic stroke approximately cancel. Therefore, estimates of ischaemic stroke hospitalizations did not substantially change after applying validation models. CONCLUSIONS Overall, ischaemic stroke hospitalization rates in the USA have declined during 1998-2007, but no further decline was observed from 2007 to 2011. Validated ischaemic stroke hospitalizations estimates were similar to published estimates of hospitalizations with ischaemic stroke ICD codes in primary position. Validation of national discharge data using prospective chart review data is important to estimate the accuracy of reported burden of stroke.
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Affiliation(s)
- Silvia Koton
- Stanley Steyer School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Lisa Wruck
- Duke Clinical Research Institute, Duke University, Durham, NC, USA
| | - Pedro Miguel Quibrera
- Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Rebecca F Gottesman
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Sunil K Agarwal
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Sydney A Jones
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | | | - Eyal Shahar
- Division of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA
| | - Josef Coresh
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Wayne D Rosamond
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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22
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Broomfield A, Zuberi K, Mercer J, Moss G, Finnegan N, Hensman P, Walker R, Bukhari S, Wright NB, Stewart F, Jones SA, Ramirez R. Outcomes from 18 years of cervical spine surgery in MPS IVA: a single centre's experience. Childs Nerv Syst 2018; 34:1705-1716. [PMID: 29946810 DOI: 10.1007/s00381-018-3823-9] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/11/2017] [Accepted: 05/04/2018] [Indexed: 01/26/2023]
Abstract
PURPOSE This study examines the long-term outcomes of paediatric Morquio (MPS IVA) patients undergoing cervical spine surgery and evaluates the factors that impacting this. METHODS A retrospective review was performed on all MPS IVA patients undergoing cervical spine surgery, since the introduction of standardised neuroradiological screening. The impact of preoperative neurological status, growth, genotype and radiological status on outcome is assessed, whilst long-term surgical, radiological and neurological outcomes are documented. RESULTS Twenty-six of the eighty-two MPS IVA patients (31%) reviewed underwent cervical spine surgery at a median age of 6.1 years (range, 1.45 to 15.24). Preoperatively, cord signal change was seen in 11 patients with 5 being myelopathic; however, 6 clinically manifesting patients had no overt cord signal change. Postoperatively, none of the 14 preoperatively clinically asymptomatic patients followed long term progressed neurologically during a median follow-up of 77.5 months (range = 18-161). Of the ten preoperatively clinically symptomatic patients who were followed up for the same duration, seven continued to deteriorate, two initially improved and one remained stable. Radiological follow-up performed for a median duration of 7 years (range = 0.5-16) has shown a degree of stenosis at the level immediately caudal to the termination of the graft in 76% of patients, though only one has become clinically symptomatic and required revision. CONCLUSIONS Once clinically elicitable neurological signs become evident in patients with MPS IVA, they tend to progress despite surgical intervention. Referring clinicians should also not be falsely reassured by the lack of T2 spinal cord signal change but should consider surgical intervention in the face of new clinical symptomology or radiological signs of progressive canal stenosis or instability.
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Affiliation(s)
- A Broomfield
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Central Manchester Foundation Trust, Manchester, M13 9WL, UK.
| | - K Zuberi
- Faculty of Biology, Medicine and Health, The University of Manchester, Oxford Rd, Manchester, M13 9PL, UK
| | - J Mercer
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Central Manchester Foundation Trust, Manchester, M13 9WL, UK
| | - G Moss
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Central Manchester Foundation Trust, Manchester, M13 9WL, UK
| | - N Finnegan
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Central Manchester Foundation Trust, Manchester, M13 9WL, UK
| | - P Hensman
- Department of Physiotherapy, Royal Manchester Children's Hospital, Central Manchester Foundation Trust, Manchester, M13 9WL, UK
| | - R Walker
- Department of Paediatric Anaesthetics, Royal Manchester Children's Hospital, Central Manchester Foundation Trust, Manchester, M13 9WL, UK
| | - S Bukhari
- Department of Paediatric Neurosurgery, Royal Manchester Children's Hospital, Central Manchester Foundation Trust, Manchester, M13 9WL, UK
| | - N B Wright
- Department of Paediatric Radiology, Royal Manchester Children's Hospital, Central Manchester Foundation Trust, Manchester, M13 9WL, UK
| | - F Stewart
- N.I Regional Genetics Service, Level A, Belfast City Hospital, Lisburn Rd, Belfast, BT9 7AB, UK
| | - S A Jones
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Central Manchester Foundation Trust, Manchester, M13 9WL, UK
| | - R Ramirez
- Department of Paediatric Neurosurgery, Royal Manchester Children's Hospital, Central Manchester Foundation Trust, Manchester, M13 9WL, UK
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23
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Jones SA, Li Q, Aiello AE, O'Rand AM, Evenson KR. Correlates of changes in walking during the retirement transition: The Multi-Ethnic Study of Atherosclerosis. Prev Med Rep 2018; 11:221-230. [PMID: 30210994 PMCID: PMC6129965 DOI: 10.1016/j.pmedr.2018.07.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2018] [Revised: 06/27/2018] [Accepted: 07/03/2018] [Indexed: 01/10/2023] Open
Abstract
Retirement from employment involves disruption in daily routines and has been associated with positive and negative changes in physical activity. Walking is the most common physical activity among older Americans. The factors that influence changes in walking after retirement are unknown. The study objective was to identify correlates of within-person change in recreational walking (for leisure) and transport walking (to get places) during the retirement transition among a multi-ethnic cohort of adults (N = 928) from six US communities. Correlates were measured at the individual (e.g., gender), interpersonal (e.g., social support), and community (e.g., density of walking destinations) levels at study exams between 2000 and 2012. Comparing pre- and post-retirement measures (average 4.5 years apart), 50% of participants increased recreational walking by 60 min or more per week, 31% decreased by 60 min or more per week, and 19% maintained their recreational walking. Forty-one percent of participants increased transport walking by 60 min or more per week, 40% decreased by 60 min or more per week, and 19% maintained their transport walking after retirement. Correlates differed for recreational and transport walking and for increases compared to decreases in walking. Self-rated health, chronic conditions, and perceptions of the neighborhood walking environment were associated with changes in both types of walking after retirement. Further, some correlates differed by gender and retirement age. Findings can inform the targeting of interventions to promote walking during the retirement transition.
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Affiliation(s)
- Sydney A. Jones
- Department of Epidemiology, University of North Carolina at Chapel Hill, 123 W. Franklin St., Suite 410, Building C, Chapel Hill, NC 27599, USA
| | - Quefeng Li
- Department of Biostatistics, University of North Carolina at Chapel Hill, 3101 McGavran-Greenberg Hall, CB#7420, Chapel Hill, NC 27599-7420, USA
| | - Allison E. Aiello
- Department of Epidemiology, University of North Carolina at Chapel Hill, 123 W. Franklin St., Suite 410, Building C, Chapel Hill, NC 27599, USA
| | - Angela M. O'Rand
- Department of Sociology, Duke University, 417 Chapel Dr. Box 90088, Durham, NC 27708-0088, USA
| | - Kelly R. Evenson
- Department of Epidemiology, University of North Carolina at Chapel Hill, 123 W. Franklin St., Suite 410, Building C, Chapel Hill, NC 27599, USA
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24
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Ahmadi M, Alves BXR, Baker CJ, Bertsche W, Capra A, Carruth C, Cesar CL, Charlton M, Cohen S, Collister R, Eriksson S, Evans A, Evetts N, Fajans J, Friesen T, Fujiwara MC, Gill DR, Hangst JS, Hardy WN, Hayden ME, Hunter ED, Isaac CA, Johnson MA, Jones JM, Jones SA, Jonsell S, Khramov A, Knapp P, Kurchaninov L, Madsen N, Maxwell D, McKenna JTK, Menary S, Michan JM, Momose T, Munich JJ, Olchanski K, Olin A, Pusa P, Rasmussen CØ, Robicheaux F, Sacramento RL, Sameed M, Sarid E, Silveira DM, Starko DM, Stutter G, So C, Tharp TD, Thompson RI, van der Werf DP, Wurtele JS. Observation of the 1S-2P Lyman-α transition in antihydrogen. Nature 2018; 561:211-215. [PMID: 30135588 PMCID: PMC6786973 DOI: 10.1038/s41586-018-0435-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2018] [Accepted: 07/05/2018] [Indexed: 11/09/2022]
Abstract
In 1906, Theodore Lyman discovered his eponymous series of transitions in the extreme-ultraviolet region of the atomic hydrogen spectrum1,2. The patterns in the hydrogen spectrum helped to establish the emerging theory of quantum mechanics, which we now know governs the world at the atomic scale. Since then, studies involving the Lyman-α line-the 1S-2P transition at a wavelength of 121.6 nanometres-have played an important part in physics and astronomy, as one of the most fundamental atomic transitions in the Universe. For example, this transition has long been used by astronomers studying the intergalactic medium and testing cosmological models via the so-called 'Lyman-α forest'3 of absorption lines at different redshifts. Here we report the observation of the Lyman-α transition in the antihydrogen atom, the antimatter counterpart of hydrogen. Using narrow-line-width, nanosecond-pulsed laser radiation, the 1S-2P transition was excited in magnetically trapped antihydrogen. The transition frequency at a field of 1.033 tesla was determined to be 2,466,051.7 ± 0.12 gigahertz (1σ uncertainty) and agrees with the prediction for hydrogen to a precision of 5 × 10-8. Comparisons of the properties of antihydrogen with those of its well-studied matter equivalent allow precision tests of fundamental symmetries between matter and antimatter. Alongside the ground-state hyperfine4,5 and 1S-2S transitions6,7 recently observed in antihydrogen, the Lyman-α transition will permit laser cooling of antihydrogen8,9, thus providing a cold and dense sample of anti-atoms for precision spectroscopy and gravity measurements10. In addition to the observation of this fundamental transition, this work represents both a decisive technological step towards laser cooling of antihydrogen, and the extension of antimatter spectroscopy to quantum states possessing orbital angular momentum.
