Author: "Puri A" / Topic: medicine - Searchworks@Jio Institute Digital Library Search Results

8,448 results on '"Puri A"'

1. Perceptions towards Nephrology Specialty: The Good, the Bad and the Ugly.

Author: Prabhavalkar S, Puri A, and Shivashankar G
Subjects: Humans, Surveys and Questionnaires, Career Choice, Nephrology education, Physicians, Medicine, Kidney Diseases, Students, Medical
Abstract: Background: There is a decline in the interest in pursuing a career in nephrology globally as well as locally in Northern Ireland. There is also an expansion in the burden of kidney disease worldwide due to a combination of factors like higher detection rates, increase in population size and improved life expectancy. Workforce shortages in nephrology have a direct impact on provision of care for people with kidney disease. Understanding perceptions among doctors towards nephrology is an important factor in acknowledging the barriers in recruitment and advocating evidence based changes to improve current practices., Aim: The aim of this study is to explore both the positive and the negative perceptions among medical students and trainees towards nephrology as a specialty in order to understand the factors that are most influential in either choosing or forgoing a career in nephrology., Methods: Scoping review methodology was used to address the research question through a phenomenological lens. Sixteen articles were included that studied the perceptions towards nephrology mainly through questionnaires and also through direct quotations. Basic numerical analysis and content analysis was completed., Findings: A total of 3745 participants including medical students, trainees and consultants participated in the 16 studies were included in this review at an international level. Most of the studies used survey (questionnaire) as their methodology (n= 10). The seven themes that emerged to describe perceptions towards nephrology were exposure to specialty; complex specialty; mentorship; work-life balance; financial compensation; personal interest; and procedural component. Exposure to specialty was the most influential factor in future career choice decision. The other factors that could improve recruitment in nephrology include innovative and novel teaching methods, good role models, flexible training and working patterns, and adequate financial remuneration., Conclusions: In order to rekindle interest in nephrology we need a multi-pronged approach based on ensuring early exposure to the specialty, good mentorship, holistic clinical experience covering different aspects of the specialty and the opportunity of flexibly moulding one's interests and skills whilst ensuring service provision, and with an emphasis on adequate financial remuneration., Competing Interests: Conflict of Interests: None, (Copyright © 2024 Ulster Medical Society.)
Published: 2024

2. Enhancing Global Biomedical Research: Educational Strategies for Bridging the Gap between HICs and LMICs

Author: Raju Vaishya, Dhananjaya Sharma, Anupam Sibal, Bipin Puri, Muralidharan Manikesi, and Abhishek Vaish
Subjects: research, developing countries, publications, biomedical science, Medicine
Abstract: There is a pressing need to address the noticeable disparity in biomedical research output between High-Income Countries (HICs) and Low-Middle Income Countries (LMICs). This imbalance raises urgent concerns about equity and the impact on global health. Despite being home to most of the global population, LMICs face numerous challenges that hinder their ability to contribute significantly to research. This review explores the factors contributing to the disparities and proposes potential solutions to address this global imbalance. A comprehensive strategy is needed to tackle the differences in biomedical research productivity between high-income and low-middle-income nations. Enhancing global partnerships, ensuring fair allocation of resources, and prioritizing the development of research capabilities are crucial measures in nurturing a more diverse and influential worldwide biomedical research landscape. Closing this divide is essential for advancing scientific inclusivity and tackling the health issues economically disadvantaged countries face.
Published: 2024
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3. A Holistic Accelerated Approach in the Acute Phase for ACL Sprain: A Case Report

Author: Saurabh Puri, Swapnil Ramteke, and Ashish Keoliya
Subjects: anterior cruciate ligament, cognitive behavioural therapy, kinesio taping, sports rehabilitation, Medicine
Abstract: To manage acute Anterior Cruciate Ligament (ACL) sprains, this case report suggests a comprehensive, accelerated method that incorporates cutting-edge diagnostics, personalised rehabilitation, and new approaches like Kinesio Taping. The technique works for rapid return to activities, pain relief, and knee stability rehabilitation. Kinesio Taping offers dynamic support, improves circulation, and lowers oedema. It is recognised for its proprioceptive benefits. The recovery process is maximised by taking a holistic approach that considers lifestyle, psychological, and physical aspects. The case report advances the treatment of ACL injuries by stressing an accelerated, multifaceted approach and the combined advantages of including Kinesio Taping into the regimen. This explores the case of a 28-year-old male Kabaddi player who, after suffering a grade 1 ACL tear, facing persistent pain, swelling, and anxiety. The traditional approach offered limited relief. However, a new, multifaceted treatment plan incorporating physical therapy, Cognitive Behavioural Therapy (CBT), and Kinesio Taping brought remarkable results.
Published: 2024
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4. Current and future therapeutic approaches of CFTR and airway dysbiosis in an era of personalized medicine

Author: Kirti Upadhyay, Nitu Nigam, Surbhi Gupta, Surya Kant Tripathi, Amita Jain, and Bipin Puri
Subjects: airway dysbiosis, cftr therapeutic approaches, personalized medicine, Medicine
Abstract: Cystic fibrosis (CF) is a life-threatening genetic disorder caused by mutations in the CFTR gene. This leads to a defective protein that impairs chloride transport, resulting in thick mucus buildup and chronic inflammation in the airways. The review discusses current and future therapeutic approaches for CFTR dysfunction and airway dysbiosis in the era of personalized medicine. Personalized medicine has revolutionized CF treatment with the advent of CFTR modulator therapies that target specific genetic mutations. These therapies have significantly improved patient outcomes, slowing disease progression, and enhancing quality of life. It also highlights the growing recognition of the airway microbiome’s role in CF pathogenesis and discusses strategies to modulate the microbiome to further improve patient outcomes. This review discusses various therapeutic approaches for cystic fibrosis (CFTR) mutations, including adenovirus gene treatments, nonviral vectors, CRISPR/cas9 methods, RNA replacement, antisense-oligonucleotide-mediated DNA-based therapies, and cell-based therapies. It also introduces airway dysbiosis with CF and how microbes influence the lungs. The review highlights the importance of understanding the cellular and molecular causes of CF and the development of personalized medicine to improve quality of life and health outcomes.
Published: 2024
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5. Co occurrence of Hepatitis B Virus Infection and Autoimmune Hepatitis with Marked Hepatitis B Virus Replication Following Treatment of Autoimmune Hepatitis

Author: Tyagi I, Puri AS, Sakhuja P, Majumdar K, and Jain G
Subjects: Acute on chronic liver failure, Hepatitis B virus, Autoimmune hepatitis, Liver biopsy, Medicine
Abstract: Background: Children have different natural history of Hepatitis B virus (HBV) infection. They commonly develop asymptomatic chronic carrier state which is less frequently seen in adults. We describe a rare case of acute on chronic liver failure (ACLF) in the course of concurrent autoimmune hepatitis (AIH) and HBV infection and replication of HBV following the treatment for autoimmune hepatitis. Case Report: A 15 year old male child presented with jaundice and altered sensorium. Physical examination showed hepatosplenomegaly. The liver function tests were markedly altered. Serology was positive for anti liver kidney microsomal antibody (LKM), hepatitis B surface antigen (HBsAg) and immunoglobulin M (IgM) anti hepatitis B core antigen (HBc Ag). Liver biopsy showed chronic hepatitis with features of acute exacerbation. Patient was started on treatment with azathioprine and prednisolone for AIH following which clinical and biochmemical improvement was noted. After two years of continued treatment a repeat biopsy performed showed fairly reduced histological activity, but marked replication of the HBV (immunohistochemistry for HBsAg and anti HBcAg showed diffuse cytoplasmic and nuclear positivity respectively). These findings suggest viral replication although the patient was clinically stable. At six months follow-up after the second biopsy and cessation of azathioprine and prednisolone, there were raised liver enzymes and viral load, hence the patient was started on antiviral drug Entecavir to which there was good response and the patient is presently doing well. Conclusion: We describethe rare co occurrence of HBV infection and AIH with marked HBV replication following the treatment for AIH
Published: 2015

6. Brief Coping Scale TCS-9: Optimising the Assessment of Coping Strategies. The case of Health Care Workers.

Author: Basant K. Puri, Anastasia Miari, and Maria Theodoratou
Subjects: Medicine, Mental healing, RZ400-408
Abstract: # Background The COVID-19 pandemic has intensified the focus on mental health, particularly on the coping strategies of healthcare workers who have faced unparalleled stress due to their pivotal role in addressing health disparities and determinants of health. Constantly operating in high-risk environments and managing the surge of critically ill patients, these professionals' psychological resilience has been sternly tested, necessitating robust assessment tools. # Aim This study aims to refine the extensive 54-item Toulouse Coping Scale into a more pragmatic and less time-consuming instrument while preserving its statistical integrity, to support the mental well-being of healthcare workers. # Setting The setting for this study was amongst healthcare workers in Greece, during the COVID-19 pandemic, a period marked by significant psychological demands on medical staff. # Methods We conducted an unbiased exploratory factor analysis on the Toulouse Coping Scale's 54 items, drawing from a sample of 144 healthcare workers, adhering to strict methodological criteria. # Results Data completeness was achieved across the sample, which comprised 40 (28%) males and 104 (72%) females, predominantly aged between 31 and 50 years. The final instrument, encapsulating two domains with a total of nine questions, demonstrated strong internal consistency, with an eigenvalue of 3.438 for the first domain and 1.478 for the second, validated by a scree plot. # Conclusion The streamlined TCS-9 scale facilitates a more rapid assessment of coping strategies while reducing redundancy. The two-domain structure ensures that the revised scale retains the original's thoroughness in a more concise form. # Contribution By enabling quicker and more efficient evaluations, the TCS-9 enhances the practicality of assessing coping mechanisms in healthcare settings, thereby contributing to the sustenance of health systems and the promotion of health equity.
Published: 2024
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7. Giant Late-relapse Pulmonary Metastasis of Osteosarcoma

Author: Bhumireddy Vijaya Madhuri, Preetham Patavardhan, Bommisetty Lokesh, Saransh Puri, and Sonal Saran
Subjects: Medicine
Published: 2024
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8. Efficacy and Safety of Omeprazole for the Treatment of Acid Peptic Disorders: A Systematic Review and Meta-Analysis

Author: Mohan Prasad VG, Lynne V. McFarland, Hemant P. Thacker, Rajesh Puri, and Parimal S. Lawate
Subjects: Medicine
Abstract: Background Aim. To compare the efficacy of omeprazole to other proton-pump inhibitors (PPIs) or placebo for the treatment of acid peptic disorders (APDs) using a comprehensive literature search including hard-to-access journals and non-English articles. Methods. PubMed, Google Scholar, and China National Knowledge Infrastructure were searched (from inception to March 2023) for trials comparing omeprazole to other types of PPIs or placebo for the treatment APD. Efficacy was analyzed separately for erosive diseases and nonerosive diseases. Primary outcomes included improvement of APD symptoms and frequency of ulcer or erosion healing. Secondary outcomes included adverse events, cost effectiveness, nocturnal acid breakthrough, and length of stay if hospitalized. Random and fixed-effects models were used to determine estimates of efficacy. Results. Thirty-one eligible trials (N = 10,539 participants) were analyzed, including 12 articles not typically included in previous reviews due to translation or journal access issues. Omeprazole significantly improved heartburn compared to placebo (RR = 2.47, 95% CI: 2.13 and 2.86, and p
Published: 2024
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9. Inequity of healthcare access for patients with diabetic foot disease: a retrospective study in south-east Queensland

Author: Matthew Hope, Gaurav Puri, Satyamurthy Anuradha, Yudish Kumar Soonarane, Gayle Pollard, Brent Knack, Darren Clark, and Sanjeev Naidu
Subjects: Medicine
Abstract: Objectives Logan local government area (LGA) in Queensland has the highest diabetes prevalence (6.5%) within Metro South Health (MSH). The study aimed to determine the burden of, and equity of access to secondary healthcare, for diabetic foot disease (DFD) for Logan residents to better inform healthcare services planning.Design A retrospective analysis of hospital admissions data between January 2018 and December 2021.Setting, participants All episodes of care for DFD provided by MSH hospitals to patients with a residential address in the three LGAs serving the region were included.Primary and secondary outcome measures Primary outcome was number of episodes of care for DFD by LGA of residence and hospital of presentation. Secondary outcomes were DFD-related hospital occupied bed days and number of lower extremity amputations.Results Among residents in the MSH region, almost half of all episodes of care (47%) and bed days (48%) for DFD were for patients residing in Logan LGA. 40% of episodes of care, 57% of bed days and 73% of lower extremity amputations for DFD for these patients occurred outside of Logan LGA. These findings led to the planning of an integrated model of care for DFD at Logan hospital to improve and make care available locally.Conclusions Our study suggests that Logan residents with DFD had poor access to care despite the highest burden. Analysing epidemiology of care for DFD with an equity lens and highlighting gaps in service delivery is paramount to addressing the inequity paradigm.
Published: 2024
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10. Predictors of poor psychological functioning of healthcare workers based in Greece during the COVID-19 pandemic

Author: Basant K. Puri, Anastasia Miari, and Maria Theodoratou
Subjects: Medicine, Mental healing, RZ400-408
Abstract: # Background Poor psychological functioning during the COVID-19 pandemic has been reported in several studies of healthcare workers from around the world. Factors that might predict this have yet to be established. # Objectives First, to ascertain which factors were associated with poor psychological functioning in a cohort of healthcare workers during the COVID-19 pandemic. Second, to characterize key sociodemographic aspects of this cohort. Third, to determine the degree to which any predictors of poor psychological functioning were associated with each other. # Methods A questionnaire-based cross-sectional study was conducted of 144 healthcare workers in Patras, Greece, during the COVID-19 pandemic. The questionnaire consisted of: (1) demographic survey questions; (2) the Psychological Consequences Questionnaire scale; (3) the Kessler Psychological Distress scale; and (4) Toulouse's scale for coping strategies. The data were analyzed using general linear modeling. # Results The statistical model (p \< 10^-10^) indicated that smoking or taking drugs to calm anxiety, feeling ashamed, and being overwhelmed by one's feelings were all predictors of poor psychological functioning. Conversely, income was a protective factor. A *post hoc* network analysis showed that smoking or taking drugs to calm anxiety was relatively strongly associated with feeling ashamed; the latter was also associated with feeling overwhelmed. There was a weak negative association between income and feeling ashamed. # Conclusion This study highlights the critical importance of psychological functioning in shaping the mental well-being of healthcare professionals during pandemics. Prioritizing the mental health of frontline workers is crucial for their well-being and for the overall functioning of healthcare systems.
Published: 2023
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11. Massive sublingual hematoma secondary to anticoagulant therapy complicated by a traumatic denture: a case report

Author: Puri Anchal, Nusrath Muzzammil A, Harinathan Deepak, and Lyall Jamie
Subjects: Medicine
Abstract: Abstract Introduction Sublingual hematoma secondary to excessive anticoagulation is a rare but potentially fatal condition, and few cases have been documented in the literature. Case presentation We report the case of a 73-year-old Caucasian woman who attended our Accident and Emergency department with massive sublingual hematoma causing superior displacement of the tongue. The condition was found to be the result of an elevated international normalized ratio, further complicated by a traumatic mandibular denture. Conclusions In summary, we recommend the immediate reversal of anticoagulation therapy on admission of patients with severe sublingual hematoma. We further advise surgical decompression/drainage if required and to continue meticulous monitoring. In all cases of early recognition of sublingual hematoma, prompt medical treatment and continuous clinical monitoring is essential, and may prevent the need for a surgical airway procedure.
Published: 2012
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12. Two self-sampling strategies for HPV primary cervical cancer screening compared with clinician-collected sampling: an economic evaluation

Author: Emma J Crosbie, Alex Sargent, Katy Turner, Elisabeth J Adams, Susie Huntington, Verena Schneider, and Krishnan Puri Sudhir
Subjects: Medicine
Abstract: Objective To compare the costs and effects of three sampling strategies for human papillomavirus (HPV) primary screening.Design Cost-consequence analysis from a health system perspective using a deterministic decision tree model.Setting England.Participants A cohort of 10 000 women aged 25–65 years eligible for the National Health Service Cervical Screening Programme (NHSCSP).Methods The model was based on the NHSCSP HPV primary screening pathway and adapted for self-sampling. It used a 3-year cycle: routine screening (year 1) and recall screening (years 2/3). Parameter inputs were informed using published studies, NHSCSP reports and input from experts and manufacturers. Costs were from 2020/2021, British pound sterling (£).Interventions Three sampling strategies were implemented: (1) routine clinician-collected cervical sample, (2) self-collected first-void (FV) urine, (3) self-collected vaginal swab. The hypothetical self-sampling strategies involved mailing women a sampling kit.Main outcome measures Primary outcomes: overall costs (for all screening steps to colposcopy), number of complete screens and cost per complete screen. Secondary outcomes: number of women screened, number of women lost to follow-up, cost per colposcopy and total screening costs for a plausible range of uptake scenarios.Results In the base case, the average cost per complete screen was £56.81 for clinician-collected cervical sampling, £38.57 for FV urine self-sampling and £40.37 for vaginal self-sampling. In deterministic sensitivity analysis, the variables most affecting the average cost per screen were the cost of sample collection for clinician-collected sampling and the cost of laboratory HPV testing for the self-sampling strategies. Scaled to consider routine screening in England, if uptake in non-attenders increased by 15% and 50% of current screeners converted to self-sampling, the NHSCSP would save £19.2 million (FV urine) or £16.5 million (vaginal) per year.Conclusion Self-sampling could provide a less costly alternative to clinician-collected sampling for routine HPV primary screening and offers opportunities to expand the reach of cervical screening to under-screened women.
Published: 2023
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13. Study of the client experience and continuation rate of postpartum intrauterine Copper-T device in semi-urban population in India

Author: Swati Agrawal, R Induja, Kanika Chopra, Anuradha Singh, Shilpa Sood, and Manju Puri
Subjects: client experience, continuation rate, counseling, expulsion, intra-cesarean insertion, menstrual irregularity, postpartum intrauterine device, Medicine
Abstract: Background: Postpartum intrauterine copper device (PPIUCD) is a reliable and efficient method of contraception for women. In spite of its ease of administration, its acceptance is very low owing to a number of factors. The current study was undertaken to analyze the continuation rates and problems among women accepting PPIUCD as contraceptive method. Methods: The present study was undertaken in the family planning department of a teaching hospital in New Delhi. It was an ambispective, observational study in which 880 beneficiaries of PPIUCD were telephonically contacted and interviewed. A pro forma containing demographic profile, obstetric history of the women, date and timing of insertion of PPIUCD, source of information about PPIUCD, side effects encountered, willingness to continue, and reasons of discontinuation, if applicable, was filled and the data, collected thus, were analyzed. Results: Most of the women enrolled in the study had a mean age of 26.5 (±4.1) years; the average parity was two. The timing of insertion of PPIUCD was postplacental in majority of women (91.7%). Most of the women received information about PPIUCD from health-care workers (90.1%). It was found that 86.7% of women were using PPIUCD at the time of interview and 73.3% were satisfied with it and willing to continue further. The predominant side effect observed was pain abdomen (15%), followed by menstrual irregularity. Conclusion: The present study revealed a high continuation rate of PPIUCD. Health-care professionals were the foremost source of information for PPIUCD. It is a highly effective method which needs to be popularized among the masses by the active participation of media and other agencies as it has the potential to bridge the gaps in existing family planning services.
Published: 2022
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14. Identifying non-communicable disease multimorbidity patterns and associated factors: a latent class analysis approach

Author: Sanghamitra Pati, Parul Puri, and Shri Kant Singh
Subjects: Medicine
Abstract: Objective In the absence of adequate nationally-representative empirical evidence on multimorbidity, the existing healthcare delivery system is not adequately oriented to cater to the growing needs of the older adult population. Therefore, the present study identifies frequently occurring multimorbidity patterns among older adults in India. Further, the study examines the linkages between the identified patterns and socioeconomic, demographic, lifestyle and anthropometric correlates.Design The present findings rest on a large nationally-representative sample from a cross-sectional study.Setting and participants The study used data on 58 975 older adults (45 years and older) from the Longitudinal Ageing Study in India, 2017–2018.Primary and secondary outcome measures The study incorporated a list of 16 non-communicable diseases to identify commonly occurring patterns using latent class analysis. The study employed multinomial logistic regression models to assess the association between identified disease patterns with unit-level socioeconomic, demographic, lifestyle and anthropometric characteristics.Results The present study demonstrates that older adults in the country can be segmented into six patterns: ‘relatively healthy’, ‘hypertension’, ‘gastrointestinal disorders–hypertension–musculoskeletal disorders’, ‘musculoskeletal disorders–hypertension–asthma’, ‘metabolic disorders’ and ‘complex cardiometabolic disorders’. Additionally, socioeconomic, demographic, lifestyle and anthropometric factors are significantly associated with one or more identified disease patterns.Conclusions The identified classes ‘hypertension’, ‘metabolic disorders’ and ‘complex cardiometabolic disorders’ reflect three stages of cardiometabolic morbidity with hypertension as the first and ‘complex cardiometabolic disorders’ as the last stage of disease progression. This underscores the need for effective prevention strategies for high-risk hypertension group. Also, targeted interventions are essential to reduce the burden on the high-risk population and provide equitable health services at the community level.
Published: 2022
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15. Effects of habitat homogenisation on assemblages associated with mussel clumps.

