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Nørregaard LB, Wickham KA, Jeppesen JS, Rytter N, Christoffersen LC, Gliemann L, Lawrence M, Evans PA, Kruuse C, Hellsten Y. Exercise transiently increases the density of incipient blood clots in antiplatelet-treated lacunar stroke patients. Thromb J 2024; 22:35. [PMID: 38581046 PMCID: PMC10996168 DOI: 10.1186/s12959-024-00604-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Accepted: 03/25/2024] [Indexed: 04/07/2024] Open
Abstract
INTRODUCTION Older individuals and, in particular, individuals at risk of recurrent stroke, may be susceptible to thrombosis when participating in exercise, however, this aspect has not been well investigated. METHODS Clot microstructure and conventional markers of thrombotic risk were determined in twenty lacunar stroke patients and fifteen healthy age-matched controls before, immediately after and 1 h after a bout of moderate intensity cycling exercise. Data were analyzed using a linear mixed model approach. RESULTS At rest, clot microstructure (1.69 ± 0.07 vs. 1.64 ± 0.05, corresponding to a difference of ~ 50% in normalized clot mass; p = 0.009) and thrombocyte count (73%; p < 0.0001) were higher, and activated partial thromboplastin time was lower (18%; p = 0.0001) in stroke patients compared to age-matched controls. Acute exercise increased thrombogenic markers similarly in the two groups: incipient clot microstructure (1.69 ± 0.07 vs. 1.74 ± 0.05; p = 0.0004 and 1.64 ± 0.05 vs. 1.71 ± 0.04; p < 0.0001, for stroke and controls respectively), plasma fibrinogen (12%; p < 0.0001 and 18%; p < 0.0001, for stroke and controls respectively) and the combined coagulation factors II, VII and X (p = 0.0001 and p < 0.0001, for stroke and controls respectively). CONCLUSION The results show that exercise transiently increases the risk of blood clot formation in both stroke patients and controls, however, due to the higher baseline thrombogenicity in stroke patients, the post exercise risk of forming blood clots may be higher in this group. TRIAL REGISTRATION Registered at ClinicalTrials.gov (NCT03635177).
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Affiliation(s)
- L B Nørregaard
- The Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark
| | - K A Wickham
- The Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark
- Environmental Ergonomics Lab, Faculty of Applied Health Sciences, Brock University, St. Catharines, ON, Canada
| | - J S Jeppesen
- The Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark
| | - N Rytter
- The Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark
| | - L C Christoffersen
- The Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark
| | - L Gliemann
- The Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark
| | - M Lawrence
- Welsh Centre for Emergency Medicine Research, Morriston Hospital, Swansea Bay University Health Board, Swansea, UK
| | - P A Evans
- Welsh Centre for Emergency Medicine Research, Morriston Hospital, Swansea Bay University Health Board, Swansea, UK
- Swansea University Medical School, Swansea, UK
| | - C Kruuse
- Neurovascular Research Unit, Department of Neurology, Herlev Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
| | - Y Hellsten
- The Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
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2
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Watson O, Pillai S, Howard M, Cezar-Zaldua J, Whitley J, Burgess B, Lawrence M, Hawkins K, Morris K, Evans PA. Impaired fibrinolysis in severe Covid-19 infection is detectable in early stages of the disease. Clin Hemorheol Microcirc 2022; 82:183-191. [PMID: 35694917 DOI: 10.3233/ch-221491] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
BACKGROUND A significant degree of mortality and morbidity in Covid-19 is due to thromboembolic disease. Coagulopathy has been well described in critically unwell patients on ICU. There is less clear evidence regarding these changes at the time of presentation to the Emergency Department and the progression of disease over time. OBJECTIVE We sought to investigate whether coagulation markers can predict severity and how they change over the disease course. METHODS Patients presenting to a single University Teaching Hospital were recruited and followed up if PCR was positive. Alongside routine blood testing, Rotational Thromboelastometry (ROTEM) was performed. Outcome data was recorded for all patients, and ROTEM values were compared across outcome groups. RESULTS Extem and Intem Maximum Lysis were significantly reduced in those who died or required an ICU admission, indicating a reduced ability to break down clot mass in the most critically unwell patients. CONCLUSION Comparisons between groups demonstrated that one distinguishing feature between those who require ICU admission or die of Covid-19 compared with those who survive a hospital stay to discharge was the extent to which fibrinolysis could occur. Mortality and morbidity in Covid-19 infection appears in part driven by an inability to break down clot mass.
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Affiliation(s)
- O Watson
- Welsh Centre for Emergency Medicine Research, Swansea Bay University Health Board.,Swansea University, UK
| | - S Pillai
- Welsh Centre for Emergency Medicine Research, Swansea Bay University Health Board.,Swansea University, UK
| | - M Howard
- Welsh Centre for Emergency Medicine Research, Swansea Bay University Health Board.,Swansea University, UK
| | - J Cezar-Zaldua
- Welsh Centre for Emergency Medicine Research, Swansea Bay University Health Board.,Swansea University, UK
| | - J Whitley
- Welsh Centre for Emergency Medicine Research, Swansea Bay University Health Board.,Swansea University, UK
| | - B Burgess
- Welsh Centre for Emergency Medicine Research, Swansea Bay University Health Board
| | - M Lawrence
- Welsh Centre for Emergency Medicine Research, Swansea Bay University Health Board
| | | | - K Morris
- Cardiff Metropolitan University, UK
| | - P A Evans
- Welsh Centre for Emergency Medicine Research, Swansea Bay University Health Board.,Swansea University, UK
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3
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Evans VJ, Lawrence M, Whitley J, Johns C, Pillai S, Hawkins K, Power K, Morris K, Williams R, Evans PA. The treatment effect of rivaroxaban on clot characteristics in patients who present acutely with first time deep vein thrombosis. Clin Hemorheol Microcirc 2021; 80:139-151. [PMID: 33682699 DOI: 10.3233/ch-201030] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
BACKGROUND The acute vascular disease deep vein thrombosis (DVT) requires oral anticoagulants to prevent progression. Monitoring therapeutic efficacy of direct oral anticoagulants (DOAC), including rivaroxaban, is problematic as no reliable test is available. Advances in rheometry have led to the development of a functional coagulation biomarker using Gel Point (GP) analysis which assesses clot structure formation. The biomarker measures incipient clot formation time (TGP) and quantifies fibrin clot structure in terms of fractal dimension (df). OBJECTIVE This study aimed to investigate clot structure formation in first time DVT and the effect of rivaroxaban treatment. METHODS This prospective observational cohort study measured the GP and standard laboratory markers at three sample points: pre-treatment and at 20 and 60 days following 15 mg BD and 20 mg OD rivaroxaban respectively. RESULTS Forty DVT patients (mean age 64 years [SD±14.8]; 23 males, 17 female) were recruited. The results show that DVT vs non-DVT patients did not have a significantly different GP profile (df: 1.72±0.06 vs 1.70±0.06 and TGP: 267±68 sec vs 262±73 sec) with both within the defined healthy index. In addition, rivaroxaban therapy increased TGP to 392 s (±135 s) after 20 days, and subsequently increased to 395 s (±194 s) at 60 days but did not significantly increase df (from 1.69±0.05 to 1.71±0.06). CONCLUSIONS The results indicate in this cohort of DVT patients there was no underlying hypercoagulable effect as determined by gel point analysis. Furthermore, the anticoagulant effect of rivaroxaban prolonged clotting, suggesting a protective effect against clot formation, without significantly reducing clot microstructural properties.
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Affiliation(s)
- V J Evans
- Welsh Centre for Emergency Medicine Research, Morriston Hospital, Swansea Bay University Health Board, Swansea, UK.,Swansea University, Swansea, UK
| | - M Lawrence
- Welsh Centre for Emergency Medicine Research, Morriston Hospital, Swansea Bay University Health Board, Swansea, UK.,Swansea University, Swansea, UK
| | - J Whitley
- Welsh Centre for Emergency Medicine Research, Morriston Hospital, Swansea Bay University Health Board, Swansea, UK.,Swansea University, Swansea, UK
| | - C Johns
- Swansea Bay University Health Board, Swansea, UK
| | - S Pillai
- Welsh Centre for Emergency Medicine Research, Morriston Hospital, Swansea Bay University Health Board, Swansea, UK.,Swansea University, Swansea, UK
| | | | - K Power
- Swansea Bay University Health Board, Swansea, UK
| | - K Morris
- Cardiff Metropolitan University, Cardiff, UK
| | | | - P A Evans
- Welsh Centre for Emergency Medicine Research, Morriston Hospital, Swansea Bay University Health Board, Swansea, UK.,Swansea University, Swansea, UK
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4
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Marsden NJ, Lawrence M, Davies N, Davies G, Morris K, Williams PR, Whitaker IS, Evans PA. The effect of the acute inflammatory response of burns and its treatment on clot characteristics and quality: A prospective case controlled study. Burns 2019; 46:1051-1059. [PMID: 31866177 DOI: 10.1016/j.burns.2019.11.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Revised: 10/07/2019] [Accepted: 11/13/2019] [Indexed: 10/25/2022]
Abstract
INTRODUCTION Burns are known to have an effect on coagulation in the early period after burn. Current coagulation tests have been criticised in acute burns due to their inherent limitations. This study aims to investigate the potential for a new quantitative functional biomarker of clot quality, fractal dimension, to identify changes in clot microstructure as a result of the burn inflammatory response and its treatment. METHODS A total of fifty-eight burn patients were included in this prospective case-controlled study. The control group (29 patients mean TBSA 1%), and case group (29 patients mean TBSA 30%) were compared at baseline and the case group investigated further over four time points (baseline, 12h, 24h and 5-7 days). Fractal analysis was performed, as well as current markers of coagulation, inflammatory markers and point-of-care tests, Thromboelastography and Multiplate analysis. RESULTS Fractal dimension did not differ between groups at admission (1.73±0.06 and 1.72±0.1), and fell within the healthy index normal range (1.74±0.7), suggesting a normal clot microstructure in the early period after burn. Fractal dimension significantly reduced from baseline over the first 24h following injury (1.59±0.03 p<0.005), indicating a significant reduction in mechanical clot strength and functionality consistent with a hypocoagulable state, not identified with other markers. CONCLUSIONS This is the first study to quantify the changes in clot microstructure following burn injury. This study confirms clot microstructure is significantly altered during the first 24h after burn, with the production of a weaker, more porous fibrin clot, consistent with a hypocoagulable state.
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Affiliation(s)
- N J Marsden
- Haemostasis Biomedical Research Unit, Welsh Centre for Emergency Medicine Research, Morriston Hospital, Swansea, UK; Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, UK
| | - M Lawrence
- Haemostasis Biomedical Research Unit, Welsh Centre for Emergency Medicine Research, Morriston Hospital, Swansea, UK; Swansea University Medical School, Swansea, UK
| | - N Davies
- Haemostasis Biomedical Research Unit, Welsh Centre for Emergency Medicine Research, Morriston Hospital, Swansea, UK; Swansea University Medical School, Swansea, UK
| | - G Davies
- Haemostasis Biomedical Research Unit, Welsh Centre for Emergency Medicine Research, Morriston Hospital, Swansea, UK
| | - K Morris
- Cardiff School of Health Sciences, Cardiff Metropolitan University, Cardiff, UK
| | - P R Williams
- School of Engineering, Swansea University, Swansea, UK
| | - I S Whitaker
- Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, UK
| | - P A Evans
- Haemostasis Biomedical Research Unit, Welsh Centre for Emergency Medicine Research, Morriston Hospital, Swansea, UK; Swansea University Medical School, Swansea, UK.