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Affiliation(s)
- M Ahmadi
- Department of Physics, University of Liverpool, Liverpool, UK
| | - B X R Alves
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark
| | - C J Baker
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - W Bertsche
- School of Physics and Astronomy, University of Manchester, Manchester, UK
- Cockcroft Institute, Sci-Tech Daresbury, Warrington, UK
| | - A Capra
- TRIUMF, Vancouver, British Columbia, Canada
| | - C Carruth
- Department of Physics, University of California at Berkeley, Berkeley, CA, USA
| | - C L Cesar
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - M Charlton
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - S Cohen
- Department of Physics, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | | | - S Eriksson
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - A Evans
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta, Canada
| | - N Evetts
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia, Canada
| | - J Fajans
- Department of Physics, University of California at Berkeley, Berkeley, CA, USA
| | - T Friesen
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta, Canada
| | | | - D R Gill
- TRIUMF, Vancouver, British Columbia, Canada
| | - J S Hangst
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark.
| | - W N Hardy
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia, Canada
| | - M E Hayden
- Department of Physics, Simon Fraser University, Burnaby, British Columbia, Canada
| | - E D Hunter
- Department of Physics, University of California at Berkeley, Berkeley, CA, USA
| | - C A Isaac
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - M A Johnson
- School of Physics and Astronomy, University of Manchester, Manchester, UK
- Cockcroft Institute, Sci-Tech Daresbury, Warrington, UK
| | - J M Jones
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - S A Jones
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - S Jonsell
- Department of Physics, Stockholm University, Stockholm, Sweden
| | - A Khramov
- TRIUMF, Vancouver, British Columbia, Canada
| | - P Knapp
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | | | - N Madsen
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - D Maxwell
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | | | - S Menary
- Department of Physics and Astronomy, York University, Toronto, Ontario, Canada
| | - J M Michan
- TRIUMF, Vancouver, British Columbia, Canada
- École Polytechnique Fédérale de Lausanne (EPFL), Swiss Plasma Center (SPC), Lausanne, Switzerland
| | - T Momose
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia, Canada.
- Department of Chemistry, University of British Columbia, Vancouver, British Columbia, Canada.
| | - J J Munich
- Department of Physics, Simon Fraser University, Burnaby, British Columbia, Canada
| | | | - A Olin
- TRIUMF, Vancouver, British Columbia, Canada
- Department of Physics and Astronomy, University of Victoria, Victoria, British Columbia, Canada
| | - P Pusa
- Department of Physics, University of Liverpool, Liverpool, UK
| | - C Ø Rasmussen
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark
| | - F Robicheaux
- Department of Physics and Astronomy, Purdue University, West Lafayette, IN, USA
| | - R L Sacramento
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - M Sameed
- School of Physics and Astronomy, University of Manchester, Manchester, UK
| | | | - D M Silveira
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - D M Starko
- Department of Physics and Astronomy, York University, Toronto, Ontario, Canada
| | - G Stutter
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark
| | - C So
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta, Canada
| | - T D Tharp
- Physics Department, Marquette University, Milwaukee, WI, USA
| | - R I Thompson
- TRIUMF, Vancouver, British Columbia, Canada
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta, Canada
| | - D P van der Werf
- Department of Physics, College of Science, Swansea University, Swansea, UK
- IRFU, CEA/Saclay, Gif-sur-Yvette Cedex, France
| | - J S Wurtele
- Department of Physics, University of California at Berkeley, Berkeley, CA, USA
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25
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Foote AP, Jones SA, Kuehn LA. Association of preweaning and weaning serum cortisol and metabolites with ADG and incidence of respiratory disease in beef cattle. J Anim Sci 2018; 95:5012-5019. [PMID: 29293722 DOI: 10.2527/jas2017.1783] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
The objectives of this experiment were to determine the association of circulating cortisol, lactate, and glucose at, and prior to, weaning with ADG and incidences of bovine respiratory disease (BRD) in beef cattle. A blood sample was collected approximately 3 wk prior to weaning and at weaning from genetically diverse steers and heifers ( = 451). Cattle were weighed periodically throughout the study and ADG was calculated for the preweaning period (152 ± 15 d), the receiving period (45 d postweaning), the finishing period (200 d), and total postweaning ADG. Incidences of BRD were recorded and analyzed as a binary trait. Lung lesions were recorded at slaughter. Preweaning serum cortisol concentrations were positively associated ( = 0.040) with receiving ADG and explained 0.74% of the variance of receiving ADG. Preweaning glucose concentrations were positively associated ( < 0.001) with preweaning ADG and negatively associated with receiving ( = 0.003), finishing ( = 0.008), and total postweaning ADG ( = 0.002) and explained 2.0% of the variance in total postweaning ADG. Variation in preweaning serum glucose concentrations could be indicative of variation in milk consumption, and therefore indicate calves receiving less milk grow slower prior to weaning, but experience compensatory gain postweaning. Cattle that were diagnosed with BRD ( = 130) grew slower during the receiving phase ( = 0.004), but total postweaning ADG was not different from cattle not diagnosed with BRD ( = 0.683). Additionally, cattle that were diagnosed with BRD in the feedlot tended ( = 0.062) to have slightly lower preweaning serum glucose concentrations. Using a logistic regression analysis, none of the serum variables measured at or before weaning were predictive of developing BRD ( > 0.180). Weaning serum glucose concentrations tended to be predictive of the presence of lung lesions at weaning ( = 0.060). These data indicate that glucose measured early in life is associated with growth rate, and could indicate that carbohydrate metabolism could contribute to variation in ADG.
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Abstract
Foam structure evolves with time due to gas diffusion between bubbles (coarsening). In a bulk foam, coarsening behaviour is well defined, but there is less understanding of coarsening in confined geometries such as porous media. Previous predictions suggest that coarsening will cause foam lamellae to move to low energy configurations in the pore throats, resulting in greater capillary resistance when restarting flow. Foam coarsening experiments were conducted in both a model-porous-media micromodel and in a sandstone core. In both cases, foam was generated by coinjecting surfactant solution and nitrogen. Once steady state flow had been achieved, the injection was stopped and the system sealed off. In the micromodel, the foam coarsening was recorded using time-lapse photography. In the core flood, the additional driving pressure required to reinitiate flow after coarsening was measured. In the micromodel the bubbles coarsened rapidly to the pore size. At the completion of coarsening the lamellae were located in minimum energy configurations in the pore throats. The wall effect meant that the coarsening did not conform to the unconstricted growth laws. The coreflood tests also showed coarsening to be a rapid process. The additional driving pressure to restart flow reached a maximum after just 2 minutes.
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27
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Abstract
Gas trapping is an important mechanism in both Water or Surfactant Alternating Gas (WAG/SAG) and foam injection processes in porous media. Foams for enhanced oil recovery (EOR) can increase sweep efficiency as they decrease the gas relative permeability, and this is mainly due to gas trapping. However, gas trapping mechanisms are poorly understood. Some studies have been performed during corefloods, but little work has been carried out to describe the bubble trapping behaviour at the pore scale. We have carried out foam flow tests in a micromodel etched with an irregular hexagonal pattern. Image analysis of the foam flow allowed the bubble centres to be tracked and local velocities to be obtained. It was found that the flow in the micromodel is dominated by intermittency and localized zones of trapped gas. The quantity of trapped gas was measured both by considering the fraction of bubbles that were trapped (via velocity thresholding) and by measuring the area fraction containing immobile gas (via image analysis). A decrease in the quantity of trapped gas was observed for both increasing total velocity and increasing foam quality. Calculations of the gas relative permeability were made with the Brooks Corey equation, using the measured trapped gas saturations. The results showed a decrease in gas relative permeabilities, and gas mobility, for increasing fractions of trapped gas. It is suggested that the shear thinning behaviour of foam could be coupled to the saturation of trapped gas.
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28
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Ahmadi M, Alves BXR, Baker CJ, Bertsche W, Capra A, Carruth C, Cesar CL, Charlton M, Cohen S, Collister R, Eriksson S, Evans A, Evetts N, Fajans J, Friesen T, Fujiwara MC, Gill DR, Hangst JS, Hardy WN, Hayden ME, Isaac CA, Johnson MA, Jones JM, Jones SA, Jonsell S, Khramov A, Knapp P, Kurchaninov L, Madsen N, Maxwell D, McKenna JTK, Menary S, Momose T, Munich JJ, Olchanski K, Olin A, Pusa P, Rasmussen CØ, Robicheaux F, Sacramento RL, Sameed M, Sarid E, Silveira DM, Stutter G, So C, Tharp TD, Thompson RI, van der Werf DP, Wurtele JS. Characterization of the 1S-2S transition in antihydrogen. Nature 2018; 557:71-75. [PMID: 29618820 PMCID: PMC6784861 DOI: 10.1038/s41586-018-0017-2] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2017] [Accepted: 03/06/2018] [Indexed: 11/09/2022]
Abstract
In 1928, Dirac published an equation 1 that combined quantum mechanics and special relativity. Negative-energy solutions to this equation, rather than being unphysical as initially thought, represented a class of hitherto unobserved and unimagined particles-antimatter. The existence of particles of antimatter was confirmed with the discovery of the positron 2 (or anti-electron) by Anderson in 1932, but it is still unknown why matter, rather than antimatter, survived after the Big Bang. As a result, experimental studies of antimatter3-7, including tests of fundamental symmetries such as charge-parity and charge-parity-time, and searches for evidence of primordial antimatter, such as antihelium nuclei, have high priority in contemporary physics research. The fundamental role of the hydrogen atom in the evolution of the Universe and in the historical development of our understanding of quantum physics makes its antimatter counterpart-the antihydrogen atom-of particular interest. Current standard-model physics requires that hydrogen and antihydrogen have the same energy levels and spectral lines. The laser-driven 1S-2S transition was recently observed 8 in antihydrogen. Here we characterize one of the hyperfine components of this transition using magnetically trapped atoms of antihydrogen and compare it to model calculations for hydrogen in our apparatus. We find that the shape of the spectral line agrees very well with that expected for hydrogen and that the resonance frequency agrees with that in hydrogen to about 5 kilohertz out of 2.5 × 1015 hertz. This is consistent with charge-parity-time invariance at a relative precision of 2 × 10-12-two orders of magnitude more precise than the previous determination 8 -corresponding to an absolute energy sensitivity of 2 × 10-20 GeV.
