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Myers M, Gumusoglu S, Brandt D, Stroud A, Hunter SK, Vignato J, Nuckols V, Pierce GL, Santillan MK, Santillan DA. A role for adverse childhood experiences and depression in preeclampsia. J Clin Transl Sci 2024; 8:e25. [PMID: 38384900 PMCID: PMC10880014 DOI: 10.1017/cts.2023.704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Revised: 12/13/2023] [Accepted: 12/15/2023] [Indexed: 02/23/2024] Open
Abstract
Introduction Adverse childhood experiences (ACEs) are a measure of childhood adversity and are associated with life-long morbidity. The impacts of ACEs on peripartum health including preeclampsia, a common and dangerous hypertensive disorder of pregnancy, remain unclear, however. Therefore, we aimed to determine ACE association with peripartum psychiatric health and prevalence of preeclampsia using a case-control design. Methods Clinical data were aggregated and validated using a large, intergenerational knowledgebase developed at our institution. Depression symptoms were measured by standard clinical screeners: the Patient Health Questionnaire-9 (PHQ-9) and the Edinburgh Postnatal Depression Scale (EPDS). ACEs were assessed via survey. Scores were compared between participants with (N = 32) and without (N = 46) prior preeclampsia. Results Participants with ACE scores ≥4 had significantly greater odds of preeclampsia than those with scores ≤ 3 (adjusted odds ratio = 6.71, 95% confidence interval:1.13-40.00; p = 0.037). Subsequent speculative analyses revealed that increased odds of preeclampsia may be driven by increased childhood abuse and neglect dimensions of the ACE score. PHQ-9 scores (3.73 vs. 1.86, p = 0.03), EPDS scores (6.38 vs. 3.71, p = 0.01), and the incidence of depression (37.5% vs. 23.9%, p = 0.05) were significantly higher in participants with a history of preeclampsia versus controls. Conclusions Childhood sets the stage for life-long health. Our findings suggest that ACEs may be a risk factor for preeclampsia and depression, uniting the developmental origins of psychiatric and obstetric risk.
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Affiliation(s)
- Monica Myers
- Department of Obstetrics & Gynecology, University of Iowa, Iowa City, USA
| | - Serena Gumusoglu
- Department of Obstetrics & Gynecology, University of Iowa, Iowa City, USA
- Iowa Neuroscience Institute, Iowa City, USA
| | - Debra Brandt
- Department of Obstetrics & Gynecology, University of Iowa, Iowa City, USA
| | - Amy Stroud
- Department of Psychiatry, University of Iowa, Iowa City, USA
| | - Stephen K. Hunter
- Department of Obstetrics & Gynecology, University of Iowa, Iowa City, USA
| | - Julie Vignato
- College of Nursing, University of Iowa, Iowa City, USA
| | - Virginia Nuckols
- Department of Health and Human Physiology, University of Iowa, Iowa City, USA
| | - Gary L. Pierce
- Department of Health and Human Physiology, University of Iowa, Iowa City, USA
- Department of Internal Medicine, University of Iowa, Iowa City, USA
| | - Mark K. Santillan
- Department of Obstetrics & Gynecology, University of Iowa, Iowa City, USA
- Iowa Neuroscience Institute, Iowa City, USA
| | - Donna A. Santillan
- Department of Obstetrics & Gynecology, University of Iowa, Iowa City, USA
- Iowa Neuroscience Institute, Iowa City, USA
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Santillan MK, Holm ME, Karras AE, Zagoren D, Pearl SH, Hodgson MR, Werner‐Anderson M, Myers MC, Baker LI, Drinane GE, Nibaur I, Boldt EM, Rahmonovic A, Herik H, Gilbertson‐White S, Sanborn AN, Spring JC, Davis H, Brandt D, Santillan DA. Difference in Blood Pressure Measurements in Pregnant Women when using the Gold Standard Method versus Clinical Measurements. FASEB J 2022. [DOI: 10.1096/fasebj.2022.36.s1.r5861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Heather Davis
- Institute for Clinical and Translational ScienceUniversity of Iowa Carver College of MedicineIowa CityIA
| | - Debra Brandt
- Obstetrics & GynecologyUniversity of IowaIowa CityIA
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3
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Santillan MK, Mulanax C, Thenuwara K, Brandt D, Hunter SK, Knosp BM, Santillan DA. Differences in Outcomes in Obese (≥30), Morbidly Obese (≥40), and Super Morbidly Obese (≥50) Pregnancies. FASEB J 2022. [DOI: 10.1096/fasebj.2022.36.s1.r4807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | | | | | - Debra Brandt
- Obstetrics & GynecologyUniversity of IowaIowa CityIA
| | | | - Boyd M. Knosp
- Institute for Clinical and Translational ScienceUniversity of Iowa Carver College of MedicineIowa CityIA
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4
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Santillan MK, Funk ML, Brandt D, Nuckols V, Stroud A, Pierce G, Santillan DA. Elevated Urinary Arginine Vasopressin Concentrations during Preeclamptic Pregnancies do not Persist Postpartum. FASEB J 2022. [DOI: 10.1096/fasebj.2022.36.s1.r5333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | | | - Debra Brandt
- Obstetrics & GynecologyUniversity of IowaIowa CityIA
| | | | - Amy Stroud
- Health and Human PhysiologyUniversity of IowaIowa CityIA
| | - Gary Pierce
- Health and Human PhysiologyUniversity of IowaIowa CityIA
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Santillan MK, Shaw K, Mulcahey A, Leibold E, Coulter K, Funk ML, Hamilton W, Brandt D, Santillan DA. Arginine Vasopressin is not elevated in Early Pregnancy Loss. FASEB J 2022. [DOI: 10.1096/fasebj.2022.36.s1.r5158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | - Kamara Shaw
- Obstetrics & GynecologyUniversity of IowaIowa CityIA
| | | | - Emily Leibold
- Obstetrics & GynecologyUniversity of IowaIowa CityIA
| | | | | | | | - Debra Brandt
- Obstetrics & GynecologyUniversity of IowaIowa CityIA
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6
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Nuckols V, Stroud A, Brandt D, Santillan D, Santillan M, Pierce G. Effect of Parity on Cardiovagal Baroreflex Sensitivity and Blood Pressure Variability in Sequential Pregnancies and Postpartum. FASEB J 2022. [DOI: 10.1096/fasebj.2022.36.s1.r3928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | - Amy Stroud
- Health and Human PhysiologyUniversity of IowaIowa CityIA
| | - Debra Brandt
- Obstetrics and GynecologyUniversity of IowaIowa CityIA
| | | | | | - Gary Pierce
- Health and Human PhysiologyUniversity of IowaIowa CityIA
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7
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Noll D, Leon F, Brandt D, Pistorius P, Le Bohec C, Bonadonna F, Trathan PN, Barbosa A, Rey AR, Dantas GPM, Bowie RCK, Poulin E, Vianna JA. Positive selection over the mitochondrial genome and its role in the diversification of gentoo penguins in response to adaptation in isolation. Sci Rep 2022; 12:3767. [PMID: 35260629 PMCID: PMC8904570 DOI: 10.1038/s41598-022-07562-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2021] [Accepted: 02/21/2022] [Indexed: 12/21/2022] Open
Abstract
Although mitochondrial DNA has been widely used in phylogeography, evidence has emerged that factors such as climate, food availability, and environmental pressures that produce high levels of stress can exert a strong influence on mitochondrial genomes, to the point of promoting the persistence of certain genotypes in order to compensate for the metabolic requirements of the local environment. As recently discovered, the gentoo penguins (Pygoscelis papua) comprise four highly divergent lineages across their distribution spanning the Antarctic and sub-Antarctic regions. Gentoo penguins therefore represent a suitable animal model to study adaptive processes across divergent environments. Based on 62 mitogenomes that we obtained from nine locations spanning all four gentoo penguin lineages, we demonstrated lineage-specific nucleotide substitutions for various genes, but only lineage-specific amino acid replacements for the ND1 and ND5 protein-coding genes. Purifying selection (dN/dS < 1) is the main driving force in the protein-coding genes that shape the diversity of mitogenomes in gentoo penguins. Positive selection (dN/dS > 1) was mostly present in codons of the Complex I (NADH genes), supported by two different codon-based methods at the ND1 and ND4 in the most divergent lineages, the eastern gentoo penguin from Crozet and Marion Islands and the southern gentoo penguin from Antarctica respectively. Additionally, ND5 and ATP6 were under selection in the branches of the phylogeny involving all gentoo penguins except the eastern lineage. Our study suggests that local adaptation of gentoo penguins has emerged as a response to environmental variability promoting the fixation of mitochondrial haplotypes in a non-random manner. Mitogenome adaptation is thus likely to have been associated with gentoo penguin diversification across the Southern Ocean and to have promoted their survival in extreme environments such as Antarctica. Such selective processes on the mitochondrial genome may also be responsible for the discordance detected between nuclear- and mitochondrial-based phylogenies of gentoo penguin lineages.
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Affiliation(s)
- D Noll
- Departamento de Ecosistemas y Medio Ambiente, Pontificia Universidad Católica de Chile, Vicuña Mackenna 4860, Macul, Santiago, Chile.,Millennium Institute Biodiversity of Antarctic and Subantarctic Ecosystems (BASE), Santiago, Chile.,Facultad de Ciencias, Instituto de Ecología y Biodiversidad, Universidad de Chile, Santiago, Chile
| | - F Leon
- Departamento de Ecosistemas y Medio Ambiente, Pontificia Universidad Católica de Chile, Vicuña Mackenna 4860, Macul, Santiago, Chile
| | - D Brandt
- Department of Integrative Biology, University of California, 3101 Valley Life Science Building, Berkeley, CA, 94720, USA
| | - P Pistorius
- Department of Zoology, 11DST/NRF Centre of Excellence at the Percy FitzPatrick Institute for African Ornithology, Nelson Mandela University, Port Elizabeth, South Africa
| | - C Le Bohec
- CNRS, IPHC UMR 7178, Université de Strasbourg, 67000, Strasbourg, France.,Département de Biologie Polaire, Centre Scientifique de Monaco, 98000, Monaco City, Monaco
| | - F Bonadonna
- CEFE UMR 5175, CNRS, Université de Montpellier, Université Paul-Valéry Montpellier, EPHE, Montpellier Cedex 5, France
| | | | - A Barbosa
- Departamento de Ecología Evolutiva, Museo Nacional de Ciencias Naturales, CSIC, Madrid, Spain
| | - A Raya Rey
- Centro Austral de Investigaciones Científicas - Consejo Nacional de Investigaciones Científicas y Técnicas (CADIC-CONICET), Ushuaia, Argentina.,Instituto de Ciencias Polares, Ambiente y Recursos Naturales, Universidad Nacional de Tierra del Fuego, Ushuaia, Argentina.,Wildlife Conservation Society, Buenos Aires, Argentina
| | - G P M Dantas
- PPG in Vertebrate Biology, Pontificia Universidade Católica de Minas Gerais, Belo Horizonte, Brazil
| | - R C K Bowie
- Museum of Vertebrate Zoology and Department of Integrative Biology, University of California, 3101 Valley Life Science Building, Berkeley, CA, 94720, USA
| | - E Poulin
- Millennium Institute Biodiversity of Antarctic and Subantarctic Ecosystems (BASE), Santiago, Chile.,Facultad de Ciencias, Instituto de Ecología y Biodiversidad, Universidad de Chile, Santiago, Chile
| | - J A Vianna
- Departamento de Ecosistemas y Medio Ambiente, Pontificia Universidad Católica de Chile, Vicuña Mackenna 4860, Macul, Santiago, Chile. .,Millennium Institute Biodiversity of Antarctic and Subantarctic Ecosystems (BASE), Santiago, Chile. .,Fondo de Desarrollo de Áreas Prioritarias (FONDAP), Center for Genome Regulation (CRG), Santiago, Chile.
