1
|
Sanchez‐Martinez S, Nguyen K, Biswas S, Nicholson V, Romanyuk AV, Ramirez J, Kc S, Akter A, Childs C, Meese EK, Usher ET, Ginell GM, Yu F, Gollub E, Malferrari M, Francia F, Venturoli G, Martin EW, Caporaletti F, Giubertoni G, Woutersen S, Sukenik S, Woolfson DN, Holehouse AS, Boothby TC. Labile assembly of a tardigrade protein induces biostasis. Protein Sci 2024; 33:e4941. [PMID: 38501490 PMCID: PMC10949331 DOI: 10.1002/pro.4941] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2023] [Revised: 02/01/2024] [Accepted: 02/09/2024] [Indexed: 03/20/2024]
Abstract
Tardigrades are microscopic animals that survive desiccation by inducing biostasis. To survive drying tardigrades rely on intrinsically disordered CAHS proteins, which also function to prevent perturbations induced by drying in vitro and in heterologous systems. CAHS proteins have been shown to form gels both in vitro and in vivo, which has been speculated to be linked to their protective capacity. However, the sequence features and mechanisms underlying gel formation and the necessity of gelation for protection have not been demonstrated. Here we report a mechanism of fibrillization and gelation for CAHS D similar to that of intermediate filament assembly. We show that in vitro, gelation restricts molecular motion, immobilizing and protecting labile material from the harmful effects of drying. In vivo, we observe that CAHS D forms fibrillar networks during osmotic stress. Fibrillar networking of CAHS D improves survival of osmotically shocked cells. We observe two emergent properties associated with fibrillization; (i) prevention of cell volume change and (ii) reduction of metabolic activity during osmotic shock. We find that there is no significant correlation between maintenance of cell volume and survival, while there is a significant correlation between reduced metabolism and survival. Importantly, CAHS D's fibrillar network formation is reversible and metabolic rates return to control levels after CAHS fibers are resolved. This work provides insights into how tardigrades induce reversible biostasis through the self-assembly of labile CAHS gels.
Collapse
Affiliation(s)
| | - K. Nguyen
- Department of Molecular BiologyUniversity of WyomingLaramieWyomingUSA
| | - S. Biswas
- Department of Molecular BiologyUniversity of WyomingLaramieWyomingUSA
| | - V. Nicholson
- Department of Molecular BiologyUniversity of WyomingLaramieWyomingUSA
| | - A. V. Romanyuk
- School of ChemistryUniversity of BristolBristolUK
- Max Planck‐Bristol Centre for Minimal BiologyUniversity of BristolBristolUK
| | - J. Ramirez
- Department of Molecular BiologyUniversity of WyomingLaramieWyomingUSA
| | - S. Kc
- Department of Molecular BiologyUniversity of WyomingLaramieWyomingUSA
| | - A. Akter
- Department of Molecular BiologyUniversity of WyomingLaramieWyomingUSA
| | - C. Childs
- Department of Molecular BiologyUniversity of WyomingLaramieWyomingUSA
| | - E. K. Meese
- Department of Molecular BiologyUniversity of WyomingLaramieWyomingUSA
| | - E. T. Usher
- Department of Biochemistry and Molecular BiophysicsWashington University School of MedicineSt. LouisMissouriUSA
- Center for Biomolecular CondensatesWashington University in St. LouisSt. LouisMissouriUSA
| | - G. M. Ginell
- Department of Biochemistry and Molecular BiophysicsWashington University School of MedicineSt. LouisMissouriUSA
- Center for Biomolecular CondensatesWashington University in St. LouisSt. LouisMissouriUSA
| | - F. Yu
- Quantitative Systems Biology ProgramUniversity of California MercedMercedCaliforniaUSA
| | - E. Gollub
- Department of Chemistry and BiochemistryUniversity of California MercedMercedCaliforniaUSA
| | - M. Malferrari
- Dipartimento di Chimica “Giacomo Ciamician”Università di BolognaBolognaItaly
| | - F. Francia
- Laboratorio di Biochimica e Biofisica Molecolare, Dipartimento di Farmacia e Biotecnologie, FaBiTUniversità di BolognaBolognaItaly
| | - G. Venturoli
- Laboratorio di Biochimica e Biofisica Molecolare, Dipartimento di Farmacia e Biotecnologie, FaBiTUniversità di BolognaBolognaItaly
- Consorzio Nazionale Interuniversitario per le Scienze Fisiche della Materia (CNISM), c/o Dipartimento di Fisica e Astronomia (DIFA)Università di BolognaBolognaItaly
| | - E. W. Martin
- Department of Structural BiologySt. Jude Children's Research HospitalMemphisTennesseeUSA
| | - F. Caporaletti
- Van't Hoff Institute for Molecular SciencesUniversity of AmsterdamAmsterdamThe Netherlands
| | - G. Giubertoni
- Van't Hoff Institute for Molecular SciencesUniversity of AmsterdamAmsterdamThe Netherlands
| | - S. Woutersen
- Van't Hoff Institute for Molecular SciencesUniversity of AmsterdamAmsterdamThe Netherlands
| | - S. Sukenik
- Quantitative Systems Biology ProgramUniversity of California MercedMercedCaliforniaUSA
- Department of Chemistry and BiochemistryUniversity of California MercedMercedCaliforniaUSA
| | - D. N. Woolfson
- School of ChemistryUniversity of BristolBristolUK
- Max Planck‐Bristol Centre for Minimal BiologyUniversity of BristolBristolUK
- School of BiochemistryUniversity of Bristol, Biomedical Sciences BuildingBristolUK
| | - A. S. Holehouse
- Department of Biochemistry and Molecular BiophysicsWashington University School of MedicineSt. LouisMissouriUSA
- Center for Biomolecular CondensatesWashington University in St. LouisSt. LouisMissouriUSA
| | - T. C. Boothby
- Department of Molecular BiologyUniversity of WyomingLaramieWyomingUSA
| |
Collapse
|
2
|
Jacobson ME, Seshadri RS, Morimoto R, Grinich E, Haag C, Nguyen K, Simpson EL. Early intervention and disease modification in atopic dermatitis-the current state of the field and barriers to progress. J Eur Acad Dermatol Venereol 2024; 38:665-672. [PMID: 38063244 DOI: 10.1111/jdv.19699] [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] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Accepted: 10/24/2023] [Indexed: 03/26/2024]
Abstract
Atopic dermatitis (AD) is a highly prevalent chronic inflammatory skin disease representing a major source of global disability burden. Disease-modifying therapies are showing promise in chronic inflammatory disorders such as rheumatoid arthritis and Crohn's disease with method and timing of initial treatment impacting long-term disease outcomes. Whether disease-modifying therapies, specifically those used as an early interventional approach, impacts disease course and comorbidity development in AD is not well-understood. We reviewed the progress in disease modification strategies, emphasizing early intervention approaches in common (or proto-typical) inflammatory diseases. Although more common in other fields, disease modification approaches are becoming increasingly investigated in dermatology, though studies in AD are lacking. Despite significant limitations in ongoing and completed studies, early data are promising and suggest that both the choice and timing of early intervention approach can affect long-term disease course and comorbidity development. To best improve AD patient outcomes, more research is needed to further explore the impact of early disease-modifying therapies. Future studies should focus on identifying the most effective approaches and extend the early results to a more inclusive set of comorbidities and longer-term outcomes.
Collapse
Affiliation(s)
- M E Jacobson
- Department of Dermatology, Oregon Health and Science University, Portland, Oregon, USA
| | - R S Seshadri
- Department of Dermatology, Oregon Health and Science University, Portland, Oregon, USA
| | - R Morimoto
- Department of Dermatology, Oregon Health and Science University, Portland, Oregon, USA
| | - E Grinich
- Department of Dermatology, Oregon Health and Science University, Portland, Oregon, USA
| | - C Haag
- Department of Dermatology, Oregon Health and Science University, Portland, Oregon, USA
| | - K Nguyen
- Department of Dermatology, Oregon Health and Science University, Portland, Oregon, USA
| | - E L Simpson
- Department of Dermatology, Oregon Health and Science University, Portland, Oregon, USA
| |
Collapse
|
3
|
Urbach H, Sileo N, Lerma S, Nguyen K, Sosa Soto G, Nielsen M, Heiderich A, Holsapple J, Vuppula S, Campbell JI. Ceftaroline for Central Nervous System Infections: Case Report of a Young Infant, and Scoping Review. Pediatr Infect Dis J 2024:00006454-990000000-00781. [PMID: 38451889 DOI: 10.1097/inf.0000000000004310] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/09/2024]
Abstract
BACKGROUND Managing health care acquired and device-associated intracranial infections in young children can be challenging given adverse antibiotic side effects and difficulties in achieving adequate central nervous system (CNS) antibiotic concentrations. Ceftaroline is a cephalosporin with a favorable safety profile and activity against methicillin-resistant Staphylococci and several Gram-negative organisms. Published data on the use of ceftaroline for CNS infections in children and adults are limited. METHODS We describe a 2-month-old infant with ventriculo-subgaleal shunt-associated methicillin-resistant Staphylococcus epidermidis ventriculitis, which was successfully treated with ceftaroline, in addition to vancomycin and rifampin. We conducted a scoping review of English-language literature retrieved from PubMed, EMBASE and Web of Science that assessed the use of ceftaroline for CNS infections. RESULTS We identified 22 articles for inclusion in our review, which described 92 unique patients, of whom 2 were <21 years old. Ceftaroline was commonly used in conjunction with other antibiotics to treat infections caused by Staphylococcus aureus, coagulase-negative Staphylococci and Streptococcus pneumoniae. Most case reports described clinical success with ceftaroline, though small case series and cohort studies yielded mixed efficacy assessments. Adverse effects attributed to ceftaroline were rare and included reversible myelosuppression, eosinophilia, hepatotoxicity and nephrotoxicity. Pharmacokinetic/pharmacodynamic studies suggested similar CNS penetration through inflamed meninges as other beta lactam antibiotics. CONCLUSIONS We identified a growing body of published evidence supporting the use of ceftaroline in combination with other agents for the treatment of CNS infections. In absence of clinical trials, additional real-world data are needed to define the efficacy and safety of ceftaroline for children and adults with CNS infections.
Collapse
Affiliation(s)
- Haley Urbach
- From the Department of Pediatrics, Yale New Haven Children's Hospital, New Haven, Connecticut
| | - Nicole Sileo
- Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts
| | - Sergio Lerma
- Division of Infectious Diseases, Department of Pediatrics, Boston Medical Center, Boston, Massachusetts
| | - Kevin Nguyen
- Department of Pharmacy, St. Christopher's Hospital for Children, Philadelphia, Pennsylvania
| | - Giordano Sosa Soto
- Division of Infectious Diseases, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts
| | - Marisa Nielsen
- Department of Clinical Microbiology, Boston Medical Center, Boston, Massachusetts
| | - Amy Heiderich
- Department of Neonatology, Boston Medical Center, Boston, Massachusetts; and
| | - James Holsapple
- Department of Neurosurgery, Boston Medical Center, Boston, Massachusetts
| | - Sharon Vuppula
- Division of Infectious Diseases, Department of Pediatrics, Boston Medical Center, Boston, Massachusetts
| | - Jeffrey I Campbell
- Division of Infectious Diseases, Department of Pediatrics, Boston Medical Center, Boston, Massachusetts
| |
Collapse
|
4
|
Alhassan E, Nguyen K, Hochberg MC, Mitchell BD. Causal Factors for Osteoarthritis: A Scoping Review of Mendelian Randomization Studies. Arthritis Care Res (Hoboken) 2024; 76:366-375. [PMID: 37846209 PMCID: PMC10922494 DOI: 10.1002/acr.25252] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 09/11/2023] [Accepted: 10/05/2023] [Indexed: 10/18/2023]
Abstract
OBJECTIVE Mendelian randomization (MR) has increasingly been utilized as a tool for establishing causal relations between modifiable exposures and osteoarthritis (OA). The goal of this review was to summarize available MR studies of OA that evaluate the causal role of modifiable risk factors on OA. METHODS This review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) Extension for Scoping Reviews model. We performed a literature search for relevant studies published before December 2021 across multiple databases using the search terms "osteoarthritis" and ("Mendelian randomization" or "polygenic risk score"). We reported the MR estimates of causal associations between exposures and OA and then assessed methodologic quality of abstracted studies according to their efforts to validate the three key MR assumptions. RESULTS Our search identified 45 studies reporting on 141 exposure-association analyses. All studies performed a formal instrumental variable analysis to estimate the causal effect of exposure on OA. Causal associations (P < 0.05) were reported in 60 of these analyses representing 36 unique publications, and MR-Egger sensitivity analyses were performed in 45 of these analyses. MR studies provided support for causal associations of OA with increased levels of adiposity, coffee consumption, bone mineral density, and sleep disturbance, and decreased levels of serum calcium and low-density lipoprotein cholesterol. CONCLUSION These results highlight the potential benefits of weight reduction and improvement of sleep quality to reduce the risk of OA and call for a better understanding of the relations of coffee consumption and serum calcium to OA risk.
Collapse
Affiliation(s)
- Eaman Alhassan
- Department of Medicine, University of Maryland School of Medicine, Baltimore, MD
| | - Kevin Nguyen
- Department of Medicine, University of Maryland School of Medicine, Baltimore, MD
| | - Marc C. Hochberg
- Department of Medicine, University of Maryland School of Medicine, Baltimore, MD
- Medical Care Clinical Center, Veterans Administration Maryland Health Care System, Baltimore, MD
| | - Braxton D. Mitchell
- Department of Medicine, University of Maryland School of Medicine, Baltimore, MD
- Geriatrics Research and Education Clinical Center, Baltimore Veterans Administration Medical Center, Baltimore, MD
| |
Collapse
|
5
|
Abdul Halim A, Abreu P, Aglietta M, Allekotte I, Cheminant KA, Almela A, Aloisio R, Alvarez-Muñiz J, Yebra JA, Anastasi GA, Anchordoqui L, Andrada B, Andringa S, Anukriti, Apollonio L, Aramo C, Ferreira PRA, Arnone E, Velázquez JCA, Assis P, Avila G, Avocone E, Bakalova A, Barbato F, Mocellin AB, Bellido JA, Berat C, Bertaina ME, Bhatta G, Bianciotto M, Biermann PL, Binet V, Bismark K, Bister T, Biteau J, Blazek J, Bleve C, Blümer J, Boháčová M, Boncioli D, Bonifazi C, Arbeletche LB, Borodai N, Brack J, Orchera PGB, Briechle FL, Bueno A, Buitink S, Buscemi M, Büsken M, Bwembya A, Caballero-Mora KS, Cabana-Freire S, Caccianiga L, Caruso R, Castellina A, Catalani F, Cataldi G, Cazon L, Cerda M, Cermenati A, Chinellato JA, Chudoba J, Chytka L, Clay RW, Cerutti ACC, Colalillo R, Coleman A, Coluccia MR, Conceição R, Condorelli A, Consolati G, Conte M, Convenga F, Dos Santos DC, Costa PJ, Covault CE, Cristinziani M, Sanchez CSC, Dasso S, Daumiller K, Dawson BR, de Almeida RM, de Jesús J, de Jong SJ, Neto JRTDM, De Mitri I, de Oliveira J, Franco DDO, de Palma F, de Souza V, de Errico BPDS, De Vito E, Del Popolo A, Deligny O, Denner N, Deval L, di Matteo A, Dobre M, Dobrigkeit C, D'Olivo JC, Mendes LMD, Dorosti Q, Dos Anjos JC, Dos Anjos RC, Ebr J, Ellwanger F, Emam M, Engel R, Epicoco I, Erdmann M, Etchegoyen A, Evoli C, Falcke H, Farmer J, Farrar G, Fauth AC, Fazzini N, Feldbusch F, Fenu F, Fernandes A, Fick B, Figueira JM, Filipčič A, Fitoussi T, Flaggs B, Fodran T, Fujii T, Fuster A, Galea C, Galelli C, García B, Gaudu C, Gemmeke H, Gesualdi F, Gherghel-Lascu A, Ghia PL, Giaccari U, Glombitza J, Gobbi F, Gollan F, Golup G, Berisso MG, Vitale PFG, Gongora JP, González JM, González N, Goos I, Góra D, Gorgi A, Gottowik M, Grubb TD, Guarino F, Guedes GP, Guido E, Gülzow L, Hahn S, Hamal P, Hampel MR, Hansen P, Harari D, Harvey VM, Haungs A, Hebbeker T, Hojvat C, Hörandel JR, Horvath P, Hrabovský M, Huege T, Insolia A, Isar PG, Janecek P, Jilek V, Johnsen JA, Jurysek J, Kampert KH, Keilhauer B, Khakurdikar A, Covilakam VVK, Klages HO, Kleifges M, Knapp F, Köhler J, Kunka N, Lago BL, Langner N, de Oliveira MAL, Lema-Capeans Y, Letessier-Selvon A, Lhenry-Yvon I, Lopes L, Lu L, Luce Q, Lundquist JP, Payeras AM, Majercakova M, Mandat D, Manning BC, Mantsch P, Marafico S, Mariani FM, Mariazzi AG, Mariş IC, Marsella G, Martello D, Martinelli S, Bravo OM, Martins MA, Mathes HJ, Matthews J, Matthiae G, Mayotte E, Mayotte S, Mazur PO, Medina-Tanco G, Meinert J, Melo D, Menshikov A, Merx C, Michal S, Micheletti MI, Miramonti L, Mollerach S, Montanet F, Morejon L, Morello C, Mulrey K, Mussa R, Namasaka WM, Negi S, Nellen L, Nguyen K, Nicora G, Niechciol M, Nitz D, Nosek D, Novotny V, Nožka L, Nucita A, Núñez LA, Oliveira C, Palatka M, Pallotta J, Panja S, Parente G, Paulsen T, Pawlowsky J, Pech M, Pękala J, Pelayo R, Pereira LAS, Martins EEP, Armand JP, Bertolli CP, Perrone L, Petrera S, Petrucci C, Pierog T, Pimenta M, Platino M, Pont B, Pothast M, Shahvar MP, Privitera P, Prouza M, Puyleart A, Querchfeld S, Rautenberg J, Ravignani D, Akim JVR, Reininghaus M, Ridky J, Riehn F, Risse M, Rizi V, de Carvalho WR, Rodriguez E, Rojo JR, Roncoroni MJ, Rossoni S, Roth M, Roulet E, Rovero AC, Ruehl P, Saftoiu A, Saharan M, Salamida F, Salazar H, Salina G, Gomez JDS, Sánchez F, Santos EM, Santos E, Sarazin F, Sarmento R, Sato R, Savina P, Schäfer CM, Scherini V, Schieler H, Schimassek M, Schimp M, Schmidt D, Scholten O, Schoorlemmer H, Schovánek P, Schröder FG, Schulte J, Schulz T, Sciutto SJ, Scornavacche M, Segreto A, Sehgal S, Shivashankara SU, Sigl G, Silli G, Sima O, Simkova K, Simon F, Smau R, Šmída R, Sommers P, Soriano JF, Squartini R, Stadelmaier M, Stanič S, Stasielak J, Stassi P, Strähnz S, Straub M, Suomijärvi T, Supanitsky AD, Svozilikova Z, Szadkowski Z, Tairli F, Tapia A, Taricco C, Timmermans C, Tkachenko O, Tobiska P, Peixoto CJT, Tomé B, Torrès Z, Travaini A, Travnicek P, Trimarelli C, Tueros M, Unger M, Vaclavek L, Vacula M, Galicia JFV, Valore L, Varela E, Vásquez-Ramírez A, Veberič D, Ventura C, Quispe IDV, Verzi V, Vicha J, Vink J, Vorobiov S, Watanabe C, Watson AA, Weindl A, Wiencke L, Wilczyński H, Wittkowski D, Wundheiler B, Yue B, Yushkov A, Zapparrata O, Zas E, Zavrtanik D, Zavrtanik M. Demonstrating Agreement between Radio and Fluorescence Measurements of the Depth of Maximum of Extensive Air Showers at the Pierre Auger Observatory. Phys Rev Lett 2024; 132:021001. [PMID: 38277596 DOI: 10.1103/physrevlett.132.021001] [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: 03/30/2023] [Revised: 10/16/2023] [Accepted: 10/24/2023] [Indexed: 01/28/2024]
Abstract
We show, for the first time, radio measurements of the depth of shower maximum (X_{max}) of air showers induced by cosmic rays that are compared to measurements of the established fluorescence method at the same location. Using measurements at the Pierre Auger Observatory we show full compatibility between our radio and the previously published fluorescence dataset, and between a subset of air showers observed simultaneously with both radio and fluorescence techniques, a measurement setup unique to the Pierre Auger Observatory. Furthermore, we show radio X_{max} resolution as a function of energy and demonstrate the ability to make competitive high-resolution X_{max} measurements with even a sparse radio array. With this, we show that the radio technique is capable of cosmic-ray mass composition studies, both at Auger and at other experiments.
Collapse
Affiliation(s)
- A Abdul Halim
- University of Adelaide, Adelaide, South Australia, Australia
| | - P Abreu
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Lisboa, Portugal
| | - M Aglietta
- INFN, Sezione di Torino, Torino, Italy
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
| | - I Allekotte
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | | | - A Almela
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Buenos Aires, Argentina
| | - R Aloisio
- Gran Sasso Science Institute, L'Aquila, Italy
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
| | - J Alvarez-Muñiz
- Instituto Galego de Física de Altas Enerxías (IGFAE), Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - J Ammerman Yebra
- Instituto Galego de Física de Altas Enerxías (IGFAE), Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - G A Anastasi
- INFN, Sezione di Torino, Torino, Italy
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
| | - L Anchordoqui
- Department of Physics and Astronomy, Lehman College, City University of New York, Bronx, New York, USA
| | - B Andrada
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - S Andringa
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Lisboa, Portugal
| | - Anukriti
- Center for Astrophysics and Cosmology (CAC), University of Nova Gorica, Nova Gorica, Slovenia
| | - L Apollonio
- INFN, Sezione di Milano, Milano, Italy
- Università di Milano, Dipartimento di Fisica, Milano, Italy
| | - C Aramo
- INFN, Sezione di Napoli, Napoli, Italy
| | | | - E Arnone
- INFN, Sezione di Torino, Torino, Italy
- Università Torino, Dipartimento di Fisica, Torino, Italy
| | | | - P Assis
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Lisboa, Portugal
| | - G Avila
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Malargüe, Argentina
| | - E Avocone
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
- Università dell'Aquila, Dipartimento di Scienze Fisiche e Chimiche, L'Aquila, Italy
| | - A Bakalova
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - F Barbato
- Gran Sasso Science Institute, L'Aquila, Italy
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
| | | | - J A Bellido
- University of Adelaide, Adelaide, South Australia, Australia
- Universidad Nacional de San Agustin de Arequipa, Facultad de Ciencias Naturales y Formales, Arequipa, Peru
| | - C Berat
- Université Grenoble Alpes, CNRS, Grenoble Institute of Engineering Université Grenoble Alpes, LPSC-IN2P3, 38000 Grenoble, France
| | - M E Bertaina
- INFN, Sezione di Torino, Torino, Italy
- Università Torino, Dipartimento di Fisica, Torino, Italy
| | - G Bhatta
- Institute of Nuclear Physics PAN, Krakow, Poland
| | - M Bianciotto
- INFN, Sezione di Torino, Torino, Italy
- Università Torino, Dipartimento di Fisica, Torino, Italy
| | - P L Biermann
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
- Departamento de Física and Departamento de Ciencias de la Atmósfera y los Océanos, FCEyN, Universidad de Buenos Aires and CONICET, Buenos Aires, Argentina
- IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
- Instituto de Astronomía y Física del Espacio (IAFE, CONICET-UBA), Buenos Aires, Argentina
- Instituto de Física de Rosario (IFIR)-CONICET/U.N.R. and Facultad de Ciencias Bioquímicas y Farmacéuticas U.N.R., Rosario, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), and Universidad Tecnológica Nacional-Facultad Regional Mendoza (CONICET/CNEA), Mendoza, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- International Center of Advanced Studies and Instituto de Ciencias Físicas, ECyT-UNSAM and CONICET, Campus Miguelete-San Martín, Buenos Aires, Argentina
- Laboratorio Atmósfera-Departamento de Investigaciones en Láseres y sus Aplicaciones-UNIDEF (CITEDEF-CONICET), Argentina
- Observatorio Pierre Auger, Malargüe, Argentina
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Malargüe, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Buenos Aires, Argentina
- University of Adelaide, Adelaide, South Australia, Australia
- Université Libre de Bruxelles (ULB), Brussels, Belgium
- Vrije Universiteit Brussels, Brussels, Belgium
- Centro Brasileiro de Pesquisas Fisicas, Rio de Janeiro, Rio de Janeiro, Brazil
- Centro Federal de Educação Tecnológica Celso Suckow da Fonseca, Petropolis, Brazil
- Instituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro (IFRJ), Brazil
- Universidade de São Paulo, Escola de Engenharia de Lorena, Lorena, São Paulo, Brazil
- Universidade de São Paulo, Instituto de Física de São Carlos, São Carlos, São Paulo, Brazil
- Universidade de São Paulo, Instituto de Física, São Paulo, São Paulo, Brazil
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
- Universidade Estadual de Feira de Santana, Feira de Santana, Brazil
- Universidade Federal de Campina Grande, Centro de Ciencias e Tecnologia, Campina Grande, Brazil
- Universidade Federal do ABC, Santo André, São Paulo, Brazil
- Universidade Federal do Paraná, Setor Palotina, Palotina, Brazil
- Universidade Federal do Rio de Janeiro, Instituto de Física, Rio de Janeiro, Rio de Janeiro, Brazil
- Universidade Federal do Rio de Janeiro (UFRJ), Observatório do Valongo, Rio de Janeiro, Rio de Janeiro, Brazil
- Universidade Federal Fluminense, EEIMVR, Volta Redonda, Rio de Janeiro, Brazil
- Universidad de Medellín, Medellín, Colombia
- Universidad Industrial de Santander, Bucaramanga, Colombia
- Charles University, Faculty of Mathematics and Physics, Institute of Particle and Nuclear Physics, Prague, Czech Republic
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
- Palacky University, Olomouc, Czech Republic
- CNRS/IN2P3, IJCLab, Université Paris-Saclay, Orsay, France
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Sorbonne Université, Université de Paris, CNRS-IN2P3, Paris, France
- Université Grenoble Alpes, CNRS, Grenoble Institute of Engineering Université Grenoble Alpes, LPSC-IN2P3, 38000 Grenoble, France
- Université Paris-Saclay, CNRS/IN2P3, IJCLab, Orsay, France
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
- Karlsruhe Institute of Technology (KIT), Institute for Experimental Particle Physics, Karlsruhe, Germany
- Karlsruhe Institute of Technology (KIT), Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
- Universität Hamburg, II. Institut für Theoretische Physik, Hamburg, Germany
- Universität Siegen, Department Physik-Experimentelle Teilchenphysik, Siegen, Germany
- Gran Sasso Science Institute, L'Aquila, Italy
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
- INFN, Sezione di Catania, Catania, Italy
- INFN, Sezione di Lecce, Lecce, Italy
- INFN, Sezione di Milano, Milano, Italy
- INFN, Sezione di Napoli, Napoli, Italy
- INFN, Sezione di Roma "Tor Vergata," Roma, Italy
- INFN, Sezione di Torino, Torino, Italy
- Istituto di Astrofisica Spaziale e Fisica Cosmica di Palermo (INAF), Palermo, Italy
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
- Politecnico di Milano, Dipartimento di Scienze e Tecnologie Aerospaziali, Milano, Italy
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi," Lecce, Italy
- Università dell'Aquila, Dipartimento di Scienze Fisiche e Chimiche, L'Aquila, Italy
- Università di Catania, Dipartimento di Fisica e Astronomia "Ettore Majorana," Catania, Italy
- Università di Milano, Dipartimento di Fisica, Milano, Italy
- Università di Napoli "Federico II," Dipartimento di Fisica "Ettore Pancini," Napoli, Italy
- Università di Palermo, Dipartimento di Fisica e Chimica "E. Segrè," Palermo, Italy
- Università di Roma "Tor Vergata," Dipartimento di Fisica, Roma, Italy
- Università Torino, Dipartimento di Fisica, Torino, Italy
- Benemérita Universidad Autónoma de Puebla, Puebla, México
- Unidad Profesional Interdisciplinaria en Ingeniería y Tecnologías Avanzadas del Instituto Politécnico Nacional (UPIITA-IPN), México, Distrito Federal, México
- Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chiapas, México
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Michoacán, México
- Universidad Nacional Autónoma de México, México, Distrito Federal, México
- Universidad Nacional de San Agustin de Arequipa, Facultad de Ciencias Naturales y Formales, Arequipa, Peru
- Institute of Nuclear Physics PAN, Krakow, Poland
- University of Łódź, Faculty of High-Energy Astrophysics,Łódź, Poland
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Lisboa, Portugal
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
- Institute of Space Science, Bucharest-Magurele, Romania
- Center for Astrophysics and Cosmology (CAC), University of Nova Gorica, Nova Gorica, Slovenia
- Experimental Particle Physics Department, J. Stefan Institute, Ljubljana, Slovenia
- Universidad de Granada and C.A.F.P.E., Granada, Spain
- Instituto Galego de Física de Altas Enerxías (IGFAE), Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Science Park, Amsterdam, The Netherlands
- Stichting Astronomisch Onderzoek in Nederland (ASTRON), Dwingeloo, The Netherlands
- Universiteit van Amsterdam, Faculty of Science, Amsterdam, The Netherlands
- Case Western Reserve University, Cleveland, Ohio, USA
- Colorado School of Mines, Golden, Colorado, USA
- Department of Physics and Astronomy, Lehman College, City University of New York, Bronx, New York, USA
- Michigan Technological University, Houghton, Michigan, USA
- New York University, New York, New York, USA
- University of Chicago, Enrico Fermi Institute, Chicago, Illinois, USA
- University of Delaware, Department of Physics and Astronomy, Bartol Research Institute, Newark, Delaware, USA
- University of Wisconsin-Madison, Department of Physics and WIPAC, Madison, Wisconsin, USA
| | - V Binet
- Instituto de Física de Rosario (IFIR)-CONICET/U.N.R. and Facultad de Ciencias Bioquímicas y Farmacéuticas U.N.R., Rosario, Argentina
| | - K Bismark
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- Karlsruhe Institute of Technology (KIT), Institute for Experimental Particle Physics, Karlsruhe, Germany
| | - T Bister
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Science Park, Amsterdam, The Netherlands
| | - J Biteau
- Université Paris-Saclay, CNRS/IN2P3, IJCLab, Orsay, France
| | - J Blazek
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - C Bleve
- Université Grenoble Alpes, CNRS, Grenoble Institute of Engineering Université Grenoble Alpes, LPSC-IN2P3, 38000 Grenoble, France
| | - J Blümer
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - M Boháčová
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - D Boncioli
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
- Università dell'Aquila, Dipartimento di Scienze Fisiche e Chimiche, L'Aquila, Italy
| | - C Bonifazi
- International Center of Advanced Studies and Instituto de Ciencias Físicas, ECyT-UNSAM and CONICET, Campus Miguelete-San Martín, Buenos Aires, Argentina
