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Adel F, Walsh CD, Bretzman J, Sang P, Lara-Breitinger K, Mahowald M, Maheshwari A, Scott CG, Lee AT, Davidge-Pitts CJ, Pellikka PA, Mankad R. Transgender Women Exhibit a Distinct Stress Echocardiography Profile Compared to Age-Matched Cisgender Counterparts: The Mayo Clinic Women's Heart Clinic Experience. J Am Soc Echocardiogr 2024:S0894-7317(24)00226-8. [PMID: 38754746 DOI: 10.1016/j.echo.2024.05.004] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Revised: 03/28/2024] [Accepted: 05/03/2024] [Indexed: 05/18/2024]
Abstract
BACKGROUND Stress echocardiography (SE) is an important modality in cardiovascular risk stratification and obstructive coronary artery disease (CAD) assessment. Binary sex-based parameters are classically used for interpretation of these studies, even among transgender women (TGW). CAD is a leading cause of morbidity and mortality in this population. Yet, it remains unclear whether TGW exhibit a distinct stress testing profile from their cisgender counterparts. METHODS Using a matched case-control study design, we compared the echocardiographic stress testing profiles of TGW (n=43) with those of matched cisgender men (CGM, n=84) and cisgender women (CGW, n=86) at a single center. Relevant data, including demographics, comorbidities, and cardiac testing data were manually extracted from the patients' charts. RESULTS The prevalence of hypertension and dyslipidemia was similar between TGW and CGW and lower than that of CGM (p= .003 and .009, respectively). The majority of comorbidities and lab values were similar. On average, TGW had higher heart rates than CGM (p=.002) and had lower blood pressures than CGM and CGW (p<.05). The TGW's double product and metabolic equivalents were similar to those among CGW and lower than those of CGM (p=.016, p=.018, respectively). On echocardiography, the left ventricular end-diastolic and end-systolic diameters among TGW were similar to those of CGW but lower than CGM's (p=.023, p=.018, respectively). Measures of systolic and diastolic function, except for the exercise mitral valve E:e' ratio which was lower in TGW than CGW (p=.029), were largely similar among the three groups. There was no difference in the wall motion score index, and therefore, no difference in the percentage of positive SE tests. CONCLUSION Our study shows, for the first time, that TGW have a SE profile that is distinct from that of their cisgender counterparts. Larger, multicenter, prospective studies are warranted to further characterize the SE profile of TGW.
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Affiliation(s)
- Fadi Adel
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
| | - Connor D Walsh
- University of Washington, Department of Internal Medicine, Seattle, WA
| | | | - Philip Sang
- Department of Internal Medicine, Mayo Clinic, Rochester, MN
| | | | - Madeline Mahowald
- Division of Cardiology, Department of Medicine, University of Florida, Jacksonville, FL
| | | | - Christopher G Scott
- Division of Clinical Trials and Biostatistics, Department of Quantitative Health Sciences, Rochester, MN
| | - Alexander T Lee
- Division of Clinical Trials and Biostatistics, Department of Quantitative Health Sciences, Rochester, MN
| | - Caroline J Davidge-Pitts
- Division of Endocrinology, Diabetes, and Nutrition, Department of Medicine, Mayo Clinic, Rochester, MN
| | | | - Rekha Mankad
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
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Hosseini M, Griffeth EM, Schaff HV, Klompas AM, Warner MA, Stulak JM, Dearani JA, Lee AT, Lahr BD, Crestanello JA. Analysis of Anemia, Transfusions, and CABG Outcomes in The Society of Thoracic Surgeons National Database. Ann Thorac Surg 2024; 117:1053-1060. [PMID: 38286201 DOI: 10.1016/j.athoracsur.2024.01.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2023] [Revised: 01/19/2024] [Accepted: 01/22/2024] [Indexed: 01/31/2024]
Abstract
BACKGROUND This study characterized the association of preoperative anemia and intraoperative red blood cell (RBC) transfusion on outcomes of elective coronary artery bypass grafting (CABG). METHODS Data from 53,856 patients who underwent CABG included in The Society of Thoracic Surgeons (STS) Adult Cardiac Database in 2019 were used. The primary outcome was operative mortality. Secondary outcomes were postoperative complications. The association of anemia with outcomes was analyzed with multivariable regression models. The influence of intraoperative RBC transfusion on the effect of preoperative anemia on outcomes was studied using mediation analysis. RESULTS Anemia was present in 25% of patients. Anemic patients had a higher STS Predicted Risk of Operative Mortality (1.2% vs 0.7%; P < .001). Anemia was associated with operative mortality (odds ratio [OR], 1.27; 99.5% CI, 1.00-1.61; P = .047), postoperative RBC transfusion (OR, 2.28; 99.5% CI, 2.12-2.44; P < .001), dialysis (OR, 1.58; 99.5% CI, 1.19-2.11; P < .001), and prolonged intensive care unit and hospital length of stay. Intraoperative RBC transfusion largely mediated the effects of anemia on mortality (76%), intensive care unit stay (99%), and hospital stay, but it only partially mediated the association with dialysis (34.9%). CONCLUSIONS Preoperative anemia is common in patients who undergo CABG and is associated with increased postoperative risks of mortality, complications, and RBC transfusion. However, most of the effect of anemia on mortality is mediated through intraoperative RBC transfusion.
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Affiliation(s)
- Motahar Hosseini
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota
| | - Elaine M Griffeth
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota
| | - Hartzell V Schaff
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota
| | - Allan M Klompas
- Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota
| | - Matthew A Warner
- Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota
| | - John M Stulak
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota
| | - Joseph A Dearani
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota
| | - Alexander T Lee
- Department of Quantitative Health Sciences; Mayo Clinic, Rochester, Minnesota
| | - Brian D Lahr
- Department of Quantitative Health Sciences; Mayo Clinic, Rochester, Minnesota
| | - Juan A Crestanello
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota.
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Patlolla SH, Saran N, Schaff HV, Crestanello J, Pochettino A, Stulak JM, Greason KL, King KS, Lee AT, Daly RC, Dearani JA. Prosthesis choice for tricuspid valve replacement: Comparison of clinical and echocardiographic outcomes. J Thorac Cardiovasc Surg 2024; 167:668-679.e2. [PMID: 36028365 DOI: 10.1016/j.jtcvs.2022.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2021] [Revised: 06/10/2022] [Accepted: 07/01/2022] [Indexed: 10/17/2022]
Abstract
OBJECTIVES There is limited evidence evaluating valve function and right heart remodeling after tricuspid valve replacement (TVR), as well as whether the choice of prosthesis has an impact on these outcomes. METHODS We reviewed 1043 consecutive adult patients who underwent first-time TVR; 33% had previous aortic and/or mitral valve operations. Severe tricuspid valve regurgitation (TR) was the indication for surgery in 94% patients. A mechanical valve was used in 149 (14%) patients and a bioprosthetic valve in 894 (86%). Concomitant major cardiac procedures were performed in 57% of patients. RESULTS The median age of the cohort was 68.8 (range, 25-94) years, and 57% were female. Overall survival at 5 and 10 years was 50% and 31%, respectively. Adjusted survival and cumulative incidence of reoperation after TVR were similar in patients with bioprosthetic and mechanical valves. Overall, right ventricular (RV) function and dilation improved postoperatively with the estimated proportion of patients with moderate or greater RV systolic dysfunction/dilatation decreasing by around 20% at 3 years follow-up. After adjusting for preoperative degree of dysfunction/dilatation, valve type had no effect on late improvement in RV function and dilation. Bioprosthetic TVR was associated with greater rates of recurrence of moderate or greater TR over late follow-up. Overall, a slight decline in tricuspid valve gradients was observed over time. CONCLUSIONS Mechanical and bioprosthetic valves provide comparable survival, incidence of reoperation, and recovery of RV systolic function and size after TVR. Bioprosthetic valves develop significant TR over time, and mechanical valves may have an advantage for younger patients and those needing anticoagulation.
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Affiliation(s)
| | - Nishant Saran
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn.
| | | | - Juan Crestanello
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn
| | | | - John M Stulak
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn
| | - Kevin L Greason
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn
| | - Katherine S King
- Division of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, Minn
| | - Alexander T Lee
- Division of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, Minn
| | - Richard C Daly
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn
| | - Joseph A Dearani
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn
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Yamada K, Bixler B, Sakurai Y, Ashton PC, Sugiyama J, Arnold K, Begin J, Corbett L, Day-Weiss S, Galitzki N, Hill CA, Johnson BR, Jost B, Kusaka A, Koopman BJ, Lashner J, Lee AT, Mangu A, Nishino H, Page LA, Randall MJ, Sasaki D, Song X, Spisak J, Tsan T, Wang Y, Williams PA. The Simons Observatory: Cryogenic half wave plate rotation mechanism for the small aperture telescopes. Rev Sci Instrum 2024; 95:024504. [PMID: 38385955 DOI: 10.1063/5.0178066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Accepted: 02/01/2024] [Indexed: 02/23/2024]
Abstract
We present the requirements, design, and evaluation of the cryogenic continuously rotating half-wave plate (CHWP) for the Simons Observatory (SO). SO is a cosmic microwave background polarization experiment at Parque Astronómico de Atacama in northern Chile that covers a wide range of angular scales using both small (⌀0.42 m) and large (⌀6 m) aperture telescopes. In particular, the small aperture telescopes (SATs) focus on large angular scales for primordial B-mode polarization. To this end, the SATs employ a CHWP to modulate the polarization of the incident light at 8 Hz, suppressing atmospheric 1/f noise and mitigating systematic uncertainties that would otherwise arise due to the differential response of detectors sensitive to orthogonal polarizations. The CHWP consists of a 505 mm diameter achromatic sapphire HWP and a cryogenic rotation mechanism, both of which are cooled down to ∼50 K to reduce detector thermal loading. Under normal operation, the HWP is suspended by a superconducting magnetic bearing and rotates with a constant 2 Hz frequency, controlled by an electromagnetic synchronous motor. We find that the number of superconductors and the number of magnets that make up the superconducting magnetic bearing are important design parameters, especially for the rotation mechanism's vibration performance. The rotation angle is detected through an angular encoder with a noise level of 0.07 μrad s. During a cooldown process, the rotor is held in place by a grip-and-release mechanism that serves as both an alignment device and a thermal path. In this paper, we provide an overview of the SO SAT CHWP: its requirements, hardware design, and laboratory performance.
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Affiliation(s)
- K Yamada
- Department of Physics, Graduate School of Science, The University of Tokyo, Tokyo 113-0033, Japan
| | - B Bixler
- Department of Physics, University of California, San Diego, La Jolla, California 92093, USA
| | - Y Sakurai
- Graduate School of Natural Science and Technology, Okayama University, Okayama 700-8530, Japan
- Kavli Institute for the Physics and Mathematics of the Universe (WPI), UTIAS, The University of Tokyo, Chiba 277-8583, Japan
| | - P C Ashton
- Kavli Institute for the Physics and Mathematics of the Universe (WPI), UTIAS, The University of Tokyo, Chiba 277-8583, Japan
- Physics Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - J Sugiyama
- Department of Physics, Graduate School of Science, The University of Tokyo, Tokyo 113-0033, Japan
| | - K Arnold
- Department of Physics, University of California, San Diego, La Jolla, California 92093, USA
| | - J Begin
- Joseph Henry Laboratories of Physics, Jadwin Hall, Princeton University, Princeton, New Jersey 08544, USA
| | - L Corbett
- Physics Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - S Day-Weiss
- Joseph Henry Laboratories of Physics, Jadwin Hall, Princeton University, Princeton, New Jersey 08544, USA
| | - N Galitzki
- Department of Physics, University of Texas at Austin, Austin, Texas 78722, USA
- Weinberg Institute for Theoretical Physics, Texas Center for Cosmology and Astroparticle Physics, Austin, Texas 78712, USA
| | - C A Hill
- Physics Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - B R Johnson
- Department of Astronomy, University of Virginia, Charlottesville, Virginia 22904, USA
| | - B Jost
- Kavli Institute for the Physics and Mathematics of the Universe (WPI), UTIAS, The University of Tokyo, Chiba 277-8583, Japan
| | - A Kusaka
- Department of Physics, Graduate School of Science, The University of Tokyo, Tokyo 113-0033, Japan
- Kavli Institute for the Physics and Mathematics of the Universe (WPI), UTIAS, The University of Tokyo, Chiba 277-8583, Japan
- Physics Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - B J Koopman
- Wright Laboratory, Department of Physics, Yale University, New Haven, Connecticut 06520, USA
| | - J Lashner
- Wright Laboratory, Department of Physics, Yale University, New Haven, Connecticut 06520, USA
| | - A T Lee
- Physics Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - A Mangu
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - H Nishino
- Research Center for the Early Universe, School of Science, The University of Tokyo, Tokyo 113-0033, Japan
| | - L A Page
- Joseph Henry Laboratories of Physics, Jadwin Hall, Princeton University, Princeton, New Jersey 08544, USA
| | - M J Randall
- Department of Physics, University of California, San Diego, La Jolla, California 92093, USA
| | - D Sasaki
- Department of Physics, Graduate School of Science, The University of Tokyo, Tokyo 113-0033, Japan
| | - X Song
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - J Spisak
- Department of Physics, University of California, San Diego, La Jolla, California 92093, USA
| | - T Tsan
- Department of Physics, University of California, San Diego, La Jolla, California 92093, USA
| | - Y Wang
- Joseph Henry Laboratories of Physics, Jadwin Hall, Princeton University, Princeton, New Jersey 08544, USA
| | - P A Williams
- Physics Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
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Anand V, Covington MK, Saraswati U, Scott CG, Lee AT, Frantz RP, Anavekar NS, Geske JB, Arruda-Olson AM, Klarich KW. Prevalence, sex differences, and implications of pulmonary hypertension in patients with apical hypertrophic cardiomyopathy. Front Cardiovasc Med 2024; 10:1288747. [PMID: 38274315 PMCID: PMC10808763 DOI: 10.3389/fcvm.2023.1288747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Accepted: 12/11/2023] [Indexed: 01/27/2024] Open
Abstract
Introduction Apical hypertrophic cardiomyopathy (ApHCM) is a subtype of hypertrophic cardiomyopathy (HCM) that affects up to 25% of Asian patients and is not as well understood in non-Asian patients. Although ApHCM has been considered a more "benign" variant, it is associated with increased risk of atrial and ventricular arrhythmias, apical thrombi, stroke, and progressive heart failure. The occurrence of pulmonary hypertension (PH) in ApHCM, due to elevated pressures on the left side of the heart, has been documented. However, the exact prevalence of PH in ApHCM and sex differences remain uncertain. Methods We sought to evaluate the prevalence, risk associations, and sex differences in elevated pulmonary pressures in the largest cohort of patients with ApHCM at a single tertiary center. A total of 542 patients diagnosed with ApHCM were identified using ICD codes and clinical notes searches, confirmed by cross-referencing with cardiac MRI reports extracted through Natural Language Processing and through manual evaluation of patient charts and imaging records. Results In 414 patients, echocardiogram measurements of pulmonary artery systolic pressure (PASP) were obtained at the time of diagnosis. The mean age was 59.4 ± 16.6 years, with 181 (44%) being females. The mean PASP was 38 ± 12 mmHg in females vs. 33 ± 9 mmHg in males (p < 0.0001). PH as defined by a PASP value of > 36 mmHg was present in 140/414 (34%) patients, with a predominance in females [79/181 (44%)] vs. males [61/233 (26%), p < 0.0001]. Female sex, atrial fibrillation, diagnosis of congestive heart failure, and elevated filling pressures on echocardiogram remained significantly associated with PH (PASP > 36 mmHg) in multivariable modeling. PH, when present, was independently associated with mortality [hazard ratio 1.63, 95% CI (1.05-2.53), p = 0.028] and symptoms [odds ratio 2.28 (1.40, 3.71), p < 0.001]. Conclusion PH was present in 34% of patients with ApHCM at diagnosis, with female sex predominance. PH in ApHCM was associated with symptoms and increased mortality.
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Affiliation(s)
- Vidhu Anand
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United States
| | - Megan K. Covington
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United States
| | - Ushasi Saraswati
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United States
| | - Christopher G. Scott
- Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, United States
| | - Alexander T. Lee
- Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, United States
| | - Robert P. Frantz
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United States
| | - Nandan S. Anavekar
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United States
| | - Jeffrey B. Geske
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United States
| | | | - Kyle W. Klarich
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United States
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Anand V, Scott CG, Rigolin VH, Lee AT, Kane GC, Michelena HI, Pislaru SV, Crestanello J, Saran N, Pellikka PA. Echocardiographic Monoplane Left Ventricular Volumes to Assess Remodeling in Chronic Severe Aortic Regurgitation. J Am Soc Echocardiogr 2023; 36:1009-1011. [PMID: 37230423 DOI: 10.1016/j.echo.2023.05.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Revised: 05/01/2023] [Accepted: 05/08/2023] [Indexed: 05/27/2023]
Affiliation(s)
- Vidhu Anand
- Department of Cardiovascular Medicine, Mayo Clinic Rochester, Minnesota
| | - Christopher G Scott
- Department of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota
| | - Vera H Rigolin
- Department of Cardiovascular Medicine, Northwestern University, Chicago, Illinois
| | - Alexander T Lee
- Department of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota
| | - Garvan C Kane
- Department of Cardiovascular Medicine, Mayo Clinic Rochester, Minnesota
| | | | - Sorin V Pislaru
- Department of Cardiovascular Medicine, Mayo Clinic Rochester, Minnesota
| | - Juan Crestanello
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota
| | - Nishant Saran
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota
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Fujino T, Takakura S, Chinone Y, Hasegawa M, Hazumi M, Katayama N, Lee AT, Matsumura T, Minami Y, Nishino H. Characterization of a half-wave plate for cosmic microwave background circular polarization measurement with POLARBEAR. Rev Sci Instrum 2023; 94:064502. [PMID: 37862532 DOI: 10.1063/5.0140088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/27/2022] [Accepted: 06/03/2023] [Indexed: 10/22/2023]
Abstract
A half-wave plate (HWP) is often used as a modulator to suppress systematic error in the measurements of cosmic microwave background (CMB) polarization. A HWP can also be used to measure circular polarization (CP) through its optical leakage from CP to linear polarization. The CP of the CMB is predicted from various sources, such as interactions in the Universe and extension of the standard model. Interaction with supernova remnants of population III stars is one of the brightest CP sources. Thus, the observation of the CP of CMB is a new tool for searching for population III stars. In this paper, we demonstrate the improved measurement of the leakage coefficient using the transmission measurement of an actual HWP in the laboratory. We measured the transmittance of linearly polarized light through the HWP used in Polarbear in the frequency range of 120-160 GHz. We evaluate the properties of the HWP by fitting the data with a physical model using the Markov Chain Monte Carlo method. We then estimate the band-averaged CP leakage coefficient using the physical model. We find that the leakage coefficient strongly depends on the spectra of CP sources. We thus calculate the maximum fractional leakage coefficient from CP to linear polarization as 0.133 ± 0.009 in the Rayleigh-Jeans spectrum. The nonzero value shows that Polarbear has a sensitivity to CP. Additionally, because we use the bandpass of detectors installed in the telescope to calculate the band-averaged values, we also consider systematic effects in the experiment.