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Affiliation(s)
- M Ahmadi
- Department of Physics, University of Liverpool, Liverpool, UK
| | - B X R Alves
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark
| | - C J Baker
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - W Bertsche
- School of Physics and Astronomy, University of Manchester, Manchester, UK
- Cockcroft Institute, Sci-Tech Daresbury, Warrington, UK
| | - A Capra
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia, Canada
| | - C Carruth
- Department of Physics, University of California at Berkeley, Berkeley, CA, USA
| | - C L Cesar
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - M Charlton
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - S Cohen
- Department of Physics, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - R Collister
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia, Canada
| | - S Eriksson
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - A Evans
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta, Canada
| | - N Evetts
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia, Canada
| | - J Fajans
- Department of Physics, University of California at Berkeley, Berkeley, CA, USA
| | - T Friesen
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark
| | - M C Fujiwara
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia, Canada
| | - D R Gill
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia, Canada
| | - J S Hangst
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark.
| | - W N Hardy
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia, Canada
| | - M E Hayden
- Department of Physics, Simon Fraser University, Burnaby, British Columbia, Canada
| | - C A Isaac
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - M A Johnson
- School of Physics and Astronomy, University of Manchester, Manchester, UK
- Cockcroft Institute, Sci-Tech Daresbury, Warrington, UK
| | - J M Jones
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - S A Jones
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - S Jonsell
- Department of Physics, Stockholm University, Stockholm, Sweden
| | - A Khramov
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia, Canada
| | - P Knapp
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - L Kurchaninov
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia, Canada
| | - N Madsen
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - D Maxwell
- Department of Physics, College of Science, Swansea University, Swansea, UK
| | - J T K McKenna
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia, Canada
| | - S Menary
- Department of Physics and Astronomy, York University, Toronto, Ontario, Canada
| | - T Momose
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia, Canada
| | - J J Munich
- Department of Physics, Simon Fraser University, Burnaby, British Columbia, Canada
| | - K Olchanski
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia, Canada
| | - A Olin
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia, Canada
- Department of Physics and Astronomy, University of Victoria, Victoria, British Columbia, Canada
| | - P Pusa
- Department of Physics, University of Liverpool, Liverpool, UK
| | - C Ø Rasmussen
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark
| | - F Robicheaux
- Department of Physics and Astronomy, Purdue University, West Lafayette, IN, USA
| | - R L Sacramento
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - M Sameed
- Department of Physics, College of Science, Swansea University, Swansea, UK
- School of Physics and Astronomy, University of Manchester, Manchester, UK
| | | | - D M Silveira
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - G Stutter
- Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark
| | - C So
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta, Canada
| | - T D Tharp
- Physics Department, Marquette University, Milwaukee, WI, USA
| | - R I Thompson
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta, Canada
| | - D P van der Werf
- Department of Physics, College of Science, Swansea University, Swansea, UK
- IRFU, CEA/Saclay, Gif-sur-Yvette Cedex, France
| | - J S Wurtele
- Department of Physics, University of California at Berkeley, Berkeley, CA, USA
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29
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Cuthbertson CC, Miller MS, Jones SA, Engeda JC, Evenson KR. Enablers, Barriers, And Intervention Strategies For Maintaining Exercise Following Cardiac Rehabilitation. Med Sci Sports Exerc 2018. [DOI: 10.1249/01.mss.0000535720.98426.83] [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: 11/21/2022]
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30
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Abstract
The cytokine interleukin (IL)-6 is a major therapeutic target for the treatment of various inflammatory and autoimmune diseases. While IL-6 receives considerable attention in studies of innate and adaptive immunity, the IL-6-related family member IL-27 is recognized increasingly for its effects on cellular proliferation, differentiation and leucocyte effector functions. Both cytokines activate responses in myeloid and stromal tissue cells, where they direct the transition from innate to adaptive immunity. However, they are identified frequently as lymphokines that control responses in T cells and B cells. In this regard, IL-27 often opposes the action of IL-6. Here, we will review the role of IL-6 and IL-27 in inflammation, with a particular focus on inflammatory arthritis, and discuss their importance in the diagnosis, stratification and treatment of autoimmune disease.
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Affiliation(s)
- G W Jones
- Division of Infection and Immunity, The School of Medicine, Systems Immunity University Research Institute, College of Biomedical and Life Sciences, Cardiff University, Cardiff, Wales, UK
| | - D G Hill
- Division of Infection and Immunity, The School of Medicine, Systems Immunity University Research Institute, College of Biomedical and Life Sciences, Cardiff University, Cardiff, Wales, UK
| | - A Cardus
- Division of Infection and Immunity, The School of Medicine, Systems Immunity University Research Institute, College of Biomedical and Life Sciences, Cardiff University, Cardiff, Wales, UK
| | - S A Jones
- Division of Infection and Immunity, The School of Medicine, Systems Immunity University Research Institute, College of Biomedical and Life Sciences, Cardiff University, Cardiff, Wales, UK
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31
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Ahmadi M, Alves BXR, Baker CJ, Bertsche W, Butler E, Capra A, Carruth C, Cesar CL, Charlton M, Cohen S, Collister R, Eriksson S, Evans A, Evetts N, Fajans J, Friesen T, Fujiwara MC, Gill DR, Gutierrez A, Hangst JS, Hardy WN, Hayden ME, Isaac CA, Ishida A, Johnson MA, Jones SA, Jonsell S, Kurchaninov L, Madsen N, Mathers M, Maxwell D, McKenna JTK, Menary S, Michan JM, Momose T, Munich JJ, Nolan P, Olchanski K, Olin A, Pusa P, Rasmussen CØ, Robicheaux F, Sacramento RL, Sameed M, Sarid E, Silveira DM, Stracka S, Stutter G, So C, Tharp TD, Thompson JE, Thompson RI, van der Werf DP, Wurtele JS. Erratum: Observation of the hyperfine spectrum of antihydrogen. Nature 2018; 553:530. [PMID: 29258296 DOI: 10.1038/nature24663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
This corrects the article DOI: 10.1038/nature23446.
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32
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Ahmadi M, Alves BXR, Baker CJ, Bertsche W, Capra A, Carruth C, Cesar CL, Charlton M, Cohen S, Collister R, Eriksson S, Evans A, Evetts N, Fajans J, Friesen T, Fujiwara MC, Gill DR, Hangst JS, Hardy WN, Hayden ME, Isaac CA, Johnson MA, Jones SA, Jonsell S, Kurchaninov L, Madsen N, Mathers M, Maxwell D, McKenna JTK, Menary S, Momose T, Munich JJ, Olchanski K, Olin A, Pusa P, Rasmussen CØ, Robicheaux F, Sacramento RL, Sameed M, Sarid E, Silveira DM, So C, Stutter G, Tharp TD, Thompson JE, Thompson RI, van der Werf DP, Wurtele JS. Enhanced Control and Reproducibility of Non-Neutral Plasmas. Phys Rev Lett 2018; 120:025001. [PMID: 29376718 DOI: 10.1103/physrevlett.120.025001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/19/2017] [Indexed: 06/07/2023]
Abstract
The simultaneous control of the density and particle number of non-neutral plasmas confined in Penning-Malmberg traps is demonstrated. Control is achieved by setting the plasma's density by applying a rotating electric field while simultaneously fixing its axial potential via evaporative cooling. This novel method is particularly useful for stabilizing positron plasmas, as the procedures used to collect positrons from radioactive sources typically yield plasmas with variable densities and particle numbers; it also simplifies optimization studies that require plasma parameter scans. The reproducibility achieved by applying this technique to the positron and electron plasmas used by the ALPHA antihydrogen experiment at CERN, combined with other developments, contributed to a 10-fold increase in the antiatom trapping rate.
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Affiliation(s)
- M Ahmadi
- Department of Physics, University of Liverpool, Liverpool L69 7ZE, United Kingdom
| | - B X R Alves
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
| | - C J Baker
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, United Kingdom
| | - W Bertsche
- School of Physics and Astronomy, University of Manchester, Manchester M13 9PL, United Kingdom
- Cockcroft Institute, Sci-Tech Daresbury, Warrington WA4 4AD, United Kingdom
| | - A Capra
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - C Carruth
- Department of Physics, University of California at Berkeley, Berkeley, California 94720-7300, USA
| | - C L Cesar
- Instituto de Física, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-972, Brazil
| | - M Charlton
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, United Kingdom
| | - S Cohen
- Department of Physics, Ben-Gurion University of the Negev, Beer-Sheva 84105, Israel
| | - R Collister
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - S Eriksson
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, United Kingdom
| | - A Evans
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta T2N 1N4, Canada
| | - N Evetts
- Department of Physics and Astronomy, The University of British Columbia, Vancouver, British Columbia V6T 1Z1, Canada
| | - J Fajans
- Department of Physics, University of California at Berkeley, Berkeley, California 94720-7300, USA
| | - T Friesen
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
| | - M C Fujiwara
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - D R Gill
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - J S Hangst
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
| | - W N Hardy
- Department of Physics and Astronomy, The University of British Columbia, Vancouver, British Columbia V6T 1Z1, Canada
| | - M E Hayden
- Department of Physics, Simon Fraser University, Burnaby, British Columbia V5A 1S6, Canada
| | - C A Isaac
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, United Kingdom
| | - M A Johnson
- School of Physics and Astronomy, University of Manchester, Manchester M13 9PL, United Kingdom
| | - S A Jones
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, United Kingdom
| | - S Jonsell
- Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - L Kurchaninov
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - N Madsen
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, United Kingdom
| | - M Mathers
- Department of Physics and Astronomy, York University, Toronto, Ontario M3J 1P3, Canada
| | - D Maxwell
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, United Kingdom
| | - J T K McKenna
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - S Menary
- Department of Physics and Astronomy, York University, Toronto, Ontario M3J 1P3, Canada
| | - T Momose
- Department of Chemistry, The University of British Columbia, Vancouver, British Columbia V6T 1Z1, Canada
| | - J J Munich
- Department of Physics, Simon Fraser University, Burnaby, British Columbia V5A 1S6, Canada
| | - K Olchanski
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - A Olin
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
- Department of Physics and Astronomy, University of Victoria, Victoria, British Columbia V8P 5C2, Canada
| | - P Pusa
- Department of Physics, University of Liverpool, Liverpool L69 7ZE, United Kingdom
| | - C Ø Rasmussen
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
| | - F Robicheaux
- Department of Physics and Astronomy, Purdue University, West Lafayette, Indiana 47907, USA
| | - R L Sacramento
- Instituto de Física, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-972, Brazil
| | - M Sameed
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, United Kingdom
- School of Physics and Astronomy, University of Manchester, Manchester M13 9PL, United Kingdom
| | - E Sarid
- Soreq NRC, Yavne 81800, Israel
| | - D M Silveira
- Instituto de Física, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-972, Brazil
| | - C So
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta T2N 1N4, Canada
| | - G Stutter
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
| | - T D Tharp
- Physics Department, Marquette University, P.O. Box 1881,Milwaukee, Wisconsin 53201-1881, USA
| | - J E Thompson
- Department of Physics and Astronomy, York University, Toronto, Ontario M3J 1P3, Canada
| | - R I Thompson
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta T2N 1N4, Canada
| | - D P van der Werf
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, United Kingdom
- IRFU, CEA/Saclay, F-91191 Gif-sur-Yvette Cedex, France
| | - J S Wurtele
- Department of Physics, University of California at Berkeley, Berkeley, California 94720-7300, USA
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33
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Ahmadi M, Alves BXR, Baker CJ, Bertsche W, Butler E, Capra A, Carruth C, Cesar CL, Charlton M, Cohen S, Collister R, Eriksson S, Evans A, Evetts N, Fajans J, Friesen T, Fujiwara MC, Gill DR, Gutierrez A, Hangst JS, Hardy WN, Hayden ME, Isaac CA, Ishida A, Johnson MA, Jones SA, Jonsell S, Kurchaninov L, Madsen N, Mathers M, Maxwell D, McKenna JTK, Menary S, Michan JM, Momose T, Munich JJ, Nolan P, Olchanski K, Olin A, Pusa P, Rasmussen CØ, Robicheaux F, Sacramento RL, Sameed M, Sarid E, Silveira DM, Stracka S, Stutter G, So C, Tharp TD, Thompson JE, Thompson RI, van der Werf DP, Wurtele JS. Observation of the hyperfine spectrum of antihydrogen. Nature 2017; 548:66-69. [PMID: 28770838 DOI: 10.1038/nature23446] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2017] [Accepted: 06/30/2017] [Indexed: 11/09/2022]
Abstract
The observation of hyperfine structure in atomic hydrogen by Rabi and co-workers and the measurement of the zero-field ground-state splitting at the level of seven parts in 1013 are important achievements of mid-twentieth-century physics. The work that led to these achievements also provided the first evidence for the anomalous magnetic moment of the electron, inspired Schwinger's relativistic theory of quantum electrodynamics and gave rise to the hydrogen maser, which is a critical component of modern navigation, geo-positioning and very-long-baseline interferometry systems. Research at the Antiproton Decelerator at CERN by the ALPHA collaboration extends these enquiries into the antimatter sector. Recently, tools have been developed that enable studies of the hyperfine structure of antihydrogen-the antimatter counterpart of hydrogen. The goal of such studies is to search for any differences that might exist between this archetypal pair of atoms, and thereby to test the fundamental principles on which quantum field theory is constructed. Magnetic trapping of antihydrogen atoms provides a means of studying them by combining electromagnetic interaction with detection techniques that are unique to antimatter. Here we report the results of a microwave spectroscopy experiment in which we probe the response of antihydrogen over a controlled range of frequencies. The data reveal clear and distinct signatures of two allowed transitions, from which we obtain a direct, magnetic-field-independent measurement of the hyperfine splitting. From a set of trials involving 194 detected atoms, we determine a splitting of 1,420.4 ± 0.5 megahertz, consistent with expectations for atomic hydrogen at the level of four parts in 104. This observation of the detailed behaviour of a quantum transition in an atom of antihydrogen exemplifies tests of fundamental symmetries such as charge-parity-time in antimatter, and the techniques developed here will enable more-precise such tests.