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5
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Aartsen MG, Ackermann M, Adams J, Aguilar JA, Ahlers M, Ahrens M, Al Samarai I, Altmann D, Andeen K, Anderson T, Ansseau I, Anton G, Argüelles C, Auffenberg J, Axani S, Backes P, Bagherpour H, Bai X, Barbano A, Barron JP, Barwick SW, Baum V, Bay R, Beatty JJ, Becker Tjus J, Becker KH, BenZvi S, Berley D, Bernardini E, Besson DZ, Binder G, Bindig D, Blaufuss E, Blot S, Bohm C, Börner M, Bos F, Böser S, Botner O, Bourbeau E, Bourbeau J, Bradascio F, Braun J, Brenzke M, Bretz HP, Bron S, Brostean-Kaiser J, Burgman A, Busse RS, Carver T, Cheung E, Chirkin D, Christov A, Clark K, Classen L, Collin GH, Conrad JM, Coppin P, Correa P, Cowen DF, Cross R, Dave P, Day M, de André JPAM, De Clercq C, DeLaunay JJ, Dembinski H, Deoskar K, De Ridder S, Desiati P, de Vries KD, de Wasseige G, de With M, DeYoung T, Díaz-Vélez JC, di Lorenzo V, Dujmovic H, Dumm JP, Dunkman M, Dvorak E, Eberhardt B, Ehrhardt T, Eichmann B, Eller P, Evans PA, Evenson PA, Fahey S, Fazely AR, Felde J, Filimonov K, Finley C, Franckowiak A, Friedman E, Fritz A, Gaisser TK, Gallagher J, Ganster E, Gerhardt L, Ghorbani K, Giang W, Glauch T, Glüsenkamp T, Goldschmidt A, Gonzalez JG, Grant D, Griffith Z, Haack C, Hallgren A, Halve L, Halzen F, Hanson K, Hebecker D, Heereman D, Helbing K, Hellauer R, Hickford S, Hignight J, Hill GC, Hoffman KD, Hoffmann R, Hoinka T, Hokanson-Fasig B, Hoshina K, Huang F, Huber M, Hultqvist K, Hünnefeld M, Hussain R, In S, Iovine N, Ishihara A, Jacobi E, Japaridze GS, Jeong M, Jero K, Jones BJP, Kalaczynski P, Kang W, Kappes A, Kappesser D, Karg T, Karle A, Katz U, Kauer M, Keivani A, Kelley JL, Kheirandish A, Kim J, Kintscher T, Kiryluk J, Kittler T, Klein SR, Koirala R, Kolanoski H, Köpke L, Kopper C, Kopper S, Koschinsky JP, Koskinen DJ, Kowalski M, Krings K, Kroll M, Krückl G, Kunwar S, Kurahashi N, Kyriacou A, Labare M, Lanfranchi JL, Larson MJ, Lauber F, Leonard K, Leuermann M, Liu QR, Lohfink E, Lozano Mariscal CJ, Lu L, Lünemann J, Luszczak W, Madsen J, Maggi G, Mahn KBM, Makino Y, Mancina S, Mariş IC, Maruyama R, Mase K, Maunu R, Meagher K, Medici M, Meier M, Menne T, Merino G, Meures T, Miarecki S, Micallef J, Momenté G, Montaruli T, Moore RW, Moulai M, Nagai R, Nahnhauer R, Nakarmi P, Naumann U, Neer G, Niederhausen H, Nowicki SC, Nygren DR, Obertacke Pollmann A, Olivas A, O'Murchadha A, Osborne JP, O'Sullivan E, Palczewski T, Pandya H, Pankova DV, Peiffer P, Pepper JA, Pérez de Los Heros C, Pieloth D, Pinat E, Pizzuto A, Plum M, Price PB, Przybylski GT, Raab C, Rameez M, Rauch L, Rawlins K, Rea IC, Reimann R, Relethford B, Renzi G, Resconi E, Rhode W, Richman M, Robertson S, Rongen M, Rott C, Ruhe T, Ryckbosch D, Rysewyk D, Safa I, Sanchez Herrera SE, Sandrock A, Sandroos J, Santander M, Sarkar S, Sarkar S, Satalecka K, Schaufel M, Schlunder P, Schmidt T, Schneider A, Schneider J, Schöneberg S, Schumacher L, Sclafani S, Seckel D, Seunarine S, Soedingrekso J, Soldin D, Song M, Spiczak GM, Spiering C, Stachurska J, Stamatikos M, Stanev T, Stasik A, Stein R, Stettner J, Steuer A, Stezelberger T, Stokstad RG, Stößl A, Strotjohann NL, Stuttard T, Sullivan GW, Sutherland M, Taboada I, Tenholt F, Ter-Antonyan S, Terliuk A, Tilav S, Toale PA, Tobin MN, Tönnis C, Toscano S, Tosi D, Tselengidou M, Tung CF, Turcati A, Turley CF, Ty B, Unger E, Unland Elorrieta MA, Usner M, Vandenbroucke J, Van Driessche W, van Eijk D, van Eijndhoven N, Vanheule S, van Santen J, Vraeghe M, Walck C, Wallace A, Wallraff M, Wandler FD, Wandkowsky N, Watson TB, Waza A, Weaver C, Weiss MJ, Wendt C, Werthebach J, Westerhoff S, Whelan BJ, Whitehorn N, Wiebe K, Wiebusch CH, Wille L, Williams DR, Wills L, Wolf M, Wood J, Wood TR, Woolsey E, Woschnagg K, Wrede G, Xu DL, Xu XW, Xu Y, Yanez JP, Yodh G, Yoshida S, Yuan T. Constraints on Minute-Scale Transient Astrophysical Neutrino Sources. Phys Rev Lett 2019; 122:051102. [PMID: 30822017 DOI: 10.1103/physrevlett.122.051102] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/27/2018] [Revised: 11/12/2018] [Indexed: 06/09/2023]
Abstract
High-energy neutrino emission has been predicted for several short-lived astrophysical transients including gamma-ray bursts (GRBs), core-collapse supernovae with choked jets, and neutron star mergers. IceCube's optical and x-ray follow-up program searches for such transient sources by looking for two or more muon neutrino candidates in directional coincidence and arriving within 100 s. The measured rate of neutrino alerts is consistent with the expected rate of chance coincidences of atmospheric background events and no likely electromagnetic counterparts have been identified in Swift follow-up observations. Here, we calculate generic bounds on the neutrino flux of short-lived transient sources. Assuming an E^{-2.5} neutrino spectrum, we find that the neutrino flux of rare sources, like long gamma-ray bursts, is constrained to <5% of the detected astrophysical flux and the energy released in neutrinos (100 GeV to 10 PeV) by a median bright GRB-like source is <10^{52.5} erg. For a harder E^{-2.13} neutrino spectrum up to 30% of the flux could be produced by GRBs and the allowed median source energy is <10^{52} erg. A hypothetical population of transient sources has to be more common than 10^{-5} Mpc^{-3} yr^{-1} (5×10^{-8} Mpc^{-3} yr^{-1} for the E^{-2.13} spectrum) to account for the complete astrophysical neutrino flux.
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Affiliation(s)
- M G Aartsen
- Department of Physics and Astronomy, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | | | - J Adams
- Department of Physics and Astronomy, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | - J A Aguilar
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - M Ahlers
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - M Ahrens
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - I Al Samarai
- Département de physique nucléaire et corpusculaire, Université de Genève, CH-1211 Genève, Switzerland
| | - D Altmann
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - K Andeen
- Department of Physics, Marquette University, Milwaukee, Wisconsin, 53201, USA
| | - T Anderson
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - I Ansseau
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - G Anton
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - C Argüelles
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - J Auffenberg
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - S Axani
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - P Backes
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - H Bagherpour
- Department of Physics and Astronomy, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | - X Bai
- Physics Department, South Dakota School of Mines and Technology, Rapid City, South Dakota 57701, USA
| | - A Barbano
- Département de physique nucléaire et corpusculaire, Université de Genève, CH-1211 Genève, Switzerland
| | - J P Barron
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - S W Barwick
- Department of Physics and Astronomy, University of California, Irvine, California 92697, USA
| | - V Baum
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - R Bay
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - J J Beatty
- Department of Physics and Center for Cosmology and Astro-Particle Physics, Ohio State University, Columbus, Ohio 43210, USA
- Department of Astronomy, Ohio State University, Columbus, Ohio 43210, USA
| | - J Becker Tjus
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - K-H Becker
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - S BenZvi
- Department of Physics and Astronomy, University of Rochester, Rochester, New York 14627, USA
| | - D Berley
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | | | - D Z Besson
- Department of Physics and Astronomy, University of Kansas, Lawrence, Kansas 66045, USA
| | - G Binder
- Department of Physics, University of California, Berkeley, California 94720, USA
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - D Bindig
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - E Blaufuss
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - S Blot
- DESY, D-15738 Zeuthen, Germany
| | - C Bohm
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - M Börner
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - F Bos
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - S Böser
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - O Botner
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - E Bourbeau
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - J Bourbeau
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | | | - J Braun
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - M Brenzke
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | | | - S Bron
- Département de physique nucléaire et corpusculaire, Université de Genève, CH-1211 Genève, Switzerland
| | | | - A Burgman
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - R S Busse
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - T Carver
- Département de physique nucléaire et corpusculaire, Université de Genève, CH-1211 Genève, Switzerland
| | - E Cheung
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - D Chirkin
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - A Christov
- Département de physique nucléaire et corpusculaire, Université de Genève, CH-1211 Genève, Switzerland
| | - K Clark
- SNOLAB, 1039 Regional Road 24, Creighton Mine 9, Lively, Ontario, Canada P3Y 1N2
| | - L Classen
- Institut für Kernphysik, Westfälische Wilhelms-Universität Münster, D-48149 Münster, Germany
| | - G H Collin
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - J M Conrad
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - P Coppin
- Vrije Universiteit Brussel (VUB), Dienst ELEM, B-1050 Brussels, Belgium
| | - P Correa
- Vrije Universiteit Brussel (VUB), Dienst ELEM, B-1050 Brussels, Belgium
| | - D F Cowen
- Department of Astronomy and Astrophysics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - R Cross
- Department of Physics and Astronomy, University of Rochester, Rochester, New York 14627, USA
| | - P Dave
- School of Physics and Center for Relativistic Astrophysics, Georgia Institute of Technology, Atlanta, Georgia 30332, USA
| | - M Day
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - J P A M de André
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - C De Clercq
- Vrije Universiteit Brussel (VUB), Dienst ELEM, B-1050 Brussels, Belgium
| | - J J DeLaunay
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - H Dembinski
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - K Deoskar
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - S De Ridder
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - P Desiati
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - K D de Vries
- Vrije Universiteit Brussel (VUB), Dienst ELEM, B-1050 Brussels, Belgium
| | - G de Wasseige
- Vrije Universiteit Brussel (VUB), Dienst ELEM, B-1050 Brussels, Belgium
| | - M de With
- Institut für Physik, Humboldt-Universität zu Berlin, D-12489 Berlin, Germany
| | - T DeYoung
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - J C Díaz-Vélez
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - V di Lorenzo
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - H Dujmovic
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - J P Dumm
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - M Dunkman
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - E Dvorak
- Physics Department, South Dakota School of Mines and Technology, Rapid City, South Dakota 57701, USA
| | - B Eberhardt
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - T Ehrhardt
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - B Eichmann
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - P Eller
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - P A Evans
- Department of Physics and Astronomy, University of Leicester, Leicester LE1 7RH, United Kingdom
| | - P A Evenson
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - S Fahey
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - A R Fazely
- Department of Physics, Southern University, Baton Rouge, Louisiana 70813, USA
| | - J Felde
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - K Filimonov
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - C Finley
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | | | - E Friedman
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - A Fritz
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - T K Gaisser
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - J Gallagher
- Department of Astronomy, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - E Ganster
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - L Gerhardt
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - K Ghorbani
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - W Giang
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - T Glauch
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - T Glüsenkamp
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - A Goldschmidt
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - J G Gonzalez
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - D Grant
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - Z Griffith
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - C Haack
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - A Hallgren
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - L Halve
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - F Halzen
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - K Hanson
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - D Hebecker
- Institut für Physik, Humboldt-Universität zu Berlin, D-12489 Berlin, Germany
| | - D Heereman
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - K Helbing
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - R Hellauer
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - S Hickford
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - J Hignight
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - G C Hill
- Department of Physics, University of Adelaide, Adelaide, 5005, Australia
| | - K D Hoffman
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - R Hoffmann
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - T Hoinka
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - B Hokanson-Fasig
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - K Hoshina
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - F Huang
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - M Huber
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - K Hultqvist
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - M Hünnefeld
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - R Hussain
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - S In
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - N Iovine
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - A Ishihara
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba 263-8522, Japan
| | | | - G S Japaridze
- CTSPS, Clark-Atlanta University, Atlanta, Georgia 30314, USA
| | - M Jeong
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - K Jero
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - B J P Jones
- Department of Physics, University of Texas at Arlington, 502 Yates St., Science Hall Rm 108, Box 19059, Arlington, Texas 76019, USA
| | - P Kalaczynski
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - W Kang
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - A Kappes
- Institut für Kernphysik, Westfälische Wilhelms-Universität Münster, D-48149 Münster, Germany
| | - D Kappesser
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - T Karg
- DESY, D-15738 Zeuthen, Germany
| | - A Karle
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - U Katz
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - M Kauer
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - A Keivani
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - J L Kelley
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - A Kheirandish
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - J Kim
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | | | - J Kiryluk
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, New York 11794-3800, USA
| | - T Kittler
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - S R Klein
- Department of Physics, University of California, Berkeley, California 94720, USA
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - R Koirala
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - H Kolanoski
- Institut für Physik, Humboldt-Universität zu Berlin, D-12489 Berlin, Germany
| | - L Köpke
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - C Kopper
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - S Kopper
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, Alabama 35487, USA
| | - J P Koschinsky
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - D J Koskinen
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - M Kowalski
- Institut für Physik, Humboldt-Universität zu Berlin, D-12489 Berlin, Germany
- DESY, D-15738 Zeuthen, Germany
| | - K Krings
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - M Kroll
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - G Krückl
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | | | - N Kurahashi
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, Pennsylvania 19104, USA
| | - A Kyriacou
- Department of Physics, University of Adelaide, Adelaide, 5005, Australia
| | - M Labare
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - J L Lanfranchi
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - M J Larson
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - F Lauber
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - K Leonard
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - M Leuermann
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - Q R Liu
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - E Lohfink
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - C J Lozano Mariscal
- Institut für Kernphysik, Westfälische Wilhelms-Universität Münster, D-48149 Münster, Germany
| | - L Lu
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba 263-8522, Japan
| | - J Lünemann
- Vrije Universiteit Brussel (VUB), Dienst ELEM, B-1050 Brussels, Belgium
| | - W Luszczak
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - J Madsen
- Department of Physics, University of Wisconsin, River Falls, Wisconsin 54022, USA
| | - G Maggi
- Vrije Universiteit Brussel (VUB), Dienst ELEM, B-1050 Brussels, Belgium
| | - K B M Mahn
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - Y Makino
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba 263-8522, Japan
| | - S Mancina
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - I C Mariş
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - R Maruyama
- Department of Physics, Yale University, New Haven, Connecticut 06520, USA
| | - K Mase
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba 263-8522, Japan
| | - R Maunu
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - K Meagher
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - M Medici
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - M Meier
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - T Menne
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - G Merino
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - T Meures
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - S Miarecki
- Department of Physics, University of California, Berkeley, California 94720, USA
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - J Micallef
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - G Momenté
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - T Montaruli
- Département de physique nucléaire et corpusculaire, Université de Genève, CH-1211 Genève, Switzerland
| | - R W Moore
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - M Moulai
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - R Nagai
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba 263-8522, Japan
| | | | - P Nakarmi
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, Alabama 35487, USA
| | - U Naumann
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - G Neer
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - H Niederhausen
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, New York 11794-3800, USA
| | - S C Nowicki
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - D R Nygren
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | | | - A Olivas
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - A O'Murchadha
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - J P Osborne
- Department of Physics and Astronomy, University of Leicester, Leicester LE1 7RH, United Kingdom
| | - E O'Sullivan
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - T Palczewski
- Department of Physics, University of California, Berkeley, California 94720, USA
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - H Pandya
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - D V Pankova
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - P Peiffer
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - J A Pepper
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, Alabama 35487, USA
| | - C Pérez de Los Heros