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Affiliation(s)
- T Fujino
- Graduate School of Engineering Science, Yokohama National University, Yokohama 240-8501, Japan
| | - S Takakura
- Department of Astrophysical and Planetary Sciences, University of Colorado Boulder, Boulder, Colorado 80309, USA
| | - Y Chinone
- International Center for Quantum-field Measurement Systems for Studies of the Universe and Particles (QUP), High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
- Kavli Institute for the Physics and Mathematics of the Universe (Kavli IPMU, WPI), UTIAS, The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
| | - M Hasegawa
- International Center for Quantum-field Measurement Systems for Studies of the Universe and Particles (QUP), High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
- Institute of Particle and Nuclear Studies (IPNS), High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
- The Graduate University for Advanced Studies (SOKENDAI), Miura District, Kanagawa, Hayama 240-0115, Japan
| | - M Hazumi
- International Center for Quantum-field Measurement Systems for Studies of the Universe and Particles (QUP), High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
- Kavli Institute for the Physics and Mathematics of the Universe (Kavli IPMU, WPI), UTIAS, The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
- Institute of Particle and Nuclear Studies (IPNS), High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
- The Graduate University for Advanced Studies (SOKENDAI), Miura District, Kanagawa, Hayama 240-0115, Japan
- Japan Aerospace Exploration Agency (JAXA), Institute of Space and Astronautical Science (ISAS), Sagamihara, Kanagawa 252-5210, Japan
| | - N Katayama
- Kavli Institute for the Physics and Mathematics of the Universe (Kavli IPMU, WPI), UTIAS, The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
| | - A T Lee
- International Center for Quantum-field Measurement Systems for Studies of the Universe and Particles (QUP), High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
- Department of Physics, University of California, Berkeley, California 94720, USA
- Physics Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - T Matsumura
- Kavli Institute for the Physics and Mathematics of the Universe (Kavli IPMU, WPI), UTIAS, The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
| | - Y Minami
- Research Center for Nuclear Physics, Osaka University, Ibaraki, Osaka 567-0047, Japan
| | - H Nishino
- Research Center for the Early Universe, School of Science, The University of Tokyo, Tokyo 113-0033, Japan
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Crestanello JA, Greason KL, Mathew J, Eleid MF, Nkomo VT, Rihal CS, Bagameri G, Holmes DR, Pislaru SV, Sandhu GS, Lee AT, King KS, Alkhouli M. The Interaction of FEV1 and NT-Pro-BNP with Outcomes after Transcatheter Aortic Valve Replacement. Eur J Cardiothorac Surg 2023; 63:6988033. [PMID: 36645236 DOI: 10.1093/ejcts/ezad017] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 12/29/2022] [Accepted: 01/14/2023] [Indexed: 01/17/2023] Open
Abstract
OBJECTIVES Low forced expiratory volume in 1 second (FEV1) and elevated N-terminal Pro form B-type natriuretic peptide (NT-Pro-BNP) have been individually associated with poor outcomes after transcatheter aortic valve replacement (TAVR). We hypothesized a combination of the two would provide prognostic indication after TAVR. METHODS We categorized 871 patients who received TAVR from 2008 to 2018 into 4 groups according to baseline FEV1 (< or ≥ 60% predicted) and NT-Pro-BNP (< or ≥ 1601 pg/ml): group A (n = 312, high FEV1, low NT-Pro-BNP), group B (n = 275, high FEV1, high NT-Pro-BNP), group C (n = 123 low FEV1, low NT-Pro-BNP), and group D (n = 161, low FEV1, high NT-Pro-BNP). The primary endpoint was survival at 1 and 5 years. RESULTS Patients in group A had more severe aortic stenosis and achieved the best long-term survival at 1- (93% (95% CI: 90-96) and 5- years (45.3% (95% CI: 35.4-58). Low FEV1 and high NT-Pro-BNP (group D) patients had more severe symptoms, higher Society of Thoracic Surgeons predicted risk of operative mortality, lower ejection fraction and aortic valve gradient at baseline. They had the worst survival at 1- (76% (95% CI: 69-83) and at 5-years (13.1% (95% CI: 7-25), Hazard Ratio compared to group A: 2.29 (95% CI: 1.6-3.2, p < 0.001) with 25.7% of patients in NYHA class III-IV. Patients in groups B and C had intermediate outcomes. CONCLUSIONS The combination of FEV1 and NT-Pro-BNP stratify patients into 4 groups with distinct risk profiles and clinical outcomes. Patients with low FEV1 and high NT-Pro-BNP have increased comorbidities, poor functional outcomes, and decreased long term survival after TAVR.
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Affiliation(s)
| | - Kevin L Greason
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN
| | - Jessey Mathew
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN
| | - Mackram F Eleid
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
| | - Vuyisile T Nkomo
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
| | | | - Gabor Bagameri
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN
| | - David R Holmes
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
| | - Sorin V Pislaru
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
| | | | - Alexander T Lee
- Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN
| | - Katherine S King
- Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN
| | - Mohamad Alkhouli
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
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Kato N, Guerrero M, Padang R, Amadio JM, Eleid MF, Scott CG, Lee AT, Pislaru SV, Nkomo VT, Pellikka PA. Prevalence and Natural History of Mitral Annulus Calcification and Related Valve Dysfunction. Mayo Clin Proc 2022; 97:1094-1107. [PMID: 35662425 DOI: 10.1016/j.mayocp.2021.12.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Revised: 11/10/2021] [Accepted: 12/15/2021] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To evaluate the prevalence and natural history of mitral annulus calcification (MAC) and associated mitral valve dysfunction (MVD) in patients undergoing clinically indicated echocardiography. METHODS A retrospective review was conducted of all adults who underwent echocardiography in 2015. Mitral valve dysfunction was defined as mitral regurgitation or mitral stenosis (MS) of moderate or greater severity. All-cause mortality during 3.0 (0.4 to 4.2) years of follow-up was compared between groups stratified according to the presence of MAC or MVD. RESULTS Of 24,414 evaluated patients, 5502 (23%) had MAC. Patients with MAC were older (75±10 years vs 60±16 years; P<.001) and more frequently had MVD (MS: 6.6% vs 0.5% [P<.001]; mitral regurgitation without MS: 9.5% vs 6.1% [P<.001]). Associated with MS in patients with MAC were aortic valve dysfunction, female sex, chest irradiation, renal dysfunction, and coronary artery disease. Kaplan-Meier 1-year survival was 76% in MAC+/MVD+, 87% in MAC+/MVD-, 86% in MAC-/MVD+, and 92% in MAC-/MVD-. Adjusted for age, diabetes, renal dysfunction, cancer, chest irradiation, ejection fraction below 50%, aortic stenosis, tricuspid regurgitation, and pulmonary hypertension, MAC was associated with higher mortality during follow-up (adjusted hazard ratio, 1.40; 95% CI, 1.31 to 1.49; P<.001); MVD was associated with even higher mortality in patients with MAC (adjusted hazard ratio, 1.79; 95% CI, 1.58 to 2.01; P<.001). There was no significant interaction between MAC and MVD for mortality (P=.10). CONCLUSION In a large cohort of adults undergoing echocardiography, the prevalence of MAC was 23%. Mitral valve dysfunction was more than twice as prevalent in patients with MAC. Adjusted mortality was increased in patients with MAC and worse with both MAC and MVD.
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Affiliation(s)
- Nahoko Kato
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
| | - Mayra Guerrero
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
| | - Ratnasari Padang
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
| | | | - Mackram F Eleid
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
| | | | - Alexander T Lee
- Department of Health Sciences Research, Mayo Clinic, Rochester, MN
| | - Sorin V Pislaru
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
| | - Vuyisile T Nkomo
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
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10
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Hindy JR, Quintero-Martinez JA, Lee AT, Scott CG, Gerberi DJ, Mahmood M, DeSimone DC, Baddour LM. Incidence Trends and Epidemiology of Staphylococcus aureus Bacteremia: A Systematic Review of Population-Based Studies. Cureus 2022; 14:e25460. [PMID: 35774691 PMCID: PMC9239286 DOI: 10.7759/cureus.25460] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/29/2022] [Indexed: 11/06/2022] Open
Abstract
Objectives: To determine incidence trends of Staphylococcus aureus bacteremia (SAB) from population-based studies from multiple countries. Methods: A contemporary systematic review was conducted using Ovid Cochrane Central Register of Controlled Trials (1991+), Ovid Embase (1974+), Ovid Medical Literature Analysis and Retrieval System Online (MEDLINE) (1946+ including epub ahead of print, in-process & other non-indexed citations), and Web of Science Core Collection (Science Citation Index Expanded 1975+ and Emerging Sources Citation Index 2015+). Two authors (J.R.H. and J.A.Q.M.) independently reviewed all studies and included those that reported population-based incidence of SAB in patients aged 18 years and older. Results: Twenty-six studies met inclusion criteria with the highest number (n=6) of studies conducted in Canada. The incidence of SAB ranged from 9.3 to 65 cases/100,000/year. The median age of patients with SAB ranged from 62 to 72 years and SAB cases were more commonly observed in men than in women. The most common infection sources were intravascular catheters and skin and soft tissue infections. SAB incidence trends demonstrated high variability for geographic regions and calendar years. Overall, there was no change in the incidence trend across all studies during the past two decades. Conclusion: Multiple factors, both pros, and cons are likely responsible for the overall stable SAB incidence in countries included in this systematic review. Some of these factors vary in geographic location and prompt additional investigations from countries not included in the current review so that a more global characterization is defined.
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11
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Ahmed EA, Schaff HV, Geske JB, Lee AT, King KS, Dearani JA, Nishimura RA, Ommen SR. Optimal Management of Mitral Regurgitation Due to Ruptured Mitral Chordae Tendineae in Patients With Hypertrophic Cardiomyopathy. Semin Thorac Cardiovasc Surg 2022; 35:476-482. [PMID: 35598764 DOI: 10.1053/j.semtcvs.2022.05.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 05/13/2022] [Indexed: 11/11/2022]
Abstract
There is continued controversy regarding surgical management of patients with hypertrophic cardiomyopathy (HCM) and intrinsic mitral valve disease; some clinicians favor prosthetic replacement as this corrects left ventricular outflow tract (LVOT) obstruction and valve leakage. In this study, we investigated the management and late outcome of operation for mitral regurgitation (MR) due to ruptured chordae tendineae in patients with HCM. We analyzed 49 consecutive patients with HCM and MR due to ruptured mitral valve chordae. Echocardiograms and operative reports were reviewed to classify valve anatomy and surgical methods. Information on late outcomes was obtained from electronic medical records and follow-up surveys. The mean age of the 36 men and 13 women was 61.9 ± 12.5 years; significant resting or provoked LVOT obstruction was present at the time of surgery in 46 patients. During the index operation, mitral valve repair was performed in 45 patients, and prosthetic replacement was necessary for 4 patients. Concomitant septal myectomy was performed in 46 patients. There were no hospital deaths or deaths within 30 days of operation. Five and ten-year survival estimates (Kaplan-Meier) were 92% and 71%. During follow-up at a median of 7.9 years, 3 patients underwent reoperation for MV replacement, 5 days, 3 years, and 14 years following valve repair. Ruptured mitral chordae may result in severe mitral valve regurgitation in patients with hypertrophic cardiomyopathy. Valvuloplasty at the time of septal myectomy is safe with an acceptably low rate of recurrent MR requiring prosthetic replacement.
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Affiliation(s)
- Eglal A Ahmed
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota
| | - Hartzell V Schaff
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota.
| | - Jeffrey B Geske
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota
| | - Alexander T Lee
- Division of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, Minnesota
| | - Katherine S King
- Division of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, Minnesota
| | - Joseph A Dearani
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota
| | - Rick A Nishimura
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota
| | - Steve R Ommen
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota
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12
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Wen S, Pislaru SV, Lin G, Scott CG, Lee AT, Asirvatham SJ, Pellikka PA, Kane GC, Pislaru C. Association of Post-procedural Left Atrial Volume and Reservoir Function with Outcomes in Patients with Atrial Fibrillation Undergoing Catheter Ablation. J Am Soc Echocardiogr 2022; 35:818-828.e3. [DOI: 10.1016/j.echo.2022.03.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2021] [Revised: 02/04/2022] [Accepted: 03/17/2022] [Indexed: 10/18/2022]
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13
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Kato N, Pellikka PA, Scott CG, Lee AT, Jain V, Eleid MF, Alkhouli MA, Reeder GS, Michelena HI, Pislaru SV, Bagameri G, Crestanello JA, Rihal CS, Guerrero M. Impact of mitral intervention on outcomes of patients with mitral valve dysfunction and annulus calcification. Catheter Cardiovasc Interv 2022; 99:1807-1816. [DOI: 10.1002/ccd.30093] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/21/2021] [Revised: 12/14/2021] [Accepted: 01/07/2022] [Indexed: 11/07/2022]
Affiliation(s)
- Nahoko Kato
- Department of Cardiovascular Medicine Mayo Clinic Rochester Minnesota USA
| | | | | | - Alexander T. Lee
- Department of Health Sciences Research Mayo Clinic Rochester Minnesota USA
| | - Vaibhav Jain
- Department of Cardiovascular Medicine Mayo Clinic Rochester Minnesota USA
| | - Mackram F. Eleid
- Department of Cardiovascular Medicine Mayo Clinic Rochester Minnesota USA
| | | | - Guy S. Reeder
- Department of Cardiovascular Medicine Mayo Clinic Rochester Minnesota USA
| | | | - Sorin V. Pislaru
- Department of Cardiovascular Medicine Mayo Clinic Rochester Minnesota USA
| | - Gabor Bagameri
- Department of Cardiovascular Surgery Mayo Clinic Rochester Minnesota USA
| | | | - Charanjit S. Rihal
- Department of Cardiovascular Medicine Mayo Clinic Rochester Minnesota USA
| | - Mayra Guerrero
- Department of Cardiovascular Medicine Mayo Clinic Rochester Minnesota USA
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14
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Noseworthy PA, Branda ME, Kunneman M, Hargraves IG, Sivly AL, Brito JP, Burnett B, Zeballos-Palacios C, Linzer M, Suzuki T, Lee AT, Gorr H, Jackson EA, Hess E, Brand-McCarthy SR, Shah ND, Montori VM. Effect of Shared Decision-Making for Stroke Prevention on Treatment Adherence and Safety Outcomes in Patients With Atrial Fibrillation: A Randomized Clinical Trial. J Am Heart Assoc 2022; 11:e023048. [PMID: 35023356 PMCID: PMC9238511 DOI: 10.1161/jaha.121.023048] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Background Guidelines promote shared decision-making (SDM) for anticoagulation in patients with atrial fibrillation. We recently showed that adding a within-encounter SDM tool to usual care (UC) increases patient involvement in decision-making and clinician satisfaction, without affecting encounter length. We aimed to estimate the extent to which use of an SDM tool changed adherence to the decided care plan and clinical safety end points. Methods and Results We conducted a multicenter, encounter-level, randomized trial assessing the efficacy of UC with versus without an SDM conversation tool for use during the clinical encounter (Anticoagulation Choice) in patients with nonvalvular atrial fibrillation considering starting or reviewing anticoagulation treatment. We conducted a chart and pharmacy review, blinded to randomization status, at 10 months after enrollment to assess primary adherence (proportion of patients who were prescribed an anticoagulant who filled their first prescription) and secondary adherence (estimated using the proportion of days for which treatment was supplied and filled for direct oral anticoagulant, and as time in therapeutic range for warfarin). We also noted any strokes, transient ischemic attacks, major bleeding, or deaths as safety end points. We enrolled 922 evaluable patient encounters (Anticoagulation Choice=463, and UC=459), of which 814 (88%) had pharmacy and clinical follow-up. We found no differences between arms in either primary adherence (78% of patients in the SDM arm filled their first prescription versus 81% in UC arm) or secondary adherence to anticoagulation (percentage days covered of the direct oral anticoagulant was 74.1% in SDM versus 71.6% in UC; time in therapeutic range for warfarin was 66.6% in SDM versus 64.4% in UC). Safety outcomes, mostly bleeds, occurred in 13% of participants in the SDM arm and 14% in the UC arm. Conclusions In this large, randomized trial comparing UC with a tool to promote SDM against UC alone, we found no significant differences between arms in primary or secondary adherence to anticoagulation or in clinical safety outcomes. Registration URL: https://www.clinicaltrials.gov; Unique identifier: clinicaltrials.gov. Identifier: NCT02905032.
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Affiliation(s)
- Peter A Noseworthy
- Knowledge and Evaluation Research Unit Mayo Clinic Rochester MN.,Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery Mayo Clinic Rochester MN.,Heart Rhythm Services Department of Cardiovascular Diseases Mayo Clinic Rochester MN
| | - Megan E Branda
- Knowledge and Evaluation Research Unit Mayo Clinic Rochester MN.,Division of Biomedical Statistics and Informatics Department of Health Sciences Research Mayo Clinic Rochester MN.,Department of Biostatistics and Informatics Colorado School of Public Health University of Colorado-Denver Anschutz Medical Campus Aurora CO
| | - Marleen Kunneman
- Knowledge and Evaluation Research Unit Mayo Clinic Rochester MN.,Biomedical Data Sciences Leiden University Medical Center Leiden the Netherlands
| | - Ian G Hargraves
- Knowledge and Evaluation Research Unit Mayo Clinic Rochester MN
| | - Angela L Sivly
- Knowledge and Evaluation Research Unit Mayo Clinic Rochester MN
| | - Juan P Brito
- Knowledge and Evaluation Research Unit Mayo Clinic Rochester MN
| | - Bruce Burnett
- Thrombosis Clinic and Anticoagulation ServicesPark Nicollet Health Services St Louis Park MN
| | | | - Mark Linzer
- Department of Medicine Hennepin Healthcare, and the University of Minnesota Minneapolis MN
| | - Takeki Suzuki
- Department of Medicine Krannert Institute of CardiologyIndiana University Indianapolis IN
| | - Alexander T Lee
- Division of Biomedical Statistics and Informatics Department of Health Sciences Research Mayo Clinic Rochester MN
| | - Haeshik Gorr
- Department of Medicine Hennepin Healthcare, and the University of Minnesota Minneapolis MN
| | - Elizabeth A Jackson
- Division of Cardiovascular Disease Department of Internal Medicine University of Alabama at Birmingham Birmingham AL
| | - Erik Hess
- Department of Emergency Medicine for Vanderbilt University Medical Center Nashville TN
| | - Sarah R Brand-McCarthy
- Knowledge and Evaluation Research Unit Mayo Clinic Rochester MN.,Department of Psychiatry and Psychology Mayo Clinic Rochester MN
| | - Nilay D Shah
- Knowledge and Evaluation Research Unit Mayo Clinic Rochester MN
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15
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Patlolla SH, Schaff HV, Nishimura RA, Geske JB, Lahr BD, Lee AT, Eleid MF, Ommen SR, Dearani JA. Mitral Annular Calcification in Obstructive Hypertrophic Cardiomyopathy: Prevalence and Outcomes. Ann Thorac Surg 2021; 114:1679-1687. [PMID: 34822847 DOI: 10.1016/j.athoracsur.2021.09.077] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Revised: 08/11/2021] [Accepted: 09/20/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND The prevalence and clinical impact of mitral annular calcification (MAC) in patients with obstructive hypertrophic cardiomyopathy (HCM) are largely unknown. METHODS We reviewed 2113 HCM patients who underwent septal myectomy from January 2000 to April 2016. Preoperative and intraoperative echocardiograms along with operative notes were reviewed to identify MAC. Survival was estimated and compared using Kaplan-Meier analysis and log-rank test. Cox regression analysis was used to identify factors independently associated with mortality. RESULTS MAC was identified in 390 (18.5%) patients. Older age, female sex, and presence of mitral valve leaflet calcification were strongly associated with higher odds of having MAC. Patients with MAC had higher resting LVOT gradients, more likely to have worse mitral valve regurgitation (MR) preoperatively, and more likely to undergo a concomitant mitral valve replacement (6% vs 1%, P<0.001) compared to those without MAC. Postoperatively, patients with MAC had marginally higher residual MR (13% vs 8%). After a median follow-up of 6.95 (IQR 3.7- 12.1) years, survival of patients with MAC at 1, 5 and 10 years was 99%, 92% and 69% respectively. Adjusted analysis identified MAC as an independent predictor of poor survival (HR 1.46, 95% CI 1.08 to 1.97; P=.014). CONCLUSIONS MAC is a frequent finding in older patients with obstructive HCM, more likely to be seen in females, and is associated with higher rates of concomitant mitral valve replacement. Despite higher prevalence of comorbidities, MAC remained an independent predictor for overall mortality following septal myectomy.
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Affiliation(s)
| | | | | | - Jeffrey B Geske
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester
| | - Brian D Lahr
- Department of Biomedical Statistics and Informatics, Mayo Clinic, Rochester
| | - Alexander T Lee
- Department of Biomedical Statistics and Informatics, Mayo Clinic, Rochester
| | - Mackram F Eleid
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester
| | - Steve R Ommen
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester
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16
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Matera DL, Lee AT, Hiraki HL, Baker BM. The Role of Rho GTPases During Fibroblast Spreading, Migration, and Myofibroblast Differentiation in 3D Synthetic Fibrous Matrices. Cell Mol Bioeng 2021; 14:381-396. [PMID: 34777599 DOI: 10.1007/s12195-021-00698-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Accepted: 08/09/2021] [Indexed: 10/20/2022] Open
Abstract
Introduction Connective tissue repair and mechanosensing are tightly entwined in vivo and occur within a complex three-dimensional (3D), fibrous extracellular matrix (ECM). Typically driven by activated fibroblasts, wound repair involves well-defined steps of cell spreading, migration, proliferation, and fibrous ECM deposition. While the role of Rho GTPases in regulating these processes has been explored extensively in two-dimensional cell culture models, much less is known about their role in more physiologic, 3D environments. Methods We employed a 3D, fibrous and protease-sensitive hydrogel model of interstitial ECM to study the interplay between Rho GTPases and fibrous matrix cues in fibroblasts during wound healing. Results Modulating fiber density within protease-sensitive hydrogels, we confirmed previous findings that heightened fiber density promotes fibroblast spreading and proliferation. The presence of matrix fibers furthermore corresponded to increased cell migration speeds and macroscopic hydrogel contraction arising from fibroblast generated forces. During fibroblast spreading, Rac1 and RhoA GTPase activity proved crucial for fiber-mediated cell spreading and contact guidance along matrix fibers, while Cdc42 was dispensable. In contrast, interplay between RhoA, Rac1, and Cdc42 contributed to fiber-mediated myofibroblast differentiation and matrix contraction over longer time scales. Conclusion These observations may provide insights into tissue repair processes in vivo and motivate the incorporation of cell-adhesive fibers within synthetic hydrogels for material-guided wound repair strategies. Supplementary Information The online version contains supplementary material available at 10.1007/s12195-021-00698-5.