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Affiliation(s)
- M Ahmadi
- Department of Physics, University of Liverpool, Liverpool L69 7ZE, UK
| | - B X R Alves
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
| | - C J Baker
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - W Bertsche
- School of Physics and Astronomy, University of Manchester, Manchester M12 9PL, UK.,Cockcroft Institute, Sci-Tech Daresbury, Warrington WA4 4AD, UK
| | - E Butler
- Physics Department, CERN, CH-1211 Geneve 23, Switzerland
| | - A Capra
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - C Carruth
- Department of Physics, University of California at Berkeley, Berkeley, California 94720-7300, USA
| | - C L Cesar
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-972, Brazil
| | - M Charlton
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - S Cohen
- Department of Physics, Ben-Gurion University of the Negev, Beer-Sheva 84105, Israel
| | - R Collister
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - S Eriksson
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - A Evans
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta T2N 1N4, Canada
| | - N Evetts
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia V6T 1Z1, Canada
| | - J Fajans
- Department of Physics, University of California at Berkeley, Berkeley, California 94720-7300, USA
| | - T Friesen
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
| | - M C Fujiwara
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - D R Gill
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - A Gutierrez
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia V6T 1Z1, Canada.,Department of Medical Physics and Biomedical Engineering, University College London, London WC1E 6BT, UK
| | - J S Hangst
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
| | - W N Hardy
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia V6T 1Z1, Canada
| | - M E Hayden
- Department of Physics, Simon Fraser University, Burnaby, British Columbia V5A 1S6, Canada
| | - C A Isaac
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - A Ishida
- Department of Physics, The University of Tokyo, 7-3-1 Hongo, Bunkyo, Tokyo 113-0033, Japan
| | - M A Johnson
- School of Physics and Astronomy, University of Manchester, Manchester M12 9PL, UK.,Cockcroft Institute, Sci-Tech Daresbury, Warrington WA4 4AD, UK
| | - S A Jones
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - S Jonsell
- Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - L Kurchaninov
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - N Madsen
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - M Mathers
- Department of Physics and Astronomy, York University, Toronto, Ontario M3J 1P3, Canada
| | - D Maxwell
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - J T K McKenna
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - S Menary
- Department of Physics and Astronomy, York University, Toronto, Ontario M3J 1P3, Canada
| | - J M Michan
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada.,École Polytechnique Fédérale de Lausanne (EPFL), Swiss Plasma Center (SPC), Lausanne CH-1015, Switzerland
| | - T Momose
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia V6T 1Z1, Canada
| | - J J Munich
- Department of Physics, Simon Fraser University, Burnaby, British Columbia V5A 1S6, Canada
| | - P Nolan
- Department of Physics, University of Liverpool, Liverpool L69 7ZE, UK
| | - K Olchanski
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - A Olin
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada.,Department of Physics and Astronomy, University of Victoria, Victoria, British Columbia V8P 5C2, Canada
| | - P Pusa
- Department of Physics, University of Liverpool, Liverpool L69 7ZE, UK
| | - C Ø Rasmussen
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
| | - F Robicheaux
- Department of Physics and Astronomy, Purdue University, West Lafayette, Indiana 47907, USA
| | - R L Sacramento
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-972, Brazil
| | - M Sameed
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - E Sarid
- Soreq NRC, Yavne 81800, Israel
| | - D M Silveira
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-972, Brazil
| | - S Stracka
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada.,Universita di Pisa and Sezione INFN di Pisa, Largo Pontecorvo 3, 56127 Pisa, Italy
| | - G Stutter
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
| | - C So
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta T2N 1N4, Canada
| | - T D Tharp
- Physics Department, Marquette University, PO Box 1881, Milwaukee, Wisconsin 53201-1881, USA
| | - J E Thompson
- Department of Physics and Astronomy, York University, Toronto, Ontario M3J 1P3, Canada
| | - R I Thompson
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta T2N 1N4, Canada
| | - D P van der Werf
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK.,IRFU, CEA/Saclay, F-91191, Gif-sur-Yvette Cedex, France
| | - J S Wurtele
- Department of Physics, University of California at Berkeley, Berkeley, California 94720-7300, USA
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Ahmadi M, Alves BXR, Baker CJ, Bertsche W, Butler E, Capra A, Carruth C, Cesar CL, Charlton M, Cohen S, Collister R, Eriksson S, Evans A, Evetts N, Fajans J, Friesen T, Fujiwara MC, Gill DR, Gutierrez A, Hangst JS, Hardy WN, Hayden ME, Isaac CA, Ishida A, Johnson MA, Jones SA, Jonsell S, Kurchaninov L, Madsen N, Mathers M, Maxwell D, McKenna JTK, Menary S, Michan JM, Momose T, Munich JJ, Nolan P, Olchanski K, Olin A, Pusa P, Rasmussen CØ, Robicheaux F, Sacramento RL, Sameed M, Sarid E, Silveira DM, Stracka S, Stutter G, So C, Tharp TD, Thompson JE, Thompson RI, van der Werf DP, Wurtele JS. Antihydrogen accumulation for fundamental symmetry tests. Nat Commun 2017; 8:681. [PMID: 28947794 PMCID: PMC5613003 DOI: 10.1038/s41467-017-00760-9] [Citation(s) in RCA: 47] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2017] [Accepted: 07/20/2017] [Indexed: 11/18/2022] Open
Abstract
Antihydrogen, a positron bound to an antiproton, is the simplest anti-atom. Its structure and properties are expected to mirror those of the hydrogen atom. Prospects for precision comparisons of the two, as tests of fundamental symmetries, are driving a vibrant programme of research. In this regard, a limiting factor in most experiments is the availability of large numbers of cold ground state antihydrogen atoms. Here, we describe how an improved synthesis process results in a maximum rate of 10.5 ± 0.6 atoms trapped and detected per cycle, corresponding to more than an order of magnitude improvement over previous work. Additionally, we demonstrate how detailed control of electron, positron and antiproton plasmas enables repeated formation and trapping of antihydrogen atoms, with the simultaneous retention of atoms produced in previous cycles. We report a record of 54 detected annihilation events from a single release of the trapped anti-atoms accumulated from five consecutive cycles. Antihydrogen studies are important in testing the fundamental principles of physics but producing antihydrogen in large amounts is challenging. Here the authors demonstrate an efficient and high-precision method for trapping and stacking antihydrogen by using controlled plasma.