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Taylor HA, Porter KM, Paquette ET, McCormick JB, Tumilty E, Arnold JF, Spector-Bagdady K, Danis M, Brandt D, Shah J, Wilfond BS, Lee LM. Creating a Research Ethics Consultation Service: Issues to Consider. Ethics Hum Res 2021; 43:18-25. [PMID: 34496156 DOI: 10.1002/eahr.500101] [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: 11/09/2022]
Abstract
This article provides pragmatic advice for organizations interested in creating a research ethics consultation service (RECS). A robust RECS has the potential to build capacity among investigators to identify and consider the ethical issues they encounter while conducting their research. Determining whether to establish an RECS should begin with an institutional-needs assessment that includes three key questions: What are the current resources available to research teams to navigate ethical concerns that arise from their research? Is there a demand or perceived need for more resources? Is there institutional support (financial and otherwise) to establish and maintain an RECS? If this results in the decision to establish the consultation service, relevant institutional stakeholders must be identified and consulted, and personnel with the requisite skills recruited. The next step is to establish an RECS and build the infrastructure to process and respond to requests. The RECS's long-term sustainability will depend on a stable source of funding and a mechanism to receive constructive feedback to ensure that the service is meeting the institutional needs it set out to address.
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Affiliation(s)
- Holly A Taylor
- Research bioethicist in the Department of Bioethics at the Clinical Center at the National Institutes of Health
| | - Kathryn M Porter
- Research scientist at the Seattle Children's Hospital and Research Institute
| | - Erin Talati Paquette
- Assistant professor of pediatrics (critical care) at the Northwestern University Feinberg School of Medicine and Ann & Robert H. Lurie Children's Hospital of Chicago and an assistant professor of law (by courtesy) at the Northwestern University Pritzker School of Law
| | - Jennifer B McCormick
- Associate professor in the Department of Humanities in the College of Medicine at the Pennsylvania State University
| | - Emma Tumilty
- Bioethicist and lecturer at the School of Medicine in the Faculty of Health at Deakin University Waurn Ponds, Geelong, Australia
| | - Jason F Arnold
- Senior fellow of bioethics and health policy and the assistant director of the CTR fellowship program at the Institute of Human Values in Health Care at the Medical University of South Carolina
| | - Kayte Spector-Bagdady
- Associate director of the Center for Bioethics & Social Sciences in Medicine and an assistant professor of obstetrics and gynecology at the University of Michigan Medical School
| | - Marion Danis
- Head of the section on ethics and health policy in the Department of Bioethics at the Clinical Center of the National Institutes of Health
| | - Debra Brandt
- Research assistant professor in the Department of Obstetrics and Gynecology at the University of Iowa
| | - Jina Shah
- Senior director of patient safety and pharmacovigilance at Kite, a Gilead Sciences company, in Santa Monica, CA
| | - Benjamin S Wilfond
- Professor in the divisions of bioethics and palliative care and pulmonary and sleep medicine in the Department of Pediatrics at the Seattle Children's Hospital and Research Institute at the University of Washington School of Medicine
| | - Lisa M Lee
- Associate vice president for research and innovation, the director of scholarly integrity and research compliance, and a professor of population health sciences at Virginia Tech
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9
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Nuckols VR, Stroud A, Gruber K, Ngonyama R, Brandt D, Santillan DA, Santillan MK, Pierce GL. Abstract MP65: Increased Sedentary Time Is Associated With Greater Postpartum Blood Pressure In Women With A History Of Preeclampsia. Hypertension 2021. [DOI: 10.1161/hyp.78.suppl_1.mp65] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Introduction:
Women with a history of preeclampsia (hxPE) are at a four-fold increased risk for chronic hypertension and have elevated aortic stiffness compared withhealthy pregnancy (HP). Higher sedentary time (ST) is related to higher odds of hypertension in clinic among young women regardless of the amount of moderate-to-vigorous physical activity (MVPA). As pregnancy and postpartum are uniquely vulnerable times of increased sedentary behavior, the objectives of this study were to determine whether ST is associated with higher blood pressure (BP) and aortic stiffness in women with hxPE compared with HP 1-3 years postpartum, and if change in ST from late pregnancy to postpartum is related to change in BP or aortic stiffness.
Methods:
Women with hxPE (N=33) and HP (N=46) completed the Pregnancy Physical Activity Questionnaire (PPAQ) 18±6 months postpartum. BP was assessed in triplicate in clinic and by 24-hour ambulatory blood pressure monitoring and aortic stiffness by carotid-femoral pulse wave velocity (CFPWV). In a subset of women (N=20), clinic BP, CFPWV and the PPAQ were previously evaluated in the third trimester.
Results:
Women with hxPE reported more leisure-time ST compared with HP (18 [7-19] vs 7 [5-7] MET-hr/wk, P<0.001), whereas MVPA did not differ (77 [39-106] vs 56 [35-88] MET-hr/wk, P=0.13). 24-hour ambulatory BP was higher in women with hxPE (120 [114-126] vs 114 [109-120] mmHg, P=0.049; 78 [72-82] vs 74 [70-77] mmHg, P=0.056), but CFPWV did not differ independently of BP (6.1 vs 5.5 m/s, P=0.33). Postpartum ST, but not MVPA, was associated with higher 24-hr systolic (ρ=0.24, P=0.04) and diastolic BP (ρ=0.27, P=0.02) and higher CFPWV (ρ=0.31, P=0.008) independent of body mass index. Increases in ST from late pregnancy to postpartum (0 [-3-2] ΔMET-hr/wk, P=0.22) was related to increased BP (systolic ρ=0.42, P=0.06; diastolic ρ=0.44, P=0.050) and increases in CFPWV (ρ=0.54, P=0.02) despite a reported increase in MVPA (21.5 [-0.5-63] ΔMET-hr/wk, P=0.04).
Conclusions:
Greater ST is related to higher BP and aortic stiffness 1-3 years postpartum, and women with hxPE report greater leisure-time ST compared with HP controls. Reduction in ST may represent an achievable interventional strategy to improve cardiovascular health in women with hxPE.
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10
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Branagan AR, Duffy E, Gan G, Li F, Foster C, Verma R, Zhang L, Parker TL, Seropian S, Cooper DL, Brandt D, Kortmansky J, Witt D, Ferencz TM, Dhodapkar KM, Dhodapkar MV. Tandem high-dose influenza vaccination is associated with more durable serologic immunity in patients with plasma cell dyscrasias. Blood Adv 2021; 5:1535-1539. [PMID: 33683337 PMCID: PMC7948269 DOI: 10.1182/bloodadvances.2020003880] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [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: 11/23/2020] [Accepted: 01/20/2021] [Indexed: 02/07/2023] Open
Abstract
Patients with plasma cell dyscrasias (PCDs) experience an increased burden of influenza, and current practice of single-dose annual influenza vaccination yields suboptimal protective immunity in these patients. Strategies to improve immunity to influenza in these patients are clearly needed. We performed a randomized, double-blind, placebo-controlled clinical trial comparing tandem Fluzone High-Dose influenza vaccination with standard-of-care influenza vaccination. Standard-of-care vaccination was single-dose age-based vaccination (standard dose, <65 years; high dose, ≥65 years), and patients in this arm received a saline placebo injection at 30 days. A total of 122 PCD patients were enrolled; 47 received single-dose standard-of-care vaccination, and 75 received 2 doses of Fluzone High-Dose vaccine. Rates of hemagglutinin inhibition (HAI) titer seroprotection against all 3 strains (H1N1, H3N2, and influenza B) were significantly higher for patients after tandem high-dose vaccination vs control (87.3% vs 63.2%; P = .003) and led to higher seroprotection at the end of flu season (60.0% vs 31.6%; P = .04). These data demonstrate that tandem high-dose influenza vaccination separated by 30 days leads to higher serologic HAI titer responses and more durable influenza-specific immunity in PCD patients. Similar vaccine strategies may also be essential to achieve protective immunity against other emerging pathogens such as novel coronavirus in these patients. This trial was registered at www.clinicaltrials.gov as #NCT02566265.
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Affiliation(s)
- Andrew R Branagan
- Yale Cancer Center, New Haven, CT
- Massachussets General Hospital Cancer Center, Boston, MA
| | | | - Geliang Gan
- Yale Center for Analytical Sciences, Yale School of Public Health, New Haven, CT; and
| | - Fangyong Li
- Yale Center for Analytical Sciences, Yale School of Public Health, New Haven, CT; and
| | | | | | | | | | | | | | | | | | | | | | | | - Madhav V Dhodapkar
- Yale Cancer Center, New Haven, CT
- Winship Cancer Institute, Emory University, Atlanta, GA
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Scroggins S, Gray G, Berkey C, Gandley RE, Sutton EF, Gemmel M, Brandt D, Santillan D, Stroud AK, Nuckols V, Pierce GL, Hubel CA, Catov J, Santillan M. 28 Women with prior preeclampsia have higher rates of hypertension and persistent T helper-associated inflammation. Am J Obstet Gynecol 2021. [DOI: 10.1016/j.ajog.2020.12.042] [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: 10/22/2022]
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12
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Orlowski S, Tietjen E, Bischof A, Brandt D, Schulte L, Bischof G, Besser B, Trachte A, Rumpf HJ. Corrigendum to "The association of cognitive distortions and the type of gambling in problematic and disordered gambling" [Addictive Behaviors 108 (2020) 106445]. Addict Behav 2021; 112:106663. [PMID: 33041106 DOI: 10.1016/j.addbeh.2020.106663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- S Orlowski
- University of Luebeck, Research Group S:TEP, Department for Psychiatry and Psychotherapy, Germany.