- Universidade Federal do Rio de Janeiro, Instituto de Física, Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - N Borodai
- Institute of Nuclear Physics PAN, Krakow, Poland
| | - J Brack
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
- Departamento de Física and Departamento de Ciencias de la Atmósfera y los Océanos, FCEyN, Universidad de Buenos Aires and CONICET, Buenos Aires, Argentina
- IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
- Instituto de Astronomía y Física del Espacio (IAFE, CONICET-UBA), Buenos Aires, Argentina
- Instituto de Física de Rosario (IFIR)-CONICET/U.N.R. and Facultad de Ciencias Bioquímicas y Farmacéuticas U.N.R., Rosario, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), and Universidad Tecnológica Nacional-Facultad Regional Mendoza (CONICET/CNEA), Mendoza, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- International Center of Advanced Studies and Instituto de Ciencias Físicas, ECyT-UNSAM and CONICET, Campus Miguelete-San Martín, Buenos Aires, Argentina
- Laboratorio Atmósfera-Departamento de Investigaciones en Láseres y sus Aplicaciones-UNIDEF (CITEDEF-CONICET), Argentina
- Observatorio Pierre Auger, Malargüe, Argentina
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Malargüe, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Buenos Aires, Argentina
- University of Adelaide, Adelaide, South Australia, Australia
- Université Libre de Bruxelles (ULB), Brussels, Belgium
- Vrije Universiteit Brussels, Brussels, Belgium
- Centro Brasileiro de Pesquisas Fisicas, Rio de Janeiro, Rio de Janeiro, Brazil
- Centro Federal de Educação Tecnológica Celso Suckow da Fonseca, Petropolis, Brazil
- Instituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro (IFRJ), Brazil
- Universidade de São Paulo, Escola de Engenharia de Lorena, Lorena, São Paulo, Brazil
- Universidade de São Paulo, Instituto de Física de São Carlos, São Carlos, São Paulo, Brazil
- Universidade de São Paulo, Instituto de Física, São Paulo, São Paulo, Brazil
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
- Universidade Estadual de Feira de Santana, Feira de Santana, Brazil
- Universidade Federal de Campina Grande, Centro de Ciencias e Tecnologia, Campina Grande, Brazil
- Universidade Federal do ABC, Santo André, São Paulo, Brazil
- Universidade Federal do Paraná, Setor Palotina, Palotina, Brazil
- Universidade Federal do Rio de Janeiro, Instituto de Física, Rio de Janeiro, Rio de Janeiro, Brazil
- Universidade Federal do Rio de Janeiro (UFRJ), Observatório do Valongo, Rio de Janeiro, Rio de Janeiro, Brazil
- Universidade Federal Fluminense, EEIMVR, Volta Redonda, Rio de Janeiro, Brazil
- Universidad de Medellín, Medellín, Colombia
- Universidad Industrial de Santander, Bucaramanga, Colombia
- Charles University, Faculty of Mathematics and Physics, Institute of Particle and Nuclear Physics, Prague, Czech Republic
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
- Palacky University, Olomouc, Czech Republic
- CNRS/IN2P3, IJCLab, Université Paris-Saclay, Orsay, France
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Sorbonne Université, Université de Paris, CNRS-IN2P3, Paris, France
- Université Grenoble Alpes, CNRS, Grenoble Institute of Engineering Université Grenoble Alpes, LPSC-IN2P3, 38000 Grenoble, France
- Université Paris-Saclay, CNRS/IN2P3, IJCLab, Orsay, France
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
- Karlsruhe Institute of Technology (KIT), Institute for Experimental Particle Physics, Karlsruhe, Germany
- Karlsruhe Institute of Technology (KIT), Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
- Universität Hamburg, II. Institut für Theoretische Physik, Hamburg, Germany
- Universität Siegen, Department Physik-Experimentelle Teilchenphysik, Siegen, Germany
- Gran Sasso Science Institute, L'Aquila, Italy
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
- INFN, Sezione di Catania, Catania, Italy
- INFN, Sezione di Lecce, Lecce, Italy
- INFN, Sezione di Milano, Milano, Italy
- INFN, Sezione di Napoli, Napoli, Italy
- INFN, Sezione di Roma "Tor Vergata," Roma, Italy
- INFN, Sezione di Torino, Torino, Italy
- Istituto di Astrofisica Spaziale e Fisica Cosmica di Palermo (INAF), Palermo, Italy
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
- Politecnico di Milano, Dipartimento di Scienze e Tecnologie Aerospaziali, Milano, Italy
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi," Lecce, Italy
- Università dell'Aquila, Dipartimento di Scienze Fisiche e Chimiche, L'Aquila, Italy
- Università di Catania, Dipartimento di Fisica e Astronomia "Ettore Majorana," Catania, Italy
- Università di Milano, Dipartimento di Fisica, Milano, Italy
- Università di Napoli "Federico II," Dipartimento di Fisica "Ettore Pancini," Napoli, Italy
- Università di Palermo, Dipartimento di Fisica e Chimica "E. Segrè," Palermo, Italy
- Università di Roma "Tor Vergata," Dipartimento di Fisica, Roma, Italy
- Università Torino, Dipartimento di Fisica, Torino, Italy
- Benemérita Universidad Autónoma de Puebla, Puebla, México
- Unidad Profesional Interdisciplinaria en Ingeniería y Tecnologías Avanzadas del Instituto Politécnico Nacional (UPIITA-IPN), México, Distrito Federal, México
- Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chiapas, México
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Michoacán, México
- Universidad Nacional Autónoma de México, México, Distrito Federal, México
- Universidad Nacional de San Agustin de Arequipa, Facultad de Ciencias Naturales y Formales, Arequipa, Peru
- Institute of Nuclear Physics PAN, Krakow, Poland
- University of Łódź, Faculty of High-Energy Astrophysics,Łódź, Poland
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Lisboa, Portugal
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
- Institute of Space Science, Bucharest-Magurele, Romania
- Center for Astrophysics and Cosmology (CAC), University of Nova Gorica, Nova Gorica, Slovenia
- Experimental Particle Physics Department, J. Stefan Institute, Ljubljana, Slovenia
- Universidad de Granada and C.A.F.P.E., Granada, Spain
- Instituto Galego de Física de Altas Enerxías (IGFAE), Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Science Park, Amsterdam, The Netherlands
- Stichting Astronomisch Onderzoek in Nederland (ASTRON), Dwingeloo, The Netherlands
- Universiteit van Amsterdam, Faculty of Science, Amsterdam, The Netherlands
- Case Western Reserve University, Cleveland, Ohio, USA
- Colorado School of Mines, Golden, Colorado, USA
- Department of Physics and Astronomy, Lehman College, City University of New York, Bronx, New York, USA
- Michigan Technological University, Houghton, Michigan, USA
- New York University, New York, New York, USA
- University of Chicago, Enrico Fermi Institute, Chicago, Illinois, USA
- University of Delaware, Department of Physics and Astronomy, Bartol Research Institute, Newark, Delaware, USA
- University of Wisconsin-Madison, Department of Physics and WIPAC, Madison, Wisconsin, USA
| | - P G Brichetto Orchera
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - F L Briechle
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - A Bueno
- Universidad de Granada and C.A.F.P.E., Granada, Spain
| | - S Buitink
- Vrije Universiteit Brussels, Brussels, Belgium
| | - M Buscemi
- INFN, Sezione di Catania, Catania, Italy
- Università di Palermo, Dipartimento di Fisica e Chimica "E. Segrè," Palermo, Italy
| | - M Büsken
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- Karlsruhe Institute of Technology (KIT), Institute for Experimental Particle Physics, Karlsruhe, Germany
| | - A Bwembya
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Science Park, Amsterdam, The Netherlands
| | | | - S Cabana-Freire
- Instituto Galego de Física de Altas Enerxías (IGFAE), Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - L Caccianiga
- INFN, Sezione di Milano, Milano, Italy
- Università di Milano, Dipartimento di Fisica, Milano, Italy
| | - R Caruso
- INFN, Sezione di Catania, Catania, Italy
- Università di Catania, Dipartimento di Fisica e Astronomia "Ettore Majorana," Catania, Italy
| | - A Castellina
- INFN, Sezione di Torino, Torino, Italy
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
| | - F Catalani
- Universidade de São Paulo, Escola de Engenharia de Lorena, Lorena, São Paulo, Brazil
| | - G Cataldi
- INFN, Sezione di Lecce, Lecce, Italy
| | - L Cazon
- Instituto Galego de Física de Altas Enerxías (IGFAE), Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - M Cerda
- Observatorio Pierre Auger, Malargüe, Argentina
| | - A Cermenati
- Gran Sasso Science Institute, L'Aquila, Italy
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
| | - J A Chinellato
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
| | - J Chudoba
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - L Chytka
- Palacky University, Olomouc, Czech Republic
| | - R W Clay
- University of Adelaide, Adelaide, South Australia, Australia
| | - A C Cobos Cerutti
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), and Universidad Tecnológica Nacional-Facultad Regional Mendoza (CONICET/CNEA), Mendoza, Argentina
| | - R Colalillo
- INFN, Sezione di Napoli, Napoli, Italy
- Università di Napoli "Federico II," Dipartimento di Fisica "Ettore Pancini," Napoli, Italy
| | - A Coleman
- University of Delaware, Department of Physics and Astronomy, Bartol Research Institute, Newark, Delaware, USA
| | | | - R Conceição
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Lisboa, Portugal
| | - A Condorelli
- Université Paris-Saclay, CNRS/IN2P3, IJCLab, Orsay, France
| | - G Consolati
- INFN, Sezione di Milano, Milano, Italy
- Politecnico di Milano, Dipartimento di Scienze e Tecnologie Aerospaziali, Milano, Italy
| | - M Conte
- INFN, Sezione di Lecce, Lecce, Italy
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi," Lecce, Italy
| | - F Convenga
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
- Università dell'Aquila, Dipartimento di Scienze Fisiche e Chimiche, L'Aquila, Italy
| | | | - P J Costa
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Lisboa, Portugal
| | - C E Covault
- Case Western Reserve University, Cleveland, Ohio, USA
| | - M Cristinziani
- Universität Siegen, Department Physik-Experimentelle Teilchenphysik, Siegen, Germany
| | - C S Cruz Sanchez
- IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
| | - S Dasso
- Departamento de Física and Departamento de Ciencias de la Atmósfera y los Océanos, FCEyN, Universidad de Buenos Aires and CONICET, Buenos Aires, Argentina
- Instituto de Astronomía y Física del Espacio (IAFE, CONICET-UBA), Buenos Aires, Argentina
| | - K Daumiller
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - B R Dawson
- University of Adelaide, Adelaide, South Australia, Australia
| | - R M de Almeida
- Universidade Federal Fluminense, EEIMVR, Volta Redonda, Rio de Janeiro, Brazil
| | - J de Jesús
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - S J de Jong
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Science Park, Amsterdam, The Netherlands
| | - J R T de Mello Neto
- Universidade Federal do Rio de Janeiro, Instituto de Física, Rio de Janeiro, Rio de Janeiro, Brazil
- Universidade Federal do Rio de Janeiro (UFRJ), Observatório do Valongo, Rio de Janeiro, Rio de Janeiro, Brazil
| | - I De Mitri
- Gran Sasso Science Institute, L'Aquila, Italy
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
| | - J de Oliveira
- Instituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro (IFRJ), Brazil
| | | | - F de Palma
- INFN, Sezione di Lecce, Lecce, Italy
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi," Lecce, Italy
| | - V de Souza
- Universidade de São Paulo, Instituto de Física de São Carlos, São Carlos, São Paulo, Brazil
| | - B P de Souza de Errico
- Universidade Federal do Rio de Janeiro, Instituto de Física, Rio de Janeiro, Rio de Janeiro, Brazil
| | - E De Vito
- INFN, Sezione di Lecce, Lecce, Italy
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi," Lecce, Italy
| | - A Del Popolo
- INFN, Sezione di Catania, Catania, Italy
- Università di Catania, Dipartimento di Fisica e Astronomia "Ettore Majorana," Catania, Italy
| | - O Deligny
- CNRS/IN2P3, IJCLab, Université Paris-Saclay, Orsay, France
| | - N Denner
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - L Deval
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | | | - M Dobre
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
| | - C Dobrigkeit
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
| | - J C D'Olivo
- Universidad Nacional Autónoma de México, México, Distrito Federal, México
| | - L M Domingues Mendes
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Lisboa, Portugal
| | - Q Dorosti
- Universität Siegen, Department Physik-Experimentelle Teilchenphysik, Siegen, Germany
| | - J C Dos Anjos
- Centro Brasileiro de Pesquisas Fisicas, Rio de Janeiro, Rio de Janeiro, Brazil
| | - R C Dos Anjos
- Universidade Federal do Paraná, Setor Palotina, Palotina, Brazil
| | - J Ebr
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - F Ellwanger
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - M Emam
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Science Park, Amsterdam, The Netherlands
| | - R Engel
- Karlsruhe Institute of Technology (KIT), Institute for Experimental Particle Physics, Karlsruhe, Germany
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - I Epicoco
- INFN, Sezione di Lecce, Lecce, Italy
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi," Lecce, Italy
| | - M Erdmann
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - A Etchegoyen
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Buenos Aires, Argentina
| | - C Evoli
- Gran Sasso Science Institute, L'Aquila, Italy
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
| | - H Falcke
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Science Park, Amsterdam, The Netherlands
- Stichting Astronomisch Onderzoek in Nederland (ASTRON), Dwingeloo, The Netherlands
| | - J Farmer
- University of Chicago, Enrico Fermi Institute, Chicago, Illinois, USA
| | - G Farrar
- New York University, New York, New York, USA
| | - A C Fauth
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
| | - N Fazzini
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
- Departamento de Física and Departamento de Ciencias de la Atmósfera y los Océanos, FCEyN, Universidad de Buenos Aires and CONICET, Buenos Aires, Argentina
- IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
- Instituto de Astronomía y Física del Espacio (IAFE, CONICET-UBA), Buenos Aires, Argentina
- Instituto de Física de Rosario (IFIR)-CONICET/U.N.R. and Facultad de Ciencias Bioquímicas y Farmacéuticas U.N.R., Rosario, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), and Universidad Tecnológica Nacional-Facultad Regional Mendoza (CONICET/CNEA), Mendoza, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- International Center of Advanced Studies and Instituto de Ciencias Físicas, ECyT-UNSAM and CONICET, Campus Miguelete-San Martín, Buenos Aires, Argentina
- Laboratorio Atmósfera-Departamento de Investigaciones en Láseres y sus Aplicaciones-UNIDEF (CITEDEF-CONICET), Argentina
- Observatorio Pierre Auger, Malargüe, Argentina
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Malargüe, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Buenos Aires, Argentina
- University of Adelaide, Adelaide, South Australia, Australia
- Université Libre de Bruxelles (ULB), Brussels, Belgium
- Vrije Universiteit Brussels, Brussels, Belgium
- Centro Brasileiro de Pesquisas Fisicas, Rio de Janeiro, Rio de Janeiro, Brazil
- Centro Federal de Educação Tecnológica Celso Suckow da Fonseca, Petropolis, Brazil
- Instituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro (IFRJ), Brazil
- Universidade de São Paulo, Escola de Engenharia de Lorena, Lorena, São Paulo, Brazil
- Universidade de São Paulo, Instituto de Física de São Carlos, São Carlos, São Paulo, Brazil
- Universidade de São Paulo, Instituto de Física, São Paulo, São Paulo, Brazil
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
- Universidade Estadual de Feira de Santana, Feira de Santana, Brazil
- Universidade Federal de Campina Grande, Centro de Ciencias e Tecnologia, Campina Grande, Brazil
- Universidade Federal do ABC, Santo André, São Paulo, Brazil
- Universidade Federal do Paraná, Setor Palotina, Palotina, Brazil
- Universidade Federal do Rio de Janeiro, Instituto de Física, Rio de Janeiro, Rio de Janeiro, Brazil
- Universidade Federal do Rio de Janeiro (UFRJ), Observatório do Valongo, Rio de Janeiro, Rio de Janeiro, Brazil
- Universidade Federal Fluminense, EEIMVR, Volta Redonda, Rio de Janeiro, Brazil
- Universidad de Medellín, Medellín, Colombia
- Universidad Industrial de Santander, Bucaramanga, Colombia
- Charles University, Faculty of Mathematics and Physics, Institute of Particle and Nuclear Physics, Prague, Czech Republic
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
- Palacky University, Olomouc, Czech Republic
- CNRS/IN2P3, IJCLab, Université Paris-Saclay, Orsay, France
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Sorbonne Université, Université de Paris, CNRS-IN2P3, Paris, France
- Université Grenoble Alpes, CNRS, Grenoble Institute of Engineering Université Grenoble Alpes, LPSC-IN2P3, 38000 Grenoble, France
- Université Paris-Saclay, CNRS/IN2P3, IJCLab, Orsay, France
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
- Karlsruhe Institute of Technology (KIT), Institute for Experimental Particle Physics, Karlsruhe, Germany
- Karlsruhe Institute of Technology (KIT), Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
- Universität Hamburg, II. Institut für Theoretische Physik, Hamburg, Germany
- Universität Siegen, Department Physik-Experimentelle Teilchenphysik, Siegen, Germany
- Gran Sasso Science Institute, L'Aquila, Italy
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
- INFN, Sezione di Catania, Catania, Italy
- INFN, Sezione di Lecce, Lecce, Italy
- INFN, Sezione di Milano, Milano, Italy
- INFN, Sezione di Napoli, Napoli, Italy
- INFN, Sezione di Roma "Tor Vergata," Roma, Italy
- INFN, Sezione di Torino, Torino, Italy
- Istituto di Astrofisica Spaziale e Fisica Cosmica di Palermo (INAF), Palermo, Italy
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
- Politecnico di Milano, Dipartimento di Scienze e Tecnologie Aerospaziali, Milano, Italy
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi," Lecce, Italy
- Università dell'Aquila, Dipartimento di Scienze Fisiche e Chimiche, L'Aquila, Italy
- Università di Catania, Dipartimento di Fisica e Astronomia "Ettore Majorana," Catania, Italy
- Università di Milano, Dipartimento di Fisica, Milano, Italy
- Università di Napoli "Federico II," Dipartimento di Fisica "Ettore Pancini," Napoli, Italy
- Università di Palermo, Dipartimento di Fisica e Chimica "E. Segrè," Palermo, Italy
- Università di Roma "Tor Vergata," Dipartimento di Fisica, Roma, Italy
- Università Torino, Dipartimento di Fisica, Torino, Italy
- Benemérita Universidad Autónoma de Puebla, Puebla, México
- Unidad Profesional Interdisciplinaria en Ingeniería y Tecnologías Avanzadas del Instituto Politécnico Nacional (UPIITA-IPN), México, Distrito Federal, México
- Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chiapas, México
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Michoacán, México
- Universidad Nacional Autónoma de México, México, Distrito Federal, México
- Universidad Nacional de San Agustin de Arequipa, Facultad de Ciencias Naturales y Formales, Arequipa, Peru
- Institute of Nuclear Physics PAN, Krakow, Poland
- University of Łódź, Faculty of High-Energy Astrophysics,Łódź, Poland
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Lisboa, Portugal
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
- Institute of Space Science, Bucharest-Magurele, Romania
- Center for Astrophysics and Cosmology (CAC), University of Nova Gorica, Nova Gorica, Slovenia
- Experimental Particle Physics Department, J. Stefan Institute, Ljubljana, Slovenia
- Universidad de Granada and C.A.F.P.E., Granada, Spain
- Instituto Galego de Física de Altas Enerxías (IGFAE), Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Science Park, Amsterdam, The Netherlands
- Stichting Astronomisch Onderzoek in Nederland (ASTRON), Dwingeloo, The Netherlands
- Universiteit van Amsterdam, Faculty of Science, Amsterdam, The Netherlands
- Case Western Reserve University, Cleveland, Ohio, USA
- Colorado School of Mines, Golden, Colorado, USA
- Department of Physics and Astronomy, Lehman College, City University of New York, Bronx, New York, USA
- Michigan Technological University, Houghton, Michigan, USA
- New York University, New York, New York, USA
- University of Chicago, Enrico Fermi Institute, Chicago, Illinois, USA
- University of Delaware, Department of Physics and Astronomy, Bartol Research Institute, Newark, Delaware, USA
- University of Wisconsin-Madison, Department of Physics and WIPAC, Madison, Wisconsin, USA
| | - F Feldbusch
- Karlsruhe Institute of Technology (KIT), Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
| | - F Fenu
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - A Fernandes
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Lisboa, Portugal
| | - B Fick
- Michigan Technological University, Houghton, Michigan, USA
| | - J M Figueira
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - A Filipčič
- Center for Astrophysics and Cosmology (CAC), University of Nova Gorica, Nova Gorica, Slovenia
- Experimental Particle Physics Department, J. Stefan Institute, Ljubljana, Slovenia
| | - T Fitoussi
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - B Flaggs
- University of Delaware, Department of Physics and Astronomy, Bartol Research Institute, Newark, Delaware, USA
| | - T Fodran
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
| | - T Fujii
- University of Chicago, Enrico Fermi Institute, Chicago, Illinois, USA
| | - A Fuster
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Buenos Aires, Argentina
| | - C Galea
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
| | - C Galelli
- INFN, Sezione di Milano, Milano, Italy
- Università di Milano, Dipartimento di Fisica, Milano, Italy
| | - B García
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), and Universidad Tecnológica Nacional-Facultad Regional Mendoza (CONICET/CNEA), Mendoza, Argentina
| | - C Gaudu
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
| | - H Gemmeke
- Karlsruhe Institute of Technology (KIT), Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
| | - F Gesualdi
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - A Gherghel-Lascu
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
| | - P L Ghia
- CNRS/IN2P3, IJCLab, Université Paris-Saclay, Orsay, France
| | | | - J Glombitza
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - F Gobbi
- Observatorio Pierre Auger, Malargüe, Argentina
| | - F Gollan
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - G Golup
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - M Gómez Berisso
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - P F Gómez Vitale
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Malargüe, Argentina
| | - J P Gongora
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Malargüe, Argentina
| | - J M González
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - N González
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - I Goos
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - D Góra
- Institute of Nuclear Physics PAN, Krakow, Poland
| | - A Gorgi
- INFN, Sezione di Torino, Torino, Italy
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
| | - M Gottowik
- Instituto Galego de Física de Altas Enerxías (IGFAE), Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - T D Grubb
- University of Adelaide, Adelaide, South Australia, Australia
| | - F Guarino
- INFN, Sezione di Napoli, Napoli, Italy
- Università di Napoli "Federico II," Dipartimento di Fisica "Ettore Pancini," Napoli, Italy
| | - G P Guedes
- Universidade Estadual de Feira de Santana, Feira de Santana, Brazil
| | - E Guido
- Universität Siegen, Department Physik-Experimentelle Teilchenphysik, Siegen, Germany
| | - L Gülzow
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - S Hahn
- Karlsruhe Institute of Technology (KIT), Institute for Experimental Particle Physics, Karlsruhe, Germany
| | - P Hamal
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - M R Hampel
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - P Hansen
- IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
| | - D Harari
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - V M Harvey
- University of Adelaide, Adelaide, South Australia, Australia
| | - A Haungs
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - T Hebbeker
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - C Hojvat
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
- Departamento de Física and Departamento de Ciencias de la Atmósfera y los Océanos, FCEyN, Universidad de Buenos Aires and CONICET, Buenos Aires, Argentina
- IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
- Instituto de Astronomía y Física del Espacio (IAFE, CONICET-UBA), Buenos Aires, Argentina
- Instituto de Física de Rosario (IFIR)-CONICET/U.N.R. and Facultad de Ciencias Bioquímicas y Farmacéuticas U.N.R., Rosario, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), and Universidad Tecnológica Nacional-Facultad Regional Mendoza (CONICET/CNEA), Mendoza, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- International Center of Advanced Studies and Instituto de Ciencias Físicas, ECyT-UNSAM and CONICET, Campus Miguelete-San Martín, Buenos Aires, Argentina
- Laboratorio Atmósfera-Departamento de Investigaciones en Láseres y sus Aplicaciones-UNIDEF (CITEDEF-CONICET), Argentina
- Observatorio Pierre Auger, Malargüe, Argentina
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Malargüe, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Buenos Aires, Argentina
- University of Adelaide, Adelaide, South Australia, Australia
- Université Libre de Bruxelles (ULB), Brussels, Belgium
- Vrije Universiteit Brussels, Brussels, Belgium
- Centro Brasileiro de Pesquisas Fisicas, Rio de Janeiro, Rio de Janeiro, Brazil
- Centro Federal de Educação Tecnológica Celso Suckow da Fonseca, Petropolis, Brazil
- Instituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro (IFRJ), Brazil
- Universidade de São Paulo, Escola de Engenharia de Lorena, Lorena, São Paulo, Brazil
- Universidade de São Paulo, Instituto de Física de São Carlos, São Carlos, São Paulo, Brazil
- Universidade de São Paulo, Instituto de Física, São Paulo, São Paulo, Brazil
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
- Universidade Estadual de Feira de Santana, Feira de Santana, Brazil
- Universidade Federal de Campina Grande, Centro de Ciencias e Tecnologia, Campina Grande, Brazil
- Universidade Federal do ABC, Santo André, São Paulo, Brazil
- Universidade Federal do Paraná, Setor Palotina, Palotina, Brazil
- Universidade Federal do Rio de Janeiro, Instituto de Física, Rio de Janeiro, Rio de Janeiro, Brazil
- Universidade Federal do Rio de Janeiro (UFRJ), Observatório do Valongo, Rio de Janeiro, Rio de Janeiro, Brazil
- Universidade Federal Fluminense, EEIMVR, Volta Redonda, Rio de Janeiro, Brazil
- Universidad de Medellín, Medellín, Colombia
- Universidad Industrial de Santander, Bucaramanga, Colombia
- Charles University, Faculty of Mathematics and Physics, Institute of Particle and Nuclear Physics, Prague, Czech Republic
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
- Palacky University, Olomouc, Czech Republic
- CNRS/IN2P3, IJCLab, Université Paris-Saclay, Orsay, France
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Sorbonne Université, Université de Paris, CNRS-IN2P3, Paris, France
- Université Grenoble Alpes, CNRS, Grenoble Institute of Engineering Université Grenoble Alpes, LPSC-IN2P3, 38000 Grenoble, France
- Université Paris-Saclay, CNRS/IN2P3, IJCLab, Orsay, France
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
- Karlsruhe Institute of Technology (KIT), Institute for Experimental Particle Physics, Karlsruhe, Germany
- Karlsruhe Institute of Technology (KIT), Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
- Universität Hamburg, II. Institut für Theoretische Physik, Hamburg, Germany
- Universität Siegen, Department Physik-Experimentelle Teilchenphysik, Siegen, Germany
- Gran Sasso Science Institute, L'Aquila, Italy
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
- INFN, Sezione di Catania, Catania, Italy
- INFN, Sezione di Lecce, Lecce, Italy
- INFN, Sezione di Milano, Milano, Italy
- INFN, Sezione di Napoli, Napoli, Italy
- INFN, Sezione di Roma "Tor Vergata," Roma, Italy
- INFN, Sezione di Torino, Torino, Italy
- Istituto di Astrofisica Spaziale e Fisica Cosmica di Palermo (INAF), Palermo, Italy
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
- Politecnico di Milano, Dipartimento di Scienze e Tecnologie Aerospaziali, Milano, Italy
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi," Lecce, Italy
- Università dell'Aquila, Dipartimento di Scienze Fisiche e Chimiche, L'Aquila, Italy
- Università di Catania, Dipartimento di Fisica e Astronomia "Ettore Majorana," Catania, Italy
- Università di Milano, Dipartimento di Fisica, Milano, Italy
- Università di Napoli "Federico II," Dipartimento di Fisica "Ettore Pancini," Napoli, Italy
- Università di Palermo, Dipartimento di Fisica e Chimica "E. Segrè," Palermo, Italy
- Università di Roma "Tor Vergata," Dipartimento di Fisica, Roma, Italy
- Università Torino, Dipartimento di Fisica, Torino, Italy
- Benemérita Universidad Autónoma de Puebla, Puebla, México
- Unidad Profesional Interdisciplinaria en Ingeniería y Tecnologías Avanzadas del Instituto Politécnico Nacional (UPIITA-IPN), México, Distrito Federal, México
- Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chiapas, México
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Michoacán, México
- Universidad Nacional Autónoma de México, México, Distrito Federal, México
- Universidad Nacional de San Agustin de Arequipa, Facultad de Ciencias Naturales y Formales, Arequipa, Peru
- Institute of Nuclear Physics PAN, Krakow, Poland
- University of Łódź, Faculty of High-Energy Astrophysics,Łódź, Poland
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Lisboa, Portugal