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - D Pieloth
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - E Pinat
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - A Pizzuto
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - M Plum
- Department of Physics, Marquette University, Milwaukee, Wisconsin, 53201, USA
| | - P B Price
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - G T Przybylski
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - C Raab
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - M Rameez
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - L Rauch
- DESY, D-15738 Zeuthen, Germany
| | - K Rawlins
- Department of Physics and Astronomy, University of Alaska Anchorage, 3211 Providence Dr., Anchorage, Alaska 99508, USA
| | - I C Rea
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - R Reimann
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - B Relethford
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, Pennsylvania 19104, USA
| | - G Renzi
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - E Resconi
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - W Rhode
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - M Richman
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, Pennsylvania 19104, USA
| | - S Robertson
- Department of Physics, University of Adelaide, Adelaide, 5005, Australia
| | - M Rongen
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - C Rott
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - T Ruhe
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - D Ryckbosch
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - D Rysewyk
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - I Safa
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - S E Sanchez Herrera
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - A Sandrock
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - J Sandroos
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - M Santander
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, Alabama 35487, USA
| | - S Sarkar
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
- Department of Physics, University of Oxford, 1 Keble Road, Oxford OX1 3NP, United Kingdom
| | - S Sarkar
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | | | - M Schaufel
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - P Schlunder
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - T Schmidt
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - A Schneider
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - J Schneider
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - S Schöneberg
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - L Schumacher
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - S Sclafani
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, Pennsylvania 19104, USA
| | - D Seckel
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - S Seunarine
- Department of Physics, University of Wisconsin, River Falls, Wisconsin 54022, USA
| | - J Soedingrekso
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - D Soldin
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - M Song
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - G M Spiczak
- Department of Physics, University of Wisconsin, River Falls, Wisconsin 54022, USA
| | | | | | - M Stamatikos
- Department of Physics and Center for Cosmology and Astro-Particle Physics, Ohio State University, Columbus, Ohio 43210, USA
| | - T Stanev
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | | | - R Stein
- DESY, D-15738 Zeuthen, Germany
| | - J Stettner
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - A Steuer
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - T Stezelberger
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - R G Stokstad
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - A Stößl
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba 263-8522, Japan
| | | | - T Stuttard
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - G W Sullivan
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - M Sutherland
- Department of Physics and Center for Cosmology and Astro-Particle Physics, Ohio State University, Columbus, Ohio 43210, USA
| | - I Taboada
- School of Physics and Center for Relativistic Astrophysics, Georgia Institute of Technology, Atlanta, Georgia 30332, USA
| | - F Tenholt
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - S Ter-Antonyan
- Department of Physics, Southern University, Baton Rouge, Louisiana 70813, USA
| | | | - S Tilav
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - P A Toale
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, Alabama 35487, USA
| | - M N Tobin
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - C Tönnis
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - S Toscano
- Vrije Universiteit Brussel (VUB), Dienst ELEM, B-1050 Brussels, Belgium
| | - D Tosi
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - M Tselengidou
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - C F Tung
- School of Physics and Center for Relativistic Astrophysics, Georgia Institute of Technology, Atlanta, Georgia 30332, USA
| | - A Turcati
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - C F Turley
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - B Ty
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - E Unger
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - M A Unland Elorrieta
- Institut für Kernphysik, Westfälische Wilhelms-Universität Münster, D-48149 Münster, Germany
| | - M Usner
- DESY, D-15738 Zeuthen, Germany
| | - J Vandenbroucke
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - W Van Driessche
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - D van Eijk
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - N van Eijndhoven
- Vrije Universiteit Brussel (VUB), Dienst ELEM, B-1050 Brussels, Belgium
| | - S Vanheule
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | | | - M Vraeghe
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - C Walck
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - A Wallace
- Department of Physics, University of Adelaide, Adelaide, 5005, Australia
| | - M Wallraff
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - F D Wandler
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - N Wandkowsky
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - T B Watson
- Department of Physics, University of Texas at Arlington, 502 Yates St., Science Hall Rm 108, Box 19059, Arlington, Texas 76019, USA
| | - A Waza
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - C Weaver
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - M J Weiss
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - C Wendt
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - J Werthebach
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - S Westerhoff
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - B J Whelan
- Department of Physics, University of Adelaide, Adelaide, 5005, Australia
| | - N Whitehorn
- Department of Physics and Astronomy, UCLA, Los Angeles, California 90095, USA
| | - K Wiebe
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - C H Wiebusch
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - L Wille
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - D R Williams
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, Alabama 35487, USA
| | - L Wills
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, Pennsylvania 19104, USA
| | - M Wolf
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - J Wood
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - T R Wood
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - E Woolsey
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - K Woschnagg
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - G Wrede
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - D L Xu
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - X W Xu
- Department of Physics, Southern University, Baton Rouge, Louisiana 70813, USA
| | - Y Xu
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, New York 11794-3800, USA
| | - J P Yanez
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - G Yodh
- Department of Physics and Astronomy, University of California, Irvine, California 92697, USA
| | - S Yoshida
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba 263-8522, Japan
| | - T Yuan
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
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Evans PA, Garnett M, Boffard K, Kirkman E, Jacobson BF. Evaluation of the Effect of Colloid (Haemaccel) on the Bleeding Time in the Trauma Patient. J R Soc Med 2018; 89:101P-4P. [PMID: 8683491 PMCID: PMC1295671 DOI: 10.1177/014107689608900215] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- P A Evans
- Department of Accident and Emergency, Leicester Royal Infirmary, UK
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7
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Evans PA, Cenko SB, Kennea JA, Emery SWK, Kuin NPM, Korobkin O, Wollaeger RT, Fryer CL, Madsen KK, Harrison FA, Xu Y, Nakar E, Hotokezaka K, Lien A, Campana S, Oates SR, Troja E, Breeveld AA, Marshall FE, Barthelmy SD, Beardmore AP, Burrows DN, Cusumano G, D'Aì A, D'Avanzo P, D'Elia V, de Pasquale M, Even WP, Fontes CJ, Forster K, Garcia J, Giommi P, Grefenstette B, Gronwall C, Hartmann DH, Heida M, Hungerford AL, Kasliwal MM, Krimm HA, Levan AJ, Malesani D, Melandri A, Miyasaka H, Nousek JA, O'Brien PT, Osborne JP, Pagani C, Page KL, Palmer DM, Perri M, Pike S, Racusin JL, Rosswog S, Siegel MH, Sakamoto T, Sbarufatti B, Tagliaferri G, Tanvir NR, Tohuvavohu A. Swift and NuSTAR observations of GW170817: Detection of a blue kilonova. Science 2017; 358:1565-1570. [PMID: 29038371 DOI: 10.1126/science.aap9580] [Citation(s) in RCA: 46] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2017] [Accepted: 10/04/2017] [Indexed: 11/02/2022]
Abstract
With the first direct detection of merging black holes in 2015, the era of gravitational wave (GW) astrophysics began. A complete picture of compact object mergers, however, requires the detection of an electromagnetic (EM) counterpart. We report ultraviolet (UV) and x-ray observations by Swift and the Nuclear Spectroscopic Telescope Array of the EM counterpart of the binary neutron star merger GW170817. The bright, rapidly fading UV emission indicates a high mass (≈0.03 solar masses) wind-driven outflow with moderate electron fraction (Ye ≈ 0.27). Combined with the x-ray limits, we favor an observer viewing angle of ≈30° away from the orbital rotation axis, which avoids both obscuration from the heaviest elements in the orbital plane and a direct view of any ultrarelativistic, highly collimated ejecta (a γ-ray burst afterglow).
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Affiliation(s)
- P A Evans
- University of Leicester, X-ray and Observational Astronomy Research Group, Leicester Institute for Space and Earth Observation, Department of Physics and Astronomy, University Road, Leicester LE1 7RH, UK.
| | - S B Cenko
- Astrophysics Science Division, NASA Goddard Space Flight Center, Greenbelt, MD 20771, USA.,Joint Space-Science Institute, University of Maryland, College Park, MD 20742, USA
| | - J A Kennea
- Department of Astronomy and Astrophysics, The Pennsylvania State University, University Park, PA 16802, USA
| | - S W K Emery
- University College London, Mullard Space Science Laboratory, Holmbury St. Mary, Dorking RH5 6NT, UK
| | - N P M Kuin
- University College London, Mullard Space Science Laboratory, Holmbury St. Mary, Dorking RH5 6NT, UK
| | - O Korobkin
- Center for Theoretical Astrophysics, Los Alamos National Laboratory, Los Alamos, NM 87545 USA
| | - R T Wollaeger
- Center for Theoretical Astrophysics, Los Alamos National Laboratory, Los Alamos, NM 87545 USA
| | - C L Fryer
- Center for Theoretical Astrophysics, Los Alamos National Laboratory, Los Alamos, NM 87545 USA
| | - K K Madsen
- Cahill Center for Astronomy and Astrophysics, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - F A Harrison
- Cahill Center for Astronomy and Astrophysics, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - Y Xu
- Cahill Center for Astronomy and Astrophysics, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - E Nakar
- The Raymond and Beverly Sackler School of Physics and Astronomy, Tel Aviv University, Tel Aviv 69978, Israel
| | - K Hotokezaka
- Center for Computational Astrophysics, Simons Foundation, 162 5th Avenue, New York, NY 10010, USA
| | - A Lien
- Center for Research and Exploration in Space Science and Technology (CRESST) and NASA Goddard Space Flight Center, Greenbelt, MD 20771, USA.,Department of Physics, University of Maryland, Baltimore County, 1000 Hilltop Circle, Baltimore, MD 21250, USA
| | - S Campana
- Istituto Nazionale di Astrofisica (INAF)-Osservatorio Astronomico di Brera, Via Bianchi 46, I-23807 Merate, Italy
| | - S R Oates
- Department of Physics, University of Warwick, Coventry CV4 7AL, UK
| | - E Troja
- Astrophysics Science Division, NASA Goddard Space Flight Center, Greenbelt, MD 20771, USA.,Department of Physics and Astronomy, University of Maryland, College Park, MD 20742-4111, USA
| | - A A Breeveld
- University College London, Mullard Space Science Laboratory, Holmbury St. Mary, Dorking RH5 6NT, UK
| | - F E Marshall
- Astrophysics Science Division, NASA Goddard Space Flight Center, Greenbelt, MD 20771, USA
| | - S D Barthelmy
- Astrophysics Science Division, NASA Goddard Space Flight Center, Greenbelt, MD 20771, USA
| | - A P Beardmore
- University of Leicester, X-ray and Observational Astronomy Research Group, Leicester Institute for Space and Earth Observation, Department of Physics and Astronomy, University Road, Leicester LE1 7RH, UK
| | - D N Burrows
- Department of Astronomy and Astrophysics, The Pennsylvania State University, University Park, PA 16802, USA
| | - G Cusumano
- INAF-Istituto di Astrofisica Spaziale e Fisica Cosmica Palermo, via Ugo La Malfa 153, I-90146, Palermo, Italy
| | - A D'Aì
- INAF-Istituto di Astrofisica Spaziale e Fisica Cosmica Palermo, via Ugo La Malfa 153, I-90146, Palermo, Italy
| | - P D'Avanzo
- Istituto Nazionale di Astrofisica (INAF)-Osservatorio Astronomico di Brera, Via Bianchi 46, I-23807 Merate, Italy
| | - V D'Elia
- INAF-Osservatorio Astronomico di Roma, via Frascati 33, I-00040 Monteporzio Catone, Italy.,Space Science Data Center-Agenzia Spaziale Italiana (ASI), I-00133 Roma, Italy
| | - M de Pasquale
- Department of Astronomy and Space Sciences, University of Istanbul, Beyzt 34119, Istanbul, Turkey
| | - W P Even
- Center for Theoretical Astrophysics, Los Alamos National Laboratory, Los Alamos, NM 87545 USA.,Department of Physical Sciences, Southern Utah University, Cedar City, UT 84720, USA
| | - C J Fontes
- Center for Theoretical Astrophysics, Los Alamos National Laboratory, Los Alamos, NM 87545 USA
| | - K Forster
- Cahill Center for Astronomy and Astrophysics, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - J Garcia
- Cahill Center for Astronomy and Astrophysics, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - P Giommi
- Space Science Data Center-Agenzia Spaziale Italiana (ASI), I-00133 Roma, Italy
| | - B Grefenstette
- Cahill Center for Astronomy and Astrophysics, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - C Gronwall
- Department of Astronomy and Astrophysics, The Pennsylvania State University, University Park, PA 16802, USA.,Institute for Gravitation and the Cosmos, The Pennsylvania State University, University Park, PA 16802, USA
| | - D H Hartmann
- Kinard Lab of Physics, Department of Physics and Astronomy, Clemson University, Clemson, SC 29634-0978, USA
| | - M Heida
- Cahill Center for Astronomy and Astrophysics, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - A L Hungerford
- Center for Theoretical Astrophysics, Los Alamos National Laboratory, Los Alamos, NM 87545 USA
| | - M M Kasliwal
- Division of Physics, Mathematics and Astronomy, California Institute of Technology, Pasadena, CA 91125, USA
| | - H A Krimm
- Universities Space Research Association, 7178 Columbia Gateway Drive, Columbia, MD 21046, USA.,National Science Foundation, 2415 Eisenhower Avenue, Alexandria, VA 22314, USA
| | - A J Levan
- Department of Physics, University of Warwick, Coventry CV4 7AL, UK
| | - D Malesani
- Dark Cosmology Centre, Niels Bohr Institute, University of Copenhagen, Juliane Maries Vej 30, DK-2100 Copenhagen Ø, Denmark
| | - A Melandri
- Istituto Nazionale di Astrofisica (INAF)-Osservatorio Astronomico di Brera, Via Bianchi 46, I-23807 Merate, Italy
| | - H Miyasaka
- Cahill Center for Astronomy and Astrophysics, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - J A Nousek
- Department of Astronomy and Astrophysics, The Pennsylvania State University, University Park, PA 16802, USA
| | - P T O'Brien
- University of Leicester, X-ray and Observational Astronomy Research Group, Leicester Institute for Space and Earth Observation, Department of Physics and Astronomy, University Road, Leicester LE1 7RH, UK
| | - J P Osborne
- University of Leicester, X-ray and Observational Astronomy Research Group, Leicester Institute for Space and Earth Observation, Department of Physics and Astronomy, University Road, Leicester LE1 7RH, UK
| | - C Pagani
- University of Leicester, X-ray and Observational Astronomy Research Group, Leicester Institute for Space and Earth Observation, Department of Physics and Astronomy, University Road, Leicester LE1 7RH, UK
| | - K L Page
- University of Leicester, X-ray and Observational Astronomy Research Group, Leicester Institute for Space and Earth Observation, Department of Physics and Astronomy, University Road, Leicester LE1 7RH, UK
| | - D M Palmer
- Los Alamos National Laboratory, B244, Los Alamos, NM 87545, USA
| | - M Perri
- INAF-Osservatorio Astronomico di Roma, via Frascati 33, I-00040 Monteporzio Catone, Italy.,Space Science Data Center-Agenzia Spaziale Italiana (ASI), I-00133 Roma, Italy
| | - S Pike
- Cahill Center for Astronomy and Astrophysics, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - J L Racusin
- Astrophysics Science Division, NASA Goddard Space Flight Center, Greenbelt, MD 20771, USA
| | - S Rosswog
- The Oskar Klein Centre, Department of Astronomy, AlbaNova, Stockholm University, SE-106 91 Stockholm, Sweden
| | - M H Siegel
- Department of Astronomy and Astrophysics, The Pennsylvania State University, University Park, PA 16802, USA
| | - T Sakamoto
- Department of Physics and Mathematics, Aoyama Gakuin University, Sagamihara, Kanagawa, 252-5258, Japan
| | - B Sbarufatti
- Department of Astronomy and Astrophysics, The Pennsylvania State University, University Park, PA 16802, USA
| | - G Tagliaferri
- Istituto Nazionale di Astrofisica (INAF)-Osservatorio Astronomico di Brera, Via Bianchi 46, I-23807 Merate, Italy
| | - N R Tanvir
- University of Leicester, X-ray and Observational Astronomy Research Group, Leicester Institute for Space and Earth Observation, Department of Physics and Astronomy, University Road, Leicester LE1 7RH, UK
| | - A Tohuvavohu
- Department of Astronomy and Astrophysics, The Pennsylvania State University, University Park, PA 16802, USA
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8
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Kasliwal MM, Nakar E, Singer LP, Kaplan DL, Cook DO, Van Sistine A, Lau RM, Fremling C, Gottlieb O, Jencson JE, Adams SM, Feindt U, Hotokezaka K, Ghosh S, Perley DA, Yu PC, Piran T, Allison JR, Anupama GC, Balasubramanian A, Bannister KW, Bally J, Barnes J, Barway S, Bellm E, Bhalerao V, Bhattacharya D, Blagorodnova N, Bloom JS, Brady PR, Cannella C, Chatterjee D, Cenko SB, Cobb BE, Copperwheat C, Corsi A, De K, Dobie D, Emery SWK, Evans PA, Fox OD, Frail DA, Frohmaier C, Goobar A, Hallinan G, Harrison F, Helou G, Hinderer T, Ho AYQ, Horesh A, Ip WH, Itoh R, Kasen D, Kim H, Kuin NPM, Kupfer T, Lynch C, Madsen K, Mazzali PA, Miller AA, Mooley K, Murphy T, Ngeow CC, Nichols D, Nissanke S, Nugent P, Ofek EO, Qi H, Quimby RM, Rosswog S, Rusu F, Sadler EM, Schmidt P, Sollerman J, Steele I, Williamson AR, Xu Y, Yan L, Yatsu Y, Zhang C, Zhao W. Illuminating gravitational waves: A concordant picture of photons from a neutron star merger. Science 2017; 358:1559-1565. [PMID: 29038373 DOI: 10.1126/science.aap9455] [Citation(s) in RCA: 441] [Impact Index Per Article: 63.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2017] [Accepted: 10/05/2017] [Indexed: 11/02/2022]
Abstract
Merging neutron stars offer an excellent laboratory for simultaneously studying strong-field gravity and matter in extreme environments. We establish the physical association of an electromagnetic counterpart (EM170817) with gravitational waves (GW170817) detected from merging neutron stars. By synthesizing a panchromatic data set, we demonstrate that merging neutron stars are a long-sought production site forging heavy elements by r-process nucleosynthesis. The weak gamma rays seen in EM170817 are dissimilar to classical short gamma-ray bursts with ultrarelativistic jets. Instead, we suggest that breakout of a wide-angle, mildly relativistic cocoon engulfing the jet explains the low-luminosity gamma rays, the high-luminosity ultraviolet-optical-infrared, and the delayed radio and x-ray emission. We posit that all neutron star mergers may lead to a wide-angle cocoon breakout, sometimes accompanied by a successful jet and sometimes by a choked jet.