Author: Puri Veiga, Juan Moreira, Leandro Sampaio, Jesús S Troncoso, and Marcos Rubal
Subjects: Medicine, Science
Abstract: Biodiversity loss is considered one of the main threats to marine ecosystems. In this framework of biodiversity decline, organisms that provide biogenic habitat play a relevant role by their capacity to structure assemblages and influence ecological processes. The Mediterranean mussel Mytilus galloprovincialis is considered an ecosystem engineer because it alters local environmental conditions maintaining habitat suitability for other organisms, and enhancing local biodiversity. Although it is widely recognized that mussel beds increase diversity, the drivers shaping these assemblages are poorly explored. We investigate whether mussel size homogenisation shapes the abundance, richness and structure of macrobenthic assemblages associated with mussel beds in two shores of the Galician coast (NW Spain). At each shore, two sites, 10 m apart, were selected and at each site, faunal assemblages were compared between mussel clumps showing shells of various sizes (control), and mussel clumps with closely similar-sized mussels, considered as homogenised. Homogenised clumps showed, in general, higher values in total number of individuals and species than control clumps. Regarding the effect of mussel size homogenisation on the multivariate structure of the assemblages, significant differences between control and homogenised clumps were found in three out of the four sites. Most relevant associated species usually reached higher abundances in homogenised clumps than control ones. Therefore, mussel size homogenisation influenced the structure of the macrofaunal assemblages associated with mussel beds but, its effect was context dependent (i.e., varied with sites). Information about the species contribution to dissimilarities among homogenised and control clumps was provided and the potential influence of sediment and algae on mussel clumps was discussed.
Published: 2022
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16. Comparison of Interferon-Gamma Release Assay and Tuberculin Skin Test for the Screening of Latent Tuberculosis in Inflammatory Bowel Disease Patients: Indian Scenario

Author: Alok Kumar Mantri, Priti Meena, Amarender Singh Puri, Ajay Kumar, Sanjeev Sachdeva, Siddharth Srivastava, K. Arivarasan, and Shivakumar Varakanahali
Subjects: Medicine
Abstract: Background. In a country like India, where the prevalence of tuberculosis is very high, the role of screening tools for detection of latent tuberculosis infection (LTBI) like TST and IGRA is still unclear, especially in inflammatory bowel disease (IBD) patients. Our study is aimed at comparing the interferon-gamma release assay (IGRA) and tuberculin skin test (TST) to determine the prevalence of LTBI in IBD patients in the Indian subset of the population. Methods. It was a prospective observational analysis. A total of 257 participants were included in the study. Both TST and IGRA were performed in consecutive patients diagnosed with IBD (131 patients) and in 126 healthy individuals. Both tests were performed on the same day. LTBI diagnosis was considered if any one of TST or IGRA was found to be positive. Results. Out of 131 IBD patients, 121 patients had ulcerative colitis and 10 patients had Crohn’s disease. 29% of the IBD patients and 22% of the control subjects had LTBI. The study demonstrated concordance between TST and IGRA. Agreement test kappa value for IBD patients was 0.656 (CI 0.50-0.81), with a p value of
Published: 2021
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17. SARS-CoV-2 IgG Surveillance in Asymptomatic Blood Donors and Health Workers

Author: Tulika Chandra, Devisha Agarwal, D. Himanshu, Mallika Agarwal, and Bipin Puri
Subjects: Medicine
Abstract: Background and Objectives. SARS-CoV-2 virus has caused a global pandemic as declared by the World Health Organisation (WHO) in March 2020. In India, the first case was reported in Kerala on the 30th of January, and since then, many states are active but some are showing flattening. Following the seroprevalence testing in healthy blood donors, we can monitor the spread of the virus among healthy people, thus eventually leading to implementing strategies to reduce the spread. Thus, a need was felt to conduct a study to assess the IgG antibody status in healthcare workers differentiating those who were in COVID-19 and others in non-COVID-19 emergency duties during this pandemic. Materials and Methods. 2085 blood donors were allowed to donate blood only after fulfilling all the criteria laid down by the FDA of India with additional history of excluding COVID-19 suspects. IgG antibody testing was performed by chemiluminescence, and results were noted along with their reactive status. Their reactive status was analyzed with donor information to get an idea of the risk parameters for COVID-19. Medical healthcare workers in whom the study was carried out were 560, out of which 114 had worked in COVID-19 duties and 446 had worked in non-COVID-19 emergencies areas. COVID-19 area duties were further subdivided into triage, holding area, isolation, and COVID-19-related duties. The samples were run on architect i2000 and evaluated for their plasma immunoglobulin G. Results. Amongst the asymptomatic blood donors, 1.9% was found to be COVID-19 IgG antibody positive. It was observed that maximum COVID-19 IgG positivity (57.1%) was seen in the age group 18–29 years followed by 26.2% in the age group 30–39 years. Donors in the age group 40–49 years showed antibody positivity of 16.7%, and no antibody-positive donors were found above 50 years of age. COVID-19 IgG positivity was maximum in replacement donors (61.9%) followed by family donors (28.6%) and least involuntary donors (0.6%) Blood donors who showed high IgG positivity were mainly of labor class. Antibody IgG testing on medical healthcare workers showed 2.3% positivity. The healthcare workers who were posted in COVID-19 duties showed 4.8% positivity in the holding area (waiting area with the treatment of patients till their RT PCR report comes) and 5.7% in other COVID-19 areas related to laboratory work. Healthcare workers doing duties in COVID-19 areas showed 2.7% positivity, while those doing duties in non-COVID-19 emergency areas showed a positivity of 2.2%. Conclusion. Our study shows that the prevalence of detectable antibodies was low in the general population in India and many patients were asymptomatic as seen in the blood donors, especially the labor class. Maximum exposure was present in young healthy males of labor class who remained asymptomatic. The healthcare workers were more exposed to COVID-19 as compared to the general population probably due to lack of precaution and awareness. Those doing non-COVID-19 duties were also exposed appreciably and needed to take all the precautions required for COVID-19 duties.
Published: 2021
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18. Exploration of Wild Edible Plants Used as Food by Gaddis-A Tribal Community of the Western Himalaya

Author: Arti Thakur, Somvir Singh, and Sunil Puri
Subjects: Technology, Medicine, Science
Abstract: A survey of wild edible plants of Gaddi tribes of Himachal Pradesh was carried out in Chamba and Kangra districts of Himachal Pradesh located in Western Himalayas. The inhabitants subsisted primarily on pastoralism and agriculture and have traditional knowledge on wild edible plants. A total of 49 edible plants belonging to 24 families were recorded in the study area. These were commonly used as vegetables, fruits, spices, and chutney. Nearly half of the species belong to Polygonaceae and Rosaceae families. Herbs, shrubs, climbers, and trees form the habit of these plants. The highest proportion of edible species were herbs (29) followed by trees (10), shrubs (8), climber (1), and Morchella esculenta (fungi) (1).
Published: 2020
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19. Dissemination and Implementation Science in Cardiothoracic Surgery: A Review and Case Study

Author: Ruben G. Nava, Daniel Kreisel, Virginia R. McKay, Emmanuel K. Tetteh, Keenan J. Robbins, Rachel G. Tabak, Benjamin D. Kozower, Brendan T. Heiden, Bryan F. Meyers, Varun Puri, and Gary Marklin
Subjects: Surgeons, Pulmonary and Respiratory Medicine, medicine.medical_specialty, Lung donor, Cardiothoracic surgeons, business.industry, Psychological intervention, Context (language use), Routine practice, Specialties, Surgical, Terminology, Cardiothoracic surgery, medicine, Humans, Surgery, Medical physics, Routine clinical practice, Cardiology and Cardiovascular Medicine, business, Implementation Science
Abstract: Dissemination and implementation (DI) science is the practice of taking evidence-based interventions and sustainably incorporating them into routine clinical practice. As a relatively young field, DI techniques are underutilized in cardiothoracic surgery. This review offers an overview of DI science from the context of the cardiothoracic surgeon. First, we provide a general introduction to DI science and basic terminology that is used in the field. Second, to illustrate DI techniques in a real-world example, we discuss a case study for implementing lung protective management strategies for lung donor optimization nationally. Finally, we discuss challenges to successful implementation that are unique to cardiothoracic surgery and give several examples of evidence-based interventions that have been poorly implemented into surgical practice. We also provide examples of successful DI interventions-including deimplementation strategies-from other surgical subspecialties. We hope that this review offers additional tools for cardiothoracic surgeons to explore when introducing evidence-based interventions into routine practice.
Published: 2022

20. Utility of Lung Ultrasound in the Estimation of Extravascular Lung Water in a Pediatric Population—A Prospective Observational Study

Author: Shyam Kumar Singh Thingnam, Anand Kumar Mishra, Goverdhan Dutt Puri, Bhupesh Kumar, Subhrashis Guha Niyogi, and Sunder Negi
Subjects: Mechanical ventilation, medicine.medical_specialty, business.industry, medicine.medical_treatment, Thermodilution, Infant, Newborn, Surgical correction, Cardiac surgery, Lung ultrasound, Intensive Care Units, Anesthesiology and Pain Medicine, Lung water, Anesthesia, Extravascular Lung Water, Cohort, medicine, Humans, Observational study, Prospective Studies, Child, Cardiology and Cardiovascular Medicine, business, Lung, Pediatric population
Abstract: Lung ultrasound (LUS) is a promising bedside modality for the estimation of extravascular lung water index (EVLWI), but has not been validated against objective measures in children. This study aimed to investigate the correlation of LUS B-line scoring with EVLWI, thresholds indicating elevated EVLWI, and its outcome following pediatric cardiac surgery.Prospective observational study.Cardiothoracic surgical intensive care unit in a tertiary care teaching hospital.Children younger than 12 years undergoing elective complete surgical correction of cyanotic or acyanotic congenital heart disease (Aristotle score ≤9), excluding neonates, those weighing3.5 kg, and those with thoracic deformities, pulmonary pathology, and hemodynamic instability.Extravascular lung water index measurement by transpulmonary thermodilution, along with concurrent LUS B-line and Chest-X ray (CXR) scoring.LUS B-line score had a moderate correlation with EVLWI (Pearson's correlation coefficient 0.57; 95% CI 0.44-0.69). LUS B-line scores showed acceptable discrimination only for higher thresholds of EVLWI (sensitivity 82% and 79%, respectively, for EVLWI20 mL/kg v sensitivity and specificity 57% and 80% for EVLWI10 mL/kg). Age, body surface area, vasoactive-inotropic score (VIS), chest X-ray score, and EVLWI but not LUS B-line score were significant predictors for duration of mechanical ventilation in this cohort.LUS B-line scoring has limited utility in semiquantitative estimation of EVLWI at lower thresholds of EVLWI in pediatric cardiac surgical patients. It may have better discrimination and acceptable sensitivity and specificity at higher thresholds of EVLWI. Contrasting with multiple reports of clinical utility, these results call for wider evaluation of LUS and its clinical modifiers like age, pathology, and pretest probability in estimation of EVLWI.
Published: 2022

21. Assessment of Duration of Smoking Cessation Prior to Surgical Treatment of Non-small Cell Lung Cancer

Author: Bryan F. Meyers, Varun Puri, Ruben G. Nava, Martin W. Schoen, Benjamin D. Kozower, Brendan T. Heiden, Mayank R. Patel, Daniel B. Eaton, Yan Yan, Su-Hsin Chang, Li-Shiun Chen, Daniel Kreisel, and Nina Smock
Subjects: medicine.medical_specialty, business.industry, medicine.medical_treatment, Retrospective cohort study, medicine.disease, Odds, Internal medicine, medicine, Smoking cessation, Surgery, In patient, Major complication, Non small cell, business, Lung cancer, Surgical treatment
Abstract: Objective To define the relationship between the duration of smoking cessation and post-operative complications for patients with lung cancer undergoing surgical treatment. Background Smoking increases the risk of post-operative morbidity and mortality in patients with lung cancer undergoing surgical treatment. While smoking cessation before surgery can mitigate these risks, the ideal duration of pre-operative smoking cessation remains unclear. Methods Using a uniquely compiled Veterans Health Administration (VHA) dataset, we performed a retrospective cohort study of patients with clinical stage I non-small cell lung cancer (NSCLC) undergoing surgical treatment between 2006 and 2016. We characterized the relationship between duration of pre-operative smoking cessation and risk of post-operative complications or mortality within 30-days using multivariable restricted cubic spline functions. Results The study included a total of 9509 patients, of whom 6168 (64.9%) were smoking at the time of lung cancer diagnosis. Among them, only 662 (10.7%) patients stopped smoking prior to surgery. Longer duration between smoking cessation and surgery was associated with lower odds of major complication or mortality (aOR for every additional week, 0.919; 95% CI, 0.850-0.993; P = 0.03). Compared to non-smokers, patients who quit at least 3 weeks before surgery had similar odds of major complication (aOR, 1.005; 95% CI, 0.702-1.437; P = 0.98) whereas those who quit within 3 weeks of surgery had significantly higher odds of major complication (aOR, 1.698; 95% CI, 1.203-2.396; P = 0.003). Conclusion Smoking cessation at least 3 weeks prior to the surgical treatment of lung cancer is associated with reduced morbidity and mortality. Providers should aggressively encourage smoking cessation in the pre-operative period, since it can disproportionately impact outcomes in early-stage lung cancer.
Published: 2023

22. Measurements of the inclusive and differential production cross sections of a top-quark-antiquark pair in association with a Z boson at √s = 13 TeV with the ATLAS detector