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
- Institute of Space Science, Bucharest-Magurele, Romania
- Center for Astrophysics and Cosmology (CAC), University of Nova Gorica, Nova Gorica, Slovenia
- Experimental Particle Physics Department, J. Stefan Institute, Ljubljana, Slovenia
- Universidad de Granada and C.A.F.P.E., Granada, Spain
- Instituto Galego de Física de Altas Enerxías (IGFAE), Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Science Park, Amsterdam, The Netherlands
- Stichting Astronomisch Onderzoek in Nederland (ASTRON), Dwingeloo, The Netherlands
- Universiteit van Amsterdam, Faculty of Science, Amsterdam, The Netherlands
- Case Western Reserve University, Cleveland, Ohio, USA
- Colorado School of Mines, Golden, Colorado, USA
- Department of Physics and Astronomy, Lehman College, City University of New York, Bronx, New York, USA
- Michigan Technological University, Houghton, Michigan, USA
- New York University, New York, New York, USA
- University of Chicago, Enrico Fermi Institute, Chicago, Illinois, USA
- University of Delaware, Department of Physics and Astronomy, Bartol Research Institute, Newark, Delaware, USA
- University of Wisconsin-Madison, Department of Physics and WIPAC, Madison, Wisconsin, USA
| | - J R Hörandel
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Science Park, Amsterdam, The Netherlands
| | - P Horvath
- Palacky University, Olomouc, Czech Republic
| | | | - T Huege
- Vrije Universiteit Brussels, Brussels, Belgium
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - A Insolia
- INFN, Sezione di Catania, Catania, Italy
- Università di Catania, Dipartimento di Fisica e Astronomia "Ettore Majorana," Catania, Italy
| | - P G Isar
- Institute of Space Science, Bucharest-Magurele, Romania
| | - P Janecek
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - V Jilek
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - J A Johnsen
- Colorado School of Mines, Golden, Colorado, USA
| | - J Jurysek
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - K-H Kampert
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
| | - B Keilhauer
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - A Khakurdikar
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
| | - V V Kizakke Covilakam
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - H O Klages
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - M Kleifges
- Karlsruhe Institute of Technology (KIT), Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
| | - F Knapp
- Karlsruhe Institute of Technology (KIT), Institute for Experimental Particle Physics, Karlsruhe, Germany
| | - J Köhler
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - N Kunka
- Karlsruhe Institute of Technology (KIT), Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
| | - B L Lago
- Centro Federal de Educação Tecnológica Celso Suckow da Fonseca, Petropolis, Brazil
| | - N Langner
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | | | - Y Lema-Capeans
- Instituto Galego de Física de Altas Enerxías (IGFAE), Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - A Letessier-Selvon
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Sorbonne Université, Université de Paris, CNRS-IN2P3, Paris, France
| | - I Lhenry-Yvon
- CNRS/IN2P3, IJCLab, Université Paris-Saclay, Orsay, France
| | - L Lopes
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Lisboa, Portugal
| | - L Lu
- University of Wisconsin-Madison, Department of Physics and WIPAC, Madison, Wisconsin, USA
| | - Q Luce
- Karlsruhe Institute of Technology (KIT), Institute for Experimental Particle Physics, Karlsruhe, Germany
| | - J P Lundquist
- Center for Astrophysics and Cosmology (CAC), University of Nova Gorica, Nova Gorica, Slovenia
| | - A Machado Payeras
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
| | - M Majercakova
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - D Mandat
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - B C Manning
- University of Adelaide, Adelaide, South Australia, Australia
| | - P Mantsch
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
- Departamento de Física and Departamento de Ciencias de la Atmósfera y los Océanos, FCEyN, Universidad de Buenos Aires and CONICET, Buenos Aires, Argentina
- IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
- Instituto de Astronomía y Física del Espacio (IAFE, CONICET-UBA), Buenos Aires, Argentina
- Instituto de Física de Rosario (IFIR)-CONICET/U.N.R. and Facultad de Ciencias Bioquímicas y Farmacéuticas U.N.R., Rosario, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), and Universidad Tecnológica Nacional-Facultad Regional Mendoza (CONICET/CNEA), Mendoza, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- International Center of Advanced Studies and Instituto de Ciencias Físicas, ECyT-UNSAM and CONICET, Campus Miguelete-San Martín, Buenos Aires, Argentina
- Laboratorio Atmósfera-Departamento de Investigaciones en Láseres y sus Aplicaciones-UNIDEF (CITEDEF-CONICET), Argentina
- Observatorio Pierre Auger, Malargüe, Argentina
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Malargüe, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Buenos Aires, Argentina
- University of Adelaide, Adelaide, South Australia, Australia
- Université Libre de Bruxelles (ULB), Brussels, Belgium
- Vrije Universiteit Brussels, Brussels, Belgium
- Centro Brasileiro de Pesquisas Fisicas, Rio de Janeiro, Rio de Janeiro, Brazil
- Centro Federal de Educação Tecnológica Celso Suckow da Fonseca, Petropolis, Brazil
- Instituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro (IFRJ), Brazil
- Universidade de São Paulo, Escola de Engenharia de Lorena, Lorena, São Paulo, Brazil
- Universidade de São Paulo, Instituto de Física de São Carlos, São Carlos, São Paulo, Brazil
- Universidade de São Paulo, Instituto de Física, São Paulo, São Paulo, Brazil
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
- Universidade Estadual de Feira de Santana, Feira de Santana, Brazil
- Universidade Federal de Campina Grande, Centro de Ciencias e Tecnologia, Campina Grande, Brazil
- Universidade Federal do ABC, Santo André, São Paulo, Brazil
- Universidade Federal do Paraná, Setor Palotina, Palotina, Brazil
- Universidade Federal do Rio de Janeiro, Instituto de Física, Rio de Janeiro, Rio de Janeiro, Brazil
- Universidade Federal do Rio de Janeiro (UFRJ), Observatório do Valongo, Rio de Janeiro, Rio de Janeiro, Brazil
- Universidade Federal Fluminense, EEIMVR, Volta Redonda, Rio de Janeiro, Brazil
- Universidad de Medellín, Medellín, Colombia
- Universidad Industrial de Santander, Bucaramanga, Colombia
- Charles University, Faculty of Mathematics and Physics, Institute of Particle and Nuclear Physics, Prague, Czech Republic
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
- Palacky University, Olomouc, Czech Republic
- CNRS/IN2P3, IJCLab, Université Paris-Saclay, Orsay, France
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Sorbonne Université, Université de Paris, CNRS-IN2P3, Paris, France
- Université Grenoble Alpes, CNRS, Grenoble Institute of Engineering Université Grenoble Alpes, LPSC-IN2P3, 38000 Grenoble, France
- Université Paris-Saclay, CNRS/IN2P3, IJCLab, Orsay, France
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
- Karlsruhe Institute of Technology (KIT), Institute for Experimental Particle Physics, Karlsruhe, Germany
- Karlsruhe Institute of Technology (KIT), Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
- Universität Hamburg, II. Institut für Theoretische Physik, Hamburg, Germany
- Universität Siegen, Department Physik-Experimentelle Teilchenphysik, Siegen, Germany
- Gran Sasso Science Institute, L'Aquila, Italy
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
- INFN, Sezione di Catania, Catania, Italy
- INFN, Sezione di Lecce, Lecce, Italy
- INFN, Sezione di Milano, Milano, Italy
- INFN, Sezione di Napoli, Napoli, Italy
- INFN, Sezione di Roma "Tor Vergata," Roma, Italy
- INFN, Sezione di Torino, Torino, Italy
- Istituto di Astrofisica Spaziale e Fisica Cosmica di Palermo (INAF), Palermo, Italy
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
- Politecnico di Milano, Dipartimento di Scienze e Tecnologie Aerospaziali, Milano, Italy
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi," Lecce, Italy
- Università dell'Aquila, Dipartimento di Scienze Fisiche e Chimiche, L'Aquila, Italy
- Università di Catania, Dipartimento di Fisica e Astronomia "Ettore Majorana," Catania, Italy
- Università di Milano, Dipartimento di Fisica, Milano, Italy
- Università di Napoli "Federico II," Dipartimento di Fisica "Ettore Pancini," Napoli, Italy
- Università di Palermo, Dipartimento di Fisica e Chimica "E. Segrè," Palermo, Italy
- Università di Roma "Tor Vergata," Dipartimento di Fisica, Roma, Italy
- Università Torino, Dipartimento di Fisica, Torino, Italy
- Benemérita Universidad Autónoma de Puebla, Puebla, México
- Unidad Profesional Interdisciplinaria en Ingeniería y Tecnologías Avanzadas del Instituto Politécnico Nacional (UPIITA-IPN), México, Distrito Federal, México
- Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chiapas, México
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Michoacán, México
- Universidad Nacional Autónoma de México, México, Distrito Federal, México
- Universidad Nacional de San Agustin de Arequipa, Facultad de Ciencias Naturales y Formales, Arequipa, Peru
- Institute of Nuclear Physics PAN, Krakow, Poland
- University of Łódź, Faculty of High-Energy Astrophysics,Łódź, Poland
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Lisboa, Portugal
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
- Institute of Space Science, Bucharest-Magurele, Romania
- Center for Astrophysics and Cosmology (CAC), University of Nova Gorica, Nova Gorica, Slovenia
- Experimental Particle Physics Department, J. Stefan Institute, Ljubljana, Slovenia
- Universidad de Granada and C.A.F.P.E., Granada, Spain
- Instituto Galego de Física de Altas Enerxías (IGFAE), Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Science Park, Amsterdam, The Netherlands
- Stichting Astronomisch Onderzoek in Nederland (ASTRON), Dwingeloo, The Netherlands
- Universiteit van Amsterdam, Faculty of Science, Amsterdam, The Netherlands
- Case Western Reserve University, Cleveland, Ohio, USA
- Colorado School of Mines, Golden, Colorado, USA
- Department of Physics and Astronomy, Lehman College, City University of New York, Bronx, New York, USA
- Michigan Technological University, Houghton, Michigan, USA
- New York University, New York, New York, USA
- University of Chicago, Enrico Fermi Institute, Chicago, Illinois, USA
- University of Delaware, Department of Physics and Astronomy, Bartol Research Institute, Newark, Delaware, USA
- University of Wisconsin-Madison, Department of Physics and WIPAC, Madison, Wisconsin, USA
| | - S Marafico
- CNRS/IN2P3, IJCLab, Université Paris-Saclay, Orsay, France
| | - F M Mariani
- INFN, Sezione di Milano, Milano, Italy
- Università di Milano, Dipartimento di Fisica, Milano, Italy
| | - A G Mariazzi
- IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
| | - I C Mariş
- Université Libre de Bruxelles (ULB), Brussels, Belgium
| | - G Marsella
- INFN, Sezione di Catania, Catania, Italy
- Università di Palermo, Dipartimento di Fisica e Chimica "E. Segrè," Palermo, Italy
| | - D Martello
- INFN, Sezione di Lecce, Lecce, Italy
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi," Lecce, Italy
| | - S Martinelli
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | | | - M A Martins
- Instituto Galego de Física de Altas Enerxías (IGFAE), Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - H-J Mathes
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - J Matthews
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
- Departamento de Física and Departamento de Ciencias de la Atmósfera y los Océanos, FCEyN, Universidad de Buenos Aires and CONICET, Buenos Aires, Argentina
- IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
- Instituto de Astronomía y Física del Espacio (IAFE, CONICET-UBA), Buenos Aires, Argentina
- Instituto de Física de Rosario (IFIR)-CONICET/U.N.R. and Facultad de Ciencias Bioquímicas y Farmacéuticas U.N.R., Rosario, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), and Universidad Tecnológica Nacional-Facultad Regional Mendoza (CONICET/CNEA), Mendoza, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- International Center of Advanced Studies and Instituto de Ciencias Físicas, ECyT-UNSAM and CONICET, Campus Miguelete-San Martín, Buenos Aires, Argentina
- Laboratorio Atmósfera-Departamento de Investigaciones en Láseres y sus Aplicaciones-UNIDEF (CITEDEF-CONICET), Argentina
- Observatorio Pierre Auger, Malargüe, Argentina
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Malargüe, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Buenos Aires, Argentina
- University of Adelaide, Adelaide, South Australia, Australia
- Université Libre de Bruxelles (ULB), Brussels, Belgium
- Vrije Universiteit Brussels, Brussels, Belgium
- Centro Brasileiro de Pesquisas Fisicas, Rio de Janeiro, Rio de Janeiro, Brazil
- Centro Federal de Educação Tecnológica Celso Suckow da Fonseca, Petropolis, Brazil
- Instituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro (IFRJ), Brazil
- Universidade de São Paulo, Escola de Engenharia de Lorena, Lorena, São Paulo, Brazil
- Universidade de São Paulo, Instituto de Física de São Carlos, São Carlos, São Paulo, Brazil
- Universidade de São Paulo, Instituto de Física, São Paulo, São Paulo, Brazil
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
- Universidade Estadual de Feira de Santana, Feira de Santana, Brazil
- Universidade Federal de Campina Grande, Centro de Ciencias e Tecnologia, Campina Grande, Brazil
- Universidade Federal do ABC, Santo André, São Paulo, Brazil
- Universidade Federal do Paraná, Setor Palotina, Palotina, Brazil
- Universidade Federal do Rio de Janeiro, Instituto de Física, Rio de Janeiro, Rio de Janeiro, Brazil
- Universidade Federal do Rio de Janeiro (UFRJ), Observatório do Valongo, Rio de Janeiro, Rio de Janeiro, Brazil
- Universidade Federal Fluminense, EEIMVR, Volta Redonda, Rio de Janeiro, Brazil
- Universidad de Medellín, Medellín, Colombia
- Universidad Industrial de Santander, Bucaramanga, Colombia
- Charles University, Faculty of Mathematics and Physics, Institute of Particle and Nuclear Physics, Prague, Czech Republic
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
- Palacky University, Olomouc, Czech Republic
- CNRS/IN2P3, IJCLab, Université Paris-Saclay, Orsay, France
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Sorbonne Université, Université de Paris, CNRS-IN2P3, Paris, France
- Université Grenoble Alpes, CNRS, Grenoble Institute of Engineering Université Grenoble Alpes, LPSC-IN2P3, 38000 Grenoble, France
- Université Paris-Saclay, CNRS/IN2P3, IJCLab, Orsay, France
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
- Karlsruhe Institute of Technology (KIT), Institute for Experimental Particle Physics, Karlsruhe, Germany
- Karlsruhe Institute of Technology (KIT), Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
- Universität Hamburg, II. Institut für Theoretische Physik, Hamburg, Germany
- Universität Siegen, Department Physik-Experimentelle Teilchenphysik, Siegen, Germany
- Gran Sasso Science Institute, L'Aquila, Italy
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
- INFN, Sezione di Catania, Catania, Italy
- INFN, Sezione di Lecce, Lecce, Italy
- INFN, Sezione di Milano, Milano, Italy
- INFN, Sezione di Napoli, Napoli, Italy
- INFN, Sezione di Roma "Tor Vergata," Roma, Italy
- INFN, Sezione di Torino, Torino, Italy
- Istituto di Astrofisica Spaziale e Fisica Cosmica di Palermo (INAF), Palermo, Italy
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
- Politecnico di Milano, Dipartimento di Scienze e Tecnologie Aerospaziali, Milano, Italy
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi," Lecce, Italy
- Università dell'Aquila, Dipartimento di Scienze Fisiche e Chimiche, L'Aquila, Italy
- Università di Catania, Dipartimento di Fisica e Astronomia "Ettore Majorana," Catania, Italy
- Università di Milano, Dipartimento di Fisica, Milano, Italy
- Università di Napoli "Federico II," Dipartimento di Fisica "Ettore Pancini," Napoli, Italy
- Università di Palermo, Dipartimento di Fisica e Chimica "E. Segrè," Palermo, Italy
- Università di Roma "Tor Vergata," Dipartimento di Fisica, Roma, Italy
- Università Torino, Dipartimento di Fisica, Torino, Italy
- Benemérita Universidad Autónoma de Puebla, Puebla, México
- Unidad Profesional Interdisciplinaria en Ingeniería y Tecnologías Avanzadas del Instituto Politécnico Nacional (UPIITA-IPN), México, Distrito Federal, México
- Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chiapas, México
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Michoacán, México
- Universidad Nacional Autónoma de México, México, Distrito Federal, México
- Universidad Nacional de San Agustin de Arequipa, Facultad de Ciencias Naturales y Formales, Arequipa, Peru
- Institute of Nuclear Physics PAN, Krakow, Poland
- University of Łódź, Faculty of High-Energy Astrophysics,Łódź, Poland
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Lisboa, Portugal
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
- Institute of Space Science, Bucharest-Magurele, Romania
- Center for Astrophysics and Cosmology (CAC), University of Nova Gorica, Nova Gorica, Slovenia
- Experimental Particle Physics Department, J. Stefan Institute, Ljubljana, Slovenia
- Universidad de Granada and C.A.F.P.E., Granada, Spain
- Instituto Galego de Física de Altas Enerxías (IGFAE), Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Science Park, Amsterdam, The Netherlands
- Stichting Astronomisch Onderzoek in Nederland (ASTRON), Dwingeloo, The Netherlands
- Universiteit van Amsterdam, Faculty of Science, Amsterdam, The Netherlands
- Case Western Reserve University, Cleveland, Ohio, USA
- Colorado School of Mines, Golden, Colorado, USA
- Department of Physics and Astronomy, Lehman College, City University of New York, Bronx, New York, USA
- Michigan Technological University, Houghton, Michigan, USA
- New York University, New York, New York, USA
- University of Chicago, Enrico Fermi Institute, Chicago, Illinois, USA
- University of Delaware, Department of Physics and Astronomy, Bartol Research Institute, Newark, Delaware, USA
- University of Wisconsin-Madison, Department of Physics and WIPAC, Madison, Wisconsin, USA
| | - G Matthiae
- INFN, Sezione di Roma "Tor Vergata," Roma, Italy
- Università di Roma "Tor Vergata," Dipartimento di Fisica, Roma, Italy
| | - E Mayotte
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
- Colorado School of Mines, Golden, Colorado, USA
| | - S Mayotte
- Colorado School of Mines, Golden, Colorado, USA
| | - P O Mazur
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
- Departamento de Física and Departamento de Ciencias de la Atmósfera y los Océanos, FCEyN, Universidad de Buenos Aires and CONICET, Buenos Aires, Argentina
- IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
- Instituto de Astronomía y Física del Espacio (IAFE, CONICET-UBA), Buenos Aires, Argentina
- Instituto de Física de Rosario (IFIR)-CONICET/U.N.R. and Facultad de Ciencias Bioquímicas y Farmacéuticas U.N.R., Rosario, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), and Universidad Tecnológica Nacional-Facultad Regional Mendoza (CONICET/CNEA), Mendoza, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- International Center of Advanced Studies and Instituto de Ciencias Físicas, ECyT-UNSAM and CONICET, Campus Miguelete-San Martín, Buenos Aires, Argentina
- Laboratorio Atmósfera-Departamento de Investigaciones en Láseres y sus Aplicaciones-UNIDEF (CITEDEF-CONICET), Argentina
- Observatorio Pierre Auger, Malargüe, Argentina
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Malargüe, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Buenos Aires, Argentina
- University of Adelaide, Adelaide, South Australia, Australia
- Université Libre de Bruxelles (ULB), Brussels, Belgium
- Vrije Universiteit Brussels, Brussels, Belgium
- Centro Brasileiro de Pesquisas Fisicas, Rio de Janeiro, Rio de Janeiro, Brazil
- Centro Federal de Educação Tecnológica Celso Suckow da Fonseca, Petropolis, Brazil
- Instituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro (IFRJ), Brazil
- Universidade de São Paulo, Escola de Engenharia de Lorena, Lorena, São Paulo, Brazil
- Universidade de São Paulo, Instituto de Física de São Carlos, São Carlos, São Paulo, Brazil
- Universidade de São Paulo, Instituto de Física, São Paulo, São Paulo, Brazil
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
- Universidade Estadual de Feira de Santana, Feira de Santana, Brazil
- Universidade Federal de Campina Grande, Centro de Ciencias e Tecnologia, Campina Grande, Brazil
- Universidade Federal do ABC, Santo André, São Paulo, Brazil
- Universidade Federal do Paraná, Setor Palotina, Palotina, Brazil
- Universidade Federal do Rio de Janeiro, Instituto de Física, Rio de Janeiro, Rio de Janeiro, Brazil
- Universidade Federal do Rio de Janeiro (UFRJ), Observatório do Valongo, Rio de Janeiro, Rio de Janeiro, Brazil
- Universidade Federal Fluminense, EEIMVR, Volta Redonda, Rio de Janeiro, Brazil
- Universidad de Medellín, Medellín, Colombia
- Universidad Industrial de Santander, Bucaramanga, Colombia
- Charles University, Faculty of Mathematics and Physics, Institute of Particle and Nuclear Physics, Prague, Czech Republic
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
- Palacky University, Olomouc, Czech Republic
- CNRS/IN2P3, IJCLab, Université Paris-Saclay, Orsay, France
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Sorbonne Université, Université de Paris, CNRS-IN2P3, Paris, France
- Université Grenoble Alpes, CNRS, Grenoble Institute of Engineering Université Grenoble Alpes, LPSC-IN2P3, 38000 Grenoble, France
- Université Paris-Saclay, CNRS/IN2P3, IJCLab, Orsay, France
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
- Karlsruhe Institute of Technology (KIT), Institute for Experimental Particle Physics, Karlsruhe, Germany
- Karlsruhe Institute of Technology (KIT), Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
- Universität Hamburg, II. Institut für Theoretische Physik, Hamburg, Germany
- Universität Siegen, Department Physik-Experimentelle Teilchenphysik, Siegen, Germany
- Gran Sasso Science Institute, L'Aquila, Italy
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
- INFN, Sezione di Catania, Catania, Italy
- INFN, Sezione di Lecce, Lecce, Italy
- INFN, Sezione di Milano, Milano, Italy
- INFN, Sezione di Napoli, Napoli, Italy
- INFN, Sezione di Roma "Tor Vergata," Roma, Italy
- INFN, Sezione di Torino, Torino, Italy
- Istituto di Astrofisica Spaziale e Fisica Cosmica di Palermo (INAF), Palermo, Italy
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
- Politecnico di Milano, Dipartimento di Scienze e Tecnologie Aerospaziali, Milano, Italy
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi," Lecce, Italy
- Università dell'Aquila, Dipartimento di Scienze Fisiche e Chimiche, L'Aquila, Italy
- Università di Catania, Dipartimento di Fisica e Astronomia "Ettore Majorana," Catania, Italy
- Università di Milano, Dipartimento di Fisica, Milano, Italy
- Università di Napoli "Federico II," Dipartimento di Fisica "Ettore Pancini," Napoli, Italy
- Università di Palermo, Dipartimento di Fisica e Chimica "E. Segrè," Palermo, Italy
- Università di Roma "Tor Vergata," Dipartimento di Fisica, Roma, Italy
- Università Torino, Dipartimento di Fisica, Torino, Italy
- Benemérita Universidad Autónoma de Puebla, Puebla, México
- Unidad Profesional Interdisciplinaria en Ingeniería y Tecnologías Avanzadas del Instituto Politécnico Nacional (UPIITA-IPN), México, Distrito Federal, México
- Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chiapas, México
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Michoacán, México
- Universidad Nacional Autónoma de México, México, Distrito Federal, México
- Universidad Nacional de San Agustin de Arequipa, Facultad de Ciencias Naturales y Formales, Arequipa, Peru
- Institute of Nuclear Physics PAN, Krakow, Poland
- University of Łódź, Faculty of High-Energy Astrophysics,Łódź, Poland
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Lisboa, Portugal
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
- Institute of Space Science, Bucharest-Magurele, Romania
- Center for Astrophysics and Cosmology (CAC), University of Nova Gorica, Nova Gorica, Slovenia
- Experimental Particle Physics Department, J. Stefan Institute, Ljubljana, Slovenia
- Universidad de Granada and C.A.F.P.E., Granada, Spain
- Instituto Galego de Física de Altas Enerxías (IGFAE), Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Science Park, Amsterdam, The Netherlands
- Stichting Astronomisch Onderzoek in Nederland (ASTRON), Dwingeloo, The Netherlands
- Universiteit van Amsterdam, Faculty of Science, Amsterdam, The Netherlands
- Case Western Reserve University, Cleveland, Ohio, USA
- Colorado School of Mines, Golden, Colorado, USA
- Department of Physics and Astronomy, Lehman College, City University of New York, Bronx, New York, USA
- Michigan Technological University, Houghton, Michigan, USA
- New York University, New York, New York, USA
- University of Chicago, Enrico Fermi Institute, Chicago, Illinois, USA
- University of Delaware, Department of Physics and Astronomy, Bartol Research Institute, Newark, Delaware, USA
- University of Wisconsin-Madison, Department of Physics and WIPAC, Madison, Wisconsin, USA
| | - G Medina-Tanco
- Universidad Nacional Autónoma de México, México, Distrito Federal, México
| | - J Meinert
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
| | - D Melo
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - A Menshikov
- Karlsruhe Institute of Technology (KIT), Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
| | - C Merx
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - S Michal
- Palacky University, Olomouc, Czech Republic
| | - M I Micheletti
- Instituto de Física de Rosario (IFIR)-CONICET/U.N.R. and Facultad de Ciencias Bioquímicas y Farmacéuticas U.N.R., Rosario, Argentina
| | - L Miramonti
- INFN, Sezione di Milano, Milano, Italy
- Università di Milano, Dipartimento di Fisica, Milano, Italy
| | - S Mollerach
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - F Montanet
- Université Grenoble Alpes, CNRS, Grenoble Institute of Engineering Université Grenoble Alpes, LPSC-IN2P3, 38000 Grenoble, France
| | - L Morejon
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
| | - C Morello
- INFN, Sezione di Torino, Torino, Italy
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
| | - K Mulrey
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Science Park, Amsterdam, The Netherlands
| | - R Mussa
- INFN, Sezione di Torino, Torino, Italy
| | - W M Namasaka
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
| | - S Negi
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - L Nellen
- Universidad Nacional Autónoma de México, México, Distrito Federal, México
| | - K Nguyen
- Michigan Technological University, Houghton, Michigan, USA
| | - G Nicora
- Laboratorio Atmósfera-Departamento de Investigaciones en Láseres y sus Aplicaciones-UNIDEF (CITEDEF-CONICET), Argentina
| | - M Niechciol
- Universität Siegen, Department Physik-Experimentelle Teilchenphysik, Siegen, Germany
| | - D Nitz
- Michigan Technological University, Houghton, Michigan, USA
| | - D Nosek
- Charles University, Faculty of Mathematics and Physics, Institute of Particle and Nuclear Physics, Prague, Czech Republic
| | - V Novotny
- Charles University, Faculty of Mathematics and Physics, Institute of Particle and Nuclear Physics, Prague, Czech Republic
| | - L Nožka
- Palacky University, Olomouc, Czech Republic
| | - A Nucita
- INFN, Sezione di Lecce, Lecce, Italy
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi," Lecce, Italy
| | - L A Núñez
- Universidad Industrial de Santander, Bucaramanga, Colombia
| | - C Oliveira
- Universidade de São Paulo, Instituto de Física de São Carlos, São Carlos, São Paulo, Brazil
| | - M Palatka
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - J Pallotta
- Laboratorio Atmósfera-Departamento de Investigaciones en Láseres y sus Aplicaciones-UNIDEF (CITEDEF-CONICET), Argentina
| | - S Panja
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - G Parente
- Instituto Galego de Física de Altas Enerxías (IGFAE), Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - T Paulsen
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
| | - J Pawlowsky
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
| | - M Pech
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - J Pękala
- Institute of Nuclear Physics PAN, Krakow, Poland
| | - R Pelayo
- Unidad Profesional Interdisciplinaria en Ingeniería y Tecnologías Avanzadas del Instituto Politécnico Nacional (UPIITA-IPN), México, Distrito Federal, México
| | - L A S Pereira
- Universidade Federal de Campina Grande, Centro de Ciencias e Tecnologia, Campina Grande, Brazil
| | - E E Pereira Martins
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- Karlsruhe Institute of Technology (KIT), Institute for Experimental Particle Physics, Karlsruhe, Germany
| | - J Perez Armand
- Universidade de São Paulo, Instituto de Física, São Paulo, São Paulo, Brazil
| | - C Pérez Bertolli
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - L Perrone
- INFN, Sezione di Lecce, Lecce, Italy
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi," Lecce, Italy
| | - S Petrera
- Gran Sasso Science Institute, L'Aquila, Italy
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
| | - C Petrucci
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
- Università dell'Aquila, Dipartimento di Scienze Fisiche e Chimiche, L'Aquila, Italy
| | - T Pierog
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - M Pimenta
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Lisboa, Portugal
| | - M Platino
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - B Pont
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
| | - M Pothast
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Science Park, Amsterdam, The Netherlands
| | - M Pourmohammad Shahvar
- INFN, Sezione di Catania, Catania, Italy
- Università di Palermo, Dipartimento di Fisica e Chimica "E. Segrè," Palermo, Italy