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Affiliation(s)
- M Ahmadi
- Department of Physics, University of Liverpool, Liverpool, L69 7ZE, UK
| | - B X R Alves
- Department of Physics and Astronomy, Aarhus University, DK-8000, Aarhus C, Denmark
| | - C J Baker
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - W Bertsche
- School of Physics and Astronomy, University of Manchester, Manchester, M12 9PL, UK.,Cockcroft Institute, Sci-Tech Daresbury, Warrington, WA4 4AD, UK
| | - E Butler
- Physics Department, CERN, CH-1211, Geneve 23, Switzerland
| | - A Capra
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, Canada, V6T 2A3
| | - C Carruth
- Department of Physics, University of California at Berkeley, Berkeley, CA, 94720-7300, USA
| | - C L Cesar
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, 21941-972, Brazil
| | - M Charlton
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - S Cohen
- Department of Physics, Ben-Gurion University of the Negev, Beer-Sheva, 84105, Israel
| | - R Collister
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, Canada, V6T 2A3
| | - S Eriksson
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - A Evans
- Department of Physics and Astronomy, University of Calgary, Calgary, AB, Canada, T2N 1N4
| | - N Evetts
- Department of Physics and Astronomy, University of British Columbia, Vancouver, BC, Canada, V6T 1Z1
| | - J Fajans
- Department of Physics, University of California at Berkeley, Berkeley, CA, 94720-7300, USA
| | - T Friesen
- Department of Physics and Astronomy, Aarhus University, DK-8000, Aarhus C, Denmark.
| | - M C Fujiwara
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, Canada, V6T 2A3
| | - D R Gill
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, Canada, V6T 2A3
| | - A Gutierrez
- Department of Medical Physics and Biomedical Engineering, University College London, London, WC1E 6BT, UK
| | - J S Hangst
- Department of Physics and Astronomy, Aarhus University, DK-8000, Aarhus C, Denmark
| | - W N Hardy
- Department of Physics and Astronomy, University of British Columbia, Vancouver, BC, Canada, V6T 1Z1
| | - M E Hayden
- Department of Physics, Simon Fraser University, Burnaby, BC, Canada, V5A 1S6
| | - C A Isaac
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - A Ishida
- Department of Physics, The University of Tokyo, 7-3-1 Hongo, Tokyo, 113-0033, Japan
| | - M A Johnson
- School of Physics and Astronomy, University of Manchester, Manchester, M12 9PL, UK.,Cockcroft Institute, Sci-Tech Daresbury, Warrington, WA4 4AD, UK
| | - S A Jones
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - S Jonsell
- Department of Physics, Stockholm University, SE-10691, Stockholm, Sweden
| | - L Kurchaninov
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, Canada, V6T 2A3
| | - N Madsen
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK.
| | - M Mathers
- Department of Physics and Astronomy, York University, Toronto, ON, Canada, M3J 1P3
| | - D Maxwell
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - J T K McKenna
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, Canada, V6T 2A3
| | - S Menary
- Department of Physics and Astronomy, York University, Toronto, ON, Canada, M3J 1P3
| | - J M Michan
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, Canada, V6T 2A3.,École Polytechnique Fédérale de Lausanne (EPFL), Swiss Plasma Center (SPC), CH-1015, Lausanne, Switzerland
| | - T Momose
- Department of Physics and Astronomy, University of British Columbia, Vancouver, BC, Canada, V6T 1Z1
| | - J J Munich
- Department of Physics, Simon Fraser University, Burnaby, BC, Canada, V5A 1S6
| | - P Nolan
- Department of Physics, University of Liverpool, Liverpool, L69 7ZE, UK
| | - K Olchanski
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, Canada, V6T 2A3
| | - A Olin
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, Canada, V6T 2A3.,Department of Physics and Astronomy, University of Victoria, Victoria, BC, Canada, V8P 5C2
| | - P Pusa
- Department of Physics, University of Liverpool, Liverpool, L69 7ZE, UK
| | - C Ø Rasmussen
- Department of Physics and Astronomy, Aarhus University, DK-8000, Aarhus C, Denmark
| | - F Robicheaux
- Department of Physics and Astronomy, Purdue University, West Lafayette, IN, 47907, USA
| | - R L Sacramento
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, 21941-972, Brazil
| | - M Sameed
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - E Sarid
- Soreq NRC, Yavne, 81800, Israel
| | - D M Silveira
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, 21941-972, Brazil
| | - S Stracka
- Universita di Pisa and Sezione INFN di Pisa, Largo Pontecorvo 3, 56127, Pisa, Italy
| | - G Stutter
- Department of Physics and Astronomy, Aarhus University, DK-8000, Aarhus C, Denmark
| | - C So
- Department of Physics and Astronomy, University of Calgary, Calgary, AB, Canada, T2N 1N4
| | - T D Tharp
- Physics Department, Marquette University, P.O. Box 1881, Milwaukee, WI, 53201-1881, USA
| | - J E Thompson
- Department of Physics and Astronomy, York University, Toronto, ON, Canada, M3J 1P3
| | - R I Thompson
- Department of Physics and Astronomy, University of Calgary, Calgary, AB, Canada, T2N 1N4
| | - D P van der Werf
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK.,IRFU, CEA/Saclay, F-91191, Gif-sur-Yvette, France
| | - J S Wurtele
- Department of Physics, University of California at Berkeley, Berkeley, CA, 94720-7300, USA
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Lenguerrand E, Whitehouse MR, Beswick AD, Jones SA, Porter ML, Blom AW. Revision for prosthetic joint infection following hip arthroplasty: Evidence from the National Joint Registry. Bone Joint Res 2017. [PMID: 28642256 PMCID: PMC5492333 DOI: 10.1302/2046-3758.66.bjr-2017-0003.r1] [Citation(s) in RCA: 79] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Objectives We used the National Joint Registry for England, Wales, Northern Ireland and the Isle of Man (NJR) to investigate the risk of revision due to prosthetic joint infection (PJI) for patients undergoing primary and revision hip arthroplasty, the changes in risk over time, and the overall burden created by PJI. Methods We analysed revision total hip arthroplasties (THAs) performed due to a diagnosis of PJI and the linked index procedures recorded in the NJR between 2003 and 2014. The cohort analysed consisted of 623 253 index primary hip arthroplasties, 63 222 index revision hip arthroplasties and 7585 revision THAs performed due to a diagnosis of PJI. The prevalence, cumulative incidence functions and the burden of PJI (total procedures) were calculated. Overall linear trends were investigated with log-linear regression. Results We demonstrated a prevalence of revision THA due to prosthetic joint infection of 0.4/100 procedures following primary and 1.6/100 procedures following revision hip arthroplasty. The prevalence of revision due to PJI in the three months following primary hip arthroplasty has risen 2.3-fold (95% confidence interval (CI) 1.3 to 4.1) between 2005 and 2013, and 3.0-fold (95% CI 1.1 to 8.5) following revision hip arthroplasty. Over 1000 procedures are performed annually as a consequence of hip PJI, an increase of 2.6-fold between 2005 and 2013. Conclusions Although the risk of revision due to PJI following hip arthroplasty is low, it is rising and, coupled with the established and further predicted increased incidence of both primary and revision hip arthroplasty, this represents a growing and substantial treatment burden. Cite this article: E. Lenguerrand, M. R. Whitehouse, A. D. Beswick, S. A. Jones, M. L. Porter, A. W. Blom. Revision for prosthetic joint infection following hip arthroplasty: Evidence from the National Joint Registry. Bone Joint Res 2017;6:391–398. DOI: 10.1302/2046-3758.66.BJR-2017-0003.R1.
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Affiliation(s)
- E Lenguerrand
- Musculoskeletal Research Unit, School of Clinical Sciences, University of Bristol, 1st Floor Learning & Research Building, Southmead Hospital, Bristol, BS10 5NB, UK
| | - M R Whitehouse
- Musculoskeletal Research Unit, School of Clinical Sciences, University of Bristol, 1st Floor Learning & Research Building, Southmead Hospital, Bristol, BS10 5NB, UK
| | - A D Beswick
- Musculoskeletal Research Unit, School of Clinical Sciences, University of Bristol, 1st Floor Learning & Research Building, Southmead Hospital, Bristol, BS10 5NB, UK
| | - S A Jones
- Cardiff & Vale University Health Board, University Hospital Llandough, Penlan Road, Llandough, Penarth, Vale of Glamorgan, CF64 2XX, UK
| | - M L Porter
- Centre for Hip Surgery, Wrightington Hospital, Lancashire, WN6 9EP, UK
| | - A W Blom
- Musculoskeletal Research Unit, School of Clinical Sciences, University of Bristol, 1st Floor Learning & Research Building, Southmead Hospital, Bristol, BS10 5NB, UK
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36
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Jones SA, Li Q, Evenson KR. Physical Activity And Sedentary Behavior During The Retirement Transition. Med Sci Sports Exerc 2017. [DOI: 10.1249/01.mss.0000518338.99773.16] [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: 11/21/2022]
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Williams H, Jones SA, Lyons C, Wilson C, Ghandour A. Refractory patella tendinopathy with failed conservative treatment-shock wave or arthroscopy? J Orthop Surg (Hong Kong) 2017; 25:2309499016684700. [PMID: 28118806 DOI: 10.1177/2309499016684700] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
AIM To identify whether the location of refractory patella tendinopathy (PT) has an effect on treatment modality (radial extracorporeal shock wave therapy (rESWT) or arthroscopic debridement). METHODS Between 2012 and 2014, 40 patients with PT underwent a magnetic resonance imaging (MRI) scan. This confirmed the diagnosis as either involving the tendon itself (group A, 20) or with retropatella fat pad extension (group B, 20). All patients underwent rESWT. If there was no improvement patients proceeded with surgery in the form of arthroscopic debridement (by senior authors CW and AG). Outcomes were assessed before and after treatment using the Victorian Institute of Sports Assessment-Patella (VISA-P) score. RESULTS There were 18 males and 2 females in group A and 15 males and 5 females in group B. The mean age was 41.4 years in group A (23-59) and 34.7 in group B (19-52). Seventeen of 20 in group A reported good or excellent outcomes and did not require surgical intervention (remaining three improved after second course of ESWT). All patients in group B failed to improve with rESWT, resulting in arthroscopic debridement and reported good or excellent outcomes. After 6 months, group A mean VISA-P score increased from 50.2 to 65.0 ( p = 0.01) and group B from 39.6 to 78.4 ( p = <0.001). CONCLUSION An MRI should be performed to determine the precise location of tendinosis in patients with refractory PT who fail standard conservative management. If the MRI scan shows intratendon changes only, ESWT should be performed and those with extension into the fat pad should proceed to arthroscopic debridement without rESWT.