Author: Aad, Georges, Abbott, Braden Keim, Abbott, Dale, Abed Abud, Adam, Abeling, Kira, Abhayasinghe, Deshan Kavishka, Abidi, Haider, Abouzeid, Hass, Abouzeid, Ossama, Abraham, Nicola Louise, Abramowicz, Halina, Abreu, Henso, Abulaiti, Yiming, Acharya, Bobby Samir, Achkar, Baida, Adam, Lennart, Adam Bourdarios, Claire, Adamczyk, Leszek, Adamek, Lukas, Adelman, Jahred, Adiguzel, Aytul, Adorni Braccesi Chiassi, Sofia, Adye, Tim, Adye, Timothy John, Affolder, Tony, Affolder, Anthony, Afik, Yoav, Agapopoulou, Christina, Agaras, Merve Nazlim, Aggarwal, Anamika, Agheorghiesei, Catalin, Aguilar Saavedra, Juan Antonio, Ahmad, Ammara, Ahmadov, Faig, Ahmed, Waleed Syed, Ai, Xiaocong, Aielli, Giulio, Akatsuka, Shunichi, Akbiyik, Melike, Akesson, Torsten, Akilli, Ece, Akimov, Andrei, Al Khoury, Konie, Alberghi, Gian Luigi, Albert, Justin, Verzini, M.J. Alconada, Alderweireldt, Sara, Aleksa, Martin, Aleksandrov, I.N., Alexa, Calin, Alexopoulos, Theodoros, Alfonsi, Alice, Alfonsi, Fabrizio, Alhroob, Muhammad, Ali, Babar, Ali, Shahzad, Aliev, Malik, Alimonti, Gianluca, Allaire, Corentin, Allbrooke, Benedict, Allen, Benjamin William, Allport, Philip Patrick, Aloisio, Alberto, Alonso, Francisco, Alpigiani, Cristiano, Alunno Camelia, Elio, Alvarez Estevez, Manuel, Alviggi, Mariagrazia, Do Amaral Coutinho, Yara, Ambler, Alessandro, Ambroz, Luca, Amelung, Christoph, Amidei, Dante, Amor dos Santos, Susana Patricia, Amoroso, Simone, Amrouche, Cherifa Sabrina, An, Fenfen, Anastopoulos, Christos, Andari, Nansi, Andeen, Timothy Robert, Anders, John Kenneth, Andrean, Stefio Yosse, Andreazza, Attilio, Andrei, Victor, Anelli, Christopher Ryan, Angelidakis, Stylianos, Angerami, Aaron, Anisenkov, Alexey, Annovi, Alberto, Antel, Claire, Anthony, Matthew Thomas, Antipov, Egor, Antonelli, Mario, Antrim, Daniel Joseph, Anulli, Fabio, Aoki, Masato, Aparisi Pozo, Javier Alberto, Aparo, Marco, Aperio Bella, Ludovica, Aranzabal Barrio, Nordin, Araujo Ferraz, Victor, Pereira, R.Araujo, Arcangeletti, Chiara, Arce, Ayana Tamu, Arguin, Jean-Francois, Argyropoulos, Spyros, Argyropoulos, Spyridon, Arling, Jan-Hendrik, Armbruster, Aaron James, Armstrong, Alexander, Arnaez, Olivier, Arnold, Hannah, Arrubarrena Tame, Zulit Paola, Artoni, Giacomo, Asada, Haruka, Asai, Kanae, Asai, Shoji, Asawatavonvanich, Thanawat, Asbah, Nedaa Alexandra, Asimakopoulou, Eleni Myrto, Asquith, Lily, Assahsah, Jihad, Assamagan, Ketevi Adikle, Astalos, Robert, Atkin, Ryan Justin, Atkinson, Markus Julian, Atlay, Naim Bora, Atmani, Hicham, Atmasiddha, Prachi, Augsten, Kamil, Austrup, Volker Andreas, Avolio, Giuseppe, Ayoub, Mohamad Kassem, Azuelos, Georges, Babal, Dominik, Bachacou, Henri, Bachas, Dinos, Bachas, Konstantinos, Backman, Karl Filip, Bagnaia, Paolo, Bahrasemani, H., Bahrasemani, Sina, Bailey, Adam, Bailey, Virginia, Baines, John, Bakalis, Christos, Baker, Keith, Bakker, Pepijn Johannes, Bakos, Evelin, Bakshi Gupta, Debottam, Balaji, Shyam, Balasubramanian, Rahul, Baldin, Evgenii, Balek, Petr, Balli, Fabrice, Balunas, William Keaton, Balz, Johannes, Banas, Elzbieta, Bandieramonte, Marilena, Bandyopadhyay, Anjishnu, Banerjee, Sw., Banerjee, Swagato, Barak, Liron, Barbe, William Mickael, Barberio, Elisabetta, Barberis, Dario, Barbero, Marlon Benoit, Barbour, Gregory, Barillari, Teresa, Barisits, Martin, Barkeloo, Jason Tyler Colt, Barklow, Tim, Barklow, Timothy Laurence, Barnea, Rotem, Barnett, Bruce M, Barnett, Michael, Barnovska-Blenessy, Z., Baroncelli, Toni, Baroncelli, Antonio, Barone, Gaetano, Barr, Alan, Barranco Navarro, Laura, Barreiro Alonso, Fernando, Barreiro Guimaraes da Costa, Joao, Barron, Uriel, Barsov, Sergey, Bartels, Falk, Bartoldus, Rainer, Bartolini, Giovanni, Barton, Adam Edward, Bartos, Pavol, Basalaev, Artem, Basan, Alexander, Bassalat, Ahmed, Basso, Matthew Joseph, Bates, Richard, Batlamous, Souad, Batley, Richard, Batool, Binish, Battaglia, Marco, Bauce, Matteo, Bauer, Florian, Bauer, Patrick, Bawa, Harinder Singh, Bayirli, Arif, Beacham, James, Beau, Tristan, Beauchemin, Pierre-Hugues, Becherer, Fabian, Bechtle, Philip, Beck, Helge Christoph, Beck, Hans Peter, Beck, Hanspeter, Becker, Kathrin, Becot, Cyril Pascal, Beddall, Ayda, Beddall, Andrew, Bednyakov, Vadim, Bedognetti, Matteo, Bee, Chris, Bee, Christopher Peter, Beermann, Thomas, Begalli, Marcia, Begel, Michael, Behera, Arabinda, Behr, Janna Katharina, Beisiegel, Florian, Belfkir, Mohamed, Bell, Andrew Stuart, Bella, Gideon, Bellagamba, Lorenzo, Bellerive, Alain, Bellos, Panagiotis, Beloborodov, Konstantin, Belotskiy, Konstantin, Belyaev, Nikita, Benchekroun, Driss, Benekos, Nectarios, Benhammou, Yan, Benjamin, Doug, Benjamin, Douglas Paul, Benoit, Mathieu, Bensinger, Jim, Bensinger, James, Bentvelsen, Stan, Bentvelsen, Stanislaus, Beresford, Lydia Audrey, Beretta, Matteo Mario, Berge, David, Bergeaas Kuutmann, Elin, Berger, Nicolas, Bergmann, Benedikt Ludwig, Bergsten, Laura Jean, Beringer, Juerg, Berlendis, Simon, Bernardi, Gregorio, Bernius, Catrin, Bernlochner, Florian Urs, Berry, Tracey, Berta, Peter, Berthold, Anne-Sophie, Bertram, Iain, Bessidskaia Bylund, Olga, Besson, Nathalie, Bethke, Siegfried, Betti, Alessandra, Bevan, Adrian, Beyer, Julien-Christopher, Bhatta, Somadutta, Bhattacharya, Deb Sankar, Bhattarai, Prajita, Bhopatkar, Vallary Shashikant, Bi, Runyu, Bianchi, Riccardo Maria, Biebel, Otmar, Biedermann, Dustin, Bielski, Rafal, Bierwagen, Katharina, Biesuz, Nicolo Vladi, Biglietti, Michela, Billoud, T.R. 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S., Carter, Thomas Michael, Casado Lechuga, Pilar, Casha, Albert Francis, Castiglia, Emma Grace, Castillo, Florencia Luciana, Castillo Garcia, Lucia, Castillo Gimenez, Victoria, Castro, Nuno, Catinaccio, Andrea, Catmore, James, Cattai, Ariella, Cavaliere, Viviana, Cavasinni, Vincenzo, Celebi, Emre, Celli, Federico, Cerny, Karel, Santiago Cerqueira, Augusto, Cerri, Alex, Cerri, Alessandro, Cerrito, Lucio, Cerutti, Fabio, Cervelli, Alberto, Cetin, Serkant, Chadi, Zakaria, Chakraborty, Dhiman, Chan, Jay, Chan, Chen-Hsun, Chan, Terry Ws, Chan, Wing Sheung, Chan, Wai Yuen, Chapman, John Derek, Chargeishvili, Bakar, Charlton, Dave, Charlton, David, Charman, Thomas Paul, Chatterjee, Meghranjana, Chau, Chav Chhiv, Che, Siinn, Chekanov, Sergei, Chekulaev, Sergey, Chelkov, G.A., Chen, Boping, Chen, Cheng, Chen, Chunhui, Chen, Huirun, Chen, Hucheng, Chen, Jing, Chen, Jue, Chen, Jiayi, Chen, Shion, Chen, Shenjian, Chen, Xin, Chen, Ye, Chen, Yu-Heng, Cheng, Hok Chuen, Cheng, Huajie, Cheplakov, Alexander, Cheremushkina, Evgeniya, Cherkaoui El Moursli, Rajaa, Cheu, Elliott, Cheung, Kingman, Chevalerias, Thibault, Chevalier, Laurent, Chiarella, Vitaliano, Chiarelli, Giorgio, Chiodini, Gabriele, Chisholm, Andrew Stephen, Chitan, Adrian, Chiu, I-Huan, Chiu, Justin, Chiu, Y.H., Chizhov, Mihail, Choi, Kyungeon, Chomont, Arthur, Chou, Yuan-Tang, Chow, Edwin, Chow, Yun Sang, Christopher, Lawrence Davou, Chu, Ming Chung, Chu, Xiaotong, Chudoba, Jiri, Chwastowski, Janusz, Chytka, Ladislav, Cieri, Davide, Ciesla, Krzysztof, Cindro, Vladimir, Cioara, Irina Antonela, Ciocio, Alessandra, Cirotto, Francesco, Citron, Z.H., Citterio, Mauro, Ciubotaru, Dan Andrei, Ciungu, Bianca Monica, Clark, Allan, Clark, Philip, Clawson, Savannah, Clement, Christophe, Coadou, Yann, Cobal, Marina, Coccaro, Andrea, Cochran, James Herbert, Coelho Lopes de Sa, Rafael, Cohen, Hadar, Coimbra, A.E. C., Cole, Brian, Colijn, Auke-Pieter, Collot, Johann, Conde Muino, Patricia, Connell, Simon, Connelly, Ian Allan, Constantinescu, Serban, Conventi, Francesco, Cooper-Sarkar, A.M., Cormier, Felix, Cormier, Kyle James Read, Corpe, Louie Dartmoor, Corradi, Massimo, Corrigan, Eric Edward, Corriveau, Francois, Costa Mezquita, Maria Jose, Costanza, Francesco, Costanzo, Davide, Cowan, Glen, Cowley, James William, Crane, Jonathan, Cranmer, Kyle Stuart, Creager, Rachael Ann, Crepe-Renaudin, Sabine, Crescioli, Francesco, Cristinziani, Markus, Croft, Vincent Alexander, Crosetti, Giovanni, Dandoy, Jeffrey Rogers, Crosetti, Nanni, Cueto Gomez, Ana Rosario, Cuhadar Donszelmann, Tulay, Cui, Han, Cukierman, Aviv Ruben, Cunningham, William Reilly, Cunningham, Liam, Czekierda, Sabina Anna, Czodrowski, Patrick Karl, Czurylo, Marta Maja, da Cunha Sargedas de Sousa, M.J., da Fonseca Pinto, Joao Victor, da Via, Cinzia, Dabrowski, Wladyslaw, Dachs, Florian, Dado, Tomas, Dahbi, Salah-Eddine, Dai, Tiesheng, Dallapiccola, Carlo, Dam, Mogens, d'Amen, Gabriele, d'Amico, Valerio, Damp, Johannes Frederic, Dandoy, Jeff, Daneri, Maria Florencia, Danninger, Matthias, Dao, Valerio, Darbo, Giovanni, Darbo, Nanni, Dartsi, Olympia, Dattagupta, Aparajita, Daubney, Thomas, d'Auria, Saverio, David, Claire, Davidek, Tomas, Davis, Douglas Raymond, Dawson, Ian, De, Kaushik, de Asmundis, Riccardo, de Beurs, Marcus, de Castro, Stefano, de Groot, Nicolo, de Jong, Paul, de la Torre Perez, Hector, de Maria, Antonio, de Pedis, Daniele, de Salvo, Alessandro, de Sanctis, Umberto, de Santis, Maurizio, de Santo, Antonella, de Vivie de Regie, Jean-Baptiste, Dedovich, Dmitri, Deiana, Allison Mccarn, del Peso, Jose, Delabat Diaz, Yasiel, Delgove, David, Deliot, Frederic, Delitzsch, Chris Malena, Della Pietra, Massimo, Della Volpe, Domenico, Dell'Acqua, Andrea, Dell'Asta, Lidia, Delmastro, Marco, Delporte, Charles Eliaz, Delsart, Pierre Antoine, Demers Konezny, Sarah Marie, Demichev, Mikhail, Demontigny, Gabriel, Denisov, Serguei, d'Eramo, Louis, Derendarz, Dominik Karol, Derkaoui, Jamal, Derue, Frederic, Dervan, Paul, Desch, Klaus, Dette, Karola, Deutsch, Christopher, Devesa, Maria Roberta, Deviveiros, Pier-Olivier, Di Bello, Francesco Armando, Di Ciaccio, Anna, Di Ciaccio, Lucia, Di Clemente, William Kennedy, Di Clemente, Will, Di Donato, Camilla, Di Girolamo, Alessandro, Di Gregorio, Giulia, Di Luca, Andrea, Di Micco, Biagio, Di Nardo, Roberto, Di Petrillo, Karri Folan, Di Sipio, Riccardo, Diaconu, Cristinel, de Almeida Dias, Flavia, Vale, T.Dias Do, Diaz Gutierrez, Marco Aurelio, Diaz Capriles, Federico Guillermo, Dickinson, Jennet Elizabeth, Didenko, Mariia, Diehl, Edward, Dietrich, Janet, Diez Cornell, Sergio, Diez Pardos, Carmen, Dimitrievska, Aleksandra, Ding, Wei, Dingfelder, Jochen Christian, Dittmeier, Sebastian, Dittus, Fridolin, Dittus, Fido, Djama, Fares, Djobava, Tamar, Djuvsland, Julia Isabell, Barros Do Vale, Aline, Dobre, Monica, Dodsworth, David Michael, Doglioni, Caterina, Dolejsi, Jiri, Dolezal, Zdenek, Donadelli, Marisilvia, Dong, Binbin, Donini, Julien Noce, d'Onofrio, Adelina, d'Onofrio, Monica, Dopke, Jens, Doria, Alessandra, Dova, Maria Teresa, Doyle, Anthony Terence, Doyle, Tony, Drechsler, Eric, Dreyer, Etienne, Dreyer, Timo, Drobac, Alec Swenson, Du, Dongshuo, Du Pree, Tristan Arnoldus, Duan, Yanyun, Dubinin, Filipp, Dubovsky, Michal, Dubreuil, Arnaud, Duchovni, Ehud, Duckeck, Guenter, Ducu, Otilia Anamaria, Duda, Dominik, Dudarev, Alexey, Dudder, Andreas Christian, Duffield, Emily Marie, d'Uffizi, Matteo, Duflot, Laurent, Duehrssen-Debling, Michael, Dulsen, Carsten, Dumancic, Mirta, Dumitriu, Ana Elena, Dunford, Monica, Dungs, Sascha, Duperrin, Arnaud, Yildiz, H.Duran, Ellis, Nicolas, Yildiz, Duran, Dueren, Michael Johannes, Durglishvili, Archil, Duschinger, Dirk Uwe, Dutta, Baishali, Duvnjak, Damir, Dyckes, G.I., Dyndal, Mateusz, Dysch, Samuel Dezso, Dziedzic, Bartosz Sebastian, Eggleston, Michael Glenn, Eifert, Till, Eigen, Gerald, Einsweiler, Kevin Frank, Ekelof, Tord Johan Carl, El Jarrari, Hassnae, Ellajosyula, Venugopal, Ellert, Mattias, Ellinghaus, Frank, Elliot, Alison, Emerman, Alexander Zack, Evans, Harold, Ellis, Nick, Elmsheuser, Johannes, Elsing, Markus, Emeliyanov, Dmitry, Emerman, Alex, Enari, Yuji, Epland, Matthew, Erdmann, Johannes, Ereditato, Antonio, Erland, Paula Agnieszka, Errenst, Martin, Escalier, Marc, Escobar Ibanez, Carlos, Estrada Pastor, Oscar, Etzion, Erez, Gaspar de Andrade Evans, Guiomar, Evans, Hal, Evans, Meirin Oan, Ezhilov, Aleksei, Fabbri, Federica, Fabbri, Laura, Fabiani, Veronica, Facini, Gabriel, Fakhrutdinov, Rinat, Falciano, Speranza, Falke, Peter Johannes, Falke, Saskia, Faltova, Jana, Fang, Yi, Fang, Yaquan, Fanourakis, Georgios, Fanti, Marcello, Faraj, Mohammed, Farbin, Amir, Farilla, Addolorata, Fedorko, Wojciech Tadeusz, Fell, Alexandra, Farilla, Ada, Farina, Edoardo Maria, Farooque, Trisha, Farrington, Sinead, Farthouat, Philippe, Fassi, Farida, Fassnacht, Patrick, Fassouliotis, Dimitris, Faucci Giannelli, Michele, Fawcett, William James, Fayard, Louis, Fedin, Oleg, Fedorko, Wojtek, Fehr, Armin, Feickert, Matthew Carl, Feligioni, Lorenzo, Fell, Alix, Feng, Cunfeng, Feng, Minyu, Fenton, Michael James, Fenyuk, Alexandre, Ferguson, Sarah Whitney, Ferrando, James Edward, Ferrari, Arnaud, Ferrari, Pamela, Ferrari, Roberto, Ferreira de Lima, Danilo Enoque, Ferrer Soria, Antonio, Ferrere, Didier, Ferretti, Claudio, Fiedler, Frank, Filipcic, Andrej, Filthaut, Frank, Finelli, Kevin Daniel, Castro Nunes Fiolhais, Miguel, Fiorini, Luca, Fischer, Florian, Fischer, Julian, Fisher, Wade Cameron, Fitschen, Tobias, Fleck, Ivor, Fleischmann, Philipp, Flick, Tobias, Flierl, Bernhard Matthias, Flores, Lucas Macrorie, Flores Castillo, Luis Roberto, Follega, Francesco Maria, Fomin, Nikolai, Foo, Joel Hengwei, Forcolin, Giulio Tiziano, Forland, Blake Christopher, Formica, Andrea, Forster, Fabian Alexander, Forti, Alessandra, Fortin, Etienne Marie, Foti, Maria Giovanna, Fournier, Daniel, Fox, Harald, Francavilla, Paolo, Francescato, Simone, Franchini, Matteo, Franchino, Silvia, Francis, David, Franco, Luca, Franconi, Laura, Franklin, Melissa, Frattari, Guglielmo, Fray, Antony, Freeman, Patrick Moriishi, Freund, Benjamin, Spolidoro Freund, Werner, Freundlich, Elena Murielle, Frizzell, Dylan Cooper, Froidevaux, Daniel, Frost, James, Fujimoto, Minori, Fukunaga, Chikara, Fullana Torregrosa, Esteban, Fusayasu, Takahiro, Fuster Verdu, Juan, Gabrielli, Alessandro, Gabrielli, Andrea, Gadatsch, Stefan, Gadow, Paul Philipp, Gagliardi, Guido, Gagnon, Louis-Guillaume, Gallardo, Gabriel, Gallas, Elizabeth, Gallop, Bruce Joseph, Gamboa Goni, Rodrigo, Gan, Kock Kiam, Ganguly, Sanmay, Gao, Jun, Gao, Yanyan, Gao, Yongsheng, Garay Walls, Francisca, Garcia, Carmen, Garcia Navarro, Jose Enrique, Garcia Pascual, Juan Antonio, Garcia, Juanan, Garcia Argos, Carlos, Garcia-Sciveres, Maurice, Gardner, Robert William, Garelli, Nicoletta, Gargiulo, Simona, Garner, Christopher Andrew, Garonne, Vincent, Gasiorowski, Sean Joseph, Do Nascimento Gaspar, Philipp, Gaudiello, Andrea, Gaudio, Gabriella, Gauzzi, Paolo, Gavrilenko, Igor, Gavriliuk, Aleksandr, Gay, Colin Warren, Gaycken, Goetz, Gazis, Evangelos, Geanta, Andrei Alexandru, Gee, Carolyn, Gee, C.N. P., Geisen, Jannik, Geisen, Marc, Gemme, Claudia, Genest, Marie-Helene, Geng, Cong, Gentile, Simonetta, George, Simon, Geralis, Theodoros, Gerlach, Lino Oscar, Gessinger-Befurt, Paul, Gessner, Gregor, Ghasemi Bostanabad, Meisam, Ghneimat, Mazuza, Ghosh, Aishik, Ghosh, Anindya, Giacobbe, Benedetto, Giagu, Stefano, Giangiacomi, Nico, Giannetti, Paola, Giannini, Antonio, Giannini, Giulia, Gibson, Stephen, Gignac, Matthew, Gil, Damian Tomasz, Gilbert, Benjamin Jacob, Gillberg, Dag, Gilles, Geoffrey, Gillwald, N.E. K., Gingrich, Douglas, Giordani, Mario, Gingrich, Doug, Giordani, Mapo, Giraud, Pierre-Francois, Giugliarelli, Gilberto, Giugni, Danilo, Giuli, Francesco, Gkaitatzis, Stamatios, Gkialas, Ioannis, Gkougkousis, Evangelos Leonidas, Gkougkousis, Vagelis, Gkountoumis, Panagiotis, Gladilin, Leonid, Glasman, Claudia, Glatzer, Julian, Glaysher, P.C. F., Glazov, Alexander, Gledhill, Galen Rhodes, Gnesi, Ivan, Goblirsch-Kolb, Maximilian Emanuel, Godin, Dominique, Goldfarb, Steven, Golling, Tobias, Golubkov, Dmitry, da Silva Gomes, Agostinho, Goncalves Gama, Rafael, Morais Silva Goncalo, Ricardo Jose, Gonella, Giulia, Gonella, Laura, Gongadze, Alexi, Gonnella, Francesco, Gonski, Julia Lynne, Gonzalez de la Hoz, Santiago, Gonzalez Fernandez, Sergio, Gonzalez Lopez, Ricardo, Gonzalez Renteria, Cesar, Gonzalez Suarez, Rebeca, Gonzalez Sevilla, Sergio, Gonzalvo Rodriguez, Galo Rafael, Goossens, Luc, Gorasia, Nandish Arjan, Gorbounov, Petr, Gordon, Howard, Gorini, Benedetto, Gorini, Edoardo, Gorisek, Andrej, Goshaw, Alfred Thomas, Goshaw, A.T., Gostkin, Mikhail, Gottardo, Carlo Alberto, Gouighri, Mohamed, Goussiou, Anna, Govender, Nicolin, Goy, Corinne, Grabowska-Bold, Iwona, Graham, Emily Charlotte, Gramling, Johanna, Gramstad, Eirik, Grancagnolo, Sergio, Grandi, Mario, Grachev, Vadim, Gravila, Paul, Gravili, Francesco Giuseppe, Gray, Chloe, Gray, Heather, Grefe, Christian, Gregersen, Kristian Damlund, Gregor, Ingrid, Grenier, Philippe, Grevtsov, Kirill, Grieco, Chiara, Grieser, Nathan Allen, Grillo, Alex, Grimm, Kathryn, Grinstein, Sebastian, Grivaz, Jean-Francois, Groh, Sabrina, Gross, Eilam, Grosse-Knetter, Joern, Grout, Zara Jane, Grud, Christopher Ryan, Grummer, Aidan, Grundy, James Cameron, Guan, Liang, Guan, Wen, Gubbels, Christopher, Hance, Michael, Gubbels, Chris, Guenther, Jaroslav, Guerguichon, Antinea, Rojas, J.G. R.Guerrero, Guescini, Francesco, Guest, Daniel Hay, Guest, Dan, Gugel, Ralf, Guida, Alessandro, Guillemin, Thibault, Guindon, Stefan, Guo, Jun, Guo, Wen, Guo, Yicheng, Guo, Ziyu, Gupta, Ruchi, Gurbuz, Saime, Gustavino, Giuliano, Guth, Manuel, Gutierrez, Phillip, Gutschow, Christian, Guyot, Claude, Gwenlan, Claire, Gwilliam, Carl, Haaland, Even Simonsen, Haas, Andrew, Haber, Carl, Hadavand, Haleh, Hadef, Asma, Haleem, Mahsana, Haley, Joseph, Hall, Jack Joseph, Halladjian, Garabed, Hallewell, Gregory, Hamano, Kenji, Hamdaoui, Hassane, Hamer, Matthias, Hamity, Guillermo Nicolas, Han, Kunlin, Han, Liangliang, Han, Liang, Han, Shuo, Han, Yi Fei, Hanagaki, Kazunori, Hawkes, Christopher, Hays, Christopher Paul, Hance, Mike, Handl, David Michael, Hank, Michael Donald, Hankache, Robert, Hansen, Eva Brottmann, Hansen, Jorgen Beck, Hansen, Dines, Hansen, Maike Christina, Hansen, Peter, Hanson, Emily Claire, Hara, Kazuhiko, Harenberg, Torsten, Harkusha, Siarhei, Harrison, Paul Fraser, Hartman, Nicole Michelle, Hartmann, Nikolai, Hasegawa, Yoji, Hasib, Ahmed, Hassani, Samira, Haug, Sigve, Hauser, Reiner, Havranek, Miroslav, Hawkes, Chris, Hawkings, Richard, Hayashida, Shota, Hayden, Daniel, Hayes, Christopher Robyn, Hayes, Robin, Hays, Chris, Hays, Jonathan, Hayward, Helen, Haywood, Stephen, He, Fudong, He, Yunjian, Heath, Matthew Peter, Hedberg, Vincent, Heggelund, Andreas Lokken, Hehir, Natasha, Heidegger, Constantin, Heidegger, Kim Katrin, Heidorn, William Dale, Heilman, Jesse Alan, Heim, Sarah, Heim, Timon, Heinemann, Beate, Heinlein, James Geddy, Heinrich, Jochen Jens, Heinrich, Lukas Alexander, Hejbal, Jiri, Helary, Louis, Held, Alexander, Hellesund, Simen, Helling, Cole Michael, Hellman, Sten, Helsens, Clement, Henderson, R.C. W., Henkelmann, Lars, Henriques Correia, Ana Maria, Herde, Hannah