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Affiliation(s)
- Daniel L Matera
- Department of Chemical Engineering, University of Michigan, Ann Arbor, MI 48109 USA
| | - Alexander T Lee
- Department of Biology, University of Michigan, Ann Arbor, MI 48109 USA
| | - Harrison L Hiraki
- Department of Biomedical Engineering, University of Michigan, 2174 Lurie BME Building, 1101 Beal Avenue, Ann Arbor, MI 48109 USA
| | - Brendon M Baker
- Department of Chemical Engineering, University of Michigan, Ann Arbor, MI 48109 USA.,Department of Biomedical Engineering, University of Michigan, 2174 Lurie BME Building, 1101 Beal Avenue, Ann Arbor, MI 48109 USA
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17
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Kashou AH, Medina-Inojosa JR, Noseworthy PA, Rodeheffer RJ, Lopez-Jimenez F, Attia IZ, Kapa S, Scott CG, Lee AT, Friedman PA, McKie PM. Artificial Intelligence-Augmented Electrocardiogram Detection of Left Ventricular Systolic Dysfunction in the General Population. Mayo Clin Proc 2021; 96:2576-2586. [PMID: 34120755 PMCID: PMC9904428 DOI: 10.1016/j.mayocp.2021.02.029] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Revised: 02/08/2021] [Accepted: 02/11/2021] [Indexed: 01/19/2023]
Abstract
OBJECTIVE To validate an artificial intelligence-augmented electrocardiogram (AI-ECG) algorithm for the detection of preclinical left ventricular systolic dysfunction (LVSD) in a large community-based cohort. METHODS We identified a randomly selected community-based cohort of 2041 subjects age 45 years or older in Olmsted County, Minnesota. All participants underwent a study echocardiogram and ECG. We first assessed the performance of the AI-ECG to identify LVSD (ejection fraction ≤40%). After excluding participants with clinical heart failure, we further assessed the AI-ECG to detect preclinical LVSD among all patients (n=1996) and in a high-risk subgroup (n=1348). Next we modelled an imputed screening program for preclinical LVSD detection where a positive AI-ECG triggered an echocardiogram. Finally, we assessed the ability of the AI-ECG to predict future LVSD. Participants were enrolled between January 1, 1997, and September 30, 2000; and LVSD surveillance was performed for 10 years after enrollment. RESULTS For detection of LVSD in the total population (prevalence, 2.0%), the area under the receiver operating curve for AI-ECG was 0.97 (sensitivity, 90%; specificity, 92%); in the high-risk subgroup (prevalence 2.7%), the area under the curve was 0.97 (sensitivity, 92%; specificity, 93%). In an imputed screening program, identification of one preclinical LSVD case would require 88.3 AI-ECGs and 8.7 echocardiograms in the total population and 65.7 AI-ECGs and 5.5 echocardiograms in the high-risk subgroup. The unadjusted hazard ratio for a positive AI-ECG for incident LVSD over 10 years was 2.31 (95% CI, 1.32 to 4.05; P=.004). CONCLUSION Artificial intelligence-augmented ECG can identify preclinical LVSD in the community and warrants further study as a screening tool for preclinical LVSD.
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Affiliation(s)
| | | | | | | | | | | | - Suraj Kapa
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
| | | | | | - Paul A Friedman
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
| | - Paul M McKie
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
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18
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Lei S, Inojosa JRM, Kumar S, Lee AT, Scott CG, Lerman A, Lerman LO, Senecal CG, Lin W, Zhang X, Cohen P, Lopez-Jimenez F. Effectiveness of a Weight Loss Program Using Digital Health in Adolescents and Preadolescents. Child Obes 2021; 17:311-321. [PMID: 33826417 PMCID: PMC8236388 DOI: 10.1089/chi.2020.0317] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Objective: To identify an efficacious intervention on treating adolescents with overweight and obesity, this might result in health benefits. Methods: Adolescents with overweight or obesity aged 10-17 years with BMI percentile ≥85th were included in this historical observational analysis. Subjects used an entirely remote weight loss program combining mobile applications, frequent self-weighing, and calorie restriction with meal replacement. Body weight changes were evaluated at 42, 60, 90, and 120 days using different metrics including absolute body weight, BMI, and BMI z-score. Chi-square or Fisher exact tests (categorical variables) and Student's t-test (continuous variables) were used to compare subjects. Results: In total, 2,825 participants, mean age 14.4 ± 2.2 years, (54.8% girls), were included from October 27, 2016, to December 31, 2017, in mainland China; 1355 (48.0%) had a baseline BMI percentile ≥97th. Mean BMI and BMI z-score were 29.20 ± 4.44 kg/m2 and 1.89 ± 0.42, respectively. At day 120, mean reduction in body weight, BMI, and BMI z-score was 8.6 ± 0.63 kg, 3.13 ± 0.21 kg/m2, and 0.42 ± 0.03; 71.4% had lost ≥5% body weight, 69.4% of boys and 73.2% of girls, respectively. Compared with boys, girls achieved greater reduction on BMI z-score at all intervals (p < 0.004 for all comparisons). Higher BMI percentile at baseline and increased frequency of use of the mobile application were directly associated with more significant weight loss. Conclusions: An entirely remote digital weight loss program is effective in facilitating weight loss in adolescents with overweight or obesity in the short term and mid term.
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Affiliation(s)
- Sha Lei
- Department of Cardiovascular Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.,Department of Cardiology, The Third Hospital of Mianyang, Sichuan Mental Health Center, Mianyang, China
| | - Jose R. Medina Inojosa
- Department of Cardiovascular Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
| | - Seema Kumar
- Division of Pediatric Endocrinology and Metabolism, Department of Pediatric and Adolescent Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
| | - Alexander T. Lee
- Division of Biostatistics, Mayo Clinic College of Medicine, Rochester, MN, USA
| | | | - Amir Lerman
- Department of Cardiovascular Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
| | - Lilach O. Lerman
- Division of Nephrology and Hypertension, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
| | - Conor G. Senecal
- Department of Cardiovascular Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
| | - Weihua Lin
- Hangzhou MetaWell Technology Co., Hangzhou, China
| | | | - Pinchas Cohen
- USC Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA
| | - Francisco Lopez-Jimenez
- Department of Cardiovascular Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.,Address correspondence to: Francisco Lopez-Jimenez, MD, MSc, Department of Cardiovascular Medicine, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USA
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19
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Cui H, Schaff HV, Lentz Carvalho J, Nishimura RA, Geske JB, Dearani JA, Lahr BD, Lee AT, Bos JM, Ackerman MJ, Ommen SR, Maleszewski JJ. Myocardial Histopathology in Patients With Obstructive Hypertrophic Cardiomyopathy. J Am Coll Cardiol 2021; 77:2159-2170. [PMID: 33926651 DOI: 10.1016/j.jacc.2021.03.008] [Citation(s) in RCA: 28] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Revised: 02/28/2021] [Accepted: 03/02/2021] [Indexed: 01/07/2023]
Abstract
BACKGROUND Hypertrophic cardiomyopathy (HCM) is characterized by multiple pathological features including myocyte hypertrophy, myocyte disarray, and interstitial fibrosis. OBJECTIVES This study sought to correlate myocardial histopathology with clinical characteristics of patients with obstructive HCM and post-operative outcomes following septal myectomy. METHODS The authors reviewed the pathological findings of the myocardial specimens from 1,836 patients with obstructive HCM who underwent septal myectomy from 2000 to 2016. Myocyte hypertrophy, myocyte disarray, interstitial fibrosis, and endocardial thickening were graded and analyzed. RESULTS The median age at operation was 54.2 years (43.5 to 64.3 years), and 1,067 (58.1%) were men. A weak negative correlation between myocyte disarray and age at surgery was identified (ρ = -0.22; p < 0.001). Myocyte hypertrophy (p < 0.001), myocyte disarray (p < 0.001), and interstitial fibrosis (p < 0.001) were positively associated with implantable cardioverter-defibrillator implantation. Interstitial fibrosis (p < 0.001) and endocardial thickening (p < 0.001) were associated with atrial fibrillation pre-operatively. In the Cox survival model, older age (p < 0.001), lower degree of myocyte hypertrophy (severe vs. mild hazard ratio: 0.41; 95% confidence interval: 0.19 to 0.86; p = 0.040), and lower degree of endocardial thickening (moderate vs. mild hazard ratio: 0.75; 95% confidence interval: 0.58 to 0.97; p = 0.019) were independently associated with worse post-myectomy survival. Among 256 patients who had genotype analysis, patients with pathogenic or likely pathogenic variants (n = 62) had a greater degree of myocyte disarray (42% vs. 15% vs. 20%; p = 0.022). Notably, 13 patients with pathogenic or likely pathogenic genetic variants of HCM had no myocyte disarray. CONCLUSIONS Histopathology was associated with clinical manifestations including the age of disease onset and arrhythmias. Myocyte hypertrophy and endocardial thickening were negatively associated with post-myectomy mortality.
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Affiliation(s)
- Hao Cui
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA
| | - Hartzell V Schaff
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA.
| | | | - Rick A Nishimura
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA
| | - Jeffrey B Geske
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA
| | - Joseph A Dearani
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA
| | - Brian D Lahr
- Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota, USA
| | - Alexander T Lee
- Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota, USA
| | - J Martijn Bos
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA; Department of Molecular Pharmacology & Experimental Therapeutics, Windland Smith Rice Sudden Death Genomics Laboratory, Mayo Clinic, Rochester, Minnesota, USA
| | - Michael J Ackerman
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA; Department of Molecular Pharmacology & Experimental Therapeutics, Windland Smith Rice Sudden Death Genomics Laboratory, Mayo Clinic, Rochester, Minnesota, USA
| | - Steve R Ommen
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA
| | - Joseph J Maleszewski
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA; Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA
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20
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Hill CA, Kusaka A, Ashton P, Barton P, Adkins T, Arnold K, Bixler B, Ganjam S, Lee AT, Matsuda F, Matsumura T, Sakurai Y, Tat R, Zhou Y. A cryogenic continuously rotating half-wave plate mechanism for the POLARBEAR-2b cosmic microwave background receiver. Rev Sci Instrum 2020; 91:124503. [PMID: 33380005 DOI: 10.1063/5.0029006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Accepted: 11/15/2020] [Indexed: 06/12/2023]
Abstract
We present the design and laboratory evaluation of a cryogenic continuously rotating half-wave plate (CHWP) for the POLARBEAR-2b (PB-2b) cosmic microwave background receiver, the second installment of the Simons Array. PB-2b will observe at 5200 m elevation in the Atacama Desert of Chile in two frequency bands centered at 90 GHz and 150 GHz. In order to suppress atmospheric 1/f noise and mitigate systematic effects that arise when differencing orthogonal detectors, PB-2b modulates linear sky polarization using a CHWP rotating at 2 Hz. The CHWP has a 440 mm clear aperture diameter and is cooled to ≈50 K in the PB-2b receiver cryostat. It consists of a low-friction superconducting magnetic bearing and a low-torque synchronous electromagnetic motor, which together dissipate <2 W. During cooldown, a grip-and-release mechanism centers the rotor to <0.5 mm, and during continuous rotation, an incremental optical encoder measures the rotor angle with a noise level of 0.1 μrad/Hz. We discuss the experimental requirements for the PB-2b CHWP, the designs of its various subsystems, and the results of its evaluation in the laboratory. The presented CHWP has been deployed to Chile and is expected to see first light on PB-2b in 2020 or 2021.
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Affiliation(s)
- C A Hill
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - A Kusaka
- Physics Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - P Ashton
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - P Barton
- Nuclear Science Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - T Adkins
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - K Arnold
- Department of Physics, University of California, San Diego, La Jolla, California 92037, USA
| | - B Bixler
- Department of Physics, University of California, San Diego, La Jolla, California 92037, USA
| | - S Ganjam
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - A T Lee
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - F Matsuda
- Kavli Institute for the Physics and Mathematics of the Universe (WPI), The University of Tokyo Institutes for Advanced Study, The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
| | - T Matsumura
- Kavli Institute for the Physics and Mathematics of the Universe (WPI), The University of Tokyo Institutes for Advanced Study, The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
| | - Y Sakurai
- Kavli Institute for the Physics and Mathematics of the Universe (WPI), The University of Tokyo Institutes for Advanced Study, The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
| | - R Tat
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - Y Zhou
- Department of Physics, University of California, Berkeley, California 94720, USA
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21
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Calderon-Rojas R, Nguyen A, Nishimura RA, Geske JB, Ommen SR, King KS, Lee AT, Dearani JA, Schaff HV. Is there referral bias in outcomes of septal myectomy for hypertrophic cardiomyopathy? J Thorac Cardiovasc Surg 2020; 164:881-891. [DOI: 10.1016/j.jtcvs.2020.08.118] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2019] [Revised: 08/18/2020] [Accepted: 08/30/2020] [Indexed: 10/23/2022]
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22
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Kunneman M, Branda ME, Hargraves IG, Sivly AL, Lee AT, Gorr H, Burnett B, Suzuki T, Jackson EA, Hess E, Linzer M, Brand-McCarthy SR, Brito JP, Noseworthy PA, Montori VM. Assessment of Shared Decision-making for Stroke Prevention in Patients With Atrial Fibrillation: A Randomized Clinical Trial. JAMA Intern Med 2020; 180:1215-1224. [PMID: 32897386 PMCID: PMC7372497 DOI: 10.1001/jamainternmed.2020.2908] [Citation(s) in RCA: 51] [Impact Index Per Article: 12.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
IMPORTANCE Shared decision-making (SDM) about anticoagulant treatment in patients with atrial fibrillation (AF) is widely recommended but its effectiveness is unclear. OBJECTIVE To assess the extent to which the use of an SDM tool affects the quality of SDM and anticoagulant treatment decisions in at-risk patients with AF. DESIGN, SETTING, AND PARTICIPANTS This encounter-randomized trial recruited patients with nonvalvular AF who were considering starting or reviewing anticoagulant treatment and their clinicians at academic, community, and safety-net medical centers between January 30, 2017 and June 27, 2019. Encounters were randomized to either the standard care arm or care that included the use of an SDM tool (intervention arm). Data were analyzed from August 1 to November 30, 2019. INTERVENTIONS Standard care or care using the Anticoagulation Choice Shared Decision Making tool (which presents individualized risk estimates and compares anticoagulant treatment options across issues of importance to patients) during the clinical encounter. MAIN OUTCOMES AND MEASURES Quality of SDM (which included quality of communication, patient knowledge about AF and anticoagulant treatment, accuracy of patient estimates of their own stroke risk [within 30% of their estimate], decisional conflict, and satisfaction), decisions made during the encounter, duration of the encounter, and clinician involvement of patients in the SDM process. RESULTS The clinical trial enrolled 922 patients (559 men [60.6%]; mean [SD] age, 71 [11] years) and 244 clinicians. A total of 463 patients were randomized to the intervention arm and 459 patients to the standard care arm. Participants in both arms reported high communication quality, high knowledge, and low decisional conflict, demonstrated low accuracy in their risk perception, and would similarly recommend the approach used in their encounter. Clinicians were significantly more satisfied after intervention encounters (400 of 453 encounters [88.3%] vs 277 of 448 encounters [61.8%]; adjusted relative risk, 1.49; 95% CI, 1.42-1.53). A total of 747 of 873 patients (85.6%) chose to start or continue receiving an anticoagulant medication. Patient involvement in decision-making (as assessed through video recordings of the encounters using the Observing Patient Involvement in Decision Making 12-item scale) scores were significantly higher in the intervention arm (mean [SD] score, 33.0 [10.8] points vs 29.1 [13.1] points, respectively; adjusted mean difference, 4.2 points; 95% CI, 2.8-5.6 points). No significant between-arm difference was found in encounter duration (mean [SD] duration, 32 [16] minutes in the intervention arm vs 31 [17] minutes in the standard care arm; adjusted mean between-arm difference, 1.1; 95% CI, -0.3 to 2.5 minutes). CONCLUSION AND RELEVANCE The use of an SDM encounter tool improved several measures of SDM quality and clinician satisfaction, with no significant effect on treatment decisions or encounter duration. These results help to calibrate expectations about the value of implementing SDM tools in the care of patients with AF. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT02905032.
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Affiliation(s)
- Marleen Kunneman
- Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota.,Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands
| | - Megan E Branda
- Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota.,Department of Biostatistics and Informatics, Colorado School of Public Health, Anschutz Medical Campus, University of Colorado Denver, Aurora.,Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota
| | - Ian G Hargraves
- Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota
| | - Angela L Sivly
- Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota
| | - Alexander T Lee
- Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota
| | - Haeshik Gorr
- Division of General Internal Medicine, Hennepin Health, Minneapolis, Minnesota
| | - Bruce Burnett
- Thrombosis Clinic and Anticoagulation Services, Park Nicollet Health Services, St Louis Park, Minnesota
| | - Takeki Suzuki
- Division of Cardiology, Department of Medicine, University of Mississippi Medical Center, Jackson
| | - Elizabeth A Jackson
- Department of Internal Medicine, Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham
| | - Erik Hess
- Department of Emergency Medicine, University of Alabama at Birmingham, Birmingham
| | - Mark Linzer
- Division of General Internal Medicine, Hennepin Health, Minneapolis, Minnesota
| | - Sarah R Brand-McCarthy
- Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota.,Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota
| | - Juan P Brito
- Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota
| | - Peter A Noseworthy
- Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota.,Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota.,Heart Rhythm Services, Department of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota
| | - Victor M Montori
- Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota
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23
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Adachi S, Aguilar Faúndez MAO, Akiba Y, Ali A, Arnold K, Baccigalupi C, Barron D, Beck D, Bianchini F, Borrill J, Carron J, Cheung K, Chinone Y, Crowley K, El Bouhargani H, Elleflot T, Errard J, Fabbian G, Feng C, Fujino T, Goeckner-Wald N, Hasegawa M, Hazumi M, Hill CA, Howe L, Katayama N, Keating B, Kikuchi S, Kusaka A, Lee AT, Leon D, Linder E, Lowry LN, Matsuda F, Matsumura T, Minami Y, Namikawa T, Navaroli M, Nishino H, Peloton J, Pham ATP, Poletti D, Puglisi G, Reichardt CL, Segawa Y, Sherwin BD, Silva-Feaver M, Siritanasak P, Stompor R, Tajima O, Takatori S, Tanabe D, Teply GP, Vergès C. Internal Delensing of Cosmic Microwave Background Polarization B-Modes with the POLARBEAR Experiment. Phys Rev Lett 2020; 124:131301. [PMID: 32302154 DOI: 10.1103/physrevlett.124.131301] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Revised: 12/20/2019] [Accepted: 02/26/2020] [Indexed: 06/11/2023]
Abstract
Using only cosmic microwave background polarization data from the polarbear experiment, we measure B-mode polarization delensing on subdegree scales at more than 5σ significance. We achieve a 14% B-mode power variance reduction, the highest to date for internal delensing, and improve this result to 22% by applying for the first time an iterative maximum a posteriori delensing method. Our analysis demonstrates the capability of internal delensing as a means of improving constraints on inflationary models, paving the way for the optimal analysis of next-generation primordial B-mode experiments.