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Affiliation(s)
- M M Kasliwal
- Division of Physics, Math and Astronomy, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA.
| | - E Nakar
- The Raymond and Beverly Sackler School of Physics and Astronomy, Tel Aviv University, Tel Aviv 69978, Israel
| | - L P Singer
- Astroparticle Physics Laboratory, NASA Goddard Space Flight Center, Mail Code 661, Greenbelt, MD 20771, USA.,Joint Space-Science Institute, University of Maryland, College Park, MD 20742, USA
| | - D L Kaplan
- Department of Physics, University of Wisconsin, Milwaukee, WI 53201, USA
| | - D O Cook
- Division of Physics, Math and Astronomy, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - A Van Sistine
- Department of Physics, University of Wisconsin, Milwaukee, WI 53201, USA
| | - R M Lau
- Division of Physics, Math and Astronomy, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - C Fremling
- Division of Physics, Math and Astronomy, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - O Gottlieb
- The Raymond and Beverly Sackler School of Physics and Astronomy, Tel Aviv University, Tel Aviv 69978, Israel
| | - J E Jencson
- Division of Physics, Math and Astronomy, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - S M Adams
- Division of Physics, Math and Astronomy, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - U Feindt
- The Oskar Klein Centre, Department of Physics, Stockholm University, AlbaNova, SE-106 91 Stockholm, Sweden
| | - K Hotokezaka
- Center for Computational Astrophysics, Simons Foundation, Flatiron Institute, 162 5th Avenue, New York, NY 10010, USA.,Department of Astrophysical Sciences, Princeton University, Peyton Hall, Princeton, NJ 08544, USA
| | - S Ghosh
- Department of Physics, University of Wisconsin, Milwaukee, WI 53201, USA
| | - D A Perley
- Astrophysics Research Institute, Liverpool John Moores University, IC2, Liverpool Science Park, 146 Browlow Hill, Liverpool L3 5RF, UK
| | - P-C Yu
- Graduate Institute of Astronomy, National Central University, No. 300, Zhongda Road, Zhongli District, Taoyuan City 32001, Taiwan
| | - T Piran
- Racah Institute of Physics, The Hebrew University of Jerusalem, Jerusalem 91904, Israel
| | - J R Allison
- Sydney Institute for Astronomy, School of Physics A28, The University of Sydney, New South Wales 2006, Australia.,Australian Research Council Centre of Excellence for All-sky Astrophysics in 3 Dimensions, Australia
| | - G C Anupama
- Indian Institute of Astrophysics, II Block Koramangala, Bangalore 560034, India
| | - A Balasubramanian
- Indian Institute of Science Education and Research, Dr. Homi Bhabha Road, Pashan, Pune 411008, India
| | - K W Bannister
- Australia Telescope National Facility, Astronomy and Space Science, Commonwealth Scientific and Industrial Research Organisation, Post Office Box 76, Epping, New South Wales 1710, Australia
| | - J Bally
- Department of Astrophysical and Planetary Sciences, University of Colorado, Boulder, CO 80305, USA
| | - J Barnes
- Columbia Astrophysics Laboratory, Columbia University, New York, NY 10027, USA
| | - S Barway
- South African Astronomical Observatory, Post Office Box 9, Observatory, Cape Town 7935, South Africa
| | - E Bellm
- Department of Astronomy, University of Washington, Seattle, WA 98195, USA
| | - V Bhalerao
- Department of Physics, Indian Institute of Technology Bombay, Mumbai 400076, India
| | - D Bhattacharya
- Inter-University Centre for Astronomy and Astrophysics, Post Office Bag 4, Ganeshkhind, Pune 411007, India
| | - N Blagorodnova
- Division of Physics, Math and Astronomy, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - J S Bloom
- Department of Astronomy, University of California, Berkeley, CA 94720-3411, USA.,Lawrence Berkeley National Laboratory, 1 Cyclotron Road, MS 50B-4206, Berkeley, CA 94720, USA
| | - P R Brady
- Department of Physics, University of Wisconsin, Milwaukee, WI 53201, USA
| | - C Cannella
- Division of Physics, Math and Astronomy, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - D Chatterjee
- Department of Physics, University of Wisconsin, Milwaukee, WI 53201, USA
| | - S B Cenko
- Astroparticle Physics Laboratory, NASA Goddard Space Flight Center, Mail Code 661, Greenbelt, MD 20771, USA.,Joint Space-Science Institute, University of Maryland, College Park, MD 20742, USA
| | - B E Cobb
- Department of Physics, George Washington University, Washington, DC 20052, USA
| | - C Copperwheat
- Astrophysics Research Institute, Liverpool John Moores University, IC2, Liverpool Science Park, 146 Browlow Hill, Liverpool L3 5RF, UK
| | - A Corsi
- Department of Physics and Astronomy, Texas Tech University, Box 41051, Lubbock, TX 79409-1051, USA
| | - K De
- Division of Physics, Math and Astronomy, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - D Dobie
- Sydney Institute for Astronomy, School of Physics A28, The University of Sydney, New South Wales 2006, Australia.,Australian Research Council Centre of Excellence for All-sky Astrophysics, Australia.,Australia Telescope National Facility, Astronomy and Space Science, Commonwealth Scientific and Industrial Research Organisation, Post Office Box 76, Epping, New South Wales 1710, Australia
| | - S W K Emery
- University College London, Mullard Space Science Laboratory, Holmbury St. Mary, Dorking RH5 6NT, UK
| | - P A Evans
- X-ray and Observational Astronomy Research Group, Leicester Institute for Space and Earth Observation, Department of Physics and Astronomy, University of Leicester, University Road, Leicester, LE1 7RH, UK
| | - O D Fox
- Space Telescope Science Institute, 3700 San Martin Drive, Baltimore, MD 21218, USA
| | - D A Frail
- National Radio Astronomy Observatory, Socorro, NM 87825, USA
| | - C Frohmaier
- Department of Physics and Astronomy, University of Southampton, Southampton, Hampshire SO17 1BJ, UK.,Institute of Cosmology and Gravitation, Dennis Sciama Building, University of Portsmouth, Burnaby Road, Portsmouth PO1 3FX, UK
| | - A Goobar
- The Oskar Klein Centre, Department of Physics, Stockholm University, AlbaNova, SE-106 91 Stockholm, Sweden
| | - G Hallinan
- Division of Physics, Math and Astronomy, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - F Harrison
- Division of Physics, Math and Astronomy, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - G Helou
- Infrared Processing and Analysis Center, California Institute of Technology, Pasadena, CA 91125, USA
| | - T Hinderer
- Institute of Mathematics, Astrophysics and Particle Physics, Radboud University, Heyendaalseweg 135, 6525 AJ Nijmegen, Netherlands
| | - A Y Q Ho
- Division of Physics, Math and Astronomy, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - A Horesh
- Racah Institute of Physics, The Hebrew University of Jerusalem, Jerusalem 91904, Israel
| | - W-H Ip
- Department of Astrophysical Sciences, Princeton University, Peyton Hall, Princeton, NJ 08544, USA
| | - R Itoh
- Department of Physics, Tokyo Institute of Technology, 2-12-1 Ookayama, Meguro-ku, Tokyo 152-8551, Japan
| | - D Kasen
- Department of Astronomy, University of California, Berkeley, CA 94720-3411, USA.,Department of Physics, University of California, Berkeley, CA 94720, USA
| | - H Kim
- Gemini Observatory, Casilla 603, La Serena, Chile
| | - N P M Kuin
- University College London, Mullard Space Science Laboratory, Holmbury St. Mary, Dorking RH5 6NT, UK
| | - T Kupfer
- Division of Physics, Math and Astronomy, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - C Lynch
- Sydney Institute for Astronomy, School of Physics A28, The University of Sydney, New South Wales 2006, Australia.,Australian Research Council Centre of Excellence for All-sky Astrophysics, Australia
| | - K Madsen
- Division of Physics, Math and Astronomy, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - P A Mazzali
- Astrophysics Research Institute, Liverpool John Moores University, IC2, Liverpool Science Park, 146 Browlow Hill, Liverpool L3 5RF, UK.,Max-Planck Institute for Astrophysics, Garching, Germany
| | - A A Miller
- Center for Interdisciplinary Exploration and Research in Astrophysics and Department of Physics and Astronomy, Northwestern University, Evanston, IL 60208, USA.,The Adler Planetarium, Chicago, IL 60605, USA
| | - K Mooley
- Astrophysics, Department of Physics, University of Oxford, Keble Road, Oxford OX1 3RH, UK
| | - T Murphy
- Sydney Institute for Astronomy, School of Physics A28, The University of Sydney, New South Wales 2006, Australia.,Australian Research Council Centre of Excellence for All-sky Astrophysics, Australia
| | - C-C Ngeow
- Graduate Institute of Astronomy, National Central University, No. 300, Zhongda Road, Zhongli District, Taoyuan City 32001, Taiwan
| | - D Nichols
- Institute of Mathematics, Astrophysics and Particle Physics, Radboud University, Heyendaalseweg 135, 6525 AJ Nijmegen, Netherlands
| | - S Nissanke
- Institute of Mathematics, Astrophysics and Particle Physics, Radboud University, Heyendaalseweg 135, 6525 AJ Nijmegen, Netherlands
| | - P Nugent
- Department of Astronomy, University of California, Berkeley, CA 94720-3411, USA.,Lawrence Berkeley National Laboratory, 1 Cyclotron Road, MS 50B-4206, Berkeley, CA 94720, USA
| | - E O Ofek
- Department of Particle Physics and Astrophysics, Weizmann Institute of Science, Rehovot 7610001, Israel
| | - H Qi
- Department of Physics, University of Wisconsin, Milwaukee, WI 53201, USA
| | - R M Quimby
- Department of Astronomy, San Diego State University, San Diego, CA 92182, USA.,Kavli Institute for the Physics and Mathematics of the Universe (WPI), The University of Tokyo Institutes for Advanced Study, The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
| | - S Rosswog
- The Oskar Klein Centre, Department of Astronomy, Stockholm University, AlbaNova, SE-106 91 Stockholm, Sweden
| | - F Rusu
- School of Engineering (EECS), University of California, Merced, CA 95343, USA
| | - E M Sadler
- Sydney Institute for Astronomy, School of Physics A28, The University of Sydney, New South Wales 2006, Australia.,Australian Research Council Centre of Excellence for All-sky Astrophysics, Australia
| | - P Schmidt
- Institute of Mathematics, Astrophysics and Particle Physics, Radboud University, Heyendaalseweg 135, 6525 AJ Nijmegen, Netherlands
| | - J Sollerman
- The Oskar Klein Centre, Department of Astronomy, Stockholm University, AlbaNova, SE-106 91 Stockholm, Sweden
| | - I Steele
- Astrophysics Research Institute, Liverpool John Moores University, IC2, Liverpool Science Park, 146 Browlow Hill, Liverpool L3 5RF, UK
| | - A R Williamson
- Institute of Mathematics, Astrophysics and Particle Physics, Radboud University, Heyendaalseweg 135, 6525 AJ Nijmegen, Netherlands
| | - Y Xu
- Division of Physics, Math and Astronomy, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA
| | - L Yan
- Division of Physics, Math and Astronomy, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125, USA.,Infrared Processing and Analysis Center, California Institute of Technology, Pasadena, CA 91125, USA
| | - Y Yatsu
- Department of Physics, Tokyo Institute of Technology, 2-12-1 Ookayama, Meguro-ku, Tokyo 152-8551, Japan
| | - C Zhang
- Department of Physics, University of Wisconsin, Milwaukee, WI 53201, USA
| | - W Zhao
- School of Engineering (EECS), University of California, Merced, CA 95343, USA
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9
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Badiei N, Sowedan AM, Curtis DJ, Brown MR, Lawrence MJ, Campbell AI, Sabra A, Evans PA, Weisel JW, Chernysh IN, Nagaswami C, Williams PR, Hawkins K. Effects of unidirectional flow shear stresses on the formation, fractal microstructure and rigidity of incipient whole blood clots and fibrin gels. Clin Hemorheol Microcirc 2016; 60:451-64. [PMID: 25624413 PMCID: PMC4923731 DOI: 10.3233/ch-151924] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Incipient clot formation in whole blood and fibrin gels was studied by the rheometric techniques of controlled stress parallel superposition (CSPS) and small amplitude oscillatory shear (SAOS). The effects of unidirectional shear stress on incipient clot microstructure, formation kinetics and elasticity are reported in terms of the fractal dimension (df) of the fibrin network, the gel network formation time (TGP) and the shear elastic modulus, respectively. The results of this first haemorheological application of CSPS reveal the marked sensitivity of incipient clot microstructure to physiologically relevant levels of shear stress, these being an order of magnitude lower than have previously been studied by SAOS. CSPS tests revealed that exposure of forming clots to increasing levels of shear stress produces a corresponding elevation in df, consistent with the formation of tighter, more compact clot microstructures under unidirectional flow. A corresponding increase in shear elasticity was recorded. The scaling relationship established between shear elasticity and df for fibrin clots and whole blood confirms the fibrin network as the dominant microstructural component of the incipient clot in terms of its response to imposed stress. Supplementary studies of fibrin clot formation by rheometry and microscopy revealed the substantial additional network mass required to increase df and provide evidence to support the hypothesis that microstructural changes in blood clotted under unidirectional shear may be attributed to flow enhanced thrombin generation and activation. CSPS also identified a threshold value of unidirectional shear stress above which no incipient clot formation could be detected. CSPS was shown to be a valuable haemorheological tool for the study of the effects of physiological and pathological levels of shear on clot properties.
