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Harper S, Robinson M, Manning G, Jones A, Hobson J, Shelton CL. Management of tracheostomy-related tracheomegaly in a patient with COVID-19 pneumonitis. Anaesth Rep 2020; 8:e12076. [PMID: 33210094 DOI: 10.1002/anr3.12076] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/05/2020] [Indexed: 11/06/2022] Open
Abstract
Acquired tracheomegaly is a rare condition associated with pulmonary fibrosis, connective tissue disease and the use of cuffed tracheal tubes. We describe the urgent tracheal re-intubation and subsequent tracheal repair of a previously well 58-year-old man who developed tracheostomy-related tracheomegaly during prolonged mechanical ventilation for coronavirus disease 2019 pneumonitis. Urgent tracheal re-intubation was required due to a persistent cuff leak, pneumomediastinum and malposition of the tracheostomy tube. We describe the additional challenges and risks associated with airway management in patients with tracheomegaly, and discuss how even in urgent cases these can be mitigated through planning and teamwork. We present a stepwise approach to tracheal re-intubation past a large tracheal dilatation, including the use of an Aintree catheter inserted via the existing tracheal stoma for oxygenation or tracheal re-intubation if required. Computed tomography imaging was valuable in characterising the defect and developing a safe airway management strategy before starting the procedure. This report emphasises the role of planning, teamwork and the development of an appropriate airway strategy in the safe management of complex cases.
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Affiliation(s)
- S Harper
- North West School of Anaesthetics Health Education England North West Manchester UK
| | - M Robinson
- North West School of Anaesthetics Health Education England North West Manchester UK
| | - G Manning
- Department of Anaesthesia Wythenshawe Hospital Manchester University NHS Foundation Trust Manchester UK
| | - A Jones
- Department of Anaesthesia Wythenshawe Hospital Manchester University NHS Foundation Trust Manchester UK
| | - J Hobson
- Division of Surgery Wythenshawe Hospital Manchester University NHS Foundation Trust Manchester UK
| | - C L Shelton
- Department of Anaesthesia Wythenshawe Hospital Manchester University NHS Foundation Trust Manchester UK.,Lancaster Medical School Faculty of Health and Medicine Lancaster University Lancaster UK
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Humble B, Cherian S, Al-Kaabi A, Hobson J. M069 FIRST REPORTED MANAGEMENT OF A RARE ADVERSE REACTION TO IVIG BY TRANSITION TO SUBCUTANEOUS PRODUCT. Ann Allergy Asthma Immunol 2019. [DOI: 10.1016/j.anai.2019.08.138] [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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Sim MR, Guidotti T, Härmä M, Hobson J, Kang SK. 1753 Challenges in occupational health journal publishing. Epidemiology 2018. [DOI: 10.1136/oemed-2018-icohabstracts.357] [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]
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Whitford H, Kure C, Henriksen A, Hobson J, Snell G, Levvey B, Marasco S, Gooi J, Zimmet A, Negri J, Pick A, Buckland M, Williams T, Westall G, Paraskeva M, Martin C, McGiffin D. A Donor PO 2 /FiO 2 Less Than 300 Does Not Determine Graft Function or Survival After Lung Transplantation. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.613] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Mitchell R, Hobson J, Turner N, Hale J. A New, Dissolved-Oxygen Analyzer for In-Line Analysis of Beer. Journal of the American Society of Brewing Chemists 2018. [DOI: 10.1094/asbcj-41-0068] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- R. Mitchell
- Samuel Webster's Brewery, Ovenden Wood, Halifax, England
| | - J. Hobson
- Samuel Webster's Brewery, Ovenden Wood, Halifax, England
| | - N. Turner
- Orbisphere UK Ltd., Staveley Hall, Staveley, Chesterfield, Derbyshire S43 3TW
| | - J. Hale
- Orbisphere Laboratories, 1222 Vesenaz, Geneva, Switzerland
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Walton D, Hiho S, Kovacs A, Hobson J, Henriksen A, Kaye D, Hare J. Future Cardiac Allograft Vasculopathy in Heart Transplant Recipients is Predicted by Class II Human Leukocyte Antigen Eplet Mismatch Score. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.136] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Kotecha S, Hobson J, Fuller J, Levvey B, Snell G, Westall G. Marginal Donors: “It’s Not What You’ve Got - It’s What You Do With It”. J Heart Lung Transplant 2015. [DOI: 10.1016/j.healun.2015.01.791] [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: 11/30/2022] Open
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La Fountaine M, Swonger K, Hobson J, Bauman W. HOMA MODELING IS SIGNIFICANTLY ASSOCIATED TO THE CUTANEOUS BLOOD PERFUSION RESPONSES OF INSULIN. FASEB J 2015. [DOI: 10.1096/fasebj.29.1_supplement.802.7] [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)
- M La Fountaine
- VA RR&D National Center of Excellence for the Medical Consequences of SCI James J. Peters VA Medical CenterUnited States
- Department of MedicineIcahn School of Medicine at Mount SinaiUnited States
| | - K Swonger
- VA RR&D National Center of Excellence for the Medical Consequences of SCI James J. Peters VA Medical CenterUnited States
| | - J Hobson
- VA RR&D National Center of Excellence for the Medical Consequences of SCI James J. Peters VA Medical CenterUnited States
| | - W Bauman
- VA RR&D National Center of Excellence for the Medical Consequences of SCI James J. Peters VA Medical CenterUnited States
- Department of MedicineIcahn School of Medicine at Mount SinaiUnited States
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Hobson J. The raincoat sign. Occup Med (Lond) 2014; 64:453. [DOI: 10.1093/occmed/kqu015] [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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Hobson J. All tied up. Occup Med (Lond) 2014; 64:316. [DOI: 10.1093/occmed/kqu012] [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: 11/14/2022] Open
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Hobson J. Lest we forget. Occup Med (Lond) 2014; 64:30. [DOI: 10.1093/occmed/kqt128] [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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Hobson J. Thank you to reviewers 63-8. Occup Med (Lond) 2013. [DOI: 10.1093/occmed/kqt151] [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: 11/14/2022] Open