Elizabeth, Hernandez Jimenez, Yesenia, Herr, Holger Arnold, Herrmann, Maximilian Georg, Herrmann, Tim, Herten, Gregor, Hertenberger, Ralf, Hervas, Luis, Herwig, Christian, Hesketh, Gavin, Hessey, Nigel, Hibi, Hiroaki, Higashino, Satoshi, Higon-Rodriguez, Emilio, Hildebrand, Kevin, Hill, John, Hill, Kurt Keys, Hiller, Karlheinz, Hillier, Stephen, Hils, Maximilian, Hinchliffe, Ian, Hinterkeuser, Florian, Hirose, Minoru, Hirose, Shigeki, Hirschbuehl, Dominic, Hiti, Bojan, Hladik, Ondrej, Hobbs, John David, Hobincu, Radu, Tal Hod, Noam, Hodgkinson, Mark, Hoecker, Andreas, Hohn, David, Hohov, Dmytro, Holm, Tanja, Holmes, Tova, Holzbock, Michael, Hommels, L.B. A.H., Hong, Tae Min, Honig, Jan Cedric, Honle, Andreas, Hooberman, Benjamin Henry, Hopkins, Walter, Horii, Yasuyuki, Horn, Philipp, Horyn, Lesya Anna, Hou, Suen, Hoummada, Abdeslam, Howarth, James William, Hoya, Joaquin, Hrabovsky, Miroslav, Hrivnac, Julius, Hrynevich, Aliaksei, Hrynova, Tetiana, Hsu, Pai-Hsien, Hsu, Shih-Chieh, Hu, Qipeng, Hu, Shuyang, Hu, Yifan, Huang, Danping, Huang, Xiaozhong, Huang, Yicong, Huang, Yanping, Hubacek, Zdenek, Hubaut, Fabrice, Hubner, Michael, Huegging, Fabian, Huffman, Todd Brian, Huhtinen, Mika, Hulsken, Raphael, Hunter, Robert Francis, Huseynov, Nazim, Huston, Joey, Huth, John, Hyneman, Rachel Jordan, Hyrych, Sofiia, Iacobucci, Giuseppe, Iakovidis, Georgios, Iakovidis, George, Ibragimov, Iskander, Iconomidou-Fayard, Lydia, Iengo, Paolo, Ignazzi, Rosanna, Iguchi, Ryunosuke, Iizawa, Tomoya, Ikegami, Yoichi, Ikeno, Masahiro, Ilic, Nikolina, Iltzsche, Franziska, Imam, Hajar, Introzzi, Gianluca, Iodice, Mauro, Iordanidou, Kalliopi, Ippolito, Valerio, Isacson, Max Fredrik, Ishino, Masaya, Islam, Wasikul, Issever, Cigdem, Istin, Serhat, Ponce, J.M. Iturbe, Iuppa, Roberto, Ivina, Anna, Izen, Joseph Michael, Izzo, Vincenzo, Jacka, Petr, Jackson, Paul, Jacobs, Ruth Magdalena, Jaeger, Benjamin Paul, Jain, Vivek, Jakel, Gunnar, Jakobi, Katharina Bianca, Jakobs, Karl, Jakoubek, Tomas, Jamieson, Jonathan, Janas, Krzysztof, Jansky, Roland, Janus, Michel, Janus, Piotr Andrzej, Jarlskog, Goran, Jaspan, Adam Elliott, Javadov, Namig, Javurek, Tomas, Javurkova, Martina, Jeanneau, Fabien, Jeanty, Laura, Jejelava, Juansher, Jenni, Peter, Jeong, Namgyun, Jezequel, Stephane, Jia, Jiangyong, Jia, Zihang, Jiang, Hai, Jiang, Yi, Jiang, Zihao, Jiggins, Stephen, Jimenez Morales, Fabricio Andres, Jimenez Pena, Javier, Jin, Shan, Jinaru, Adam, Jinnouchi, Osamu, Jivan, Harshna, Johansson, Per Daniel Conny, Johns, Kenneth, Johnson, Christian, Jones, Eleanor, Jones, R.W. L., Jones, Samuel David, Jones, Timothy John, Jones, T.J., Jovicevic, Jelena, Ju, Xiangyang, Junggeburth, Johannes Josef, Juste Rozas, Aurelio, Kaczmarska, Anna, Kado, Marumi, Kagan, Harris, Kagan, Michael Aaron, Kahn, Alan Mathew, Kahra, Christian, Kaji, Toshiaki, Kajomovitz Must, Enrique, Kalderon, Charles William, Kartvelishvili, Vakhtang, Kastanas, Konstantinos, Kalderon, Will, Kaluza, Adam, Kamenshchikov, Andrey, Kaneda, Michiru, Kang, Nathan Jihoon, Kang, Shuaiyan, Kano, Yuya, Kanzaki, Junichi, Kaplan, Laser Seymour, Kar, Deepak, Karava, Kla, Kareem, Mohammad, Karkanias, Ioannis, Karpov, Sergey, Karpova, Zoya, Kartvelishvili, Vato, Karyukhin, Andrei, Kasimi, Eirini, Kastanas, Alex, Kato, Chikuma, Katzy, Judith, Kawade, Kentaro, Kawagoe, Kiyotomo, Kawaguchi, Tomomi, Kawamoto, Tatsuo, Kawamura, Gen, Kay, Ellis, Kaya, Fikriye Idil, Kaya, Colette, Kazakos, Stergios, Kazanin, Vassili, Keaveney, James Michael, Keeler, Richard, Keller, John Stakely, Kellermann, Edgar, Kelsey, Daniel Christopher, Kempster, Jacob Julian, Kendrick, James Andrew, Kennedy, Kiley Elizabeth, Kepka, Oldrich, Kersten, Susanne, Kersevan, Borut Paul, Haghighat, S.Ketabchi, Khalil-Zada, Farhad, Khandoga, Mykola, Khanov, Alexander, Kharlamov, Alexey, Kharlamova, Tatyana, Khoda, Elham E, Khoo, Teng Jian, Khoriauli, Gia, Khramov, Evgeny, Khubua, J., Khubua, Djemal, Kido, Shogo, Kiehn, Moritz, Kim, Eunchong, Kim, Young-Kee, Kimura, Naoki, Kirchhoff, Andreas, Kirchmeier, David, Kirk, Julie, Kiryunin, Andrei, Kishimoto, Tomoe, Kisliuk, Dylan Perry, Kitali, Vincent, Kitsaki, Chara, Kivernyk, Oleh, Klapdor-Kleingrothaus, Thorwald, Klassen, Martin, Klein, Christoph Thomas, Klein, Matthew Henry, Klein, Max, Klein, Uta, Kleinknecht, Konrad, Klimek, Pawel Jan, Klimentov, Alexei, Klimpel, Fabian, Klingl, Tobias, Klioutchnikova, Tatiana, Klitzner, Felix Fidelio, Kluit, Peter, Kluth, Stefan, Kneringer, Emmerich, Knoops, E.B. F.G., Knue, Andrea Helen, Kobayashi, Dai, Kobel, Michael, Kocian, Martin, Kodama, Takafumi, Kodys, Peter, Koeck, D.M., Kock, Daniela, Konig, Philipp, Koffas, Thomas, Koehler, Nicolas, Kolb, Mathis, Koletsou, Iro, Komarek, Tomas, Kondo, Takahiko, Kordas, Konstantinos, Kondo, Taka, Koeneke, Karsten, Kong, A.X. Y., Konig, Adriaan Clemens, Kono, Takanori, Konstantinides, Vasilis, Konstantinidis, Nikolaos, Konya, Balazs, Kopeliansky, Revital, Koperny, Stefan Zenon, Korcyl, Krzysztof Marian, Kordas, Kostas, Koren, Guy, Korn, Andreas, Korolkov, Ilya, Korolkova, Elena, Korotkova, Natalia, Kortner, Oliver, Kortner, Sandra, Kostyukhin, Vadim, Kotsokechagia, Anastasia, Kotwal, Ashutosh, Koulouris, Aimilianos, Kourkoumeli-Charalampidi, Athina, Kourkoumelis, Christine, Kourlitis, Evangelos, Kouskoura, Vasiliki, Kowalewski, Robert Victor, Kowalewski, Bob, Kozanecki, Witold, Kozhin, Anatoli, Kramarenko, Viktor, Kramberger, Gregor, Krasnopevtsev, Dimitrii, Krasny, Mieczyslaw, Krasznahorkay, Attila, Krauss, Dominik, Kremer, Jakub, Kretzschmar, Jan, Kreul, Ken Matthias, Krieger, Peter, Krieter, Ferdinand, Krishnamurthy, Samyukta, Krishnan, Anjali, Krivos, Martin, Krizka, Karol, Kroeninger, Kevin Alexander, Kroha, Hubert, Kroll, Jiri, Kroll, Joseph Ira, Krowpman, Kyle Stuart, Kruchonak, Uladzimir, Krueger, Hans, Krumnack, Nils Erik, Kruse, Mark, Krzysiak, Janina Anna, Kubota, Arisa, Kuchinskaia, Olesia, Kuday, Sinan, Kuchler, Daniela, Kuechler, J.T., Kuehn, Susanne, Kuhl, Thorsten, Kukhtin, Victor, Kulchitsky, Y., Koultchitski, Iouri, Kuleshov, Sergey, Koultchitski, Yuri, Kuleshov, Serguei, Kulinich, Yakov Petrovich, Kuna, Marine, Kupco, Alexander, Kupfer, Tobias, Kuprash, Oleg, Kurashige, Hisaya, Kurchaninov, Leonid, Kurochkin, Yurii, Kurova, Anastasia, Kurth, Matthew Glenn, Kuwertz, Emma Sian, Kuze, Masahiro, Kvam, Audrey Katherine, Kvita, Jiri, Kwan, Tony, Lacasta Llacer, Carlos, Lacava, Francesco, Lack, David Philip John, Lacker, Heiko Markus, Lacour, Didier, Ladygin, Evgeny, Lai, Stanley Tsai-Ting, Ladygin, Evgueni, Lafaye, Remi, Laforge, Bertrand, Lagouri, Theodota, Lai, Stan, Lakomiec, Inga Katarzyna, Lambert, Joseph Earl, Lammers, Sabine Wedam, Lampl, Walter, Lampoudis, Christos, Lancon, Eric Christian, Landgraf, Ulrich, Landon, Murrough, Lang, Valerie, Lange, Joern, Langenberg, Robert Johannes, Lankford, Andrew James, Lanni, Francesco, Lantzsch, Kerstin, Lanza, Agostino, Lapertosa, Alessandro, Laporte, Jean-Francois, Lari, Tommaso, Lasagni Manghi, Federico, Lassnig, Mario, Latonova, Vera, Lau, Tak Shun, Laudrain, Antoine, Laurier, Alexandre, Lavorgna, Marco, Lawlor, Sean Dean, Lazzaroni, Massimo, Le, Brian, Le Guirriec, Emmanuel, Lebedev, Alexandre, Lecompte, T., Leblanc, Matthew Edgar, Le Compte, Thomas Joseph, Leblanc, Matt, Le Compte, Tom, Ledroit-Guillon, F., Lee, Ava Chloe Audrey, Lee, Claire, Lee, Graham Richard, Lee, Lawrence, Lee, Shih-Chang, Lee, Songkyo, Lefebvre, Benoit, Lefebvre, Helena, Lefebvre, Michel, Leggett, Charles, Lehmann, Konstantin, Lehmann, Niklaus, Lehmann Miotto, Giovanna, Leight, William Axel, Leisos, Antonios, Lisboa Leite, Marco, Leitgeb, Clara Elisabeth, Leitner, Rupert, Leney, Katharine, Lenz, Tatjana, Leone, Sandra, Leonidopoulos, Christos, Leopold, Alexander, Leroy, Claude, Les, Robert, Lester, Christopher, Levchenko, Mikhail, Leveque, Jessica, Levin, Daniel Sheldon, Lloyd, Stephen, Levin, Dan, Levinson, Lorne, Lewis, Daniel James, Li, Boyang, Li, Bing, Li, Changqiao, Li, Fan, Li, Heng, Li, Haifeng, Li, Jing, Li, Ke, Li, Liang, Li, Mengran, Li, Quanyin, Li, Shu, Li, Xingguo, Li, Yichen, Li, Zhi, Li, Zhiying, Li, Zhelun, Li, Zhiyuan, Liang, Zhijun, Liberatore, Marianna, Liberti, Barbara, Lie, Ki, Lim, Sanghoon, Lin, Chiao-Ying, Lin, Kuan-Yu, Linck, Rebecca, Lindley, Rachel Elizabeth, Lindon, Jack, Linss, Arthur, Lionti, Anthony, Lipeles, Elliot, Lipniacka, Anna, Liss, Anthony Michael, Lister, Alison, Little, Jared, Liu, Bo, Liu, Bingxuan, Liu, Hongbin, Liu, Jianbei, Liu, J.K. K., Liu, Kun, Liu, Minghui, Liu, Mingyi, Liu, Peilian, Liu, Xiaotian, Liu, Yi, Liu, Yang, Liu, Yanlin, Liu, Yanwen, Livan, Michele, Lleres, Annick, Llorente Merino, Javier, Luehring, Frederick, Lloyd, Steve, Lo, Cheuk Yee, Lobodzinska, Ewelina Maria, Loch, Peter, Loffredo, Salvatore, Lohse, Thomas, Lohwasser, Kristin, Lokajicek, Milos, Long, Jonathan, Long, Robin Eamonn, Longarini, Iacopo, Longo, Luigi, Lopez Paz, Ivan, Lopez Solis, Alvaro, Lorenz, Jeanette Miriam, Lorenzo Martinez, Narei, Lory, Alexander, Loesle, Alena, Lou, Xuanhong, Lou, Xinchou, Lounis, Abdenour, Love, Jeremy Robert, Love, Peter, Lozano Bahilo, Julio, Lu, Miaoran, Lu, Yun-Ju, Lubatti, Henry, Luci, Claudio, Lucio Alves, Fabio Lucio, Lucotte, Arnaud, Luehring, Fred, Luise, Ilaria, Luminari, Lamberto, Lund-Jensen, Bengt, Luongo, Nicholas, Lutz, Margaret Susan, Lynn, David, Lyons, Harry John, Lysak, Roman, Lytken, Else, Lyu, Feng, Lyubushkin, Vladimir, Lyubushkina, Tatiana, Ma, Hong, Ma, Lianliang, Ma, Yanhui, Donell, D.M. Mac, Macdonell, Danika Marina, Maccarrone, Giovanni, Macdonald, Calum Michael, Macdonald, Jack, Machado Miguens, Joana, Madar, Romain, Mader, Wolfgang, Madugoda Ralalage Don, Madhuranga, Madysa, Nico, Maeda, Junpei, Maeno, Tadashi, Maerker, Max, Magerl, Veronika, Magini, Nicolo, Magro, Jacopo, Mahon, Devin, Maidantchik, Carmen, Maio, Amelia, Maj, Klaudia, Majersky, Oliver, Majewski, Stephanie, Makida, Yasuhiro, Makovec, Nikola, Malaescu, Bogdan, Malecki, Pa., Malecki, Pawel, Maleev, Victor, Malek, Fairouz, Malito, Davide, Mallik, Usha, Malone, Claire, Maltezos, Stavros, Malyukov, Sergey, Mamuzic, Judita, Mancini, Giada, Mandalia, Jesal, Mandic, Igor, Manhaes de Andrade Filho, Luciano, Maniatis, Ioannis Michail, Ramos, J.Manjarres, Mankinen, Katja Hannele, Mann, Alexander, Manousos, Athanasios, Marshall, Zachary Louis, Martin, Timothy, Maslennikov, Aleksei, Mcfayden, Joshua Angus, Manousos, Thanos, Mansoulie, Bruno, Manthos, Ioannis, Manzoni, Stefano, Marantis, Alexandros, Marceca, Gino, Marchese, Luigi, Marchiori, Giovanni, Marcisovsky, Michal, Marcoccia, Lorenzo, Marcon, Caterina, Marjanovic, Marija, Mc Kay, Madalyn Ann, Mcpherson, Robert Anthony, Marshall, Zach, Martensson, M.U. F., Marti I Garcia, Salvador, Martin, Christopher Blake, Martin, Tim, Martin, Victoria, Martin Dit Latour, Bertrand, Martinelli, Luca, Martinez-Perez, Mario, Martinez Agullo, Pablo, Martinez Outschoorn, Verena Ingrid, Martin-Haugh, Stewart, Martoiu, Sorin, Martyniuk, Alex Christopher, Marzin, Antoine, Maschek, Stefan Raimund, Masetti, Lucia, Mashimo, Tetsuro, Mashinistov, Ruslan, Masik, Jiri, Maslennikov, Alexei, Massa, Lorenzo, Massarotti, Paolo, Mastrandrea, Paolo, Mastroberardino, Anna, Masubuchi, Tatsuya, Matakias, Dimitrios, Matic, Andrea, Matsuzawa, Nobuo, Mattig, Peter, Maurer, Julien, Macek, Bostjan, Maximov, Dmitriy, Mazini, Rachid, Maznas, Ioannis, Mazza, Simone Michele, Mc Gowan, John Patrick, Mc Kee, Shawn, Mccarthy, Thomas, Mccormack, William Patrick, Mcdonald, Emily Frances, Mcdonald, Millie, Mcdougall, Ashley Ellen, Mcfayden, Josh, Mchedlidze, Gvantsa, Mc Kay, Maddie, Mclean, Kayla, Mcmahon, Stephen, Mcnamara, Peter Charles, Mcnicol, Christopher John, Mcpherson, R.A., Mdhluli, Joyful Elma, Meadows, Zachary Alden, Meehan, Samuel Ross, Megy, Theo, Mehlhase, Sascha, Mehta, Andrew, Meirose, Bernhard, Melini, Davide, Mellado Garcia, Bruce, Mellenthin, Johannes, Melo, Matej, Meloni, Federico, Melzer, Alexander, Gouveia, E.D. Mendes, Mendes Jacques da Costa, Antonio Manuel, Meng, Huan Yu, Meng, Lingxin, Meng, Xiangting, Menke, Sven, Meoni, Evelin, Mergelmeyer, Sebastian, Merkt, Sebastian Andreas, Merlassino, Claudia, Mermod, Philippe, Merola, Leonardo, Meroni, Chiara, Merz, Garrett William, Meshkov, Oleg, Meshreki, John Kamal Rizk, Metcalfe, Jessica, Mete, Alaettin Serhan, Meyer, Christopher John, Meyer, Jean-Pierre, Michetti, Michele, Middleton, Robin, Mijovic, Liza, Mikenberg, George, Mikestikova, Marcela, Mikuz, Marko, Mildner, Hannes, Milic, Adriana, Milke, Christopher Don, Milke, Chris, Miller, David, Miller, Laura Stephanie, Milov, Alexander, Milstead, David Anthony, Minaenko, Andrei, Minashvili, Irakli, Mince, Laurynas, Mincer, Allen Irving, Mindur, Bartosz, Mineev, Mikhail, Minegishi, Yuji, Mino, Yuya, Mir Martinez, Lluisa Maria, Mironova, Maria, Mistry, Khilesh Pradip, Mitani, Takashi, Mitrevski, Jovan, Mitsou, Vasiliki, Mittal, Monika, Miu, Ovidiu, Miucci, Antonio, Miyagawa, Paul, Mizukami, Atsushi, Mjoernmark, Jan-Ulf, Mkrtchyan, Tigran, Mlynarikova, Michaela, Moa, Torbjorn, Mobius, Silke, Mochizuki, Kazuya, Moder, Paul, Mogg, Philipp, Mohapatra, Soumya, Moles Valls, Regina, Monig, Klaus, Monnier, Emmanuel, Montalbano, Alyssa Rae, Montejo Berlingen, Javier, Montella, Marco, Monticelli, Fernando, Monzani, Simone, Morange, Nicolas, Moreira de Carvalho, Ana Luisa, Moreno Lopez, Deywis, Moreno Llacer, Maria, Moreno Martinez, Carlos, Morettini, Paolo, Morgenstern, Marcus Matthias, Morgenstern, Stefanie, Mori, Daniel, Morii, Masahiro, Morinaga, Masahiro, Morisbak, Vanja, Morley, Anthony, Mornacchi, Giuseppe, Morris, Alice, Morvaj, Ljiljana, Moschovakos, Paraschos, Myers, Gregory William, Nachman, Benjamin Philip, Moschovakos, Paris, Moser, Brian, Mosidze, Maia, Moskalets, Tetiana, Moskvitina, Polina, Moss, Joshua, Moyse, E.J. W., Muanza, Steve, Mueller, James Alfred, Muller, Ralph, Muenstermann, Daniel, Mullier, Geoffrey, Mungo, Davide Pietro, Munoz Martinez, Jose Luis, Munoz Sanchez, Francisca, Murin, Pavel, Murray, William John, Murray, Bill, Murrone, Alessia, Muse, Joseph M, Muskinja, Miha, Mwewa, Chilufya, Myagkov, Alexei, Myers, Ava Anne, Neep, Thomas James, Ntekas, Konstantinos, Myers, Greg, Myers, John, Myska, Miroslav, Nachman, B.P., Nackenhorst, Olaf, Nag, Abhishek, Nagai, Koichi, Nagano, Kunihiro, Nagasaka, Yasushi, Nagle, James Lawrence, Nagy, Elemer, Nairz, Armin, Higuchi, Yu Nakahama, Nakamura, Koji, Nakamura, Tomoaki, Nanjo, Hajime, Napolitano, Fabrizio, Garcia, R.F. Naranjo, Narayan, Rohin Thampilali, Naryshkin, Iurii, Naseri, Mohsen, Naumann, Thomas, Navarro, Gabriela Alejandra, Nechaeva, Polina, Nechansky, Filip, Ng, Yan Wing, Neep, T.J., Negri, Andrea, Negrini, Matteo, Nellist, Clara, Nelson, Christina, Nelson, Michael Edward, Nemecek, Stanislav, Nessi, Marzio, Neubauer, Mark, Neuhaus, Friedemann, Neumann, Manuel, Newhouse, Robin, Newman, Paul Richard, Ng, Chi Wing, Nikolaidou, Rodanthi, Nilsson, Paal Nils Bertil, Ng, Sam Yanwing, Ng, Ying Wun Yvonne, Ngair, Badr-Eddine, Nguyen, Hoang Dai Nghia, Nguyen Manh, Tuan, Nibigira, Emery, Nickerson, Richard, Nikolaidou, Rosy, Nielsen, Daniel, Nielsen, Jason, Niemeyer, Marcel, Nikiforou, Nikiforos, Nikolaenko, Vladimir, Nikolic-Audit, I., Nikolopoulos, Konstantinos, Nilsson, Paul, Nindhito, Herjuno Rah, Nisati, Aleandro, Nishu, Nishu, Nisius, Richard, Nitsche, Isabel, Nitta, Tatsumi, Nobe, Takuya, Noel, Daniel Louis, Noguchi, Yohei, Nomidis, Ioannis, Nomura, Marcelo Ayumu, Nordberg, Markus, Novak, Jakob, Novak, Tadej, Novgorodova, Olga, Novotny, Radek, Nozka, Libor, Ntekas, Kostas, Nurse, Emily Laura, Oakham, Gerald, Ocariz, Jose Humberto, Ochi, Atsuhiko, Ochoa, Ines, Ochoa, Jean-Pierre, O'Connor, Kelsey Shea, Oda, Susumu, Odaka, Shigeru, Ordek, Serhat, Ogrodnik, Agnieszka Ewa, Oh, Alexander, Ohm, Christian, Oide, Hideyuki, Oishi, Reiyo, Ojeda, Martina Laura, Okawa, Hideki, Okazaki, Yuta, O'Keefe, Michael William, Okumura, Yasuyuki, Olariu, Albert, Seabra, L.F. Oleiro, Olivares, Sebastian, Oliveira Damazio, Denis, Oliver, Jason, Olsson, Mats Joakim Robert, Olszewski, Andrzej, Olszowska, Jolanta, Oncel, Omer Ogul, O'Neil, Dugan, O'Neill, Aaron Paul, Onofre, Antonio, Onyisi, P.U. E., Oppen, Henrik, Oreamuno Madriz, Rafael Guillermo, Oreglia, Mark, Orellana, Gonzalo Enrique, Orestano, Domizia, Orlando, Nicola, Orr, Robert, O'Shea, Valentine, Ouellette, Jeffrey Cortlandt, Parker, Andrew Michael, O'Shea, Val, Ospanov, Rustem, Otero y Garzon, Gustavo, Otono, Hidetoshi, Ott, Philipp Sebastian, Ottino, Gregory James, Ouchrif, Mohamed, Ouellette, Jeff, Ould-Saada, Farid, Ouraou, Ahmimed, Ouyang, Qun, Owen, Mark Andrew, Owen, Rhys, Ozcan, Erkcan, Ozturk, Nurcan, Pacalt, Josef, Pacey, Holly, Pachal, Katherine, Pacheco Pages, Andreu, Padilla Aranda, Cristobal, Pagan Griso, Simone, Palacino, Gabriel, Palazzo, Serena, Palestini, Sandro, Palka, Marek, Palni, Prabhakar, Pandini, Carlo Enrico, Panduro Vazquez, Jose Guillermo, Panduro Vazquez, William, Pani, Priscilla, Panizzo, Giancarlo, Paolozzi, Lorenzo, Papadatos, Constantine, Papageorgiou, Konstantinos, Parajuli, Santosh, Paramonov, Alexander, Paraskevopoulos, Christos, Paredes Hernandez, Daniela Katherinne, Paredes Saenz, Santiago Rafael, Parida, Bibhuti, Park, Tae Hyoun, Parker, Adam Jackson, Pollard, Christopher Samuel, Parker, Andy, Parodi, Fabrizio, Parrish, Elliot, Parsons, John, Parzefall, Ulrich, Pascual Dominguez, Luis, Pascuzzi, Vincent, Pasner, Jacob Martin, Pasquali, Federica, Pasqualucci, Enrico, Passaggio, Stefano, Pastore, Francesca, Pasuwan, Patrawan, Pataraia, Sophio, Pater, Joleen, Pater, Jo, Pathak, Atanu, Patton, Joseph, Pauly, Thilo, Pearkes, Jannicke Andree, Pedersen, Maiken, Pedraza Diaz, Lucia, Costa Batalha Pedro, Rute, Peiffer, Thomas, Peleganchuk, Sergey, Penc, Ondrej, Peng, Chen, Peng, Haiping, Sotto-Maior Peralva, Bernardo, Perego, Marta Maria, Pereira Peixoto, A.P., Pereira Sanchez, Laura, Perepelitsa, Dennis, Perez Codina, Estel, Perini, Laura, Pernegger, Heinz, Perrella, Sabrina, Perrevoort, Ann-Kathrin, Peters, Krisztian, Peters, Reinhild, Petersen, Brian, Petersen, Troels, Petit, Elisabeth, Petousis, Vlasios, Petridou, Chariclia, Petrucci, Fabrizio, Pettee, 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S., Sultanov, Salekh, Sultansoy, S., Sumida, Toshi, Sun, Siyuan, Sun, Xiaohu, Suster, Carl Joseph Edmund, Sutton, Mark, Suzuki, Shota, Svatos, Michal, Swiatlowski, Maximilian J, Swift, Stewart Patrick, Swirski, Thorben, Sydorenko, Alexander, Sykora, Ivan, Sykora, Martin, Sykora, Tomas, Ta, Duc Bao, Tackmann, Kerstin, Kinghorn-Taenzer, Joseph Peter, Taffard, Agnes Christine, Tsukerman, Ilya, Taffard, Anyes, Tafirout, Reda, Tagiev, Emin, Taibah, Reem Hani M, Takashima, Ryuichi, Takeda, Kosuke, Takeshita, Toru, Takeva, Emily Petrova, Takubo, Yosuke, Talby, Mossadek, Talyshev, Alexei, Tam, Kai Chung, Tamir, Nadav Michael, Tanaka, Junichi, Tanaka, Reisaburo, Tzamarias, Spyridon, Tanaka, Rei, Tapia Araya, Sebastian, Tapprogge, Stefan, Mohamed, A.Tarek Abouelfadl, Tarem, Shlomit, Tariq, Khuram, Tarna, Grigore, Tartarelli, Francesco, Tas, Petr, Tasevsky, Marek, Tassi, Enrico, Tateno, Gen, Tavares Delgado, Ademar, Tayalati, Yahya, Taylor, Alan James, Taylor, Geoffrey Norman, Taylor, Wendy Jane, Teagle, Hamish Edward, Tee, A.S., Teixeira de Lima, Rafael, Teixeira-Dias, Pedro, ten Kate, Herman, Teoh, Jia Jian, Terashi, Koji, Terron Cuadrado, Juan, Terzo, Stefano, Testa, Marianna, Teuscher, Richard, Thais, Savannah Jennifer, Themistokleous, Neofytos, Theveneaux-Pelzer, Timothee, Thomas, David William, Thomas, Juergen, Thompson, Emily Anne, Thompson, Paul, Thomson, Evelyn Jean, Thorpe, Edward James, Tikhomirov, Vladimiro, Tikhonov, Yu. 