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Affiliation(s)
- N Badiei
- College of Engineering, Swansea University, Swansea, UK
| | - A M Sowedan
- College of Engineering, Swansea University, Swansea, UK.,College of Medicine, Swansea University, Swansea, UK
| | - D J Curtis
- College of Engineering, Swansea University, Swansea, UK
| | - M R Brown
- College of Engineering, Swansea University, Swansea, UK
| | - M J Lawrence
- College of Medicine, Swansea University, Swansea, UK.,NISCHR Clinical Haemostasis and Biomarker Research Unit, ABMU NHS Trust Hospital, Morriston, Swansea, UK
| | - A I Campbell
- College of Engineering, Swansea University, Swansea, UK
| | - A Sabra
- College of Medicine, Swansea University, Swansea, UK.,NISCHR Clinical Haemostasis and Biomarker Research Unit, ABMU NHS Trust Hospital, Morriston, Swansea, UK
| | - P A Evans
- College of Medicine, Swansea University, Swansea, UK.,NISCHR Clinical Haemostasis and Biomarker Research Unit, ABMU NHS Trust Hospital, Morriston, Swansea, UK
| | - J W Weisel
- Department of Cell and Developmental Biology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - I N Chernysh
- Department of Cell and Developmental Biology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - C Nagaswami
- Department of Cell and Developmental Biology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - P R Williams
- College of Engineering, Swansea University, Swansea, UK
| | - K Hawkins
- College of Medicine, Swansea University, Swansea, UK.,NISCHR Clinical Haemostasis and Biomarker Research Unit, ABMU NHS Trust Hospital, Morriston, Swansea, UK
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Davies NA, Noble S, Harrison NK, Morris RHK, Evans PA. PO-25 - FATCAT: an observational cohort study investigating fractal dimension (df) as a biomarker of thrombogenicity in cancer associated thrombosis during chemotherapy for lung cancer. Thromb Res 2016; 140 Suppl 1:S185. [PMID: 27161712 DOI: 10.1016/s0049-3848(16)30158-x] [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: 10/22/2022]
Abstract
INTRODUCTION Venous thromboembolism (VTE), comprising deep vein thrombosis (DVT) and pulmonary embolism (PE) are common complications in patients with cancer, affecting up to 18% of patients. VTE risk is increased by surgery and disease progression, whilst chemotherapy further increases risk up to 7-fold compared to patients without cancer. VTE contributes significantly to morbidity and mortality in patients with cancer, and is the second most common cause of death. Lung cancer is well established to be high risk for VTE, with up to a 22-fold increase in VTE risk associated with this malignancy, and 12% incidence in a recent study of patients with lung cancer undergoing chemotherapy. Furthermore, platinum based chemotherapy agents used in treatment of lung cancer are further associated with increased VTE risk. AIM Current risk assessment tools have little value in predicting VTE risk, but prophylactic anticoagulation of patients with cancer increases bleeding incidence and no overall survival benefit. There is therefore a need for a pragmatic test with which assesses coagulation in patients with cancer, and potentially predict VTE risk, leading to personalised management and targeted treatment. We have previously demonstrated that fractal dimension (df) is sensitive to changes in clot microstructure in patients with lung cancer, assessing global coagulation in these patients. Furthermore, df is significantly different in patients with extensive disease (stages 3&4), which conventional laboratory markers failed to identify. Given the increased risk of VTE associated with chemotherapy, FATCAT will aim to assess changes in df in a larger cohort of patients with lung cancer undergoing chemotherapy, quantifying changes in df and relating these to clinical outcome. MATERIALS AND METHODS This is a prospective observational cohort study investigating changes in df in patients with lung cancer undergoing chemotherapy. Patients will have a new diagnosis of cytologically or histologically confirmed lung cancer planned for chemotherapy and no history of previous cancer treatment, any thromboembolic / haemostatic disorders or be on anticoagulation. RESULTS Following a power calculation, 300 patients will be recruited and followed up for 1 year. df, Doppler ultrasonography and standard coagulation markers will be performed on recruitment, at the mid point, and on completion of chemotherapy in line with standard diagnostic procedures i.e. CT scanning. CONCLUSIONS The primary endpoint of the study will be VTE diagnosis, whilst secondary outcomes will determine the change in df during and after treatment with chemotherapy.
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Affiliation(s)
- N A Davies
- College of Medicine, Swansea University; Haemostasis Biomedical Research Unit
| | - S Noble
- School of Medicine, Cardiff University
| | - N K Harrison
- Respiratory Unit, Morriston Hospital, ABMU Health Board, Swansea
| | - R H K Morris
- School of Applied Science, Cardiff Metropolitan University; United Kingdom
| | - P A Evans
- College of Medicine, Swansea University; Haemostasis Biomedical Research Unit
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Mothukuri R, Battle C, Guy K, Mills G, Evans PA. THE IMPLEMENTATION OF MASSIVE HAEMORRHAGE PROTOCOL (MHP) FOR THE MANAGEMENT OF MAJOR TRAUMA:A TEN YEAR,SINGLE CENTRE STUDY OF PATIENT OUTCOMES. Arch Emerg Med 2015. [DOI: 10.1136/emermed-2015-205372.32] [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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Edelson R, Gelbord JM, Horne K, McHardy IM, Peterson BM, Arévalo P, Breeveld AA, Rosa GD, Evans PA, Goad MR, Kriss GA, Brandt WN, Gehrels N, Grupe D, Kennea JA, Kochanek CS, Nousek JA, Papadakis I, Siegel M, Starkey D, Uttley P, Vaughan S, Young S, Barth AJ, Bentz MC, Brewer BJ, Crenshaw DM, Dalla Bontà E, Cáceres ADL, Denney KD, Dietrich M, Ely J, Fausnaugh MM, Grier CJ, Hall PB, Kaastra J, Kelly BC, Korista KT, Lira P, Mathur S, Netzer H, Pancoast A, Pei L, Pogge RW, Schimoia JS, Treu T, Vestergaard M, Villforth C, Yan H, Zu Y. SPACE TELESCOPE AND OPTICAL REVERBERATION MAPPING PROJECT. II.SWIFTANDHSTREVERBERATION MAPPING OF THE ACCRETION DISK OF NGC 5548. ACTA ACUST UNITED AC 2015. [DOI: 10.1088/0004-637x/806/1/129] [Citation(s) in RCA: 170] [Impact Index Per Article: 18.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Rosa GD, Peterson BM, Ely J, Kriss GA, Crenshaw DM, Horne K, Korista KT, Netzer H, Pogge RW, Arévalo P, Barth AJ, Bentz MC, Brandt WN, Breeveld AA, Brewer BJ, Dalla Bontà E, Lorenzo-Cáceres AD, Denney KD, Dietrich M, Edelson R, Evans PA, Fausnaugh MM, Gehrels N, Gelbord JM, Goad MR, Grier CJ, Grupe D, Hall PB, Kaastra J, Kelly BC, Kennea JA, Kochanek CS, Lira P, Mathur S, McHardy IM, Nousek JA, Pancoast A, Papadakis I, Pei L, Schimoia JS, Siegel M, Starkey D, Treu T, Uttley P, Vaughan S, Vestergaard M, Villforth C, Yan H, Young S, Zu Y. SPACE TELESCOPE AND OPTICAL REVERBERATION MAPPING PROJECT. I. ULTRAVIOLET OBSERVATIONS OF THE SEYFERT 1 GALAXY NGC 5548 WITH THE COSMIC ORIGINS SPECTROGRAPH ONHUBBLE SPACE TELESCOPE. ACTA ACUST UNITED AC 2015. [DOI: 10.1088/0004-637x/806/1/128] [Citation(s) in RCA: 95] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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Evans PA. Margaret Cooper. Assoc Med J 2015. [DOI: 10.1136/bmj.h1447] [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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Battle CE, Davies G, Vijayakumar M, Evans PA. Long-term health-related quality of life in survivors of sepsis: an epidemiological study. Crit Care 2015. [PMCID: PMC4471675 DOI: 10.1186/cc14098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Maselli A, Melandri A, Nava L, Mundell CG, Kawai N, Campana S, Covino S, Cummings JR, Cusumano G, Evans PA, Ghirlanda G, Ghisellini G, Guidorzi C, Kobayashi S, Kuin P, La Parola V, Mangano V, Oates S, Sakamoto T, Serino M, Virgili F, Zhang BB, Barthelmy S, Beardmore A, Bernardini MG, Bersier D, Burrows D, Calderone G, Capalbi M, Chiang J, D’Avanzo P, D’Elia V, De Pasquale M, Fugazza D, Gehrels N, Gomboc A, Harrison R, Hanayama H, Japelj J, Kennea J, Kopac D, Kouveliotou C, Kuroda D, Levan A, Malesani D, Marshall F, Nousek J, O’Brien P, Osborne JP, Pagani C, Page KL, Page M, Perri M, Pritchard T, Romano P, Saito Y, Sbarufatti B, Salvaterra R, Steele I, Tanvir N, Vianello G, Wiegand B, Wiersema K, Yatsu Y, Yoshii T, Tagliaferri G. GRB 130427A: A Nearby Ordinary Monster. Science 2014; 343:48-51. [DOI: 10.1126/science.1242279] [Citation(s) in RCA: 89] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Affiliation(s)
- A. Maselli
- Istituto Nazionale di Astrofisica (INAF)–Istituto di Astrofisica Spaziale e Fisica Cosmica (IASF) Palermo, Via Ugo La Malfa 153 I-90146 Palermo, Italy
| | - A. Melandri
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
| | - L. Nava
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
- AstroParticule et Cosmologie, Université Paris Diderot, CNRS/IN2P3, Commissariat à l'Energie Atomique et aux Energies Alternatives/Institut de Recherches sur les lois Fondamentales de l’Univers, Observatoire de Paris, Sorbonne Paris Cité, France
| | - C. G. Mundell
- Astrophysics Research Institute, Liverpool John Moores University, Liverpool Science Park, 146 Brownlow Hill, Liverpool L3 5RF, UK
| | - N. Kawai
- Department of Physics, Tokyo Institute of Technology, 2-12-1 Ookayama, Meguro-ku, Tokyo 152-8551, Japan
- Coordinated Space Observation and Experiment Research Group, RIKEN, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
| | - S. Campana
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
| | - S. Covino
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
| | - J. R. Cummings
- University of Maryland, Baltimore County/Center for Research and Exploration in Space Science & Technology/NASA Goddard Space Flight Center, Code 661, Greenbelt, MD 20771, USA
| | - G. Cusumano
- Istituto Nazionale di Astrofisica (INAF)–Istituto di Astrofisica Spaziale e Fisica Cosmica (IASF) Palermo, Via Ugo La Malfa 153 I-90146 Palermo, Italy
| | - P. A. Evans
- Department of Physics and Astronomy, University of Leicester, Leicester, LE1 7RH, UK
| | - G. Ghirlanda
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
| | - G. Ghisellini
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
| | - C. Guidorzi
- Department of Physics, University of Ferrara, via Saragat 1, I-44122, Ferrara, Italy
| | - S. Kobayashi
- Astrophysics Research Institute, Liverpool John Moores University, Liverpool Science Park, 146 Brownlow Hill, Liverpool L3 5RF, UK
| | - P. Kuin
- Mullard Space Science Laboratory, University College London, Holmbury St. Mary, Dorking, Surrey RH5 6NT, UK
| | - V. La Parola
- Istituto Nazionale di Astrofisica (INAF)–Istituto di Astrofisica Spaziale e Fisica Cosmica (IASF) Palermo, Via Ugo La Malfa 153 I-90146 Palermo, Italy
| | - V. Mangano
- Istituto Nazionale di Astrofisica (INAF)–Istituto di Astrofisica Spaziale e Fisica Cosmica (IASF) Palermo, Via Ugo La Malfa 153 I-90146 Palermo, Italy
- Department of Astronomy and Astrophysics, Pennsylvania State University, 525 Davey Lab, University Park, PA 16802, USA
| | - S. Oates
- Mullard Space Science Laboratory, University College London, Holmbury St. Mary, Dorking, Surrey RH5 6NT, UK
| | - T. Sakamoto
- Department of Physics and Mathematics, Aoyama Gakuin University, 5-10-1 Fuchinobe, Chuo-ku, Sagamihara, Kanagawa 252-5258, Japan
| | - M. Serino
- Coordinated Space Observation and Experiment Research Group, RIKEN, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
| | - F. Virgili
- Astrophysics Research Institute, Liverpool John Moores University, Liverpool Science Park, 146 Brownlow Hill, Liverpool L3 5RF, UK
| | - B.-B. Zhang
- Department of Astronomy and Astrophysics, Pennsylvania State University, 525 Davey Lab, University Park, PA 16802, USA
| | - S. Barthelmy
- NASA Goddard Space Flight Center, Greenbelt, MD 20771, USA
| | - A. Beardmore
- Department of Physics and Astronomy, University of Leicester, Leicester, LE1 7RH, UK
| | - M. G. Bernardini
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
| | - D. Bersier
- Astrophysics Research Institute, Liverpool John Moores University, Liverpool Science Park, 146 Brownlow Hill, Liverpool L3 5RF, UK
| | - D. Burrows
- Department of Astronomy and Astrophysics, Pennsylvania State University, 525 Davey Lab, University Park, PA 16802, USA
| | - G. Calderone
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
- Dipartimento di Fisica “G. Occhialini,” Università di Milano-Bicocca, Piazza della Scienza 3, I-20126 Milano, Italy
| | - M. Capalbi
- Istituto Nazionale di Astrofisica (INAF)–Istituto di Astrofisica Spaziale e Fisica Cosmica (IASF) Palermo, Via Ugo La Malfa 153 I-90146 Palermo, Italy
| | - J. Chiang
- W. W. Hansen Experimental Physics Laboratory, Kavli Institute for Particle Astrophysics and Cosmology, Department of Physics, and SLAC National Accelerator Laboratory, Stanford University, Stanford, CA 94305, USA
| | - P. D’Avanzo
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
| | - V. D’Elia
- INAF/Rome Astronomical Observatory, via Frascati 33, 00040 Monteporzio Catone (Roma), Italy
- Agenzia Spaziale Italiana (ASI) Science Data Centre, Via Galileo Galilei, 00044 Frascati (Roma), Italy