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Affiliation(s)
- Hlm Williams
- Department of Trauma and Orthopaedics, University Hospital of Wales, Cardiff, UK
| | - S A Jones
- Department of Trauma and Orthopaedics, University Hospital of Wales, Cardiff, UK
| | - C Lyons
- Department of Trauma and Orthopaedics, University Hospital of Wales, Cardiff, UK
| | - C Wilson
- Department of Trauma and Orthopaedics, University Hospital of Wales, Cardiff, UK
| | - A Ghandour
- Department of Trauma and Orthopaedics, University Hospital of Wales, Cardiff, UK
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38
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Keele JW, Kuehn LA, McDaneld TG, Tait RG, Jones SA, Keel BN, Snelling WM. Genomewide association study of liver abscess in beef cattle. J Anim Sci 2016; 94:490-9. [PMID: 27065119 DOI: 10.2527/jas.2015-9887] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
Fourteen percent of U.S. cattle slaughtered in 2011 had liver abscesses, resulting in reduced carcass weight, quality, and value. Liver abscesses can result from a common bacterial cause, , which inhabits rumen lesions caused by acidosis and subsequently escapes into the blood stream, is filtered by the liver, and causes abscesses in the liver. Our aim was to identify SNP associated with liver abscesses in beef cattle. We used lung samples as a DNA source because they have low economic value, they have abundant DNA, and we had unrestricted access to sample them. We collected 2,304 lung samples from a beef processing plant: 1,152 from animals with liver abscess and 1,152 from animals without liver abscess. Lung tissue from pairs of animals, 1 with abscesses and another without, were collected from near one another on the viscera table to ensure that pairs of phenotypically extreme animals came from the same lot. Within each phenotype (abscess or no abscess), cattle were pooled by slaughter sequence into 12 pools of 96 cattle for each phenotype for a total of 24 pools. The pools were constructed by equal volume of frozen lung tissue from each animal. The DNA needed to allelotype each pool was then extracted from pooled lung tissue and the BovineHD Bead Array (777,962 SNP) was run on all 24 pools. Total intensity (TI), an indicator of copy number variants, was the sum of intensities from red and green dyes. Pooling allele frequency (PAF) was red dye intensity divided TI. Total intensity and PAF were weighted by the inverse of their respective genomic covariance matrices computed over all SNP across the genome. A false discovery rate ≤ 5% was achieved for 15 SNP for PAF and 20 SNP for TI. Genes within 50 kbp from significant SNP were in diverse pathways including maintenance of pH homeostasis in the gastrointestinal tract, maintain immune defenses in the liver, migration of leukocytes from the blood into infected tissues, transport of glutamine into the kidney in response to acidosis to facilitate production of bicarbonate to increase pH, aggregate platelets to liver injury to facilitate liver repair, and facilitate axon guidance. Evidence from the 35 detected SNP associations combined with evidence of polygenic variation indicate that there is adequate genetic variation in incidence rate of liver abscesses, which could be exploited to select sires for reduced susceptibility to subacute acidosis and associated liver abscess.
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Thurlow V, Ozevlat H, Jones SA, Bailey IR. Establishing a practical blood platelet threshold to avoid reporting spurious potassium results due to thrombocytosis. Ann Clin Biochem 2016; 42:196-9. [PMID: 15949154 DOI: 10.1258/0004563053857761] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Background: Thrombocytosis is one of several pre-analytical factors which contribute to spuriously high serum potassium concentrations, yet there is little published data to guide analysts in the selection of a specific platelet count threshold above which serum potassium results become unreliable. We have studied the sensitivity and specificity of blood platelet count as a predictor of false elevations in potassium. Methods: Paired serum and plasma potassium measurements together with full blood count were performed for 300 patients. All samples were stored at room temperature and analysed within 4 h of collection. The difference between serum and plasma potassium was plotted against blood platelet count. Results: When the difference (serum-plasma) in potassium concentration was plotted against platelet count, there was a direct linear relationship. Blood platelet counts of >500 x 109/L will detect elevations in serum relative to plasma potassium of >0.5 mmol/L, with a sensitivity of 71% and a specificity of 89%. Conclusion: It is recommended that where blood platelet count is above 500 x 109/L, potassium measurements should be repeated using lithium heparin plasma. When serum potassium results of >5.4 mmol/L are obtained, it is our policy to check the platelet count if a sample is available before reporting results. If available and above 500 x 109/L, potassium results are withheld and plasma requested.
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Affiliation(s)
- V Thurlow
- Department of Chemical Pathology, Princess Royal University Hospital, Farnborough Common, Nr Orpington, Kent BR6 8ND, UK.
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Soni-Jaiswal A, Mercer J, Jones SA, Bruce IA, Callery P. Mucopolysaccharidosis I; Parental beliefs about the impact of disease on the quality of life of their children. Orphanet J Rare Dis 2016; 11:96. [PMID: 27406185 PMCID: PMC4942895 DOI: 10.1186/s13023-016-0478-z] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2016] [Accepted: 06/27/2016] [Indexed: 11/24/2022] Open
Abstract
Background Hematopoietic stem cell transplants, alongside enzyme replacement therapy and good multi-disciplinary care, have dramatically improved the life expectancy in children with Mucopolysaccharidosis (MPS) I, with better objective and functional outcomes. Despite these improvements, children with both the attenuated (non-Hurler) and severe (Hurler) variants of the disease have marked residual morbidity. Children with MPS I suffer with head and neck disease including obstructive sleep apnoea and hearing loss. The impact of these on quality of life has been poorly researched and no previous work has been published looking at patients’ perception of their own health, an important domain when considering the impact of treatment. Methods This exploratory qualitative study aimed to discover the effect of head and neck disease, alongside that of MPS I as a whole, on the quality of life of affected children. A grounded theory approach was used to conduct this study. Children and their parents were invited to participate in semi-structured interviews. The transcribed interviews were coded and emergent themes explored until saturation occurred. Results The families of eleven children with MPS I were interviewed, five with Hurler’s and six with the attenuated non-Hurler’s. Important themes to emerge were- the fear of dying associated with obstructive sleep apnoea, difficulties communicating at school due to the delayed acquisition of language, chronic pain and restricted mobility, physical differences and restricted participation in social activities such as sports secondary to the musculoskeletal disease burden. The overall theme running through the analysis was the desire to fit in with ones peers. Conclusion Parents and children with MPS 1 worry about ‘fitting-in’ with broader society. The presence of airway disease has a profound impact on the emotional well being of parents whilst language delay and musculoskeletal disease have the biggest impact on the quality of life of the children themselves. It is important to understand the impact of MPS I on the quality of life of children and their families so that we may improve future treatment and management of this sub-group of children who have an increasing life span.
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Affiliation(s)
- A Soni-Jaiswal
- Respiratory and Allergy Centre, Institute of Inflammation and Repair, Faculty of Medical and Human Sciences, University of Manchester, Manchester, M13 9PL, UK.
| | - J Mercer
- Willink Unit, Saint Mary's Hospital, Central Manchester University Hospitals NHS Foundation Trust, Manchester, M13 9WL, UK
| | - S A Jones
- Willink Unit, Saint Mary's Hospital, Central Manchester University Hospitals NHS Foundation Trust, Manchester, M13 9WL, UK
| | - I A Bruce
- Respiratory and Allergy Centre, Institute of Inflammation and Repair, Faculty of Medical and Human Sciences, University of Manchester, Manchester, M13 9PL, UK.,Paediatric ENT Department, Royal Manchester Children's Hospital, Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, M13 9WL, UK
| | - P Callery
- School of Nursing, Midwifery and Social work, University of Manchester, Manchester, M13 9PL, UK
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41
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Hales KE, Foote AP, Jones SA, Shackelford SD, Boyd BM, Erickson GE. The effects of zilpaterol hydrochloride and shade on blood metabolites of finishing beef steers1. J Anim Sci 2016; 94:2937-41. [PMID: 27482680 DOI: 10.2527/jas.2015-9967] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Broomfield A, Jones SA, Hughes SM, Bigger BW. The impact of the immune system on the safety and efficiency of enzyme replacement therapy in lysosomal storage disorders. J Inherit Metab Dis 2016; 39:499-512. [PMID: 26883220 DOI: 10.1007/s10545-016-9917-1] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2015] [Revised: 01/27/2016] [Accepted: 01/29/2016] [Indexed: 12/31/2022]
Abstract
In the light of clinical experience in infantile onset Pompe patients, the immunological impact on the tolerability and long-term efficacy of enzyme replacement therapy (ERT) for lysosomal storage disorders has come under renewed scrutiny. This article details the currently proposed immunological mechanisms involved in the development of anti-drug antibodies and the current therapies used in their treatment. Given the current understanding of the adaptive immune response, it focuses particularly on T cell dependent mechanisms and the paradigm of using lymphocytic negative selection as a predictor of antibody formation. This concept originally postulated in the 1970s, stipulated that the genotypically determined lack of production or production of a variant protein determines an individual's lymphocytic repertoire. This in turn is the key factor in determining the potential severity of an individual's immunological response to ERT. It also highlights the need for immunological assay standardization particularly those looking at describing the degree of functional impact, robust biochemical or clinical endpoints and detailed patient subgroup identification if the true evaluations of impact are to be realised.
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Affiliation(s)
- A Broomfield
- Willink Biochemical genetics unit, Manchester center for genomic medicine, St Mary's Hospital, Central Manchester Foundation Trust, Manchester, M13 9WL, UK.
| | - S A Jones
- Willink Biochemical genetics unit, Manchester center for genomic medicine, St Mary's Hospital, Central Manchester Foundation Trust, Manchester, M13 9WL, UK
| | - S M Hughes
- Department of Immunology, Royal Manchester children's Hospital, Central Manchester Foundation Trust, Manchester, M13 9WL, UK
| | - B W Bigger
- Stem Cell & Neurotherapies Laboratory, Faculty of Medical and Human Sciences, University of Manchester, Manchester, M13 9PT, UK
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Evenson KR, Jones SA, Holliday KM, Cohen DA, McKenzie TL. Park characteristics, use, and physical activity: A review of studies using SOPARC (System for Observing Play and Recreation in Communities). Prev Med 2016; 86:153-66. [PMID: 26946365 PMCID: PMC4837088 DOI: 10.1016/j.ypmed.2016.02.029] [Citation(s) in RCA: 120] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2015] [Revised: 01/18/2016] [Accepted: 02/18/2016] [Indexed: 11/28/2022]
Abstract
The System for Observing Play and Recreation in Communities (SOPARC) can obtain information on park users and their physical activity using momentary time sampling. We conducted a literature review of studies using the SOPARC tool to describe the observational methods of each study, and to extract public park use overall and by demographics and physical activity levels. We searched PubMed, Embase, and SPORTDiscus for full-length observational studies published in English in peer-reviewed journals through 2014. Twenty-four studies from 34 articles were included. The number of parks observed per study ranged from 3 to 50. Most studies observed parks during one season. The number of days parks were observed ranged from 1 to 16, with 16 studies observing 5 or more days. All studies included at least one weekday and all but two included at least one weekend day. Parks were observed from 1 to 14times/day, with most studies observing at least 4 times/day. All studies included both morning and afternoon observations, with one exception. There was a wide range of park users (mean 1.0 to 152.6 people/park/observation period), with typically more males than females visiting parks and older adults less than other age groups. Park user physical activity levels varied greatly across studies, with youths generally more active than adults and younger children more active than adolescents. SOPARC was adapted to numerous settings and these review results can be used to improve future studies using the tool, demonstrate ways to compare park data, and inform park promotions and programming.
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Affiliation(s)
- Kelly R Evenson
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina - Chapel Hill, 137 East Franklin Street, Suite 306, Chapel Hill, NC 27514, United States.
| | - Sydney A Jones
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina - Chapel Hill, 137 East Franklin Street, Suite 306, Chapel Hill, NC 27514, United States.
| | - Katelyn M Holliday
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina - Chapel Hill, 137 East Franklin Street, Suite 306, Chapel Hill, NC 27514, United States.
| | - Deborah A Cohen
- RAND Corporation, 1776 Main Street, Santa Monica, CA 90407, United States.
| | - Thomas L McKenzie
- School of Exercise and Nutritional Sciences, San Diego State University, 5127 Walsh Way, San Diego, CA 92115, United States.