| | - E Tietjen
- University of Luebeck, Research Group S:TEP, Department for Psychiatry and Psychotherapy, Germany
| | - A Bischof
- University of Luebeck, Research Group S:TEP, Department for Psychiatry and Psychotherapy, Germany
| | - D Brandt
- University of Luebeck, Research Group S:TEP, Department for Psychiatry and Psychotherapy, Germany
| | - L Schulte
- University of Luebeck, Research Group S:TEP, Department for Psychiatry and Psychotherapy, Germany
| | - G Bischof
- University of Luebeck, Research Group S:TEP, Department for Psychiatry and Psychotherapy, Germany
| | - B Besser
- University of Luebeck, Research Group S:TEP, Department for Psychiatry and Psychotherapy, Germany
| | - A Trachte
- University of Luebeck, Research Group S:TEP, Department for Psychiatry and Psychotherapy, Germany
| | - H-J Rumpf
- University of Luebeck, Research Group S:TEP, Department for Psychiatry and Psychotherapy, Germany
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13
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Nuckols VR, Holwerda SW, Luehrs RE, DuBose LE, Stroud AK, Brandt D, Betz AM, Fiedorowicz JG, Scroggins SM, Santillan DA, Grobe JL, Sigmund CD, Santillan MK, Pierce GL. Beat-to-Beat Blood Pressure Variability in the First Trimester Is Associated With the Development of Preeclampsia in a Prospective Cohort: Relation With Aortic Stiffness. Hypertension 2020; 76:1800-1807. [PMID: 32951467 DOI: 10.1161/hypertensionaha.120.15019] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Women with preeclampsia, a hypertensive disorder of pregnancy, exhibit greater beat-to-beat blood pressure variability (BPV) in the third trimester after clinical onset of the disorder. However, it remains unknown whether elevated BPV precedes the development of preeclampsia. A prospective study cohort of 139 women (age 30.2±4.0 years) were enrolled in early pregnancy (<14 weeks gestation). BPV was quantified by time domain analyses of 10-minute continuous beat-to-beat blood pressure recordings via finger photoplethysmography in the first, second, and third trimesters. Aortic stiffness (carotid-femoral pulse wave velocity) and spontaneous cardiovagal baroreflex sensitivity were also measured each trimester. Eighteen women (13%) developed preeclampsia. Systolic BPV was higher in all trimesters among women who developed versus did not develop preeclampsia (first: 4.8±1.3 versus 3.7±1.2, P=0.001; second: 5.1±1.8 versus 3.8±1.1, P=0.02; third: 5.2±0.8 versus 4.0±1.1 mm Hg, P=0.002). Elevated first trimester systolic BPV was associated with preeclampsia (odds ratio, 1.94 [95% CI, 1.27-2.99]), even after adjusting for risk factors (age, body mass index, systolic blood pressure, history of preeclampsia, and diabetes mellitus) and was a significant predictor of preeclampsia (area under the receiver operator characteristic curve=0.75±0.07; P=0.002). Carotid-femoral pulse wave velocity was elevated in the first trimester among women who developed preeclampsia (5.9±0.8 versus 5.2±0.8 m/s; P=0.002) and was associated with BPV after adjustment for mean blood pressure (r=0.26; P=0.005). First trimester baroreflex sensitivity did not differ between groups (P=0.23) and was not related to BPV (P=0.36). Elevated systolic BPV is independently associated with the development of preeclampsia as early as the first trimester, possibly mediated in part by higher aortic stiffness.
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Affiliation(s)
- Virginia R Nuckols
- From the Departments of Health and Human Physiology (V.R.N., S.W.H., R.E.L., L.E.D., A.K.S., G.L.P.), University of Iowa, Iowa City, IA
| | - Seth W Holwerda
- From the Departments of Health and Human Physiology (V.R.N., S.W.H., R.E.L., L.E.D., A.K.S., G.L.P.), University of Iowa, Iowa City, IA.,the Abboud Cardiovascular Research Center (S.W.H., M.K.S., G.L.P.), University of Iowa, Iowa City, IA
| | - Rachel E Luehrs
- From the Departments of Health and Human Physiology (V.R.N., S.W.H., R.E.L., L.E.D., A.K.S., G.L.P.), University of Iowa, Iowa City, IA
| | - Lyndsey E DuBose
- From the Departments of Health and Human Physiology (V.R.N., S.W.H., R.E.L., L.E.D., A.K.S., G.L.P.), University of Iowa, Iowa City, IA
| | - Amy K Stroud
- From the Departments of Health and Human Physiology (V.R.N., S.W.H., R.E.L., L.E.D., A.K.S., G.L.P.), University of Iowa, Iowa City, IA
| | - Debra Brandt
- Obstetrics and Gynecology (D.B., A.M.B., S.M.S., D.A.S., M.K.S.), University of Iowa, Iowa City, IA
| | - Alexandria M Betz
- Obstetrics and Gynecology (D.B., A.M.B., S.M.S., D.A.S., M.K.S.), University of Iowa, Iowa City, IA
| | - Jess G Fiedorowicz
- Psychiatry (J.G.F.), University of Iowa, Iowa City, IA.,Epidemiology (J.G.F.), University of Iowa, Iowa City, IA.,Internal Medicine (J.G.F.), University of Iowa, Iowa City, IA
| | - Sabrina M Scroggins
- Obstetrics and Gynecology (D.B., A.M.B., S.M.S., D.A.S., M.K.S.), University of Iowa, Iowa City, IA
| | - Donna A Santillan
- Obstetrics and Gynecology (D.B., A.M.B., S.M.S., D.A.S., M.K.S.), University of Iowa, Iowa City, IA
| | - Justin L Grobe
- Departments of Physiology (J.L.G., C.D.S.), Medical College of Wisconsin, Milwaukee, WI.,Biomedical Engineering (J.L.G.), Medical College of Wisconsin, Milwaukee, WI.,Cardiovascular Research Center (J.L.G., C.D.S.), Medical College of Wisconsin, Milwaukee, WI
| | - Curt D Sigmund
- Departments of Physiology (J.L.G., C.D.S.), Medical College of Wisconsin, Milwaukee, WI.,Cardiovascular Research Center (J.L.G., C.D.S.), Medical College of Wisconsin, Milwaukee, WI
| | - Mark K Santillan
- Obstetrics and Gynecology (D.B., A.M.B., S.M.S., D.A.S., M.K.S.), University of Iowa, Iowa City, IA.,the Abboud Cardiovascular Research Center (S.W.H., M.K.S., G.L.P.), University of Iowa, Iowa City, IA
| | - Gary L Pierce
- From the Departments of Health and Human Physiology (V.R.N., S.W.H., R.E.L., L.E.D., A.K.S., G.L.P.), University of Iowa, Iowa City, IA.,the Abboud Cardiovascular Research Center (S.W.H., M.K.S., G.L.P.), University of Iowa, Iowa City, IA.,Fraternal Order of Eagles Diabetes Research Center (G.L.P.), University of Iowa, Iowa City, IA
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14
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Martin BP, Stroud A, Dubose L, Brandt D, Santillan D, Nuckols V, Grobe J, Santillan M, Pierce G. Microvascular Endothelial Glycocalyx Function in Human Pregnancy and Postpartum in Women with a History of Preeclampsia. FASEB J 2020. [DOI: 10.1096/fasebj.2020.34.s1.02324] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | - Amy Stroud
- Health and Human Physiology University of Iowa
| | | | | | | | | | - Justin Grobe
- Department of Physiology Medical College of Wisconsin
| | | | - Gary Pierce
- Health and Human Physiology University of Iowa
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15
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Vignato J, Scroggins S, Brandt D, Thomas K, Santillan D, Santillan M. 130: Selective serotonin reuptake inhibitors and vasopressin: an intersection of depression and preeclampsia. Am J Obstet Gynecol 2020. [DOI: 10.1016/j.ajog.2019.11.146] [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: 10/25/2022]
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16
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Simondsen R, Sebek L, Moster J, Osikowicz G, Brandt D. Microparticle enzyme immunoassays for creatine kinase MB and ferritin on the Abbott AxSYM system. Clin Chem 2019. [DOI: 10.1093/clinchem/39.9.1979] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
| | - L Sebek
- Abbott Laboratories, Abbott Park, IL 60064
| | - J Moster
- Abbott Laboratories, Abbott Park, IL 60064
| | | | - D Brandt
- Abbott Laboratories, Abbott Park, IL 60064
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17
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Mallow P, Brandt D, Blüher M, Lankiewicz J, Saunders R. PCV11 BURDEN OF STERNAL WOUND INFECTIONS FOLLOWING CORONARY ARTERY BYPASS GRAFT PROCEDURE IN SELECT COUNTRIES. Value Health Reg Issues 2019. [DOI: 10.1016/j.vhri.2019.08.146] [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: 10/25/2022]
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18
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Chiang AC, Lake J, Sinanis N, Brandt D, Kanowitz J, Kidwai W, Kortmansky J, LaSala J, Orell J, Sabbath K, Tara H, Engelking C, Shomsky L, Fradkin M, Adelson K, Uscinski K, Vest K, Lyons C, Lemay A, Lopman A, Fuchs CS, Lilenbaum R. Measuring the Impact of Academic Cancer Network Development on Clinical Integration, Quality of Care, and Patient Satisfaction. J Oncol Pract 2019; 14:e823-e833. [PMID: 30537462 DOI: 10.1200/jop.18.00419] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
PURPOSE Many US academic centers have acquired community practices to expand their clinical care and research footprint. The objective of this assessment was to determine whether the acquisition and integration of community oncology practices by Yale/Smilow Cancer Hospital improved outcomes in quality of care, disease team integration, clinical trial accrual, and patient satisfaction at network practice sites. METHODS We evaluated quality of care by testing the hypothesis that core Quality Oncology Practice Initiative measures at network sites that were acquired in 2012 were significantly different after their 2016 integration into the network. Clinical and research integration were measured using the number of tumor board case presentations and total accruals in clinical trials. We used Press-Ganey scores to measure patient satisfaction pre- and postintegration. RESULTS Mean Quality Oncology Practice Initiative scores at Smilow Care Centers were significantly higher in 2016 than in 2012 for core measures related to improvement in tumor staging ( z = 1.33; P < .05), signed consent and documentation plans for antineoplastic treatment ( z = 2.69; P < .01; and z = 2.36; P < .05, respectively), and appropriately quantifying and addressing pain during office visits ( z = 2.95; P < .05; and z = 3.1; P < .01, respectively). A total of 493 cases were presented by care center physicians at the tumor board in 2017 compared with 45 presented in 2013. Compared with 2012, Smilow Care Center clinical trial accrual increased from 25 to 170 patients in 2017. Last, patient satisfaction has remained at greater than the 90th percentile pre- and postintegration. CONCLUSION The process of integration facilitates the ability to standardize cancer practice and provides a platform for quality improvement.
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Affiliation(s)
- Anne C Chiang
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
| | - Jessica Lake
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
| | - Naralys Sinanis
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
| | - Debra Brandt
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
| | - Jane Kanowitz
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
| | - Wajih Kidwai
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
| | - Jeremy Kortmansky
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
| | - Johanna LaSala
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
| | - Jeffrey Orell
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
| | - Kert Sabbath
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
| | - Harold Tara
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
| | - Constance Engelking
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
| | - Lisa Shomsky
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
| | - Monica Fradkin
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
| | - Kerin Adelson
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
| | - Kathleen Uscinski
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
| | - Kevin Vest
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
| | - Catherine Lyons
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
| | - Arthur Lemay
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
| | - Abe Lopman
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
| | - Charles S Fuchs
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
| | - Rogerio Lilenbaum
- Yale New Haven Hospital; Yale School of Medicine; Yale Cancer Center; Smilow Cancer Hospital; and Community Health Educators Group, New Haven, CT
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19
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Nuckols V, Holwerda S, DuBose L, O'Deen A, Stroud A, Luehrs R, Brandt D, Santillan M, Grobe JL, Santillan D, Pierce G. Blood Pressure Variability during Early‐Mid Pregnancy in Women Who Develop Preeclampsia: Association with Aortic Stiffness but not Baroreflex Sensitivity. FASEB J 2019. [DOI: 10.1096/fasebj.2019.33.1_supplement.856.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | - Seth Holwerda
- Health and Human PhysiologyUniversity of IowaIowa CityIA
| | - Lyndsey DuBose
- Health and Human PhysiologyUniversity of IowaIowa CityIA
| | - Allison O'Deen
- Health and Human PhysiologyUniversity of IowaIowa CityIA
| | - Amy Stroud
- Health and Human PhysiologyUniversity of IowaIowa CityIA
| | - Rachel Luehrs
- Health and Human PhysiologyUniversity of IowaIowa CityIA
| | - Debra Brandt
- Obstetrics and GynocologyUniversity of IowaIowa CityIA
| | | | | | | | - Gary Pierce
- Health and Human PhysiologyUniversity of IowaIowa CityIA
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20
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Brandt D, Sohr E, Pablik J, Schnabel A, Kapplusch F, Mäbert K, Girschick JH, Morbach H, Thielemann F, Hofmann SR, Hedrich CM. CD14 + monocytes contribute to inflammation in chronic nonbacterial osteomyelitis (CNO) through increased NLRP3 inflammasome expression. Clin Immunol 2018; 196:77-84. [PMID: 29723617 DOI: 10.1016/j.clim.2018.04.011] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2018] [Revised: 04/28/2018] [Accepted: 04/29/2018] [Indexed: 12/20/2022]
Abstract
The pathophysiology of chronic nonbacterial osteomyelitis (CNO) remains incompletely understood. Increased NLRP3 inflammasome activation and IL-1β release in monocytes from CNO patients was suggested to contribute to bone inflammation. Here, we dissect immune cell infiltrates and demonstrate the involvement of monocytes across disease stages. Differences in cell density and immune cell composition may help to discriminate between BOM and CNO. However, differences are subtle and infiltrates vary in CNO. In contrast to other cells involved, monocytes are a stable element during all stages of CNO, which makes them a promising candidate in the search for "drivers" of inflammation. Furthermore, we link increased expression of inflammasome components NLRP3 and ASC in monocytes with site-specific DNA hypomethylation around the corresponding genes NLRP3 and PYCARD. Our observations deliver further evidence for the involvement of pro-inflammatory monocytes in the pathophysiology of CNO. Cellular and molecular alterations may serve as disease biomarkers and/or therapeutic targets.