| | - P Privitera
- University of Chicago, Enrico Fermi Institute, Chicago, Illinois, USA
| | - M Prouza
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - A Puyleart
- Michigan Technological University, Houghton, Michigan, USA
| | - S Querchfeld
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
| | - J Rautenberg
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
| | - D Ravignani
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | | | - M Reininghaus
- Karlsruhe Institute of Technology (KIT), Institute for Experimental Particle Physics, Karlsruhe, Germany
| | - J Ridky
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - F Riehn
- Instituto Galego de Física de Altas Enerxías (IGFAE), Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - M Risse
- Universität Siegen, Department Physik-Experimentelle Teilchenphysik, Siegen, Germany
| | - V Rizi
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
- Università dell'Aquila, Dipartimento di Scienze Fisiche e Chimiche, L'Aquila, Italy
| | | | - E Rodriguez
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - J Rodriguez Rojo
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Malargüe, Argentina
| | - M J Roncoroni
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - S Rossoni
- Universität Hamburg, II. Institut für Theoretische Physik, Hamburg, Germany
| | - M Roth
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - E Roulet
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
| | - A C Rovero
- Instituto de Astronomía y Física del Espacio (IAFE, CONICET-UBA), Buenos Aires, Argentina
| | - P Ruehl
- Universität Siegen, Department Physik-Experimentelle Teilchenphysik, Siegen, Germany
| | - A Saftoiu
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
| | - M Saharan
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
| | - F Salamida
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
- Università dell'Aquila, Dipartimento di Scienze Fisiche e Chimiche, L'Aquila, Italy
| | - H Salazar
- Benemérita Universidad Autónoma de Puebla, Puebla, México
| | - G Salina
- INFN, Sezione di Roma "Tor Vergata," Roma, Italy
| | | | - F Sánchez
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - E M Santos
- Universidade de São Paulo, Instituto de Física, São Paulo, São Paulo, Brazil
| | - E Santos
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - F Sarazin
- Colorado School of Mines, Golden, Colorado, USA
| | - R Sarmento
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Lisboa, Portugal
| | - R Sato
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Malargüe, Argentina
| | - P Savina
- University of Wisconsin-Madison, Department of Physics and WIPAC, Madison, Wisconsin, USA
| | - C M Schäfer
- Karlsruhe Institute of Technology (KIT), Institute for Experimental Particle Physics, Karlsruhe, Germany
| | - V Scherini
- INFN, Sezione di Lecce, Lecce, Italy
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi," Lecce, Italy
| | - H Schieler
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - M Schimassek
- CNRS/IN2P3, IJCLab, Université Paris-Saclay, Orsay, France
| | - M Schimp
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
| | - D Schmidt
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - O Scholten
- Vrije Universiteit Brussels, Brussels, Belgium
| | - H Schoorlemmer
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Science Park, Amsterdam, The Netherlands
| | - P Schovánek
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - F G Schröder
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
- University of Delaware, Department of Physics and Astronomy, Bartol Research Institute, Newark, Delaware, USA
| | - J Schulte
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - T Schulz
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - S J Sciutto
- IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
| | - M Scornavacche
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - A Segreto
- INFN, Sezione di Catania, Catania, Italy
- Istituto di Astrofisica Spaziale e Fisica Cosmica di Palermo (INAF), Palermo, Italy
| | - S Sehgal
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
| | - S U Shivashankara
- Center for Astrophysics and Cosmology (CAC), University of Nova Gorica, Nova Gorica, Slovenia
| | - G Sigl
- Universität Hamburg, II. Institut für Theoretische Physik, Hamburg, Germany
| | - G Silli
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - O Sima
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
| | - K Simkova
- Vrije Universiteit Brussels, Brussels, Belgium
| | - F Simon
- Karlsruhe Institute of Technology (KIT), Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
| | - R Smau
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
| | - R Šmída
- University of Chicago, Enrico Fermi Institute, Chicago, Illinois, USA
| | - P Sommers
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
- Departamento de Física and Departamento de Ciencias de la Atmósfera y los Océanos, FCEyN, Universidad de Buenos Aires and CONICET, Buenos Aires, Argentina
- IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
- Instituto de Astronomía y Física del Espacio (IAFE, CONICET-UBA), Buenos Aires, Argentina
- Instituto de Física de Rosario (IFIR)-CONICET/U.N.R. and Facultad de Ciencias Bioquímicas y Farmacéuticas U.N.R., Rosario, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), and Universidad Tecnológica Nacional-Facultad Regional Mendoza (CONICET/CNEA), Mendoza, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- International Center of Advanced Studies and Instituto de Ciencias Físicas, ECyT-UNSAM and CONICET, Campus Miguelete-San Martín, Buenos Aires, Argentina
- Laboratorio Atmósfera-Departamento de Investigaciones en Láseres y sus Aplicaciones-UNIDEF (CITEDEF-CONICET), Argentina
- Observatorio Pierre Auger, Malargüe, Argentina
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Malargüe, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Buenos Aires, Argentina
- University of Adelaide, Adelaide, South Australia, Australia
- Université Libre de Bruxelles (ULB), Brussels, Belgium
- Vrije Universiteit Brussels, Brussels, Belgium
- Centro Brasileiro de Pesquisas Fisicas, Rio de Janeiro, Rio de Janeiro, Brazil
- Centro Federal de Educação Tecnológica Celso Suckow da Fonseca, Petropolis, Brazil
- Instituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro (IFRJ), Brazil
- Universidade de São Paulo, Escola de Engenharia de Lorena, Lorena, São Paulo, Brazil
- Universidade de São Paulo, Instituto de Física de São Carlos, São Carlos, São Paulo, Brazil
- Universidade de São Paulo, Instituto de Física, São Paulo, São Paulo, Brazil
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
- Universidade Estadual de Feira de Santana, Feira de Santana, Brazil
- Universidade Federal de Campina Grande, Centro de Ciencias e Tecnologia, Campina Grande, Brazil
- Universidade Federal do ABC, Santo André, São Paulo, Brazil
- Universidade Federal do Paraná, Setor Palotina, Palotina, Brazil
- Universidade Federal do Rio de Janeiro, Instituto de Física, Rio de Janeiro, Rio de Janeiro, Brazil
- Universidade Federal do Rio de Janeiro (UFRJ), Observatório do Valongo, Rio de Janeiro, Rio de Janeiro, Brazil
- Universidade Federal Fluminense, EEIMVR, Volta Redonda, Rio de Janeiro, Brazil
- Universidad de Medellín, Medellín, Colombia
- Universidad Industrial de Santander, Bucaramanga, Colombia
- Charles University, Faculty of Mathematics and Physics, Institute of Particle and Nuclear Physics, Prague, Czech Republic
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
- Palacky University, Olomouc, Czech Republic
- CNRS/IN2P3, IJCLab, Université Paris-Saclay, Orsay, France
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Sorbonne Université, Université de Paris, CNRS-IN2P3, Paris, France
- Université Grenoble Alpes, CNRS, Grenoble Institute of Engineering Université Grenoble Alpes, LPSC-IN2P3, 38000 Grenoble, France
- Université Paris-Saclay, CNRS/IN2P3, IJCLab, Orsay, France
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
- Karlsruhe Institute of Technology (KIT), Institute for Experimental Particle Physics, Karlsruhe, Germany
- Karlsruhe Institute of Technology (KIT), Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
- Universität Hamburg, II. Institut für Theoretische Physik, Hamburg, Germany
- Universität Siegen, Department Physik-Experimentelle Teilchenphysik, Siegen, Germany
- Gran Sasso Science Institute, L'Aquila, Italy
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
- INFN, Sezione di Catania, Catania, Italy
- INFN, Sezione di Lecce, Lecce, Italy
- INFN, Sezione di Milano, Milano, Italy
- INFN, Sezione di Napoli, Napoli, Italy
- INFN, Sezione di Roma "Tor Vergata," Roma, Italy
- INFN, Sezione di Torino, Torino, Italy
- Istituto di Astrofisica Spaziale e Fisica Cosmica di Palermo (INAF), Palermo, Italy
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
- Politecnico di Milano, Dipartimento di Scienze e Tecnologie Aerospaziali, Milano, Italy
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi," Lecce, Italy
- Università dell'Aquila, Dipartimento di Scienze Fisiche e Chimiche, L'Aquila, Italy
- Università di Catania, Dipartimento di Fisica e Astronomia "Ettore Majorana," Catania, Italy
- Università di Milano, Dipartimento di Fisica, Milano, Italy
- Università di Napoli "Federico II," Dipartimento di Fisica "Ettore Pancini," Napoli, Italy
- Università di Palermo, Dipartimento di Fisica e Chimica "E. Segrè," Palermo, Italy
- Università di Roma "Tor Vergata," Dipartimento di Fisica, Roma, Italy
- Università Torino, Dipartimento di Fisica, Torino, Italy
- Benemérita Universidad Autónoma de Puebla, Puebla, México
- Unidad Profesional Interdisciplinaria en Ingeniería y Tecnologías Avanzadas del Instituto Politécnico Nacional (UPIITA-IPN), México, Distrito Federal, México
- Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chiapas, México
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Michoacán, México
- Universidad Nacional Autónoma de México, México, Distrito Federal, México
- Universidad Nacional de San Agustin de Arequipa, Facultad de Ciencias Naturales y Formales, Arequipa, Peru
- Institute of Nuclear Physics PAN, Krakow, Poland
- University of Łódź, Faculty of High-Energy Astrophysics,Łódź, Poland
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Lisboa, Portugal
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
- Institute of Space Science, Bucharest-Magurele, Romania
- Center for Astrophysics and Cosmology (CAC), University of Nova Gorica, Nova Gorica, Slovenia
- Experimental Particle Physics Department, J. Stefan Institute, Ljubljana, Slovenia
- Universidad de Granada and C.A.F.P.E., Granada, Spain
- Instituto Galego de Física de Altas Enerxías (IGFAE), Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Science Park, Amsterdam, The Netherlands
- Stichting Astronomisch Onderzoek in Nederland (ASTRON), Dwingeloo, The Netherlands
- Universiteit van Amsterdam, Faculty of Science, Amsterdam, The Netherlands
- Case Western Reserve University, Cleveland, Ohio, USA
- Colorado School of Mines, Golden, Colorado, USA
- Department of Physics and Astronomy, Lehman College, City University of New York, Bronx, New York, USA
- Michigan Technological University, Houghton, Michigan, USA
- New York University, New York, New York, USA
- University of Chicago, Enrico Fermi Institute, Chicago, Illinois, USA
- University of Delaware, Department of Physics and Astronomy, Bartol Research Institute, Newark, Delaware, USA
- University of Wisconsin-Madison, Department of Physics and WIPAC, Madison, Wisconsin, USA
| | - J F Soriano
- Department of Physics and Astronomy, Lehman College, City University of New York, Bronx, New York, USA
| | - R Squartini
- Observatorio Pierre Auger, Malargüe, Argentina
| | - M Stadelmaier
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
- INFN, Sezione di Milano, Milano, Italy
- Università di Milano, Dipartimento di Fisica, Milano, Italy
| | - S Stanič
- Center for Astrophysics and Cosmology (CAC), University of Nova Gorica, Nova Gorica, Slovenia
| | - J Stasielak
- Institute of Nuclear Physics PAN, Krakow, Poland
| | - P Stassi
- Université Grenoble Alpes, CNRS, Grenoble Institute of Engineering Université Grenoble Alpes, LPSC-IN2P3, 38000 Grenoble, France
| | - S Strähnz
- Karlsruhe Institute of Technology (KIT), Institute for Experimental Particle Physics, Karlsruhe, Germany
| | - M Straub
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
| | - T Suomijärvi
- Université Paris-Saclay, CNRS/IN2P3, IJCLab, Orsay, France
| | - A D Supanitsky
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - Z Svozilikova
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - Z Szadkowski
- University of Łódź, Faculty of High-Energy Astrophysics,Łódź, Poland
| | - F Tairli
- University of Adelaide, Adelaide, South Australia, Australia
| | - A Tapia
- Universidad de Medellín, Medellín, Colombia
| | - C Taricco
- INFN, Sezione di Torino, Torino, Italy
- Università Torino, Dipartimento di Fisica, Torino, Italy
| | - C Timmermans
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Science Park, Amsterdam, The Netherlands
| | - O Tkachenko
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - P Tobiska
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - C J Todero Peixoto
- Universidade de São Paulo, Escola de Engenharia de Lorena, Lorena, São Paulo, Brazil
| | - B Tomé
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Lisboa, Portugal
| | - Z Torrès
- Université Grenoble Alpes, CNRS, Grenoble Institute of Engineering Université Grenoble Alpes, LPSC-IN2P3, 38000 Grenoble, France
| | - A Travaini
- Observatorio Pierre Auger, Malargüe, Argentina
| | - P Travnicek
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - C Trimarelli
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
- Università dell'Aquila, Dipartimento di Scienze Fisiche e Chimiche, L'Aquila, Italy
| | - M Tueros
- IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
| | - M Unger
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - L Vaclavek
- Palacky University, Olomouc, Czech Republic
| | - M Vacula
- Palacky University, Olomouc, Czech Republic
| | - J F Valdés Galicia
- Universidad Nacional Autónoma de México, México, Distrito Federal, México
| | - L Valore
- INFN, Sezione di Napoli, Napoli, Italy
- Università di Napoli "Federico II," Dipartimento di Fisica "Ettore Pancini," Napoli, Italy
| | - E Varela
- Benemérita Universidad Autónoma de Puebla, Puebla, México
| | | | - D Veberič
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - C Ventura
- Universidade Federal do Rio de Janeiro (UFRJ), Observatório do Valongo, Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - V Verzi
- INFN, Sezione di Roma "Tor Vergata," Roma, Italy
| | - J Vicha
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - J Vink
- Universiteit van Amsterdam, Faculty of Science, Amsterdam, The Netherlands
| | - S Vorobiov
- Center for Astrophysics and Cosmology (CAC), University of Nova Gorica, Nova Gorica, Slovenia
| | - C Watanabe
- Universidade Federal do Rio de Janeiro, Instituto de Física, Rio de Janeiro, Rio de Janeiro, Brazil
| | - A A Watson
- Centro Atómico Bariloche and Instituto Balseiro (CNEA-UNCuyo-CONICET), San Carlos de Bariloche, Argentina
- Departamento de Física and Departamento de Ciencias de la Atmósfera y los Océanos, FCEyN, Universidad de Buenos Aires and CONICET, Buenos Aires, Argentina
- IFLP, Universidad Nacional de La Plata and CONICET, La Plata, Argentina
- Instituto de Astronomía y Física del Espacio (IAFE, CONICET-UBA), Buenos Aires, Argentina
- Instituto de Física de Rosario (IFIR)-CONICET/U.N.R. and Facultad de Ciencias Bioquímicas y Farmacéuticas U.N.R., Rosario, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), and Universidad Tecnológica Nacional-Facultad Regional Mendoza (CONICET/CNEA), Mendoza, Argentina
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
- International Center of Advanced Studies and Instituto de Ciencias Físicas, ECyT-UNSAM and CONICET, Campus Miguelete-San Martín, Buenos Aires, Argentina
- Laboratorio Atmósfera-Departamento de Investigaciones en Láseres y sus Aplicaciones-UNIDEF (CITEDEF-CONICET), Argentina
- Observatorio Pierre Auger, Malargüe, Argentina
- Observatorio Pierre Auger and Comisión Nacional de Energía Atómica, Malargüe, Argentina
- Universidad Tecnológica Nacional-Facultad Regional Buenos Aires, Buenos Aires, Argentina
- University of Adelaide, Adelaide, South Australia, Australia
- Université Libre de Bruxelles (ULB), Brussels, Belgium
- Vrije Universiteit Brussels, Brussels, Belgium
- Centro Brasileiro de Pesquisas Fisicas, Rio de Janeiro, Rio de Janeiro, Brazil
- Centro Federal de Educação Tecnológica Celso Suckow da Fonseca, Petropolis, Brazil
- Instituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro (IFRJ), Brazil
- Universidade de São Paulo, Escola de Engenharia de Lorena, Lorena, São Paulo, Brazil
- Universidade de São Paulo, Instituto de Física de São Carlos, São Carlos, São Paulo, Brazil
- Universidade de São Paulo, Instituto de Física, São Paulo, São Paulo, Brazil
- Universidade Estadual de Campinas, IFGW, Campinas, São Paulo, Brazil
- Universidade Estadual de Feira de Santana, Feira de Santana, Brazil
- Universidade Federal de Campina Grande, Centro de Ciencias e Tecnologia, Campina Grande, Brazil
- Universidade Federal do ABC, Santo André, São Paulo, Brazil
- Universidade Federal do Paraná, Setor Palotina, Palotina, Brazil
- Universidade Federal do Rio de Janeiro, Instituto de Física, Rio de Janeiro, Rio de Janeiro, Brazil
- Universidade Federal do Rio de Janeiro (UFRJ), Observatório do Valongo, Rio de Janeiro, Rio de Janeiro, Brazil
- Universidade Federal Fluminense, EEIMVR, Volta Redonda, Rio de Janeiro, Brazil
- Universidad de Medellín, Medellín, Colombia
- Universidad Industrial de Santander, Bucaramanga, Colombia
- Charles University, Faculty of Mathematics and Physics, Institute of Particle and Nuclear Physics, Prague, Czech Republic
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
- Palacky University, Olomouc, Czech Republic
- CNRS/IN2P3, IJCLab, Université Paris-Saclay, Orsay, France
- Laboratoire de Physique Nucléaire et de Hautes Energies (LPNHE), Sorbonne Université, Université de Paris, CNRS-IN2P3, Paris, France
- Université Grenoble Alpes, CNRS, Grenoble Institute of Engineering Université Grenoble Alpes, LPSC-IN2P3, 38000 Grenoble, France
- Université Paris-Saclay, CNRS/IN2P3, IJCLab, Orsay, France
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
- Karlsruhe Institute of Technology (KIT), Institute for Experimental Particle Physics, Karlsruhe, Germany
- Karlsruhe Institute of Technology (KIT), Institut für Prozessdatenverarbeitung und Elektronik, Karlsruhe, Germany
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
- RWTH Aachen University, III. Physikalisches Institut A, Aachen, Germany
- Universität Hamburg, II. Institut für Theoretische Physik, Hamburg, Germany
- Universität Siegen, Department Physik-Experimentelle Teilchenphysik, Siegen, Germany
- Gran Sasso Science Institute, L'Aquila, Italy
- INFN Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
- INFN, Sezione di Catania, Catania, Italy
- INFN, Sezione di Lecce, Lecce, Italy
- INFN, Sezione di Milano, Milano, Italy
- INFN, Sezione di Napoli, Napoli, Italy
- INFN, Sezione di Roma "Tor Vergata," Roma, Italy
- INFN, Sezione di Torino, Torino, Italy
- Istituto di Astrofisica Spaziale e Fisica Cosmica di Palermo (INAF), Palermo, Italy
- Osservatorio Astrofisico di Torino (INAF), Torino, Italy
- Politecnico di Milano, Dipartimento di Scienze e Tecnologie Aerospaziali, Milano, Italy
- Università del Salento, Dipartimento di Matematica e Fisica "E. De Giorgi," Lecce, Italy
- Università dell'Aquila, Dipartimento di Scienze Fisiche e Chimiche, L'Aquila, Italy
- Università di Catania, Dipartimento di Fisica e Astronomia "Ettore Majorana," Catania, Italy
- Università di Milano, Dipartimento di Fisica, Milano, Italy
- Università di Napoli "Federico II," Dipartimento di Fisica "Ettore Pancini," Napoli, Italy
- Università di Palermo, Dipartimento di Fisica e Chimica "E. Segrè," Palermo, Italy
- Università di Roma "Tor Vergata," Dipartimento di Fisica, Roma, Italy
- Università Torino, Dipartimento di Fisica, Torino, Italy
- Benemérita Universidad Autónoma de Puebla, Puebla, México
- Unidad Profesional Interdisciplinaria en Ingeniería y Tecnologías Avanzadas del Instituto Politécnico Nacional (UPIITA-IPN), México, Distrito Federal, México
- Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chiapas, México
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Michoacán, México
- Universidad Nacional Autónoma de México, México, Distrito Federal, México
- Universidad Nacional de San Agustin de Arequipa, Facultad de Ciencias Naturales y Formales, Arequipa, Peru
- Institute of Nuclear Physics PAN, Krakow, Poland
- University of Łódź, Faculty of High-Energy Astrophysics,Łódź, Poland
- Laboratório de Instrumentação e Física Experimental de Partículas-LIP and Instituto Superior Técnico-IST, Universidade de Lisboa-UL, Lisboa, Portugal
- "Horia Hulubei" National Institute for Physics and Nuclear Engineering, Bucharest-Magurele, Romania
- Institute of Space Science, Bucharest-Magurele, Romania
- Center for Astrophysics and Cosmology (CAC), University of Nova Gorica, Nova Gorica, Slovenia
- Experimental Particle Physics Department, J. Stefan Institute, Ljubljana, Slovenia
- Universidad de Granada and C.A.F.P.E., Granada, Spain
- Instituto Galego de Física de Altas Enerxías (IGFAE), Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- IMAPP, Radboud University Nijmegen, Nijmegen, The Netherlands
- Nationaal Instituut voor Kernfysica en Hoge Energie Fysica (NIKHEF), Science Park, Amsterdam, The Netherlands
- Stichting Astronomisch Onderzoek in Nederland (ASTRON), Dwingeloo, The Netherlands
- Universiteit van Amsterdam, Faculty of Science, Amsterdam, The Netherlands
- Case Western Reserve University, Cleveland, Ohio, USA
- Colorado School of Mines, Golden, Colorado, USA
- Department of Physics and Astronomy, Lehman College, City University of New York, Bronx, New York, USA
- Michigan Technological University, Houghton, Michigan, USA
- New York University, New York, New York, USA
- University of Chicago, Enrico Fermi Institute, Chicago, Illinois, USA
- University of Delaware, Department of Physics and Astronomy, Bartol Research Institute, Newark, Delaware, USA
- University of Wisconsin-Madison, Department of Physics and WIPAC, Madison, Wisconsin, USA
| | - A Weindl
- Karlsruhe Institute of Technology (KIT), Institute for Astroparticle Physics, Karlsruhe, Germany
| | - L Wiencke
- Colorado School of Mines, Golden, Colorado, USA
| | - H Wilczyński
- Institute of Nuclear Physics PAN, Krakow, Poland
| | - D Wittkowski
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
| | - B Wundheiler
- Instituto de Tecnologías en Detección y Astropartículas (CNEA, CONICET, UNSAM), Buenos Aires, Argentina
| | - B Yue
- Bergische Universität Wuppertal, Department of Physics, Wuppertal, Germany
| | - A Yushkov
- Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
| | - O Zapparrata
- Université Libre de Bruxelles (ULB), Brussels, Belgium
| | - E Zas
- Instituto Galego de Física de Altas Enerxías (IGFAE), Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - D Zavrtanik
- Center for Astrophysics and Cosmology (CAC), University of Nova Gorica, Nova Gorica, Slovenia
- Experimental Particle Physics Department, J. Stefan Institute, Ljubljana, Slovenia
| | - M Zavrtanik
- Center for Astrophysics and Cosmology (CAC), University of Nova Gorica, Nova Gorica, Slovenia
- Experimental Particle Physics Department, J. Stefan Institute, Ljubljana, Slovenia
| |
Collapse
|
6
|
Xu W, Liu G, Varghese C, Wells C, Smith N, Windsor J, Gaborit L, Goh S, Basam A, Elhadi M, Soh RT, Saeed U, Abdulwahed E, Farrell M, Wright D, Martin J, Pockney P, Xu W, Basam A, Goh S, Li J, Shah J, Waraich A, Gaborit L, Pathak U, Hilder A, Elhadi M, Jabur A, Kalyanasundaram K, Ohis C, Ong CF, Park M, Siribaddana V, Raubenheimer K, Vu J, Wells C, Liu G, Ferguson L, Xu W, Varghese C, Pockney P, Atherton K, Dawson A, Martin J, Banerjee A, Dudi-Venkata N, Lightfoot N, Ludbrook I, Peters L, Sara R, Watson D, Wright D, Adeyeye A, Alvarez-Lozada LA, Atici SD, Buhavac M, Calini G, Elhadi M, Ioannidis O, Tepe MD, Nath U, Uzair A, Yang W, Zaidi F, Singh S, Abdullah B, Palacios DSG, Ragab A, Ahmed A, Raubenheimer K, Daudu D, Goh S, Benyani SV, Karthikeyan N, Mansour LT, Seow W, Tasi Z, Jabur A, Pathak U, Park M, Abdelmelek DE, Boussahel IFZ, Kaabache O, Lemdaoui N, Nebbar O, Rais M, Abdoun M, Kouicem AT, Bouaoud S, Bouchenak K, Saada H, Ouyahia A, Messai W, Choong ZS, Ting C, Larkin M, Fong PJ, Soh I, Grandi AD, Iftikhar H, Sinha A, Kapoor D, Chlebicka T, Singer D, Goddard K, Matthews L, Lin R, Chambers J, Chan J, Macnab B, Barker J, Mckenzie M, Ferguson N, Juwaheer G, Muralidharan V, Gill S, Sung N, Patel R, Walters C, Nguyen K, Liu D, Cabalag C, Lee J, Leow SHA, Ng SL, Ashraf H, Mulder F, Loo J, Proud D, Wong S, Zhou Y, Soh QR, Chye D, Stevens S, Tang P, Kritharides S, Dong J, Morice O, Huang D, Hardidge A, Amarasekara M, Kink A, Bolton D, Rawal A, Singh J, Heard M, Hassan Y, Naqeeb A, Cobden A, Prinsloo D, Quadros D, Gunn E, Kim HJ, Ekwebelam J, Shanahan J, Alkazali M, Hoosenally M, Nara N, Nguyen P, Barker S, Hilder A, Hui A, Karmakar A, Wang B, Goonawardena J, Cheung KT, Chan N, Natarajan R, Cade R, Jin R, Sengupta S, Snider R, Morisetty H, Weeda L, Sun P, Chilaka L, Cover J, Gunasekara ADSA, Senthilrajan R, Alwahaib A, Limmer A, Zamanbandhon B, Jaffry K, Shen Y, Chua A, Syed S, Saha S, Glynatsis J, Aitchison L, Lagana B, Crossman M, Watson D, Dawson A, Fong B, Harrison E, Horsburgh E, Glynatsis J, Khoo M, Mishra K, Hewton L, Mesecke A, Tu H, Tun T, Wong J, Ong E, Law TN, Landy A, Leano A, Li A, Soni A, Dowdle B, Pilgrim C, Abeysirigunawardana D, Jeyarajan DR, Patel D, Mckinnon K, Gould M, Gilmore P, Geng R, Loughnan R, Norton-Smith S, Nyame S, Tan S, Yoon SW, Wang Y, Zhang Y, Wang Z, Mare H, Withanage I, Khattar M, Toft A, Sivasuthan G, Zhao H, Addley J, O'brien L, Raza M, Bindra R, Sharma S, Cornwell C, Patil A, Cheung A, Lown A, Dawson A, Blassey A, Ochigbo B, Cheng F, Fatima A, Zhang E, Kocatekin H, Roth C, Brewster D, Kwok K, Chen P, Laura S, Tynan D, Latif E, Lun E, Honore E, Ziergiebel F, Blake J, Chandiok K, Bird K, Ngothanh L, Lee M, El-Masry M, Hamer P, Palaniappan RR, Mcgee R, Huang S, Zhang S, Hariharan S, Silva YD, Lee C, Fotheringham P, Incoll I, Cordingley T, Cheng F, Brown M, Kang L, Wijayaratne R, Moore P, Qian G, Elgindy Y, Carnuccio E, Rae H, Shehata M, Liu M, Lockwood B, Bockxmeer JV, Alsoudani A, Swan D, Hsieh J, Orchard-Hall F, Tay KYJ, Mehra R, Gebeh A, Bailey A, Brown G, Colaco A, Gopal H, Boyley J, Changati V, Fletcher J, Khandelwal T, House C, O'neil C, Jaarsma E, Ly V, Balogh Z, Shui A, Sathasivam V, Legge-Wilkinson H, Wong KH, Chen A, Tran A, Rehfisch P, Wang G, Nguyen J, Peker J, Gallert K, Komesaroff M, Namburi M, Goldfinch E, Muchabaiwa R, Jangam A, Taylor I, Nusem I, Park JH(D, Gundara J, Heigan R, Tran T, Mackay T, Butterworth Y, Sadauskas T, Tung M, Ellepola H, Gan C, Fong H, Das A, Naicker L, Hauptman S, Kamath A, Yew A, Parange A, Kim K, Kharwadkar S, Gamage T, Vance L, Seldon A, Ghaly M, Phan V, Chauhan K, Bassam A, Vollenhoven B, Jaffry K, Mandhan K, Sritharan M, Sakthivel M, Evans N, Robinson S, Sivakumar S, Marrison L, Jollow D, Joshi K, Tao S, Shrestha P, Nukala SK, Hodgson R, Crotty A, Esho A, Harris A, Surkitt A, Bland L, Mcleod B, Yin C, Keng C, Greenwood E, Yuan G, Haege E, Wu H, Xiao H, Pozzi I, Fu J, Ross JS, Gentle J, Gan K, Chang K, Sun K, Singh M, Xie M, Mccabe N, Slavec M, Clarnette N, Niknami B, Zou P, Flintoft S, Jayatilleke S, Sok R, Tan S, Wadhwa S, Swansson W, Abulafia D, Blundell J, Sweetapple A, Solar CD, Martin C, Bell D, Fernando I, Chang J, Vanzuylekom K, Zuylekom KV, Zuylekom KV, Hobbs K, Liang R, Jabur A, Tarmidi J, Ugool M, Beatson N, Bowman S, Moin S, Tan WPJ, Chidambaram S, Gan SW, Wang P, Naicker L, Kim K, Wang NQ, Kwan YX, Patil C, Joshi D, Kamath A, Hanan A, Sheriff A, Duffield J, Naiker L, Smitham P, Neo EL, Chua M, Prasad S, Nagaratnam A, Sammour T, Lin Y, Lee C, Hopping E, Jangra M, Das A, Lin K, Bunjo Z, Raubenheimer K, Yunos MHM, Yeung KL, Phu R, Betts A, Just B, Gera S, Leeson H, Jamieson J, Wang K, Luu E, Innes M, Vu J, Hong J, Dzator S, Flame A, Jiang V, Kwok J, Lawrence A, Meads K, Pearce L, Sarangadasa P, Shaw H, Yu V, Crostella ;E, Wong J, Bobba S, Muller M, Hau YCH, Wilson T, Markovic A, Green J, Forbes C, Burrows E, Hou L, O'sullivan C, Foo J, Greig H, Collins AJ, Chandler C, Heaney E, Gross H, Morgan M, Loder R, Rajesh K, Ananthapadmanabhan S, Razmi A, Vong C, Pothukuchi P, Theophilus M, Sriranjan R, Kaur S, Kanczuk M, Groot JD, Corrigan A, Li D, Badri D, Ciranni D, Needi ET, Clanfield M, Copertino N, Rumble W, Vanguardia MK, Lew C, Dennaoui R, Shah J, Kong J, Koh I, Zeng R, Baziotis-Kalfas K, Denby H, Li A, Tran W, Singh A, Lin O, Chau M, Donaldson O, Min C(S, Ballah S, Tsui SCT, Yong N, Standish L, Tan S, Fujihara A, Davies L, Odisho R, Ravi A, Collins J, Chandra P, Abdelmeguid R, Singh G, Feierdaiweisi X, Seneviratne D, Srivastava S, Yao M, Teng C, Chowdhury N, Vidanagama S, Lin C, Sampatha-Waduge T, Wang E, Yodkitydomying C, Koh I, Silverii J, Lam A, Zeng R, Solanki K, Franks A, Edwards L, Atilhan R, Nandurkar R, Wells O, Vanguardia K, King D, Edwards E, Edwards L, Tran Q, Chau M, Min S, Rauf A, Fu Y, Haximolla H, Shang M, Segaran S, Wang S, Sivakumar G, Sandhu JK, Mishra N, Hauptman S, Chua A, Chene D, Maddern G, Shaw H, Wang Q, Pang S, Lu C, Fung J, Cyr K, Lu K, How MZ, Hu N, Anderson P, Jakanovski P, Youssef A, Tang H, Keenan R, Chan A, Canny M, Tahir F, Egerton J, Yeung J, Chan J, Tiffany L, Bei M, Raj M, Williams P, Nagpal S, Outhred T, Krawitz R, Choi CCM, Younus K, Giurgius M, Kirk R, Pegorer AG, Tang-Ieam P, Ward J, Wijetunga A, Zhang C, Nahm C, Wang C, Golja D, Jenkins G, Qian H, Luong J, Nguyen K, Suttor S, Lai S, Ma V, Chen Y, Yu HH, Lee A, Barbaro A, Mcguinness C, Maddern G, Young S, Lim YF, Trotta G, Chao P, Ding G, Fang C, Lu A, Wagaarachchi P, Cornwell C, Gojnich A, Stewart P, Dong I, Wong K, Burruso L, Hogan L, Mcorist N, Singh R, Jeyamohan R, Hou Z, Lai W, Taylor E, Palacios DSG, Pantoja MAN, Nanez DMB, Hernandez GOP, Jimenez Ramirez