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Affiliation(s)
- S Adachi
- Department of Physics, Kyoto University, Kyoto 606-8502, Japan
| | - M A O Aguilar Faúndez
- Department of Physics and Astronomy, Johns Hopkins University, Baltimore, Maryland 21218, USA
- Departamento de Física, FCFM, Universidad de Chile, Blanco Encalada 2008, Santiago, Chile
| | - Y Akiba
- SOKENDAI (The Graduate University for Advanced Studies), Shonan Village, Hayama, Kanagawa 240-0193, Japan
| | - A Ali
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - K Arnold
- Department of Physics, University of California, San Diego, California 92093-0424, USA
| | - C Baccigalupi
- International School for Advanced Studies (SISSA), Via Bonomea 265, 34136 Trieste, Italy
- Institute for Fundamental Physics of the Universe (IFPU), Via Beirut 2, 34014 Trieste, Italy
- National Institute for Nuclear Physics (INFN), via Valerio 2, 34127 Trieste, Italy
| | - D Barron
- Department of Physics and Astronomy, University of New Mexico, Albuquerque, New Mexico 87131, USA
| | - D Beck
- AstroParticule et Cosmologie (APC), Univ Paris Diderot, CNRS/IN2P3, CEA/Irfu, Obs de Paris, Sorbonne Paris Cité, 75013 Paris, France
| | - F Bianchini
- School of Physics, University of Melbourne, Parkville VIC 3010, Australia
| | - J Borrill
- Computational Cosmology Center, Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
- Space Sciences Laboratory, University of California, Berkeley, California 94720, USA
| | - J Carron
- Department of Physics and Astronomy, University of Sussex, Brighton BN1 9QH, United Kingdom
| | - K Cheung
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - Y Chinone
- Department of Physics, University of California, Berkeley, California 94720, USA
- Kavli Institute for the Physics and Mathematics of the Universe (Kavli IPMU, WPI), UTIAS, The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
- Kavli Institute for the Physics and Mathematics of the Universe (WPI), Berkeley Satellite, the University of California, Berkeley, California 94720, USA
| | - K Crowley
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - H El Bouhargani
- AstroParticule et Cosmologie (APC), Univ Paris Diderot, CNRS/IN2P3, CEA/Irfu, Obs de Paris, Sorbonne Paris Cité, 75013 Paris, France
| | - T Elleflot
- Department of Physics, University of California, San Diego, California 92093-0424, USA
| | - J Errard
- AstroParticule et Cosmologie (APC), Univ Paris Diderot, CNRS/IN2P3, CEA/Irfu, Obs de Paris, Sorbonne Paris Cité, 75013 Paris, France
| | - G Fabbian
- Department of Physics and Astronomy, University of Sussex, Brighton BN1 9QH, United Kingdom
| | - C Feng
- Department of Physics, University of Illinois at Urbana-Champaign, 1110 West Green Street, Urbana, Illinois 61801, USA
| | - T Fujino
- Yokohama National University, Yokohama, Kanagawa 240-8501, Japan
| | - N Goeckner-Wald
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - M Hasegawa
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
| | - M Hazumi
- SOKENDAI (The Graduate University for Advanced Studies), Shonan Village, Hayama, Kanagawa 240-0193, Japan
- Kavli Institute for the Physics and Mathematics of the Universe (Kavli IPMU, WPI), UTIAS, The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
- Institute of Space and Astronautical Science (ISAS), Japan Aerospace Exploration Agency (JAXA), Sagamihara, Kanagawa 252-0222, Japan
| | - C A Hill
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - L Howe
- Department of Physics, University of California, San Diego, California 92093-0424, USA
| | - N Katayama
- Kavli Institute for the Physics and Mathematics of the Universe (Kavli IPMU, WPI), UTIAS, The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
| | - B Keating
- Department of Physics, University of California, San Diego, California 92093-0424, USA
| | - S Kikuchi
- Yokohama National University, Yokohama, Kanagawa 240-8501, Japan
| | - A Kusaka
- Kavli Institute for the Physics and Mathematics of the Universe (WPI), Berkeley Satellite, the University of California, Berkeley, California 94720, USA
- Physics Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
- Department of Physics, The University of Tokyo, Tokyo 113-0033, Japan
- Research Center for the Early Universe, School of Science, The University of Tokyo, Tokyo 113-0033, Japan
| | - A T Lee
- Department of Physics, University of California, Berkeley, California 94720, USA
- Physics Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
- Radio Astronomy Laboratory, University of California, Berkeley, California 94720, USA
| | - D Leon
- Department of Physics, University of California, San Diego, California 92093-0424, USA
| | - E Linder
- Space Sciences Laboratory, University of California, Berkeley, California 94720, USA
| | - L N Lowry
- Department of Physics, University of California, San Diego, California 92093-0424, USA
| | - F Matsuda
- Kavli Institute for the Physics and Mathematics of the Universe (Kavli IPMU, WPI), UTIAS, The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
| | - T Matsumura
- Kavli Institute for the Physics and Mathematics of the Universe (Kavli IPMU, WPI), UTIAS, The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
| | - Y Minami
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
| | - T Namikawa
- DAMTP, University of Cambridge, Cambridge CB3 0WA, United Kingdom
| | - M Navaroli
- Department of Physics, University of California, San Diego, California 92093-0424, USA
| | - H Nishino
- Research Center for the Early Universe, School of Science, The University of Tokyo, Tokyo 113-0033, Japan
| | - J Peloton
- Laboratoire de l'Accélérateur Linéaire, Université Paris-Sud, CNRS/IN2P3, 91400 Orsay, France
| | - A T P Pham
- School of Physics, University of Melbourne, Parkville VIC 3010, Australia
| | - D Poletti
- International School for Advanced Studies (SISSA), Via Bonomea 265, 34136 Trieste, Italy
- Institute for Fundamental Physics of the Universe (IFPU), Via Beirut 2, 34014 Trieste, Italy
- National Institute for Nuclear Physics (INFN), via Valerio 2, 34127 Trieste, Italy
| | - G Puglisi
- Department of Physics, Stanford University, Stanford, California 94305, USA
- Kavli Institute for Particle Astrophysics and Cosmology, SLAC National Accelerator Laboratory, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - C L Reichardt
- School of Physics, University of Melbourne, Parkville VIC 3010, Australia
| | - Y Segawa
- SOKENDAI (The Graduate University for Advanced Studies), Shonan Village, Hayama, Kanagawa 240-0193, Japan
| | - B D Sherwin
- Kavli Institute for Cosmology Cambridge, Cambridge CB3 OHA, United Kingdom
| | - M Silva-Feaver
- Department of Physics, University of California, San Diego, California 92093-0424, USA
| | - P Siritanasak
- Department of Physics, University of California, San Diego, California 92093-0424, USA
| | - R Stompor
- AstroParticule et Cosmologie (APC), Univ Paris Diderot, CNRS/IN2P3, CEA/Irfu, Obs de Paris, Sorbonne Paris Cité, 75013 Paris, France
| | - O Tajima
- Department of Physics, Kyoto University, Kyoto 606-8502, Japan
| | - S Takatori
- SOKENDAI (The Graduate University for Advanced Studies), Shonan Village, Hayama, Kanagawa 240-0193, Japan
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
| | - D Tanabe
- SOKENDAI (The Graduate University for Advanced Studies), Shonan Village, Hayama, Kanagawa 240-0193, Japan
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
| | - G P Teply
- Department of Physics, University of California, San Diego, California 92093-0424, USA
| | - C Vergès
- AstroParticule et Cosmologie (APC), Univ Paris Diderot, CNRS/IN2P3, CEA/Irfu, Obs de Paris, Sorbonne Paris Cité, 75013 Paris, France
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24
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Nadolski A, Vieira JD, Sobrin JA, Kofman AM, Ade PAR, Ahmed Z, Anderson AJ, Avva JS, Basu Thakur R, Bender AN, Benson BA, Bryant L, Carlstrom JE, Carter FW, Cecil TW, Chang CL, Cheshire JR, Chesmore GE, Cliche JF, Cukierman A, de Haan T, Dierickx M, Ding J, Dutcher D, Everett W, Farwick J, Ferguson KR, Florez L, Foster A, Fu J, Gallicchio J, Gambrel AE, Gardner RW, Groh JC, Guns S, Guyser R, Halverson NW, Harke-Hosemann AH, Harrington NL, Harris RJ, Henning JW, Holzapfel WL, Howe D, Huang N, Irwin KD, Jeong O, Jonas M, Jones A, Korman M, Kovac J, Kubik DL, Kuhlmann S, Kuo CL, Lee AT, Lowitz AE, McMahon J, Meier J, Meyer SS, Michalik D, Montgomery J, Natoli T, Nguyen H, Noble GI, Novosad V, Padin S, Pan Z, Paschos P, Pearson J, Posada CM, Quan W, Rahlin A, Riebel D, Ruhl JE, Sayre JT, Shirokoff E, Smecher G, Stark AA, Stephen J, Story KT, Suzuki A, Tandoi C, Thompson KL, Tucker C, Vanderlinde K, Wang G, Whitehorn N, Yefremenko V, Yoon KW, Young MR. Broadband, millimeter-wave antireflection coatings for large-format, cryogenic aluminum oxide optics. Appl Opt 2020; 59:3285-3295. [PMID: 32400613 DOI: 10.1364/ao.383921] [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] [Subscribe] [Scholar Register] [Received: 12/05/2019] [Accepted: 02/25/2020] [Indexed: 06/11/2023]
Abstract
We present two prescriptions for broadband ($ {\sim} 77 - 252\;{\rm GHz} $), millimeter-wave antireflection coatings for cryogenic, sintered polycrystalline aluminum oxide optics: one for large-format (700 mm diameter) planar and plano-convex elements, the other for densely packed arrays of quasi-optical elements-in our case, 5 mm diameter half-spheres (called "lenslets"). The coatings comprise three layers of commercially available, polytetrafluoroethylene-based, dielectric sheet material. The lenslet coating is molded to fit the 150 mm diameter arrays directly, while the large-diameter lenses are coated using a tiled approach. We review the fabrication processes for both prescriptions, then discuss laboratory measurements of their transmittance and reflectance. In addition, we present the inferred refractive indices and loss tangents for the coating materials and the aluminum oxide substrate. We find that at 150 GHz and 300 K the large-format coating sample achieves $ (97 \pm 2)\% $ transmittance, and the lenslet coating sample achieves $ (94 \pm 3)\% $ transmittance.
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25
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Raghunathan S, Patil S, Baxter E, Benson BA, Bleem LE, Crawford TM, Holder GP, McClintock T, Reichardt CL, Varga TN, Whitehorn N, Ade PAR, Allam S, Anderson AJ, Austermann JE, Avila S, Avva JS, Bacon D, Beall JA, Bender AN, Bianchini F, Bocquet S, Brooks D, Burke DL, Carlstrom JE, Carretero J, Castander FJ, Chang CL, Chiang HC, Citron R, Costanzi M, Crites AT, da Costa LN, Desai S, Diehl HT, Dietrich JP, Dobbs MA, Doel P, Everett S, Evrard AE, Feng C, Flaugher B, Fosalba P, Frieman J, Gallicchio J, García-Bellido J, Gaztanaga E, George EM, Giannantonio T, Gilbert A, Gruendl RA, Gschwend J, Gupta N, Gutierrez G, de Haan T, Halverson NW, Harrington N, Henning JW, Hilton GC, Hollowood DL, Holzapfel WL, Honscheid K, Hrubes JD, Huang N, Hubmayr J, Irwin KD, Jeltema T, Kind MC, Knox L, Kuropatkin N, Lahav O, Lee AT, Li D, Lima M, Lowitz A, Maia MAG, Marshall JL, McMahon JJ, Melchior P, Menanteau F, Meyer SS, Miquel R, Mocanu LM, Mohr JJ, Montgomery J, Moran CC, Nadolski A, Natoli T, Nibarger JP, Noble G, Novosad V, Ogando RLC, Padin S, Plazas AA, Pryke C, Rapetti D, Romer AK, Roodman A, Rosell AC, Rozo E, Ruhl JE, Rykoff ES, Saliwanchik BR, Sanchez E, Sayre JT, Scarpine V, Schaffer KK, Schubnell M, Serrano S, Sevilla-Noarbe I, Sievers C, Smecher G, Smith M, Soares-Santos M, Stark AA, Story KT, Suchyta E, Swanson MEC, Tarle G, Tucker C, Vanderlinde K, Veach T, De Vicente J, Vieira JD, Vikram V, Wang G, Wu WLK, Yefremenko V, Zhang Y. Detection of CMB-Cluster Lensing using Polarization Data from SPTpol. Phys Rev Lett 2019; 123:181301. [PMID: 31763885 DOI: 10.1103/physrevlett.123.181301] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Indexed: 06/10/2023]
Abstract
We report the first detection of gravitational lensing due to galaxy clusters using only the polarization of the cosmic microwave background (CMB). The lensing signal is obtained using a new estimator that extracts the lensing dipole signature from stacked images formed by rotating the cluster-centered Stokes QU map cutouts along the direction of the locally measured background CMB polarization gradient. Using data from the SPTpol 500 deg^{2} survey at the locations of roughly 18 000 clusters with richness λ≥10 from the Dark Energy Survey (DES) Year-3 full galaxy cluster catalog, we detect lensing at 4.8σ. The mean stacked mass of the selected sample is found to be (1.43±0.40)×10^{14}M_{⊙} which is in good agreement with optical weak lensing based estimates using DES data and CMB-lensing based estimates using SPTpol temperature data. This measurement is a key first step for cluster cosmology with future low-noise CMB surveys, like CMB-S4, for which CMB polarization will be the primary channel for cluster lensing measurements.
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Affiliation(s)
- S Raghunathan
- Department of Physics and Astronomy, University of California, Los Angeles, California 90095, USA
- School of Physics, University of Melbourne, Parkville VIC 3010, Australia
| | - S Patil
- School of Physics, University of Melbourne, Parkville VIC 3010, Australia
| | - E Baxter
- Department of Physics and Astronomy, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
| | - B A Benson
- Fermi National Accelerator Laboratory, MS209, P.O. Box 500, Batavia, Illinois 60510, USA
- Kavli Institute for Cosmological Physics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
- Department of Astronomy and Astrophysics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
| | - L E Bleem
- Kavli Institute for Cosmological Physics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
- High Energy Physics Division, Argonne National Laboratory, 9700 S. Cass Avenue, Argonne, Illinois 60439, USA
| | - T M Crawford
- Kavli Institute for Cosmological Physics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
- Department of Astronomy and Astrophysics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
| | - G P Holder
- Astronomy Department, University of Illinois at Urbana-Champaign, 1002 W. Green Street, Urbana, Illinois 61801, USA
- Department of Physics, University of Illinois Urbana-Champaign, 1110 W. Green Street, Urbana, Illinois 61801, USA
- Canadian Institute for Advanced Research, CIFAR Program in Gravity and the Extreme Universe, Toronto, Ontario M5G 1Z8, Canada
| | - T McClintock
- Department of Physics, University of Arizona, Tucson, Arizona 85721, USA
| | - C L Reichardt
- School of Physics, University of Melbourne, Parkville VIC 3010, Australia
| | - T N Varga
- Max Planck Institute for Extraterrestrial Physics, Giessenbachstrasse, Garching 85748, Germany
- Universitäts-Sternwarte, Fakultät für Physik, LudwigMaximilians Universität München, Scheinerstr. 1, München 81679, Germany
| | - N Whitehorn
- Department of Physics and Astronomy, University of California, Los Angeles, California 90095, USA
| | - P A R Ade
- Cardiff University, Cardiff CF10 3XQ, United Kingdom
| | - S Allam
- Fermi National Accelerator Laboratory, P. O. Box 500, Batavia, Illinois 60510, USA
| | - A J Anderson
- Fermi National Accelerator Laboratory, MS209, P.O. Box 500, Batavia, Illinois 60510, USA
| | - J E Austermann
- NIST Quantum Devices Group, 325 Broadway Mailcode 817.03, Boulder, Colorado 80305, USA
| | - S Avila
- Instituto de Fisica Teorica UAM/CSIC, Universidad Autonoma de Madrid, 28049 Madrid, Spain
| | - J S Avva
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - D Bacon
- Institute of Cosmology & Gravitation, University of Portsmouth, Dennis Sciama Building, Burnaby Road, Portsmouth PO1 3FX, United Kingdom
| | - J A Beall
- NIST Quantum Devices Group, 325 Broadway Mailcode 817.03, Boulder, Colorado 80305, USA
| | - A N Bender
- Kavli Institute for Cosmological Physics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
- High Energy Physics Division, Argonne National Laboratory, 9700 S. Cass Avenue, Argonne, Illinois 60439, USA
| | - F Bianchini
- School of Physics, University of Melbourne, Parkville VIC 3010, Australia
| | - S Bocquet
- Kavli Institute for Cosmological Physics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
- High Energy Physics Division, Argonne National Laboratory, 9700 S. Cass Avenue, Argonne, Illinois 60439, USA
- Faculty of Physics, Ludwig-Maximilians-Universität, Scheinerstr. 1, Munich 81679, Germany
| | - D Brooks
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| | - D L Burke
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| | - J E Carlstrom
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| | - J Carretero
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology, Campus UAB, Bellaterra (Barcelona) 08193, Spain
| | - F J Castander
- Institut d'Estudis Espacials de Catalunya (IEEC), Barcelona 08034, Spain
- Institute of Space Sciences (ICE, CSIC), Campus UAB, Carrer de Can Magrans, s/n, Barcelona 08193, Spain
| | - C L Chang
- Kavli Institute for Cosmological Physics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
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| | - H C Chiang
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| | - R Citron
- University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
| | - M Costanzi
- Universitäts-Sternwarte, Fakultät für Physik, Ludwig-Maximilians Universität München, Scheinerstr. 1, München 81679, Germany
| | - A T Crites
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- California Institute of Technology, MS 249-17, 1216 E. California Blvd., Pasadena, California 91125, USA
| | - L N da Costa
- Laboratório Interinstitucional de e-Astronomia-LIneA, Rua Gal. José Cristino 77, Rio de Janeiro, RJ 20921-400, Brazil
- Observatório Nacional, Rua Gal. José Cristino 77, Rio de Janeiro, RJ 20921-400, Brazil
| | - S Desai
- Department of Physics, IIT Hyderabad, Kandi, Telangana 502285, India
| | - H T Diehl
- Fermi National Accelerator Laboratory, P. O. Box 500, Batavia, Illinois 60510, USA
| | - J P Dietrich
- Excellence Cluster Origins, Boltzmannstr. 2, Garching 85748, Germany
- Faculty of Physics, Ludwig-Maximilians-Universität, Scheinerstr. 1, Munich 81679, Germany
| | - M A Dobbs
- Canadian Institute for Advanced Research, CIFAR Program in Gravity and the Extreme Universe, Toronto, Ontario M5G 1Z8, Canada
- Department of Physics, McGill University, 3600 Rue University, Montreal, Quebec H3A 2T8, Canada
| | - P Doel
- Department of Physics & Astronomy, University College London, Gower Street, London WC1E 6BT, United Kingdom
| | - S Everett
- Santa Cruz Institute for Particle Physics, Santa Cruz, California 95064, USA
| | - A E Evrard
- Department of Astronomy, University of Michigan, Ann Arbor, Michigan 48109, USA
- Department of Physics, University of Michigan, Ann Arbor, Michigan 48109, USA
| | - C Feng
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- Department of Physics, University of Illinois Urbana-Champaign, 1110 W. Green Street, Urbana, Illinois 61801, USA
| | - B Flaugher
- Fermi National Accelerator Laboratory, P. O. Box 500, Batavia, Illinois 60510, USA
| | - P Fosalba
- Institut d'Estudis Espacials de Catalunya (IEEC), Barcelona 08034, Spain
- Institute of Space Sciences (ICE, CSIC), Campus UAB, Carrer de Can Magrans, s/n, Barcelona 08193, Spain
| | - J Frieman
- Fermi National Accelerator Laboratory, P. O. Box 500, Batavia, Illinois 60510, USA
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| | - J Gallicchio
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- Harvey Mudd College, 301 Platt Blvd., Claremont, California 91711, USA
| | - J García-Bellido
- Instituto de Fisica Teorica UAM/CSIC, Universidad Autonoma de Madrid, 28049 Madrid, Spain
| | - E Gaztanaga
- Institut d'Estudis Espacials de Catalunya (IEEC), Barcelona 08034, Spain
- Institute of Space Sciences (ICE, CSIC), Campus UAB, Carrer de Can Magrans, s/n, Barcelona 08193, Spain
| | - E M George
- Department of Physics, University of California, Berkeley, California 94720, USA
- European Southern Observatory, Karl-Schwarzschild-Str. 2, Garching bei München 85748, Germany
| | - T Giannantonio
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- Kavli Institute for Cosmology, University of Cambridge, Madingley Road, Cambridge CB3 0HA, United Kingdom
| | - A Gilbert
- Department of Physics, McGill University, 3600 Rue University, Montreal, Quebec H3A 2T8, Canada
| | - R A Gruendl
- Department of Astronomy, University of Illinois at Urbana-Champaign, 1002 W. Green Street, Urbana, Illinois 61801, USA
- National Center for Supercomputing Applications, 1205 West Clark St., Urbana, Illinois 61801, USA
| | - J Gschwend
- Laboratório Interinstitucional de e-Astronomia-LIneA, Rua Gal. José Cristino 77, Rio de Janeiro, RJ 20921-400, Brazil
- Observatório Nacional, Rua Gal. José Cristino 77, Rio de Janeiro, RJ 20921-400, Brazil
| | - N Gupta
- School of Physics, University of Melbourne, Parkville VIC 3010, Australia
| | - G Gutierrez
- Fermi National Accelerator Laboratory, P. O. Box 500, Batavia, Illinois 60510, USA
| | - T de Haan
- Department of Physics, University of California, Berkeley, California 94720, USA
- Physics Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - N W Halverson
- Department of Astrophysical and Planetary Sciences, University of Colorado, Boulder, Colorado 80309, USA
- Department of Physics, University of Colorado, Boulder, Colorado 80309, USA
| | - N Harrington
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - J W Henning
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- High Energy Physics Division, Argonne National Laboratory, 9700 S. Cass Avenue, Argonne, Illinois 60439, USA
| | - G C Hilton
- NIST Quantum Devices Group, 325 Broadway Mailcode 817.03, Boulder, Colorado 80305, USA
| | - D L Hollowood
- Santa Cruz Institute for Particle Physics, Santa Cruz, California 95064, USA
| | - W L Holzapfel