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Affiliation(s)
- D Brandt
- Klinik und Poliklinik für Kinder- und Jugendmedizin, Universitätsklinikum Carl Gustav Carus, TU Dresden, Dresden, Germany
| | - E Sohr
- Klinik und Poliklinik für Kinder- und Jugendmedizin, Universitätsklinikum Carl Gustav Carus, TU Dresden, Dresden, Germany
| | - J Pablik
- Institut für Pathologie, Universitätsklinikum Carl Gustav Carus, TU Dresden, Dresden, Germany
| | - A Schnabel
- Klinik und Poliklinik für Kinder- und Jugendmedizin, Universitätsklinikum Carl Gustav Carus, TU Dresden, Dresden, Germany
| | - F Kapplusch
- Klinik und Poliklinik für Kinder- und Jugendmedizin, Universitätsklinikum Carl Gustav Carus, TU Dresden, Dresden, Germany
| | - K Mäbert
- Klinik und Poliklinik für Kinder- und Jugendmedizin, Universitätsklinikum Carl Gustav Carus, TU Dresden, Dresden, Germany
| | - J H Girschick
- Children's Hospital, Vivantes Klinikum im Friedrichshain, Berlin, Germany
| | - H Morbach
- University Children's Hospital Würzburg, University of Würzburg, Würzburg, Germany
| | - F Thielemann
- UniversitätsCentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Carl Gustav Carus, TU Dresden, Dresden, Germany
| | - S R Hofmann
- Klinik und Poliklinik für Kinder- und Jugendmedizin, Universitätsklinikum Carl Gustav Carus, TU Dresden, Dresden, Germany
| | - C M Hedrich
- Klinik und Poliklinik für Kinder- und Jugendmedizin, Universitätsklinikum Carl Gustav Carus, TU Dresden, Dresden, Germany; Institute of Translational Medicine, Department of Women's and Children's Health, University of Liverpool, Liverpool, UK; Department of Paediatric Rheumatology, Alder Hey Children's NHS Foundation Trust Hospital, Liverpool, UK.
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21
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Berger MJ, Ettinger DS, Aston J, Barbour S, Bergsbaken J, Bierman PJ, Brandt D, Dolan DE, Ellis G, Kim EJ, Kirkegaard S, Kloth DD, Lagman R, Lim D, Loprinzi C, Ma CX, Maurer V, Michaud LB, Nabell LM, Noonan K, Roeland E, Rugo HS, Schwartzberg LS, Scullion B, Timoney J, Todaro B, Urba SG, Shead DA, Hughes M. NCCN Guidelines Insights: Antiemesis, Version 2.2017. J Natl Compr Canc Netw 2018; 15:883-893. [PMID: 28687576 DOI: 10.6004/jnccn.2017.0117] [Citation(s) in RCA: 115] [Impact Index Per Article: 19.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) for Antiemesis address all aspects of management for chemotherapy-induced nausea and vomiting. These NCCN Guidelines Insights focus on recent updates to the NCCN Guidelines for Antiemesis, specifically those regarding carboplatin, granisetron, and olanzapine.
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Abstract
TCRαβ+CD3+CD4-CD8- "double negative" (DN) T cells comprise a small subset of mature peripheral T cells. The origin and function of DN T cells are somewhat unclear and discussed controversially. While DN T cells resemble a rare and heterogeneous T cell subpopulation in healthy individuals, numbers of TCRαβ+ DN T cells are expanded in several inflammatory conditions, where they also exhibit distinct effector phenotypes and infiltrate inflamed tissues. Thus, DN T cells may be involved in systemic inflammation and tissue damage in autoimmune/inflammatory conditions, including SLE, Sjögren's syndrome, and psoriasis. Here, the current understanding of the origin and phenotype of DN T cells, and their role in the instruction of immune responses, autoimmunity and inflammation will be discussed in health and disease.
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Affiliation(s)
- D Brandt
- Division of Pediatric Rheumatology and Immunology, Children's Hospital Dresden, Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany
| | - C M Hedrich
- Division of Pediatric Rheumatology and Immunology, Children's Hospital Dresden, Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany; Department of Women's & Children's Health, Institute of Translational Medicine, University of Liverpool, Liverpool, UK; Department of Paediatric Rheumatology, Alder Hey Children's NHS Foundation Trust Hospital, Liverpool, UK.
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23
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Eber B, Binter G, Költringer P, Brandt D, Klein W, Eber O, Lind P. 201TI Myocardial SPECT and ß-Endorphin Levels in Patients with Suspected Silent Ischemia. Nuklearmedizin 2018. [DOI: 10.1055/s-0038-1629524] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Today silent myocardial ischemia (SMI) is a well-recognized phenomenon. However, in the absence of clinical signs suggesting coronary artery disease (CAD), a streamlined diagnostic approach for precise clarification has proved to be difficult. Sensitivity and specificity of ergometric results are rather poor in symptom-free patients. Thus the question arises, whether the necessity of coronary angiography can be established more precisely by 201TI myocardial SPECT in these patients. Treadmill exercise according to the Bruce protocol, 201TI myocardial SPECT and coronary angiography were performed in a total of 106 patients with suspected SMI. In group I (high probability of ischemia; n = 46), reversible defects detected by SPECT correlated well with significant stenoses and irreversible defects with subtotal stenoses or complete occlusions. SPECT sensitivity in the detection of ischemia was 91 %, its specificity 96%. In group II (low probability of ischemia; n = 60), SPECT sensitivity was as high as in group I (94%) but due to a high number of false-positive results (e. g. cardiomyopathy) specificity was only 75%. However, SPECT was superior to exercise ECG (sensitivity 70%; specificity 56%) in the detection of SMI. In addition, ß-endorphin levels were determined in 180 healthy subjects, 37 patients with symptomatic CAD and in 34 patients with SMI before and during maximum exercise. Exercise values in patients with SMI were significantly higher than in healthy subjects or in patients with symptomatic CAD.
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24
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Betz A, Pierce G, Santillan D, Devor E, Scroggins S, Brandt D, Stroud A, Thomas K, O'Deen A, Holwerda S, DuBose L, Grobe J, Sigmund C, Santillan M. 109: Plasma endothelin-1, arterial stiffness, and mean arterial pressure in the first trimester are predictive of the diagnosis of preeclampsia. Am J Obstet Gynecol 2018. [DOI: 10.1016/j.ajog.2017.10.520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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25
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Brandt D. Hermite Approximation of the Neutron Transport Equation. NUCL SCI ENG 2017. [DOI: 10.13182/nse81-a21385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- D. Brandt
- Swiss Federal Institute of Technology, Department of Nuclear Engineering 8092 Zurich, Switzerland
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26
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Brandt D, McDonough C, Chan L. Assessing work disability in the US Social Security Administration (SSA) Disability Programs: Novel methods to assess function. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw168.081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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27
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Brandt D, Marino M, Jette A. Empirical analysis of the subdomain structure of the ICF. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw171.071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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28
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Chan L, Jette A, Brandt D. Policy implications and use of the Work Disability Functional Assessment Batter (WD-FAB). Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw171.070] [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: 11/12/2022] Open
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29
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McDonough C, Brandt D, Chan L. Beyond classical test theory-assessing function using item response theory/computer adaptive testing. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw172.071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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30
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Van Wetter C, Brandt D, Tassin O, Anckaert F. CP-012 Parenteral nutrition in abdominal surgery: Improvement in 2014? Eur J Hosp Pharm 2016. [DOI: 10.1136/ejhpharm-2016-000875.12] [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: 11/04/2022] Open
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31
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Brandt D, Rasch E, Chan L. Conceptual Approaches to Disability Determination. Eur J Public Health 2015. [DOI: 10.1093/eurpub/ckv175.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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32
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Agnese R, Anderson AJ, Balakishiyeva D, Basu Thakur R, Bauer DA, Billard J, Borgland A, Bowles MA, Brandt D, Brink PL, Bunker R, Cabrera B, Caldwell DO, Cerdeno DG, Chagani H, Chen Y, Cooley J, Cornell B, Crewdson CH, Cushman P, Daal M, Di Stefano PCF, Doughty T, Esteban L, Fallows S, Figueroa-Feliciano E, Godfrey GL, Golwala SR, Hall J, Harris HR, Hertel SA, Hofer T, Holmgren D, Hsu L, Huber ME, Jastram A, Kamaev O, Kara B, Kelsey MH, Kennedy A, Kiveni M, Koch K, Leder A, Loer B, Lopez Asamar E, Mahapatra R, Mandic V, Martinez C, McCarthy KA, Mirabolfathi N, Moffatt RA, Moore DC, Nelson H, Nelson RH, Ogburn RW, Page K, Page WA, Partridge R, Pepin M, Phipps A, Prasad K, Pyle M, Qiu H, Rau W, Redl P, Reisetter A, Ricci Y, Rogers HE, Saab T, Sadoulet B, Sander J, Schneck K, Schnee RW, Scorza S, Serfass B, Shank B, Speller D, Upadhyayula S, Villano AN, Welliver B, Wright DH, Yellin S, Yen JJ, Young BA, Zhang J. First direct limits on lightly ionizing particles with electric charge less than e/6. Phys Rev Lett 2015; 114:111302. [PMID: 25839256 DOI: 10.1103/physrevlett.114.111302] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/22/2014] [Indexed: 06/04/2023]
Abstract
While the standard model of particle physics does not include free particles with fractional charge, experimental searches have not ruled out their existence. We report results from the Cryogenic Dark Matter Search (CDMS II) experiment that give the first direct-detection limits for cosmogenically produced relativistic particles with electric charge lower than e/6. A search for tracks in the six stacked detectors of each of two of the CDMS II towers finds no candidates, thereby excluding new parameter space for particles with electric charges between e/6 and e/200.
