10 results on '"Paul Wennberg"'
Search Results
2. Paraspinal muscle claudication after fenestrated-branched endovascular aortic repair of thoracoabdominal aortic aneurysms
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Aleem K. Mirza, MS, Emanuel R. Tenorio, MD, PhD, Jussi M. Karkkainen, MD, PhD, Paul Wennberg, MD, Thanila A. Macedo, MD, and Gustavo S. Oderich, MD
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Fenestrated-branched endovascular aortic repair (F-BEVAR) ,Thoracoabdominal aortic aneurysm (TAAA) ,Spinal cord ischemia (SCI) ,Paraspinal muscles ,Paraspinal claudication ,Transcutaneous oxygen pressure (TcPO2) ,Surgery ,RD1-811 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Fenestrated-branched endovascular repair of thoracoabdominal aneurysms carries a risk of spinal cord ischemia owing to extensive coverage of intercostal arteries, but other consequences of decreased flow to the paraspinal muscles have not been delineated. We describe a 54-year-old woman treated by multibranched thoracoabdominal aneurysm repair who developed severe disabling exertional thoracic and lumbar back pain after the operation. Despite physical therapy, the patient remains with disabling symptoms at 2 years of follow-up. Transcutaneous oxygen pressures confirmed exercise-induced decrease in oxygen pressure, consistent with decreased muscle perfusion. We propose the term paraspinal muscle claudication to describe these symptoms.
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- 2020
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3. Discordant Values in Lower Extremity Physiologic Studies Predict Increased Cardiovascular Risk
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Christine Firth, Andrew S. Tseng, Mina Abdelmalek, Marlene Girardo, Danish Atwal, Leslie Cooper, Robert McBane, Amy Pollak, David Liedl, Paul Wennberg, and Fadi Elias Shamoun
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ankle‐brachial index ,peripheral artery disease ,cardiovascular disease risk factors ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Background Ankle‐brachial indexes (ABI) are a noninvasive diagnostic tool for peripheral arterial disease and a marker of increased cardiovascular risk. ABI is calculated using the highest systolic blood pressure of the 4 ankle arteries (bilateral dorsalis pedis and posterior tibial). Accordingly, patients may be assigned a normal ABI when the result would be abnormal if calculated using one of the other blood pressure readings. Cardiovascular outcomes for patients with discordant ABIs are undescribed. Methods and Results We performed a retrospective study of patients who underwent ABI measurement for any indication between January 1996 and June 2018. Those with normal ABIs (1.00–1.39) were included. We compared patients with all 4 normal ABIs (calculated using all 4 ankle arteries; n=15 577, median age 64.0 years, 54.4% men) to those with discordant ABIs (at least 1 abnormal ABI ≤0.99; n=2095, median age 66.0 years, 47.8% men). The outcomes assessed were ischemic stroke, myocardial infarction, and all‐cause mortality. Compared with patients with concordant normal ABIs, patients with discordant ABIs were older; women; smoked; and had chronic kidney disease, coronary artery disease, diabetes mellitus, chronic obstructive pulmonary disease, hypertension, or prior stroke. Patients with discordant ABIs had a greater risk of myocardial infarction (hazard ratio [HR], 1.31; 95% CI, 1.10–1.56), ischemic stroke (HR, 1.53; 95% CI, 1.37–1.72), and all‐cause mortality (HR, 1.27; 95% CI, 1.16–1.39), including after adjustment for baseline comorbidities. Conclusions Discordant ABI results were associated with an increased risk of myocardial infarction, stroke, and all‐cause mortality in the studied population. Clinicians should examine ABI calculations using all 4 ankle arteries to better characterize a patient's cardiovascular risk.
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- 2020
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4. Observation-based modeling of ozone chemistry in the Seoul metropolitan area during the Korea-United States Air Quality Study (KORUS-AQ)
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Jason R. Schroeder, James H. Crawford, Joon-Young Ahn, Limseok Chang, Alan Fried, James Walega, Andrew Weinheimer, Denise D. Montzka, Samuel R. Hall, Kirk Ullmann, Armin Wisthaler, Tomas Mikoviny, Gao Chen, Donald R. Blake, Nicola J. Blake, Stacey C. Hughes, Simone Meinardi, Glenn Diskin, Joshua P. Digangi, Yonghoon Choi, Sally E. Pusede, Greg L. Huey, David J. Tanner, Michelle Kim, and Paul Wennberg
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ozone ,air quality ,photochemistry ,korea ,seoul ,Environmental sciences ,GE1-350 - Abstract
The Seoul Metropolitan Area (SMA) has a population of 24 million and frequently experiences unhealthy levels of ozone (O3). In this work, measurements taken during the Korea-United States Air Quality Study (KORUS-AQ, 2016) are used to explore regional gradients in O3 and its chemical precursors, and an observationally-constrained 0-D photochemical box model is used to quantify key aspects of O3 production including its sensitivity to precursor gases. Box model performance was evaluated by comparing modeled concentrations of select secondary species to airborne measurements. These comparisons indicate that the steady state assumption used in 0-D box models cannot describe select intermediate species, highlighting the importance of having a broad suite of trace gases as model constraints. When fully constrained, aggregated statistics of modeled O production rates agreed with observed changes in O3, indicating that the box model was able to represent the majority of O3 chemistry. Comparison of airborne observations between urban Seoul and a downwind receptor site reveal a positive gradient in O3 coinciding with a negative gradient in NOx, no gradient in CH2O, and a slight positive gradient in modeled rates of O3 production. Together, these observations indicate a radical-limited (VOC-limited) O3 production environment in the SMA. Zero-out simulations identified C7+ aromatics as the dominant VOC contributors to O3 production, with isoprene and anthropogenic alkenes making smaller but appreciable contributions. Simulations of model sensitivity to decreases in NOx produced results that were not spatially uniform, with large increases in O3 production predicted for urban Seoul and decreases in O3 production predicted for far-outlying areas. The policy implications of this work are clear: Effective O3 mitigation strategies in the SMA must focus on reducing local emissions of C7+ aromatics, while reductions in NOx emissions may increase O3 in some areas but generally decrease the regional extent of O3 exposure.