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Inacio R, Poland S, Cai XJ, Cleary SJ, Ameer-Beg S, Keeble J, Jones SA. The application of local hypobaric pressure - A novel means to enhance macromolecule entry into the skin. J Control Release 2016; 226:66-76. [PMID: 26829103 PMCID: PMC4819566 DOI: 10.1016/j.jconrel.2016.01.052] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2015] [Revised: 01/25/2016] [Accepted: 01/27/2016] [Indexed: 11/17/2022]
Abstract
The local application of controlled hypobaric stress represents a novel means to facilitate drug delivery into the skin. The aims of this work were to understand how hypobaric stress modified the properties of the skin and assess if this penetration enhancement strategy could improve the percutaneous penetration of a macromolecule. Measurements of skin thickness demonstrated that the topical application of hypobaric stress thinned the tissue (p<0.05), atomic force microscopy showed that it shrunk the corneocytes in the stratum corneum (p<0.001) and the imaging of the skin hair follicles using multiphoton microscopy showed that it opened the follicular infundibula (p<0.001). Together, these changes contributed to a 19.6-fold increase in in vitro percutaneous penetration of a 10,000 molecular weight dextran molecule, which was shown using fluorescence microscopy to be localized around the hair follicles, when applied to the skin using hypobaric stress. In vivo, in the rat, a local hemodynamic response (i.e. a significant increase in blood flow, p<0.001) was shown to contribute to the increase in follicular transport of the dextran to produce a systemic absorption of 7.2±2.81fg·mL(-1). When hypobaric stress was not applied to the rat there was no detectable absorption of dextran and this provided evidence that this novel penetration enhancement technique can improve the percutaneous penetration of macromolecules after topical application to the skin.
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Affiliation(s)
- R Inacio
- King's College London, Faculty of Life Sciences & Medicine, Institute of Pharmaceutical Science, Franklin-Wilkins Building, 150 Stamford Street, London SE1 9NH, United Kingdom
| | - S Poland
- King's College London, Division of Cancer Studies and Randall Division of Cell & Molecular Biophysics, Guy's Medical School Campus, London SE1 1UL, United Kingdom
| | - X J Cai
- King's College London, Faculty of Life Sciences & Medicine, Institute of Pharmaceutical Science, Franklin-Wilkins Building, 150 Stamford Street, London SE1 9NH, United Kingdom
| | - S J Cleary
- King's College London, Faculty of Life Sciences & Medicine, Institute of Pharmaceutical Science, Franklin-Wilkins Building, 150 Stamford Street, London SE1 9NH, United Kingdom
| | - S Ameer-Beg
- King's College London, Division of Cancer Studies and Randall Division of Cell & Molecular Biophysics, Guy's Medical School Campus, London SE1 1UL, United Kingdom
| | - J Keeble
- King's College London, Faculty of Life Sciences & Medicine, Institute of Pharmaceutical Science, Franklin-Wilkins Building, 150 Stamford Street, London SE1 9NH, United Kingdom
| | - S A Jones
- King's College London, Faculty of Life Sciences & Medicine, Institute of Pharmaceutical Science, Franklin-Wilkins Building, 150 Stamford Street, London SE1 9NH, United Kingdom.
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McAuley WJ, Jones SA, Traynor MJ, Guesné S, Murdan S, Brown MB. An investigation of how fungal infection influences drug penetration through onychomycosis patient's nail plates. Eur J Pharm Biopharm 2016; 102:178-84. [PMID: 26969264 PMCID: PMC4827374 DOI: 10.1016/j.ejpb.2016.03.008] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2016] [Revised: 02/24/2016] [Accepted: 03/07/2016] [Indexed: 11/30/2022]
Abstract
The treatment of onychomycosis remains problematic even though there are several potent antifungal agents available for patient use. The aim of this investigation was to understand whether the structural modifications that arise when a patient’s nail become infected plates influences the permeation of drugs into the nail following topical application. It was hoped that through improving understanding of the nail barrier in the diseased state, the development of more effective topical treatments for onychomycosis could be facilitated. The permeation of three compounds with differing hydrophobicities, caffeine, terbinafine and amorolfine (clog D at pH 7.4 of −0.55, 3.72 and 4.49 respectively), was assessed across both healthy and onychomycosis infected, full thickness, human nail plate sections. Transonychial water loss (TOWL) measurements performed on the healthy and diseased nails supported previous observations that the nail behaves like a porous barrier given the lack of correlation between TOWL values with the thicker, diseased nails. The flux of the more hydrophilic caffeine was twofold greater across diseased in comparison with the healthy nails, whilst the hydrophobic molecules terbinafine and amorolfine showed no statistically significant change in their nail penetration rates. Caffeine flux across the nail was found to correlate with the TOWL measurements, though no correlation existed for the more hydrophobic drugs. These data supported the notion that the nail pores, opened up by the infection, facilitated the passage of hydrophilic molecules, whilst the keratin binding of hydrophobic molecules meant that their transport through the nail plate was unchanged. Therefore, in order to exploit the structural changes induced by nail fungal infection it would be beneficial to develop a small molecular weight, hydrophilic antifungal agent, which exhibits low levels of keratin binding.
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Affiliation(s)
- W J McAuley
- Department of Pharmacy, School of Life and Medical Sciences, University of Hertfordshire, College Lane, Hatfield, Hertfordshire AL10 9AB, UK.
| | - S A Jones
- Pharmaceutical Science Division, King's College London, Franklin-Wilkins Building, 150 Stamford Street, London SE1 9NH, UK
| | - M J Traynor
- Department of Pharmacy, School of Life and Medical Sciences, University of Hertfordshire, College Lane, Hatfield, Hertfordshire AL10 9AB, UK
| | - S Guesné
- Department of Pharmacy, School of Life and Medical Sciences, University of Hertfordshire, College Lane, Hatfield, Hertfordshire AL10 9AB, UK
| | - S Murdan
- Department of Pharmaceutics, UCL School of Pharmacy, 29-39 Brunswick Square, London WC1N 1AX, UK
| | - M B Brown
- Department of Pharmacy, School of Life and Medical Sciences, University of Hertfordshire, College Lane, Hatfield, Hertfordshire AL10 9AB, UK; MedPharm Ltd, Unit 3 Chancellor Court, 50 Occam Road, Surrey Research Park, Guildford GU2 7AB, UK
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Inacio R, Barlow D, Kong X, Keeble J, Jones SA. Investigating how the attributes of self-associated drug complexes influence the passive transport of molecules through biological membranes. Eur J Pharm Biopharm 2016; 102:214-22. [PMID: 26965142 PMCID: PMC4827376 DOI: 10.1016/j.ejpb.2016.03.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2015] [Revised: 02/15/2016] [Accepted: 03/02/2016] [Indexed: 11/12/2022]
Abstract
Relatively little is known about how drug self-association influences absorption into the human body. This study presented two hydrophobic membranes with a series of solutions containing different types of tetracaine aggregates with the aim of understanding how the attributes of supramolecular aggregate formation influenced passive membrane transport. The data showed that aqueous solutions of the unprotonated form of tetracaine displayed a significantly higher (p < 0.05) passive membrane transport compared to solutions with mixtures of the unprotonated and protonated drug microspecies (e.g. transport through the skin was 0.96 ± 0.31 μg cm−2 min−1 and 1.59 ± 0.26 μg cm−2 min−1 respectively). However, despite an enhanced rate of drug transport and a better membrane partitioning the unionised molecules showed a significantly longer (p < 0.05) lag time to membrane penetration compared solutions rich in the ionised microspecies. Analytical characterisation of the solutions applied to the apical surface of the membranes in the transport studies showed that larger tetracaine aggregates with smaller surface charge gave rise to the longer lag times. These large aggregates demonstrated more extensive intermolecular bonding and therefore, it was suggest that it was the enhanced propensity of the unionised species to form tightly bound drug aggregates that caused the delay in the membrane penetration.
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Affiliation(s)
- R Inacio
- King's College London, Faculty of Life Sciences & Medicine, Institute of Pharmaceutical Science, Franklin-Wilkins Building, 150 Stamford Street, London SE1 9NH, United Kingdom
| | - D Barlow
- King's College London, Faculty of Life Sciences & Medicine, Institute of Pharmaceutical Science, Franklin-Wilkins Building, 150 Stamford Street, London SE1 9NH, United Kingdom
| | - X Kong
- King's College London, Faculty of Life Sciences & Medicine, Institute of Pharmaceutical Science, Franklin-Wilkins Building, 150 Stamford Street, London SE1 9NH, United Kingdom
| | - J Keeble
- King's College London, Faculty of Life Sciences & Medicine, Institute of Pharmaceutical Science, Franklin-Wilkins Building, 150 Stamford Street, London SE1 9NH, United Kingdom
| | - S A Jones
- King's College London, Faculty of Life Sciences & Medicine, Institute of Pharmaceutical Science, Franklin-Wilkins Building, 150 Stamford Street, London SE1 9NH, United Kingdom.
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Broomfield A, Fletcher J, Davison J, Finnegan N, Fenton M, Chikermane A, Beesley C, Harvey K, Cullen E, Stewart C, Santra S, Vijay S, Champion M, Abulhoul L, Grunewald S, Chakrapani A, Cleary MA, Jones SA, Vellodi A. Response of 33 UK patients with infantile-onset Pompe disease to enzyme replacement therapy. J Inherit Metab Dis 2016; 39:261-71. [PMID: 26497565 DOI: 10.1007/s10545-015-9898-5] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/19/2015] [Revised: 09/29/2015] [Accepted: 09/30/2015] [Indexed: 10/22/2022]
Abstract
BACKGROUND Enzyme replacement therapy (ERT) for infantile-onset Pompe disease has been commercially available for almost 10 years. We report the experience of its use in a cohort treated at three specialist lysosomal treatment centres in the UK. METHODS A retrospective case-note review was performed, with additional data being gathered from two national audits on all such patients treated with ERT. The impact on the outcome of various characteristics, measured just prior to the initiation of ERT (baseline), was evaluated using logistic regression. RESULTS Thirty-three patients were identified; 13/29 (45%) were cross-reactive immunological material (CRIM) negative, and nine were immunomodulated. At baseline assessment, 79% were in heart failure, 66% had failure to thrive and 70% had radiological signs of focal pulmonary collapse. The overall survival rate was 60%, ventilation-free survival was 40% and 30% of patients were ambulatory. Median follow-up of survivors was 4 years, 1.5 months (range 6 months to 13.5 years). As with previous studies, the CRIM status impacted on all outcome measures. However, in this cohort, baseline failure to thrive was related to death and lack of ambulation, and left ventricular dilatation was a risk factor for non-ventilator-free survival. CONCLUSION The outcome of treated patients remains heterogeneous despite attempts at immunomodulation. Failure to thrive at baseline and left ventricular dilation appear to be associated with poorer outcomes.