| | - M. De Pasquale
- Mullard Space Science Laboratory, University College London, Holmbury St. Mary, Dorking, Surrey RH5 6NT, UK
| | - D. Fugazza
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
| | - N. Gehrels
- NASA Goddard Space Flight Center, Greenbelt, MD 20771, USA
| | - A. Gomboc
- Faculty of Mathematics and Physics, University of Ljubljana, Jadranska 19 1000, Ljubljana, Slovenia
- Centre of Excellence Space-si, Askerceva cesta 12, 1000 Ljubljana, Slovenia
| | - R. Harrison
- Astrophysics Research Institute, Liverpool John Moores University, Liverpool Science Park, 146 Brownlow Hill, Liverpool L3 5RF, UK
| | - H. Hanayama
- Ishigakijima Astronomical Observatory, National Astronomical Observatory of Japan, 1024-1 Arakawa, Ishigaki, Okinawa 907-0024, Japan
| | - J. Japelj
- Faculty of Mathematics and Physics, University of Ljubljana, Jadranska 19 1000, Ljubljana, Slovenia
| | - J. Kennea
- Department of Astronomy and Astrophysics, Pennsylvania State University, 525 Davey Lab, University Park, PA 16802, USA
| | - D. Kopac
- Faculty of Mathematics and Physics, University of Ljubljana, Jadranska 19 1000, Ljubljana, Slovenia
| | - C. Kouveliotou
- Space Science Office, VP62, NASA/Marshall Space Flight Center, Huntsville, AL 35812, USA
| | - D. Kuroda
- Okayama Astrophysical Observatory, National Astronomical Observatory of Japan, 3037-5 Honjo, Kamogata, Asaguchi, Okayama 719-0232
| | - A. Levan
- Department of Physics, University of Warwick, Coventry CV4 7AL, UK
| | - D. Malesani
- Dark Cosmology Centre (DARK), Niels Bohr Institute, University of Copenhagen, Juliane Maries Vej 30, 2100 Copenhagen, Denmark
| | - F. Marshall
- NASA Goddard Space Flight Center, Greenbelt, MD 20771, USA
| | - J. Nousek
- Department of Astronomy and Astrophysics, Pennsylvania State University, 525 Davey Lab, University Park, PA 16802, USA
| | - P. O’Brien
- Department of Physics and Astronomy, University of Leicester, Leicester, LE1 7RH, UK
| | - J. P. Osborne
- Department of Physics and Astronomy, University of Leicester, Leicester, LE1 7RH, UK
| | - C. Pagani
- Department of Physics and Astronomy, University of Leicester, Leicester, LE1 7RH, UK
| | - K. L. Page
- Department of Physics and Astronomy, University of Leicester, Leicester, LE1 7RH, UK
| | - M. Page
- Mullard Space Science Laboratory, University College London, Holmbury St. Mary, Dorking, Surrey RH5 6NT, UK
| | - M. Perri
- INAF/Rome Astronomical Observatory, via Frascati 33, 00040 Monteporzio Catone (Roma), Italy
- Agenzia Spaziale Italiana (ASI) Science Data Centre, Via Galileo Galilei, 00044 Frascati (Roma), Italy
| | - T. Pritchard
- Department of Astronomy and Astrophysics, Pennsylvania State University, 525 Davey Lab, University Park, PA 16802, USA
| | - P. Romano
- Istituto Nazionale di Astrofisica (INAF)–Istituto di Astrofisica Spaziale e Fisica Cosmica (IASF) Palermo, Via Ugo La Malfa 153 I-90146 Palermo, Italy
| | - Y. Saito
- Department of Physics, Tokyo Institute of Technology, 2-12-1 Ookayama, Meguro-ku, Tokyo 152-8551, Japan
| | - B. Sbarufatti
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
- Department of Astronomy and Astrophysics, Pennsylvania State University, 525 Davey Lab, University Park, PA 16802, USA
| | - R. Salvaterra
- INAF-IASF Milano, via E. Bassini 15, I-20133 Milano, Italy
| | - I. Steele
- Astrophysics Research Institute, Liverpool John Moores University, Liverpool Science Park, 146 Brownlow Hill, Liverpool L3 5RF, UK
| | - N. Tanvir
- Department of Physics and Astronomy, University of Leicester, Leicester, LE1 7RH, UK
| | - G. Vianello
- W. W. Hansen Experimental Physics Laboratory, Kavli Institute for Particle Astrophysics and Cosmology, Department of Physics, and SLAC National Accelerator Laboratory, Stanford University, Stanford, CA 94305, USA
| | - B. Wiegand
- NASA Goddard Space Flight Center, Greenbelt, MD 20771, USA
| | - K. Wiersema
- Department of Physics and Astronomy, University of Leicester, Leicester, LE1 7RH, UK
| | - Y. Yatsu
- Department of Physics, Tokyo Institute of Technology, 2-12-1 Ookayama, Meguro-ku, Tokyo 152-8551, Japan
| | - T. Yoshii
- Department of Physics, Tokyo Institute of Technology, 2-12-1 Ookayama, Meguro-ku, Tokyo 152-8551, Japan
| | - G. Tagliaferri
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
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Wilczynska M, Lewis KE, Williams PR, Lawrence M, Hawkins K, Stanford S, Evans PA. P257 Sustained Aspirin effects on platelets function over 24 hours in patients with untreated Obstructive Sleep Apnoea Syndrome (OSAS). Thorax 2013. [DOI: 10.1136/thoraxjnl-2013-204457.409] [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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Wilczynska M, Lewis KE, Stanford S, Lawrence M, Hawkins K, Williams PR, Evans PA. P256 Treatment of obstructive sleep apnoea syndrome with continuous positive airways pressure alters haemostasis: further data on the use of fractal analysis to measure microstructure of incipient clot. Thorax 2013. [DOI: 10.1136/thoraxjnl-2013-204457.408] [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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Roberts SE, Akbari A, Thorne K, Atkinson M, Evans PA. The incidence of acute pancreatitis: impact of social deprivation, alcohol consumption, seasonal and demographic factors. Aliment Pharmacol Ther 2013; 38:539-48. [PMID: 23859492 PMCID: PMC4489350 DOI: 10.1111/apt.12408] [Citation(s) in RCA: 120] [Impact Index Per Article: 10.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2013] [Revised: 04/29/2013] [Accepted: 06/21/2013] [Indexed: 12/15/2022]
Abstract
BACKGROUND The incidence of acute pancreatitis has increased sharply in many European countries and the USA in recent years. AIM To establish trends in incidence and mortality for acute pancreatitis in Wales, UK, and to assess how incidence may be linked to factors including social deprivation, seasonal effects and alcohol consumption. METHODS Use of record linked inpatient, mortality and primary care data for 10,589 hospitalised cases of acute pancreatitis between 1999 and 2010. RESULTS The incidence of acute pancreatitis was 30.0 per 100,000 population overall, mortality was 6.4% at 60 days. Incidence increased significantly from 27.6 per 100,000 in 1999 to 36.4 in 2010 (average annual increase = 2.7% per year), there was little trend in mortality (0.2% average annual reduction). The largest increases in incidence were among women aged <35 years (7.9% per year) and men aged 35-44 (5.7%) and 45-54 (5.3%). Incidence was 1.9 times higher among the most deprived quintile of patients compared with the most affluent (3.9 times higher for alcoholic acute pancreatitis and 1.5 for gallstone acute pancreatitis). Acute pancreatitis was increased significantly during the Christmas and New Year weeks by 48% (95% CI = 24-77%) for alcoholic aetiology, but not for gallstone aetiology (9%). Alcoholic admissions were increased with higher consumption of spirits and beer, but not wine. CONCLUSIONS The study shows an elevated rate of alcoholic acute pancreatitis during the Christmas and New Year period. Acute pancreatitis continues to rise, most rapidly for young women, while alcoholic acute pancreatitis is linked strongly with social deprivation.
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Affiliation(s)
- SE Roberts
- College of Medicine, Swansea UniversitySwansea, UK
| | - A Akbari
- College of Medicine, Swansea UniversitySwansea, UK
| | - K Thorne
- College of Medicine, Swansea UniversitySwansea, UK
| | - M Atkinson
- College of Medicine, Swansea UniversitySwansea, UK
| | - PA Evans
- College of Medicine, Swansea UniversitySwansea, UK,Department of Emergency Medicine, Morriston HospitalSwansea, UK
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Wilczynska M, Lewis K, Lawrence M, Stanford S, Nicolle L, Evans PA. S43 Fractal analysis of whole blood incipient clot confirms an early morning prothrombotic state in patients with untreated Obstructive Sleep Apnoea Syndrome. Thorax 2012. [DOI: 10.1136/thoraxjnl-2012-202678.049] [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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Davies GR, Stanford SN, Lawrence MJ, Gill D, Williams PR, Morris K, Thomas D, Evans PA. Fractal analysis: a new biomarker for determining clot characteristics in critically ill patients. Crit Care 2012. [PMCID: PMC3363848 DOI: 10.1186/cc11037] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Hawkins K, Badiei N, Weisel J, Chernysh I, Williams PR, Lawrence MJ, Evans PA. Fractal dimension: a biomarker for detecting acute thromboembolic disease. Crit Care 2012. [PMCID: PMC3363849 DOI: 10.1186/cc11038] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Button LA, Roberts SE, Evans PA, Goldacre MJ, Akbari A, Dsilva R, Macey S, Williams JG. Hospitalized incidence and case fatality for upper gastrointestinal bleeding from 1999 to 2007: a record linkage study. Aliment Pharmacol Ther 2011; 33:64-76. [PMID: 21128984 DOI: 10.1111/j.1365-2036.2010.04495.x] [Citation(s) in RCA: 113] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
BACKGROUND Upper gastrointestinal (GI) bleeding is the most common emergency managed by gastroenterologists. AIM To establish the hospitalized incidence and case fatality for upper GI bleeding, and to determine how they are associated with factors including day of admission, hospital size, social deprivation and distance from hospital. METHODS Systematic record linkage of hospital in-patient and mortality data for 24 421 admissions for upper GI bleeding among 22 299 people in Wales from 1999 to 2007. RESULTS The hospitalized incidence of upper GI bleeding was 134 per 100 000. Case fatality was 10.0%. Incidence was stable from 1999 to 2007; case fatality fell from 11.4% in 1999-2000 to 8.6% in 2006-7. Incidence was associated significantly with social deprivation. Compared with weekday admissions, case fatality was 13% higher for weekend admissions and 41% higher for admissions on public holidays. There was little variation in case fatality according to social deprivation, hospital size or distance from hospital. CONCLUSIONS Incidence, but not case fatality, was associated significantly with social deprivation. The higher mortality for weekend and public holiday admissions could not be explained by measures of case mix and may indicate a possible impact of reduced staffing levels and delays to endoscopy at weekends in some hospitals.
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Lyons RA, Kendrick D, Towner EL, Christie N, Phillips CJ, Coupland C, Hayes M, Macey S, Brophy S, Carter B, Groom L, Mulvaney C, Sleney J, Smith S, Stewart J, Evans PA, Pallister I, Coffey F. The UK burden of injuries study (UKBOI). Inj Prev 2010. [DOI: 10.1136/ip.2010.029215.863] [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: 11/03/2022]
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Lyons RA, Kendrick D, Towner EL, Christie N, Phillips CJ, Coupland C, Hayes M, Macey S, Brophy S, Carter B, Groom L, Mulvaney C, Sleney J, Smith S, Stewart J, Evans PA, Pallister I, Coffey F. UK burden of injuries study. Inj Prev 2010. [DOI: 10.1136/ip.2010.029215.538] [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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Owen RG, Haynes AP, Evans PA, Johnson RJ, Rawstron AC, McQuaker G, Smith GM, Galvin MC, Barnard DL, Russell NH, Child JA, Morgan GJ. Detection of clonal immunoglobulin gene rearrangements in the peripheral blood progenitor cells of patients with multiple myeloma: the potential role of purging with CD34 positive selection. Mol Pathol 2010; 49:M112-7. [PMID: 16696051 PMCID: PMC408031 DOI: 10.1136/mp.49.2.m112] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Aims-To determine the extent of clonal cell contamination of peripheral blood progenitor cell (PBPC) collections in patients with multiple myeloma (MM) and to assess the purging efficacy of CD34 positive selection.Methods-PBPC collections from 29 patients with MM were analysed for the presence of clonal immunoglobulin heavy chain (IgH) gene rearrangements with a fluorescence based PCR technique. In addition, the PBPC from eight of the 29 patients were "purged" by selection of CD34 positive haematopoietic progenitors with an avidin-biotin immunoabsorption column (Ceprate). In each case the unmanipulated PBPC, CD34 positive and waste fractions were all assessed for the presence of clonal IgH rearrangements.Results-Clonal IgH rearrangements (identical with those demonstrated in diagnostic bone marrow samples) were demonstrated in 10 (35%) of 29 cases and seemed to be confined to those with significant residual bone marrow disease. Clonal rearrangements were evident in the PBPC of two of the eight patients who underwent CD34 selection; in both instances a "clonal purge" was seen as it was not possible to demonstrate the clonal rearrangement in the CD34 positive fraction. In four of the six remaining cases the normal polyclonal fingerprint could not be demonstrated in the CD34 positive fraction, which is consistent with a significant reduction in contaminating B cells.Conclusions-Clonal cells contaminate PBPC collections in a significant proportion of patients with MM and may be eliminated by CD34 positive selection.