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L., Lasagni Manghi , F, Massa , L., Vittori , C., Alfonsi , F, Cabras , G., Cervelli , A., Negrini , M., Todome , K., Carratta , G., Cavalli , N., Clissa , L., ATLAS collaboration, Centre de Physique des Particules de Marseille (CPPM), Aix Marseille Université (AMU)-Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Centre National de la Recherche Scientifique (CNRS), Laboratoire d'Annecy de Physique des Particules (LAPP), Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Université Savoie Mont Blanc (USMB [Université de Savoie] [Université de Chambéry])-Centre National de la Recherche Scientifique (CNRS), Laboratoire de Physique des 2 Infinis Irène Joliot-Curie (IJCLab), Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Université Paris-Saclay-Centre National de la Recherche Scientifique (CNRS), Laboratoire de Physique de Clermont (LPC), Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne (UCA), Institut de Recherches sur les lois Fondamentales de l'Univers (IRFU), Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Université Paris-Saclay, Laboratoire de Physique Nucléaire et de Hautes Énergies (LPNHE (UMR_7585)), Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS)-Université de Paris (UP), Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes (UGA)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP ), Université Grenoble Alpes (UGA), Centre de Calcul de l'IN2P3 (CC-IN2P3), Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Centre National de la Recherche Scientifique (CNRS), ATLAS, Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Aad, G. 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W., Shaked Renous, D., Shan, L. Y., Shapiro, M., Sharma, A., Sharma, A. S., Shatalov, P. B., Shaw, K., Shaw, S. M., Shehade, M., Shen, Y., Sherman, A. D., Sherwood, P., Shi, L., Shimmin, C. O., Shimogama, Y., Shimojima, M., Shinner, J. D., Shipsey, I. P. J., Shirabe, S., Shiyakova, M., Shlomi, J., Shmeleva, A., Shochet, M. J., Shojaii, J., Shope, D. R., Shrestha, S., Shrif, E. M., Shroff, M. J., Shulga, E., Sicho, P., Sickles, A. M., Sideras Haddad, E., Sidiropoulou, O., Sidoti, A., Siegert, F., Sijacki, Dj., Silva, M., Silva Oliveira, M. V., Silverstein, S. B., Simion, S., Simoniello, R., Simpson-allsop, C. J., Simsek, S., Sinervo, P., Sinetckii, V., Singh, S., Sioli, M., Siral, I., Sivoklokov, S. Yu., Sjölin, J., Skaf, A., Skorda, E., Skubic, P., Slawinska, M., Sliwa, K., Smakhtin, V., Smart, B. H., Smiesko, J., Smirnov, N., Smirnov, S. Yu., Smirnov, Y., Smirnova, L. N., Smirnova, O., Smith, E. A., Smith, H. A., Smizanska, M., Smolek, K., Smykiewicz, A., Snesarev, A. A., Snoek, H. L., Snyder, I. M., Snyder, S., Sobie, R., Soffer, A., Søgaard, A., Sohns, F., Solans Sanchez, C. A., Soldatov, E. Yu., Soldevila, U., Solodkov, A. A., Soloshenko, A., Solovyanov, O. V., Solovyev, V., Sommer, P., Son, H., Sonay, A., Song, W., Song, W. Y., Sopczak, A., Sopio, A. L., Sopkova, F., Sottocornola, S., Soualah, R., Soukharev, A. M., South, D., Spagnolo, S., Spalla, M., Spangenberg, M., Spanò, F., Sperlich, D., Spieker, T. M., Spigo, G., Spina, M., Spiteri, D. P., Spousta, M., Stabile, A., Stamas, B. L., Stamen, R., Stamenkovic, M., Stampekis, A., Stanecka, E., Stanislaus, B., Stanitzki, M. M., Stankaityte, M., Stapf, B., Starchenko, E. A., Stark, G. H., Stark, J., Staroba, P., Starovoitov, P., Stärz, S., Staszewski, R., Stavropoulos, G., Stegler, M., Steinberg, P., Steinhebel, A. L., Stelzer, B., Stelzer, H. J., Stelzer-Chilton, O., Stenzel, H., Stevenson, T. J., Stewart, G. A., Stockton, M. C., Stoicea, G., Stolarski, M., Stonjek, S., Straessner, A., Strandberg, J., Strandberg, S., Strauss, M., Strebler, T., Strizenec, P., Ströhmer, R., Strom, D. M., Stroynowski, R., Strubig, A., Stucci, S. A., Stugu, B., Stupak, J., Styles, N. A., Su, D., Su, W., Su, X., Suarez, N. B., Sulin, V. V., Sullivan, M. J., Sultan, D. M. S., Sultansoy, S., Sumida, T., Sun, S., Sun, X., Suster, C. J. E., Sutton, M. R., Suzuki, S., Svatos, M., Swiatlowski, M., Swift, S. P., Swirski, T., Sydorenko, A., Sykora, I., Sykora, M., Sykora, T., Ta, D., Tackmann, K., Taenzer, J., Taffard, A., Tafirout, R., Tagiev, E., Taibah, R. H. M., Takashima, R., Takeda, K., Takeshita, T., Takeva, E. P., Takubo, Y., Talby, M., Talyshev, A. A., Tam, K. C., Tamir, N. M., Tanaka, J., Tanaka, R., Tapia Araya, S., Tapprogge, S., Tarek Abouelfadl Mohamed, A., Tarem, S., Tariq, K., Tarna, G., Tartarelli, G. F., Tas, P., Tasevsky, M., Tassi, E., Tateno, G., Tavares Delgado, A., Tayalati, Y., Taylor, A. J., Taylor, G. N., Taylor, W., Teagle, H., Tee, A. S., Teixeira De Lima, R., Teixeira-Dias, P., Ten Kate, H., Teoh, J. J., Terashi, K., Terron, J., Terzo, S., Testa, M., Teuscher, R. J., Thais, S. J., Themistokleous, N., Theveneaux-Pelzer, T., Thomas, D. W., Thomas, J. P., Thompson, E. A., Thompson, P. D., Thomson, E., Thorpe, E. J., Tikhomirov, V. O., Tikhonov, Yu. A., Timoshenko, S., Tipton, P., Tisserant, S., Todome, K., Todorova-Nova, S., Todt, S., Tojo, J., Tokár, S., Tokushuku, K., Tolley, E., Tombs, R., Tomiwa, K. G., Tomoto, M., Tompkins, L., Tornambe, P., Torrence, E., Torres, H., Torró Pastor, E., Toscani, M., Tosciri, C., Toth, J., Tovey, D. R., Traeet, A., Treado, C. J., Trefzger, T., Tresoldi, F., Tricoli, A., Trigger, I. M., Trincaz-Duvoid, S., Trischuk, D. A., Trischuk, W., Trocmé, B., Trofymov, A., Troncon, C., Trovato, F., Truong, L., Trzebinski, M., Trzupek, A., Tsai, F., Tseng, J. C. -L., Tsiareshka, P. V., Tsirigotis, A., Tsiskaridze, V., Tskhadadze, E. G., Tsopoulou, M., Tsukerman, I. I., Tsulaia, V., Tsuno, S., Tsybychev, D., Tu, Y., Tudorache, A., Tudorache, V., Tuna, A. N., Turchikhin, S., Turgeman, D., Turk Cakir, I., Turner, R. J., Turra, R., Tuts, P. M., Tzamarias, S., Tzovara, E., Uchida, K., Ukegawa, F., Unal, G., Unal, M., Undrus, A., Unel, G., Ungaro, F. C., Unno, Y., Uno, K., Urban, J., Urquijo, P., Usai, G., Uysal, Z., Vacek, V., Vachon, B., Vadla, K. O. H., Vafeiadis, T., Vaidya, A., Valderanis, C., Valdes Santurio, E., Valente, M., Valentinetti, S., Valero, A., Valéry, L., Vallance, R. A., Vallier, A., Valls Ferrer, J. A., Van Daalen, T. R., Van Gemmeren, P., Van Stroud, S., Van Vulpen, I., Vanadia, M., Vandelli, W., Vandenbroucke, M., Vandewall, E. R., Vannicola, D., Vari, R., Varnes, E. W., Varni, C., Varol, T., Varouchas, D., Varvell, K. E., Vasile, M. E., Vasquez, G. A., Vazeille, F., Vazquez Furelos, D., Vazquez Schroeder, T., Veatch, J., Vecchio, V., Veen, M. J., Veloce, L. M., Veloso, F., Veneziano, S., Ventura, A., Verbytskyi, A., Vercesi, V., Verducci, M., Vergel Infante, C. M., Vergis, C., Verkerke, W., Vermeulen, A. T., Vermeulen, J. C., Vernieri, C., Verschuuren, P. J., Vetterli, M. C., Viaux Maira, N., Vickey, T., Vickey Boeriu, O. E., Viehhauser, G. H. A., Vigani, L., Villa, M., Villaplana Perez, M., Villhauer, E. M., Vilucchi, E., Vincter, M. G., Virdee, G. S., Vishwakarma, A., Vittori, C., Vivarelli, I., Vogel, M., Vokac, P., Von Ahnen, J., von Buddenbrock, S. E., Von Toerne, E., Vorobel, V., Vorobev, K., Vos, M., Vossebeld, J. H., Vozak, M., Vranjes, N., Vranjes Milosavljevic, M., Vrba, V., Vreeswijk, M., Vu, N. K., Vuillermet, R., Vukotic, I., Wada, S., Wagner, P., Wagner, W., Wagner-Kuhr, J., Wahdan, S., Wahlberg, H., Wakasa, R., Walbrecht, V. M., Walder, J., Walker, R., Walker, S. D., Walkowiak, W., Wallangen, V., Wang, A. M., Wang, A. Z., Wang, C., Wang, H., Wang, J., Wang, P., Wang, Q., Wang, R. -J., Wang, R., Wang, S. M., Wang, W. T., Wang, W., Wang, W. X., Wang, Y., Wang, Z., Wanotayaroj, C., Warburton, A., Ward, C. P., Ward, R. J., Warrack, N., Watson, A. T., Watson, M. F., Watts, G., Waugh, B. M., Webb, A. F., Weber, C., Weber, M. S., Weber, S. A., Weber, S. M., Wei, Y., Weidberg, A. R., Weingarten, J., Weirich, M., Weiser, C., Wells, P. S., Wenaus, T., Wendland, B., Wengler, T., Wenig, S., Wermes, N., Wessels, M., Weston, T. D., Whalen, K., Wharton, A. M., White, A. S., White, A., White, M. J., Whiteson, D., Whitmore, B. W., Wiedenmann, W., Wiel, C., Wielers, M., Wieseotte, N., Wiglesworth, C., Wiik-Fuchs, L. A. M., Wilkens, H. G., Wilkins, L. J., Williams, D. M., Williams, H. H., Williams, S., Willocq, S., Windischhofer, P. J., Wingerter-Seez, I., Winkels, E., Winklmeier, F., Winter, B. T., Wittgen, M., Wobisch, M., Wolf, A., Wölker, R., Wollrath, J., Wolter, M. W., Wolters, H., Wong, V. W. S., Wongel, A. F., Woods, N. L., Worm, S. D., Wosiek, B. K., Woźniak, K. W., Wraight, K., Wu, S. L., Wu, X., Wu, Y., Wuerzinger, J., Wyatt, T. R., Wynne, B. M., Xella, S., Xiang, J., Xiao, X., Xie, X., Xiotidis, I., Xu, D., Xu, H., Xu, L., Xu, R., Xu, T., Xu, W., Xu, Y., Xu, Z., Yabsley, B., Yacoob, S., Yallup, D. P., Yamaguchi, N., Yamaguchi, Y., Yamamoto, A., Yamatani, M., Yamazaki, T., Yamazaki, Y., Yan, J., Yan, Z., Yang, H. J., Yang, H. T., Yang, S., Yang, T., Yang, X., Yang, Y., Yang, Z., Yao, W-M., Yap, Y. C., Ye, H., Ye, J., Ye, S., Yeletskikh, I., Yexley, M. R., Yigitbasi, E., Yin, P., Yorita, K., Yoshihara, K., Young, C. J. S., Young, C., Yu, J., Yuan, R., Yue, X., Zaazoua, M., Zabinski, B., Zacharis, G., Zaffaroni, E., Zahreddine, J., Zaitsev, A. M., Zakareishvili, T., Zakharchuk, N., Zambito, S., Zanzi, D., Zeißner, S. V., Zeitnitz, C., Zemaityte, G., Zeng, J. C., Zenin, O., Ženiš, T., Zerwas, D., Zgubič, M., Zhang, B., Zhang, D. F., Zhang, G., Zhang, J., Zhang, K., Zhang, L., Zhang, M., Zhang, R., Zhang, S., Zhang, X., Zhang, Y., Zhang, Z., Zhao, P., Zhao, Y., Zhao, Z., Zhemchugov, A., Zheng, Z., Zhong, D., Zhou, B., Zhou, C., Zhou, H., Zhou, M., Zhou, N., Zhou, Y., Zhu, C. G., Zhu, C., Zhu, H. L., Zhu, H., Zhu, J., Zhu, Y., Zhuang, X., Zhukov, K., Zhulanov, V., Zieminska, D., Zimine, N. I., Zimmermann, S., Zinonos, Z., Ziolkowski, M., Živković, L., Zobernig, G., Zoccoli, A., Zoch, K., Zorbas, T. G., Zou, R., Zwalinski, L., Aloisio, Alberto, Alviggi, Mariagrazia, Canale, Vincenzo, Della Pietra, Massimo, Merola, Leonardo, Massarotti, Paolo, Conventi, Francesco, Rossi, Elvira, Carlino, Giampaolo, de Asmundis, Riccardo, Di Donato, Camilla, Doria, Alessandra, Iengo, Paolo, Izzo, Vincenzo, Perrella, Sabrina, Sekhniaidze, Givi, Cirotto, Francesco, Lavorgna, Marco, Giannini, Antonio, Atlas, Collaboration, and Współautorami artykułu są członkowie ATLAS Collaboration w liczbie 2936
Subjects: electron, Top quark, Kjerne- og elementærpartikkelfysikk: 431 [VDP], Physics and Astronomy (miscellaneous), 13000 GeV-cms, measured [channel cross section], Parton, pair production [top], 7. Clean energy, 01 natural sciences, High Energy Physics - Experiment, Subatomär fysik, High Energy Physics - Experiment (hep-ex), Subatomic Physics, scattering [p p], [PHYS.HEXP]Physics [physics]/High Energy Physics - Experiment [hep-ex], parton, associated production [Z0], Nuclear Experiment, Settore FIS/01, Physics, Luminosity (scattering theory), Large Hadron Collider, 4. Education, ATLAS, 16. Peace & justice, Nuclear and elementary particle physics: 431 [VDP], CERN LHC Coll, medicine.anatomical_structure, kinematics, colliding beams [p p], top: pair production, channel cross section: measured, Particle Physics - Experiment, data analysis method, p p: scattering, Particle physics, Z boson, CERN Lab, Regular Article - Experimental Physics, 530 Physics, FOS: Physical sciences, LHC, ATLAS, High Energy Physics, differential cross section: measured, Cross section (physics), Atlas (anatomy), measured [differential cross section], muon, 0103 physical sciences, medicine, ddc:530, High Energy Physics, 010306 general physics, Engineering (miscellaneous), top quark, Muon, hep-ex, 010308 nuclear & particles physics, High Energy Physics::Phenomenology, Física, leptonic decay [Z0], Z0: associated production, Z0: leptonic decay, LHC, Particle Physics, Top physics, High Energy Physics::Experiment, Hadron-hadron collisions, p p: colliding beams, experimental results, Lepton
Abstract: We thank CERN for the very successful operation of the LHC, as well as the support staff from our institutions without whom ATLAS could not be operated efficiently. We acknowledge the support of ANPCyT, Argentina; YerPhI, Armenia; ARC, Au CNPq and FAPESP, Brazil; NSERC, NRC and CFI, Canada; CERN; ANIstralia; BMWFW and FWF, Austria; ANAXS, Azerbaijan; SSTC, Belarus;D, Chile; CAS, MOST and NSFC, China; Minciencias, Colombia; MSMT CR, MPO CR and VSC CR, Czech Republic; DNRF and DNSRC, Denmark; IN2P3-CNRS and CEA-DRF/IRFU, France; SRNSFG, Georgia; BMBF, HGF and MPG, Germany; GSRT, Greece; RGC and Hong Kong SAR, China; ISF and Benoziyo Center, Israel; INFN, Italy; MEXT and JSPS, Japan; CNRST, Morocco; NWO, Netherlands; RCN, Norway; MNiSW and NCN, Poland; FCT, Portugal; MNE/IFA, Romania; JINR; MESofRussia andNRCKI, Russian Federation; MESTD, Serbia; MSSR, Slovakia; ARRS and MIZS, Slovenia; DST/NRF, South Africa; MICINN, Spain; SRC and Wallenberg Foundation, Sweden; SERI, SNSF and Cantons of Bern and Geneva, Switzerland; MOST, Taiwan; TAEK, Turkey; STFC, United Kingdom; DOEandNSF, USA. In addition, individual groups andmembers have received support fromBCKDF, CANARIE, ComputeCanada, CRC and IVADO, Canada; Beijing Municipal Science & Technology Commission, China; COST, ERC, ERDF, Horizon 2020 and Marie Sklodowska-Curie Actions, European Union; Investissements d'Avenir Labex, Investissements d'Avenir Idex and ANR, France; DFG and AvH Foundation, Germany; Herakleitos, Thales and Aristeia programmes co-financed by EU-ESF and the Greek NSRF, Greece; BSF-NSF and GIF, Israel; La Caixa Banking Foundation, CERCA Programme Generalitat de Catalunya and PROMETEO and GenT Programmes Generalitat Valenciana, Spain; Goran Gustafssons Stiftelse, Sweden; The Royal Society and Leverhulme Trust, United Kingdom. The crucial computing support from all WLCG partners is acknowledged gratefully, in particular from CERN, the ATLAS Tier-1 facilities at TRIUMF (Canada), NDGF (Denmark, Norway, Sweden), CC-IN2P3 (France), KIT/GridKA (Germany), INFN-CNAF (Italy), NL-T1 (Netherlands), PIC (Spain), ASGC (Taiwan), RAL (UK) and BNL (USA), theY Tier-2 facilities worldwide and large non-WLCG resource providers. Major contributors of computing resources are listed in Ref. [91]., Measurements of both the inclusive and differential production cross sections of a top-quark-antiquark pair in association with a Z boson (t (t) over barZ) are presented. The measurements are performed by targeting final states with three or four isolated leptons (electrons or muons) and are based on root s = 13 TeV proton-proton collision data with an integrated luminosity of 139 fb(-1), recorded from 2015 to 2018 with the ATLAS detector at the CERN Large Hadron Collider. The inclusive cross section is measured to be a sigma(t (t) over barZ)= 0.99 +/- 0.05 (stat.) +/- 0.08 (syst.) pb, in agreement with the most precise theoretical predictions. The differential measurements are presented as a function of a number of kinematic variables which probe the kinematics of the t (t) over barZ system. Both absolute and normalised differential crosssection measurements are performed at particle and parton levels for specific fiducial volumes and are compared with theoretical predictions at different levels of precision, based on a chi(2)/ndf and p value computation. Overall, good agreement is observed between the unfolded data and the predictions., CERN, ANPCyT, YerPhI, Armenia, Australian Research Council, Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPQ), Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP), Natural Sciences and Engineering Research Council of Canada (NSERC), NRC, Canada, Canada Foundation for Innovation, SSTC, Belarus, Ministry of Education, Youth & Sports - Czech Republic Czech Republic Government, Czech Republic Government, DNRF, Denmark, Danish Natural Science Research Council, Centre National de la Recherche Scientifique (CNRS), CEA-DRF/IRFU, France, SRNSFG, Georgia, Federal Ministry of Education & Research (BMBF), HGF, Germany, Max Planck Society, Greek Ministry of Development-GSRT, RGC, China, Hong Kong SAR, China, Israel Science Foundation, Benoziyo Center, Israel, Istituto Nazionale di Fisica Nucleare (INFN), Ministry of Education, Culture, Sports, Science and Technology, Japan (MEXT), Ministry of Education, Culture, Sports, Science and Technology, Japan (MEXT) Japan Society for the Promotion of Science, CNRST, Morocco, Netherlands Organization for Scientific Research (NWO) Netherlands Government, RCN, Norway, Ministry of Science and Higher Education, Poland, NCN, Poland, Portuguese Foundation for Science and Technology European Commission, MNE/IFA, Romania, JINR, MESofRussia, Russian Federation, Ministry of Education, Science & Technological Development, Serbia, MSSR, Slovakia, Slovenian Research Agency - Slovenia, MIZS, Slovenia, DST/NRF, South Africa, Spanish Government, SRC, Sweden, Wallenberg Foundation, Sweden, SERI, Switzerland, Swiss National Science Foundation (SNSF), Cantons of Bern and Geneva, Switzerland, Ministry of Science and Technology, Taiwan, Ministry of Energy & Natural Resources - Turkey, UK Research & Innovation (UKRI) Science & Technology Facilities Council (STFC), DOEandNSF, USA, BCKDF, Canada, CANARIE, Canada, ComputeCanada, Canada, CRC, Canada, IVADO, Canada, Beijing Municipal Science & Technology Commission, COST, France, ERC, France, ERDF, France, Horizon 2020 and Marie Sklodowska-Curie Actions, European Union, France, French National Research Agency (ANR), German Research Foundation (DFG), Alexander von Humboldt Foundation, Thales Group, Aristeia programmes, EU-ESF, Greece, Greek NSRF, Greece, BSF-NSF, Israel, German-Israeli Foundation for Scientific Research and Development, La Caixa Banking Foundation, Spain, CERCA Programme Generalitat de Catalunya, Spain, GenT Programmes Generalitat Valenciana, Spain, Goran Gustafssons Stiftelse, Sweden, Royal Society of London, Leverhulme Trust, BMWFW, Austria, Austrian Science Fund (FWF), Azerbaijan National Academy of Sciences (ANAS), D, Chile, Minciencias, Colombia
Published: 2021