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - K Honscheid
- Center for Cosmology and Astro-Particle Physics, The Ohio State University, Columbus, Ohio 43210, USA
- Department of Physics, The Ohio State University, Columbus, Ohio 43210, USA
| | - J D Hrubes
- University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
| | - N Huang
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - J Hubmayr
- NIST Quantum Devices Group, 325 Broadway Mailcode 817.03, Boulder, Colorado 80305, USA
| | - K D Irwin
- SLAC National Accelerator Laboratory, 2575 Sand Hill Road, Menlo Park, California 94025, USA
- Deptartment of Physics, Stanford University, 382 Via Pueblo Mall, Stanford, California 94305, USA
| | - T Jeltema
- Santa Cruz Institute for Particle Physics, Santa Cruz, California 95064, USA
| | - M Carrasco Kind
- Department of Astronomy, University of Illinois at Urbana-Champaign, 1002 W. Green Street, Urbana, Illinois 61801, USA
- National Center for Supercomputing Applications, 1205 West Clark St., Urbana, Illinois 61801, USA
| | - L Knox
- Department of Physics, University of California, One Shields Avenue, Davis, California 95616, USA
| | - N Kuropatkin
- Fermi National Accelerator Laboratory, P. O. Box 500, Batavia, Illinois 60510, USA
| | - O Lahav
- Department of Physics & Astronomy, University College London, Gower Street, London WC1E 6BT, United Kingdom
| | - A T Lee
- Department of Physics, University of California, Berkeley, California 94720, USA
- Physics Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - D Li
- NIST Quantum Devices Group, 325 Broadway Mailcode 817.03, Boulder, Colorado 80305, USA
- SLAC National Accelerator Laboratory, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - M Lima
- Laboratório Interinstitucional de e-Astronomia-LIneA, Rua Gal. José Cristino 77, Rio de Janeiro, RJ 20921-400, Brazil
- Departamento de Física Matemática, Instituto de Física, Universidade de São Paulo, CP 66318, São Paulo, SP 05314-970, Brazil
| | - A Lowitz
- Department of Astronomy and Astrophysics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
| | - M A G Maia
- Laboratório Interinstitucional de e-Astronomia-LIneA, Rua Gal. José Cristino 77, Rio de Janeiro, RJ 20921-400, Brazil
- Observatório Nacional, Rua Gal. José Cristino 77, Rio de Janeiro, RJ 20921-400, Brazil
| | - J L Marshall
- George P. and Cynthia Woods Mitchell Institute for Fundamental Physics and Astronomy, and Department of Physics and Astronomy, Texas A&M University, College Station, Texas 77843, USA
| | - J J McMahon
- Department of Physics, University of Michigan, 450 Church Street, Ann Arbor, Michigan 48109, USA
| | - P Melchior
- Department of Astrophysical Sciences, Princeton University, Peyton Hall, Princeton, New Jersey 08544, USA
| | - F Menanteau
- Department of Astronomy, University of Illinois at Urbana-Champaign, 1002 W. Green Street, Urbana, Illinois 61801, USA
- National Center for Supercomputing Applications, 1205 West Clark St., Urbana, Illinois 61801, USA
| | - S S Meyer
- Kavli Institute for Cosmological Physics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
- Department of Astronomy and Astrophysics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
- Department of Physics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
- Enrico Fermi Institute, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
| | - R Miquel
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology, Campus UAB, Bellaterra (Barcelona) 08193, Spain
- Institució Catalana de Recerca i Estudis Avançats, Barcelona E-08010, Spain
| | - L M Mocanu
- Kavli Institute for Cosmological Physics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
- Department of Astronomy and Astrophysics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
| | - J J Mohr
- Max Planck Institute for Extraterrestrial Physics, Giessenbachstrasse, Garching 85748, Germany
- Excellence Cluster Origins, Boltzmannstr. 2, Garching 85748, Germany
- Faculty of Physics, Ludwig-Maximilians-Universität, Scheinerstr. 1, Munich 81679, Germany
| | - J Montgomery
- Department of Physics, McGill University, 3600 Rue University, Montreal, Quebec H3A 2T8, Canada
| | - C Corbett Moran
- TAPIR, Walter Burke Institute for Theoretical Physics, California Institute of Technology, 1200 E California Blvd, Pasadena, California 91125, USA
| | - A Nadolski
- Astronomy Department, University of Illinois at Urbana-Champaign, 1002 W. Green Street, Urbana, Illinois 61801, USA
- Department of Physics, University of Illinois Urbana-Champaign, 1110 W. Green Street, Urbana, Illinois 61801, USA
| | - T Natoli
- Kavli Institute for Cosmological Physics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
- Department of Astronomy and Astrophysics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
- Dunlap Institute for Astronomy & Astrophysics, University of Toronto, 50 St George St, Toronto, Ontario M5S 3H4, Canada
| | - J P Nibarger
- NIST Quantum Devices Group, 325 Broadway Mailcode 817.03, Boulder, Colorado 80305, USA
| | - G Noble
- Department of Physics, McGill University, 3600 Rue University, Montreal, Quebec H3A 2T8, Canada
| | - V Novosad
- Materials Sciences Division, Argonne National Laboratory, 9700 S. Cass Avenue, Argonne, Illinois 60439, USA
| | - R L C Ogando
- Laboratório Interinstitucional de e-Astronomia-LIneA, Rua Gal. José Cristino 77, Rio de Janeiro, RJ 20921-400, Brazil
- Observatório Nacional, Rua Gal. José Cristino 77, Rio de Janeiro, RJ 20921-400, Brazil
| | - S Padin
- Kavli Institute for Cosmological Physics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
- Department of Astronomy and Astrophysics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
- California Institute of Technology, MS 249-17, 1216 E. California Blvd., Pasadena, California 91125, USA
| | - A A Plazas
- Department of Astrophysical Sciences, Princeton University, Peyton Hall, Princeton, New Jersey 08544, USA
| | - C Pryke
- School of Physics and Astronomy, University of Minnesota, 116 Church Street S.E. Minneapolis, Minneapolis 55455, USA
| | - D Rapetti
- Department of Astrophysical and Planetary Sciences, University of Colorado, Boulder, Colorado 80309, USA
- NASA Postdoctoral Program Senior Fellow, NASA Ames Research Center, Moffett Field, California 94035, USA
| | - A K Romer
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| | - A Roodman
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| | - A Carnero Rosell
- Laboratório Interinstitucional de e-Astronomia-LIneA, Rua Gal. José Cristino 77, Rio de Janeiro, RJ 20921-400, Brazil
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), Madrid 28040, Spain
| | - E Rozo
- Department of Physics, University of Arizona, Tucson, Arizona 85721, USA
| | - J E Ruhl
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| | - E S Rykoff
- Kavli Institute for Particle Astrophysics & Cosmology, P. O. Box 2450, Stanford University, Stanford, California 94305, USA
- SLAC National Accelerator Laboratory, Menlo Park, California 94025, USA
| | - B R Saliwanchik
- Physics Department, Center for Education and Research in Cosmology and Astrophysics, Case Western Reserve University, Cleveland, Ohio 44106, USA
- Department of Physics, Yale University, P.O. Box 208120, New Haven, Connecticut 06520-8120, USA
| | - E Sanchez
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), Madrid 28040, Spain
| | - J T Sayre
- Department of Astrophysical and Planetary Sciences, University of Colorado, Boulder, Colorado 80309, USA
- Department of Physics, University of Colorado, Boulder, Colorado 80309, USA
| | - V Scarpine
- Fermi National Accelerator Laboratory, P. O. Box 500, Batavia, Illinois 60510, USA
| | - K K Schaffer
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- Enrico Fermi Institute, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
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| | - M Schubnell
- Department of Physics, University of Michigan, Ann Arbor, Michigan 48109, USA
| | - S Serrano
- Institut d'Estudis Espacials de Catalunya (IEEC), Barcelona 08034, Spain
- Institute of Space Sciences (ICE, CSIC), Campus UAB, Carrer de Can Magrans, s/n, Barcelona 08193, Spain
| | - I Sevilla-Noarbe
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), Madrid 28040, Spain
| | - C Sievers
- University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
| | - G Smecher
- Department of Physics, McGill University, 3600 Rue University, Montreal, Quebec H3A 2T8, Canada
- Three-Speed Logic, Inc., Vancouver, British Columbia V6A 2J8, Canada
| | - M Smith
- School of Physics and Astronomy, University of Southampton, Southampton SO17 1BJ, United Kingdom
| | - M Soares-Santos
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| | - A A Stark
- Harvard-Smithsonian Center for Astrophysics, 60 Garden Street, Cambridge, Massachusetts 02138, USA
| | - K T Story
- Deptartment of Physics, Stanford University, 382 Via Pueblo Mall, Stanford, California 94305, USA
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- National Center for Supercomputing Applications, 1205 West Clark St., Urbana, Illinois 61801, USA
| | - G Tarle
- Department of Physics, University of Michigan, Ann Arbor, Michigan 48109, USA
| | - C Tucker
- Cardiff University, Cardiff CF10 3XQ, United Kingdom
| | - K Vanderlinde
- Dunlap Institute for Astronomy & Astrophysics, University of Toronto, 50 St George St, Toronto, Ontario M5S 3H4, Canada
- Department of Astronomy and Astrophysics, University of Toronto, 50 St George St, Toronto, Ontario M5S 3H4, Canada
| | - T Veach
- Department of Astronomy, University of Maryland College Park, Maryland 20742, USA
| | - J De Vicente
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), Madrid 28040, Spain
| | - J D Vieira
- Astronomy Department, University of Illinois at Urbana-Champaign, 1002 W. Green Street, Urbana, Illinois 61801, USA
- Department of Physics, University of Illinois Urbana-Champaign, 1110 W. Green Street, Urbana, Illinois 61801, USA
| | - V Vikram
- Argonne National Laboratory, 9700 South Cass Avenue, Lemont, Illinois 60439, USA
| | - G Wang
- High Energy Physics Division, Argonne National Laboratory, 9700 S. Cass Avenue, Argonne, Illinois 60439, USA
| | - W L K Wu
- Kavli Institute for Cosmological Physics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
| | - V Yefremenko
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| | - Y Zhang
- Fermi National Accelerator Laboratory, P. O. Box 500, Batavia, Illinois 60510, USA
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Matsuda F, Lowry L, Suzuki A, Aguilar Fáundez M, Arnold K, Barron D, Bianchini F, Cheung K, Chinone Y, Elleflot T, Fabbian G, Goeckner-Wald N, Hasegawa M, Kaneko D, Katayama N, Keating B, Lee AT, Navaroli M, Nishino H, Paar H, Puglisi G, Richards PL, Seibert J, Siritanasak P, Tajima O, Takatori S, Tsai C, Westbrook B. The POLARBEAR Fourier transform spectrometer calibrator and spectroscopic characterization of the POLARBEAR instrument. Rev Sci Instrum 2019; 90:115115. [PMID: 31779409 DOI: 10.1063/1.5095160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/07/2019] [Accepted: 11/01/2019] [Indexed: 06/10/2023]
Abstract
We describe the Fourier Transform Spectrometer (FTS) used for in-field testing of the POLARBEAR receiver, an experiment located in the Atacama Desert of Chile which measures the cosmic microwave background (CMB) polarization. The POLARBEAR-FTS (PB-FTS) is a Martin-Puplett interferometer designed to couple to the Huan Tran Telescope (HTT) on which the POLARBEAR receiver is installed. The PB-FTS measured the spectral response of the POLARBEAR receiver with signal-to-noise ratio >20 for ∼69% of the focal plane detectors due to three features: a high throughput of 15.1 sr cm2, optimized optical coupling to the POLARBEAR optics using a custom designed output parabolic mirror, and a continuously modulated output polarizer. The PB-FTS parabolic mirror is designed to mimic the shape of the 2.5 m-diameter HTT primary reflector, which allows for optimum optical coupling to the POLARBEAR receiver, reducing aberrations and systematics. One polarizing grid is placed at the output of the PB-FTS and modulated via continuous rotation. This modulation allows for decomposition of the signal into different harmonics that can be used to probe potentially pernicious sources of systematic error in a polarization-sensitive instrument. The high throughput and continuous output polarizer modulation features are unique compared to other FTS calibrators used in the CMB field. In-field characterization of the POLARBEAR receiver was accomplished using the PB-FTS in April 2014. We discuss the design, construction, and operation of the PB-FTS and present the spectral characterization of the POLARBEAR receiver. We introduce future applications for the PB-FTS in the next-generation CMB experiment, the Simons Array.
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Affiliation(s)
- F Matsuda
- Kavli Institute for the Physics and Mathematics of the Universe (WPI), The University of Tokyo Institutes for Advanced Study,The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
| | - L Lowry
- Department of Physics, University of California, San Diego, California 92093-0424, USA
| | - A Suzuki
- Physics Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - M Aguilar Fáundez
- Department of Physics and Astronomy, Johns Hopkins University, Baltimore, Maryland 21218, USA
| | - K Arnold
- Department of Physics, University of California, San Diego, California 92093-0424, USA
| | - D Barron
- Department of Physics and Astronomy, University of New Mexico, Albuquerque, New Mexico 87131, USA
| | - F Bianchini
- School of Physics, University of Melbourne, Parkville, VIC 3010, Australia
| | - K Cheung
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - Y Chinone
- Kavli Institute for the Physics and Mathematics of the Universe (WPI), The University of Tokyo Institutes for Advanced Study,The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
| | - T Elleflot
- Department of Physics, University of California, San Diego, California 92093-0424, USA
| | - G Fabbian
- Department of Physics and Astronomy, University of Sussex, Brighton BN1 9QH, United Kingdom
| | - N Goeckner-Wald
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - M Hasegawa
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
| | - D Kaneko
- Kavli Institute for the Physics and Mathematics of the Universe (WPI), The University of Tokyo Institutes for Advanced Study,The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
| | - N Katayama
- Kavli Institute for the Physics and Mathematics of the Universe (WPI), The University of Tokyo Institutes for Advanced Study,The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
| | - B Keating
- Department of Physics, University of California, San Diego, California 92093-0424, USA
| | - A T Lee
- Physics Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - M Navaroli
- Department of Physics, University of California, San Diego, California 92093-0424, USA
| | - H Nishino
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
| | - H Paar
- Department of Physics, University of California, San Diego, California 92093-0424, USA
| | - G Puglisi
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - P L Richards
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - J Seibert
- Department of Physics, University of California, San Diego, California 92093-0424, USA
| | - P Siritanasak
- Department of Physics, University of California, San Diego, California 92093-0424, USA
| | - O Tajima
- Department of Physics, Kyoto University, Kyoto 606-8502, Japan
| | - S Takatori
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
| | - C Tsai
- Department of Physics, University of California, San Diego, California 92093-0424, USA
| | - B Westbrook
- Radio Astronomy Laboratory, University of California, Berkeley, California 94720, USA
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27
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Levin TR, Corley DA, Jensen CD, Schottinger JE, Quinn VP, Zauber AG, Lee JK, Zhao WK, Udaltsova N, Ghai NR, Lee AT, Quesenberry CP, Fireman BH, Doubeni CA. Effects of Organized Colorectal Cancer Screening on Cancer Incidence and Mortality in a Large Community-Based Population. Gastroenterology 2018; 155:1383-1391.e5. [PMID: 30031768 PMCID: PMC6240353 DOI: 10.1053/j.gastro.2018.07.017] [Citation(s) in RCA: 299] [Impact Index Per Article: 49.8] [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: 04/19/2018] [Revised: 07/02/2018] [Accepted: 07/16/2018] [Indexed: 12/15/2022]
Abstract
BACKGROUND & AIMS Little information is available on the effectiveness of organized colorectal cancer (CRC) screening on screening uptake, incidence, and mortality in community-based populations. METHODS We contrasted screening rates, age-adjusted annual CRC incidence, and incidence-based mortality rates before (baseline year 2000) and after (through 2015) implementation of organized screening outreach, from 2007 through 2008 (primarily annual fecal immunochemical testing and colonoscopy), in a large community-based population. Among screening-eligible individuals 51-75 years old, we calculated annual up-to-date status for cancer screening (by fecal test, sigmoidoscopy, or colonoscopy), CRC incidence, cancer stage distributions, and incidence-based mortality. RESULTS Initiation of organized CRC screening significantly increased the up-to-date status of screening, from 38.9% in 2000 to 82.7% in 2015 (P < .01). Higher rates of screening were associated with a 25.5% reduction in annual CRC incidence between 2000 and 2015, from 95.8 to 71.4 cases/100,000 (P < .01), and a 52.4% reduction in cancer mortality, from 30.9 to 14.7 deaths/100,000 (P < .01). Increased screening was initially associated with increased CRC incidence, due largely to greater detection of early-stage cancers, followed by decreases in cancer incidence. Advanced-stage CRC incidence rates decreased 36.2%, from 45.9 to 29.3 cases/100,000 (P < .01), and early-stage CRC incidence rates decreased 14.5%, from 48.2 to 41.2 cases/100,000 (P < .04). CONCLUSIONS Implementing an organized CRC screening program in a large community-based population rapidly increased screening participation to the ≥80% target set by national organizations. Screening rates were sustainable and associated with substantial decreases in CRC incidence and mortality within short time intervals, consistent with early detection and cancer prevention.
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Affiliation(s)
- Theodore R. Levin
- Kaiser Permanente Medical Center, Walnut Creek, CA.,Division of Research, Kaiser Permanente Northern California, Oakland, CA
| | - Douglas A. Corley
- Division of Research, Kaiser Permanente Northern California, Oakland, CA
| | | | - Joanne E. Schottinger
- Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA
| | - Virginia P. Quinn
- Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA
| | - Ann G. Zauber
- Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - Jeffrey K. Lee
- Division of Research, Kaiser Permanente Northern California, Oakland, CA
| | - Wei K. Zhao
- Division of Research, Kaiser Permanente Northern California, Oakland, CA
| | - Natalia Udaltsova
- Division of Research, Kaiser Permanente Northern California, Oakland, CA
| | - Nirupa R. Ghai
- Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA
| | - Alexander T. Lee
- Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA
| | | | - Bruce H. Fireman
- Division of Research, Kaiser Permanente Northern California, Oakland, CA
| | - Chyke A. Doubeni
- Department of Family Medicine and Community Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA
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Ghai NR, Jensen CD, Corley DA, Doubeni CA, Schottinger JE, Zauber AG, Lee AT, Contreras R, Levin TR, Lee JK, Quinn VP. Colorectal Cancer Screening Participation Among Asian Americans Overall and Subgroups in an Integrated Health Care Setting with Organized Screening. Clin Transl Gastroenterol 2018; 9:186. [PMID: 30242160 PMCID: PMC6155113 DOI: 10.1038/s41424-018-0051-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2018] [Revised: 08/01/2018] [Accepted: 08/13/2018] [Indexed: 01/01/2023] Open
Abstract
Background Screening reduces colorectal cancer deaths, but <50% of Asian Americans are screening up-to-date according to surveys, with variability across Asian subgroups. We examined colorectal cancer screening participation among Asian Americans overall and Asian subgroups in a large integrated health care system with organized screening. Methods Data were electronically accessed to characterize screening in 2016 for Asians overall and subgroups relative to the National Colorectal Cancer Roundtable target of ≥80% screening and compared with non-Hispanic whites. Screening up-to-date was defined as a colonoscopy with 10 years, a sigmoidoscopy within 5 years, or a fecal immunochemical test (FIT) completed in 2016. Results Among 436,398 patients, 69,826 (16.0%) were Asian, of whom 79.8% were screening up-to-date vs. 77.6% of non-Hispanic whites (p < 0.001). Almost all subgroups met the 80% target: Chinese (83.3%), Vietnamese (82.4%), Korean (82.1%), other Asian (80.3%), Filipino (78.7%), Asian Indian (79.6%), and Japanese (79.0%). Among Asians overall and non-Hispanic whites, 50.6% and 48.4% of members were up-to-date with screening by colonoscopy, and 28.0% and 28.2% were up-to-date by FIT, respectively. Across Asian subgroups, colonoscopy most frequently accounting for being screening up-to-date (range: 47.4–59.7%), followed by FIT (range: 21.6–31.5%). Conclusions In an organized screening setting, there were minimal differences in screening participation among Asian subgroups and almost all met the 80% screening target, despite differences in language preference. Screening test type differences across subgroups suggest possible preferences in screening modality, which can inform future research into tailored education or outreach.