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- 2020
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5. Characteristics of interannual variability in space-based XCO2 global observations
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Yifan Guan, Gretchen Keppel-Aleks, Scott C. Doney, Christof Petri, Dave Pollard, Debra Wunch, Frank Hase, Hirofumi Ohyama, Isamu Morino, Justus Notholt, Kei Shiomi, Kim Strong, Rigel Kivi, Matthias Buschmann, Nicholas Deutscher, Paul Wennberg, Ralf Sussmann, Voltaire A. Velazco, and Yao Té
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Atmospheric Science ,Earth sciences ,ddc:550 - Abstract
Atmospheric carbon dioxide (CO2) accounts for the largest radiative forcing among anthropogenic greenhouse gases. There is, therefore, a pressing need to understand the rate at which CO2 accumulates in the atmosphere, including the interannual variations (IAVs) in this rate. IAV in the CO2 growth rate is a small signal relative to the long-term trend and the mean annual cycle of atmospheric CO2, and IAV is tied to climatic variations that may provide insights into long-term carbon–climate feedbacks. Observations from the Orbiting Carbon Observatory-2 (OCO-2) mission offer a new opportunity to refine our understanding of atmospheric CO2 IAV since the satellite can measure over remote terrestrial regions and the open ocean, where traditional in situ CO2 monitoring is difficult, providing better spatial coverage compared to ground-based monitoring techniques. In this study, we analyze the IAV of column-averaged dry-air CO2 mole fraction (XCO2) from OCO-2 between September 2014 and June 2021. The amplitude of the IAV, which is calculated as the standard deviation of the time series, is up to 1.2 ppm over the continents and around 0.4 ppm over the open ocean. Across all latitudes, the OCO-2-detected XCO2 IAV shows a clear relationship with El Niño–Southern Oscillation (ENSO)-driven variations that originate in the tropics and are transported poleward. Similar, but smoother, zonal patterns of OCO-2 XCO2 IAV time series compared to ground-based in situ observations and with column observations from the Total Carbon Column Observing Network (TCCON) and the Greenhouse Gases Observing Satellite (GOSAT) show that OCO-2 observations can be used reliably to estimate IAV. Furthermore, the extensive spatial coverage of the OCO-2 satellite data leads to smoother IAV time series than those from other datasets, suggesting that OCO-2 provides new capabilities for revealing small IAV signals despite sources of noise and error that are inherent to remote-sensing datasets.