LJ, Mohamed M, El-Taher AK, Elewa A, Soliman MA, Diab M, Ali R, Ahmed A, Galal A, Elkhodary A, Alaa A, Faisal A, Badawy A, Eldomiaty D, Sayed MA, Rasslan E, Ramadan M, Fares GE, Altabbaa H, Emad H, Alboridy M, Mongy M, Albarhomy O, Selim O, Rafaei R, Atta R, Altaweel A, Sherif Y, Elghoul Y, Tarek Y, Sabry AA, Moustafa A, AbouHiekal O, Shaqran OA, Haggag Z, Abbas AM, Temerik AR, Atef D, Mahmoud A, Saad MM, Ragab M, Mahmoud AO, Hussien A, Abdelbaky M, Muhammad I, Morad A, Ali A, Hussien A, Shipa A, Aboulfotouh A, Abdelaal AM, Hashem AM, Youssef AA, Morsi A, Ebrahim A, Sayed AM, Kamel AM, Elmaghrabey A, Elgharib AM, Abdelrahman A, Ali A, Abdelnaeam S, Emam A, el-mola AG, Shaban A, Shaltout AS, Nabil B, Barsoum F, Mostafa E, Abdelbaset D, Salah D, Othman D, Othman S, Khairallah NS, Hassan SA, Morsi S, Azer A, Abdelsamed EA, Ahmed R, Ibrahim I, AbdElbaset E, Hamoda E, Monib F, Harb F, Maher H, Ahmed H, Mohammed H, Hana K, Ayoub K, Henes K, Shamshoon K, Soliman K, Hassanein M, Abdelhamid MM, Mahdy M, Khalil M, Ali M, Khalifa M, Amary M, Suliman ME, Abdallah MM, Nasr MSA, Elia M, Adly M, Roshdy M, Ramadan MF, Shahat MA, Abdelnasser MK, Zaed M, Al-Quossi M, Zarzour MA, Hares MM, Abdelfatah MA, Abughanima M, Abdeljaber M, Saber M, Amin MK, Abbas M, Haroon O, Khalil O, Talaat O, Elnagar R, Soliman R, Aboelela R, Salah S, Abdelgawad S, Mohammed T, Hussien TA, Sobhy G, Sayed Y, Silem YOR, Dawood A, Hemaida T, Ahmed R, Kamaleldin A, Zakaria A, Salah M, Salem E, Rashed OFAA, Halawa M, Elfeki H, Mosaad A, Shaaban A, Abdelsalam H, Sakr A, Sanad A, Elsawy A, Maged BM, Hegazy D, Abdelmaksoud M, Laymon M, Taman M, Moawad ER, AboElfarh HE, Elkenawi K, Osama M, Sadek M, Elghazy MA, Attia M, Nader M, Shalaby M, Attiya O, Gaarour OS, Zaghloul A, Mikhail P, Badr K, Soltan H, Donia M, Gaafar M, Abdelwahab K, Sallam A, Eid A, Yousri M, Hamdy O, Al-Touny A, Alshawadfy A, Hamdy A, Ellilly A, Mahdy A, El-Sakka A, Hendawy H, Salah A, Raslan B, Teema E, Albayadi E, Nasser E, Mohamed H, Mahmoud M, Elsaied M, Taha O, Dahshan S, Al-Touny S, Karrar A, Khairy A, Farag A, Deafallah A, Ads AM, Alomar R, AbuShawareb I, Saeed A, Mashaal A, Ads AM, Ghanem S, Elghamry A, Nada EA, Noureldin YA, Fouda MF, Shaheen N, Allam S, Mazrou I, Shehab AF, Kussaili W, Korkolis D, Fradelos E, Sarafi A, Machairas N, Giannakopoulos KS, Stavratis F, Korovesis G, Tsourouflis G, Keramida MD, Kydonakis N, Kykalos S, Syllaios A, Dorovinis P, Schizas D, Ioannidis O, Malliora A, Anestiadou E, Zapsalis K, Kontidis F, Loutzidou L, Ouzounidis N, Bitsianis S, Symeonidis S, Skalidou S, Ioannidis O, Valaroutsou OM, Dagklis T, Arvanitaki A, Mamopoulos A, Athanasiadis A, Kopatsaris S, Kalogiannidis I, Tsakiridis I, Kapetanios G, Papanikolaou E, Tsakiridis N, Zachomitros F, Larentzakis A, Gyftopoulos A, Albanopoulos K, Champipis A, Yiannakopoulos C, Vrakopoulou GZ, Saliaris K, Lathouras K, Skoufias S, Doulami G, Bareka M, Arnaoutoglou E, Angelis F, Angeslis F, Hantes M, Ntalouka M, Al-Juaifari MA, Alwash M, Maala R, Zwain YA, Saleh SA, Khorsheed M, Pesce A, Feo CV, Bernabei M, Petrarulo F, Fabbri N, Labriola R, Barbara SJ, Bosi S, Romano A, Canavese A, Catalioto C, Isopi C, Larotonda C, Dajti G, Rottoli M, Russo IS, Cardelli S, Castagnini F, Traina F, Guizzardi G, Giuzzardi G, Gorgone M, Maestri M, Cianci P, Conversano I, Restini E, Gattulli D, Grillea G, Varesano M, Calini G, Andriani A, Gattesco D, Terrosu G, Zambon M, Cerinic PM, Moretti L, Muschitiello D, Polo S, Bresadola V, Wardeh SA, Al-Baw M, Alhaleeq S, Al-Issawi S, Alsaify E, Banihani F, Massadeh N, Massadeh N, Al-issawi D, Elyan B, Al-Shami Q, Alomari Y, Khamees A, Al-Tahayneh SA, Alsheik A, Sawaftah K, Sarhan O, Alkhatib AA, Alzghoul B, Saleh A, Yaghmour J, Shahin M, Maali M, Alatefi D, Al-Smirat H, Hezam A, Alathameen N, Kaddah AA, Al Hammoud A, Ayasrah S, Abuuqteish H, Al-Mwajeh T, Makableh R, Bataineh S, Shabaneh A, Alnatsheh W, Aldeges M, Hamad H, Shehahda S, Khassawneh D, Alzyoud O, Alrosan R, Awad H, Khaldoon T, Shannaq R, hamoud MA, fadalah BA, Al-Hazaimeh M, Khraise W, Alnajjar L, Alnajjar M, Al-Omary S, Ababneh A, Albashaireh A, Khadrawi M, Aljamal M, Athamneh T, Muqbel RA, Al-jammal M, Masarrat A, Al-zawaydeh A, Taha I, Qattawi T, Smadi R, Alhaleem A, Alboon M, Hazaymeh O, Karasneh L, Al-Haek S, Almahroush M, Alfrijat T, Elporgay A, Shanag H, Agilla H, Alameen H, Bensalem M, Altair M, Ghemmied M, Alarabi R, Alhudhairy S, Gweder R, Alzarroug A, Alabed E, Elreaid F, Elkharaz OA, Elreaid FF, Albatni SS, Elmehdawi H, Gahwagi M, Mohamed A, Alfrjani T, Khafifi K, Rasheed A, Akwaisah A, Bushaala H, Elfadli M, Moftah M, Algabbasi S, Esaiti S, Elfallah S, Alharam A, Alariby F, Isweesi M, Eldarat TA, Dabas AA, Alkaseek A, Abodina AM, Alqaarh A, Bakeer HB, Alhaddad HS, Aboudlal H, Alsaih S, Abubaker N, Abdelrahim N, Alzarga A, Omar B, Faris F, Alhadad Q, Abufanas A, Badi H, Benismai I, Obeid H, Abdalei A, Abdulrahman A, Swalem A, Alzarouq E, Safar A, Shagroun E, Hashem B, Elrishi F, Abdulali F, Ahmed H, Eltaib I, Elzoubia J, Albarki A, Mugassabi HE, Abushaala F, Abuzaho A, Juha N, Egzait R, Shetwan S, Lemhaishi A, Matoug F, Abdulwahed E, Askar A, Ashur AB, Bezweek A, Altughar B, Emhimmed D, Elferis D, Elgherwi L, Soula E, Gidiem D, Grada M, Derwish K, Alameen M, Algatanesh N, Elkheshebi A, Ghmagh R, Barka S, Ahmeed S, Aljamal S, Alragig Z, Addalla M, Atia A, Kharim A, Mahmoud F, Binnawara M, Alshareea E, Alsori M, Alshawesh A, Alrifae GMH, Ashour A, Abozid A, Alflite AOS, Mohamed A, Arebi J, Alagelli F, Gineeb HY, Ghmagh R, Omar RMB, Alaqoubi R, Mohammed S, Bensalem SH, Elgadi T, Sami W, Bariun Y, Alhashimi AMA, Abdulla DA, Rhuma H, Enaami H, Alboueishi AA, Alkchr HBHMAA, Albakosh BA, Hasan NB, Alsari N, Aldreawi M, Abushanab K, Yahya R, Samalavicius N, Eismontas V, Jurgaitis J, Aliosin O, Nutautiene V, Zakaria AD, Pillai AKSK, Vadioaloo DK, Daud MAM, Soh JY, Zakaria MZ, Rusli SM, Ashar NAK, Ahmad ZA, Ramlee AA, Alsagoff SNASAL, Sofian AA, Jamil MBHM, Abdullah B, Noorman MF, Abidin MFZ, Isahak MI, Adnan SNN, Noor ZHM, Alvarez-Lozada LA, Garza AQ, Leal AA, Reyes BAF, Guerra EVO, Garza FJA, Mey HEA, Isais JAR, Zertuche JTG, García PLG, Sánchez LAH, Mercado MPF, Sierra OAV, Morales PER, Fuentes SO, Martínez VMP, Guerra-Juárez YA, Flores-González AK, Singh S, Hadi A, Woodbridge C, Thornton-Hume D, Forsythe J, Dharmaratne I, Pai V, Windsor J, Zargar K, Waldin L, Winthrop L, Alvarez M, Huang M, Kumove M, Simonetti M, Chand N, Goldsmith O, Guo O, Monk P, Zhou K, Penneru SH, Prasad S, Ren S, Hill T, Mistry V, Sun S, Pereira A, Mclaughlin S, Stokes A, Sathiyaseelan A, Rossaak J, Lim J, Brooke K, Quinlan L, Pottier M, Podder N, Jinu P, Ramphal S, Vermeulen W, Jeffery F, Busaidi ISA, Divinagracia J, Ju W, Liu Y, Glyn T, Thompson N, Graziadei V, Canton J, Furey J, Choi H, Coomber G, Divekar T, English T, Gernhoefer E, Healy T, Chou J, Parajuli D, Reed C, Studd R, Lin A, Wells C, Xu C, Hadi A, Maccormick A, Park H, Rathnayake A, Williams B, Chan A, Smith C, Casciola F, Bhikha J, Luo J, Yi K, Singhal M, George R, Luo R, Frost T, Hakak F, George A, Carlos A, Ho A, Mcrae C, Lescheid J, Soek J, Pham A, Clair SS, Yee SA, Lim J, Wu CY, Kim T, Chua AQ, Harmston C, Boyes H, Cook H, Struthers J, Radovanovich J, Quek N, Fearnley-Fitzgerald C, Wright D, Ghandi K, Matheson N, McGuinness MJ, Chen B, Douglas RI, Richter K, Soliman NB, Bolam SM, Vimalan V, Currie W, Cuthbert M, Ross P, Nicholson A, Garton B, Agnew E, Conlon N, Waaka N, Kejriwal R, Nguyen S, Leung E, Ratnayake M, Smith Q, Joseph N, Yue B, Fraser C, Lam C, Figgitt E, Liu G, Tan K, You HS, Zheng H, Luo J, Sharp J, Khanna K, Simiona L, Luo M, Ratnayake M, Wong P, Luu R, Paul R, Nair S, Asadyari-Lupo S, Hung W, Ying G, Ho J, Wu A, Walsh E, Lee J, Liu J, Yao S, Nosseir O, Dang J, Young S, Zyul'korneeva S, Boyd T, Ho J, Wu A, Yao S, Kirfi AM, Ningi AB, Garba MA, Salihu MB, Ukwuoma OE, Ibrahim A, Sajo IM, Aminu MB, Usman LH, Lanre ON, Shuaibu IS, Yusuf S, Ismail T, Umar GI, Adeyeye A, Afeikhena E, Nnaji FC, Agu JO, Maxwell TP, Motajo OO, Ifoto O, Okon SAI, Makama JG, Mohammed-Durosinlorun AA, Aminu B, Onwuhafua PI, Mohammed C, Abdulrasheed L, Adze JA, Suleiman KR, Airede LR, Taingson MC, Bature SB, Kache SA, Ogbonna UO, Fufore MB, Iya A, Ajulo AA, Mahmud A, Yahya BS, Onimisi-Yusuf F, Isaac H, Jawa T, Joseph F, Kala B, Bakari MA, Ngwan DW, umar A, Filikus AL, Wycliff D, Okunlola A, Abiola O, Adeniyi A, Adeyemo O, Awoyinka B, Babalola O, Bakare A, Buari T, Okunlola C, Adeleye G, Salawu A, Abiyere H, Ogidi A, Orewole T, Abdullahi HI, Akaba G, Achem A, Bassey AO, Ayogu E, Sulaiman B, Isah DA, Akpamgbo CN, Asudo F, Adewole N, Oguche O, Ejembi P, Sani SA, Andrew PC, Isah A, Eniola B, Songden Z, Agida T, Atim T, Mohammed TO, Raji HO, Ibiyemi F, Salawu H, Fasiku O, Solagbade RS, Shiru MM, Ibraheem GH, Oruade J, Ezeoke G, Chawla T, Aziz AB, Marium A, Waheed AA, Aamir FB, Qureshi F, Ather MH, Ali IFM, Tahir I, Akbar MG, Ukrani RD, Raja S, Virani SS, Noordin S, Rehman SU, Golani S, Aamir SR, Mufarrih SM, Waqar U, Taufiq M, Ammar AS, Ejaz A, Sarwar A, Khalid AU, Khattak S, Imran A, Khalid OB, Kaleem U, Muneer U, Kashaf Y, Zafar F, Zaheer A, Ali M, Shafaat A, Qazi A, Tariq AI, Aslam MN, Ali S, Atiq T, Wasim T, Babar D, Zain A, Ibtisam M, Ahmed U, Aqeel STB, Muhib M, Abbal MA, Khan NA, Javed I, Alkaraja L, Amro D, Manasrah G, Hammouri I, Hilail IA, Zalloum J, Alamlih L, Nasereddin M, Rajabi M, Shalalfeh S, Natsheh Z, Elessi K, Jayyab MA, Astal M, Al-Dahdouh M, Salameh AE, Ayyad A, Dawod N, Alsaid H, Matar I, Hassan M, Bakeer M, Malasah M, Abuhashem S, Salem M, Lunca S, Dimofte MG, Morarasu S, Musina AM, Roata CE, Velenciuc N, Butyrskii A, Bozhko M, Ametov A, Chowdhury S, Bagazi D, Domenech J, Rosello-Añon A, Monis A, Chiappe C, Cuneo B, Clemente-Navarro P, Febre J, Sanz-Romera J, Lopez-Vega M, Miranda I, Valverde-Vazquez R, Garcia S, Sanguesa MJ, Balciscueta Z, Ruiz E, Marco E, Talavera E, Farre J, Bacariza L, Duart M, Ureña V, Carre X, Hamid HKS, Abd-Albain MA, Galal-Eldin S, Sarih M, Adam E, Ismail S, Azhari M, Hassan T, Salaheldein M, Abdalla Z, Ahmed W, Alhassan M, Mohamed A, Suliman HMA, Eltayeb MOM, Ahmed RAA, Babekir EMA, Khairy MAT, Mukhtar MMA, Ali RAH, Al-Shambaty YBA, Yousif FI, Mohammed HMH, Osher L, Osher L, Abdelbast M, Yassin M, Moawia N, Abdalsadeg R, Husein A, Elhassan B, Abdelbagi AY, Adam MA, Ali EM, Mohammed IAB, Mohamed M, Abdulaziz M, Akasha M, Hassan M, Hilal N, Mohamed NAA, Abubaker N, Mohammed O, Mohamed S, Osman W, Mustafa F, Salih AA, Ali D, Almakki DMA, Mohamed HE, Elmubark A, Hassan M, Alnour A, Elaagib A, Abdelrahman A, Abdelkhalig M, Eldaim KN, Babiker A, Ahmed E, Ali M, Hussain E, Wedatalla M, Ahmed A, Hamza AA, Mohammed M, Osman O, Ibrahim R, Ahmed R, Ahmed R, Yasir R, Awadallah S, Mohmmed S, Hassan S, Shaban W, Hussein A, Rafea R, Abdalla A, Ahmed A, Mohamed K, Mohammed M, Altahir M, Adam M, Mohamed O, Abdullah W, Fadlalmola H, Abdalla AY, Omer AA, Mustafa AA, Elhadi REH, Banaga EEA, Osman F, Abdalla MGA, Taha HAM, Abdalmahmoud NE, Nafie RH, Jamal S, Ahmed S, Ali RA, Aladna A, Aljoumaa A, Nawfal H, Jamali S, Khouja F, Niazi A, Al Rawashdeh T, Kechiche N, Gara M, Nasr M, Baccar M, Benamor O, Chakroun S, Sanli AN, Yildiz A, Demirkiran MA, Atadag YB, Tandogan YI, Ozkan E, Ozer Y, Ozkan E, Oncel MM, Kalkan S, Gover T, Manoglu B, Oksak I, Kurt I, Rifaioglu K, Sokmen S, Bisgin T, Yildirim Y, Keskin AY, Dogan T, Sahin Bİ, Aydin C, Benek DE, Tiras HN, Arslangilay M, Aslangilay M, Yaytokgil M, Capar MA, Yazgan Y, Bektas S, Alagoz AC, Dagsali AE, Izgis A, Uzel K, Soytas M, Cakir N, Askin AE, Azboy I, Sabuncu K, Aslan M, Sahin M, Oncel M, Okkabaz N, Sivrikaya RK, Saylar A, Saylar A, Yasar M, Erginoz E, Bozkir HO, Zengin K, Ozcelik MF, Uludag SS, Ozdemir Z, Sibic O, Telci H, Bozkurt MA, Kara Y, Tepe MD, Gündoğdu A, Akın B, Pehlivan D, Guner A, Baysallar D, Yıldız B, Cepe H, Reis ME, Yuzgec AN, Kıralı N, Kodalak TA, Ulusahin M, Selim K, Kale A, Gecici ME, Ozbilen M, Düzyol Z, Gemici A, Korkmaz E, Şen E, Taşcı ME, Camkıran E, Elieyioğlu G, Kayabaş İ, Uprak TK, Aral C, Saraçoğlu A, Uğurlu MÜ, Baltacı ZH, Akkaya EN, Fergar C, Tabak EZ, Kocyigit GZ, Kayilioglu I, Polat S, Çolak E, Kara ME, Candan M, Uyanık MS, Sarı AC, Ulkucu A, Certel AT, Dindar A, Durdu B, Bayram C, Kaya E, Akdere H, Cakcak IE, Yavuz I, Omur M, Ajredini M, Aydoğdu EO, Şenödeyici E, Koksoy UC, Kazbek BK, Korkmaz DS, Yavuz D, Yilmaz H, Cetınkaya ZS, Durmus E, Tuzuner F, Hokelekli F, Mutlu M, Akbuz SO, Kus ZC, Kus ZC, Farrell M, Craig-Lucas A, Painter M, Titan A, Narayan A, Fariyike B, Knowlton L, Yue T, Benham E, Nimeri A, Werenski H, Kaiser N, Reinke C. Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries. Br J Surg 2024; 111:znad421. [PMID: 38207169 PMCID: PMC10783642 DOI: 10.1093/bjs/znad421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2023] [Revised: 11/29/2023] [Accepted: 12/05/2023] [Indexed: 01/13/2024]
Abstract
BACKGROUND Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures. METHODS This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge. RESULTS The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (β coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not. CONCLUSION Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely.
Collapse
|
7
|
Quach D, Lyons NB, Nguyen K, Olavarria OA, Bernardi K, Neela N, Dhanani NH, Jackson A, Ali Z, Liang MK. Natural history of occult hernias in adults at a safety-net hospital. Hernia 2023; 27:1467-1472. [PMID: 36795186 DOI: 10.1007/s10029-023-02754-7] [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] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Accepted: 02/03/2023] [Indexed: 02/17/2023]
Abstract
PURPOSE Occult hernias, hernias seen on radiologic imaging but not felt on physical exam, are common. Despite their high prevalence, little is known about the natural history of this finding. Our aim was to determine and report on the natural history of patients with occult hernias including the impact on abdominal wall quality of life (AW-QOL), need for surgery, and risk of acute incarceration/strangulation. METHODS This was a prospective cohort study of patients who underwent a computed tomography (CT) abdomen/pelvis scan from 2016 to 2018. Primary outcome was change in AW-QOL using the modified Activities Assessment Scale (mAAS), a hernia-specific, validated survey (1 = poor, 100 = perfect). Secondary outcomes included elective and emergent hernia repairs. RESULTS A total of 131 (65.8%) patients with occult hernias completed follow-up with a median (IQR) of 15.4 (22.5) months. Nearly half of these patients (42.8%) experienced a decrease in their AW-QOL, 26.0% were unchanged, and 31.3% reported improvement. One-fourth of patients (27.5%) underwent abdominal surgery during the study period: 9.9% were abdominal procedures without hernia repair, 16.0% involved elective hernia repairs, and 1.5% were emergent hernia repairs. AW-QOL improved for patients who underwent hernia repair (+ 11.2 ± 39.7, p = 0.043) while those who did not undergo hernia repair experienced no change in AW-QOL (- 3.0 ± 35.1). CONCLUSION When untreated, patients with occult hernias on average experience no change in their AW-QOL. However, many patients experience improvement in AW-QOL after hernia repair. Additionally, occult hernias have a small but real risk of incarceration requiring emergent repair. Further research is needed to develop tailored treatment strategies.
Collapse
Affiliation(s)
- D Quach
- Department of Surgery, HCA Healthcare Kingwood, University of Houston, Kingwood, TX, USA
| | - N B Lyons
- Department of Surgery, University of Miami Miller School of Medicine, 1800 NW 10th Ave, Miami, FL, 33136, USA.
| | - K Nguyen
- Department of Surgery, HCA Healthcare Kingwood, University of Houston, Kingwood, TX, USA
| | - O A Olavarria
- Department of Surgery, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX, USA
| | - K Bernardi
- Department of Surgery, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX, USA
| | - N Neela
- Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - N H Dhanani
- Department of Surgery, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX, USA
| | - A Jackson
- Department of Surgery, University of Miami Miller School of Medicine, 1800 NW 10th Ave, Miami, FL, 33136, USA
| | - Z Ali
- Department of Surgery, HCA Healthcare Kingwood, University of Houston, Kingwood, TX, USA
| | - M K Liang
- Department of Surgery, HCA Healthcare Kingwood, University of Houston, Kingwood, TX, USA
| |
Collapse
|
8
|
Tettero JM, Dakappagari N, Heidinga ME, Oussoren-Brockhoff Y, Hanekamp D, Pahuja A, Burns K, Kaur P, Alfonso Z, van der Velden VHJ, Te Marvelde JG, Hobo W, Slomp J, Bachas C, Kelder A, Nguyen K, Cloos J. Analytical assay validation for acute myeloid leukemia measurable residual disease assessment by multiparametric flow cytometry. Cytometry B Clin Cytom 2023; 104:426-439. [PMID: 37766649 DOI: 10.1002/cyto.b.22144] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Revised: 08/30/2023] [Accepted: 09/07/2023] [Indexed: 09/29/2023]
Abstract
BACKGROUND Measurable residual disease (MRD) assessed by multiparametric flow cytometry (MFC) has gained importance in clinical decision-making for acute myeloid leukemia (AML) patients. However, complying with the recent In Vitro Diagnostic Regulations (IVDR) in Europe and Food and Drug Administration (FDA) guidance in the United States requires rigorous validation prior to their use in investigational clinical trials and diagnostics. Validating AML MRD-MFC assays poses challenges due to the unique underlying disease biology and paucity of patient specimens. In this study, we describe an experimental framework for validation that meets regulatory expectations. METHODS Our validation efforts focused on evaluating assay accuracy, analytical specificity, analytical and functional sensitivity (limit of blank (LoB), detection (LLoD) and quantitation (LLoQ)), precision, linearity, sample/reagent stability and establishing the assay background frequencies. RESULTS Correlation between different MFC methods was highly significant (r = 0.99 for %blasts and r = 0.93 for %LAIPs). The analysis of LAIP specificity accurately discriminated from negative control cells. The assay demonstrated a LoB of 0.03, LLoD of 0.04, and LLoQ of 0.1%. Precision experiments yielded highly reproducible results (Coefficient of Variation <20%). Stability experiments demonstrated reliable measurement of samples up to 96 h from collection. Furthermore, the reference range of LAIP frequencies in non-AML patients was below 0.1%, ranging from 0.0% to 0.04%. CONCLUSION In this manuscript, we present the validation of an AML MFC-MRD assay using BM/PB patient specimens, adhering to best practices. Our approach is expected to assist other laboratories in expediting their validation activities to fulfill recent health authority guidelines.
Collapse
Affiliation(s)
- Jesse M Tettero
- Department of Hematology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Cancer Center Amsterdam, Imaging and Biomarkers, Amsterdam, The Netherlands
| | | | - Maaike E Heidinga
- Department of Hematology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Cancer Center Amsterdam, Imaging and Biomarkers, Amsterdam, The Netherlands
| | - Yvonne Oussoren-Brockhoff
- Department of Hematology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Cancer Center Amsterdam, Imaging and Biomarkers, Amsterdam, The Netherlands
| | - Diana Hanekamp
- Department of Hematology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Cancer Center Amsterdam, Imaging and Biomarkers, Amsterdam, The Netherlands
- Department of Hematology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands
| | - Anil Pahuja
- Navigate BioPharma (a Novartis Subsidiary), Carlsbad, California, USA
| | - Kerri Burns
- Navigate BioPharma (a Novartis Subsidiary), Carlsbad, California, USA
| | - Pavinder Kaur
- Navigate BioPharma (a Novartis Subsidiary), Carlsbad, California, USA
| | - Zeni Alfonso
- Navigate BioPharma (a Novartis Subsidiary), Carlsbad, California, USA
| | | | - Jeroen G Te Marvelde
- Department of Immunology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands
| | - Willemijn Hobo
- Department of Laboratory Medicine-Laboratory of Hematology, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Jennichjen Slomp
- Department of Clinical Chemistry, Medisch Spectrum Twente/Medlon, Enschede, The Netherlands
| | - Costa Bachas
- Department of Hematology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Cancer Center Amsterdam, Imaging and Biomarkers, Amsterdam, The Netherlands
| | - Angele Kelder
- Department of Hematology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Cancer Center Amsterdam, Imaging and Biomarkers, Amsterdam, The Netherlands
| | - Kevin Nguyen
- Navigate BioPharma (a Novartis Subsidiary), Carlsbad, California, USA
| | - Jacqueline Cloos
- Department of Hematology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Cancer Center Amsterdam, Imaging and Biomarkers, Amsterdam, The Netherlands
| |
Collapse
|
9
|
Boonyasiri A, Brinkac LM, Jauneikaite E, White RC, Greco C, Seenama C, Tangkoskul T, Nguyen K, Fouts DE, Thamlikitkul V. Characteristics and genomic epidemiology of colistin-resistant Enterobacterales from farmers, swine, and hospitalized patients in Thailand, 2014-2017. BMC Infect Dis 2023; 23:556. [PMID: 37641085 PMCID: PMC10464208 DOI: 10.1186/s12879-023-08539-8] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Accepted: 08/14/2023] [Indexed: 08/31/2023] Open
Abstract
BACKGROUND Colistin is one of the last resort therapeutic options for treating carbapenemase-producing Enterobacterales, which are resistant to a broad range of beta-lactam antibiotics. However, the increased use of colistin in clinical and livestock farming settings in Thailand and China, has led to the inevitable emergence of colistin resistance. To better understand the rise of colistin-resistant strains in each of these settings, we characterized colistin-resistant Enterobacterales isolated from farmers, swine, and hospitalized patients in Thailand. METHODS Enterobacterales were isolated from 149 stool samples or rectal swabs collected from farmers, pigs, and hospitalized patients in Thailand between November 2014-December 2017. Confirmed colistin-resistant isolates were sequenced. Genomic analyses included species identification, multilocus sequence typing, and detection of antimicrobial resistance determinants and plasmids. RESULTS The overall colistin-resistant Enterobacterales colonization rate was 26.2% (n = 39/149). The plasmid-mediated colistin-resistance gene (mcr) was detected in all 25 Escherichia coli isolates and 9 of 14 (64.3%) Klebsiella spp. isolates. Five novel mcr allelic variants were also identified: mcr-2.3, mcr-3.21, mcr-3.22, mcr-3.23, and mcr-3.24, that were only detected in E. coli and Klebsiella spp. isolates from farmed pigs. CONCLUSION Our data confirmed the presence of colistin-resistance genes in combination with extended spectrum beta-lactamase genes in bacterial isolates from farmers, swine, and patients in Thailand. Differences between the colistin-resistance mechanisms of Escherichia coli and Klebsiella pneumoniae in hospitalized patients were observed, as expected. Additionally, we identified mobile colistin-resistance mcr-1.1 genes from swine and patient isolates belonging to plasmids of the same incompatibility group. This supported the possibility that horizontal transmission of bacterial strains or plasmid-mediated colistin-resistance genes occurs between humans and swine.
Collapse
Affiliation(s)
- Adhiratha Boonyasiri
- Faculty of Medicine Siriraj Hospital, Mahidol University, Salaya, Thailand
- NIHR Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, Imperial College London, London, UK
| | - Lauren M Brinkac
- J. Craig Venter Institute, Rockville, MD, 20850, USA
- Noblis, Reston, VA, 20191, USA
| | - Elita Jauneikaite
- NIHR Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, Imperial College London, London, UK
- Department of Infectious Disease Epidemiology, School of Public Health, Imperial College, London, UK
| | | | - Chris Greco
- J. Craig Venter Institute, Rockville, MD, 20850, USA
| | | | | | - Kevin Nguyen
- J. Craig Venter Institute, Rockville, MD, 20850, USA
| | | | - Visanu Thamlikitkul
- Faculty of Medicine Siriraj Hospital, Mahidol University, Salaya, Thailand.
- Division of Infectious Diseases and Tropical Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
| |
Collapse
|
10
|
Aronoff-Spencer E, Mazrouee S, Graham R, Handcock MS, Nguyen K, Nebeker C, Malekinejad M, Longhurst CA. Exposure notification system activity as a leading indicator for SARS-COV-2 caseload forecasting. PLoS One 2023; 18:e0287368. [PMID: 37594936 PMCID: PMC10437830 DOI: 10.1371/journal.pone.0287368] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Accepted: 05/29/2023] [Indexed: 08/20/2023] Open
Abstract
PURPOSE Digital methods to augment traditional contact tracing approaches were developed and deployed globally during the COVID-19 pandemic. These "Exposure Notification (EN)" systems present new opportunities to support public health interventions. To date, there have been attempts to model the impact of such systems, yet no reports have explored the value of real-time system data for predictive epidemiological modeling. METHODS We investigated the potential to short-term forecast COVID-19 caseloads using data from California's implementation of the Google Apple Exposure Notification (GAEN) platform, branded as CA Notify. CA Notify is a digital public health intervention leveraging resident's smartphones for anonymous EN. We extended a published statistical model that uses prior case counts to investigate the possibility of predicting short-term future case counts and then added EN activity to test for improved forecast performance. Additional predictive value was assessed by comparing the pandemic forecasting models with and without EN activity to the actual reported caseloads from 1-7 days in the future. RESULTS Observation of time series presents noticeable evidence for temporal association of system activity and caseloads. Incorporating earlier ENs in our model improved prediction of the caseload counts. Using Bayesian inference, we found nonzero influence of EN terms with probability one. Furthermore, we found a reduction in both the mean absolute percentage error and the mean squared prediction error, the latter of at least 5% and up to 32% when using ENs over the model without. CONCLUSIONS This preliminary investigation suggests smartphone based ENs can significantly improve the accuracy of short-term forecasting. These predictive models can be readily deployed as local early warning systems to triage resources and interventions.
Collapse
Affiliation(s)
- Eliah Aronoff-Spencer
- School of Medicine, Division of Infectious Diseases and Global Public Health, University of California San Diego, La Jolla, CA, United States of America
| | - Sepideh Mazrouee
- School of Medicine, Division of Infectious Diseases and Global Public Health, University of California San Diego, La Jolla, CA, United States of America
| | - Rishi Graham
- School of Medicine, Division of Infectious Diseases and Global Public Health, University of California San Diego, La Jolla, CA, United States of America
| | - Mark S. Handcock
- University of California Los Angeles, Los Angeles, CA, United States of America
| | - Kevin Nguyen
- Herbert Wertheim School of Public Health and Longevity Sciences, University of California San Diego, La Jolla, CA, United States of America
- University of California San Diego Health, San Diego, CA, United States of America
| | - Camille Nebeker
- Herbert Wertheim School of Public Health and Longevity Sciences, University of California San Diego, La Jolla, CA, United States of America
| | - Mohsen Malekinejad
- California Department of Public Health, Sacramento, CA, United States of America
- Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, United States of America
| | | |
Collapse
|
11
|
Viox EG, Hoang TN, Upadhyay AA, Nchioua R, Hirschenberger M, Strongin Z, Tharp GK, Pino M, Nguyen K, Harper JL, Gagne M, Marciano S, Boddapati AK, Pellegrini KL, Pradhan A, Tisoncik-Go J, Whitmore LS, Karunakaran KA, Roy M, Kirejczyk S, Curran EH, Wallace C, Wood JS, Connor-Stroud F, Voigt EA, Monaco CM, Gordon DE, Kasturi SP, Levit RD, Gale M, Vanderford TH, Silvestri G, Busman-Sahay K, Estes JD, Vaccari M, Douek DC, Sparrer KMJ, Johnson RP, Kirchhoff F, Schreiber G, Bosinger SE, Paiardini M. Modulation of type I interferon responses potently inhibits SARS-CoV-2 replication and inflammation in rhesus macaques. Sci Immunol 2023; 8:eadg0033. [PMID: 37506197 DOI: 10.1126/sciimmunol.adg0033] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [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] [Received: 11/28/2022] [Accepted: 07/06/2023] [Indexed: 07/30/2023]
Abstract
Type I interferons (IFN-I) are critical mediators of innate control of viral infections but also drive the recruitment of inflammatory cells to sites of infection, a key feature of severe coronavirus disease 2019. Here, IFN-I signaling was modulated in rhesus macaques (RMs) before and during acute SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) infection using a mutated IFN-α2 (IFN-modulator; IFNmod), which has previously been shown to reduce the binding and signaling of endogenous IFN-I. IFNmod treatment in uninfected RMs was observed to induce a modest up-regulation of only antiviral IFN-stimulated genes (ISGs); however, in SARS-CoV-2-infected RMs, IFNmod reduced both antiviral and inflammatory ISGs. IFNmod treatment resulted in a potent reduction in SARS-CoV-2 viral loads both in vitro in Calu-3 cells and in vivo in bronchoalveolar lavage (BAL), upper airways, lung, and hilar lymph nodes of RMs. Furthermore, in SARS-CoV-2-infected RMs, IFNmod treatment potently reduced inflammatory cytokines, chemokines, and CD163+ MRC1- inflammatory macrophages in BAL and expression of Siglec-1 on circulating monocytes. In the lung, IFNmod also reduced pathogenesis and attenuated pathways of inflammasome activation and stress response during acute SARS-CoV-2 infection. Using an intervention targeting both IFN-α and IFN-β pathways, this study shows that, whereas early IFN-I restrains SARS-CoV-2 replication, uncontrolled IFN-I signaling critically contributes to SARS-CoV-2 inflammation and pathogenesis in the moderate disease model of RMs.