23. One-Year Survival Worse for Lung Retransplants Relative to Primary Lung Transplants

Author: Ruben G. Nava, G. Alexander Patterson, Bryan F. Meyers, Zhizhou Yang, Yan Yan, Su-Hsin Chang, Varun Puri, Rodrigo Vasquez Guillamet, Benjamin D. Kozower, Ramsey R. Hachem, Chad A. Witt, Deniz B Morkan, Derek E. Byers, Simran Randhawa, Hrishikesh S. Kulkarni, and Daniel Kreisel
Subjects: Pulmonary and Respiratory Medicine, medicine.medical_specialty, medicine.medical_treatment, Urology, Article, medicine, Humans, Lung transplantation, Lung, Proportional Hazards Models, Retrospective Studies, business.industry, Proportional hazards model, Hazard ratio, Confidence interval, Survival Rate, Transplantation, Treatment Outcome, medicine.anatomical_structure, Propensity score matching, Cohort, Surgery, Cardiology and Cardiovascular Medicine, business, Lung Transplantation
Abstract: Background Outcomes after lung retransplantation (LRT) remain inferior compared with primary lung transplantation (PLT). This study examined the impact of center volume on 1-year survival after LRT. Methods Using the United Network for Organ Sharing database, the study abstracted patients undergoing PLT and LRT between January 2006 and December 2017, excluding combined heart-lung transplants and multiple retransplants. One-year survival rates after PLT and LRT were compared using propensity score matching. In the LRT cohort, multivariable Cox models with and without time-dependent coefficients were fitted to examine association between transplant center volume and 1-year survival. Center volume was categorized on the basis of inspection of restricted cubic splines. Results A total of 20,675 recipients (PLT 19,853 [96.0%] vs LRT 822 [4.0%]) were included. One-year survival was lower for LRT recipients in the matched cohort (PLT 84.8% vs LRT 76.7%). There was steady improvement in 1-year survival after LRT (2006 to 2009 72.1% vs 2010 to 2013 76.6% vs 2014 to 2017 80.1%). Higher center volume was associated with better 1-year survival after LRT. This survival difference was noted in the initial 30 days after transplantation (intermediate vs low volume hazard ratio, 0.282 [95% confidence interval, 0.151 to 0.526]; high vs low volume hazard ratio, 0.406 [95% confidence interval, 0.224 to 0.737]), but it became insignificant after 30 days. Conclusions Superior 1-year survival after LRT at higher-volume centers is predominantly the result of better 30-day outcomes. This finding suggests that LRT candidates may be referred to higher-volume centers for surgery.
Published: 2022

24. Valve-in-valve transcatheter aortic valve implantation versus repeat surgical aortic valve replacement in patients with a failed aortic bioprosthesis

Author: Rishi Puri, Grant W Reed, Samir R. Kapadia, Monil Majmundar, Anmar Kanaa'N, Joseph A. Lahorra, Rajkumar Doshi, Ashish Kumar, Amar Krishnaswamy, Lars G. Svensson, James Brockett, Ankur Kalra, and Douglas R. Johnston
Subjects: medicine.medical_specialty, Transcatheter aortic, business.industry, Hazard ratio, Retrospective cohort study, Odds ratio, medicine.disease, Confidence interval, Aortic valve replacement, Clinical Research, Internal medicine, Cardiology, medicine, Cardiology and Cardiovascular Medicine, business, Stroke, Mace
Abstract: Background Limited data are available regarding clinical outcomes of valve-in-valve (ViV) transcatheter aortic valve implantation (TAVI) following the United States Food and Drug Administration approval of ViV TAVI in 2015. Aims The aim of this study was to evaluate in-hospital, 30-day, and 6-month outcomes of ViV TAVI versus repeat surgical aortic valve replacement (SAVR) in patients with a failed aortic bioprosthetic valve. Methods This retrospective cohort study identified patients who underwent ViV TAVI or repeat SAVR utilising the Nationwide Readmission Database from 2016 to 2018. Primary outcomes were all-cause readmission (at 30 days and 6 months) and in-hospital death. Secondary outcomes were in-hospital stroke, pacemaker implantation, 30-day/6-month major adverse cardiac events (MACE), and mortality during readmission. Propensity score-matching (inverse probability of treatment weighting) analyses were implemented. Results Out of 6,769 procedures performed, 3,724 (55%) patients underwent ViV TAVI, and 3,045 (45%) underwent repeat SAVR. ViV TAVI was associated with lower in-hospital all-cause mortality (odds ratio [OR] 0.42, 95% confidence interval [CI]: 0.20-0.90, p=0.026) and a higher rate of 30-day (hazard ratio [HR] 1.46, 95% CI: 1.13-1.90, p=0.004) and 6-month all-cause readmission (HR 1.54, 95% CI: 1.14-2.10, p=0.006) compared with repeat SAVR. All secondary outcomes were comparable between the two groups. Conclusions ViV TAVI was associated with lower in-hospital mortality but higher 30-day and 6-month all-cause readmission. However, there was no difference in risk of in-hospital stroke, post-procedure pacemaker implantation, MACE, and mortality during 30-day and 6-month readmission compared with repeat SAVR, suggesting that ViV TAVI can be performed safely in carefully selected patients.
Published: 2022

25. ABO-Incompatible Living Donor Liver Transplant From a Blood Type A2 Donor to a Type B Recipient: A Note of Caution

Author: Yogesh Puri, Deepti Sachan, Mohamed Rela, Ashwin Rammohan, and Mukul Vij
Subjects: Blood type, Transplantation, medicine.medical_specialty, business.industry, medicine.medical_treatment, Splenectomy, Immunosuppression, Gastroenterology, Regimen, Immune system, Refractory, Internal medicine, Donation, ABO blood group system, medicine, business
Abstract: Standardization of immunomodulation protocols has enabled ABO-incompatible liver transplants with outcomes similar to those of ABO-compatible liver transplants. Patients with the A2 blood group are unique because they have a diminished expression of the A antigen. Despite rare immune complications, this phenomenon of diminished expression has led to treatment of type A2 donors according to the regimen for type O blood group donors in ABO-incompatible liver transplants. Additionally, the requirement for pretransplant recipient immunomodulation is consi dered minimal when considering these donors. The transplant of a type A2 donor kidney to a type B recipient is well recognized; however, for liver donation the A2-to-B transplant is rare. Here, we present a case of 48-year-old male patient with blood group type B who underwent ABO-incompatible liver transplant of a right lobe liver graft from a type A2 donor. Postoperatively, despite adequate immunosuppression and initiation of thera - peutic plasma exchange, the patient developed severe and refractory antibody-mediated rejection that ultimately abated with a splenectomy. This report highlights the low but tangible risk of antibody-mediated rejection in ABO-incompatible liver transp lants from type A2 donors and emphasizes the importance of serial monitoring of anti-A isohemag glutinin titers and posttransplant splenectomy to ensure that liver grafts with antibody-mediated rejection can be rescued.
Published: 2022