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- 2023
6. Using portable low-resolution spectrometers to evaluate Total Carbon Column Observing Network (TCCON) biases in North America
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Nasrin Mostafavi Pak, Jacob K. Hedelius, Sébastien Roche, Liz Cunningham, Bianca Baier, Colm Sweeney, Coleen Roehl, Joshua Laughner, Geoffrey Toon, Paul Wennberg, Harrison Parker, Colin Arrowsmith, Joseph Mendonca, Pierre Fogal, Tyler Wizenberg, Beatriz Herrera, Kimberly Strong, Kaley A. Walker, Felix Vogel, and Debra Wunch
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Atmospheric Science - Abstract
EM27/SUN devices are portable solar-viewing Fourier transform spectrometers (FTSs) that are being widely used to constrain measurements of greenhouse gas emissions and validate satellite trace gas measurements. On a 6-week-long campaign in the summer of 2018, four EM27/SUN devices were taken to five Total Carbon Column Observing Network (TCCON) stations in North America, to measure side by side, to better understand their durability, the accuracy and precision of retrievals from their trace gas measurements, and to constrain site-to-site bias among TCCON sites. We developed new EM27/SUN data products using both previous and current versions of the retrieval algorithm (GGG2014 and GGG2020) and used coincident AirCore measurements to tie the gas retrievals to the World Meteorological Organization (WMO) trace gas standard scales. We also derived air-mass-dependent correction factors for the EM27/SUN devices. Pairs of column-averaged dry-air mole fractions (denoted with an X) measured by the EM27/SUN devices remained consistent compared to each other during the entire campaign, with a 10 min averaged precision of 0.3 ppm (parts per million) for XCO2, 1.7 ppb (parts per billion) for XCH4, and 2.5 ppb for XCO. The maximum biases between TCCON stations were reduced in GGG2020 relative to GGG2014 from 1.3 to 0.5 ppm for XCO2 and from 5.4 to 4.3 ppb for XCH4 but increased for XCO from 2.2 to 6.1 ppb. The increased XCO biases in GGG2020 are driven by measurements at sites influenced by urban emissions (Caltech and the Armstrong Flight Research Center) where the priors overestimate surface CO. In addition, in 2020, one EM27/SUN instrument was sent to the Canadian Arctic TCCON station at Eureka, and side-by-side measurements were performed in March–July. In contrast to the other TCCON stations that showed an improvement in the biases with the newer version of GGG, the biases between Eureka's TCCON measurements and those from the EM27/SUN degraded with GGG2020, but this degradation was found to be caused by a temperature dependence in the EM27/SUN oxygen retrievals that is not apparent in the GGG2014 retrievals.
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- 2023
7. Reduced calf pump function and proximal deep vein incompetence are predictors for ipsilateral deep vein thrombosis
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Damon E Houghton, Aneel Ashrani, David Liedl, Ramila A Mehta, David O Hodge, Thom Rooke, Paul Wennberg, Waldemar Wysokinski, and Robert McBane
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Cardiology and Cardiovascular Medicine - Published
- 2022
8. Secondary organic aerosol (SOA) formation from reaction of isoprene with nitrate radicals (NO_3)
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Ng, N. L., Kwan, A. J., Surratt, J. D., Chan, A. W. H., Chhabra, P. S., Sorooshian, A., Pye, H. O. T., Crounse, J. D., Paul Wennberg, Flagan, R. C., and Seinfeld, J. H.
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lcsh:Chemistry ,lcsh:QD1-999 ,lcsh:Physics ,lcsh:QC1-999 ,Caltech Library Services - Abstract
Secondary organic aerosol (SOA) formation from the reaction of isoprene with nitrate radicals (NO3) is investigated in the Caltech indoor chambers. Experiments are performed in the dark and under dry conditions (RH<10%) using N2O5 as a source of NO3 radicals. For an initial isoprene concentration of 18.4 to 101.6 ppb, the SOA yield (defined as the ratio of the mass of organic aerosol formed to the mass of parent hydrocarbon reacted) ranges from 4.3% to 23.8%. By examining the time evolutions of gas-phase intermediate products and aerosol volume in real time, we are able to constrain the chemistry that leads to the formation of low-volatility products. Although the formation of ROOR from the reaction of two peroxy radicals (RO2) has generally been considered as a minor channel, based on the gas-phase and aerosol-phase data it appears that RO2+RO2 reaction (self reaction or cross-reaction) in the gas phase yielding ROOR products is a dominant SOA formation pathway. A wide array of organic nitrates and peroxides are identified in the aerosol formed and mechanisms for SOA formation are proposed. Using a uniform SOA yield of 10% (corresponding to Mo≅10 μg m−3), it is estimated that ~2 to 3 Tg yr−1 of SOA results from isoprene+NO3. The extent to which the results from this study can be applied to conditions in the atmosphere depends on the fate of peroxy radicals in the nighttime troposphere.
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- 2008
9. Near-UV photolysis cross sections of CH3OOH and HOCH 2OOH determined via action spectroscopy
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Roehl, C. M., Marka, Z., Fry, J. L., and Paul Wennberg
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Life Science ,Caltech Library Services - Abstract
Knowledge of molecular photolysis cross sections is important for determining atmospheric lifetimes and fates of many species. A method and laser apparatus for measurement of these cross sections in the near-ultraviolet (UV) region is described. The technique is based on action spectroscopy, where the yield of a photodissociation product (in this case OH) is measured as a function of excitation energy. For compounds yielding OH, this method can be used to measure near-UV photodissociation cross section as low as 10^−23 cm^2 molecule−1. The method is applied to determine the photodissociation cross sections for methyl hydroperoxide (CH3OOH; MHP) and hydroxymethyl hydroperoxide (HOCH2OOH; HMHP) in the 305–365 nm wavelength range. The measured cross sections are in good agreement with previous measurements of absorption cross sections.
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- 2007
10. Chronic Venous Insufficiency: Diagnosis and Treatment
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Paul Wennberg
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medicine.medical_specialty ,Chronic venous insufficiency ,business.industry ,Internal medicine ,medicine ,Cardiology ,General Medicine ,medicine.disease ,business - Published
- 2000
- Full Text
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