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Affiliation(s)
- Nirupa R Ghai
- Kaiser Foundation Health Plan, Department of Regional Clinical Effectiveness, 393 East Walnut Street, Pasadena, CA, 91188, USA.
| | - Christopher D Jensen
- Kaiser Permanente Northern California, Division of Research, 2000 Broadway, Oakland, CA, 94612, USA
| | - Douglas A Corley
- Kaiser Permanente Northern California, Division of Research, 2000 Broadway, Oakland, CA, 94612, USA
| | - Chyke A Doubeni
- Department of Family Medicine and Community Health, The Perelman School of Medicine at the University of Pennsylvania, 51N 39th Street, Andrew Mutch Building, 7th Floor, Philadelphia, PA, 19104, USA
| | - Joanne E Schottinger
- Kaiser Permanente Southern California Regional Offices, 393 East Walnut Street, Pasadena, CA, 91188, USA
| | - Ann G Zauber
- Department of Epidemiology & Biostatistics, Memorial Sloan Kettering Cancer Center, 485 Lexington Avenue, 2063A, New York, NY, 10017, USA
| | - Alexander T Lee
- Southern California Permanente Medical Group, Kaiser Permanente Woodland Hills, 5601 De Soto Ave, Woodland Hills, CA, 91365, USA
| | - Richard Contreras
- Kaiser Foundation Health Plan, Department of Regional Clinical Effectiveness, 393 East Walnut Street, Pasadena, CA, 91188, USA
| | - Theodore R Levin
- Kaiser Permanente Medical Center, 1425 South Main Street, Walnut Creek, CA, 94596, USA
| | - Jeffrey K Lee
- Kaiser Permanente Northern California, Division of Research, 2000 Broadway, Oakland, CA, 94612, USA
| | - Virginia P Quinn
- Kaiser Foundation Health Plan, Department of Regional Clinical Effectiveness, 393 East Walnut Street, Pasadena, CA, 91188, USA
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Shih AJ, Korsunsky I, Guttadauria B, Bhuiya T, Liew A, Khalili H, Gregersen PK, Lee AT. Abstract P2-07-09: Integrative analysis of miRNA and mRNA expression in metastatic versus non-metastatic triple negative breast cancer. Cancer Res 2018. [DOI: 10.1158/1538-7445.sabcs17-p2-07-09] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: Triple Negative Breast Cancer (TNBC) is a subset of breast cancer that is difficult to treat clinically and is characterized by being estrogen receptor (ER) negative, progesterone receptor (PR) negative, and does not overexpress human epidermal growth factor receptor 2 (HER2). Patients with TNBC tend to have a worse prognosis than other breast cancer subtypes.
Methods: We obtained fifteen TNBC sample FFPE tissue blocks with corresponding plasma samples. All samples were from primary tumors; seven samples having metastasized, four samples that had not metastasized and four samples with unknown metastatic status. The total RNA was isolated from FFPE blocks using the RecoverAll Total Nucleic Acid Isolation Protocol. miRNA from plasma was isolated using Ambion's mirVANA kit. The plasma and tissue miRNAs were evaluated using the QuantStudio qPCR platform, capturing ˜750 miRNAs. The mRNA was processed using the TruSeq RNA Access kit and sequenced on the Illumina NextSeq platform. Analysis of the miRNA and mRNA individually was performed using limma and DESeq2 packages, respectively. Gene enrichment analysis of the mRNA expression was done using the GAGE package on KEGG pathways while the integrative analysis was done with sparse Canonical Correlation Analysis (sCCA) using the PMA pacakge.
Results: Analysis of plasma miRNA had four miRNAs with a significant difference in raw p-value (p < 0.05) between metastatic and non-metastatic TNBC; miRNA 708, 483-3p, 518f, and 766; in the tissue there were fifteen miRNA with p < 0.05, with one miR-872 still having significance after adjusting for multiple testing. mRNA had 33 genes being significant after multiple testing correction with several immune KEGG pathways being downregulated in metastatic samples (adjusted p < 0.05). The integrative analysis revealed five microRNA (miR-216, miR-127, miR-370, miR-382, and miR-487b) and 312 gene modules enriched in integrin (Fisher p < 10^-5) and extracellular matrix (Fisher p < 10^-6) signaling.
Conclusions: One of the circulating plasma miRNAs, miR483-3p, has been found to promote tumorigenesis, while miR581f and miR766 have not been reported in cancer to date. Further investigation into these miRNA could provide a feasible biomarker. The downregulation of immune pathways observed within the metastatic TNBC subjects implies immune evasion is of particular importance for metastasis and a targeted immunotherapy may be a viable treatment option. The integrative analysis of the miRNA and mRNA showed an enrichment in pathways previously linked to increased proliferation and chemoresistance, with an increased signal compared to either miRNA or mRNA alone.
Citation Format: Shih AJ, Korsunsky I, Guttadauria B, Bhuiya T, Liew A, Khalili H, Gregersen PK, Lee AT. Integrative analysis of miRNA and mRNA expression in metastatic versus non-metastatic triple negative breast cancer [abstract]. In: Proceedings of the 2017 San Antonio Breast Cancer Symposium; 2017 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2018;78(4 Suppl):Abstract nr P2-07-09.
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Affiliation(s)
- AJ Shih
- The Feinstein Institute for Medical Research, Northwell Health, Manhassett, NY; Hofstra Northwell School of Medicine, Hempstead, NY; Northwell Health, Lake Success, NY
| | - I Korsunsky
- The Feinstein Institute for Medical Research, Northwell Health, Manhassett, NY; Hofstra Northwell School of Medicine, Hempstead, NY; Northwell Health, Lake Success, NY
| | - B Guttadauria
- The Feinstein Institute for Medical Research, Northwell Health, Manhassett, NY; Hofstra Northwell School of Medicine, Hempstead, NY; Northwell Health, Lake Success, NY
| | - T Bhuiya
- The Feinstein Institute for Medical Research, Northwell Health, Manhassett, NY; Hofstra Northwell School of Medicine, Hempstead, NY; Northwell Health, Lake Success, NY
| | - A Liew
- The Feinstein Institute for Medical Research, Northwell Health, Manhassett, NY; Hofstra Northwell School of Medicine, Hempstead, NY; Northwell Health, Lake Success, NY
| | - H Khalili
- The Feinstein Institute for Medical Research, Northwell Health, Manhassett, NY; Hofstra Northwell School of Medicine, Hempstead, NY; Northwell Health, Lake Success, NY
| | - PK Gregersen
- The Feinstein Institute for Medical Research, Northwell Health, Manhassett, NY; Hofstra Northwell School of Medicine, Hempstead, NY; Northwell Health, Lake Success, NY
| | - AT Lee
- The Feinstein Institute for Medical Research, Northwell Health, Manhassett, NY; Hofstra Northwell School of Medicine, Hempstead, NY; Northwell Health, Lake Success, NY
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Corley DA, Jensen CD, Quinn VP, Doubeni CA, Zauber AG, Lee JK, Schottinger JE, Marks AR, Zhao WK, Ghai NR, Lee AT, Contreras R, Quesenberry CP, Fireman BH, Levin TR. Association Between Time to Colonoscopy After a Positive Fecal Test Result and Risk of Colorectal Cancer and Cancer Stage at Diagnosis. JAMA 2017; 317:1631-1641. [PMID: 28444278 PMCID: PMC6343838 DOI: 10.1001/jama.2017.3634] [Citation(s) in RCA: 186] [Impact Index Per Article: 26.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
IMPORTANCE The fecal immunochemical test (FIT) is commonly used for colorectal cancer screening and positive test results require follow-up colonoscopy. However, follow-up intervals vary, which may result in neoplastic progression. OBJECTIVE To evaluate time to colonoscopy after a positive FIT result and its association with risk of colorectal cancer and advanced-stage disease at diagnosis. DESIGN, SETTING, AND PARTICIPANTS Retrospective cohort study (January 1, 2010-December 31, 2014) within Kaiser Permanente Northern and Southern California. Participants were 70 124 patients aged 50 through 70 years eligible for colorectal cancer screening with a positive FIT result who had a follow-up colonoscopy. EXPOSURES Time (days) to colonoscopy after a positive FIT result. MAIN OUTCOMES AND MEASURES Risk of any colorectal cancer and advanced-stage disease (defined as stage III and IV cancer). Odds ratios (ORs) and 95% CIs were adjusted for patient demographics and baseline risk factors. RESULTS Of the 70 124 patients with positive FIT results (median age, 61 years [IQR, 55-67 years]; men, 52.7%), there were 2191 cases of any colorectal cancer and 601 cases of advanced-stage disease diagnosed. Compared with colonoscopy follow-up within 8 to 30 days (n = 27 176), there were no significant differences between follow-up at 2 months (n = 24 644), 3 months (n = 8666), 4 to 6 months (n = 5251), or 7 to 9 months (n = 1335) for risk of any colorectal cancer (cases per 1000 patients: 8-30 days, 30; 2 months, 28; 3 months, 31; 4-6 months, 31; and 7-9 months, 43) or advanced-stage disease (cases per 1000 patients: 8-30 days, 8; 2 months, 7; 3 months, 7; 4-6 months, 9; and 7-9 months, 13). Risks were significantly higher for examinations at 10 to 12 months (n = 748) for any colorectal cancer (OR, 1.48 [95% CI, 1.05-2.08]; 49 cases per 1000 patients) and advanced-stage disease (OR, 1.97 [95% CI, 1.14-3.42]; 19 cases per 1000 patients) and more than 12 months (n = 747) for any colorectal cancer (OR, 2.25 [95% CI, 1.89-2.68]; 76 cases per 1000 patients) and advanced-stage disease (OR, 3.22 [95% CI, 2.44-4.25]; 31 cases per 1000 patients). CONCLUSIONS AND RELEVANCE Among patients with a positive fecal immunochemical test result, compared with follow-up colonoscopy at 8 to 30 days, follow-up after 10 months was associated with a higher risk of colorectal cancer and more advanced-stage disease at the time of diagnosis. Further research is needed to assess whether this relationship is causal.
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Affiliation(s)
- Douglas A. Corley
- Division of Research, Kaiser Permanente Northern California, Oakland, CA
| | | | - Virginia P. Quinn
- Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA
| | - Chyke A. Doubeni
- Department of Family Medicine and Community Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA
| | - Ann G. Zauber
- Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - Jeffrey K. Lee
- Division of Research, Kaiser Permanente Northern California, Oakland, CA
| | - Joanne E. Schottinger
- Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA
| | - Amy R. Marks
- Division of Research, Kaiser Permanente Northern California, Oakland, CA
| | - Wei K. Zhao
- Division of Research, Kaiser Permanente Northern California, Oakland, CA
| | - Nirupa R. Ghai
- Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA
| | - Alexander T. Lee
- Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA
| | - Richard Contreras
- Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA
| | | | - Bruce H. Fireman
- Division of Research, Kaiser Permanente Northern California, Oakland, CA
| | - Theodore R. Levin
- Division of Research, Kaiser Permanente Northern California, Oakland, CA
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Jensen CD, Corley DA, Quinn VP, Doubeni CA, Zauber AG, Lee JK, Zhao WK, Marks AR, Schottinger JE, Ghai NR, Lee AT, Contreras R, Klabunde CN, Quesenberry CP, Levin TR, Mysliwiec PA. Fecal Immunochemical Test Program Performance Over 4 Rounds of Annual Screening: A Retrospective Cohort Study. Ann Intern Med 2016; 164:456-63. [PMID: 26811150 PMCID: PMC4973858 DOI: 10.7326/m15-0983] [Citation(s) in RCA: 161] [Impact Index Per Article: 20.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND The fecal immunochemical test (FIT) is a common method for colorectal cancer (CRC) screening, yet its acceptability and performance over several rounds of annual testing are largely unknown. OBJECTIVE To assess FIT performance characteristics over 4 rounds of annual screening. DESIGN Retrospective cohort study. SETTING Kaiser Permanente Northern and Southern California. PATIENTS 323 349 health plan members aged 50 to 70 years on their FIT mailing date in 2007 or 2008 who completed the first round of FIT and were followed for up to 4 screening rounds. MEASUREMENTS Screening participation, FIT positivity (≥20 µg of hemoglobin/g), positive predictive values for adenoma and CRC, and FIT sensitivity for detecting CRC obtained from Kaiser Permanente electronic databases and cancer registries. RESULTS Of the patients invited for screening, 48.2% participated in round 1. Of those who remained eligible, 75.3% to 86.1% participated in subsequent rounds. Median follow-up was 4.0 years, and 32% of round 1 participants crossed over to endoscopy over 4 screening rounds-7.0% due to a positive FIT result. The FIT positivity rate (5.0%) and positive predictive values (adenoma, 51.5%; CRC, 3.4%) were highest in round 1. Overall, programmatic FIT screening detected 80.4% of patients with CRC diagnosed within 1 year of testing, including 84.5% in round 1 and 73.4% to 78.0% in subsequent rounds. LIMITATION Screening detection, rather than long-term cancer prevention, was evaluated. CONCLUSION Annual FIT screening was associated with high sensitivity for CRC, with high adherence to annual follow-up screening among initial participants. The findings indicate that annual programmatic FIT screening is feasible and effective for population-level CRC screening. PRIMARY FUNDING SOURCE National Institutes of Health.
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Ade PAR, Akiba Y, Anthony AE, Arnold K, Atlas M, Barron D, Boettger D, Borrill J, Chapman S, Chinone Y, Dobbs M, Elleflot T, Errard J, Fabbian G, Feng C, Flanigan D, Gilbert A, Grainger W, Halverson NW, Hasegawa M, Hattori K, Hazumi M, Holzapfel WL, Hori Y, Howard J, Hyland P, Inoue Y, Jaehnig GC, Jaffe A, Keating B, Kermish Z, Keskitalo R, Kisner T, Le Jeune M, Lee AT, Linder E, Leitch EM, Lungu M, Matsuda F, Matsumura T, Meng X, Miller NJ, Morii H, Moyerman S, Myers MJ, Navaroli M, Nishino H, Paar H, Peloton J, Quealy E, Rebeiz G, Reichardt CL, Richards PL, Ross C, Schanning I, Schenck DE, Sherwin B, Shimizu A, Shimmin C, Shimon M, Siritanasak P, Smecher G, Spieler H, Stebor N, Steinbach B, Stompor R, Suzuki A, Takakura S, Tomaru T, Wilson B, Yadav A, Zahn O. Measurement of the cosmic microwave background polarization lensing power spectrum with the POLARBEAR experiment. Phys Rev Lett 2014; 113:021301. [PMID: 25062161 DOI: 10.1103/physrevlett.113.021301] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/11/2014] [Indexed: 06/03/2023]
Abstract
Gravitational lensing due to the large-scale distribution of matter in the cosmos distorts the primordial cosmic microwave background (CMB) and thereby induces new, small-scale B-mode polarization. This signal carries detailed information about the distribution of all the gravitating matter between the observer and CMB last scattering surface. We report the first direct evidence for polarization lensing based on purely CMB information, from using the four-point correlations of even- and odd-parity E- and B-mode polarization mapped over ∼30 square degrees of the sky measured by the POLARBEAR experiment. These data were analyzed using a blind analysis framework and checked for spurious systematic contamination using null tests and simulations. Evidence for the signal of polarization lensing and lensing B modes is found at 4.2σ (stat+sys) significance. The amplitude of matter fluctuations is measured with a precision of 27%, and is found to be consistent with the Lambda cold dark matter cosmological model. This measurement demonstrates a new technique, capable of mapping all gravitating matter in the Universe, sensitive to the sum of neutrino masses, and essential for cleaning the lensing B-mode signal in searches for primordial gravitational waves.
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Affiliation(s)
- P A R Ade
- School of Physics and Astronomy, Cardiff University, Cardiff CF10 3XQ, United Kingdom
| | - Y Akiba
- The Graduate University for Advanced Studies, Hayama, Miura District, Kanagawa 240-0115, Japan
| | - A E Anthony
- Center for Astrophysics and Space Astronomy, University of Colorado, Boulder, Colorado 80309, USA
| | - K Arnold
- Department of Physics, University of California, San Diego, La Jolla, California 92093-0424, USA
| | - M Atlas
- Department of Physics, University of California, San Diego, La Jolla, California 92093-0424, USA
| | - D Barron
- Department of Physics, University of California, San Diego, La Jolla, California 92093-0424, USA
| | - D Boettger
- Department of Physics, University of California, San Diego, La Jolla, California 92093-0424, USA
| | - J Borrill
- Computational Cosmology Center, Lawrence Berkeley National Laboratory, Berkeley, California 92093-0424, USA and Space Sciences Laboratory, University of California, Berkeley, Berkeley, California 94720, USA
| | - S Chapman
- Department of Physics and Atmospheric Science, Dalhousie University, Halifax, Nova Scotia B3H 4R2, Canada
| | - Y Chinone
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan and Department of Physics, University of California, Berkeley, Berkeley, California 94720, USA
| | - M Dobbs
- Physics Department, McGill University, Montreal, Quebec H3A 0G4, Canada
| | - T Elleflot
- Department of Physics, University of California, San Diego, La Jolla, California 92093-0424, USA
| | - J Errard
- Computational Cosmology Center, Lawrence Berkeley National Laboratory, Berkeley, California 92093-0424, USA and Space Sciences Laboratory, University of California, Berkeley, Berkeley, California 94720, USA
| | - G Fabbian
- AstroParticule et Cosmologie, Univ Paris Diderot, CNRS/IN2P3, CEA/Irfu, Obs de Paris, Sorbonne Paris Cité, France and International School for Advanced Studies (SISSA), Trieste 34014, Italy
| | - C Feng
- Department of Physics, University of California, San Diego, La Jolla, California 92093-0424, USA
| | - D Flanigan
- Department of Physics, University of California, Berkeley, Berkeley, California 94720, USA and Columbia University, New York, New York 10027, USA
| | - A Gilbert
- Physics Department, McGill University, Montreal, Quebec H3A 0G4, Canada
| | - W Grainger
- Rutherford Appleton Laboratory, STFC, Swindon SN2 1SZ, United Kingdom
| | - N W Halverson
- Center for Astrophysics and Space Astronomy, University of Colorado, Boulder, Colorado 80309, USA and Department of Astrophysical and Planetary Sciences, University of Colorado, Boulder, Colorado 80309, USA and Department of Physics, University of Colorado, Boulder, Colorado 80309, USA
| | - M Hasegawa
- The Graduate University for Advanced Studies, Hayama, Miura District, Kanagawa 240-0115, Japan and High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
| | - K Hattori
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
| | - M Hazumi
- The Graduate University for Advanced Studies, Hayama, Miura District, Kanagawa 240-0115, Japan and High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan and Kavli Institute for the Physics and Mathematics of the Universe (WPI), Todai Institutes for Advanced Study, The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
| | - W L Holzapfel
- Department of Physics, University of California, Berkeley, Berkeley, California 94720, USA
| | - Y Hori
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
| | - J Howard
- Department of Physics, University of California, Berkeley, Berkeley, California 94720, USA and Department of Physics, University of Oxford, Oxford OX1 2JD, United Kingdom
| | - P Hyland
- Physics Department, Austin College, Sherman, Texas 75090, USA
| | - Y Inoue
- The Graduate University for Advanced Studies, Hayama, Miura District, Kanagawa 240-0115, Japan
| | - G C Jaehnig
- Center for Astrophysics and Space Astronomy, University of Colorado, Boulder, Colorado 80309, USA and Department of Physics, University of Colorado, Boulder, Colorado 80309, USA
| | - A Jaffe
- Department of Physics, Imperial College London, London SW7 2AZ, United Kingdom
| | - B Keating
- Department of Physics, University of California, San Diego, La Jolla, California 92093-0424, USA
| | - Z Kermish
- Physics Department, Princeton University, Princeton, New Jersey 08544, USA
| | - R Keskitalo
- Computational Cosmology Center, Lawrence Berkeley National Laboratory, Berkeley, California 92093-0424, USA
| | - T Kisner
- Computational Cosmology Center, Lawrence Berkeley National Laboratory, Berkeley, California 92093-0424, USA and Space Sciences Laboratory, University of California, Berkeley, Berkeley, California 94720, USA
| | - M Le Jeune
- AstroParticule et Cosmologie, Univ Paris Diderot, CNRS/IN2P3, CEA/Irfu, Obs de Paris, Sorbonne Paris Cité, France
| | - A T Lee
- Department of Physics, University of California, Berkeley, Berkeley, California 94720, USA and Physics Division, Lawrence Berkeley National Laboratory, Berkeley, California 92093-0424, USA
| | - E Linder
- Space Sciences Laboratory, University of California, Berkeley, Berkeley, California 94720, USA and Physics Division, Lawrence Berkeley National Laboratory, Berkeley, California 92093-0424, USA
| | - E M Leitch
- Department of Astronomy and Astrophysics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA and Kavli Institute for Cosmological Physics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA
| | - M Lungu
- Department of Physics, University of California, Berkeley, Berkeley, California 94720, USA
| | - F Matsuda
- Department of Physics, University of California, San Diego, La Jolla, California 92093-0424, USA
| | - T Matsumura
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
| | - X Meng
- Department of Physics, University of California, Berkeley, Berkeley, California 94720, USA
| | - N J Miller
- Observational Cosmology Laboratory, Code 665, NASA Goddard Space Flight Center, Greenbelt, Maryland 20771, USA
| | - H Morii
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
| | - S Moyerman
- Department of Physics, University of California, San Diego, La Jolla, California 92093-0424, USA
| | - M J Myers
- Department of Physics, University of California, Berkeley, Berkeley, California 94720, USA
| | - M Navaroli
- Department of Physics, University of California, San Diego, La Jolla, California 92093-0424, USA
| | - H Nishino
- Kavli Institute for the Physics and Mathematics of the Universe (WPI), Todai Institutes for Advanced Study, The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
| | - H Paar
- Department of Physics, University of California, San Diego, La Jolla, California 92093-0424, USA
| | - J Peloton
- AstroParticule et Cosmologie, Univ Paris Diderot, CNRS/IN2P3, CEA/Irfu, Obs de Paris, Sorbonne Paris Cité, France
| | - E Quealy
- Department of Physics, University of California, Berkeley, Berkeley, California 94720, USA and Physics Department, Napa Valley College, Napa, California 94558, USA
| | - G Rebeiz
- Department of Electrical and Computer Engineering, University of California, San Diego, La Jolla, California 92093-0424, USA
| | - C L Reichardt
- Department of Physics, University of California, Berkeley, Berkeley, California 94720, USA
| | - P L Richards
- Department of Physics, University of California, Berkeley, Berkeley, California 94720, USA
| | - C Ross
- Department of Physics and Atmospheric Science, Dalhousie University, Halifax, Nova Scotia B3H 4R2, Canada
| | - I Schanning
- Department of Physics, University of California, San Diego, La Jolla, California 92093-0424, USA
| | - D E Schenck
- Center for Astrophysics and Space Astronomy, University of Colorado, Boulder, Colorado 80309, USA and Department of Astrophysical and Planetary Sciences, University of Colorado, Boulder, Colorado 80309, USA
| | - B Sherwin
- Department of Physics, University of California, Berkeley, Berkeley, California 94720, USA and Miller Institute for Basic Research in Science, University of California, Berkeley, Berkeley, California 94720, USA
| | - A Shimizu
- The Graduate University for Advanced Studies, Hayama, Miura District, Kanagawa 240-0115, Japan
| | - C Shimmin
- Department of Physics, University of California, Berkeley, Berkeley, California 94720, USA
| | - M Shimon
- Department of Physics, University of California, San Diego, La Jolla, California 92093-0424, USA and School of Physics and Astronomy, Tel Aviv University, Tel Aviv, Israel
| | - P Siritanasak
- Department of Physics, University of California, San Diego, La Jolla, California 92093-0424, USA
| | - G Smecher
- Three-Speed Logic, Inc., Vancouver, British Columbia V6A 2J8, Canada
| | - H Spieler
- Physics Division, Lawrence Berkeley National Laboratory, Berkeley, California 92093-0424, USA
| | - N Stebor
- Department of Physics, University of California, San Diego, La Jolla, California 92093-0424, USA
| | - B Steinbach
- Department of Physics, University of California, Berkeley, Berkeley, California 94720, USA
| | - R Stompor
- AstroParticule et Cosmologie, Univ Paris Diderot, CNRS/IN2P3, CEA/Irfu, Obs de Paris, Sorbonne Paris Cité, France
| | - A Suzuki
- Department of Physics, University of California, Berkeley, Berkeley, California 94720, USA
| | - S Takakura
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan and Osaka University, Toyonaka, Osaka 560-0043, Japan
| | - T Tomaru
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
| | - B Wilson
- Department of Physics, University of California, San Diego, La Jolla, California 92093-0424, USA
| | - A Yadav
- Department of Physics, University of California, San Diego, La Jolla, California 92093-0424, USA
| | - O Zahn
- Physics Division, Lawrence Berkeley National Laboratory, Berkeley, California 92093-0424, USA
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Ade PAR, Akiba Y, Anthony AE, Arnold K, Atlas M, Barron D, Boettger D, Borrill J, Borys C, Chapman S, Chinone Y, Dobbs M, Elleflot T, Errard J, Fabbian G, Feng C, Flanigan D, Gilbert A, Grainger W, Halverson NW, Hasegawa M, Hattori K, Hazumi M, Holzapfel WL, Hori Y, Howard J, Hyland P, Inoue Y, Jaehnig GC, Jaffe A, Keating B, Kermish Z, Keskitalo R, Kisner T, Le Jeune M, Lee AT, Leitch EM, Linder E, Lungu M, Matsuda F, Matsumura T, Meng X, Miller NJ, Morii H, Moyerman S, Myers MJ, Navaroli M, Nishino H, Paar H, Peloton J, Poletti D, Quealy E, Rebeiz G, Reichardt CL, Richards PL, Ross C, Rotermund K, Schanning I, Schenck DE, Sherwin BD, Shimizu A, Shimmin C, Shimon M, Siritanasak P, Smecher G, Spieler H, Stebor N, Steinbach B, Stompor R, Suzuki A, Takakura S, Tikhomirov A, Tomaru T, Wilson B, Yadav A, Zahn O. Evidence for gravitational lensing of the cosmic microwave background polarization from cross-correlation with the cosmic infrared background. Phys Rev Lett 2014; 112:131302. [PMID: 24745402 DOI: 10.1103/physrevlett.112.131302] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/26/2013] [Indexed: 06/03/2023]
Abstract
We reconstruct the gravitational lensing convergence signal from cosmic microwave background (CMB) polarization data taken by the Polarbear experiment and cross-correlate it with cosmic infrared background maps from the Herschel satellite. From the cross spectra, we obtain evidence for gravitational lensing of the CMB polarization at a statistical significance of 4.0σ and indication of the presence of a lensing B-mode signal at a significance of 2.3σ. We demonstrate that our results are not biased by instrumental and astrophysical systematic errors by performing null tests, checks with simulated and real data, and analytical calculations. This measurement of polarization lensing, made via the robust cross-correlation channel, not only reinforces POLARBEAR auto-correlation measurements, but also represents one of the early steps towards establishing CMB polarization lensing as a powerful new probe of cosmology and astrophysics.