Collapse
Affiliation(s)
- Elise G Viox
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Timothy N Hoang
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Amit A Upadhyay
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Rayhane Nchioua
- Institute of Molecular Virology, Ulm University Medical Center, 89081 Ulm, Germany
| | | | - Zachary Strongin
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Gregory K Tharp
- Emory NPRC Genomics Core Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Maria Pino
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Kevin Nguyen
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Justin L Harper
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Matthew Gagne
- Vaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA
| | - Shir Marciano
- Department of Biomolecular Sciences, Weizmann Institute of Science, Rehovot 76100, Israel
| | - Arun K Boddapati
- Emory NPRC Genomics Core Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Kathryn L Pellegrini
- Emory NPRC Genomics Core Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Arpan Pradhan
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Jennifer Tisoncik-Go
- Center for Innate Immunity and Immune Disease, Department of Immunology, University of Washington School of Medicine, Seattle, WA 98109, USA
| | - Leanne S Whitmore
- Center for Innate Immunity and Immune Disease, Department of Immunology, University of Washington School of Medicine, Seattle, WA 98109, USA
| | - Kirti A Karunakaran
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Melissa Roy
- Division of Pathology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | | | - Elizabeth H Curran
- Division of Pathology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Chelsea Wallace
- Division of Animal Resources, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Jennifer S Wood
- Division of Animal Resources, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Fawn Connor-Stroud
- Division of Animal Resources, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Emily A Voigt
- RNA Vaccines Group, Access to Advanced Health Institute, Seattle, WA 98102, USA
| | - Christopher M Monaco
- Department of Pathology and Laboratory Medicine, School of Medicine, Emory University, Atlanta, GA 30322, USA
| | - David E Gordon
- Department of Pathology and Laboratory Medicine, School of Medicine, Emory University, Atlanta, GA 30322, USA
| | - Sudhir P Kasturi
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
- Department of Pathology and Laboratory Medicine, School of Medicine, Emory University, Atlanta, GA 30322, USA
| | - Rebecca D Levit
- Department of Medicine, School of Medicine, Emory University, Atlanta, GA 30322, USA
| | - Michael Gale
- Center for Innate Immunity and Immune Disease, Department of Immunology, University of Washington School of Medicine, Seattle, WA 98109, USA
| | - Thomas H Vanderford
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Guido Silvestri
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
- Department of Pathology and Laboratory Medicine, School of Medicine, Emory University, Atlanta, GA 30322, USA
| | - Kathleen Busman-Sahay
- Vaccine and Gene Therapy Institute, Oregon Health & Science University, Beaverton, OR 97006, USA
| | - Jacob D Estes
- Vaccine and Gene Therapy Institute, Oregon Health & Science University, Beaverton, OR 97006, USA
- Oregon National Primate Research Center, Oregon Health & Science University, Beaverton, OR 97006, USA
- Department of Clinical Medicine, Aarhus University, Aarhus 8000, Denmark
- School of Health and Biomedical Sciences, College of Science, Engineering and Health, RMIT University, Melbourne, VIC 3000, Australia
| | - Monica Vaccari
- Division of Immunology, Tulane National Primate Research Center, Covington, LA 70433, USA
- Department of Microbiology and Immunology, Tulane School of Medicine, New Orleans, LA 70112, USA
| | - Daniel C Douek
- Vaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA
| | | | - R Paul Johnson
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
- Infectious Disease Division, Department of Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA
| | - Frank Kirchhoff
- Institute of Molecular Virology, Ulm University Medical Center, 89081 Ulm, Germany
| | - Gideon Schreiber
- Department of Biomolecular Sciences, Weizmann Institute of Science, Rehovot 76100, Israel
| | - Steven E Bosinger
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
- Emory NPRC Genomics Core Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
- Department of Pathology and Laboratory Medicine, School of Medicine, Emory University, Atlanta, GA 30322, USA
| | - Mirko Paiardini
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
- Department of Pathology and Laboratory Medicine, School of Medicine, Emory University, Atlanta, GA 30322, USA
| |
Collapse
|
12
|
Angelopoulos V, Zhang XJ, Artemyev AV, Mourenas D, Tsai E, Wilkins C, Runov A, Liu J, Turner DL, Li W, Khurana K, Wirz RE, Sergeev VA, Meng X, Wu J, Hartinger MD, Raita T, Shen Y, An X, Shi X, Bashir MF, Shen X, Gan L, Qin M, Capannolo L, Ma Q, Russell CL, Masongsong EV, Caron R, He I, Iglesias L, Jha S, King J, Kumar S, Le K, Mao J, McDermott A, Nguyen K, Norris A, Palla A, Roosnovo A, Tam J, Xie E, Yap RC, Ye S, Young C, Adair LA, Shaffer C, Chung M, Cruce P, Lawson M, Leneman D, Allen M, Anderson M, Arreola-Zamora M, Artinger J, Asher J, Branchevsky D, Cliffe M, Colton K, Costello C, Depe D, Domae BW, Eldin S, Fitzgibbon L, Flemming A, Frederick DM, Gilbert A, Hesford B, Krieger R, Lian K, McKinney E, Miller JP, Pedersen C, Qu Z, Rozario R, Rubly M, Seaton R, Subramanian A, Sundin SR, Tan A, Thomlinson D, Turner W, Wing G, Wong C, Zarifian A. Energetic Electron Precipitation Driven by Electromagnetic Ion Cyclotron Waves from ELFIN's Low Altitude Perspective. Space Sci Rev 2023; 219:37. [PMID: 37448777 PMCID: PMC10335998 DOI: 10.1007/s11214-023-00984-w] [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] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Accepted: 06/28/2023] [Indexed: 07/15/2023]
Abstract
We review comprehensive observations of electromagnetic ion cyclotron (EMIC) wave-driven energetic electron precipitation using data collected by the energetic electron detector on the Electron Losses and Fields InvestigatioN (ELFIN) mission, two polar-orbiting low-altitude spinning CubeSats, measuring 50-5000 keV electrons with good pitch-angle and energy resolution. EMIC wave-driven precipitation exhibits a distinct signature in energy-spectrograms of the precipitating-to-trapped flux ratio: peaks at >0.5 MeV which are abrupt (bursty) (lasting ∼17 s, or Δ L ∼ 0.56 ) with significant substructure (occasionally down to sub-second timescale). We attribute the bursty nature of the precipitation to the spatial extent and structuredness of the wave field at the equator. Multiple ELFIN passes over the same MLT sector allow us to study the spatial and temporal evolution of the EMIC wave - electron interaction region. Case studies employing conjugate ground-based or equatorial observations of the EMIC waves reveal that the energy of moderate and strong precipitation at ELFIN approximately agrees with theoretical expectations for cyclotron resonant interactions in a cold plasma. Using multiple years of ELFIN data uniformly distributed in local time, we assemble a statistical database of ∼50 events of strong EMIC wave-driven precipitation. Most reside at L ∼ 5 - 7 at dusk, while a smaller subset exists at L ∼ 8 - 12 at post-midnight. The energies of the peak-precipitation ratio and of the half-peak precipitation ratio (our proxy for the minimum resonance energy) exhibit an L -shell dependence in good agreement with theoretical estimates based on prior statistical observations of EMIC wave power spectra. The precipitation ratio's spectral shape for the most intense events has an exponential falloff away from the peak (i.e., on either side of ∼ 1.45 MeV). It too agrees well with quasi-linear diffusion theory based on prior statistics of wave spectra. It should be noted though that this diffusive treatment likely includes effects from nonlinear resonant interactions (especially at high energies) and nonresonant effects from sharp wave packet edges (at low energies). Sub-MeV electron precipitation observed concurrently with strong EMIC wave-driven >1 MeV precipitation has a spectral shape that is consistent with efficient pitch-angle scattering down to ∼ 200-300 keV by much less intense higher frequency EMIC waves at dusk (where such waves are most frequent). At ∼100 keV, whistler-mode chorus may be implicated in concurrent precipitation. These results confirm the critical role of EMIC waves in driving relativistic electron losses. Nonlinear effects may abound and require further investigation.
Collapse
Affiliation(s)
- V. Angelopoulos
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
| | - X.-J. Zhang
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Present Address: University of Texas at Dallas, Richardson, TX 75080 USA
| | - A. V. Artemyev
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
| | | | - E. Tsai
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
| | - C. Wilkins
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
| | - A. Runov
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
| | - J. Liu
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Atmospheric and Oceanic Sciences Departments, University of California, Los Angeles, CA USA
| | - D. L. Turner
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Present Address: Johns Hopkins University Applied Physics Laboratory, Laurel, Maryland USA
| | - W. Li
- Atmospheric and Oceanic Sciences Departments, University of California, Los Angeles, CA USA
| | - K. Khurana
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
| | - R. E. Wirz
- Mechanical and Aerospace Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: School of Mechanical, Industrial, and Manufacturing Engineering, Oregon State University, Corvallis, OR 97331 USA
| | - V. A. Sergeev
- University of St. Petersburg, St. Petersburg, Russia
| | - X. Meng
- Jet Propulsion Laboratory, California Institute of Technology, Pasadena, CA 91109 USA
| | - J. Wu
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
| | - M. D. Hartinger
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Space Science Institute, Boulder, CO 80301 USA
| | - T. Raita
- Sodankylä Geophysical Observatory, University of Oulu, Sodankylä, Finland
| | - Y. Shen
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
| | - X. An
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
| | - X. Shi
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
| | - M. F. Bashir
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
| | - X. Shen
- Department of Astronomy and Center for Space Physics, Boston University, Boston, MA USA
| | - L. Gan
- Department of Astronomy and Center for Space Physics, Boston University, Boston, MA USA
| | - M. Qin
- Department of Astronomy and Center for Space Physics, Boston University, Boston, MA USA
| | - L. Capannolo
- Department of Astronomy and Center for Space Physics, Boston University, Boston, MA USA
| | - Q. Ma
- Department of Astronomy and Center for Space Physics, Boston University, Boston, MA USA
| | - C. L. Russell
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
| | - E. V. Masongsong
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
| | - R. Caron
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
| | - I. He
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Materials Science and Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
| | - L. Iglesias
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Present Address: Deloitte Consulting, New York, NY 10112 USA
| | - S. Jha
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Computer Science Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: Microsoft, Redmond, WA 98052 USA
| | - J. King
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Computer Science Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
| | - S. Kumar
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Physics and Astronomy Department, University of California, Los Angeles, CA 90095 USA
- Present Address: Department of Astronomy and Astrophysics, The University of Chicago, Chicago, IL 60637 USA
| | - K. Le
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Materials Science and Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
| | - J. Mao
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Computer Science Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: Raybeam, Inc., Mountain View, CA 94041 USA
| | - A. McDermott
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Mechanical and Aerospace Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
| | - K. Nguyen
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Mechanical and Aerospace Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: SpaceX, Hawthorne, CA 90250 USA
| | - A. Norris
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
| | - A. Palla
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Computer Science Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: Reliable Robotics Corporation, Mountain View, CA 94043 USA
| | - A. Roosnovo
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Physics and Astronomy Department, University of California, Los Angeles, CA 90095 USA
- Present Address: Los Alamos National Laboratory, Los Alamos, NM 87545 USA
| | - J. Tam
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Mechanical and Aerospace Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
| | - E. Xie
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Present Address: Deloitte Consulting, New York, NY 10112 USA
- Computer Science Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
| | - R. C. Yap
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Mathematics Department, University of California, Los Angeles, CA 90095 USA
- Present Address: Planet Labs, PBC, San Francisco, CA 94107 USA
| | - S. Ye
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Mechanical and Aerospace Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
| | - C. Young
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Computer Science Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: Microsoft, Redmond, WA 98052 USA
| | - L. A. Adair
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Physics and Astronomy Department, University of California, Los Angeles, CA 90095 USA
- Present Address: KSAT, Inc., Denver, CO 80231 USA
| | - C. Shaffer
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Mechanical and Aerospace Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: Tyvak Nano-Satellite Systems, Inc., Irvine, CA 92618 USA
| | - M. Chung
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Present Address: Northrop Grumman Aerospace Systems, Redondo Beach, CA 90278 USA
| | - P. Cruce
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Present Address: Apple, Cupertino, CA 95014 USA
| | - M. Lawson
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
| | - D. Leneman
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
| | - M. Allen
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Mechanical and Aerospace Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: Zipline International, South San Francisco, CA 94080 USA
| | - M. Anderson
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Mathematics Department, University of California, Los Angeles, CA 90095 USA
- Present Address: Lucid Motors, Newark, CA 94560 USA
| | - M. Arreola-Zamora
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Present Address: Northrop Grumman Aerospace Systems, Redondo Beach, CA 90278 USA
| | - J. Artinger
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Physics and Astronomy Department, University of California, Los Angeles, CA 90095 USA
- Present Address: College of Engineering and Computer Science, California State University, Fullerton, Fullerton, CA 92831 USA
| | - J. Asher
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Mechanical and Aerospace Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: The Aerospace Corporation, El Segundo, CA 90245 USA
| | - D. Branchevsky
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Present Address: The Aerospace Corporation, El Segundo, CA 90245 USA
- Electrical and Computer Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
| | - M. Cliffe
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Present Address: SpaceX, Hawthorne, CA 90250 USA
- Electrical and Computer Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
| | - K. Colton
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Mathematics Department, University of California, Los Angeles, CA 90095 USA
- Present Address: Planet Labs, PBC, San Francisco, CA 94107 USA
| | - C. Costello
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Computer Science Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: Heliogen, Pasadena, CA 91103 USA
| | - D. Depe
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Electrical and Computer Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: Argo AI, LLC, Pittsburgh, PA 15222 USA
| | - B. W. Domae
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Electrical and Computer Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
| | - S. Eldin
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Present Address: Microsoft, Redmond, WA 98052 USA
- Electrical and Computer Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
| | - L. Fitzgibbon
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Physics and Astronomy Department, University of California, Los Angeles, CA 90095 USA
- Present Address: Terran Orbital, Irvine, CA 92618 USA
| | - A. Flemming
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Mechanical and Aerospace Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: Northrop Grumman Aerospace Systems, Redondo Beach, CA 90278 USA
| | - D. M. Frederick
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Mechanical and Aerospace Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: Millenium Space Systems, El Segundo, CA 90245 USA
| | - A. Gilbert
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Electrical and Computer Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: Department of Electrical Engineering, Stanford University, Stanford, CA 94305 USA
| | - B. Hesford
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Jet Propulsion Laboratory, California Institute of Technology, Pasadena, CA 91109 USA
- Electrical and Computer Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
| | - R. Krieger
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Materials Science and Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: Mercedes-Benz Research and Development North America, Long Beach, CA 90810 USA
| | - K. Lian
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Mechanical and Aerospace Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: The Aerospace Corporation, El Segundo, CA 90245 USA
| | - E. McKinney
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Present Address: Geosyntec Consultants, Inc., Costa Mesa, CA 92626 USA
| | - J. P. Miller
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Computer Science Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: Juniper Networks Sunnyvale, California, 94089 USA
| | - C. Pedersen
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Mechanical and Aerospace Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
| | - Z. Qu
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Mechanical and Aerospace Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: Niantic Inc., San Francisco, CA 94111 USA
| | - R. Rozario
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Mechanical and Aerospace Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: SpaceX, Hawthorne, CA 90250 USA
| | - M. Rubly
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Mechanical and Aerospace Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: Teledyne Scientific and Imaging, Thousand Oaks, CA 91360 USA
| | - R. Seaton
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Mechanical and Aerospace Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
| | - A. Subramanian
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Present Address: Northrop Grumman Aerospace Systems, Redondo Beach, CA 90278 USA
- Electrical and Computer Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
| | - S. R. Sundin
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Mechanical and Aerospace Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: Naval Surface Warfare Center Corona Division, Norco, CA 92860 USA
| | - A. Tan
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Electrical and Computer Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: Epirus Inc., Torrance, CA 90501 USA
| | - D. Thomlinson
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Mechanical and Aerospace Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: The Aerospace Corporation, El Segundo, CA 90245 USA
| | - W. Turner
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Physics and Astronomy Department, University of California, Los Angeles, CA 90095 USA
- Present Address: Department of Astronomy, Ohio State University, Columbus, OH 43210 USA
| | - G. Wing
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Computer Science Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Present Address: Amazon, Seattle, WA 98109 USA
| | - C. Wong
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Physics and Astronomy Department, University of California, Los Angeles, CA 90095 USA
- Present Address: Department of Radiology, University of California, San Francisco, San Francisco, CA 94143 USA
| | - A. Zarifian
- Earth, Planetary, and Space Sciences Department, and Institute of Geophysics and Planetary Physics, University of California, Los Angeles, Los Angeles, CA 90095 USA
- Mechanical and Aerospace Engineering Department, Henry Samueli School of Engineering, University of California, Los Angeles, CA 90095 USA
- Jet Propulsion Laboratory, California Institute of Technology, Pasadena, CA 91109 USA
| |
Collapse
|
13
|
Tewilliager T, Nguyen K, Ng A. Arthroscopic Cartilage Transplantation. Clin Podiatr Med Surg 2023; 40:483-494. [PMID: 37236685 DOI: 10.1016/j.cpm.2023.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Arthroscopic cartilage repair has made several strides in recent years; however, no gold standard for cartilage restoration has been found. Simple treatment with bone marrow stimulation such as microfracture have shown good short-term results; however, concerns for long-term stability of cartilage repair as well as the subchondral bone health remain in question. Treatment of these lesions often comes down to surgeon preference, the aim of this study is to discuss some of the current options available on the market to further assist surgeons in their decision-making process.
Collapse
Affiliation(s)
- Tyler Tewilliager
- Advanced Orthopedics and Sports Medicine Specialists, 8101 East Lowry Boulevard Suite 230, Denver, CO 80230, USA.
| | - Kevin Nguyen
- Advanced Orthopedics and Sports Medicine Specialists, 8101 East Lowry Boulevard Suite 230, Denver, CO 80230, USA
| | - Alan Ng
- Advanced Orthopedics and Sports Medicine Specialists, 8101 East Lowry Boulevard Suite 230, Denver, CO 80230, USA
| |
Collapse
|
14
|
Supady A, Nguyen K, Aziz MAE, Überreiter C, Bärnighausen T, Adam M. A short, animated storytelling video about sodium intake as a major cardiovascular risk factor and recommendations for a healthy diet: an online, randomized, controlled trial. Trials 2023; 24:390. [PMID: 37296468 DOI: 10.1186/s13063-023-07418-6] [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] [Received: 03/07/2023] [Accepted: 05/26/2023] [Indexed: 06/12/2023] Open
Abstract
BACKGROUND Increased uptake of sodium is a major cause for cardiovascular disease and mortality. Reduction of daily salt intake below a reference level of 2 g per day (the equivalent to 5 g salt/day) is known to effectively reduce cardiovascular mortality. The widespread use of social media, with a constant increase in video consumption, is opening new avenues for the dissemination of innovative and scalable approaches to health-related information and recommendations for a healthy diet, such as via video interventions with short animated stories (SAS). OBJECTIVE This study will evaluate the effect of a sodium intake-SAS video intervention on immediate and medium-term knowledge about dietary sodium. Beyond that, immediate and medium-term effects on behavioral expectation to reduce sodium intake as well as voluntary post-trial engagement with the video content will be examined. METHODS In this 4-armed, parallel, randomized controlled trial, 10,000 adult, US participants will be randomly assigned to (1) a short, animated storytelling intervention video on sodium as a cardiovascular disease risk factor followed by surveys assessing the facts on sodium and cardiovascular disease conveyed in the video (2) the surveys only, (3) an attention placebo control video followed by the before mentioned surveys, and (4) an arm that is exposed to neither the video nor the surveys. Two weeks later, participants in all four arms will complete all of the surveys. RESULTS Primary outcomes are the immediate and medium-term effects of the short, animated storytelling intervention video on knowledge about dietary sodium. Secondary outcomes are immediate and medium-term effects of the short, animated storytelling intervention on behavioral expectation to reduce sodium intake as well as voluntary post-trial engagement with the video content. CONCLUSION This study will extend the knowledge on the effects of short, animated storytelling for the containment of the global cardiovascular disease burden. Knowledge on the groups that may be more likely to voluntarily engage with SAS video content will help to improve targeting of future interventions towards audiences at risk. TRIAL REGISTRATION {2A}: ClinicalTrials.gov NCT05735457. Registered on February 21, 2023.
Collapse
Affiliation(s)
- A Supady
- Interdisciplinary Medical Intensive Care, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
- Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany.
| | - K Nguyen
- Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany
| | - M Abd El Aziz
- Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany
- Division of Infectious Diseases and Tropical Medicine, Heidelberg University Hospital, Heidelberg, Germany
| | - C Überreiter
- Interdisciplinary Medical Intensive Care, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - T Bärnighausen
- Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany
- Department of Global Health and Population, Harvard T. H Chan School of Public Health, Boston, USA
- Africa Health Research Institute (AHRI), Somkhele, KwaZulu-Natal, South Africa
| | - M Adam
- Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany
- Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA
| |
Collapse
|
15
|
Stephen TL, Korobkova L, Breningstall B, Nguyen K, Mehta S, Pachicano M, Jones KT, Hawes D, Cabeen RP, Bienkowski MS. Machine Learning Classification of Alzheimer's Disease Pathology Reveals Diffuse Amyloid as a Major Predictor of Cognitive Impairment in Human Hippocampal Subregions. bioRxiv 2023:2023.05.31.543117. [PMID: 37333119 PMCID: PMC10274752 DOI: 10.1101/2023.05.31.543117] [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] [Indexed: 06/20/2023]
Abstract
Analyzing Alzheimer's disease (AD) pathology within anatomical subregions is a significant challenge, often carried out by pathologists using a standardized, semi-quantitative approach. To augment traditional methods, a high-throughput, high-resolution pipeline was created to classify the distribution of AD pathology within hippocampal subregions. USC ADRC post-mortem tissue sections from 51 patients were stained with 4G8 for amyloid, Gallyas for neurofibrillary tangles (NFTs) and Iba1 for microglia. Machine learning (ML) techniques were utilized to identify and classify amyloid pathology (dense, diffuse and APP (amyloid precursor protein)), NFTs, neuritic plaques and microglia. These classifications were overlaid within manually segmented regions (aligned with the Allen Human Brain Atlas) to create detailed pathology maps. Cases were separated into low, intermediate, or high AD stages. Further data extraction enabled quantification of plaque size and pathology density alongside ApoE genotype, sex, and cognitive status. Our findings revealed that the increase in pathology burden across AD stages was driven mainly by diffuse amyloid. The pre and para-subiculum had the highest levels of diffuse amyloid while NFTs were highest in the A36 region in high AD cases. Moreover, different pathology types had distinct trajectories across disease stages. In a subset of AD cases, microglia were elevated in intermediate and high compared to low AD. Microglia also correlated with amyloid pathology in the Dentate Gyrus. The size of dense plaques, which may represent microglial function, was lower in ApoE4 carriers. In addition, individuals with memory impairment had higher levels of both dense and diffuse amyloid. Taken together, our findings integrating ML classification approaches with anatomical segmentation maps provide new insights on the complexity of disease pathology in AD progression. Specifically, we identified diffuse amyloid pathology as being a major driver of AD in our cohort, regions of interest and microglial responses that might advance AD diagnosis and treatment.
Collapse
|
16
|
Rajkumar E, Nguyen K, Radic S, Paa J, Geng Q. Machine Learning and Causal Approaches to Predict Readmissions and Its Economic Consequences Among Canadian Patients With Heart Disease: Retrospective Study. JMIR Form Res 2023; 7:e41725. [PMID: 37234042 DOI: 10.2196/41725] [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: 08/06/2022] [Revised: 03/21/2023] [Accepted: 04/07/2023] [Indexed: 05/27/2023] Open
Abstract
BACKGROUND Unplanned patient readmissions within 30 days of discharge pose a substantial challenge in Canadian health care economics. To address this issue, risk stratification, machine learning, and linear regression paradigms have been proposed as potential predictive solutions. Ensemble machine learning methods, such as stacked ensemble models with boosted tree algorithms, have shown promise for early risk identification in specific patient groups. OBJECTIVE This study aims to implement an ensemble model with submodels for structured data, compare metrics, evaluate the impact of optimized data manipulation with principal component analysis on shorter readmissions, and quantitatively verify the causal relationship between expected length of stay (ELOS) and resource intensity weight (RIW) value for a comprehensive economic perspective. METHODS This retrospective study used Python 3.9 and streamlined libraries to analyze data obtained from the Discharge Abstract Database covering 2016 to 2021. The study used 2 sub-data sets, clinical and geographical data sets, to predict patient readmission and analyze its economic implications, respectively. A stacking classifier ensemble model was used after principal component analysis to predict patient readmission. Linear regression was performed to determine the relationship between RIW and ELOS. RESULTS The ensemble model achieved precision and slightly higher recall (0.49 and 0.68), indicating a higher instance of false positives. The model was able to predict cases better than other models in the literature. Per the ensemble model, readmitted women and men aged 40 to 44 and 35 to 39 years, respectively, were more likely to use resources. The regression tables verified the causality of the model and confirmed the trend that patient readmission is much more costly than continued hospital stay without discharge for both the patient and health care system. CONCLUSIONS This study validates the use of hybrid ensemble models for predicting economic cost models in health care with the goal of reducing the bureaucratic and utility costs associated with hospital readmissions. The availability of robust and efficient predictive models, as demonstrated in this study, can help hospitals focus more on patient care while maintaining low economic costs. This study predicts the relationship between ELOS and RIW, which can indirectly impact patient outcomes by reducing administrative tasks and physicians' burden, thereby reducing the cost burdens placed on patients. It is recommended that changes to the general ensemble model and linear regressions be made to analyze new numerical data for predicting hospital costs. Ultimately, the proposed work hopes to emphasize the advantages of implementing hybrid ensemble models in forecasting health care economic cost models, empowering hospitals to prioritize patient care while simultaneously decreasing administrative and bureaucratic expenses.
Collapse
Affiliation(s)
- Ethan Rajkumar
- Department of Chemistry, Faculty of Science, The University of British Columbia, Vancouver, BC, Canada
| | - Kevin Nguyen
- Department of Computer Science, Faculty of Science, The University of British Columbia, Vancouver, BC, Canada
| | - Sandra Radic
- Department of Computer Science, Faculty of Science, The University of British Columbia, Vancouver, BC, Canada
| | - Jubelle Paa
- Department of Computer Science, Faculty of Science, The University of British Columbia, Vancouver, BC, Canada
| | - Qiyang Geng
- School of Biomedical Engineering, Faculty of Applied Sciences, University of British Columbia, Vancouver, BC, Canada
| |
Collapse
|
17
|
Mallarino-Haeger C, Pino M, Viox EG, Pagliuzza A, King CT, Nguyen K, Harper JL, Aldrete SDM, Cervasi B, Delman KA, Lowe MC, Chomont N, Marconi VC, Paiardini M. HIV-1 DNA and Immune Activation Levels Differ for Long-Lived T-Cells in Lymph Nodes, Compared with Peripheral Blood, during Antiretroviral Therapy. J Virol 2023; 97:e0167022. [PMID: 36971588 PMCID: PMC10134873 DOI: 10.1128/jvi.01670-22] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Accepted: 03/04/2023] [Indexed: 03/29/2023] Open
Abstract
Elucidating the mechanisms underlying the persistence and location of the HIV reservoir is critical for developing cure interventions. While it has been shown that levels of T-cell activation and the size of the HIV reservoir are greater in rectal tissue and lymph nodes (LN) than in blood, the relative contributions of T-cell subsets to this anatomic difference are unknown. We measured and compared HIV-1 DNA content, expression of the T-cell activation markers CD38 and HLA-DR, and expression of the exhaustion markers programmed cell death protein 1 (PD-1) and T-cell immunoreceptor with immunoglobulin and immunoreceptor tyrosine-based inhibitory motif domains (TIGIT) in naive, central memory (CM), transitional memory (TM), and effector memory (EM) CD4+ and CD8+ T-cells in paired blood and LN samples among 14 people with HIV who were receiving antiretroviral therapy. HIV-1 DNA levels, T-cell immune activation, and TIGIT expression were higher in LN than in blood, especially in CM and TM CD4+ T-cell subsets. Immune activation was significantly higher in all CD8+ T-cell subsets, and memory CD8+ T-cell subsets from LN had higher levels of PD-1 expression, compared with blood, while TIGIT expression levels were significantly lower in TM CD8+ T-cells. The differences seen in CM and TM CD4+ T-cell subsets were more pronounced among participants with CD4+ T-cell counts of <500 cells/μL within 2 years after antiretroviral therapy initiation, thus highlighting increased residual dysregulation in LN as a distinguishing feature of and a potential mechanism for individuals with suboptimal CD4+ T-cell recovery during antiretroviral therapy. IMPORTANCE This study provides new insights into the contributions of different CD4+ and CD8+ T-cell subsets to the anatomic differences between LN and blood in individuals with HIV who have optimal versus suboptimal CD4+ T-cell recovery. To our knowledge, this is the first study comparing paired LN and blood CD4+ and CD8+ T-cell differentiation subsets, as well as those subsets in immunological responders versus immunological suboptimal responders.
Collapse
Affiliation(s)
| | - Maria Pino
- Emory National Primate Research Center, Emory University, Atlanta, Georgia, USA
| | - Elise G. Viox
- Emory National Primate Research Center, Emory University, Atlanta, Georgia, USA
| | | | - Colin T. King
- Emory National Primate Research Center, Emory University, Atlanta, Georgia, USA
| | - Kevin Nguyen
- Emory National Primate Research Center, Emory University, Atlanta, Georgia, USA
| | - Justin L. Harper
- Emory National Primate Research Center, Emory University, Atlanta, Georgia, USA
| | | | - Barbara Cervasi
- Emory National Primate Research Center, Emory University, Atlanta, Georgia, USA
| | | | | | | | - Vincent C. Marconi
- Emory University School of Medicine, Atlanta, Georgia, USA
- Emory National Primate Research Center, Emory University, Atlanta, Georgia, USA
- Rollins School of Public Health, Atlanta, Georgia, USA
| | - Mirko Paiardini
- Emory University School of Medicine, Atlanta, Georgia, USA
- Emory National Primate Research Center, Emory University, Atlanta, Georgia, USA
| |
Collapse
|
18
|
Li H, Guglielmetti C, Sei YJ, Zilberter M, Le Page LM, Shields L, Yang J, Nguyen K, Tiret B, Gao X, Bennett N, Lo I, Dayton TL, Kampmann M, Huang Y, Rathmell JC, Vander Heiden M, Chaumeil MM, Nakamura K. Neurons require glucose uptake and glycolysis in vivo. Cell Rep 2023; 42:112335. [PMID: 37027294 PMCID: PMC10556202 DOI: 10.1016/j.celrep.2023.112335] [Citation(s) in RCA: 12] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Revised: 02/22/2023] [Accepted: 03/20/2023] [Indexed: 04/08/2023] Open
Abstract
Neurons require large amounts of energy, but whether they can perform glycolysis or require glycolysis to maintain energy remains unclear. Using metabolomics, we show that human neurons do metabolize glucose through glycolysis and can rely on glycolysis to supply tricarboxylic acid (TCA) cycle metabolites. To investigate the requirement for glycolysis, we generated mice with postnatal deletion of either the dominant neuronal glucose transporter (GLUT3cKO) or the neuronal-enriched pyruvate kinase isoform (PKM1cKO) in CA1 and other hippocampal neurons. GLUT3cKO and PKM1cKO mice show age-dependent learning and memory deficits. Hyperpolarized magnetic resonance spectroscopic (MRS) imaging shows that female PKM1cKO mice have increased pyruvate-to-lactate conversion, whereas female GLUT3cKO mice have decreased conversion, body weight, and brain volume. GLUT3KO neurons also have decreased cytosolic glucose and ATP at nerve terminals, with spatial genomics and metabolomics revealing compensatory changes in mitochondrial bioenergetics and galactose metabolism. Therefore, neurons metabolize glucose through glycolysis in vivo and require glycolysis for normal function.
Collapse
Affiliation(s)
- Huihui Li
- Gladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA
| | - Caroline Guglielmetti
- Department of Physical Therapy and Rehabilitation Science, San Francisco, CA 94158, USA; Department of Radiology and Biomedical Imaging, San Francisco, CA 94158, USA
| | - Yoshitaka J Sei
- Gladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA
| | - Misha Zilberter
- Gladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA
| | - Lydia M Le Page
- Department of Physical Therapy and Rehabilitation Science, San Francisco, CA 94158, USA; Department of Radiology and Biomedical Imaging, San Francisco, CA 94158, USA
| | - Lauren Shields
- Gladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA; Graduate Program in Biomedical Sciences, University of California San Francisco, San Francisco, CA 94143, USA
| | - Joyce Yang
- Graduate Program in Neuroscience, University of California San Francisco, San Francisco, CA 94158, USA
| | - Kevin Nguyen
- Gladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA
| | - Brice Tiret
- Department of Physical Therapy and Rehabilitation Science, San Francisco, CA 94158, USA; Department of Radiology and Biomedical Imaging, San Francisco, CA 94158, USA
| | - Xiao Gao
- Department of Physical Therapy and Rehabilitation Science, San Francisco, CA 94158, USA; Department of Radiology and Biomedical Imaging, San Francisco, CA 94158, USA; UCSF/UCB Graduate Program in Bioengineering, University of California San Francisco, San Francisco, CA 94158, USA
| | - Neal Bennett
- Gladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA
| | - Iris Lo
- Gladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA
| | - Talya L Dayton
- Koch Institute for Integrative Cancer Research and the Department of Biology, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| | - Martin Kampmann
- Graduate Program in Biomedical Sciences, University of California San Francisco, San Francisco, CA 94143, USA; Graduate Program in Neuroscience, University of California San Francisco, San Francisco, CA 94158, USA; UCSF/UCB Graduate Program in Bioengineering, University of California San Francisco, San Francisco, CA 94158, USA; Institute for Neurodegenerative Diseases, University of California San Francisco, San Francisco, CA, USA; Department of Biochemistry and Biophysics, University of California San Francisco, San Francisco, CA, USA
| | - Yadong Huang
- Gladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA; Graduate Program in Biomedical Sciences, University of California San Francisco, San Francisco, CA 94143, USA; Graduate Program in Neuroscience, University of California San Francisco, San Francisco, CA 94158, USA; Department of Neurology, University of California, San Francisco, San Francisco, CA 94158, USA
| | - Jeffrey C Rathmell
- Vanderbilt Center for Immunobiology, Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN 37232, USA
| | - Matthew Vander Heiden
- Koch Institute for Integrative Cancer Research and the Department of Biology, Massachusetts Institute of Technology, Cambridge, MA 02139, USA; Dana-Farber Cancer Institute, Boston, MA 02115, USA
| | - Myriam M Chaumeil
- Department of Physical Therapy and Rehabilitation Science, San Francisco, CA 94158, USA; Department of Radiology and Biomedical Imaging, San Francisco, CA 94158, USA; Graduate Program in Biomedical Sciences, University of California San Francisco, San Francisco, CA 94143, USA; UCSF/UCB Graduate Program in Bioengineering, University of California San Francisco, San Francisco, CA 94158, USA.
| | - Ken Nakamura
- Gladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA; Graduate Program in Biomedical Sciences, University of California San Francisco, San Francisco, CA 94143, USA; Graduate Program in Neuroscience, University of California San Francisco, San Francisco, CA 94158, USA; Department of Neurology, University of California, San Francisco, San Francisco, CA 94158, USA.
| |
Collapse
|
19
|
Upadhyay AA, Viox EG, Hoang TN, Boddapati AK, Pino M, Lee MYH, Corry J, Strongin Z, Cowan DA, Beagle EN, Horton TR, Hamilton S, Aoued H, Harper JL, Edwards CT, Nguyen K, Pellegrini KL, Tharp GK, Piantadosi A, Levit RD, Amara RR, Barratt-Boyes SM, Ribeiro SP, Sekaly RP, Vanderford TH, Schinazi RF, Paiardini M, Bosinger SE. TREM2 + and interstitial-like macrophages orchestrate airway inflammation in SARS-CoV-2 infection in rhesus macaques. Nat Commun 2023; 14:1914. [PMID: 37024448 PMCID: PMC10078029 DOI: 10.1038/s41467-023-37425-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Accepted: 03/16/2023] [Indexed: 04/08/2023] Open
Abstract
The immunopathological mechanisms driving the development of severe COVID-19 remain poorly defined. Here, we utilize a rhesus macaque model of acute SARS-CoV-2 infection to delineate perturbations in the innate immune system. SARS-CoV-2 initiates a rapid infiltration of plasmacytoid dendritic cells into the lower airway, commensurate with IFNA production, natural killer cell activation, and a significant increase of blood CD14-CD16+ monocytes. To dissect the contribution of lung myeloid subsets to airway inflammation, we generate a longitudinal scRNA-Seq dataset of airway cells, and map these subsets to corresponding populations in the human lung. SARS-CoV-2 infection elicits a rapid recruitment of two macrophage subsets: CD163+MRC1-, and TREM2+ populations that are the predominant source of inflammatory cytokines. Treatment with baricitinib (Olumiant®), a JAK1/2 inhibitor is effective in eliminating the influx of non-alveolar macrophages, with a reduction of inflammatory cytokines. This study delineates the major lung macrophage subsets driving airway inflammation during SARS-CoV-2 infection.