26. Overall Treatment Strategy for Patients With Metastatic NSCLC With Activating EGFR Mutations

Author: Christian Grohé, Nicola Caria, Tarun Puri, Hidetoshi Hayashi, Ernest Nadal, Jhanelle E. Gray, and Andrea Ardizzoni
Subjects: Pulmonary and Respiratory Medicine, Oncology, Cancer Research, medicine.medical_specialty, Lung Neoplasms, medicine.medical_treatment, Antineoplastic Agents, Disease-Free Survival, Metastasis, Therapeutic approach, chemistry.chemical_compound, T790M, Clinical trials, Metàstasi, Carcinoma, Non-Small-Cell Lung, Internal medicine, medicine, Humans, Osimertinib, Epidermal growth factor receptor, Neoplasm Metastasis, Lung cancer, Randomized Controlled Trials as Topic, Chemotherapy, biology, business.industry, Genes, erbB-1, medicine.disease, respiratory tract diseases, Vascular endothelial growth factor, Drug Combinations, chemistry, Mutation, Càncer de pulmó, biology.protein, business, Tyrosine kinase, Assaigs clínics
Abstract: Epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (EGFR-TKIs) are standard of care in the first-line (1L) setting for patients with metastatic non-small cell lung cancer (mNSCLC) with activating EGFR mutations. EGFR-activating mutations are a predictive factor for response to EGFR-TKIs. Meta-analyses have shown that patients with exon 21_L858R mutations exhibit reduced sensitivity to EGFR-TKIs, resulting in inferior patient outcomes compared to those with exon 19 deletion mutations, with worse overall survival, progression-free survival, objective response, and disease control rates. Clinical activity observed with 1L therapy with first-generation (1G), second-generation (2G), and third-generation (3G) EGFR-TKIs is not permanent, and resistance inevitably develops in all cases, supporting the importance of overall treatment planning. The introduction of the 3G EGFR-TKI, osimertinib, provides an opportunity to overcome T790M-mediated resistance to 1G and 2G EGFR-TKIs. Additionally, with the use of osimertinib, fewer T790M mutations are being detected as T790M is not a reported resistance mechanism to 3G EGFR-TKIs. However, there are currently no approved targeted therapies after 3G EGFR-TKIs. In order to further improve patient outcomes, there is a need to explore additional options for the overall treatment strategy for patients, including 1L and beyond. Combination of vascular endothelial growth factor (VEGF) inhibitors and EGFR-TKIs or chemotherapy and EGFR-TKIs may be a potential therapeutic approach in the 1L setting. This review discusses current treatment options for mNSCLC with activating EGFR mutations based on tumor, patient, and treatment characteristics and how an overall treatment plan may be developed.
Published: 2022

27. Role of GeneXpertMTB/RIF in the diagnosis of cutaneous tuberculosis

Author: Sushruta Kathuria, A. Jain, Poonam Puri, Deepthi Nair, and Saurabh Raut
Subjects: 0303 health sciences, medicine.medical_specialty, Tuberculosis, Cutaneous tuberculosis, medicine.diagnostic_test, 030306 microbiology, Lupus vulgaris, business.industry, Antitubercular Agents, Mycobacterium tuberculosis, Gold standard (test), Scrofuloderma, medicine.disease, Sensitivity and Specificity, Dermatology, Granulomatous inflammation, 03 medical and health sciences, Infectious Diseases, Skin biopsy, medicine, Humans, Histopathology, Rifampin, business, Tuberculosis, Cutaneous
Abstract: Background cutaneous involevemtn is an important extrapulmonary manifestation of tuberculosis. It is a paucibacillary condition and has diverse clinical presentations. Sufficient data is not available regarding role of GeneXpertMTB/RIF in cutanoues tuberculosis. Methods in this study, BacT/Alert3D and response to antitubercular therapy were taken as gold standard and performance of GeneXpertMTB/RIF was evaluated against it in clinically and histopathologically suspected cases of cutaneous tuberculosis. Results forty seven patients were included in the study of which commonest presentation was scrofuloderma (42.6%) followed by lupus vulgaris (40.4%). Granulomatous inflammation on histopathology was seen in 75.5% patients on skin biopsy. Sic patients had extracutaneous focus of tuberculosis. In 14 (29.79%), culture of skin biopsy was positive for M. tuberculosis and all showed complete response to ATT in 6 months. GeneXpertMTB/RIF detected M. tuberculsois in 4 samples. Conclusion GeneXpertMTB/RIF is not a reliable tool for diagnosis of cutaneous tuberculosis. Clinic-histopathological correlation along with response to ATT is needed for confirmation of diagnosis of cutaneous tuberculosis.
Published: 2022

28. Influence of tDCS over right inferior frontal gyrus and pre-supplementary motor area on perceptual decision-making and response inhibition: A healthy ageing perspective

Author: Hakuei Fujiyama, Rohan Puri, Jane Tan, and Mark R. Hinder
Subjects: Adult, Male, Aging, medicine.medical_specialty, medicine.medical_treatment, Decision Making, Prefrontal Cortex, Inferior frontal gyrus, Stimulation, Audiology, Transcranial Direct Current Stimulation, Healthy Aging, Executive Function, Young Adult, Cognition, Double-Blind Method, Humans, Medicine, Young adult, Prefrontal cortex, Aged, Aged, 80 and over, Supplementary motor area, Transcranial direct-current stimulation, business.industry, General Neuroscience, Motor Cortex, Inhibition, Psychological, medicine.anatomical_structure, Ageing, Perception, Neurology (clinical), Geriatrics and Gerontology, business, Developmental Biology
Abstract: A wide body of literature suggests that transcranial direct current stimulation (tDCS) administered over the prefrontal cortex can improve executive function – including decision-making and inhibitory control – in healthy young adults. However, the effects of tDCS in older adults are largely unknown. Here, using a double-blind, sham-controlled approach, changes in a combined perceptual decision-making and inhibitory control task were assessed before and after the application of tDCS (1 mA, 20 minute) targeting the right inferior frontal gyrus (rIFG) or pre-supplementary motor area (preSMA) in 42 young (18–34 years) and 41 older (60–80 years) healthy adults. Compared to sham stimulation, anodal tDCS over the preSMA improved decision-making speed for both age groups. Furthermore, the inhibitory control performance of older and younger adults was improved by preSMA and rIFG stimulation, respectively. This study provides evidence that tDCS can improve both perceptual decision-making and inhibitory control in healthy older adults, with the causal role of the preSMA and rIFG regions in cognitive control appearing to vary as a function of healthy ageing.
Published: 2022

29. Urgent Off-Pump Revascularisation in ACS and Cardiogenic Shock with Anomalous Origin of Right Coronary Artery from Left Anterior Descending Artery: A Case Report

Author: Deepak Puri, Somya Puri, and Surabhi Puri
Subjects: medicine.medical_specialty, Aorta, Ejection fraction, medicine.diagnostic_test, business.industry, Cardiogenic shock, medicine.disease, Colloid and Surface Chemistry, medicine.anatomical_structure, Left coronary artery, Internal medicine, Right coronary artery, medicine.artery, cardiovascular system, medicine, Cardiology, Physical and Theoretical Chemistry, business, Electrocardiography, Junctional rhythm, Artery
Abstract: A 55-year-old female known case of essential hypertension and diabetes was brought to the Emergency Department in a drowsy state with cardiogenic shock. At presentation systolic BP was 70 mm Hg, pulse rate was 44/min and random blood sugar was 239 mg/dl. Troponin I was 8.07. Electrocardiography showed junctional rhythm and bradycardia. Ejection Fraction (LVEF) was 15% - 20%. Coronary angiography was done which revealed single vessel disease in LAD with anomalous origin of RCA from midsegment of LAD. Patient was immediately taken up for Off-pump Coronary Artery Bypass Grafting (OPCAB). Right saphenous vein graft was harvested and anastomosed proximally to aorta and distally to LAD on beating heart using Medtronic Octopus heart stabilizer and coronary shunts. Wound closed in layers after achieving complete hemostasis. Patient was taken off ventilatory support on first post-operative day and discharged in a stable condition on fourth post-operative day. Post-operative Echocardiography showed LVEF increased from 15% - 20% at time of admission to 38% and 52% after 3 months and 12 months of surgery respectively.
Published: 2021

30. Molecular characterization of Kita-Kyushu lung cancer antigen (KK-LC-1) expressing carcinomas

Author: Jorge Nieva, Rongfu Wang, Yasmine Baca, Joanne Xiu, Misako Nagasaka, Chul Kim, Hina Khan, Sonam Puri, Joseph Nicholas Bodor, Robert Hsu, Stephen V. Liu, Wolfgang Michael Korn, and Hirva Mamdani
Subjects: Cancer Research, business.industry, Normal tissue, Cancer, medicine.disease, cancer testis antigen, lung cancer, Antigen, Oncology, diagnostic biomarkers, biomarkers for immunotherapy, Cancer research, medicine, tumor microenvironment, Lung cancer, business, Research Paper
Abstract: e21000 Background: Cancer/testis antigens (CTAs) are strongly expressed in some solid tumors but minimally expressed in normal tissue, making them appealing therapeutic targets. KK-LC-1 (CXorf61) has cytoplasmic expression in some types of gastric and breast cancer and reports of expression in one-third of lung cancer tumors. Here, we characterize the molecular subtype of lung cancers expressing KK-LC-1 to plan rational clinical trials of T-cell receptor therapy (TCR-T) targeting KK-LC-1. Methods: A total of 9790 non-small cell lung cancer (NSCLC) tumors that underwent whole transcriptome sequencing (Illumina NovaSeq) and NextGen DNA sequencing (NextSeq, 592 Genes and NovaSEQ, WES) at Caris Life Sciences (Phoenix, AZ) were analyzed. Tumors were split into quartiles based on KK-LC-1 expression and pathological and molecular differences were investigated. PD-L1 expression was tested by IHC using 22c3 (Dako) and TPS scores were reported. Immune cell fraction was calculated by QuantiSeq (Finotello 2019, Genome Medicine). Statistical significance was determined using chi-square/Fisher-Exact and adjusted for multiple comparisons (adjusted p < 0.05). Results: Adenocarcinoma had significantly higher KK-LC-1 expression than squamous cell carcinoma (median 3.25 vs. 1.17 transcripts per million (TPM), p < 0.0001). There is statistically higher expression of KK-LC-1 in pan wild type (3.95 TPM) compared to tumors with EGFR mutation (1.95 TPM), ALK fusion (0.6 TPM), MET exon-14-skip mutation (1.22 TPM), RET fusion (1.42 TPM), and ROS1 fusion (1.78 TPM). Tumors within the highest quartile of KK-LC-1 expression (Q4) had a greater proportion of TMB > 10 mutations per megabase (mt/MB) (44% vs. 28%) compared to Q1. No difference was seen in PD-L1 expression. In adenocarcinoma, Q4 had a higher TMB compared to Q1 (9 mt/MB vs. 5 mt/MB). There was a higher KRAS mutation prevalence in Q3/Q4 (34.8%/35.0%) than Q1/Q2 (22%/29%) but a lower ALK fusion prevalence in Q3/Q4 (1.0%/0.5%) compared to Q1/Q2 (3.3%/2.6%). Increased KK-LC-1 expression is associated with increased M1 Macrophage abundance. Conclusions: In our population, KK-LC-1 expression was higher in adenocarcinoma. Higher levels of KK-LC-1 expression were seen in pan-wild type and KRAS mutated tumors and associated with higher TMB while lower levels of expression were seen in driver positive cancers including EGFR, ALK, MET, RET and ROS1. TCR-T therapy directed against KK-LC-1 should be explored in patients whose clinical features reflect these characteristics.
Published: 2021

31. Verticillium klebahnii and V. isaacii Isolates Exhibit Host-Dependent Biological Control of Verticillium Wilt Caused by V. dahliae

Author: Suraj Gurung, Marion Schild, Krishna V. Subbarao, Amy Anchieta, Xiaoping Hu, Steven J. Klosterman, Jun Zhao, Dylan P. G. Short, Yuan-Yuan Zhang, Germán V. Sandoya, and Krishna D. Puri
Subjects: Microbiology (medical), Host (biology), Immunology, Biological pest control, food and beverages, Fungal pathogen, Vegetable crops, Biology, biology.organism_classification, medicine.drug_formulation_ingredient, Horticulture, Disease management (agriculture), medicine, Immunology and Allergy, Verticillium dahliae, Verticillium wilt, Verticillium klebahnii
Abstract: Verticillium dahliae, the soilborne fungal pathogen, causes vascular wilt on many economically important crops, resulting in significant yield losses. V. klebahnii (isolate PD659) and V. isaacii (isolate PD660), two related species that cause few or no symptoms in some hosts, were evaluated as potential biocontrol agents (BCAs) in eggplant, lettuce, and tomato by pre-, post-, and coinoculation with a virulent race 1 isolate of V. dahliae (VdLs16). Initial studies demonstrated that the biocontrol efficacy of both BCAs was similar to reference BCA Talaromyces flavus (NRRL15936) across all hosts (α = 0.05). Subsequent experiments with PD659 against V. dahliae isolate Sm113 from eggplant, VdLs16 and VdLs17 isolates from lettuce, and Le1811 isolate from tomato demonstrated a significant biocontrol efficacy in eggplant and tomato but not in lettuce (at 95% confidence interval), suggesting host-dependent effectiveness of V. klebahnii. Confocal microscopy using green fluorescent protein-tagged tomato V. dahliae isolate Le1811 indicated delayed xylem colonization or lack of pathogen progression into the vascular system in a host-dependent manner on BCA-treated plants. Quantitative analyses of the expression of defense-related genes PR1a, PR5, acidic extracellular β-1,3-glucanase (GlucA), basic intracellular β-1,3-glucanase (GlucB), acidic extracellular chitinase (Chi3), basic intracellular chitinase (Chi9), and cysteine proteases (cysProteases) in tomato in the presence or absence of PD659 suggested an elevated expression of defense-related genes in compatible interaction of V. dahliae–tomato cultivar Early Pak. V. klebahnii (PD659) may delay the entry of V. dahliae by competing for space or nutrients during the initial stages of root colonization. [Formula: see text] Copyright © 2021 The Author(s). This is an open access article distributed under the CC BY-NC-ND 4.0 International license .
Published: 2021

32. Regional lymphadenopathy following COVID-19 vaccination: Literature review and considerations for patient management in breast cancer care

Author: Shama Puri, Antonious Z. Hazim, Joanne York, Emanuele Garreffa, Anne Turnbull, John F.R. Robertson, Matthew P. Goetz, Ahmed Hamad, and Ciara C. O’Sullivan
Subjects: Cancer Research, Pediatrics, medicine.medical_specialty, COVID-19 Vaccines, Time Factors, Coronavirus disease 2019 (COVID-19), Breast Neoplasms, Review, Supraclavicular lymphadenopathy, Risk Assessment, Diagnosis, Differential, breast cancer, Breast cancer, Predictive Value of Tests, Risk Factors, Positron Emission Tomography Computed Tomography, vaccine, lymphadenopathy, cancer diagnosis, medicine, Humans, media_common.cataloged_instance, Diagnostic Errors, European union, media_common, business.industry, Incidence, Incidence (epidemiology), Vaccination, COVID-19, Prognosis, medicine.disease, Patient management, Oncology, Female, cancer follow-up, business, Mammography, Regional lymphadenopathy
Abstract: Purpose Over 1 billion doses of COVID-19 vaccines have been already administered across the United States, the United Kingdom and the European Union at the time of writing. Furthermore, 1.82 million booster doses have been administered in the US since 13th August, and similar booster programmes are currently planned or under consideration in the UK and the EU beginning in the autumn of 2021. Early reports showed an association between vaccine administration and the development of ipsilateral axillary and supraclavicular lymphadenopathy, which could interfere with the diagnosis, treatment and follow-up of breast cancer patients. In this paper, we review the available evidence on vaccine-related lymphadenopathy, and we discuss the clinical implications of the same on breast cancer diagnosis and management. Methods A literature search was performed - PubMed, Ovid Medline, Scopus, CINHAL, Springer Nature, ScienceDirect, Academic Search Premier and the Directory of Open Access Journals were searched for articles reporting on regional palpable or image-detected lymphadenopathy following COVID-19 vaccination. Separately, we compiled a series of case studies from the University Hospitals of Derby and Burton, United Kingdom and the Mayo Clinic in Minnesota, United States of America, to illustrate the impact that regional lymphadenopathy post-COVID-19 vaccination can have on the diagnosis and management of patients being seen in diagnostic and therapeutic breast clinics. Results From the literature search, 15 studies met the inclusion criteria (n = 2057 patients, 737 with lymphadenopathy). The incidence of lymphadenopathy ranged between 14.5% and 53% and persisted for >6 weeks in 29% of patients. Conclusions Clinicians managing breast cancer patients should be aware that the COVID-19 vaccination may result in regional lymphadenopathy in a significant number of patients, which can result in unnecessary investigations, treatment and increased patient anxiety. An accurate COVID-19 vaccination history should be collected from all patients where regional lymphadenopathy is a clinical and/or an imaging finding and then combined with clinical judgement when managing individual cases.
Published: 2021

33. Mammalian Target of Rapamycin Inhibitors Vs Calcineurin Inhibitors in Chronic Graft Rejection After Lung Transplantation: A Systematic Review and Meta‐Analysis

Author: Rosemeire Simone Dellacrode Giovanazzi, Walace de Souza Pimentel, João Carlos Marchiori de Claudio, Thulssa Auxiliadora Gomes Medeiros dos Santos, Suelen Alves Creste Martins da Costa, Regimar Carla Machado, Ana Lúcia Gargione Galvão de Sant'Anna, Camila Bomfim von Jakitsch, Nelson Américo Hossne Junior, João Nelson Rodrigues Branco, Puri Girones, and Andressa Rodrigues de Souza
Subjects: Graft Rejection, Oncology, medicine.medical_specialty, medicine.medical_treatment, Calcineurin Inhibitors, Renal function, law.invention, Randomized controlled trial, law, Internal medicine, medicine, Humans, Lung transplantation, Adverse effect, Sirolimus, Transplantation, Lung, business.industry, TOR Serine-Threonine Kinases, Graft Survival, Immunosuppression, MTOR Inhibitors, Kidney Transplantation, Calcineurin, medicine.anatomical_structure, Meta-analysis, Surgery, business, Immunosuppressive Agents, Lung Transplantation
Abstract: The number of lung transplantations has been rising constantly. However, use of this therapeutic resource is limited by several issues that are difficult to resolve, such as chronic graft rejection and complications secondary to immunosuppression.This systematic review compared mammalian target of rapamycin (mTOR) inhibitor immunosuppression associated with low-dose calcineurin inhibitors with isolated calcineurin inhibitor immunosuppression on the new-onset chronic rejection development and mortality 12 months after lung transplantation. Three controlled randomized clinical trials (SHITRIT, NOCTET, and 4EVERLUNG) were selected from electronic databases.Meta-analysis of the data at 12 months postintervention showed that only 4EVERLUNG assessed chronic graft rejection, with a higher incidence in the control group; however, the difference was not statistically significant (P = .197). Significant data were related to an increase in the number of adverse events (P = .0064) and improved renal function (P.0001) in the mTOR inhibitor-based scheme. The other outcomes indicated a trend toward greater risk of death and acute graft rejection with the use of mTORs.The researchers suggest considering the use of mTOR inhibitors, whose greatest benefit is felt by patients with renal dysfunction, in association with the use of calcineurin inhibitors, because of the imminent risk of death among patients with renal failure.
Published: 2021

34. [18F] Sodium Fluoride PET Kinetic Parameters in Bone Imaging

Author: Michelle L Frost, Glen M. Blake, Tanuj Puri, and Gary Cook
Subjects: Fluorine Radioisotopes, [18F]NaF, Imaging biomarker, Clinical significance, clinical significance, Computer applications to medicine. Medical informatics, R858-859.7, Early detection, Review, Bone imaging, Bone remodeling, chemistry.chemical_compound, Pharmacokinetics, [18F] sodium fluoride, Sodium fluoride, medicine, dynamic positron emission tomography, Radiology, Nuclear Medicine and imaging, Computed tomography, Dynamic positron emission tomography, medicine.diagnostic_test, Manchester Cancer Research Centre, Chemistry, [ F]NaF, ResearchInstitutes_Networks_Beacons/mcrc, computed tomography, kinetic modeling, [ F] sodium fluoride, PET, Positron emission tomography, Positron-Emission Tomography, Hawkins model, Sodium Fluoride, bone metabolism, Early phase, Biomedical engineering, CT
Abstract: This report describes the significance of the kinetic parameters (k-values) obtained from the analysis of dynamic positron emission tomography (PET) scans using the Hawkins model describing the pharmacokinetics of sodium fluoride ([18F]NaF) to understand bone physiology. Dynamic [18F]NaF PET scans may be useful as an imaging biomarker in early phase clinical trials of novel drugs in development by permitting early detection of treatment-response signals that may help avoid late-stage attrition.
Published: 2021