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Affiliation(s)
- R G Owen
- Centre for Haematological Oncology, The General Infirmary at Leeds, Great George Street, Leeds
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Evans PA, Thirumalai N, Morris R, Hawkins K, Munro R, Wakeman L, Lawrence M, Beddal A, Williams P. Gel point and fractal microstructure of incipient blood clots are significant new markers of haemostasis. Arch Emerg Med 2009. [DOI: 10.1136/emj.2009.082081y] [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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Abdo AA, Ackermann M, Arimoto M, Asano K, Atwood WB, Axelsson M, Baldini L, Ballet J, Band DL, Barbiellini G, Baring MG, Bastieri D, Battelino M, Baughman BM, Bechtol K, Bellardi F, Bellazzini R, Berenji B, Bhat PN, Bissaldi E, Blandford RD, Bloom ED, Bogaert G, Bogart JR, Bonamente E, Bonnell J, Borgland AW, Bouvier A, Bregeon J, Brez A, Briggs MS, Brigida M, Bruel P, Burnett TH, Burrows D, Busetto G, Caliandro GA, Cameron RA, Caraveo PA, Casandjian JM, Ceccanti M, Cecchi C, Celotti A, Charles E, Chekhtman A, Cheung CC, Chiang J, Ciprini S, Claus R, Cohen-Tanugi J, Cominsky LR, Connaughton V, Conrad J, Costamante L, Cutini S, DeKlotz M, Dermer CD, de Angelis A, de Palma F, Digel SW, Dingus BL, do Couto e Silva E, Drell PS, Dubois R, Dumora D, Edmonds Y, Evans PA, Fabiani D, Farnier C, Favuzzi C, Finke J, Fishman G, Focke WB, Frailis M, Fukazawa Y, Funk S, Fusco P, Gargano F, Gasparrini D, Gehrels N, Germani S, Giebels B, Giglietto N, Giommi P, Giordano F, Glanzman T, Godfrey G, Goldstein A, Granot J, Greiner J, Grenier IA, Grondin MH, Grove JE, Guillemot L, Guiriec S, Haller G, Hanabata Y, Harding AK, Hayashida M, Hays E, Hernando Morat JA, Hoover A, Hughes RE, Jóhannesson G, Johnson AS, Johnson RP, Johnson TJ, Johnson WN, Kamae T, Katagiri H, Kataoka J, Kavelaars A, Kawai N, Kelly H, Kennea J, Kerr M, Kippen RM, Knödlseder J, Kocevski D, Kocian ML, Komin N, Kouveliotou C, Kuehn F, Kuss M, Lande J, Landriu D, Larsson S, Latronico L, Lavalley C, Lee B, Lee SH, Lemoine-Goumard M, Lichti GG, Longo F, Loparco F, Lott B, Lovellette MN, Lubrano P, Madejski GM, Makeev A, Marangelli B, Mazziotta MN, McBreen S, McEnery JE, McGlynn S, Meegan C, Mészáros P, Meurer C, Michelson PF, Minuti M, Mirizzi N, Mitthumsiri W, Mizuno T, Moiseev AA, Monte C, Monzani ME, Moretti E, Morselli A, Moskalenko IV, Murgia S, Nakamori T, Nelson D, Nolan PL, Norris JP, Nuss E, Ohno M, Ohsugi T, Okumura A, Omodei N, Orlando E, Ormes JF, Ozaki M, Paciesas WS, Paneque D, Panetta JH, Parent D, Pelassa V, Pepe M, Perri M, Pesce-Rollins M, Petrosian V, Pinchera M, Piron F, Porter TA, Preece R, Rainò S, Ramirez-Ruiz E, Rando R, Rapposelli E, Razzano M, Razzaque S, Rea N, Reimer A, Reimer O, Reposeur T, Reyes LC, Ritz S, Rochester LS, Rodriguez AY, Roth M, Ryde F, Sadrozinski HFW, Sanchez D, Sander A, Saz Parkinson PM, Scargle JD, Schalk TL, Segal KN, Sgrò C, Shimokawabe T, Siskind EJ, Smith DA, Smith PD, Spandre G, Spinelli P, Stamatikos M, Starck JL, Stecker FW, Steinle H, Stephens TE, Strickman MS, Suson DJ, Tagliaferri G, Tajima H, Takahashi H, Takahashi T, Tanaka T, Tenze A, Thayer JB, Thayer JG, Thompson DJ, Tibaldo L, Torres DF, Tosti G, Tramacere A, Turri M, Tuvi S, Usher TL, van der Horst AJ, Vigiani L, Vilchez N, Vitale V, von Kienlin A, Waite AP, Williams DA, Wilson-Hodge C, Winer BL, Wood KS, Wu XF, Yamazaki R, Ylinen T, Ziegler M. Fermi Observations of High-Energy Gamma-Ray Emission from GRB 080916C. Science 2009; 323:1688-93. [DOI: 10.1126/science.1169101] [Citation(s) in RCA: 478] [Impact Index Per Article: 31.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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Affiliation(s)
- A Kirwadi
- Department of Plastic Surgery, Morriston Hospital, Birchgrove, Swansea SA7 0HE, UK.
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Affiliation(s)
- A Kirwadi
- Department of Trauma and Orthopaedics, Morriston Hospital, Swansea, 29 Golwg Y Waun, Birchgrove, Swansea SA7 0HE, UK.
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Racusin JL, Karpov SV, Sokolowski M, Granot J, Wu XF, Pal’shin V, Covino S, van der Horst AJ, Oates SR, Schady P, Smith RJ, Cummings J, Starling RLC, Piotrowski LW, Zhang B, Evans PA, Holland ST, Malek K, Page MT, Vetere L, Margutti R, Guidorzi C, Kamble AP, Curran PA, Beardmore A, Kouveliotou C, Mankiewicz L, Melandri A, O’Brien PT, Page KL, Piran T, Tanvir NR, Wrochna G, Aptekar RL, Barthelmy S, Bartolini C, Beskin GM, Bondar S, Bremer M, Campana S, Castro-Tirado A, Cucchiara A, Cwiok M, D’Avanzo P, D’Elia V, Valle MD, de Ugarte Postigo A, Dominik W, Falcone A, Fiore F, Fox DB, Frederiks DD, Fruchter AS, Fugazza D, Garrett MA, Gehrels N, Golenetskii S, Gomboc A, Gorosabel J, Greco G, Guarnieri A, Immler S, Jelinek M, Kasprowicz G, La Parola V, Levan AJ, Mangano V, Mazets EP, Molinari E, Moretti A, Nawrocki K, Oleynik PP, Osborne JP, Pagani C, Pandey SB, Paragi Z, Perri M, Piccioni A, Ramirez-Ruiz E, Roming PWA, Steele IA, Strom RG, Testa V, Tosti G, Ulanov MV, Wiersema K, Wijers RAMJ, Winters JM, Zarnecki AF, Zerbi F, Mészáros P, Chincarini G, Burrows DN. Broadband observations of the naked-eye γ-ray burst GRB 080319B. Nature 2008; 455:183-8. [DOI: 10.1038/nature07270] [Citation(s) in RCA: 376] [Impact Index Per Article: 23.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2008] [Accepted: 07/11/2008] [Indexed: 11/09/2022]
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Evans PA, Hawkins K, Lawrence M, Barrow MS, Williams PR, Williams RL. Studies of whole blood coagulation by oscillatory shear, thromboelastography and free oscillation rheometry. Clin Hemorheol Microcirc 2008; 38:267-277. [PMID: 18334781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
We report studies of the coagulation of samples of whole human blood by oscillatory shear techniques, including Fourier Transform Mechanical Spectroscopy (FTMS). These techniques are used herein to identify the Gel Point of coagulating blood in terms of the Chambon-Winter Gel Point criterion which provides a rheometrical basis for detecting the establishment of an incipient clot. A comparison of the results of FTMS with those obtained from measurements involving a Thromboelastograph (TEG) and a Free Oscillation Rheometer (FOR) indicate that the latter techniques are not capable of detecting the incipient clot, whose establishment occurs several minutes prior to TEG or FOR-based assessments of clot formation time. The results of the present study suggest that FTMS is a useful tool in blood clotting research, being capable of providing a global coagulation profile in addition to detecting the instant of incipient clot formation.
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Affiliation(s)
- P A Evans
- Centre for Complex Fluids Processing, School of Engineering, University of Wales Swansea, Singleton Park, Swansea, SA2 8PP, UK
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Evans PA, Hawkins K, Lawrence M, Williams RL, Barrow MS, Thirumalai N, Williams PR. Rheometry and associated techniques for blood coagulation studies. Med Eng Phys 2007; 30:671-9. [PMID: 17900965 DOI: 10.1016/j.medengphy.2007.08.005] [Citation(s) in RCA: 57] [Impact Index Per Article: 3.4] [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: 03/01/2007] [Revised: 08/13/2007] [Accepted: 08/14/2007] [Indexed: 10/22/2022]
Abstract
This review considers various rheometrical approaches that have been adopted to study blood coagulation, with special reference to the rheological assessment of clotting time and studies of the evolution of viscoelasticity during the course of fibrin polymerization and cross-linking. The significance of the Gel Point in blood coagulation studies is discussed as a common feature of many of these studies in that they attempt to detect a liquid-to-solid transition during coagulation. Coagulation studies based on various forms of complex shear modulus measurements are considered, the latter being based principally on controlled stress and controlled strain rheometers. Also considered are the long established technique of thromboelastography and several emerging techniques such as wave propagation measurements, free oscillation rheometry, quartz crystal microbalance measurements and surface plasmon resonance.
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Affiliation(s)
- P A Evans
- Division of Clinical Haemorheology, Swansea NHS Trust Hospital, Morriston, and Centre for Complex Fluids Processing, School of Engineering, Swansea University, Swansea, UK
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O'Rourke SF, Sauvage A, Evans PA. Paroxysmal supraventricular tachycardia: improving diagnosis and management within the accident and emergency department. Emerg Med J 2004; 21:495-7. [PMID: 15208240 PMCID: PMC1726368 DOI: 10.1136/emj.2003.012054] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Accident and emergency (A&E) senior house offices (SHOs) have difficulties in interpreting the electrocardiogram (ECG) in narrow complex tachycardia. Correct ECG interpretation is fundamental to patient management in paroxysmal supraventricular tachycardia. This study aimed to assess the ability of A&E SHOs to interpret the ECG in this setting. Correct diagnosis in 63% of cases improved to 86% with the introduction of a standard protocol sheet. Ensuring that SHOs follow agreed guidelines in rhythm recognition and management of PSVT improves patient care.
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Affiliation(s)
- S F O'Rourke
- Accident and Emergency Department, Tralee General Hospital, Tralee, Co Kerry, Republic of Ireland.
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Evans PA, Heptinstall S, Crowhurst EC, Davies T, Glenn JR, Madira W, Davidson SJ, Burman JF, Hoskinson J, Stray CM. Prospective double-blind randomized study of the effects of four intravenous fluids on platelet function and hemostasis in elective hip surgery. J Thromb Haemost 2003; 1:2140-8. [PMID: 14521596 DOI: 10.1046/j.1538-7836.2003.00411.x] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
A prospective randomized double-blind study was performed to determine the effects of three colloids, Haemaccel, Gelofusine and albumin, and also saline on platelet activation, platelet aggregation (induced by adenosine diphosphate (ADP), epinephrine, collagen) platelet agglutination by ristocetin and other hemostatic variables in 55 patients undergoing primary unilateral total hip replacement. The fluids were administered according to normal clinical practice and assessments were made immediately before, at the end, and 2 h after the end of surgery. Surgery was accompanied by thrombin generation (increases in thrombin/antithrombin III complex, prothrombin F1 +2 fragment) platelet activation (betaTG) and compromised coagulation. Generally, the platelet activation appeared to result in platelet desensitization and brought about a persistent reduction in platelet aggregation to ADP and epinephrine, irrespective of the fluid used. Additionally, Haemaccel and Gelofusine inhibited ristocetin-induced platelet agglutination and albumin inhibited collagen-induced platelet aggregation. Gross inhibitory effects of Haemaccel that had been predicted from an earlier in vitro study did not occur. Particular fluids had selective additional effects on the hemostatic system. Albumin infusion served to maintain plasma albumin at normal concentrations postsurgery. The two gelatin preparations, Haemaccel and Gelofusine, maintained plasma viscosity. All three colloids led to a transient increase in activated partial thromboplastin time postsurgery and also a transient fall in the concentration of factor VIII, which were accompanied by a transient increase in bleeding time, but there was no measurable increase in blood loss. Inhibition of platelet aggregation by certain colloids may provide additional protection against the increased thrombotic risk in patients following major surgery.
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Affiliation(s)
- P A Evans
- Accident and Emergency Department, Morriston Hospital, Swansea, UK
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Evans PA, Crowhurst EC, Glenn JA, Davies T, Heptinstall S. Can the effects of clinical reperfusion fluids on platelet aggregation in vitro predict the effects of administration of such fluids in a clinical study ex vivo? Platelets 2003; 14:253-7. [PMID: 12850835 DOI: 10.1080/0953710031000118867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Reperfusion fluids are administered routinely during surgical operations and following trauma. Studies performed wholly in vitro have indicated effects of some fluids on haemostasis through inhibition of platelet aggregation. Recently we performed a study to further evaluate the effects of reperfusion studies in vitro and also a study in a clinical setting to determine the extent to which the results of in vitro experiments can be extrapolated to the clinical situation. The results indicate that a combination of homeostatic and trauma response mechanisms complicate the ability to extrapolate from the findings in vitro.