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Affiliation(s)
- R Agnese
- Department of Physics, University of Florida, Gainesville, Florida 32611, USA
| | - A J Anderson
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - D Balakishiyeva
- Department of Physics, University of Florida, Gainesville, Florida 32611, USA
| | - R Basu Thakur
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
- Department of Physics, University of Illinois at Urbana-Champaign, Urbana, Illinois 61801, USA
| | - D A Bauer
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - J Billard
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - A Borgland
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - M A Bowles
- Department of Physics, Syracuse University, Syracuse, New York 13244, USA
| | - D Brandt
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - P L Brink
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - R Bunker
- Department of Physics, Syracuse University, Syracuse, New York 13244, USA
- Department of Physics, South Dakota School of Mines and Technology, Rapid City, South Dakota 57701, USA
| | - B Cabrera
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - D O Caldwell
- Department of Physics, University of California, Santa Barbara, California 93106, USA
| | - D G Cerdeno
- Departamento de Física Teórica and Instituto de Física Teórica UAM/CSIC, Universidad Autónoma de Madrid, 28049 Madrid, Spain
- IPPP, Department of Physics, Durham University, Durham DH1 3LE, United Kingdom
| | - H Chagani
- School of Physics & Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - Y Chen
- Department of Physics, Syracuse University, Syracuse, New York 13244, USA
| | - J Cooley
- Department of Physics, Southern Methodist University, Dallas, Texas 75275, USA
| | - B Cornell
- Division of Physics, Mathematics, & Astronomy, California Institute of Technology, Pasadena, California 91125, USA
| | - C H Crewdson
- Department of Physics, Queen's University, Kingston, ON, Canada K7L 3N6
| | - P Cushman
- School of Physics & Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - M Daal
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - P C F Di Stefano
- Department of Physics, Queen's University, Kingston, ON, Canada K7L 3N6
| | - T Doughty
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - L Esteban
- Departamento de Física Teórica and Instituto de Física Teórica UAM/CSIC, Universidad Autónoma de Madrid, 28049 Madrid, Spain
| | - S Fallows
- School of Physics & Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - E Figueroa-Feliciano
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - G L Godfrey
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - S R Golwala
- Division of Physics, Mathematics, & Astronomy, California Institute of Technology, Pasadena, California 91125, USA
| | - J Hall
- Pacific Northwest National Laboratory, Richland, Washington 99352, USA
| | - H R Harris
- Department of Physics & Astronomy, Texas A&M University, College Station, Texas 77843, USA
| | - S A Hertel
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - T Hofer
- School of Physics & Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - D Holmgren
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - L Hsu
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - M E Huber
- Department of Physics, University of Colorado Denver, Denver, Colorado 80217, USA
| | - A Jastram
- Department of Physics & Astronomy, Texas A&M University, College Station, Texas 77843, USA
| | - O Kamaev
- Department of Physics, Queen's University, Kingston, ON, Canada K7L 3N6
| | - B Kara
- Department of Physics, Southern Methodist University, Dallas, Texas 75275, USA
| | - M H Kelsey
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - A Kennedy
- School of Physics & Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - M Kiveni
- Department of Physics, Syracuse University, Syracuse, New York 13244, USA
| | - K Koch
- School of Physics & Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - A Leder
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - B Loer
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - E Lopez Asamar
- Departamento de Física Teórica and Instituto de Física Teórica UAM/CSIC, Universidad Autónoma de Madrid, 28049 Madrid, Spain
| | - R Mahapatra
- Department of Physics & Astronomy, Texas A&M University, College Station, Texas 77843, USA
| | - V Mandic
- School of Physics & Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - C Martinez
- Department of Physics, Queen's University, Kingston, ON, Canada K7L 3N6
| | - K A McCarthy
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - N Mirabolfathi
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - R A Moffatt
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - D C Moore
- Division of Physics, Mathematics, & Astronomy, California Institute of Technology, Pasadena, California 91125, USA
| | - H Nelson
- Department of Physics, University of California, Santa Barbara, California 93106, USA
| | - R H Nelson
- Division of Physics, Mathematics, & Astronomy, California Institute of Technology, Pasadena, California 91125, USA
| | - R W Ogburn
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - K Page
- Department of Physics, Queen's University, Kingston, ON, Canada K7L 3N6
| | - W A Page
- Department of Physics & Astronomy, University of British Columbia, Vancouver, BC V6T 1Z1, Canada
| | - R Partridge
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - M Pepin
- School of Physics & Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - A Phipps
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - K Prasad
- Department of Physics & Astronomy, Texas A&M University, College Station, Texas 77843, USA
| | - M Pyle
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - H Qiu
- Department of Physics, Southern Methodist University, Dallas, Texas 75275, USA
| | - W Rau
- Department of Physics, Queen's University, Kingston, ON, Canada K7L 3N6
| | - P Redl
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - A Reisetter
- Department of Physics, University of Evansville, Evansville, Indiana 47722, USA
| | - Y Ricci
- Department of Physics, Queen's University, Kingston, ON, Canada K7L 3N6
| | - H E Rogers
- School of Physics & Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - T Saab
- Department of Physics, University of Florida, Gainesville, Florida 32611, USA
| | - B Sadoulet
- Department of Physics, University of California, Berkeley, California 94720, USA
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - J Sander
- Department of Physics & Astronomy, Texas A&M University, College Station, Texas 77843, USA
- Department of Physics, University of South Dakota, Vermillion, South Dakota 57069, USA
| | - K Schneck
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - R W Schnee
- Department of Physics, Syracuse University, Syracuse, New York 13244, USA
- Department of Physics, South Dakota School of Mines and Technology, Rapid City, South Dakota 57701, USA
| | - S Scorza
- Department of Physics, Southern Methodist University, Dallas, Texas 75275, USA
- Karlsruhe Institute of Technology, Institut für Experimentelle Kernphysik, 76128 Karlsruhe, Germany
| | - B Serfass
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - B Shank
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - D Speller
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - S Upadhyayula
- Department of Physics & Astronomy, Texas A&M University, College Station, Texas 77843, USA
| | - A N Villano
- School of Physics & Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - B Welliver
- Department of Physics, University of Florida, Gainesville, Florida 32611, USA
| | - D H Wright
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - S Yellin
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - J J Yen
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - B A Young
- Department of Physics, Santa Clara University, Santa Clara, California 95053, USA
| | - J Zhang
- School of Physics & Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
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Van Wetter C, Mestrez P, Cambier E, Tinton N, Brandt D, Tassin O. CP-018 Parenteral nutrition given in the peroperative period in abdominal surgery: compliance with guidelines. Eur J Hosp Pharm 2015. [DOI: 10.1136/ejhpharm-2015-000639.18] [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: 11/04/2022] Open
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34
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Agnese R, Anderson AJ, Asai M, Balakishiyeva D, Basu Thakur R, Bauer DA, Beaty J, Billard J, Borgland A, Bowles MA, Brandt D, Brink PL, Bunker R, Cabrera B, Caldwell DO, Cerdeno DG, Chagani H, Chen Y, Cherry M, Cooley J, Cornell B, Crewdson CH, Cushman P, Daal M, DeVaney D, Di Stefano PCF, Silva EDCE, Doughty T, Esteban L, Fallows S, Figueroa-Feliciano E, Godfrey GL, Golwala SR, Hall J, Hansen S, Harris HR, Hertel SA, Hines BA, Hofer T, Holmgren D, Hsu L, Huber ME, Jastram A, Kamaev O, Kara B, Kelsey MH, Kenany S, Kennedy A, Kiveni M, Koch K, Leder A, Loer B, Lopez Asamar E, Mahapatra R, Mandic V, Martinez C, McCarthy KA, Mirabolfathi N, Moffatt RA, Nelson RH, Novak L, Page K, Partridge R, Pepin M, Phipps A, Platt M, Prasad K, Pyle M, Qiu H, Rau W, Redl P, Reisetter A, Resch RW, Ricci Y, Ruschman M, Saab T, Sadoulet B, Sander J, Schmitt RL, Schneck K, Schnee RW, Scorza S, Seitz DN, Serfass B, Shank B, Speller D, Tomada A, Upadhyayula S, Villano AN, Welliver B, Wright DH, Yellin S, Yen JJ, Young BA, Zhang J. Search for low-mass weakly interacting massive particles with SuperCDMS. Phys Rev Lett 2014; 112:241302. [PMID: 24996080 DOI: 10.1103/physrevlett.112.241302] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/12/2014] [Indexed: 06/03/2023]
Abstract
We report a first search for weakly interacting massive particles (WIMPs) using the background rejection capabilities of SuperCDMS. An exposure of 577 kg days was analyzed for WIMPs with mass <30 GeV/c(2), with the signal region blinded. Eleven events were observed after unblinding. We set an upper limit on the spin-independent WIMP-nucleon cross section of 1.2×10(-42) cm(2) at 8 GeV/c(2). This result is in tension with WIMP interpretations of recent experiments and probes new parameter space for WIMP-nucleon scattering for WIMP masses <6 GeV/c(2).