Collapse
Affiliation(s)
- Amit A Upadhyay
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA, USA
| | - Elise G Viox
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA, USA
| | - Timothy N Hoang
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA, USA
| | - Arun K Boddapati
- Emory NPRC Genomics Core Laboratory, Emory National Primate Research Center, Emory University, Atlanta, GA, USA
| | - Maria Pino
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA, USA
| | - Michelle Y-H Lee
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA, USA
| | - Jacqueline Corry
- Department of Infectious Diseases and Microbiology, University of Pittsburgh, Pittsburgh, PA, USA
| | - Zachary Strongin
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA, USA
| | - David A Cowan
- Emory NPRC Genomics Core Laboratory, Emory National Primate Research Center, Emory University, Atlanta, GA, USA
| | - Elizabeth N Beagle
- Emory NPRC Genomics Core Laboratory, Emory National Primate Research Center, Emory University, Atlanta, GA, USA
| | - Tristan R Horton
- Emory NPRC Genomics Core Laboratory, Emory National Primate Research Center, Emory University, Atlanta, GA, USA
| | - Sydney Hamilton
- Emory NPRC Genomics Core Laboratory, Emory National Primate Research Center, Emory University, Atlanta, GA, USA
| | - Hadj Aoued
- Emory NPRC Genomics Core Laboratory, Emory National Primate Research Center, Emory University, Atlanta, GA, USA
| | - Justin L Harper
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA, USA
| | - Christopher T Edwards
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA, USA
| | - Kevin Nguyen
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA, USA
| | - Kathryn L Pellegrini
- Emory NPRC Genomics Core Laboratory, Emory National Primate Research Center, Emory University, Atlanta, GA, USA
| | - Gregory K Tharp
- Emory NPRC Genomics Core Laboratory, Emory National Primate Research Center, Emory University, Atlanta, GA, USA
| | - Anne Piantadosi
- Department of Pathology and Laboratory Medicine, School of Medicine, Emory University, Atlanta, GA, USA
| | - Rebecca D Levit
- Department of Medicine, School of Medicine, Emory University, Atlanta, GA, USA
| | - Rama R Amara
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA, USA
- Department of Microbiology and Immunology, Emory School of Medicine, Emory University, Atlanta, GA, USA
| | - Simon M Barratt-Boyes
- Department of Infectious Diseases and Microbiology, University of Pittsburgh, Pittsburgh, PA, USA
- Department of Immunology, University of Pittsburgh, Pittsburgh, PA, USA
| | - Susan P Ribeiro
- Department of Pathology and Laboratory Medicine, School of Medicine, Emory University, Atlanta, GA, USA
| | - Rafick P Sekaly
- Department of Pathology and Laboratory Medicine, School of Medicine, Emory University, Atlanta, GA, USA
| | - Thomas H Vanderford
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA, USA
| | - Raymond F Schinazi
- Department of Pediatrics, School of Medicine, Emory University and Children's Healthcare of Atlanta, Atlanta, GA, USA
| | - Mirko Paiardini
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA, USA.
- Department of Pathology and Laboratory Medicine, School of Medicine, Emory University, Atlanta, GA, USA.
| | - Steven E Bosinger
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA, USA.
- Department of Pathology and Laboratory Medicine, School of Medicine, Emory University, Atlanta, GA, USA.
| |
Collapse
|
20
|
Hsu LY, Pawar RD, Li D, Ghosh P, Nguyen K, Williams C, Song Y, Ding N, Verner E, Miller RA. Abstract 1813: Selective ITK blockade induces antitumor responses and enhances efficacy to immune checkpoint inhibitors in preclinical models. Cancer Res 2023. [DOI: 10.1158/1538-7445.am2023-1813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/07/2023]
Abstract
Abstract
Interleukin 2 inducible T cell kinase (ITK) plays a role in both T cell receptor (TCR) signaling and T helper cell differentiation. ITK-/- mice exhibit defects in Th2 differentiation while retaining the ability to differentiate into Th1 cells that secrete IFNγ. We generated CPI-818, a covalent inhibitor of ITK (KD 2.5nM) with > 100 fold selectivity over resting lymphocyte kinase (RLK) and other TEC family kinases. This drug is now being evaluated as a single agent in an ongoing Phase 1 clinical trial in refractory T cell lymphoma where objective tumor responses have been observed. In the studies reported here, we have investigated the immunomodulatory effects of specific ITK blockade of human T cells with CPI-818 in vitro and in vivo in murine tumor models.
Analysis of the cytokine profiles in human CD4 T cells differentiated under non-polarizing, Th1 or Th2 polarizing conditions showed that CPI-818 inhibited generation of Th2-associated cytokines whereas, production of Th1 cytokines such as IFNγ were largely unaffected. Suppression of IL-2-mediated proliferative response occurred only at high concentrations of CPI-818 (>1uM). The effect of CPI-818 on anti-tumor immunity was evaluated in both murine syngeneic CT26 colon cancer and EL4 T cell lymphoma models. In vivo treatment of animals with established tumors showed single-agent anti-tumor activity in both models. Combining CPI-818 with suboptimal doses of anti-PD1 and anti-CTLA4 synergistically inhibited the growth of established CT26 tumors, leading to complete tumor elimination in 100% treated animals. Furthermore, triple combination therapy elicited durable anti-tumor immune memory after animals were rechallenged with a new engraftment of CT26 cells. Enhancement of anti-tumor activity required CD8+ T cells as in vivo antibody-mediated depletion of CD8, but not CD4, abolished the efficacy of CPI-818 monotherapy. Consistent with that, we found increased tumor-infiltrating CD8+ T cells and increased ratio of CD8: Treg in the responding tumors of CPI-818 treated animals. Levels of several exhaustion makers were down-regulated by treatment with CPI-818, suggesting that inhibition of ITK by CPI-818 produces favorable changes in the tumor microenvironment. Our findings provide insights into the effects of selective ITK blockade on tumor immunity and its potential role in immunotherapy.
Citation Format: Lih-Yun Hsu, Rahul D. Pawar, Dan Li, Poorva Ghosh, Kevin Nguyen, Carlene Williams, Yuqin Song, Ning Ding, Erik Verner, Richard A. Miller. Selective ITK blockade induces antitumor responses and enhances efficacy to immune checkpoint inhibitors in preclinical models [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2023; Part 1 (Regular and Invited Abstracts); 2023 Apr 14-19; Orlando, FL. Philadelphia (PA): AACR; Cancer Res 2023;83(7_Suppl):Abstract nr 1813.
Collapse
Affiliation(s)
- Lih-Yun Hsu
- 1Corvus Pharmaceuticals, Inc., Burlingame, CA
| | | | - Dan Li
- 1Corvus Pharmaceuticals, Inc., Burlingame, CA
| | | | | | | | - Yuqin Song
- 2Peking University Cancer Hospital & Institute, Beijing, China
| | - Ning Ding
- 2Peking University Cancer Hospital & Institute, Beijing, China
| | - Erik Verner
- 3Angel Pharmaceuticals Co., Ltd, Jiaxing, China
| | | |
Collapse
|
21
|
Tadi S, Ka-Yan Cheung V, Lee CS, Nguyen K, Luk PP, Low THH, Palme C, Clark J, Gupta R. MYB RNA detection by in situ hybridisation has high sensitivity and specificity for the diagnosis of adenoid cystic carcinoma. Pathology 2023; 55:456-465. [PMID: 37055331 DOI: 10.1016/j.pathol.2023.01.007] [Citation(s) in RCA: 1] [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: 10/02/2022] [Revised: 12/11/2022] [Accepted: 01/20/2023] [Indexed: 04/15/2023]
Abstract
Adenoid cystic carcinoma (ACC) is one of the most common primary salivary gland cancers. ACC has several benign and malignant mimics amongst salivary gland neoplasms. An accurate diagnosis of ACC is essential for optimal management of the patients and their follow-up. Upregulation of MYB has been described in 85-90% of ACC, but not in other salivary gland neoplasms. In ACC, MYB upregulation can occur as a result of a genetic rearrangement t(6;9) (q22-23;p23-24), MYB copy number variation (CNV), or enhancer hijacking of MYB. All mechanisms of MYB upregulation result in increased RNA transcription that can be detected using RNA in situ hybridisation (ISH) methods. In this study, utilising 138 primary salivary gland neoplasms including 78 ACC, we evaluate the diagnostic utility of MYB RNA ISH for distinguishing ACC from other primary salivary gland neoplasms with a prominent cribriform architecture including pleomorphic adenoma, basal cell adenoma, basal cell adenocarcinoma, epithelial myoepithelial carcinoma, and polymorphous adenocarcinoma. Fluorescent in situ hybridisation and next generation sequencing were also performed to evaluate the sensitivity and specificity of RNA ISH for detecting increased MYB RNA when MYB gene alterations were present. Detection of MYB RNA has 92.3% sensitivity and 98.2% specificity for a diagnosis of ACC amongst salivary gland neoplasms. The sensitivity of MYB RNA detection by ISH (92.3%) is significantly higher than that of the FISH MYB break-apart probe (42%) for ACC. Next generation sequencing did not demonstrate MYB alterations in cases that lacked MYB RNA overexpression indicating high sensitivity of MYB RNA ISH for detecting MYB gene alterations. The possibility that the sensitivity may be higher in clinical practice with contemporary samples as compared with older retrospective tissue samples with RNA degradation is not entirely excluded. In addition to the high sensitivity and specificity, MYB RNA testing can be performed using standard IHC platforms and protocols and evaluated using brightfield microscopy making it a time and cost-efficient diagnostic tool in routine clinical practice.
Collapse
Affiliation(s)
- Sahithi Tadi
- Department of Head and Neck Surgery, Chris O'Brien Lifehouse, Sydney, NSW, Australia
| | - Veronica Ka-Yan Cheung
- Department of Tissue Pathology and Diagnostic Oncology, NSW Health Pathology, Royal Prince Alfred Hospital, Sydney, NSW, Australia; Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia
| | - C Soon Lee
- Department of Tissue Pathology and Diagnostic Oncology, NSW Health Pathology, Royal Prince Alfred Hospital, Sydney, NSW, Australia; Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Discipline of Pathology, School of Medicine, Western Sydney University, Campbelltown, NSW, Australia; Department of Anatomical Pathology, Liverpool Hospital, Liverpool, NSW, Australia; Cancer Pathology Laboratory, Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia; CONCERT Biobank, Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia; South Western Sydney Clinical School, University of New South Wales, Liverpool, NSW, Australia
| | - Kevin Nguyen
- Department of Head and Neck Surgery, Chris O'Brien Lifehouse, Sydney, NSW, Australia; Department of Otolaryngology - Head and Neck Surgery, Faculty of Medicine and Health Sciences, Macquarie University, Macquarie Park, NSW, Australia
| | - Peter P Luk
- Department of Tissue Pathology and Diagnostic Oncology, NSW Health Pathology, Royal Prince Alfred Hospital, Sydney, NSW, Australia; Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia
| | - Tsu-Hui Hubert Low
- Department of Head and Neck Surgery, Chris O'Brien Lifehouse, Sydney, NSW, Australia; Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Department of Otolaryngology - Head and Neck Surgery, Faculty of Medicine and Health Sciences, Macquarie University, Macquarie Park, NSW, Australia
| | - Carsten Palme
- Department of Head and Neck Surgery, Chris O'Brien Lifehouse, Sydney, NSW, Australia; Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia
| | - Jonathan Clark
- Department of Head and Neck Surgery, Chris O'Brien Lifehouse, Sydney, NSW, Australia; Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Royal Prince Alfred Institute of Academic Surgery, Sydney Local Health District, Sydney, NSW, Australia
| | - Ruta Gupta
- Department of Tissue Pathology and Diagnostic Oncology, NSW Health Pathology, Royal Prince Alfred Hospital, Sydney, NSW, Australia; Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
| |
Collapse
|
22
|
Ung G, Nguyen K, Hui A, Wong ND, Dineen EH. CARDIOVASCULAR DISEASE AND ALL-CAUSE MORTALITY ACCORDING TO DIABETES STATUS AND LEVEL OF CARDIORESPIRATORY FITNESS IN US ADULTS. J Am Coll Cardiol 2023. [DOI: 10.1016/s0735-1097(23)02143-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
|
23
|
Nguyen K, Gunawan E, Salas A. Is there an association between body mass index and adiposity in very preterm infants? Am J Med Sci 2023. [DOI: 10.1016/s0002-9629(23)00452-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
|
24
|
Lopez MA, Nguyen K, Salas A. The gut microbiome of human milk-fed infants born extremely preterm randomized to receive increased enteral protein intake. Am J Med Sci 2023. [DOI: 10.1016/s0002-9629(23)00431-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
|
25
|
Razzaghy J, Salas A, Shukla V, Reeves A, Gunawan E, Nguyen K, Gunn M. Early initiation of high-volume, exclusive human milk-$$$based feeds: A randomized trial. Am J Med Sci 2023. [DOI: 10.1016/s0002-9629(23)00514-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
|
26
|
Jensen D, Nguyen K, Collins MV, Coghill C, Hightower H, Salas A. Enteral feeding after the surgical management of necrotizing enterocolitis and spontaneous intestinal perforation. Am J Med Sci 2023. [DOI: 10.1016/s0002-9629(23)00445-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
|
27
|
Cyrus K, Jerome M, Reeves A, Nguyen K, Shankaran M, Evans W, Salas A. Is measuring skeletal muscle mass with the D3-$$$creatine dilution method feasible in premature infants? Am J Med Sci 2023. [DOI: 10.1016/s0002-9629(23)00730-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
|
28
|
Casciato DJ, Chandra A, Nguyen K, Starcher N, Thompson J, Mendicino RW, Taylor BC. Correlation of Lisfranc Injuries With Regional Bone Density. J Foot Ankle Surg 2022; 62:173-177. [PMID: 35918263 DOI: 10.1053/j.jfas.2022.06.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Revised: 06/09/2022] [Accepted: 06/22/2022] [Indexed: 02/03/2023]
Abstract
Lisfranc injuries present a challenge due to their ubiquity though frequent missed diagnoses. A paucity of data exists associating the contribution of bone density to injury type. This investigation compares the regional bone density between Lisfranc injury types using computed-tomography (CT)-derived Hounsfield units. A retrospective chart review identified patients with gross ligamentous and avulsion-type Lisfranc injuries determined by CT examination of the second metatarsal base and medial cuneiform. Regional bone density was assessed by averaging the Hounsfield units of the first metatarsal base, navicular, cuboid, calcaneus, and talus between 2 reviewers. Density was compared between injury type, isolated concomitant forefoot, and mid/hindfoot fractures. One hundred thirty-four patients were separated into avulsion (n = 85) and ligamentous (n = 49) groups. No statistically significant difference in patient body mass index, age, smoking status, or Quenu and Kuss injury pattern was observed between groups. The regional bone density of the cuboid (p = .03) and talus (p = .04) was greater in the ligamentous group. Lower extremity concomitant mid/hindfoot fracture patients exhibited greater regional bone density in the ligamentous group in all assessed bones (p ≤ .04) except the calcaneus. Ligamentous injuries of the Lisfranc complex are associated with increased regional bone density among patients sustaining concomitant mid/hindfoot fractures. This study expands the utility of regional bone density analysis in foot and ankle trauma.
Collapse
Affiliation(s)
| | - Amar Chandra
- Resident Physician, OhioHealth Grant Medical Center, Columbus, OH
| | - Kevin Nguyen
- Resident Physician, OhioHealth Grant Medical Center, Columbus, OH
| | - Nathaniel Starcher
- Student, Ohio University Heritage College of Osteopathic Medicine, Dublin, OH
| | - John Thompson
- Fellow, Orthopedic Foot and Ankle Center, Worthington, OH
| | | | - Benjamin C Taylor
- Fellowship Director, Orthopaedic Trauma and Reconstructive Surgery, Department of Orthopedic Surgery, Grant Medical Center, Columbus, OH
| |
Collapse
|
29
|
Xu H, Nguyen K, Gaynor BJ, Ling H, Zhao W, McArdle PF, O’Connor TD, Stine OC, Ryan KA, Lynch M, Smith JA, Faul JD, Hu Y, Haessler JW, Fornage M, Kooperberg C, Perry JA, Hong CC, Cole JW, Pugh E, Doheny K, Kardia SLR, Weir DR, Kittner SJ, Mitchell BD. Exome Array Analysis of 9721 Ischemic Stroke Cases from the SiGN Consortium. Genes (Basel) 2022; 14:61. [PMID: 36672803 PMCID: PMC9858999 DOI: 10.3390/genes14010061] [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] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Revised: 12/21/2022] [Accepted: 12/22/2022] [Indexed: 12/29/2022] Open
Abstract
Recent genome wide association studies have identified 89 common genetic variants robustly associated with ischemic stroke and primarily located in non-coding regions. To evaluate the contribution of coding variants, which are mostly rare, we performed an exome array analysis on 106,101 SNPs for 9721 ischemic stroke cases from the SiGN Consortium, and 12,345 subjects with no history of stroke from the Health Retirement Study and SiGN consortium. We identified 15 coding variants significantly associated with all ischemic stroke at array-wide threshold (i.e., p < 4.7 × 10-7), including two common SNPs in ABO that have previously been associated with stroke. Twelve of the remaining 13 variants were extremely rare in European Caucasians (MAF < 0.1%) and the associations were driven by African American samples. There was no evidence for replication of these associations in either TOPMed Stroke samples (n = 5613 cases) or UK Biobank (n = 5874 stroke cases), although power to replicate was very low given the low allele frequencies of the associated variants and a shortage of samples from diverse ancestries. Our study highlights the need for acquiring large, well-powered diverse cohorts to study rare variants, and the technical challenges using array-based genotyping technologies for rare variant genotyping.
Collapse
Affiliation(s)
- Huichun Xu
- Department of Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
| | - Kevin Nguyen
- Department of Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
| | - Brady J. Gaynor
- Department of Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
| | - Hua Ling
- Center for Inherited Disease Research, Dept. of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
| | - Wei Zhao
- Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI 48109, USA
- Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
| | - Patrick F. McArdle
- Department of Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
| | - Timothy D. O’Connor
- Department of Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
| | - O. Colin Stine
- Department of Epidemiology & Public Health, University of Maryland School of Medicine, Baltimore, MD 21201, USA
| | - Kathleen A. Ryan
- Department of Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
| | - Megan Lynch
- Department of Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
| | - Jennifer A. Smith
- Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI 48109, USA
- Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
| | - Jessica D. Faul
- Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI 48109, USA
| | - Yao Hu
- Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA
| | - Jeffrey W. Haessler
- Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA
| | - Myriam Fornage
- Institute of Molecular Medicine, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX 77030, USA
| | - Charles Kooperberg
- Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA
| | | | - James A. Perry
- Department of Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
| | - Charles C. Hong
- Department of Cardiology Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
| | - John W. Cole
- Department of Neurology Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
| | - Elizabeth Pugh
- Center for Inherited Disease Research, Dept. of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
| | - Kimberly Doheny
- Center for Inherited Disease Research, Dept. of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
| | - Sharon L. R. Kardia
- Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
| | - David R. Weir
- Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI 48109, USA
| | - Steven J. Kittner
- Department of Neurology Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
| | - Braxton D. Mitchell
- Department of Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
- Geriatrics Research and Education Clinical Center, Baltimore Veterans Administration Medical Center, Baltimore, MD 21201, USA
| |
Collapse
|
30
|
Oh DHW, Tran HN, Ramalingam ND, Alie MD, Reidenouer A, Nguyen K, Li CF. Stop to Plan Ahead: Comparing Resident-Led Interventions to Increase Referrals to Advance Care Planning. Perm J 2022; 26:104-105. [PMID: 36221177 PMCID: PMC9761268 DOI: 10.7812/tpp/22.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Affiliation(s)
- David Hyung Won Oh
- 1The Department of Medicine, Kaiser Permanente Oakland Medical Center, Oakland, CA, USA
| | - H Nicole Tran
- 1The Department of Medicine, Kaiser Permanente Oakland Medical Center, Oakland, CA, USA,2The Permanente Medical Group, Oakland, CA, USA
| | - Nirmala D Ramalingam
- 3Graduate Medical Education, Kaiser Permanente Oakland Medical Center, Oakland, CA, USA,Nirmala D Ramalingam, MPP
| | | | | | - Kevin Nguyen
- 1The Department of Medicine, Kaiser Permanente Oakland Medical Center, Oakland, CA, USA,2The Permanente Medical Group, Oakland, CA, USA
| | - Christina F Li
- 1The Department of Medicine, Kaiser Permanente Oakland Medical Center, Oakland, CA, USA
| |
Collapse
|
31
|
Nguyen K, Bryant M, Song IH, You BH, Khaleghian S. The Application of PVDF-Based Piezoelectric Patches in Energy Harvesting from Tire Deformation. Sensors (Basel) 2022; 22:9995. [PMID: 36560363 PMCID: PMC9785955 DOI: 10.3390/s22249995] [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] [Figures] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 12/09/2022] [Accepted: 12/15/2022] [Indexed: 06/17/2023]
Abstract
The application of Polyvinylidene Fluoride or Polyvinylidene Difluoride (PVDF) in harvesting energy from tire deformation was investigated in this study. An instrumented tire with different sizes of PVDF-based piezoelectric patches and a tri-axial accelerometer attached to its inner liner was used for this purpose and was tested under different conditions on asphalt and concrete surfaces. The results demonstrated that on both pavement types, the generated voltage was directly proportional to the size of the harvester patches, the longitudinal velocity, and the normal load. Additionally, the generated voltage was inversely proportional to the tire inflation pressure. Moreover, the range of generated voltages was slightly higher on asphalt compared to the same testing conditions on the concrete surface. Based on the results, it was concluded that in addition to the potential role of the PVDF-based piezoelectric film in harvesting energy from tire deformation, they demonstrate great potential to be used as self-powered sensors to estimate the tire-road contact parameters.
Collapse
Affiliation(s)
- Kevin Nguyen
- Department of Mechanical Engineering, University of Texas at Austin, Austin, TX 78712, USA
| | - Matthew Bryant
- Department of Mechanical Engineering, Montana State University, Bozeman, MT 58718, USA
| | - In-Hyouk Song
- Department of Engineering Technology, Texas State University, San Marcos, TX 78666, USA
| | - Byoung Hee You
- Department of Engineering Technology, Texas State University, San Marcos, TX 78666, USA
| | | |
Collapse
|
32
|
Strongin Z, Deleage C, Hoang T, Tharp G, Nguyen K, Rahmberg A, Brenchley J, Bosinger S, Kissick H, Paiardini M. PP 4.18 – 00213 Dynamics and antiviral role of TOX+ TCF1+ CD39+ CD8 T cells in lymphoid tissue of SIV-infected rhesus macaques. J Virus Erad 2022. [DOI: 10.1016/j.jve.2022.100226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
|
33
|
Harper J, Nguyen K, Freeman M, Safrit J, Lederman M, Paiardini M. PP 8.7 – 00098 The sequestration and expansion of effector lymphocytes in lymphoid tissue using combination FTY720 and N-803 immunotherapy at ART initiation fails to limit SIV persistence. J Virus Erad 2022. [DOI: 10.1016/j.jve.2022.100287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
|
34
|
Salinas TW, Harper J, Nguyen K, Auger J, Tompkins L, Schauer A, Kulpa D, Cottrell M, Silvestri G, Paiardini M. PP 8.9 – 00142 Safety and activity of BCL-2 inhibitor Venetoclax in uninfected rhesus macaques. J Virus Erad 2022. [DOI: 10.1016/j.jve.2022.100289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
|
35
|
Weng J, Dabaja B, Das P, Gunn G, Chronowski G, Bloom E, Lee P, Koong A, Ning M, Semien K, Sanders C, Ritchey R, Nguyen K, Hoffman K, Robinson I, Kerr A, Brokaw J, Liao Z, Nguyen Q. Radiation Therapy Decision Making Process and Operations for COVID-19 Positive Patients. Int J Radiat Oncol Biol Phys 2022. [PMCID: PMC9595469 DOI: 10.1016/j.ijrobp.2022.07.1722] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Purpose/Objective(s) A challenging clinical dilemma during the COVID-19 pandemic is management of cancer patients who test positive for COVID. Given the need to balance the risk of disease progression with the risk of transmission to other patients and staff, radiation therapy for these patients requires careful consideration and modification of standard workflows. It is also critical to develop processes to mitigate radiation treatment interruption, which can affect patient outcomes. The objective of this study was to report the clinical operations and outcomes for COVID positive patients receiving radiation therapy during the pandemic at a tertiary cancer center including 2 network locations. Materials/Methods During March 2020 to March 2022, the Radiation Oncology COVID committee (RO COVID) developed an integrated process to triage patients, provide treatment recommendations, and implement infection control procedures to safely deliver radiation therapy to COVID positive patients. Policies were created for each center with multidisciplinary input from infectious disease, radiation oncology, radiation therapy, and nursing. All COVID positive patients were presented to the RO COVID group and evaluated for clinical urgency, benefit with radiation, and life expectancy. If deemed necessary, a limited planned break or hypofractionated regimen was recommended to minimize staff exposure. We conducted a retrospective review of COVID positive patients with different primary malignancies treated through the COVID positive pathway. Results A total of 68 COVID positive patients were treated with the COVID positive pathway (HN 15, Breast 9, CNS 8, GU 8, GYN, 7, Thoracic 6, GI 5, HEME 5, PED 3, SARC 2). The median age was 57.1 years (IQR 45.8-63.4) and 47% were female. There were 39 patients (57%) who were asymptomatic and were tested for routine pre-radiation screening or due to concerns of COVID exposure. Twenty-three (34%) patients were treated with palliative intent and 8 (12%) were treated for an emergent indication (i.e., spinal cord compression, bleeding). Thirteen (19%) patients were receiving radiation treatment, had a treatment break (7-21 days), and then resumed their radiation course. All treatments were successfully completed without known nosocomial spread of COVID to staff or other patients. Among this heterogenous group of patients, 58 (85%) were alive with a median follow up of 2 months (IQR 0.5-7.5). COVID infection may have contributed to 3 out of 10 deaths (4% of total cohort). The remaining deaths were due to progression of disease or other non-COVID causes. Conclusion In this study, COVID positive patients were safely treated with radiation therapy through a comprehensive decision making and clinical operations pathway taking into account evolving COVID guidelines for three different variant surges. Although limited in follow up, patient outcomes are promising with few COVID-related deaths and low overall mortality rates, even with hypofractionated regimens.
Collapse
Affiliation(s)
- J. Weng
- MD Anderson Cancer Center, Houston, TX,Corresponding author:
| | - B. Dabaja
- Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX
| | - P. Das
- The University of Texas MD Anderson Cancer Center, Houston, TX
| | - G.B. Gunn
- MD Anderson Cancer Center, Houston, TX
| | - G.M. Chronowski
- Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX
| | | | - P. Lee
- Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX
| | - A.C. Koong
- The University of Texas MD Anderson Cancer Center, Houston, TX
| | - M.S. Ning
- MD Anderson Cancer Center, Houston, TX
| | - K. Semien
- MD Anderson Cancer Center, Houston, TX
| | | | | | - K. Nguyen
- MD Anderson Cancer Center, Houston, TX
| | - K.E. Hoffman
- Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX
| | - I. Robinson
- The University of Texas MD Anderson Cancer Center, Houston, TX
| | - A. Kerr
- Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX
| | - J. Brokaw
- The University of Texas MD Anderson Cancer Center, Houston, TX
| | - Z. Liao
- The University of Texas MD Anderson Cancer Center, Houston, TX
| | - Q.N. Nguyen
- Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX
| |
Collapse
|
36
|
Sakthivel G, Nguyen K, Yang H, Liesveld J, Chen Y. Impact of Eltrombopag, a Thrombopoietin Mimetic on Hematopoietic Recovery after Total Body Irradiation for Stem Cell Transplantation. Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.1468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
37
|
Klickstein L, Flynt A, Edgerton D, Dole K, Nguyen K. RF28 | PSUN198 The Dramatic Fat Mass Loss Caused by Bimagrumab is Similar in Diabetic and Non-diabetic Patients. J Endocr Soc 2022. [PMCID: PMC9624904 DOI: 10.1210/jendso/bvac150.077] [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] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Bimagrumab is a fully human, ligand-blocking antibody to activin receptors type IIA and type IIB that in obese diabetic patients has been shown to improve body composition dramatically. After 48 weeks of treatment (N=75, allocated 1: 1, bimagrumab intravenously (iv) 10 mg/kg/month: placebo), in the bimagrumab group total body fat mass decreased by 20.5% while at the same time, lean mass increased by 3.6%, both assessed by dual X-ray absorptiometry (DXA). At 24 weeks, fat mass loss was 16.5% in those treated with bimagrumab, while there was little effect on fat or lean mass in the placebo group at either timepoint. In a subset of patients who underwent magnetic resonance imaging, the fat loss effect was greatest for hepatic fat, with a 52% reduction from baseline to week 48, and for abdominal visceral fat, where a 34% decrease was observed over the same interval (Heymsfield SB et al. JAMA Open 2021;4: e2033457). Most drugs for obesity are less effective in diabetics, so to evaluate the efficacy of bimagrumab on fat mass in non-diabetics, we undertook a pooled analysis of patient-level data from 6 clinical studies of bimagrumab previously conducted to assess muscle anabolic activity and/or clinical safety. Criteria for study selection included at least 24 weeks of therapeutic drug exposure, DXA performed at baseline and at least 2 additional time points. Studies that recruited patients with known, underlying primary diseases of adipose tissue or muscle were excluded. Of the 568 subjects in these 6 studies, 7 were identified as diabetic and excluded, leaving 561 subjects in 4 dose groups including placebo (N=204), 70 mg iv monthly (N=43), 210 mg iv monthly (N=75), or a top dose group comprising 700 mg iv once monthly or 10 mg/kg iv once monthly or 30 mg/kg iv q8w x 2 (total N=239). A dose- and time-dependent effect of bimagrumab on fat loss was observed and at the 24 week time point, the top dose group lost 14.6% (LS mean (95% CI) 13.2% - 16.0%) of total body fat mass, while the placebo group increased their fat mass by 2.4% (0.9% - 3.8%). Approximately 41% of the subjects in this pooled analysis were overweight or obese, which is a potential limitation of this study since all subjects in the diabetes study were overweight or obese, however this likely does not affect the conclusion since no effect of baseline BMI on % initial body fat lost at week 24 was seen. Thus, unlike most other drugs for obesity, the efficacy of bimagrumab is very similar in both diabetic patients and in non-diabetic patients. Presentation: Sunday, June 12, 2022 12:30 p.m. - 2:30 p.m., Monday, June 13, 2022 12:58 p.m. - 1:03 p.m.