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Affiliation(s)
- P A R Ade
- School of Physics and Astronomy, Cardiff University, Cardiff CF10 3XQ, United Kingdom
| | - Y Akiba
- The Graduate University for Advanced Studies, Hayama, Miura District, Kanagawa 240-0115, Japan
| | - A E Anthony
- Center for Astrophysics and Space Astronomy, University of Colorado, Boulder, CO 80309, USA and Department of Astrophysical and Planetary Sciences, University of Colorado, Boulder, CO 80309, USA
| | - K Arnold
- Department of Physics, University of California, San Diego, CA 92093-0424, USA
| | - M Atlas
- Department of Physics, University of California, San Diego, CA 92093-0424, USA
| | - D Barron
- Department of Physics, University of California, San Diego, CA 92093-0424, USA
| | - D Boettger
- Department of Physics, University of California, San Diego, CA 92093-0424, USA
| | - J Borrill
- Computational Cosmology Center, Lawrence Berkeley National Laboratory, Berkeley, CA 92093-0424, USA and Space Sciences Laboratory, University of California, Berkeley, CA 94720, USA
| | - C Borys
- California Institute of Technology, Pasadena, California, USA
| | - S Chapman
- Department of Physics and Atmospheric Science, Dalhousie University, Halifax, NS, B3H 4R2, Canada
| | - Y Chinone
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan and Department of Physics, University of California, Berkeley, CA 94720, USA
| | - M Dobbs
- Physics Department, McGill University, Montreal, QC H3A 0G4, Canada
| | - T Elleflot
- Department of Physics, University of California, San Diego, CA 92093-0424, USA
| | - J Errard
- Computational Cosmology Center, Lawrence Berkeley National Laboratory, Berkeley, CA 92093-0424, USA and Space Sciences Laboratory, University of California, Berkeley, CA 94720, USA
| | - G Fabbian
- AstroParticule et Cosmologie, Univ Paris Diderot, CNRS/IN2P3, CEA/Irfu, Obs de Paris, Sorbonne Paris Cité, France and International School for Advanced Studies (SISSA), Trieste 34014, Italy
| | - C Feng
- Department of Physics, University of California, San Diego, CA 92093-0424, USA
| | - D Flanigan
- Department of Physics, University of California, Berkeley, CA 94720, USA and Department of Physics, Columbia University, New York, NY 10027, USA
| | - A Gilbert
- Physics Department, McGill University, Montreal, QC H3A 0G4, Canada
| | - W Grainger
- Rutherford Appleton Laboratory, STFC, Swindon, SN2 1SZ, United Kingdom
| | - N W Halverson
- Center for Astrophysics and Space Astronomy, University of Colorado, Boulder, CO 80309, USA and Department of Astrophysical and Planetary Sciences, University of Colorado, Boulder, CO 80309, USA and Department of Physics, University of Colorado, Boulder, CO 80309, USA
| | - M Hasegawa
- The Graduate University for Advanced Studies, Hayama, Miura District, Kanagawa 240-0115, Japan and High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
| | - K Hattori
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
| | - M Hazumi
- The Graduate University for Advanced Studies, Hayama, Miura District, Kanagawa 240-0115, Japan and High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan and Kavli Institute for the Physics and Mathematics of the Universe (WPI), Todai Institutes for Advanced Study, The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
| | - W L Holzapfel
- Department of Physics, University of California, Berkeley, CA 94720, USA
| | - Y Hori
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
| | - J Howard
- Department of Physics, University of California, Berkeley, CA 94720, USA and Department of Physics, University of Oxford, Oxford OX1 2JD, United Kingdom
| | - P Hyland
- Physics Department, Austin College, Sherman, TX 75090, USA
| | - Y Inoue
- The Graduate University for Advanced Studies, Hayama, Miura District, Kanagawa 240-0115, Japan
| | - G C Jaehnig
- Center for Astrophysics and Space Astronomy, University of Colorado, Boulder, CO 80309, USA and Department of Physics, University of Colorado, Boulder, CO 80309, USA
| | - A Jaffe
- Department of Physics, Imperial College London, London SW7 2AZ, United Kingdom
| | - B Keating
- Department of Physics, University of California, San Diego, CA 92093-0424, USA
| | - Z Kermish
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - R Keskitalo
- Computational Cosmology Center, Lawrence Berkeley National Laboratory, Berkeley, CA 92093-0424, USA
| | - T Kisner
- Computational Cosmology Center, Lawrence Berkeley National Laboratory, Berkeley, CA 92093-0424, USA and Space Sciences Laboratory, University of California, Berkeley, CA 94720, USA
| | - M Le Jeune
- AstroParticule et Cosmologie, Univ Paris Diderot, CNRS/IN2P3, CEA/Irfu, Obs de Paris, Sorbonne Paris Cité, France
| | - A T Lee
- Department of Physics, University of California, Berkeley, CA 94720, USA and Physics Division, Lawrence Berkeley National Laboratory, Berkeley, CA 94720, USA
| | - E M Leitch
- Department of Astronomy and Astrophysics, University of Chicago, Chicago, IL 60637, USA and Kavli Institute for Cosmological Physics, University of Chicago, Chicago, IL 60637, USA
| | - E Linder
- Space Sciences Laboratory, University of California, Berkeley, CA 94720, USA and Physics Division, Lawrence Berkeley National Laboratory, Berkeley, CA 94720, USA
| | - M Lungu
- Department of Physics, University of California, Berkeley, CA 94720, USA
| | - F Matsuda
- Department of Physics, University of California, San Diego, CA 92093-0424, USA
| | - T Matsumura
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
| | - X Meng
- Department of Physics, University of California, Berkeley, CA 94720, USA
| | - N J Miller
- Observational Cosmology Laboratory, Code 665, NASA Goddard Space Flight Center, Greenbelt, MD 20771, USA
| | - H Morii
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
| | - S Moyerman
- Department of Physics, University of California, San Diego, CA 92093-0424, USA
| | - M J Myers
- Department of Physics, University of California, Berkeley, CA 94720, USA
| | - M Navaroli
- Department of Physics, University of California, San Diego, CA 92093-0424, USA
| | - H Nishino
- Kavli Institute for the Physics and Mathematics of the Universe (WPI), Todai Institutes for Advanced Study, The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
| | - H Paar
- Department of Physics, University of California, San Diego, CA 92093-0424, USA
| | - J Peloton
- AstroParticule et Cosmologie, Univ Paris Diderot, CNRS/IN2P3, CEA/Irfu, Obs de Paris, Sorbonne Paris Cité, France
| | - D Poletti
- AstroParticule et Cosmologie, Univ Paris Diderot, CNRS/IN2P3, CEA/Irfu, Obs de Paris, Sorbonne Paris Cité, France
| | - E Quealy
- Department of Physics, University of California, Berkeley, CA 94720, USA and Physics Department, Napa Valley College, Napa, CA 94558, USA
| | - G Rebeiz
- Department of Electrical and Computer Engineering, University of California, San Diego, CA 92093, USA
| | - C L Reichardt
- Department of Physics, University of California, Berkeley, CA 94720, USA
| | - P L Richards
- Department of Physics, University of California, Berkeley, CA 94720, USA
| | - C Ross
- Department of Physics and Atmospheric Science, Dalhousie University, Halifax, NS, B3H 4R2, Canada
| | - K Rotermund
- Department of Physics and Atmospheric Science, Dalhousie University, Halifax, NS, B3H 4R2, Canada
| | - I Schanning
- Department of Physics, University of California, San Diego, CA 92093-0424, USA
| | - D E Schenck
- Center for Astrophysics and Space Astronomy, University of Colorado, Boulder, CO 80309, USA and Department of Astrophysical and Planetary Sciences, University of Colorado, Boulder, CO 80309, USA
| | - B D Sherwin
- Department of Physics, University of California, Berkeley, CA 94720, USA and Miller Institute for Basic Research in Science, University of California, Berkeley, CA 94720, USA
| | - A Shimizu
- The Graduate University for Advanced Studies, Hayama, Miura District, Kanagawa 240-0115, Japan
| | - C Shimmin
- Department of Physics, University of California, Berkeley, CA 94720, USA
| | - M Shimon
- Department of Physics, University of California, San Diego, CA 92093-0424, USA and School of Physics and Astronomy, Tel Aviv University, Tel Aviv, Israel
| | - P Siritanasak
- Department of Physics, University of California, San Diego, CA 92093-0424, USA
| | - G Smecher
- Three-Speed Logic, Inc., Vancouver, B.C., V6A 2J8, Canada
| | - H Spieler
- Physics Division, Lawrence Berkeley National Laboratory, Berkeley, CA 94720, USA
| | - N Stebor
- Department of Physics, University of California, San Diego, CA 92093-0424, USA
| | - B Steinbach
- Department of Physics, University of California, Berkeley, CA 94720, USA
| | - R Stompor
- AstroParticule et Cosmologie, Univ Paris Diderot, CNRS/IN2P3, CEA/Irfu, Obs de Paris, Sorbonne Paris Cité, France
| | - A Suzuki
- Department of Physics, University of California, Berkeley, CA 94720, USA
| | - S Takakura
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan and Osaka University, Toyonaka, Osaka 560-0043, Japan
| | - A Tikhomirov
- Department of Physics and Atmospheric Science, Dalhousie University, Halifax, NS, B3H 4R2, Canada
| | - T Tomaru
- High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801, Japan
| | - B Wilson
- Department of Physics, University of California, San Diego, CA 92093-0424, USA
| | - A Yadav
- Department of Physics, University of California, San Diego, CA 92093-0424, USA
| | - O Zahn
- Physics Division, Lawrence Berkeley National Laboratory, Berkeley, CA 94720, USA
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Hanson D, Hoover S, Crites A, Ade PAR, Aird KA, Austermann JE, Beall JA, Bender AN, Benson BA, Bleem LE, Bock JJ, Carlstrom JE, Chang CL, Chiang HC, Cho HM, Conley A, Crawford TM, de Haan T, Dobbs MA, Everett W, Gallicchio J, Gao J, George EM, Halverson NW, Harrington N, Henning JW, Hilton GC, Holder GP, Holzapfel WL, Hrubes JD, Huang N, Hubmayr J, Irwin KD, Keisler R, Knox L, Lee AT, Leitch E, Li D, Liang C, Luong-Van D, Marsden G, McMahon JJ, Mehl J, Meyer SS, Mocanu L, Montroy TE, Natoli T, Nibarger JP, Novosad V, Padin S, Pryke C, Reichardt CL, Ruhl JE, Saliwanchik BR, Sayre JT, Schaffer KK, Schulz B, Smecher G, Stark AA, Story KT, Tucker C, Vanderlinde K, Vieira JD, Viero MP, Wang G, Yefremenko V, Zahn O, Zemcov M. Detection of B-mode polarization in the cosmic microwave background with data from the South Pole Telescope. Phys Rev Lett 2013; 111:141301. [PMID: 24138230 DOI: 10.1103/physrevlett.111.141301] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/22/2013] [Indexed: 06/02/2023]
Abstract
Gravitational lensing of the cosmic microwave background generates a curl pattern in the observed polarization. This "B-mode" signal provides a measure of the projected mass distribution over the entire observable Universe and also acts as a contaminant for the measurement of primordial gravity-wave signals. In this Letter we present the first detection of gravitational lensing B modes, using first-season data from the polarization-sensitive receiver on the South Pole Telescope (SPTpol). We construct a template for the lensing B-mode signal by combining E-mode polarization measured by SPTpol with estimates of the lensing potential from a Herschel-SPIRE map of the cosmic infrared background. We compare this template to the B modes measured directly by SPTpol, finding a nonzero correlation at 7.7σ significance. The correlation has an amplitude and scale dependence consistent with theoretical expectations, is robust with respect to analysis choices, and constitutes the first measurement of a powerful cosmological observable.
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Affiliation(s)
- D Hanson
- Department of Physics, McGill University, Montreal, Quebec H3A 2T8, Canada
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Dobbs MA, Lueker M, Aird KA, Bender AN, Benson BA, Bleem LE, Carlstrom JE, Chang CL, Cho HM, Clarke J, Crawford TM, Crites AT, Flanigan DI, de Haan T, George EM, Halverson NW, Holzapfel WL, Hrubes JD, Johnson BR, Joseph J, Keisler R, Kennedy J, Kermish Z, Lanting TM, Lee AT, Leitch EM, Luong-Van D, McMahon JJ, Mehl J, Meyer SS, Montroy TE, Padin S, Plagge T, Pryke C, Richards PL, Ruhl JE, Schaffer KK, Schwan D, Shirokoff E, Spieler HG, Staniszewski Z, Stark AA, Vanderlinde K, Vieira JD, Vu C, Westbrook B, Williamson R. Frequency multiplexed superconducting quantum interference device readout of large bolometer arrays for cosmic microwave background measurements. Rev Sci Instrum 2012; 83:073113. [PMID: 22852677 DOI: 10.1063/1.4737629] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
A technological milestone for experiments employing transition edge sensor bolometers operating at sub-Kelvin temperature is the deployment of detector arrays with 100s-1000s of bolometers. One key technology for such arrays is readout multiplexing: the ability to read out many sensors simultaneously on the same set of wires. This paper describes a frequency-domain multiplexed readout system which has been developed for and deployed on the APEX-SZ and South Pole Telescope millimeter wavelength receivers. In this system, the detector array is divided into modules of seven detectors, and each bolometer within the module is biased with a unique ∼MHz sinusoidal carrier such that the individual bolometer signals are well separated in frequency space. The currents from all bolometers in a module are summed together and pre-amplified with superconducting quantum interference devices operating at 4 K. Room temperature electronics demodulate the carriers to recover the bolometer signals, which are digitized separately and stored to disk. This readout system contributes little noise relative to the detectors themselves, is remarkably insensitive to unwanted microphonic excitations, and provides a technology pathway to multiplexing larger numbers of sensors.
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Affiliation(s)
- M A Dobbs
- Physics Department, McGill University, Montreal, Quebec H3A 2T8, Canada
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Schwan D, Ade PAR, Basu K, Bender AN, Bertoldi F, Cho HM, Chon G, Clarke J, Dobbs M, Ferrusca D, Güsten R, Halverson NW, Holzapfel WL, Horellou C, Johansson D, Johnson BR, Kennedy J, Kermish Z, Kneissl R, Lanting T, Lee AT, Lueker M, Mehl J, Menten KM, Muders D, Pacaud F, Plagge T, Reichardt CL, Richards PL, Schaaf R, Schilke P, Sommer MW, Spieler H, Tucker C, Weiss A, Westbrook B, Zahn O. Invited article: millimeter-wave bolometer array receiver for the Atacama pathfinder experiment Sunyaev-Zel'dovich (APEX-SZ) instrument. Rev Sci Instrum 2011; 82:091301. [PMID: 21974566 DOI: 10.1063/1.3637460] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
The Atacama pathfinder experiment Sunyaev-Zel'dovich (APEX-SZ) instrument is a millimeter-wave cryogenic receiver designed to observe galaxy clusters via the Sunyaev-Zel'dovich effect from the 12 m APEX telescope on the Atacama plateau in Chile. The receiver contains a focal plane of 280 superconducting transition-edge sensor (TES) bolometers instrumented with a frequency-domain multiplexed readout system. The bolometers are cooled to 280 mK via a three-stage helium sorption refrigerator and a mechanical pulse-tube cooler. Three warm mirrors, two 4 K lenses, and a horn array couple the TES bolometers to the telescope. APEX-SZ observes in a single frequency band at 150 GHz with 1' angular resolution and a 22' field-of-view, all well suited for cluster mapping. The APEX-SZ receiver has played a key role in the introduction of several new technologies including TES bolometers, the frequency-domain multiplexed readout, and the use of a pulse-tube cooler with bolometers. As a result of these new technologies, the instrument has a higher instantaneous sensitivity and covers a larger field-of-view than earlier generations of Sunyaev-Zel'dovich instruments. The TES bolometers have a median sensitivity of 890 μK(CMB)√s (NEy of 3.5 × 10(-4) √s). We have also demonstrated upgraded detectors with improved sensitivity of 530 μK(CMB)√s (NEy of 2.2 × 10(-4) √s). Since its commissioning in April 2007, APEX-SZ has been used to map 48 clusters. We describe the design of the receiver and its performance when installed on the APEX telescope.