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Affiliation(s)
- R Agnese
- Department of Physics, University of Florida, Gainesville, Florida 32611, USA
| | - A J Anderson
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - M Asai
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - D Balakishiyeva
- Department of Physics, University of Florida, Gainesville, Florida 32611, USA
| | - R Basu Thakur
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA and Department of Physics, University of Illinois at Urbana-Champaign, Urbana, Illinois 61801, USA
| | - D A Bauer
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - J Beaty
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - J Billard
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - A Borgland
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - M A Bowles
- Department of Physics, Syracuse University, Syracuse, New York 13244, USA
| | - D Brandt
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - P L Brink
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - R Bunker
- Department of Physics, Syracuse University, Syracuse, New York 13244, USA
| | - B Cabrera
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - D O Caldwell
- Department of Physics, University of California, Santa Barbara, California 93106, USA
| | - D G Cerdeno
- Departamento de Física Teórica and Instituto de Física Teórica UAM/CSIC, Universidad Autónoma de Madrid, 28049 Madrid, Spain
| | - H Chagani
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - Y Chen
- Department of Physics, Syracuse University, Syracuse, New York 13244, USA
| | - M Cherry
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - J Cooley
- Department of Physics, Southern Methodist University, Dallas, Texas 75275, USA
| | - B Cornell
- Division of Physics, Mathematics, & Astronomy, California Institute of Technology, Pasadena, California 91125, USA
| | - C H Crewdson
- Department of Physics, Queen's University, Kingston, Ontario K7 L 3N6, Canada
| | - P Cushman
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - M Daal
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - D DeVaney
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - P C F Di Stefano
- Department of Physics, Queen's University, Kingston, Ontario K7 L 3N6, Canada
| | - E Do Couto E Silva
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - T Doughty
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - L Esteban
- Departamento de Física Teórica and Instituto de Física Teórica UAM/CSIC, Universidad Autónoma de Madrid, 28049 Madrid, Spain
| | - S Fallows
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - E Figueroa-Feliciano
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - G L Godfrey
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - S R Golwala
- Division of Physics, Mathematics, & Astronomy, California Institute of Technology, Pasadena, California 91125, USA
| | - J Hall
- Pacific Northwest National Laboratory, Richland, Washington 99352, USA
| | - S Hansen
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - H R Harris
- Department of Physics, Texas A&M University, College Station, Texas 77843, USA
| | - S A Hertel
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - B A Hines
- Department of Physics, University of Colorado Denver, Denver, Colorado 80217, USA
| | - T Hofer
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - D Holmgren
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - L Hsu
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - M E Huber
- Department of Physics, University of Colorado Denver, Denver, Colorado 80217, USA
| | - A Jastram
- Department of Physics, Texas A&M University, College Station, Texas 77843, USA
| | - O Kamaev
- Department of Physics, Queen's University, Kingston, Ontario K7 L 3N6, Canada
| | - B Kara
- Department of Physics, Southern Methodist University, Dallas, Texas 75275, USA
| | - M H Kelsey
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - S Kenany
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - A Kennedy
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - M Kiveni
- Department of Physics, Syracuse University, Syracuse, New York 13244, USA
| | - K Koch
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - A Leder
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - B Loer
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - E Lopez Asamar
- Departamento de Física Teórica and Instituto de Física Teórica UAM/CSIC, Universidad Autónoma de Madrid, 28049 Madrid, Spain
| | - R Mahapatra
- Department of Physics, Texas A&M University, College Station, Texas 77843, USA
| | - V Mandic
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - C Martinez
- Department of Physics, Queen's University, Kingston, Ontario K7 L 3N6, Canada
| | - K A McCarthy
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - N Mirabolfathi
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - R A Moffatt
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - R H Nelson
- Division of Physics, Mathematics, & Astronomy, California Institute of Technology, Pasadena, California 91125, USA
| | - L Novak
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - K Page
- Department of Physics, Queen's University, Kingston, Ontario K7 L 3N6, Canada
| | - R Partridge
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - M Pepin
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - A Phipps
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - M Platt
- Department of Physics, Texas A&M University, College Station, Texas 77843, USA
| | - K Prasad
- Department of Physics, Texas A&M University, College Station, Texas 77843, USA
| | - M Pyle
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - H Qiu
- Department of Physics, Southern Methodist University, Dallas, Texas 75275, USA
| | - W Rau
- Department of Physics, Queen's University, Kingston, Ontario K7 L 3N6, Canada
| | - P Redl
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - A Reisetter
- Department of Physics, University of Evansville, Evansville, Indiana 47722, USA
| | - R W Resch
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - Y Ricci
- Department of Physics, Queen's University, Kingston, Ontario K7 L 3N6, Canada
| | - M Ruschman
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - T Saab
- Department of Physics, University of Florida, Gainesville, Florida 32611, USA
| | - B Sadoulet
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA and Department of Physics, University of California, Berkeley, California 94720, USA
| | - J Sander
- Department of Physics, University of South Dakota, Vermillion, South Dakota 57069, USA
| | - R L Schmitt
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - K Schneck
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - R W Schnee
- Department of Physics, Syracuse University, Syracuse, New York 13244, USA
| | - S Scorza
- Department of Physics, Southern Methodist University, Dallas, Texas 75275, USA
| | - D N Seitz
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - B Serfass
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - B Shank
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - D Speller
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - A Tomada
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - S Upadhyayula
- Department of Physics, Texas A&M University, College Station, Texas 77843, USA
| | - A N Villano
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - B Welliver
- Department of Physics, University of Florida, Gainesville, Florida 32611, USA
| | - D H Wright
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - S Yellin
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - J J Yen
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - B A Young
- Department of Physics, Santa Clara University, Santa Clara, California 95053, USA
| | - J Zhang
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
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35
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Agnese R, Anderson AJ, Asai M, Balakishiyeva D, Basu Thakur R, Bauer DA, Billard J, Borgland A, Bowles MA, Brandt D, Brink PL, Bunker R, Cabrera B, Caldwell DO, Cerdeno DG, Chagani H, Cooley J, Cornell B, Crewdson CH, Cushman P, Daal M, Di Stefano PCF, Doughty T, Esteban L, Fallows S, Figueroa-Feliciano E, Godfrey GL, Golwala SR, Hall J, Harris HR, Hertel SA, Hofer T, Holmgren D, Hsu L, Huber ME, Jastram A, Kamaev O, Kara B, Kelsey MH, Kennedy A, Kiveni M, Koch K, Loer B, Lopez Asamar E, Mahapatra R, Mandic V, Martinez C, McCarthy KA, Mirabolfathi N, Moffatt RA, Moore DC, Nadeau P, Nelson RH, Page K, Partridge R, Pepin M, Phipps A, Prasad K, Pyle M, Qiu H, Rau W, Redl P, Reisetter A, Ricci Y, Saab T, Sadoulet B, Sander J, Schneck K, Schnee RW, Scorza S, Serfass B, Shank B, Speller D, Villano AN, Welliver B, Wright DH, Yellin S, Yen JJ, Young BA, Zhang J. Search for low-mass weakly interacting massive particles using voltage-assisted calorimetric ionization detection in the SuperCDMS experiment. Phys Rev Lett 2014; 112:041302. [PMID: 24580434 DOI: 10.1103/physrevlett.112.041302] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/03/2013] [Indexed: 06/03/2023]
Abstract
SuperCDMS is an experiment designed to directly detect weakly interacting massive particles (WIMPs), a favored candidate for dark matter ubiquitous in the Universe. In this Letter, we present WIMP-search results using a calorimetric technique we call CDMSlite, which relies on voltage-assisted Luke-Neganov amplification of the ionization energy deposited by particle interactions. The data were collected with a single 0.6 kg germanium detector running for ten live days at the Soudan Underground Laboratory. A low energy threshold of 170 eVee (electron equivalent) was obtained, which allows us to constrain new WIMP-nucleon spin-independent parameter space for WIMP masses below 6 GeV/c2.
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Affiliation(s)
- R Agnese
- Department of Physics, University of Florida, Gainesville, Florida 32611, USA
| | - A J Anderson
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - M Asai
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - D Balakishiyeva
- Department of Physics, University of Florida, Gainesville, Florida 32611, USA
| | - R Basu Thakur
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA and Department of Physics, University of Illinois at Urbana-Champaign, Urbana, Illinois 61801, USA
| | - D A Bauer
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - J Billard
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - A Borgland
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - M A Bowles
- Department of Physics, Syracuse University, Syracuse, New York 13244, USA
| | - D Brandt
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - P L Brink
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - R Bunker
- Department of Physics, Syracuse University, Syracuse, New York 13244, USA
| | - B Cabrera
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - D O Caldwell
- Department of Physics, University of California, Santa Barbara, California 93106, USA
| | - D G Cerdeno
- Departamento de Física Teórica and Instituto de Física Teórica UAM/CSIC, Universidad Autónoma de Madrid, 28049 Madrid, Spain
| | - H Chagani
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - J Cooley
- Department of Physics, Southern Methodist University, Dallas, Texas 75275, USA
| | - B Cornell
- Division of Physics, Mathematics, and Astronomy, California Institute of Technology, Pasadena, California 91125, USA
| | - C H Crewdson
- Department of Physics, Queen's University, Kingston Ontario, Canada K7L 3N6
| | - P Cushman
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - M Daal
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - P C F Di Stefano
- Department of Physics, Queen's University, Kingston Ontario, Canada K7L 3N6
| | - T Doughty
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - L Esteban
- Departamento de Física Teórica and Instituto de Física Teórica UAM/CSIC, Universidad Autónoma de Madrid, 28049 Madrid, Spain
| | - S Fallows
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - E Figueroa-Feliciano
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - G L Godfrey
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - S R Golwala
- Division of Physics, Mathematics, and Astronomy, California Institute of Technology, Pasadena, California 91125, USA
| | - J Hall
- Pacific Northwest National Laboratory, Richland, Washington 99352, USA
| | - H R Harris
- Department of Physics, Texas A&M University, College Station, Texas 77843, USA
| | - S A Hertel
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - T Hofer
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - D Holmgren
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - L Hsu
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - M E Huber
- Department of Physics, University of Colorado Denver, Denver, Colorado 80217, USA
| | - A Jastram
- Department of Physics, Texas A&M University, College Station, Texas 77843, USA
| | - O Kamaev
- Department of Physics, Queen's University, Kingston Ontario, Canada K7L 3N6
| | - B Kara
- Department of Physics, Southern Methodist University, Dallas, Texas 75275, USA
| | - M H Kelsey
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - A Kennedy
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - M Kiveni
- Department of Physics, Syracuse University, Syracuse, New York 13244, USA
| | - K Koch
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - B Loer
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - E Lopez Asamar
- Departamento de Física Teórica and Instituto de Física Teórica UAM/CSIC, Universidad Autónoma de Madrid, 28049 Madrid, Spain
| | - R Mahapatra
- Department of Physics, Texas A&M University, College Station, Texas 77843, USA
| | - V Mandic
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - C Martinez
- Department of Physics, Queen's University, Kingston Ontario, Canada K7L 3N6
| | - K A McCarthy
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - N Mirabolfathi
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - R A Moffatt
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - D C Moore
- Division of Physics, Mathematics, and Astronomy, California Institute of Technology, Pasadena, California 91125, USA
| | - P Nadeau
- Department of Physics, Queen's University, Kingston Ontario, Canada K7L 3N6
| | - R H Nelson
- Division of Physics, Mathematics, and Astronomy, California Institute of Technology, Pasadena, California 91125, USA
| | - K Page
- Department of Physics, Queen's University, Kingston Ontario, Canada K7L 3N6
| | - R Partridge
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - M Pepin
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - A Phipps
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - K Prasad
- Department of Physics, Texas A&M University, College Station, Texas 77843, USA
| | - M Pyle
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - H Qiu
- Department of Physics, Southern Methodist University, Dallas, Texas 75275, USA
| | - W Rau
- Department of Physics, Queen's University, Kingston Ontario, Canada K7L 3N6
| | - P Redl
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - A Reisetter
- Department of Physics, University of Evansville, Evansville, Indiana 47722, USA
| | - Y Ricci
- Department of Physics, Queen's University, Kingston Ontario, Canada K7L 3N6
| | - T Saab
- Department of Physics, University of Florida, Gainesville, Florida 32611, USA
| | - B Sadoulet
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA and Department of Physics, University of California, Berkeley, California 94720, USA
| | - J Sander
- Department of Physics, University of South Dakota, Vermillion, South Dakota 57069, USA
| | - K Schneck
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - R W Schnee
- Department of Physics, Syracuse University, Syracuse, New York 13244, USA
| | - S Scorza
- Department of Physics, Southern Methodist University, Dallas, Texas 75275, USA
| | - B Serfass
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - B Shank
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - D Speller
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - A N Villano
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - B Welliver
- Department of Physics, University of Florida, Gainesville, Florida 32611, USA
| | - D H Wright
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - S Yellin
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - J J Yen
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - B A Young
- Department of Physics, Santa Clara University, Santa Clara, California 95053, USA
| | - J Zhang
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
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Agnese R, Ahmed Z, Anderson AJ, Arrenberg S, Balakishiyeva D, Basu Thakur R, Bauer DA, Billard J, Borgland A, Brandt D, Brink PL, Bruch T, Bunker R, Cabrera B, Caldwell DO, Cerdeno DG, Chagani H, Cooley J, Cornell B, Crewdson CH, Cushman P, Daal M, Dejongh F, do Couto e Silva E, Doughty T, Esteban L, Fallows S, Figueroa-Feliciano E, Filippini J, Fox J, Fritts M, Godfrey GL, Golwala SR, Hall J, Harris RH, Hertel SA, Hofer T, Holmgren D, Hsu L, Huber ME, Jastram A, Kamaev O, Kara B, Kelsey MH, Kennedy A, Kim P, Kiveni M, Koch K, Kos M, Leman SW, Loer B, Lopez Asamar E, Mahapatra R, Mandic V, Martinez C, McCarthy KA, Mirabolfathi N, Moffatt RA, Moore DC, Nadeau P, Nelson RH, Page K, Partridge R, Pepin M, Phipps A, Prasad K, Pyle M, Qiu H, Rau W, Redl P, Reisetter A, Ricci Y, Saab T, Sadoulet B, Sander J, Schneck K, Schnee RW, Scorza S, Serfass B, Shank B, Speller D, Sundqvist KM, Villano AN, Welliver B, Wright DH, Yellin S, Yen JJ, Yoo J, Young BA, Zhang J. Silicon detector dark matter results from the final exposure of CDMS II. Phys Rev Lett 2013; 111:251301. [PMID: 24483735 DOI: 10.1103/physrevlett.111.251301] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/04/2013] [Revised: 07/27/2013] [Indexed: 06/03/2023]
Abstract
We report results of a search for weakly interacting massive particles (WIMPS) with the silicon detectors of the CDMS II experiment. This blind analysis of 140.2 kg day of data taken between July 2007 and September 2008 revealed three WIMP-candidate events with a surface-event background estimate of 0.41(-0.08)(+0.20)(stat)(-0.24)(+0.28)(syst). Other known backgrounds from neutrons and 206Pb are limited to <0.13 and <0.08 events at the 90% confidence level, respectively. The exposure of this analysis is equivalent to 23.4 kg day for a recoil energy range of 7-100 keV for a WIMP of mass 10 GeV/c2. The probability that the known backgrounds would produce three or more events in the signal region is 5.4%. A profile likelihood ratio test of the three events that includes the measured recoil energies gives a 0.19% probability for the known-background-only hypothesis when tested against the alternative WIMP+background hypothesis. The highest likelihood occurs for a WIMP mass of 8.6 GeV/c2 and WIMP-nucleon cross section of 1.9×10(-41) cm2.