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Hobson J. Mesothelioma. Occup Med (Lond) 2013. [DOI: 10.1093/occmed/kqs045] [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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Hobson J. Back to school. Occup Med (Lond) 2013. [DOI: 10.1093/occmed/kqs087] [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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Hobson J. The human spirit level. Occup Med (Lond) 2012; 62:599. [DOI: 10.1093/occmed/kqs086] [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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Hobson J. Thank you to reviewers 62-8. Occup Med (Lond) 2012. [DOI: 10.1093/occmed/kqs200] [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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Hobson J. In this issue of Occupational Medicine. Occup Med (Lond) 2012. [DOI: 10.1093/occmed/kqs195] [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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Hobson J. The oldest sick note. Occup Med (Lond) 2012; 62:518. [DOI: 10.1093/occmed/kqs120] [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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Hobson J. Born to Run? Occup Med (Lond) 2012; 62:454. [DOI: 10.1093/occmed/kqs089] [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: 11/14/2022] Open
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Hobson J. How I Use It: Podcasts. Occup Med (Lond) 2012; 62:394. [DOI: 10.1093/occmed/kqs060] [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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Hobson J. Swimming with sharks: delivering the occupational health message. Occup Med (Lond) 2012; 62:238-9. [DOI: 10.1093/occmed/kqr191] [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: 11/14/2022] Open
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Hobson J. Hunter's Disease of Occupations. Occup Med (Lond) 2011. [DOI: 10.1093/occmed/kqr115] [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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Hobson J. In this issue of Annals of Occupational Hygiene. Occup Med (Lond) 2011. [DOI: 10.1093/occmed/kqr052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Hobson J. In this issue of Occupational Medicine. Occup Med (Lond) 2011. [DOI: 10.1093/occmed/kqq203] [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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Hobson J. In this issue of Occupational Medicine. Occup Med (Lond) 2010. [DOI: 10.1093/occmed/kqq085] [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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Hobson J. In this issue of Occupational Medicine. Occup Med (Lond) 2009. [DOI: 10.1093/occmed/kqp163] [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: 11/14/2022] Open
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Hobson J. Mini-Monitor. Occup Med (Lond) 2009. [DOI: 10.1093/occmed/kqp144] [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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Hobson J. In this issue of Occupational Medicine. Occup Med (Lond) 2009. [DOI: 10.1093/occmed/kqp021] [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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33
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Hobson J. In this issue of Occupational Medicine. Occup Med (Lond) 2009. [DOI: 10.1093/occmed/kqn179] [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: 11/14/2022] Open
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Hobson J. Epilepsy Action: www.epilepsy.org.uk. Occup Med (Lond) 2009. [DOI: 10.1093/occmed/kqn139] [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: 11/14/2022] Open
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35
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Hobson J. In this issue of Occupational Medicine. Occup Med (Lond) 2008. [DOI: 10.1093/occmed/kqn156] [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: 11/14/2022] Open
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36
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Hobson J. In this issue of Occupational Medicine. Occup Med (Lond) 2008. [DOI: 10.1093/occmed/kqn119] [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: 11/14/2022] Open
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37
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Hobson J. Managing Obesity in the Workplace. Occup Med (Lond) 2008. [DOI: 10.1093/occmed/kqn063] [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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38
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Hobson J. In this issue of Occupational Medicine. Occup Med (Lond) 2008. [DOI: 10.1093/occmed/kqn049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Hobson J. In this issue of Occupational Medicine. Occup Med (Lond) 2008. [DOI: 10.1093/occmed/kqm159] [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: 11/14/2022] Open
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Hobson J. Managing Sickness Absence: A Toolkit for Changing Work Culture and Improving Business Performance. Occup Med (Lond) 2007. [DOI: 10.1093/occmed/kqm122] [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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Hobson J. In this issue of Occupational Medicine. Occup Med (Lond) 2007. [DOI: 10.1093/occmed/kqm098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Hobson J. In this issue of Occupational Medicine. Occup Med (Lond) 2007. [DOI: 10.1093/occmed/kqm060] [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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Hobson J. In this issue of Occupational Medicine. Occup Med (Lond) 2007. [DOI: 10.1093/occmed/kqm039] [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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47
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Hobson J. Guidance on Alcohol and Drug Misuse in the Workplace * Guidance on Ethics for Occupational Physicians. Occup Med (Lond) 2006. [DOI: 10.1093/occmed/kql133] [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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48
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Hobson J. In this issue of Occupational Medicine. Occup Med (Lond) 2006. [DOI: 10.1093/occmed/kqm015] [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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Hobson J, Liu S, Rønø B, Zheng W, Zhu P, Austin C, Inglese J, Leppla S, Bugge T. ID: 296 Non-invasive, optical imaging of specific cell surface proteolytic activity in single living cells. J Thromb Haemost 2006. [DOI: 10.1111/j.1538-7836.2006.00296.x] [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: 11/30/2022]
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Hobson J. In this issue of Occupational Medicine. Occup Med (Lond) 2006. [DOI: 10.1093/occmed/kql166] [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: 11/14/2022] Open
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