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Affiliation(s)
- D Schwan
- Department of Physics, University of California, Berkeley, California 94720, USA.
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Panoutsopoulou K, Southam L, Elliott KS, Wrayner N, Zhai G, Beazley C, Thorleifsson G, Arden NK, Carr A, Chapman K, Deloukas P, Doherty M, McCaskie A, Ollier WER, Ralston SH, Spector TD, Valdes AM, Wallis GA, Wilkinson JM, Arden E, Battley K, Blackburn H, Blanco FJ, Bumpstead S, Cupples LA, Day-Williams AG, Dixon K, Doherty SA, Esko T, Evangelou E, Felson D, Gomez-Reino JJ, Gonzalez A, Gordon A, Gwilliam R, Halldorsson BV, Hauksson VB, Hofman A, Hunt SE, Ioannidis JPA, Ingvarsson T, Jonsdottir I, Jonsson H, Keen R, Kerkhof HJM, Kloppenburg MG, Koller N, Lakenberg N, Lane NE, Lee AT, Metspalu A, Meulenbelt I, Nevitt MC, O'Neill F, Parimi N, Potter SC, Rego-Perez I, Riancho JA, Sherburn K, Slagboom PE, Stefansson K, Styrkarsdottir U, Sumillera M, Swift D, Thorsteinsdottir U, Tsezou A, Uitterlinden AG, van Meurs JBJ, Watkins B, Wheeler M, Mitchell S, Zhu Y, Zmuda JM, Zeggini E, Loughlin J. Insights into the genetic architecture of osteoarthritis from stage 1 of the arcOGEN study. Ann Rheum Dis 2010; 70:864-7. [PMID: 21177295 PMCID: PMC3070286 DOI: 10.1136/ard.2010.141473] [Citation(s) in RCA: 81] [Impact Index Per Article: 5.8] [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] [Indexed: 12/21/2022]
Abstract
Objectives The genetic aetiology of osteoarthritis has not yet been elucidated. To enable a well-powered genome-wide association study (GWAS) for osteoarthritis, the authors have formed the arcOGEN Consortium, a UK-wide collaborative effort aiming to scan genome-wide over 7500 osteoarthritis cases in a two-stage genome-wide association scan. Here the authors report the findings of the stage 1 interim analysis. Methods The authors have performed a genome-wide association scan for knee and hip osteoarthritis in 3177 cases and 4894 population-based controls from the UK. Replication of promising signals was carried out in silico in five further scans (44 449 individuals), and de novo in 14 534 independent samples, all of European descent. Results None of the association signals the authors identified reach genome-wide levels of statistical significance, therefore stressing the need for corroboration in sample sets of a larger size. Application of analytical approaches to examine the allelic architecture of disease to the stage 1 genome-wide association scan data suggests that osteoarthritis is a highly polygenic disease with multiple risk variants conferring small effects. Conclusions Identifying loci conferring susceptibility to osteoarthritis will require large-scale sample sizes and well-defined phenotypes to minimise heterogeneity.
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Gorlova O, Martin JM, Rueda B, Koeleman BPC, Ying J, Teruel M, Diaz-Gallo LM, Broen JC, Vonk MC, Simeon CP, Alizadeh BZ, Coenen MJH, Voskuyl AE, Schuerwegh AJ, van Riel PLCM, Vanthuyne M, van ‘t Slot R, Italiaander A, Ophoff RA, Hunzelmann N, Fonollosa V, Ortego-Centeno N, González-Gay MA, García-Hernández FJ, González-Escribano MF, Airo P, van Laar J, Worthington J, Hesselstrand R, Smith V, De Keyser F, Houssiau F, Chee MM, Madhok R, Shiels P, Westhovens R, Kreuter A, de Baere E, Witte T, Padyukov L, Nordin A, Scorza R, Lunardi C, Lie BA, Hoffmann-Vold AM, García de la Peña P, Carreira P, Varga J, Hinchcliff M, Lee AT, Gourh P, Amos CI, Riemekasten G, Herrick A, Beretta L, Fonseca C, Denton CP, Gregersen PK, Agarwal S, Assassi S, Tan FK, Arnett FC, Radstake TRDJ, Mayes MD, Martin J. Identification of novel genetic markers associated with the clinical phenotypes of systemic sclerosis through a genome wide association strategy. Lab Invest 2010. [PMCID: PMC3007743 DOI: 10.1186/1479-5876-8-s1-o1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Richman IB, Chung SA, Taylor KE, Kosoy R, Tian C, Ortmann WA, Nititham J, Lee AT, Rutman S, Petri M, Manzi S, Behrens TW, Gregersen PK, Seldin MF, Criswell LA. European population substructure correlates with systemic lupus erythematosus endophenotypes in North Americans of European descent. Genes Immun 2009; 11:515-21. [PMID: 19847193 DOI: 10.1038/gene.2009.80] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Previous work has demonstrated that Northern and Southern European ancestries are associated with specific systemic lupus erythematosus (SLE) manifestations. In this study, 1855 SLE cases of European descent were genotyped for 4965 single-nucleotide polymorphisms and principal components analysis of genotype information was used to define population substructure. The first principal component (PC1) distinguished Northern from Southern European ancestry, PC2 differentiated Eastern from Western European ancestry and PC3 delineated Ashkenazi Jewish ancestry. Compared with Northern European ancestry, Southern European ancestry was associated with autoantibody production (odds ratio (OR)=1.40, 95% confidence interval (CI) 1.07-1.83) and renal involvement (OR 1.41, 95% CI 1.06-1.87), and was protective for discoid rash (OR=0.51, 95% CI 0.32-0.82) and photosensitivity (OR=0.74, 95% CI 0.56-0.97). Both serositis (OR=1.46, 95% CI 1.12-1.89) and autoantibody production (OR=1.38, 95% CI 1.06-1.80) were associated with Western compared to Eastern European ancestry. Ashkenazi Jewish ancestry was protective against neurologic manifestations of SLE (OR=0.62, 95% CI 0.40-0.94). Homogeneous clusters of cases defined by multiple PCs demonstrated stronger phenotypic associations. Genetic ancestry may contribute to the development of SLE endophenotypes and should be accounted for in genetic studies of disease characteristics.
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Affiliation(s)
- I B Richman
- Rosalind Russell Medical Research Center for Arthritis, Division of Rheumatology, Department of Medicine, University of California, San Francisco, San Francisco, CA 94143, USA
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40
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Lanting T, Dobbs M, Spieler H, Lee AT, Yamamoto Y. Linearized superconducting quantum interference device array for high bandwidth frequency-domain readout multiplexing. Rev Sci Instrum 2009; 80:094501. [PMID: 19791952 DOI: 10.1063/1.3216808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
We have designed and demonstrated a superconducting quantum interference device (SQUID) array linearized with cryogenic feedback. To achieve the necessary loop gain, a 300-element series array SQUID is constructed from three monolithic 100-element series arrays. A feedback resistor completes the loop from the SQUID output to the input coil. The short feedback path of this linearized SQUID array (LISA) allows for a substantially larger flux-locked loop bandwidth as compared to a SQUID flux-locked loop that includes a room temperature amplifier. The bandwidth, linearity, noise performance, and 3 Phi(0) dynamic range of the LISA are sufficient for its use in our target application: the multiplexed readout of transition-edge sensor bolometers.
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Affiliation(s)
- T Lanting
- Department of Physics, McGill University, Montreal H2T 2Y8, Canada.
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41
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Laycock S, Taylor HC, Haigh C, Lee AT, Cooper GJ, Ong ACM, Robson L. A novel dephosphorylation-activated conductance in a mouse renal collecting duct cell line. Exp Physiol 2009; 94:914-27. [PMID: 19429644 DOI: 10.1113/expphysiol.2009.047753] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Autosomal dominant polycystic kidney disease (ADPKD) is one of the most common inherited renal diseases. It is associated with the progressive development of renal tubular cysts, which may subsequently lead to renal failure. Studies into the genetic basis of ADPKD have identified two genes, PKD1 and PKD2, that are mutated in ADPKD patients. The PKD1 and PKD2 genes encode for two different proteins, TRPP1 and TRPP2. Previous studies have demonstrated the presence of both TRPP1 and TRPP2 in the renal collecting duct cell line M8. The aim of the following study was to investigate the functional properties of cation currents in these cells and to examine the effect of overexpression of TRPP1 using a transgenic cell model (M7). In M8 cells, initial whole cell currents were low. However, over time there was activation of a flow-sensitive current, which was inhibited by gadolinium (I(Gd)). The I(Gd) was more selective for cations over anions, but did not discriminate between monovalent cations and was Ca2+ permeable. Activation of I(Gd) was dependent on the presence of Ca2+ and also required dephosphorylation. The protein phosphatase 2A inhibitor okadaic acid prevented activation of I(Gd), suggesting that protein phosphatase 2A plays an important role in channel activation. The properties and magnitude of I(Gd) were unaffected in M7 cells, suggesting that overexpression of TRPP1 was without effect. I(Gd) was selectively inhibited by an antibody raised against the C-terminus of TRPP2. However, its selectivity profile was different to TRPP2, suggesting that it is attributable to a TRPP2-like channel or a TRPP2-containing heteromeric channel. In conclusion, these data describe the functional identification of a novel dephosphorylation- and flow-activated TRPP2-related channel in mouse collecting duct cells.
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Affiliation(s)
- S Laycock
- Department of Biomedical Science, University of Sheffield, Sheffield, UK
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42
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Padin S, Staniszewski Z, Keisler R, Joy M, Stark AA, Ade PAR, Aird KA, Benson BA, Bleem LE, Carlstrom JE, Chang CL, Crawford TM, Crites AT, Dobbs MA, Halverson NW, Heimsath S, Hills RE, Holzapfel WL, Lawrie C, Lee AT, Leitch EM, Leong J, Lu W, Lueker M, McMahon JJ, Meyer SS, Mohr JJ, Montroy TE, Plagge T, Pryke C, Ruhl JE, Schaffer KK, Shirokoff E, Spieler HG, Vieira JD. South Pole Telescope optics. Appl Opt 2008; 47:4418-4428. [PMID: 18716649 DOI: 10.1364/ao.47.004418] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
The South Pole Telescope is a 10 m diameter, wide-field, offset Gregorian telescope with a 966-pixel, millimeter-wave, bolometer array receiver. The telescope has an unusual optical system with a cold stop around the secondary. The design emphasizes low scattering and low background loading. All the optical components except the primary are cold, and the entire beam from prime focus to the detectors is surrounded by cold absorber.
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Affiliation(s)
- S Padin
- Kavli Institute for Cosmological Physics, University of Chicago, 5640 South Ellis Avenue, Chicago, Illinois 60637, USA.
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43
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Abstract
The crystal structure of a putative metal-chelate-type adenosine triphosphate (ATP)-binding cassette (ABC) transporter encoded by genes HI1470 and HI1471 of Haemophilus influenzae has been solved at 2.4 angstrom resolution. The permeation pathway exhibits an inward-facing conformation, in contrast to the outward-facing state previously observed for the homologous vitamin B12 importer BtuCD. Although the structures of both HI1470/1 and BtuCD have been solved in nucleotide-free states, the pairs of ABC subunits in these two structures differ by a translational shift in the plane of the membrane that coincides with a repositioning of the membrane-spanning subunits. The differences observed between these ABC transporters involve relatively modest rearrangements and may serve as structural models for inward- and outward-facing conformations relevant to the alternating access mechanism of substrate translocation.
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Affiliation(s)
- H W Pinkett
- Division of Chemistry and Chemical Engineering, Howard Hughes Medical Institute, MC 114-96, California Institute of Technology (Caltech), Pasadena, CA 91125, USA
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Lee AT, Li W, Liew A, Bombardier C, Weisman M, Massarotti EM, Kent J, Wolfe F, Begovich AB, Gregersen PK. The PTPN22 R620W polymorphism associates with RF positive rheumatoid arthritis in a dose-dependent manner but not with HLA-SE status. Genes Immun 2005; 6:129-33. [PMID: 15674368 DOI: 10.1038/sj.gene.6364159] [Citation(s) in RCA: 152] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
We have recently described the association between rheumatoid arthritis and a coding single-nucleotide polymorphism in the intracellular protein tyrosine phosphatase, PTPN22. The disease-associated polymorphism, 1858 C/T (rs2476601), encodes an amino-acid change (R620W) in one of four SH3 domain binding sites in the PTPN22 molecule. We have now extended our initial studies to address three questions: (1) Is the association with rheumatoid arthritis limited to rheumatoid factor (RF) positive disease? (2) Does homozygosity for PTPN22 R620W substantially increase disease susceptibility? (3) Is there an interaction between PTPN22 and the rheumatoid arthritis (RA)-associated HLA-DRB1 shared epitope alleles? A total of 1413 Caucasian rheumatoid arthritis patients and 1401 Caucasian controls were genotyped. The results support the view that PTPN22 was strongly and preferentially associated with RF positive disease (OR=1.75, 95% CI 1.46-2.10, P=1.3 x 10(-9)). The PTPN22 risk allele was not significantly associated with RF negative disease (OR=1.19, 95% CI 0.92-1.53, P=0.18), although a very weak association cannot be completely excluded. There was a strong dose effect on disease risk; two copies of the PTPN22 R620W allele more than doubles the risk for RF positive RA (OR=4.57, 95% CI 2.35-8.89). There was no evidence of a genetic association between PTPN22 and HLA susceptibility alleles.
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Affiliation(s)
- A T Lee
- North Shore-LIJ Research Institute, Manhasset, NY 11030, USA.
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45
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Santos MG, Balbi A, Borrill J, Ferreira PG, Hanany S, Jaffe AH, Lee AT, Magueijo J, Rabii B, Richards PL, Smoot GF, Stompor R, Winant CD, Wu JHP. Estimate of the cosmological bispectrum from the MAXIMA-1 cosmic microwave background map. Phys Rev Lett 2002; 88:241302. [PMID: 12059290 DOI: 10.1103/physrevlett.88.241302] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2001] [Revised: 02/02/2002] [Indexed: 05/23/2023]
Abstract
We use the measurement of the cosmic microwave background taken during the MAXIMA-1 flight to estimate the bispectrum of cosmological perturbations. We propose an estimator for the bispectrum that is appropriate in the flat sky approximation, apply it to the MAXIMA-1 data, and evaluate errors using bootstrap methods. We compare the estimated value with what would be expected if the sky signal were Gaussian and find that it is indeed consistent, with a chi(2) per degree of freedom of approximately unity. This measurement places constraints on models of inflation.
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Affiliation(s)
- M G Santos
- Astrophysics & Theoretical Physics, University of Oxford, Oxford OX1 3RH, United Kingdom
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46
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Wu JH, Balbi A, Borrill J, Ferreira PG, Hanany S, Jaffe AH, Lee AT, Rabii B, Richards PL, Smoot GF, Stompor R, Winant CD. Tests for Gaussianity of the MAXIMA-1 cosmic microwave background map. Phys Rev Lett 2001; 87:251303. [PMID: 11736557 DOI: 10.1103/physrevlett.87.251303] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/15/2001] [Indexed: 05/23/2023]
Abstract
Gaussianity of the cosmological perturbations is one of the key predictions of standard inflation, but it is violated by other models of structure formation such as cosmic defects. We present the first test of the Gaussianity of the cosmic microwave background (CMB) on subdegree angular scales, where deviations from Gaussianity are most likely to occur. We apply the methods of moments, cumulants, the Kolmogorov test, the chi(2) test, and Minkowski functionals in eigen, real, Wiener-filtered, and signal-whitened spaces, to the MAXIMA-1 CMB anisotropy data. We find that the data, which probe angular scales between 10 arcmin and 5 deg, are consistent with Gaussianity. These results show consistency with the standard inflation and place constraints on the existence of cosmic defects.
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Affiliation(s)
- J H Wu
- Department of Astronomy, University of California, Berkeley, California 94720-3411, USA
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47
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Abstract
We are developing superconducting transition-edge bolometers for far-infrared and millimeter wavelengths. The bolometers described here are suspended by thin legs of silicon nitride for thermal isolation. At frequencies between 200 mHz and 10-50 Hz these devices show white noise at their thermal fluctuation limit (NEP approximately 10(-17) W/ radicalHz). At higher frequencies a broad peak appears in the noise spectrum, which we attribute to a combination of thermal fluctuations in complex thermal circuits and electrothermal feedback. Detailed noise calculations fit the noise measured in three different devices that were specifically designed to test the model. We discuss how changes in bolometer materials can shift the noise peak above the frequency range of interest for most applications.
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Affiliation(s)
- A T Lee
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon
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49
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Jaffe AH, Ade PA, Balbi A, Bock JJ, Bond JR, Borrill J, Boscaleri A, Coble K, Crill BP, de Bernardis P, Farese P, Ferreira PG, Ganga K, Giacometti M, Hanany S, Hivon E, Hristov VV, Iacoangeli A, Lange AE, Lee AT, Martinis L, Masi S, Mauskopf PD, Melchiorri A, Montroy T, Netterfield CB, Oh S, Pascale E, Piacentini F, Pogosyan D, Prunet S, Rabii B, Rao S, Richards PL, Romeo G, Ruhl JE, Scaramuzzi F, Sforna D, Smoot GF, Stompor R, Winant CD, Wu JH. Cosmology from MAXIMA-1, BOOMERANG, and COBE DMR cosmic microwave background observations. Phys Rev Lett 2001; 86:3475-3479. [PMID: 11328002 DOI: 10.1103/physrevlett.86.3475] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/24/2000] [Indexed: 05/23/2023]
Abstract
Recent results from BOOMERANG-98 and MAXIMA-1, taken together with COBE DMR, provide consistent and high signal-to-noise measurements of the cosmic microwave background power spectrum at spherical harmonic multipole bands over 2<l less similar to 800. Analysis of the combined data yields 68% (95%) confidence limits on the total density, Omega(tot) approximately 1.11+/-0.07 (+0.13)(-0.12), the baryon density, Omega(b)h(2) approximately 0.032(+0.005)(-0.004) (+0.009)(-0.008), and the scalar spectral tilt, n(s) approximately 1.01(+0.09)(-0.07) (+0.17)(-0.14). These data are consistent with inflationary initial conditions for structure formation. Taken together with other cosmological observations, they imply the existence of both nonbaryonic dark matter and dark energy in the Universe.
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Affiliation(s)
- A H Jaffe
- Center for Particle Astrophysics, University of California, Berkeley, California 94720, USA
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50
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Herbst RS, Lee AT, Tran HT, Abbruzzese JL. Clinical studies of angiogenesis inhibitors: the University of Texas MD Anderson Center Trial of Human Endostatin. Curr Oncol Rep 2001; 3:131-40. [PMID: 11177745 DOI: 10.1007/s11912-001-0013-8] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.5] [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: 01/24/2023]
Abstract
Most solid-tumor malignancies remain incurable. Novel agents that target and counteract biologic mechanisms are now being developed. It is hoped that these drugs will allow for more effective, less toxic cancer treatments and long-term maintenance approaches. One important class of agents functions by an anti-angiogenic mechanism, targeting the blood vessel supply of the tumor and inhibiting tumor growth. Several principles are common to these new agents. First, because many of these agents are growth-inhibiting molecules that work exclusively against the tumor vasculature, single agents will have little effect on tumor size in advanced disease. Second, because these agents are relatively non-toxic, they are unlikely to induce the side effects associated with chemotherapy. Because endothelial cells seldom divide in a human host, anti-angiogenic compounds are expected to produce little toxicity. Third, most of these agents work synergistically with chemotherapy and/or radiotherapy. Ironically, combining these relatively non-toxic agents with chemotherapy often produces the toxicities usually associated with anticancer regimens. Anti-angiogenic agents might ultimately be studied in minimal disease. Clinical studies must demonstrate that these agents affect tumor vasculature, and phase I trials should include built-in surrogate endpoints. This article defines the general principles of anti-angiogenic drug action and explains how these principles have been used to design a phase I trial of human endostatin.
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Affiliation(s)
- R S Herbst
- Department of Thoracic/Head and Neck Medical Oncology, The University of Texas MD Anderson Cancer Center, Box 80, 1515 Holcombe Boulevard, Houston, TX 77030-4009, USA.
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