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Affiliation(s)
- R Agnese
- Department of Physics, University of Florida, Gainesville, Florida 32611, USA
| | - Z Ahmed
- Division of Physics, Mathematics, and Astronomy, California Institute of Technology, Pasadena, California 91125, USA
| | - A J Anderson
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - S Arrenberg
- Physics Institute, University of Zürich, Winterthurerstrasse 190, CH-8057, Switzerland
| | - D Balakishiyeva
- Department of Physics, University of Florida, Gainesville, Florida 32611, USA
| | - R Basu Thakur
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - D A Bauer
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - J Billard
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - A Borgland
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, Menlo Park, California 94025, USA
| | - D Brandt
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, Menlo Park, California 94025, USA
| | - P L Brink
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, Menlo Park, California 94025, USA
| | - T Bruch
- Physics Institute, University of Zürich, Winterthurerstrasse 190, CH-8057, Switzerland
| | - R Bunker
- Department of Physics, Syracuse University, Syracuse, New York 13244, USA
| | - B Cabrera
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - D O Caldwell
- Department of Physics, University of California, Santa Barbara, California 93106, USA
| | - D G Cerdeno
- Departamento de Física Teórica and Instituto de Física Teórica UAM/CSIC, Universidad Autónoma de Madrid, 28049 Madrid, Spain
| | - H Chagani
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - J Cooley
- Department of Physics, Southern Methodist University, Dallas, Texas 75275, USA
| | - B Cornell
- Division of Physics, Mathematics, and Astronomy, California Institute of Technology, Pasadena, California 91125, USA
| | - C H Crewdson
- Department of Physics, Queen's University, Kingston, Ontario K7L 3N6, Canada
| | - P Cushman
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - M Daal
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - F Dejongh
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - E do Couto e Silva
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, Menlo Park, California 94025, USA
| | - T Doughty
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - L Esteban
- Departamento de Física Teórica and Instituto de Física Teórica UAM/CSIC, Universidad Autónoma de Madrid, 28049 Madrid, Spain
| | - S Fallows
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - E Figueroa-Feliciano
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - J Filippini
- Division of Physics, Mathematics, and Astronomy, California Institute of Technology, Pasadena, California 91125, USA
| | - J Fox
- Department of Physics, Queen's University, Kingston, Ontario K7L 3N6, Canada
| | - M Fritts
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - G L Godfrey
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, Menlo Park, California 94025, USA
| | - S R Golwala
- Division of Physics, Mathematics, and Astronomy, California Institute of Technology, Pasadena, California 91125, USA
| | - J Hall
- Pacific Northwest National Laboratory, Richland, Washington 99352, USA
| | - R H Harris
- Department of Physics, Texas A&M University, College Station, Texas 77843, USA
| | - S A Hertel
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - T Hofer
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - D Holmgren
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - L Hsu
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - M E Huber
- Department of Physics, University of Colorado, Denver, Colorado 80217, USA
| | - A Jastram
- Department of Physics, Texas A&M University, College Station, Texas 77843, USA
| | - O Kamaev
- Department of Physics, Queen's University, Kingston, Ontario K7L 3N6, Canada
| | - B Kara
- Department of Physics, Southern Methodist University, Dallas, Texas 75275, USA
| | - M H Kelsey
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, Menlo Park, California 94025, USA
| | - A Kennedy
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - P Kim
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, Menlo Park, California 94025, USA
| | - M Kiveni
- Department of Physics, Syracuse University, Syracuse, New York 13244, USA
| | - K Koch
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - M Kos
- Department of Physics, Syracuse University, Syracuse, New York 13244, USA
| | - S W Leman
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - B Loer
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - E Lopez Asamar
- Departamento de Física Teórica and Instituto de Física Teórica UAM/CSIC, Universidad Autónoma de Madrid, 28049 Madrid, Spain
| | - R Mahapatra
- Department of Physics, Texas A&M University, College Station, Texas 77843, USA
| | - V Mandic
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - C Martinez
- Department of Physics, Queen's University, Kingston, Ontario K7L 3N6, Canada
| | - K A McCarthy
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - N Mirabolfathi
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - R A Moffatt
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - D C Moore
- Division of Physics, Mathematics, and Astronomy, California Institute of Technology, Pasadena, California 91125, USA
| | - P Nadeau
- Department of Physics, Queen's University, Kingston, Ontario K7L 3N6, Canada
| | - R H Nelson
- Division of Physics, Mathematics, and Astronomy, California Institute of Technology, Pasadena, California 91125, USA
| | - K Page
- Department of Physics, Queen's University, Kingston, Ontario K7L 3N6, Canada
| | - R Partridge
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, Menlo Park, California 94025, USA
| | - M Pepin
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - A Phipps
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - K Prasad
- Department of Physics, Texas A&M University, College Station, Texas 77843, USA
| | - M Pyle
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - H Qiu
- Department of Physics, Southern Methodist University, Dallas, Texas 75275, USA
| | - W Rau
- Department of Physics, Queen's University, Kingston, Ontario K7L 3N6, Canada
| | - P Redl
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - A Reisetter
- Department of Physics, University of Evansville, Evansville, Indiana 47722, USA
| | - Y Ricci
- Department of Physics, Queen's University, Kingston, Ontario K7L 3N6, Canada
| | - T Saab
- Department of Physics, University of Florida, Gainesville, Florida 32611, USA
| | - B Sadoulet
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA and Department of Physics, University of California, Berkeley, California 94720, USA
| | - J Sander
- Department of Physics, Texas A&M University, College Station, Texas 77843, USA
| | - K Schneck
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, Menlo Park, California 94025, USA
| | - R W Schnee
- Department of Physics, Syracuse University, Syracuse, New York 13244, USA
| | - S Scorza
- Department of Physics, Southern Methodist University, Dallas, Texas 75275, USA
| | - B Serfass
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - B Shank
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - D Speller
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - K M Sundqvist
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - A N Villano
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - B Welliver
- Department of Physics, University of Florida, Gainesville, Florida 32611, USA
| | - D H Wright
- SLAC National Accelerator Laboratory/Kavli Institute for Particle Astrophysics and Cosmology, Menlo Park, California 94025, USA
| | - S Yellin
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - J J Yen
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - J Yoo
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - B A Young
- Department of Physics, Santa Clara University, Santa Clara, California 95053, USA
| | - J Zhang
- School of Physics and Astronomy, University of Minnesota, Minneapolis, Minnesota 55455, USA
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Liarski V, Brandt D, Kaverina N, Henderson S, Chang A, Utset T, Labno C, Peng Y, Jiang Y, Giger M, Clark M. A3.26 Identifying T-Follicular-Helper-Like Cell Involvement in the Organization of Tubulointerstitial Inflammation in Human Lupus Nephritis and Renal Allograft Rejection. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-203216.26] [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: 11/03/2022]
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Simon C, Shinkunas LA, Brandt D, Williams JK. Individual genetic and genomic research results and the tradition of informed consent: exploring US review board guidance. J Med Ethics 2012; 38:417-422. [PMID: 22361295 PMCID: PMC4439196 DOI: 10.1136/medethics-2011-100273] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
BACKGROUND Genomic research is challenging the tradition of informed consent. Genomic researchers in the USA, Canada and parts of Europe are encouraged to use informed consent to address the prospect of disclosing individual research results (IRRs) to study participants. In the USA, no national policy exists to direct this use of informed consent, and it is unclear how local institutional review boards (IRBs) may want researchers to respond. OBJECTIVE AND METHODS To explore publicly accessible IRB websites for guidance in this area, using summative content analysis. FINDINGS Three types of research results were addressed in 45 informed consent templates and instructions from 20 IRBs based at centres conducting genomic research: (1) IRRs in general, (2) incidental findings (IFs) and (3) a broad and unspecified category of 'significant new findings' (SNFs). IRRs were more frequently referenced than IFs or SNFs. Most documents stated that access to IRRs would not be an option for research participants. These non-disclosure statements were found to coexist in some documents with statements that SNFs would be disclosed to participants if related to their willingness to participate in research. The median readability of template language on IRRs, IFs and SNFs exceeded a ninth-grade level. CONCLUSION IRB guidance may downplay the possibility of IFs and contain conflicting messages on IRR non-disclosure and SNF disclosure. IRBs may need to clarify why separate IRR and SNF language should appear in the same consent document. The extent of these issues, nationally and internationally, needs to be determined.
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Affiliation(s)
- Christian Simon
- Department of Internal Medicine, University of Iowa, Roy J. and Lucille A. Carver School of Medicine, 500 Newton Drive, 1-103 MEB, Iowa City, IA 52242-1190, USA.
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Simon CM, Williams JK, Shinkunas L, Brandt D, Daack-Hirsch S, Driessnack M. Informed consent and genomic incidental findings: IRB chair perspectives. J Empir Res Hum Res Ethics 2012; 6:53-67. [PMID: 22228060 DOI: 10.1525/jer.2011.6.4.53] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
It is unclear how genomic incidental finding (GIF) prospects should be addressed in informed consent processes. An exploratory study on this topic was conducted with 34 purposively sampled Chairs of institutional review boards (IRBs) at centers conducting genome-wide association studies. Most Chairs (96%) reported no knowledge of local IRB requirements regarding GIFs and informed consent. Chairs suggested consent processes should address the prospect of, and study disclosure policy on, GIFs; GIF management and follow-up; potential clinical significance of GIFs; potential risks of GIF disclosure; an opportunity for participants to opt out of GIF disclosure; and duration of the researcher's duty to disclose GIFs. Chairs were concerned about participant disclosure preferences changing over time; inherent limitations in determining the scope and accuracy of claims about GIFs; and making consent processes longer and more complex. IRB Chair and other stakeholder perspectives can help advance informed consent efforts to accommodate GIF prospects.