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Affiliation(s)
- A Broomfield
- Manchester Centre for Genomic Medicine, St Mary's Hospital, Central Manchester University Hospital Foundation Trust, Oxford Road, Manchester, UK.
| | - J Fletcher
- Manchester Centre for Genomic Medicine, St Mary's Hospital, Central Manchester University Hospital Foundation Trust, Oxford Road, Manchester, UK
| | - J Davison
- Metabolic Medicine Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - N Finnegan
- Metabolic Medicine Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - M Fenton
- Cardiology Department, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - A Chikermane
- Department of Paediatric Cardiology, Birmingham Children's Hospital, Steelhouse Lane, Birmingham, UK
| | - C Beesley
- Regional Genetics Laboratories, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - K Harvey
- Enzyme Unit, Chemical Pathology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - E Cullen
- Enzyme Unit, Chemical Pathology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - C Stewart
- Department of Inherited Metabolic Disorders, Birmingham Children's Hospital, Steelhouse Lane, Birmingham, UK
| | - S Santra
- Department of Inherited Metabolic Disorders, Birmingham Children's Hospital, Steelhouse Lane, Birmingham, UK
| | - S Vijay
- Department of Inherited Metabolic Disorders, Birmingham Children's Hospital, Steelhouse Lane, Birmingham, UK
| | - M Champion
- Department of Inherited Metabolic Disease, Guy's and St Thomas' NHS Foundation Trusts, Evelina London Children's Hospital, Westminster Bridge Road, London, UK
| | - L Abulhoul
- Metabolic Medicine Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - S Grunewald
- Metabolic Medicine Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - A Chakrapani
- Metabolic Medicine Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - M A Cleary
- Metabolic Medicine Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - S A Jones
- Manchester Centre for Genomic Medicine, St Mary's Hospital, Central Manchester University Hospital Foundation Trust, Oxford Road, Manchester, UK
| | - A Vellodi
- Metabolic Medicine Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
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Keele JW, Kuehn LA, McDaneld TG, Tait RG, Jones SA, Smith TPL, Shackelford SD, King DA, Wheeler TL, Lindholm-Perry AK, McNeel AK. Genomewide association study of lung lesions in cattle using sample pooling. J Anim Sci 2016; 93:956-64. [PMID: 26020874 DOI: 10.2527/jas.2014-8492] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Bovine respiratory disease complex (BRDC) is the most expensive disease in beef cattle in the United States costing the industry at least US$1 billion annually. Bovine respiratory disease complex causes damage to lung tissue resulting in persistent lung lesions observable at slaughter. Severe lung lesions at harvest have been associated with decreased preharvest ADG and increased clinical BRDC in the feedlot. Our objective was to identify SNP that are associated with severe lung lesions observed at harvest in feedlot cattle. We conducted a genomewide association study (GWAS) using a case-control design for severe lung lesions in fed cattle at slaughter using the Illumina Bovine HD array (approximately 770,000 SNP) and sample pooling. Lung samples were collected from 11,520 young cattle, a portion of which had not been treated with antibiotics (participating in a "natural" marketing program), at a large, commercial beef processing plant in central Nebraska. Lung samples with lesions (cases) and healthy lungs (controls) were collected when both phenotypes were in close proximity on the viscera (offal) table. We constructed 60 case and 60 control pools with 96 animals per pool. Pools were constructed by sampling sequence to ensure that case and control pool pairs were matched by proximity on the processing line. The Bovine HD array (770,000 SNP) was run on all pools. Fourteen SNP on BTA 2, 3, 4, 9, 11, 14, 15, 22, 24, and 25 were significant at the genomewide experiment-wise error rate of 5% ( ≤ 1.49 × 10). Eighty-five SNP on 28 chromosomes achieved a false discovery rate of 5% ( ≤ 5.38 × 10). Significant SNP were near (±100 kb) genes involved in tissue repair and regeneration, tumor suppression, cell proliferation, apoptosis, control of organ size, and immunity. Based on 85 significantly associated SNP in or near a collection of genes with diverse function on 28 chromosomes, we conclude that the genomic footprint of lung lesions is complex. A complex genomic footprint (genes and regulatory elements that affect the trait) is consistent with what is known about the cause of the disease: complex interactions among multiple viral and bacterial pathogens along with several environmental factors including dust, commingling, transportation, and stress. Characterization of sequence variation near significant SNP will enable accurate and cost effective genome-enhanced genetic evaluations for BRDC resistance in AI bulls and seed stock populations.
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Kunin-Batson AS, Shapiro EG, Rudser KD, Lavery CA, Bjoraker KJ, Jones SA, Wynn RF, Vellodi A, Tolar J, Orchard PJ, Wraith JE. Long-Term Cognitive and Functional Outcomes in Children with Mucopolysaccharidosis (MPS)-IH (Hurler Syndrome) Treated with Hematopoietic Cell Transplantation. JIMD Rep 2016; 29:95-102. [PMID: 26825088 DOI: 10.1007/8904_2015_521] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/26/2015] [Revised: 10/29/2015] [Accepted: 11/09/2015] [Indexed: 01/06/2023] Open
Abstract
The long-term cognitive and functional outcomes of children with mucopolysaccharidosis type I (MPS-IH) post-hematopoietic cell transplant (HCT) are not well documented, and the role of genetic and treatment factors in these outcomes has yet to be defined. In this multi-site, international study, we (1) characterize the cognitive and functional status of 47 individuals (ages 2-25, mean of 10.6 years) with MPS-IH who are 1-24 years post HCT (mean = 9 years) and (2) examine contributions of genotype, transplant characteristics, and sociodemographic factors to cognitive ability, adaptive behavior, and quality of life. The overall cognitive ability of our sample was mildly impaired, more than two standard deviations below general population norms. Parent reported adaptive behaviors (i.e., communication, daily living, and motor skills) were similarly impaired with a relative strength in socialization. Quality of life, as reported by parents, fell more than two standard deviations below population norms for physical functioning; however, psychosocial quality of life (emotional well-being) approximated population norms. In linear regression analysis, adjusted for demographic and treatment factors, mutation severity was associated with lower cognitive ability (p = 0.005) and adaptive functioning (p = 0.004), but not parent ratings of children's quality of life. Older age at HCT was associated with poorer physical quality of life (p = 0.002); lower socioeconomic status (p = 0.028) and unrelated bone marrow HCT (p = 0.010) were associated with poorer psychosocial quality of life. Implications for screening and early intervention for children at risk for poorer cognitive and functional outcomes are described.
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Affiliation(s)
- A S Kunin-Batson
- HealthPartners Institute for Education and Research, Minneapolis, MN, USA
- Department of Pediatrics, University of Minnesota, Minneapolis, MN, 55414, USA
| | - E G Shapiro
- Department of Pediatrics, University of Minnesota, Minneapolis, MN, 55414, USA.
| | - K D Rudser
- Division of Biostatistics, University of Minnesota, Minneapolis, MN, USA
| | - C A Lavery
- Society for Mucopolysaccharide Disease, Buckinghamshire, UK
| | - K J Bjoraker
- Neuropsychology Consultants, Minneapolis, MN, USA
| | - S A Jones
- Royal Manchester Children's Hospital, Manchester, UK
| | - R F Wynn
- Royal Manchester Children's Hospital, Manchester, UK
| | - A Vellodi
- Great Ormond Street Hospital, London, UK
| | - J Tolar
- Department of Pediatrics, University of Minnesota, Minneapolis, MN, 55414, USA
| | - P J Orchard
- Department of Pediatrics, University of Minnesota, Minneapolis, MN, 55414, USA
| | - J E Wraith
- Royal Manchester Children's Hospital, Manchester, UK
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Dunkel B, Jones SA, Pinilla MJ, Foote AK. Serum bile acid concentrations, histopathological features, and short-, and long-term survival in horses with hepatic disease. J Vet Intern Med 2015; 29:644-50. [PMID: 25818219 PMCID: PMC4895510 DOI: 10.1111/jvim.12551] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2014] [Revised: 11/20/2014] [Accepted: 01/15/2015] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND Serum bile acid concentrations (SBA) and a histopathological biopsy score [Equine Vet J 35 (2003) 534] are used prognostically in equine hepatic disease. HYPOTHESIS Histopathologic features and scores, but not SBA, differ between survivors and nonsurvivors and correlate with histopathologic evidence of hepatic inflammation and fibrosis. ANIMALS Retrospective study. Records (1999-2011) of horses with hepatic disease diagnosed by biopsy and with concurrent measurements of SBA. METHODS Retrospective cohort study. Biopsies were examined for inflammatory cell infiltration including type and distribution, fibrosis, irreversible cytopathology affecting hepatocytes, hemosiderin, or other pigment deposition and bile duct proliferation. SBA, histopathological findings and a histological score [Equine Vet J 35 (2003) 534] were compared between short- (survival to discharge) and long-term (>6 months) survivors and correlations between SBA and histopathological findings investigated. RESULTS Of 81 cases 90% survived short-term and 83% long-term. Short-term and long-term nonsurvival were associated with SBA (P = .009; P = .006), overall (P = .001; P = .002) and parenchymal (short-term only; P = .01) inflammation, portal and bridging fibrosis (all P < .001), apoptosis or single cell necrosis (P < .001; P = .008), hemosiderin deposition in hepatocytes (P = .011; P = .028), biliary (both P < .001), vascular (P = .003; P = .045) and endothelial (P < .001; P = .02) hyperplasia, nucleic changes (P = .004; P < .001) and the histopathological score (both P < .001). SBA were significantly and positively correlated with overall (P = .001), parenchymal (P < .001) and portal (P = .004) inflammation and portal (P = .036) and bridging (P = .002) fibrosis. CONCLUSIONS AND CLINICAL IMPORTANCE SBA, histopathological findings and scores differ between survivors and nonsurvivors. SBA concentrations are associated with inflammation and fibrosis suggesting interference with hepatic function. A histopathological score >2 and, less so, SBA >20 μmol/L are specific but not sensitive indicators of nonsurvival.
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Affiliation(s)
- B Dunkel
- Department of Clinical Science and Services, Royal Veterinary College, North Mymms, UK
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