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Affiliation(s)
- P A Evans
- Accident and Emergency Department, Morriston Hospital, Swansea SA6 6NL, UK
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Abstract
Epididymitis is a common presentation of acute testicular pain seen in the emergency department, the differential diagnosis being testicular torsion. The vast majority of young men with epididymitis have an infective aetiology and this settle with antibiotic treatment. The clinical course of a patient who presented with testicular pain is described. At ultrasonography, the patient was found to have the uncommon condition of testicular microlithiasis, a condition that has been linked to malignant disease. Emergency doctors should be aware of the potential consequences of returning scrotal pain consistent with epididymitis to the community on antibiotic treatment alone. All patients with probable epididymitis should have either a scrotal ultrasound or specialist follow up.
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Affiliation(s)
- S Venketraman
- Department of Accident and Emergency Medicine, The Leicester Royal Infirmary, Leicester, UK.
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McInerney JJ, Breakell A, Madira W, Davies TG, Evans PA. Accidental hypothermia and active rewarming: the metabolic and inflammatory changes observed above and below 32 degrees C. Emerg Med J 2002; 19:219-23. [PMID: 11971831 PMCID: PMC1725881 DOI: 10.1136/emj.19.3.219] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVES In accidental hypothermia the underlying physiological mechanisms responsible for poor outcome during rewarming through 32 degrees C remain obscure, although possible associations include changes in acid-base balance, divalent cations, and inflammatory markers. This study investigated the metabolic and inflammatory changes that occur during the rewarming of hypothermic patients. METHODS Eight patients, four men and four women, age 45 to 85 years, admitted with core temperatures <35 degrees C were included in the study. Patients were rewarmed with dry warm blankets and fluid replaced by crystalloid at 40 degrees C. Bloods for pH, ionised calcium (Ca(2+)) and magnesium (Mg(2+)), parathyroid hormone (PTH), interleukin 1 (IL1), interleukin 6 (IL6), tissue necrosis factor alpha (TNFalpha), were collected at presentation, during rewarming, and at 24 hours. RESULTS Four patients were admitted with mild (32 degrees -35 degrees C) and four with moderate (28 degrees -32 degrees C) hypothermia. Rewarming to 32 degrees C had no significant effect on the presenting acidosis (p=0.1740), although above 32 degrees C pH increased with temperature (p<0.0001). There was a negative correlation between pH and both Ca(2+) (p=0.0005) and Mg(2+) (p=0.0488) below 32 degrees C; above this temperature the relation was significant only for Ca(2+) (p=0.0494). PTH and Ca(2+) correlated positively (p=0.0041) and negatively (p=0.0039) below and above 32 degrees C respectively. There was no relation between IL1 or TNFalpha with Ca(2+) during rewarming, but IL6 and Ca(2+) correlated positively (p=0.0039) and negatively (p=0.0018) when presentation temperature was below and above 32 degrees C respectively. CONCLUSIONS During rewarming pH remains unchanged until patient temperature approaches 32 degrees C. Ca(2+) and Mg(2+) decline is associated with the pH increase above 32 degrees C. Poor outcome is associated with presentation temperature (<32 degrees C), non-physiological correlation between IL6-PTH-Ca(2+), and age (>or=84 years).
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Affiliation(s)
- J J McInerney
- Accident and Emergency Department, The Leicester Royal Infirmary, Leicester, UK
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Simpson JG, Furnace J, Crosby J, Cumming AD, Evans PA, Friedman Ben David M, Harden RM, Lloyd D, McKenzie H, McLachlan JC, McPhate GF, Percy-Robb IW, MacPherson SG. The Scottish doctor--learning outcomes for the medical undergraduate in Scotland: a foundation for competent and reflective practitioners. Med Teach 2002; 24:136-43. [PMID: 12098432 DOI: 10.1080/01421590220120713] [Citation(s) in RCA: 161] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
This paper describes a set of learning outcomes that clearly define the abilities of medical graduates from any of the five Scottish medical schools. The outcomes are divided into 12 domains that fit into one of three essential elements for the competent and reflective medical practitioner.
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Affiliation(s)
- J G Simpson
- The Scottish Deans' Medical Curriculum Group.
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Evans PA. Trauma: practical application of recent advances: British Medical Bulletin vol 55, no 4. Edited by David W Yates. (Pp 947; pound34.95). Royal Society of Medicine Press, 1999. ISBN 1-85315-440-7. Arch Emerg Med 2002. [DOI: 10.1136/emj.19.1.93-b] [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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Chillala S, Pasi K, Evans P. Crit Care 2002; 6:P127. [DOI: 10.1186/cc1582] [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: 11/10/2022] Open
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Abstract
Previous peptide dissection and kinetic experiments have indicated that in vitro folding of ubiquitin may proceed via transient species in which native-like structure has been acquired in the first 45 residues. A peptide fragment, UQ(1-51), encompassing residues 1 to 51 of ubiquitin was produced in order to test whether this portion has propensity for independent self-assembly. Surprisingly, the construct formed a folded symmetrical dimer that was stabilised by 0.8 M sodium sulphate at 298 K (the S state). The solution structure of the UQ(1-51) dimer was determined by multinuclear NMR spectroscopy. Each subunit of UQ(1-51) consists of an N-terminal beta-hairpin followed by an alpha-helix and a final beta-strand, with orientations similar to intact ubiquitin. The dimer is formed by the third beta-strand of one subunit interleaving between the hairpin and third strand of the other to give a six-stranded beta-sheet, with the two alpha-helices sitting on top. The helix-helix and strand portions of the dimer interface also mimic related features in the structure of ubiquitin. The structural specificity of the UQ(1-51) peptide is tuneable: as the concentration of sodium sulphate is decreased, near-native alternative conformations are populated in slow chemical exchange. Magnetization transfer experiments were performed to characterize the various species present in 0.35 M sodium sulphate, namely the S state and two minor forms. Chemical shift differences suggest that one minor form is very similar to the S state, while the other experiences a significant conformational change in the third strand. A segmental rearrangement of the third strand in one subunit of the S state would render the dimer asymmetric, accounting for most of our results. Similar small-scale transitions in proteins are often invoked to explain solvent exchange at backbone amide proton sites that have an intermediate level of protection.
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Affiliation(s)
- D Bolton
- Cambridge Centre for Molecular Recognition Department of Biochemistry, University of Cambridge, 80 Tennis Court Road, Cambridge, CB2 1GA, UK.
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Evans PA, Raina S, Ahsan K. Intramolecular addition of acyl radicals to alpha-substituted vinylogous carbonates: demonstrating the effect of ring size on acyclic stereocontrol. Chem Commun (Camb) 2001:2504-5. [PMID: 12240036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/26/2023]
Abstract
The level of stereocontrol obtained in the reduction of the free radical derived from the intramolecular addition of an acyl radical to an alpha-branched vinylogous carbonate is dependent upon the ring-size of the cyclic ether.
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Affiliation(s)
- P A Evans
- Department of Chemistry, Indiana University, Bloomington, IN 47405, USA.
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Abstract
[reaction: see text]. The regioselective and enantiospecific rhodium-catalyzed allylic amination of secondary allylic carbonates 1 with N-(arylsulfonyl)anilines provides a convenient process for the construction of arylamines 2. This method, in conjunction with ring-closing metathesis and radical cyclization reactions, allows the direct construction of biologically relevant pharmacophores as exemplified by the construction of dihydroquinoline and dihydrobenzo[b]indoline derivatives.
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Affiliation(s)
- P A Evans
- Department of Chemistry, Indiana University, Bloomington, Indiana 47405, USA.
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Chen PY, Gopalacushina BG, Yang CC, Chan SI, Evans PA. The role of a beta-bulge in the folding of the beta-hairpin structure in ubiquitin. Protein Sci 2001; 10:2063-74. [PMID: 11567097 PMCID: PMC2374220 DOI: 10.1110/ps.07101] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2001] [Revised: 07/06/2001] [Accepted: 07/12/2001] [Indexed: 10/16/2022]
Abstract
It is known that the peptide corresponding to the N-terminal beta-hairpin of ubiquitin, U(1-17), can populate the monomeric beta-hairpin conformation in aqueous solution. In this study, we show that the Gly-10 that forms the bulge of the beta-turn in this hairpin is very important to the stability of the hairpin. The deletion of this residue to desG10(1-16) unfolds the structure of the peptide in water. Even under denaturing conditions, this bulge appears to be important in maintaining the residual structure of ubiquitin, which involves tertiary interactions within the sequence 1 to 34 in the denatured state. We surmise that this residual structure functions as one of the nucleation centers in the folding process and is important in stabilizing the transition state. In accordance with this idea, deleting Gly-10 slows down the refolding and unfolding rate by about one half.
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Affiliation(s)
- P Y Chen
- Cambridge Center for Molecular Recognition and Department of Biochemistry, University of Cambridge, Cambridge CB2 1QW, UK
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Abstract
A case of subdural haematoma associated with an intracranial arachnoid cyst is reported. The pathogenesis, clinical presentation and treatment options of intracranial arachnoid cysts is discussed.
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Affiliation(s)
- S Chillala
- Accident and Emergency Department, Leicester Royal Infirmary, Infirmary Square, Leicester LE1 5WW, UK.
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Rawstron AC, Kennedy B, Evans PA, Davies FE, Richards SJ, Haynes AP, Russell NH, Hale G, Morgan GJ, Jack AS, Hillmen P. Quantitation of minimal disease levels in chronic lymphocytic leukemia using a sensitive flow cytometric assay improves the prediction of outcome and can be used to optimize therapy. Blood 2001; 98:29-35. [PMID: 11418459 DOI: 10.1182/blood.v98.1.29] [Citation(s) in RCA: 211] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Previous studies have suggested that the level of residual disease at the end of therapy predicts outcome in chronic lymphocytic leukemia (CLL). However, available methods for detecting CLL cells are either insensitive or not routinely applicable. A flow cytometric assay was developed that can differentiate CLL cells from normal B cells on the basis of their CD19/CD5/CD20/CD79b expression. The assay is rapid and can detect one CLL cell in 10(4) to 10(5) leukocytes in all patients. We have compared this assay to conventional assessment in 104 patients treated with CAMPATH-1H and/or autologous transplant. During CAMPATH-1H therapy, circulating CLL cells were rapidly depleted in responding patients, but remained detectable in nonresponders. Patients with more than 0.01 x 10(9)/L circulating CLL cells always had significant (> 5%) marrow disease, and blood monitoring could be used to time marrow assessments. In 25 out of 104 patients achieving complete remission by National Cancer Institute (NCI) criteria, the detection of residual bone marrow disease at more than 0.05% of leukocytes in 6 out of 25 patients predicted significantly poorer event-free (P =.0001) and overall survival (P =.007). CLL cells are detectable at a median of 15.8 months (range, 5.5-41.8) posttreatment in 9 out of 18 evaluable patients with less than 0.05% CLL cells at end of treatment. All patients with detectable disease have progressively increasing disease levels on follow-up. The use of sensitive techniques, such as the flow assay described here, allow accurate quantitation of disease levels and provide an accurate method for guiding therapy and predicting outcome. These results suggest that the eradication of detectable disease may lead to improved survival and should be tested in future studies.
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MESH Headings
- Adult
- Aged
- Alemtuzumab
- Antibodies
- Antibodies, Monoclonal/pharmacology
- Antibodies, Monoclonal/therapeutic use
- Antibodies, Monoclonal, Humanized
- Antibodies, Neoplasm/pharmacology
- Antibodies, Neoplasm/therapeutic use
- Antineoplastic Agents/pharmacology
- Antineoplastic Agents/therapeutic use
- B-Lymphocytes/immunology
- Blood Cells/pathology
- Bone Marrow/pathology
- Female
- Flow Cytometry
- Hematopoietic Stem Cell Transplantation
- Humans
- Immunophenotyping
- Leukemia, Lymphocytic, Chronic, B-Cell/diagnosis
- Leukemia, Lymphocytic, Chronic, B-Cell/therapy
- Male
- Middle Aged
- Neoplasm, Residual/diagnosis
- Prognosis
- Sensitivity and Specificity
- Treatment Outcome
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Affiliation(s)
- A C Rawstron
- Haematological Malignancy Diagnostic Service, Leeds General Infirmary, Leeds, United Kingdom.
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Evans PA, Wareham HT. Exact algorithms for computing pairwise alignments and 3-medians from structure-annotated sequences (extended abstract). Pac Symp Biocomput 2001:559-70. [PMID: 11262973 DOI: 10.1142/9789814447362_0054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Given the problem of mutation saturation in ancient molecular sequences, there is great interest in inferring phylogenies from higher-order types of molecular data that change more slowly, such as genomic organization and the secondary and tertiary structures of ribosomal RNA and proteins. In this paper, we define edit distances based on two representations of RNA secondary structure, arc annotation and hierarchical string annotation, and give algorithms for computing these distances on pairs of annotated sequences, aligning pairs of annotated sequences, and computing 3-median annotated sequences from triples of annotated sequences. The 3-median algorithms can be used as part of a well-known iterative heuristic for inferring phylogenies. All given algorithms are adapted from algorithms for computing longest common annotated subsequences of pairs of annotated sequences.
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Affiliation(s)
- P A Evans
- Faculty of Computer Science, University of New Brunswick, P.O. Box 4400, Fredericton, NB, E3B 5A3, Canada
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Abstract
A performance assessment was made of the Gulmay D3300 kilovoltage (combined superficial and orthovoltage) X-ray therapy unit. Results are presented for the key dosimetric beam parameters required for routine patient treatment. This unit is relatively new to the UK market and displayed similar properties to other existing equipment. Beam half-value layers were different from comparable published data, but were consistent with the actual values of external tube filtration employed. The applicator, system interlocks and dose monitor performance were satisfactory and the tube leakage was below the UK recommended maximum (air kerma rate 300 mGy h(-1) at 5 cm from the tube head). The variation of absorbed dose with stand-off distance from the applicator base followed the inverse-square law for all tested combinations of beam tube potential (kVp) and applicator, and the measured focus-to-surface distances were in acceptable agreement with the nominal values. A significant beam profile asymmetry was seen for field sizes greater than 10 cm at the upper tube potential (kVp) range (maximum ionization quotient 1.08), but this was an inherent property of the X-ray tube. The difficulties of obtaining percentage depth dose measurements are discussed, and it was concluded that the use of published data (appropriately verified) was acceptable. The methodology followed could form the basis of an acceptance and commissioning protocol. To address the relative lack of agreed standards for this type of equipment, performance test tolerances are proposed that are recommended for new installations.
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Affiliation(s)
- P A Evans
- Medical Physics Directorate, North Staffordshire Hospital, Royal Infirmary, Princes Road, Hartshill, Stoke-on-Trent, Staffordshire ST4 7LN, UK
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