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Affiliation(s)
- Christian M Simon
- Program in Bioethics and Humanities, University of Iowa Carver College of Medicine, 500 Newton Road, Iowa City, IA 52242-1190, USA.
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Williams JK, Daack-Hirsch S, Driessnack M, Downing N, Shinkunas L, Brandt D, Simon C. Researcher and institutional review board chair perspectives on incidental findings in genomic research. Genet Test Mol Biomarkers 2012; 16:508-13. [PMID: 22352737 DOI: 10.1089/gtmb.2011.0248] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
AIMS Genomic research can produce findings unrelated to a study's aims. The purpose of this study was to examine researcher and Institutional Review Board (IRB) chair perspectives on genomic incidental findings (GIFs). METHODS Nineteen genomic researchers and 34 IRB chairs from 42 institutions participated in semi-structured telephone interviews. Researchers and chairs described GIFs within their respective roles. Few had direct experience with disclosure of GIFs. Researchers favored policies where a case by case determination regarding whether GIF disclosure would be offered after discovery, whereas IRB chairs preferred policies where procedures for disclosure would be determined prior to approval of the research. CONCLUSIONS Researcher and IRB chair perspectives on management of GIFs overlap, but each group provides a unique perspective on decisions regarding disclosure of GIFs in research. Engagement of both groups is essential in efforts to provide guidance for researchers and IRBs regarding disclosure of GIFs in research.
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Affiliation(s)
- Janet K Williams
- College of Nursing, The University of Iowa, Iowa City, Iowa 52242, USA.
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Jackson J, Kohn-Parrott KA, Parker C, Levins N, Dyer S, Hedalen EJ, Frank E, Bramer S, Brandt D, Doyle JJ. Blood Pressure Success Zone: You Auto Know. A worksite-based program to improve blood pressure control among auto workers. Popul Health Manag 2011; 14:257-63. [PMID: 21988347 DOI: 10.1089/pop.2010.0060] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Worksite-based wellness programs can be a means to improve employee health awareness and potentially reduce health care costs. The "BP Success Zone: You Auto Know" program was a worksite-based intervention to reduce the incidence of hypertension among auto workers at Chrysler LLC. This 6-month program comprised an intervention consisting of education, awareness, and support intended to intensify the engagement of Chrysler employees at moderate-to-high cardiovascular risk who were not adequately controlling their blood pressure. The 539 participants had systolic blood pressure of ≥ 120 mmHg, diastolic blood pressure of ≥ 80 mmHg, or were told by a health care provider that they had hypertension. Questionnaires compared awareness and knowledge of hypertension and lifestyle choices before and at the end of the intervention. After the 6-month intervention, mean systolic blood pressure had decreased from a baseline value of 133 mmHg to 129 mmHg (P < 0.0001) and mean blood diastolic pressure had decreased from 85 mmHg to 82 mmHg (P < 0.0001). The proportion of participants with controlled blood pressure increased from 52% to 62% (P < 0.0001) over the course of the intervention. Eighty-six percent of the participants reported that the program helped them to better understand and control their blood pressure and 84% reported that they had a better understanding of their treatment options. In conclusion, a program of hypertension awareness, education, and lifestyle modification helped to improve blood pressure control among a group of Chrysler LLC employees.
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Zschornack E, Brandt D, Pichard J, Engel C, Baumstark A, Haug C, Jendrike N, Freckmann G. Provokation von Glucose-Exkursionen bei Typ-I-Diabetikern zur Beurteilung der klinischen Leistungsfähigkeit kontinuierlich messender Glucose-Sensoren. DIABETOL STOFFWECHS 2008. [DOI: 10.1055/s-2008-1076429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Bernstein J, Brandt D, Ratner P, Wheeler W. Assessment Of A Rhinitis Questionnaire In A Seasonal Allergic Rhinitis Population. J Allergy Clin Immunol 2007. [DOI: 10.1016/j.jaci.2006.12.251] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Heinemann L, Hövelmann U, Nosek L, Brandt D, Essenpreis M, Kapitza C. Continuous glucose monitoring before and after exercise in patients with type 1 diabetes on CSII. DIABETOL STOFFWECHS 2007. [DOI: 10.1055/s-2007-982274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Brandt D, El-Hag A, Abbott C, Bernstein J. Evaluation Of A Rhinitis Questionnaire In Different Regions Within The United States. J Allergy Clin Immunol 2007. [DOI: 10.1016/j.jaci.2006.12.252] [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: 10/23/2022]
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Rezvani M, Hastings L, Brandt D, Bernstein J. Investigation Of Olfactory Threshold Responses In Chronic Rhinitis Subtypes. J Allergy Clin Immunol 2007. [DOI: 10.1016/j.jaci.2006.11.684] [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: 10/23/2022]
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Brandt D, Gervaz P, Durmishi Y, Platon A, Morel P, Poletti PA. Percutaneous CT scan-guided drainage vs. antibiotherapy alone for Hinchey II diverticulitis: a case-control study. Dis Colon Rectum 2006; 49:1533-8. [PMID: 16988856 DOI: 10.1007/s10350-006-0613-3] [Citation(s) in RCA: 117] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
PURPOSE CT-scan-guided percutaneous abscess drainage of Hinchey Stage II diverticulitis is considered the best initial approach to treat conservatively the abscess and to subsequently perform an elective sigmoidectomy. However, drainage is not always technically feasible, may expose the patient to additional morbidity, and has not been critically evaluated in this indication. This study was undertaken to compare the results of percutaneous drainage vs. antibiotic therapy alone in patients with Hinchey II diverticulitis. METHODS This was a case-control study of all patients who presented in our institution with Hinchey Stage II diverticulitis between 1993 and 2005. Thirty-four patients underwent abscess drainage under CT-scan guidance (Group 1), and 32 patients were treated with antibiotic therapy alone (Group 2), in most cases because CT-scan-guided abscess drainage was considered technically unfeasible by the interventional radiology team. Initial conservative treatment was considered a failure when: 1) emergency surgery had to be performed, 2) signs of worsening sepsis developed, and 3) abscess recurred within four weeks of drainage. RESULTS The median size of abscess was 6 (range, 3-18) cm in Group 1 and 4 (range, 3-10) cm in Group 2 (P = 0.002). Median duration of drainage was 8 (range, 1-18) days. Conservative treatment failed in 11 patients (33 percent) of Group 1, and in 6 patients (19 percent) of Group 2 (P = 0.26). Ten patients (29 percent) in Group 1 and five patients (16 percent) in Group 2 underwent emergency surgery (P = 0.24); there were four postoperative deaths (26.6 percent) in this subgroup. Twelve patients (35 percent) in Group 1 and 16 patients (50 percent) in Group 2 subsequently underwent an elective sigmoid resection (P = 0.31). In this subgroup of patients, there was neither anastomotic leakage nor postoperative death. CONCLUSIONS Emergency surgery for Hinchey Stage II diverticulitis carries a high mortality rate and should be avoided. To achieve this, antibiotic therapy alone seems to be a safe alternative, whenever percutaneous drainage is technically difficult or hazardous. Actually, our data did not demonstrate any benefit of CT scan-guided percutaneous abscess drainage, suggesting that the role of interventional radiology techniques in this indication deserves further critical evaluation.
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Affiliation(s)
- D Brandt
- Department of Surgery, University Hospital Geneva, Rue Micheli-du-Crest 24, 1211 Genèva, Switzerland
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Durmishi Y, Gervaz P, Brandt D, Bucher P, Platon A, Morel P, Poletti PA. Results from percutaneous drainage of Hinchey stage II diverticulitis guided by computed tomography scan. Surg Endosc 2006; 20:1129-33. [PMID: 16755351 DOI: 10.1007/s00464-005-0574-y] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.1] [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: 08/19/2005] [Accepted: 02/15/2006] [Indexed: 12/30/2022]
Abstract
BACKGROUND Percutaneous abscess drainage guided by computed tomography scan is considered the initial step in the management of patients presenting with Hinchey II diverticulitis. The rationale behind this approach is to manage the septic complication conservatively and to follow this later using elective sigmoidectomy with primary anastomosis. METHODS The clinical outcomes for Hinchey II patients who underwent percutaneous abscess drainage in our institution were reviewed. Drainage was considered a failure when signs of continuing sepsis developed, abscess or fistula recurred within 4 weeks of drainage, and emergency surgical resection with or without a colostomy had to be performed. RESULTS A total of 34 patients (17 men and 17 women; median age, 71 years; range, 34-90 years) were considered for analysis. The median abscess size was 6 cm (range, 3-18 cm), and the median duration of drainage was 8 days (range, 1-18 days). Drainage was considered successful for 23 patients (67%). The causes of failure for the remaining 11 patients included continuing sepsis (n = 5), abscess recurrence (n = 5), and fistula formation (n = 1). Ten patients who failed percutaneous abscess drainage underwent an emergency Hartmann procedure, with a median delay of 14 days (range, 1-65 days) between drainage and surgery. Three patients in this group (33%) died in the immediate postoperative period. Among the 23 patients successfully drained, 12 underwent elective sigmoid resection with a primary anastomosis. The median delay between drainage and surgery was 101 days (range, 40-420 days). In this group, there were no anastomotic leaks and no mortality. CONCLUSION Drainage of Hinchey II diverticulitis guided by computed scan was successful in two-thirds of the cases, and 35% of the patients eventually underwent a safe elective sigmoid resection with primary anastomosis. By contrast, failure of percutaneous abscess drainage to control sepsis is associated with a high mortality rate when an emergency resection is performed. The current results demonstrate that percutaneous abscess drainage is an effective initial therapeutic approach for patients with Hinchey II diverticulitis, and that emergency surgery should be avoided whenever possible.
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Affiliation(s)
- Y Durmishi
- Department of Surgery, University Hospital Geneva, Rue Micheli-du-Crest 24, 1211, Genève, Switzerland
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Abstract
OBJECTIVE Because of a widespread but untested belief that increased intra-abdominal pressure contributes to pelvic floor disorders, physicians commonly restrict various activities postoperatively. Our aim was to describe intra-abdominal pressures during common physical activities. METHODS Thirty women of wide age and weight ranges who were not undergoing treatment for pelvic floor disorders performed 3 repetitions of various activities while intra-abdominal pressures (baseline and maximal) were approximated via microtip rectal catheters. We calculated median peak and net pressures (centimeters of H(2)O). We assessed correlations between abdominal pressures and body mass index, abdominal circumference, and grip strength (a proxy for overall strength). P < .025 was considered significant. RESULTS Median peak abdominal pressures ranged from 48 (lifting 8 lb from a counter) to 150 (lifting 35 lb from the floor), with much variation. Many activities did not raise the intra-abdominal pressure more than simply getting out of a chair, including lifting 8, 13, and 20 lb from a counter, lifting 8 or 13 lb from the floor, climbing stairs, walking briskly, or doing abdominal crunches. Body mass index and abdominal circumference each correlated positively with peak, but not net, pressures. Age and grip strength were not associated with abdominal pressure. CONCLUSION Some activities commonly restricted postoperatively have no greater effect on intra-abdominal pressures than unavoidable activities like rising from a chair. How lifting is done impacts intra-abdominal pressure. Many current postoperative guidelines are needlessly restrictive. Further research is needed to determine whether increased intra-abdominal pressure truly promotes pelvic floor disorders. LEVEL OF EVIDENCE III.
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Affiliation(s)
- Larissa F Weir
- Department of Obstetrics and Gynecology, San Antonio Uniformed Services Health Education Consortium, Texas, USA
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