Collapse
|
38
|
Nguyen K, Cianferoni A. ORAL FOOD CHALLENGE OUTCOMES AT 1 YEAR, 2 YEARS, AND 3 YEARS OF ORAL IMMUNOTHERAPY. Ann Allergy Asthma Immunol 2022. [DOI: 10.1016/j.anai.2022.08.693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|
39
|
Sonni I, Pra AD, O'Connell D, Benz M, Nguyen K, Yoon S, Deng J, Smith C, Nickols N, Cao M, Kishan A, Calais J. PSMA PET/CT–Based Atlas for Prostatic Bed Recurrence of Prostate Cancer after Radical Prostatectomy: Clinical Implications for Salvage Radiation Therapy. Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
|
40
|
Aronoff-Spencer E, Nebeker C, Wenzel AT, Nguyen K, Kunowski R, Zhu M, Adamos G, Goyal R, Mazrouee S, Reyes A, May N, Howard H, Longhurst CA, Malekinejad M. Defining Key Performance Indicators for the California COVID-19 Exposure Notification System (CA Notify). Public Health Rep 2022; 137:67S-75S. [PMID: 36314660 PMCID: PMC9678789 DOI: 10.1177/00333549221129354] [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] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVES Toward common methods for system monitoring and evaluation, we proposed a key performance indicator framework and discussed lessons learned while implementing a statewide exposure notification (EN) system in California during the COVID-19 epidemic. MATERIALS AND METHODS California deployed the Google Apple Exposure Notification framework, branded CA Notify, on December 10, 2020, to supplement traditional COVID-19 contact tracing programs. For system evaluation, we defined 6 key performance indicators: adoption, retention, sharing of unique codes, identification of potential contacts, behavior change, and impact. We aggregated and analyzed data from December 10, 2020, to July 1, 2021, in compliance with the CA Notify privacy policy. RESULTS We estimated CA Notify adoption at nearly 11 million smartphone activations during the study period. Among 1 654 201 CA Notify users who received a positive test result for SARS-CoV-2, 446 634 (27%) shared their unique code, leading to ENs for other CA Notify users who were in close proximity to the SARS-CoV-2-positive individual. We identified at least 122 970 CA Notify users as contacts through this process. Contact identification occurred a median of 4 days after symptom onset or specimen collection date of the user who received a positive test result for SARS-CoV-2. PRACTICE IMPLICATIONS Smartphone-based EN systems are promising new tools to supplement traditional contact tracing and public health interventions, particularly when efficient scaling is not feasible for other approaches. Methods to collect and interpret appropriate measures of system performance must be refined while maintaining trust and privacy.
Collapse
Affiliation(s)
- Eliah Aronoff-Spencer
- Division of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego, La Jolla, CA, USA
- University of California San Diego Health, La Jolla, CA, USA
- The Design Lab, University of California San Diego, La Jolla, CA, USA
| | - Camille Nebeker
- The Design Lab, University of California San Diego, La Jolla, CA, USA
- Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, CA, USA
| | - Alexander T. Wenzel
- Department of Biomedical Informatics, School of Medicine, University of California San Diego, La Jolla, CA, USA
| | - Kevin Nguyen
- University of California San Diego Health, La Jolla, CA, USA
- Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, CA, USA
| | - Rachel Kunowski
- University of California San Diego Health, La Jolla, CA, USA
| | - Mingjia Zhu
- University of California San Diego Health, La Jolla, CA, USA
| | - Gary Adamos
- University of California San Diego Health, La Jolla, CA, USA
| | - Ravi Goyal
- Division of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego, La Jolla, CA, USA
| | - Sepideh Mazrouee
- Division of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego, La Jolla, CA, USA
| | - Aaron Reyes
- University of California San Diego Health, La Jolla, CA, USA
| | - Nicole May
- University of California San Diego Health, La Jolla, CA, USA
| | - Holly Howard
- California Connected, Center for Infectious Diseases, California Department of Public Health, Richmond, CA, USA
- Institute for Global Health Sciences, University of California San Francisco, San Francisco, CA, USA
| | - Christopher A. Longhurst
- Department of Biomedical Informatics, School of Medicine, University of California San Diego, La Jolla, CA, USA
- Department of Pediatrics, School of Medicine, University of California San Diego, La Jolla, CA, USA
| | - Mohsen Malekinejad
- California Connected, Center for Infectious Diseases, California Department of Public Health, Richmond, CA, USA
- Institute for Global Health Sciences, University of California San Francisco, San Francisco, CA, USA
- Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA
| |
Collapse
|
41
|
Hoang TN, Viox EG, Upadhyay AA, Strongin Z, Tharp GK, Pino M, Nchioua R, Hirschenberger M, Gagne M, Nguyen K, Harper JL, Marciano S, Boddapati AK, Pellegrini KL, Tisoncik-Go J, Whitmore LS, Karunakaran KA, Roy M, Kirejczyk S, Curran EH, Wallace C, Wood JS, Connor-Stroud F, Kasturi SP, Levit RD, Gale M, Vanderford TH, Silvestri G, Busman-Sahay K, Estes JD, Vaccari M, Douek DC, Sparrer KM, Kirchhoff F, Johnson RP, Schreiber G, Bosinger SE, Paiardini M. Modulation of type I interferon responses potently inhibits SARS-CoV-2 replication and inflammation in rhesus macaques. bioRxiv 2022:2022.10.21.512606. [PMID: 36324810 PMCID: PMC9628196 DOI: 10.1101/2022.10.21.512606] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Type-I interferons (IFN-I) are critical mediators of innate control of viral infections, but also drive recruitment of inflammatory cells to sites of infection, a key feature of severe COVID-19. Here, and for the first time, IFN-I signaling was modulated in rhesus macaques (RMs) prior to and during acute SARS-CoV-2 infection using a mutated IFNα2 (IFN-modulator; IFNmod), which has previously been shown to reduce the binding and signaling of endogenous IFN-I. In SARS-CoV-2-infected RMs, IFNmod reduced both antiviral and inflammatory ISGs. Notably, IFNmod treatment resulted in a potent reduction in (i) SARS-CoV-2 viral load in Bronchoalveolar lavage (BAL), upper airways, lung, and hilar lymph nodes; (ii) inflammatory cytokines, chemokines, and CD163+MRC1-inflammatory macrophages in BAL; and (iii) expression of Siglec-1, which enhances SARS-CoV-2 infection and predicts disease severity, on circulating monocytes. In the lung, IFNmod also reduced pathogenesis and attenuated pathways of inflammasome activation and stress response during acute SARS-CoV-2 infection. This study, using an intervention targeting both IFN-α and IFN-β pathways, shows that excessive inflammation driven by type 1 IFN critically contributes to SARS-CoV-2 pathogenesis in RMs, and demonstrates the potential of IFNmod to limit viral replication, SARS-CoV-2 induced inflammation, and COVID-19 severity.
Collapse
Affiliation(s)
- Timothy N. Hoang
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA,These authors contributed equally
| | - Elise G. Viox
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA,These authors contributed equally
| | - Amit A. Upadhyay
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA,These authors contributed equally
| | - Zachary Strongin
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Gregory K. Tharp
- Emory NPRC Genomics Core Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Maria Pino
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Rayhane Nchioua
- Institute of Molecular Virology, Ulm University Medical Center, 89081 Ulm, Germany
| | | | - Matthew Gagne
- Vaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA
| | - Kevin Nguyen
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Justin L. Harper
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Shir Marciano
- Department of Biomolecular Sciences, Weizmann Institute of Science, Rehovot, 76100 Israel
| | - Arun K. Boddapati
- Emory NPRC Genomics Core Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Kathryn L. Pellegrini
- Emory NPRC Genomics Core Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Jennifer Tisoncik-Go
- Department of Immunology, University of Washington School of Medicine, and the Washington National Primate Research Center, Seattle, WA, 98109, USA
| | - Leanne S. Whitmore
- Department of Immunology, University of Washington School of Medicine, and the Washington National Primate Research Center, Seattle, WA, 98109, USA
| | - Kirti A. Karunakaran
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Melissa Roy
- Division of Pathology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Shannon Kirejczyk
- Division of Pathology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Elizabeth H. Curran
- Division of Pathology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Chelsea Wallace
- Division of Animal Resources, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Jennifer S. Wood
- Division of Animal Resources, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Fawn Connor-Stroud
- Division of Animal Resources, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Sudhir P. Kasturi
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA,Department of Pathology and Laboratory Medicine, School of Medicine, Emory University, Atlanta, GA 30322, USA
| | - Rebecca D. Levit
- Department of Medicine, School of Medicine, Emory University, Atlanta, GA 30322, USA
| | - Michael Gale
- Department of Immunology, University of Washington School of Medicine, and the Washington National Primate Research Center, Seattle, WA, 98109, USA
| | - Thomas H. Vanderford
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Guido Silvestri
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA,Division of Pathology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA
| | - Kathleen Busman-Sahay
- Vaccine and Gene Therapy Institute, Oregon Health & Science University, Beaverton, OR 97006, USA
| | - Jacob D. Estes
- Vaccine and Gene Therapy Institute, Oregon Health & Science University, Beaverton, OR 97006, USA,Oregon National Primate Research Center, Oregon Health & Science University, Beaverton, OR 97006, USA
| | - Monica Vaccari
- Division of Immunology, Tulane National Primate Research Center, Covington, LA 70433, USA,Department of Microbiology and Immunology, Tulane School of Medicine, New Orleans, LA 70112, USA
| | - Daniel C. Douek
- Vaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA
| | | | - Frank Kirchhoff
- Institute of Molecular Virology, Ulm University Medical Center, 89081 Ulm, Germany
| | - R. Paul Johnson
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA,Infectious Disease Division, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA
| | - Gideon Schreiber
- Department of Biomolecular Sciences, Weizmann Institute of Science, Rehovot, 76100 Israel
| | - Steven E. Bosinger
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA,Emory NPRC Genomics Core Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA,Department of Pathology and Laboratory Medicine, School of Medicine, Emory University, Atlanta, GA 30322, USA,Correspondence to: (M.P; Lead Contact); (S.E.B.)
| | - Mirko Paiardini
- Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA,Division of Pathology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA,Correspondence to: (M.P; Lead Contact); (S.E.B.)
| |
Collapse
|
42
|
Akintayo AA, Nguyen K, Dharia C. Spermatic cord abscess: Case report and imaging findings. Radiol Case Rep 2022; 17:4685-4689. [PMID: 36204416 PMCID: PMC9529549 DOI: 10.1016/j.radcr.2022.09.026] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Revised: 09/01/2022] [Accepted: 09/07/2022] [Indexed: 11/05/2022] Open
Abstract
Spermatic cord abscess is a rare condition usually associated with other genitourinary infections. We present a case of a 49-year-old male with past medical history of uncontrolled diabetes mellitus. He presented with right groin swelling and pain for a week. Ultrasound showed a tubular hyperemic structure extending into the scrotal sac. Computed tomography showed concurrent perinephric abscess and right spermatic cord abscess. The spermatic cord abscess was managed surgically by incision and drainage. To our knowledge, this is the first case report of a patient with spermatic cord abscess and concurrent perinephric abscess. We highlight the clinical importance of familiarity with such a rare condition and the role of imaging in establishing the correct diagnosis while excluding close differentials.
Collapse
|
43
|
Ji-Xu A, Lei D, Nguyen K, Yang J, Erickson M, Cheng K, Worswick S, Maloney N. Decreased risk of rheumatic skin diseases in HIV/AIDS inpatients. Clin Exp Dermatol 2022; 47:1860-1861. [PMID: 35486675 DOI: 10.1111/ced.15244] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/28/2022] [Indexed: 11/30/2022]
Affiliation(s)
- Antonio Ji-Xu
- Department of Dermatology, University of California Davis, Sacramento, CA, USA
| | - Donald Lei
- Department of Dermatology, University of ChicagoPritzker School of Medicine, Chicago, IL, USA
| | - Kevin Nguyen
- Department of Dermatology, David Geffen School of Medicine, Los Angeles, CA, USA
| | - Jason Yang
- Department of Dermatology, David Geffen School of Medicine, Los Angeles, CA, USA
| | - Maia Erickson
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Kyle Cheng
- Department of Dermatology, David Geffen School of Medicine, Los Angeles, CA, USA
| | - Scott Worswick
- Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - Nolan Maloney
- Department of Dermatology, Stanford University, Palo Alto, CA, USA
| |
Collapse
|
44
|
Karczewski KJ, Solomonson M, Chao KR, Goodrich JK, Tiao G, Lu W, Riley-Gillis BM, Tsai EA, Kim HI, Zheng X, Rahimov F, Esmaeeli S, Grundstad AJ, Reppell M, Waring J, Jacob H, Sexton D, Bronson PG, Chen X, Hu X, Goldstein JI, King D, Vittal C, Poterba T, Palmer DS, Churchhouse C, Howrigan DP, Zhou W, Watts NA, Nguyen K, Nguyen H, Mason C, Farnham C, Tolonen C, Gauthier LD, Gupta N, MacArthur DG, Rehm HL, Seed C, Philippakis AA, Daly MJ, Davis JW, Runz H, Miller MR, Neale BM. Systematic single-variant and gene-based association testing of thousands of phenotypes in 394,841 UK Biobank exomes. Cell Genom 2022; 2:100168. [PMID: 36778668 PMCID: PMC9903662 DOI: 10.1016/j.xgen.2022.100168] [Citation(s) in RCA: 57] [Impact Index Per Article: 28.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 03/20/2022] [Accepted: 07/16/2022] [Indexed: 01/20/2023]
Abstract
Genome-wide association studies have successfully discovered thousands of common variants associated with human diseases and traits, but the landscape of rare variations in human disease has not been explored at scale. Exome-sequencing studies of population biobanks provide an opportunity to systematically evaluate the impact of rare coding variations across a wide range of phenotypes to discover genes and allelic series relevant to human health and disease. Here, we present results from systematic association analyses of 4,529 phenotypes using single-variant and gene tests of 394,841 individuals in the UK Biobank with exome-sequence data. We find that the discovery of genetic associations is tightly linked to frequency and is correlated with metrics of deleteriousness and natural selection. We highlight biological findings elucidated by these data and release the dataset as a public resource alongside the Genebass browser for rapidly exploring rare-variant association results.
Collapse
Affiliation(s)
- Konrad J. Karczewski
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
- Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
| | - Matthew Solomonson
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
| | - Katherine R. Chao
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
| | - Julia K. Goodrich
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
| | - Grace Tiao
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
| | - Wenhan Lu
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
- Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
| | | | | | - Hye In Kim
- Worldwide Research Development and Medical, Pfizer, Inc., Cambridge, MA 02139, USA
| | - Xiuwen Zheng
- Genomics Research Center, AbbVie, North Chicago, IL 60064, USA
| | - Fedik Rahimov
- Genomics Research Center, AbbVie, North Chicago, IL 60064, USA
| | - Sahar Esmaeeli
- Genomics Research Center, AbbVie, North Chicago, IL 60064, USA
| | | | - Mark Reppell
- Genomics Research Center, AbbVie, North Chicago, IL 60064, USA
| | - Jeff Waring
- Genomics Research Center, AbbVie, North Chicago, IL 60064, USA
| | - Howard Jacob
- Genomics Research Center, AbbVie, North Chicago, IL 60064, USA
| | | | | | - Xing Chen
- Worldwide Research Development and Medical, Pfizer, Inc., Cambridge, MA 02139, USA
| | - Xinli Hu
- Worldwide Research Development and Medical, Pfizer, Inc., Cambridge, MA 02139, USA
| | - Jacqueline I. Goldstein
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
- Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
| | - Daniel King
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
- Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
| | - Christopher Vittal
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
- Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
| | - Timothy Poterba
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
- Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
| | - Duncan S. Palmer
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
- Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
| | - Claire Churchhouse
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
- Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
| | - Daniel P. Howrigan
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
- Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
| | - Wei Zhou
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
| | - Nicholas A. Watts
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
| | - Kevin Nguyen
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
| | - Huy Nguyen
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
| | - Cara Mason
- Data Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
| | - Christopher Farnham
- Data Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
| | - Charlotte Tolonen
- Data Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
| | - Laura D. Gauthier
- Data Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
| | - Namrata Gupta
- Data Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
| | - Daniel G. MacArthur
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
| | - Heidi L. Rehm
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
| | - Cotton Seed
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
- Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
| | | | - Mark J. Daly
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
- Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Institute for Molecular Medicine Finland, Helsinki, Finland
| | - J. Wade Davis
- Genomics Research Center, AbbVie, North Chicago, IL 60064, USA
| | | | - Melissa R. Miller
- Worldwide Research Development and Medical, Pfizer, Inc., Cambridge, MA 02139, USA
| | - Benjamin M. Neale
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA
- Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
| |
Collapse
|
45
|
Cherches M, Coss N, Nguyen K, Halvorson R, Allahabadi S, Bini S. No Correlation Between Clinical Outcomes and Changes in the Tibia-Metaphyseal Angle Following Total Knee Arthroplasty: A Retrospective Study. J Arthroplasty 2022; 37:1793-1798. [PMID: 35469985 DOI: 10.1016/j.arth.2022.04.024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Revised: 04/13/2022] [Accepted: 04/18/2022] [Indexed: 02/02/2023] Open
Abstract
BACKGROUND Despite numerous advances in the implant design and surgical technique, improvement in patient satisfaction following total knee arthroplasty (TKA) has plateaued. Various TKA alignment strategies have been introduced that impact the coronal positioning of the tibial component relative to the native joint line. This study aims to analyze if postoperative variance of the joint line from preoperative native alignment is correlated with changes in patient-reported outcomes following primary TKA. METHODS A retrospective review of an academic center's patient population identified all primary TKAs between 2013 and 2021 with full-length, standing radiographs and patient-reported outcome measures (PROMs) data. These measures included the Knee injury and Osteoarthritis Outcome Score for Joint Replacement, Patient-Reported Outcome Measurement Information System, and Veterans RAND 12 scores. Preoperative and postoperative radiographic measurements for hip-knee angle, tibia-metaphyseal angle, tibial-axis orientation angle, and joint-line obliquity angle were recorded. Three-month, 1-year, and 2-year PROM scores were correlated with the change in degrees for each of the angles using a Spearman's correlation. A Mann-Whitney U-test was used to compare angular changes with a change in PROM scores. RESULTS One hundred and ninety nine patients (204 knees) with a mean age of 67 years were included. Average follow-up was 23 months. Three-month, 1-year, and 2-year follow-up rates were 93%, 64%, and 34%, respectively. Improvements were seen across all PROMs regardless of an angular change. CONCLUSION There were no clear correlations between PROMs and variation in joint line obliquity in the coronal plane. These data suggest that the magnitude of the variation in coronal tibial alignment from native alignment does not impact PROMs. Further study is indicated to correlate an angular change with functional measures.
Collapse
Affiliation(s)
- Matthew Cherches
- Department of Orthopaedic Surgery, University of California, San Francisco, California
| | - Nathan Coss
- Department of Orthopaedic Surgery, University of California, San Francisco, California
| | - Kevin Nguyen
- Department of Orthopaedic Surgery, University of California, San Francisco, California
| | - Ryan Halvorson
- Department of Orthopaedic Surgery, University of California, San Francisco, California
| | - Sachin Allahabadi
- Department of Orthopaedic Surgery, University of California, San Francisco, California
| | - Stefano Bini
- Department of Orthopaedic Surgery, University of California, San Francisco, California
| |
Collapse
|
46
|
Nguyen K, Joo H, Chen LM, Chen LL. Preoperative hemoglobin and BMI are correlated with increased risk of conversion for minimally invasive gynecological oncology surgeries (564). Gynecol Oncol 2022. [DOI: 10.1016/s0090-8258(22)01785-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
47
|
Chan D, Rodriguez-Freixinos V, Doherty M, Wasson K, Iscoe N, Raskin W, Hallet J, Myrehaug S, Law C, Thawer A, Nguyen K, Singh S. Avelumab in unresectable/metastatic, progressive, grade 2–3 neuroendocrine neoplasms (NENs): Combined results from NET-001 and NET-002 trials. Eur J Cancer 2022; 169:74-81. [DOI: 10.1016/j.ejca.2022.03.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2022] [Revised: 03/07/2022] [Accepted: 03/18/2022] [Indexed: 11/30/2022]
|
48
|
Strongin Z, Hoang TN, Tharp GK, Rahmberg AR, Harper JL, Nguyen K, Franchitti L, Cervasi B, Lee M, Zhang Z, Boritz EA, Silvestri G, Marconi VC, Bosinger SE, Brenchley JM, Kulpa DA, Paiardini M. The role of CD101-expressing CD4 T cells in HIV/SIV pathogenesis and persistence. PLoS Pathog 2022; 18:e1010723. [PMID: 35867722 PMCID: PMC9348691 DOI: 10.1371/journal.ppat.1010723] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 08/03/2022] [Accepted: 07/01/2022] [Indexed: 11/18/2022] Open
Abstract
Despite the advent of effective antiretroviral therapy (ART), human immunodeficiency virus (HIV) continues to pose major challenges, with extensive pathogenesis during acute and chronic infection prior to ART initiation and continued persistence in a reservoir of infected CD4 T cells during long-term ART. CD101 has recently been characterized to play an important role in CD4 Treg potency. Using the simian immunodeficiency virus (SIV) model of HIV infection in rhesus macaques, we characterized the role and kinetics of CD101+ CD4 T cells in longitudinal SIV infection. Phenotypic analyses and single-cell RNAseq profiling revealed that CD101 marked CD4 Tregs with high immunosuppressive potential, distinct from CD101- Tregs, and these cells also were ideal target cells for HIV/SIV infection, with higher expression of CCR5 and α4β7 in the gut mucosa. Notably, during acute SIV infection, CD101+ CD4 T cells were preferentially depleted across all CD4 subsets when compared with their CD101- counterpart, with a pronounced reduction within the Treg compartment, as well as significant depletion in mucosal tissue. Depletion of CD101+ CD4 was associated with increased viral burden in plasma and gut and elevated levels of inflammatory cytokines. While restored during long-term ART, the reconstituted CD101+ CD4 T cells display a phenotypic profile with high expression of inhibitory receptors (including PD-1 and CTLA-4), immunsuppressive cytokine production, and high levels of Ki-67, consistent with potential for homeostatic proliferation. Both the depletion of CD101+ cells and phenotypic profile of these cells found in the SIV model were confirmed in people with HIV on ART. Overall, these data suggest an important role for CD101-expressing CD4 T cells at all stages of HIV/SIV infection and a potential rationale for targeting CD101 to limit HIV pathogenesis and persistence, particularly at mucosal sites.
Collapse
Affiliation(s)
- Zachary Strongin
- Division of Microbiology and Immunology, Yerkes National Primate Research Center, Emory University; Atlanta, Georgia, United States of America
| | - Timothy N. Hoang
- Division of Microbiology and Immunology, Yerkes National Primate Research Center, Emory University; Atlanta, Georgia, United States of America
| | - Gregory K. Tharp
- Division of Microbiology and Immunology, Yerkes National Primate Research Center, Emory University; Atlanta, Georgia, United States of America
| | - Andrew R. Rahmberg
- Barrier Immunity Section, Laboratory of Viral Diseases, NIAID, NIH; Bethesda, Maryland, United States of America
| | - Justin L. Harper
- Division of Microbiology and Immunology, Yerkes National Primate Research Center, Emory University; Atlanta, Georgia, United States of America
| | - Kevin Nguyen
- Division of Microbiology and Immunology, Yerkes National Primate Research Center, Emory University; Atlanta, Georgia, United States of America
| | - Lavinia Franchitti
- Division of Microbiology and Immunology, Yerkes National Primate Research Center, Emory University; Atlanta, Georgia, United States of America
| | - Barbara Cervasi
- Flow Cytometry Core, Emory Vaccine Center, Emory University; Atlanta, Georgia, United States of America
| | - Max Lee
- Vaccine Research Center, National Institutes of Health; Bethesda, Maryland, United States of America
| | - Zhan Zhang
- Division of Microbiology and Immunology, Yerkes National Primate Research Center, Emory University; Atlanta, Georgia, United States of America
| | - Eli A. Boritz
- Vaccine Research Center, National Institutes of Health; Bethesda, Maryland, United States of America
| | - Guido Silvestri
- Division of Microbiology and Immunology, Yerkes National Primate Research Center, Emory University; Atlanta, Georgia, United States of America
- Department of Pathology and Laboratory Medicine, Emory University School of Medicine; Atlanta, Georgia, United States of America
- Division of Infectious Diseases, Emory University School of Medicine; Atlanta, Georgia, United States of America
| | - Vincent C. Marconi
- Division of Infectious Diseases, Emory University School of Medicine; Atlanta, Georgia, United States of America
- Division of Infectious Diseases Research, Atlanta Veterans Affairs Medical Center; Atlanta, Georgia, United States of America
- Rollins School of Public Health, Emory University; Atlanta, Georgia, United States of America
- Emory Vaccine Center, Atlanta, Georgia, United States of America
| | - Steven E. Bosinger
- Division of Microbiology and Immunology, Yerkes National Primate Research Center, Emory University; Atlanta, Georgia, United States of America
- Department of Pathology and Laboratory Medicine, Emory University School of Medicine; Atlanta, Georgia, United States of America
| | - Jason M. Brenchley
- Barrier Immunity Section, Laboratory of Viral Diseases, NIAID, NIH; Bethesda, Maryland, United States of America
| | - Deanna A. Kulpa
- Division of Microbiology and Immunology, Yerkes National Primate Research Center, Emory University; Atlanta, Georgia, United States of America
- Department of Pathology and Laboratory Medicine, Emory University School of Medicine; Atlanta, Georgia, United States of America
| | - Mirko Paiardini
- Division of Microbiology and Immunology, Yerkes National Primate Research Center, Emory University; Atlanta, Georgia, United States of America
- Department of Pathology and Laboratory Medicine, Emory University School of Medicine; Atlanta, Georgia, United States of America
- * E-mail:
| |
Collapse
|
49
|
Pais LS, Snow H, Weisburd B, Zhang S, Baxter SM, DiTroia S, O’Heir E, England E, Chao KR, Lemire G, Osei-Owusu I, VanNoy GE, Wilson M, Nguyen K, Arachchi H, Phu W, Solomonson M, Mano S, O’Leary M, Lovgren A, Babb L, Austin-Tse CA, Rehm HL, MacArthur DG, O’Donnell-Luria A. seqr: A web-based analysis and collaboration tool for rare disease genomics. Hum Mutat 2022; 43:698-707. [PMID: 35266241 PMCID: PMC9903206 DOI: 10.1002/humu.24366] [Citation(s) in RCA: 24] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Revised: 02/23/2022] [Accepted: 03/04/2022] [Indexed: 02/04/2023]
Abstract
Exome and genome sequencing have become the tools of choice for rare disease diagnosis, leading to large amounts of data available for analyses. To identify causal variants in these datasets, powerful filtering and decision support tools that can be efficiently used by clinicians and researchers are required. To address this need, we developed seqr - an open-source, web-based tool for family-based monogenic disease analysis that allows researchers to work collaboratively to search and annotate genomic callsets. To date, seqr is being used in several research pipelines and one clinical diagnostic lab. In our own experience through the Broad Institute Center for Mendelian Genomics, seqr has enabled analyses of over 10,000 families, supporting the diagnosis of more than 3,800 individuals with rare disease and discovery of over 300 novel disease genes. Here, we describe a framework for genomic analysis in rare disease that leverages seqr's capabilities for variant filtration, annotation, and causal variant identification, as well as support for research collaboration and data sharing. The seqr platform is available as open source software, allowing low-cost participation in rare disease research, and a community effort to support diagnosis and gene discovery in rare disease.
Collapse
Affiliation(s)
- Lynn S. Pais
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA,Division of Genetics and Genomics, Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Hana Snow
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA
| | - Ben Weisburd
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA
| | - Shifa Zhang
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA
| | - Samantha M. Baxter
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA
| | - Stephanie DiTroia
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA,Division of Genetics and Genomics, Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Emily O’Heir
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA,Division of Genetics and Genomics, Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Eleina England
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA,Division of Genetics and Genomics, Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Katherine R. Chao
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA
| | - Gabrielle Lemire
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA,Division of Genetics and Genomics, Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Ikeoluwa Osei-Owusu
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA
| | - Grace E. VanNoy
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA
| | - Michael Wilson
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA
| | - Kevin Nguyen
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA
| | - Harindra Arachchi
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA
| | - William Phu
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA,Division of Genetics and Genomics, Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Matthew Solomonson
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA
| | - Stacy Mano
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA
| | - Melanie O’Leary
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA
| | - Alysia Lovgren
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA
| | - Lawrence Babb
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA
| | - Christina A. Austin-Tse
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA,Center for Genomic Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Heidi L. Rehm
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA,Center for Genomic Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Daniel G. MacArthur
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA,Centre for Population Genomics, Garvan Institute of Medical Research and UNSW Sydney, Sydney, Australia,Centre for Population Genomics, Murdoch Children’s Research Institute, Melbourne, Australia
| | - Anne O’Donnell-Luria
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA,Division of Genetics and Genomics, Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts, USA
| |
Collapse
|
50
|
Yurcheshen M, Marcus C, Marcus J, McDermott M, Consagra W, Nguyen K, Pigeon W, Marsella J. 0356 Does Unconscious Socioeconomic Bias Influence Tele-evaluation of Obstructive Sleep Apnea? A Tele-Equity Exploratory Analysis. Sleep 2022. [DOI: 10.1093/sleep/zsac079.353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Telemedicine, once of limited scope, has become common and widespread due to the present and ongoing SARS-CoV-2 pandemic. Center to home delivery, the most common model, allows for convenient and efficient care. Concurrent with this groundshift, there is increasing attention to disparities in medical services, and how these disparities may impact patient outcomes. Telemedicine could be used to help bridge barriers to timely quality care, however, patient access and longstanding institutional biases may limit the potential. Healthcare providers must actively develop systems to ensure that telemedicine is optimized for people across the income spectrum. This exploratory analysis examined how economic disparities in patients being evaluated for obstructive sleep apnea may be associated with providers’ clinical impressions. The objective was to study the inter-method reliability of pre-test probability of obstructive sleep apnea assessed via telemedicine and in-person evaluations, and to compare that reliability between income classes.
Methods
This is a secondary analysis of a pre-pandemic interrater reliability study, conducted between March 2017 and January 2019. Our researchers completed a randomized, blinded study comparing the pre-test probability of obstructive sleep apnea between an in-person physician and a separate physician seeing the same patient via televideo conferencing. Patients referred to the University of Rochester (UR) Sleep Center were eligible for the study. Women and men 30-70 years old were invited to participate. The patients were not necessarily referred to the center for evaluation of sleep disordered breathing. Patients with dementia, hearing or visual loss, severe psychiatric or developmental illness, or not fluent in English were excluded. Patients had adequate computer literacy, access to high speed internet, and a computing device with appropriate video camera and microphone.The primary objective of the original study was to assess the interrater reliability between the in-person and telemedicine raters for pre-test probability of sleep apnea (high, moderate, or low). Providers used clinical judgement from the history and examination to determine pre-test probabilityFor this present analysis, we assessed the inter-method reliability separately for strata defined by reported annual income level: low income (< $50,000), middle income ($50,000-$100,000), and high income (> $100,000). Reliability was quantified for each stratum using weighted kappa statistics given the ordinal nature of the outcome variable, pre-test probability of obstructive sleep apnea (high, moderate, or low). Weighted kappa statistics were compared between the income strata (high vs. middle, high vs. low, middle vs. low). The operant statistic assumed an approximate standard normal distribution under the null hypothesis of equal kappa values in the two income strata. The Bonferroni method was used to adjust the p-values for the three pairwise comparisons performed among the three income strata.
Results
Data from 53 patients were avaiable for this analysis. 11 of these patients were in the low income group, 22 in the middle income, and 16 were in the high income group. 9 patients did not include their income bracket, and were not included in the analysis. Inter-method reliabilities, assessed using weighted kappa, were 0.83 (low income), 0.24 (middle income), and 0.66 (high income). When comparing between the strata, the kappa statistics were significantly different (p=0.005) between the low and moderate income groups. There was a trend between the high and moderate income groups that did not meet statistical significance (p=0.07).
Conclusion
The intermethod reliability was substantial in the low income stratum, moderate in the high income stratum, and slight in the middle income group based on the kappa statistic. There was a significant difference in the reliability values of telemedicine versus in-person assessments between the low and middle income brackets, and there was a trend between the high and moderate groups. Since the raters were unaware of the patients’ income levels, this association might suggest possible unconscious bias in evaluating for OSA. It may also suggest that beyond access to telemedicine technology, the quality of the care may also be influenced by socioeconomic factors. With telemedicine in its early stages, it is important to develop this technology that will minimize biases that could result from patients’ economic fortunes.
Support (If Any)
The study was funded by a grant from the American Academy of Sleep Foundation (AASM Foundation grant #163-FP-17).
Collapse
Affiliation(s)
| | | | | | - Mike McDermott
- University of Rochester, Office of Biostatistics and Computational Biology
| | - William Consagra
- University of Rochester, Department of Biostatistics and Computational Biology
| | | | | | | |
Collapse
|