35. Outcomes After Transfemoral Transcatheter Aortic Valve Implantation With a SAPIEN 3 Valve in Patients With Cirrhosis of the Liver (a Tertiary Care Center Experience)

Author: Sanchit Chawla, Maan Fares, Cristiano Quintini, K. V. Narayanan Menon, Shashank Shekhar, James Yun, Amar Krishnaswamy, Grant W. Reed, Rama Dilip Gajulapalli, Serge C. Harb, Hassan Mehmood Lak, Raunak Nair, Adil Vural, Daniel J.P. Burns, Mohamed M. Gad, Samir R. Kapadia, Rishi Puri, and Beni R Verma
Subjects: Liver Cirrhosis, Male, Pacemaker, Artificial, medicine.medical_specialty, Hepatorenal Syndrome, Cirrhosis, Transcatheter aortic, Myocardial Infarction, Severity of Illness Index, Tertiary care, Tertiary Care Centers, Transcatheter Aortic Valve Replacement, Postoperative Complications, Internal medicine, medicine, Humans, In patient, Mortality, Symptomatic aortic stenosis, Aged, Retrospective Studies, Aged, 80 and over, Heart Failure, business.industry, Cardiac Pacing, Artificial, Aortic Valve Stenosis, medicine.disease, Readmission rate, Femoral Artery, Heart Block, Treatment Outcome, Case-Control Studies, Concomitant, Heart failure, Cardiology, Female, Cardiology and Cardiovascular Medicine, business
Abstract: Little is known about the utility of transcatheter aortic valve implantation (TAVI) in patients with cirrhosis of the liver, and their outcomes have not been studied extensively in literature. We performed a retrospective analysis of patients with severe symptomatic aortic stenosis (AS) who underwent transfemoral TAVI with a SAPIEN 3 valve at our institution between April 2015 and December 2018. We identified 32 consecutive patients with evidence of cirrhosis of the liver on imaging (including ultrasound and/or computed tomography) and patients with severe symptomatic AS who underwent transfemoral TAVI with a SAPIEN 3 valve. Among 1,028 patients, 32 had cirrhosis of the liver and 996 constituted the control group without cirrhosis. Mean age in the cirrhosis group was 74.5 years compared with 81.2 years in the control group. Baseline variables were comparable between the groups. Compared with the noncirrhotic group, patients with cirrhosis had a similar 1-year mortality (12% vs 12%, p = 1), a lower 30-day new pacemaker after TAVI rate (6% vs 9%, p = 0.85), a higher 30-day and 1-year readmission rate for heart failure (11% vs 1% and 12% vs 5%, p = 0.12, respectively), and a similar 1-year major adverse cardiac and cerebrovascular event rate (15% vs 14%, p = 0.98). In conclusion, patients with severe AS with concomitant liver cirrhosis who underwent TAVI demonstrated comparable outcomes to their noncirrhotic counterparts.
Published: 2021

36. Reassessment of the Hispanic Disparity: Hepatic Steatosis Is More Prevalent in Mexican Americans Than Other Hispanics

Author: Ali Zarrinpar, Sonia M. Najjar, Theodore C. Friedman, Magda Shaheen, Katrina M. Schrode, Deyu Pan, David Elisha, Dulcie Kermah, and Vishwajeet Puri
Subjects: Adult, Male, National Health and Nutrition Examination Survey, Adolescent, Ethnic group, Adult population, Black People, RC799-869, Mexican americans, White People, Young Adult, Risk Factors, Mexican Americans, medicine, Ethnicity, Prevalence, Humans, Child, Hepatology, business.industry, Racial Groups, Original Articles, Health Status Disparities, Hispanic or Latino, Diseases of the digestive system. Gastroenterology, medicine.disease, Nutrition Surveys, United States, Highly sensitive, Fatty Liver, High triglycerides, Regression Analysis, Original Article, Female, Steatosis, business, Body mass index, Demography
Abstract: Hepatic steatosis (HS) is a growing problem in adults worldwide, with racial/ethnic disparity in the prevalence of the disease. The purpose of this study was to characterize the racial/ethnic prevalence of the stages (normal/mild [S0/S1], moderate [S2], and severe [S3]) of HS in Mexican Americans and other Hispanics compared to other racial/ethnic groups. We analyzed data for 5,492 individuals 12 years and older from the newly released National Health and Nutrition Examination Survey 2017‐2018, which is a representative sample of the US adult population. HS was diagnosed by FibroScan using controlled attenuation parameter values: S0, 290. We analyzed the data using the bivariate chi‐squared test and multinomial regression. The prevalence of HS overall was 46.9% (S2,16.6%; S3, 30.3%). The prevalence of S3 was highest among Mexican Americans (42.8%), lowest among Blacks (21.6%), 27.6% in other Hispanics, and 30.6% in Whites (P, Hepatic steatosis is a growing global epidemic that it has long been thought that Hispanics are at higher risk for hepatic steatosis than other racial/ethnic groups.However, previous studies have often not taken the diverse ethnic origins of Hispanics into account.Our study shows that particularly Hispanics of Mexican descent are at increased risk for hepatic steatosis, while Hispanics of non‐Mexican descent are not.
Published: 2021

37. Cardiac-specific VEGFB overexpression reduces lipoprotein lipase activity and improves insulin action in rat heart

Author: Brian Rodrigues, Chae Syng Lee, Ibrahim Sultan, Oscar Seira, Rui Shang, Markus Räsänen, Yajie Zhai, Bahira Hussein, Robert Boushel, Kari Alitalo, Nathaniel Lal, and Karanjit Puri
Subjects: Male, Vascular Endothelial Growth Factor B, medicine.medical_specialty, Physiology, Endocrinology, Diabetes and Metabolism, medicine.medical_treatment, Transgene, 030204 cardiovascular system & hematology, Rats, Sprague-Dawley, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, Physiology (medical), Internal medicine, medicine, Animals, Insulin, Cells, Cultured, 030304 developmental biology, 0303 health sciences, Lipoprotein lipase, biology, Myocardium, Cardiac muscle, Heart, Rats, Up-Regulation, Enzyme Activation, Vascular endothelial growth factor B, Lipoprotein Lipase, Insulin receptor, medicine.anatomical_structure, Endocrinology, Lysophosphatidylcholine, Lipotoxicity, chemistry, Organ Specificity, biology.protein, Female, Insulin Resistance, Rats, Transgenic
Abstract: Cardiac muscle uses multiple sources of energy including glucose and fatty acid (FA). The heart cannot synthesize FA and relies on obtaining it from other sources, with lipoprotein lipase (LPL) breakdown of lipoproteins suggested to be a key source of FA for cardiac use. Recent work has indicated that cardiac vascular endothelial growth factor B (VEGFB) overexpression expands the coronary vasculature and facilitates metabolic reprogramming that favors glucose utilization. We wanted to explore whether this influence of VEGFB on cardiac metabolism involves regulation of LPL activity with consequent effects on lipotoxicity and insulin signaling. The transcriptomes of rats with and without cardiomyocyte-specific overexpression of human VEGFB were compared by using RNA sequencing. Isolated perfused hearts or cardiomyocytes incubated with heparin were used to enable measurement of LPL activity. Untargeted metabolomic analysis was performed for quantification of cardiac lipid metabolites. Cardiac insulin sensitivity was evaluated using fast-acting insulin. Isolated heart and cardiomyocytes were used to determine transgene-encoded VEGFB isoform secretion patterns and mitochondrial oxidative capacity using high-resolution respirometry and extracellular flux analysis. In vitro, transgenic cardiomyocytes incubated overnight and thus exposed to abundantly secreted VEGFB isoforms, in the absence of any in vivo confounding regulators of cardiac metabolism, demonstrated higher basal oxygen consumption. In the whole heart, VEGFB overexpression induced an angiogenic response that was accompanied by limited cardiac LPL activity through multiple mechanisms. This was associated with a lowered accumulation of lipid intermediates, diacylglycerols and lysophosphatidylcholine, that are known to influence insulin action. In response to exogenous insulin, transgenic hearts demonstrated increased insulin sensitivity. In conclusion, the interrogation of VEGFB function on cardiac metabolism uncovered an intriguing and previously unappreciated effect to lower LPL activity and prevent lipid metabolite accumulation to improve insulin action. VEGFB could be a potential cardioprotective therapy to treat metabolic disorders, for example, diabetes.NEW & NOTEWORTHY In hearts overexpressing vascular endothelial growth factor B (VEGFB), besides its known angiogenic response, multiple regulatory mechanisms lowered coronary LPL. This was accompanied by limited cardiac lipid metabolite accumulation with an augmentation of cardiac insulin action. Our data for the first time links VEGFB to coronary LPL in regulation of cardiac metabolism. VEGFB may be cardioprotective in metabolic disorders like diabetes.
Published: 2021

38. Improving Anesthesia Capacity for Ambulatory Surgery in Low- and Middle-Income Countries: Current Scenario and Future Prospects

Author: Anjishnujit Bandyopadhyay, Sunaakshi Puri, and Vighnesh Ashok
Subjects: medicine.medical_specialty, business.industry, MEDLINE, Anesthesiology and Pain Medicine, Ambulatory Surgical Procedures, Low and middle income countries, Ambulatory, medicine, Humans, Anesthesia, Current (fluid), Intensive care medicine, business, Developing Countries, Anesthetics
Published: 2021

39. Clinical evaluation of excisional new attachment procedure versus laser assisted new attachment procedure in the treatment of periodontal pockets

Author: Priyanka Kumari, Manish Khatri, Mansi Bansal, and Komal Puri
Subjects: Gingival and periodontal pocket, business.industry, Laser-assisted new attachment procedure, Dentistry, Medicine, business, Clinical evaluation
Abstract: TheLaser Assisted New Attachment Procedure (LANAP) protocol is a laser based periodontal regenerative procedure and was patterned, conceptually, after the Excisional New Attachment Procedure (ENAP) to separate the diseased epithelium from the underlying connective tissue and to selectively vaporize and disrupt inflamed and necrotic tissue from connective tissue.: The present study was designed to compare and evaluate the clinical efficacy of LANAP versus ENAP in the treatment of chronic periodontitis.: Twenty periodontal pocket sites of ≥5mm in systemically healthy patients were selected and randomly allocated to either (ENAP) Excisional New Attachment Procedure (Group I) or (LANAP) Laser Assisted New Attachment Procedure (Group II). Patients were evaluated for Plaque Index, Gingival Index, Gingival Bleeding Index, Probing Depth, Loss of attachment, recession and VAS scores. Patients were recalled for follow up at 1 week, 1 month and 3 months at which clinical parameters were recorded.: The results of the present study revealed statistically insignificant difference in both groups however clinically significant reduction in probing depth was seen with ENAP as compared to LANAP but laser procedure had less VAS scores as compared to ENAP.Although probing depth reduction was more for ENAP, patient discomfort with less bleeding was observed with LANAP.
Published: 2021

40. Comparison of comorbidities among severe and non‐severe COVID‐19 patients in Asian versus non‐Asian populations: A systematic review and meta‐analysis

Author: Mohan Giri, Anju Puri, Chengfei Wu, Lin He, and Qinghua Zhao
Subjects: medicine.medical_specialty, Coronavirus disease 2019 (COVID-19), RT1-120, Nursing, macromolecular substances, Disease, SARS‐CoV‐2, COVID‐19, Internal medicine, Diabetes mellitus, Diabetes Mellitus, Humans, Medicine, Research Articles, General Nursing, SARS-CoV-2, business.industry, severe, COVID-19, Cancer, Odds ratio, medicine.disease, Comorbidity, comorbidity, Cardiovascular Diseases, meta‐analysis, Meta-analysis, business, Research Article, Kidney disease
Abstract: Objectives This study aimed to evaluate the comorbidities among severe and non‐severe COVID‐19 patients in Asian versus non‐Asian populations. Design Systemic review and Meta‐analysis. Methods A systematic literature search was conducted using PubMed, Embase, Scopus and the web of science Database up to 24 March 2021. Odds ratios were calculated using a random‐effects model. Results We identified 66 studies including 39 Asian and 27 non‐Asian studies. This study demonstrated that the proportion of hypertension was significantly higher in severe group than in non‐severe group for Asian (OR = 2.46) and non‐Asian (OR = 1.60, 95% CI: 1.37–1.86, I 2 = 84%; p
Published: 2021

41. Endoluminal flow diverting stents for middle cerebral artery bifurcation aneurysms: multicenter cohort

Author: Christophe Cognard, Leonardo Renieri, Anna Luisa Kühn, Jan-Karl Burkhardt, Stavropoula Tjoumakaris, Nicola Limbucci, Justin M. Moore, Mohamed M. Salem, MirHojjat Khorasanizadeh, Christopher S. Ogilvy, Ajit S. Puri, Peter Kan, Sovann V Lay, Pascal Jabbour, Francesco Massari, Ajith J. Thomas, Brian T Jankowitz, and Ahmad Sweid
Subjects: Male, Middle Cerebral Artery, medicine.medical_specialty, Radiography, Single Center, Aneurysm, Modified Rankin Scale, medicine.artery, Occlusion, medicine, Humans, cardiovascular diseases, Stroke, Retrospective Studies, business.industry, Endovascular Procedures, Intracranial Aneurysm, General Medicine, Middle Aged, medicine.disease, Cerebral Angiography, Surgery, Treatment Outcome, Middle cerebral artery, Cohort, Female, Stents, Neurology (clinical), business
Abstract: BackgroundData regarding the safety and efficacy of flow diverting stents (FDS) in the treatment of middle cerebral artery (MCA) bifurcation aneurysms are scarce and limited to small single center series, with particular concern for increased risk of ischemic complications with jailing one of the M2 branches.MethodsProspectively-maintained databases at six North American and European centers were queried for patients harboring MCA bifurcation aneurysms undergoing treatment with FDS (2011–2018). The pertinent clinical and radiographic data were collected and analyzed.Results87 patients (median age 60 years, 69% females) harboring 87 aneurysms were included. The majority of aneurysms were unruptured (79%); 75.9% were saccular with a median maximal diameter of 8.5 mm. Radiographic imaging follow-up was available in 88.5% of cases at a median of 16.3 months post-treatment, showing complete occlusion in 59% and near complete occlusion (90–99%) in 18% of aneurysms. The overall rate of ischemic and hemorrhagic complications was 8% and 1.1%, respectively. Symptomatic and permanent complications were encountered in 5.7% and 2.3% of patients respectively, with retreatment pursued in 2.3% of patients. Jailed branch occlusion was detected in 11.5% of cases, with clinical sequelae in 2.3%. Last follow-up modified Rankin Scale of 0–2 was noted in 96.8% of patients. On multivariate analysis, male sex was the only independent predictor of aneurysmal persistence at last follow-up imaging (p=0.019).ConclusionFDS treatment for MCA bifurcation aneurysms is feasible, with comparable safety and efficacy profiles to other available endovascular options when utilized in carefully selected aneurysms. Jailing of M2 branches was not associated with a higher risk of post-procedural ischemic complications.
Published: 2021

42. Advanced considerations in organ donors

Author: Ruben G. Nava, Jason M. Gauthier, Hailey M. Shepherd, Varun Puri, and Daniel Kreisel
Subjects: Pulmonary and Respiratory Medicine, medicine.medical_specialty, business.industry, Review Article on Lung Transplantation: Past, Present, and Future, medicine, Intensive care medicine, business
Abstract: The rising need for lung transplantation over recent years has not paralleled the availability of suitable lung allografts. The number of lung transplantations performed each year in the United States remains limited by an inadequate supply of suitable donors as well as low donor utilization rates. While several methods have been proposed for increasing the donor pool, there is considerable disparity between acceptance and utilization of these practices among transplant centers. In this review article, we explore various approaches for enhancing donor selection and expanding the donor pool. We discuss the use of “extended criteria” donors including high risk groups such as drug overdose donors, and we examine the role of techniques in donor assessment and selection such as the use of computed tomography for accurate size matching. We review topics in donor management such as the establishment of specialized donor care facilities and the implementation of lung-focused resuscitation protocols, and we discuss advancements in donor procurement such as the utilization of local procurement teams. We also review barriers to donation, such as variability in organ procurement organization (OPO) consent practices, as well as patient-specific factors such as religious or cultural beliefs. Addressing these aspects of donor evaluation, management, and accessibility is essential in maximizing the number of lungs available for transplantation within the existing donor pool.
Published: 2021

43. Outcomes of osteosarcoma, chondrosarcoma and chordoma treated with image guided-intensity modulated radiation therapy

Author: Prathamesh Pai, Nirmala Jambhekar, Ajay Puri, Bharat Rekhi, Mukta Ramadwar, Jifmi Jose Manjali, Girish Chinnaswamy, Nehal Khanna, Deepa Nair, Akshay Mangaj, Jyoti Bajpai, Sashikant Juvekar, Kumar Prabhash, Amit Janu, Siddhartha Laskar, Sangeeta Kakoti, Prakash Nayak, Nilendu Purandare, Ashish Gulia, Venkatesh Rangarajan, and Sajid S. Qureshi
Subjects: Osteosarcoma, business.industry, medicine.medical_treatment, Significant difference, Chondrosarcoma, Bone Neoplasms, Radiotherapy Dosage, Hematology, Intensity-modulated radiation therapy, medicine.disease, Radiation therapy, Oncology, Toxicity, Chordoma, medicine, Humans, Radiology, Nuclear Medicine and imaging, Prospective Studies, Radiotherapy, Intensity-Modulated, Sarcoma, business, Nuclear medicine
Abstract: To evaluate the efficacy and toxicity of dose-escalated image guided-intensity modulated radiation therapy (IG-IMRT) in osteosarcoma (OGS), chondrosarcoma (CS) and chordoma (CH) of head and neck (HN) and pelvis.In this prospective non-randomized study, 65 patients of HN or pelvic OGS (24), CS (7) and CH (34) mandating definitive or post-operative radiotherapy from May 2013 to December 2018 were included. Radiotherapy doses in definitive setting were 72.0 Gy for CH and 70.2 Gy for OGS and CS; while in post-operative setting it was 66.6 Gy and 64.8 Gy respectively (at 1.8 Gy per fraction).Planned doses of radiotherapy could be completed in 61 (93.8%) patients; with grade III or higher acute and late toxicities of 3% and 0% respectively. With a median follow-up of 52 (range 6-92) months, the five-year actuarial local control (LC) rates were 66% in OGS, 38.1% in CS and 75.9% in CH; while cause-specific survival (CSS) rates were 54.7%, 64.3% and 92.2% respectively. There was no statistically significant difference in outcomes for patients receiving definitive and post-operative radiotherapy. Locally controlled disease at first follow-up after radiotherapy was associated with improved CSS and OS in CS (p = 0.014) and CH (p 0.001). Radiotherapy resulted in significant and sustained improvement in Musculoskeletal tumour society (MSTS) score and reduction in pain score. Salvage re-irradiation was feasible in local progression after radiotherapy, with good outcomes and tolerability.Dose-escalated IG-IMRT results in good LCfunctional improvement with minimal toxicity in OGS, CS and CH.
Published: 2021

44. Clinicopathological and Radiological Features with Long Term Follow Up of Metaplastic Carcinoma Breast in India

Author: Sarada Khadka, Kamal Kataria, Gopal Puri, Kush Raj Lohani, Anita Dhar, Anurag Srivastava, Piyush Ranjan, Sandeep Mathur, and Smriti Hari
Subjects: Adult, medicine.medical_specialty, Breast imaging, Metaplastic carcinoma, India, Breast Neoplasms, Disease-Free Survival, Breast cancer, Biomarkers, Tumor, medicine, Humans, Prospective Studies, Stage (cooking), Grading (tumors), Triple-negative breast cancer, Neoplasm Staging, Retrospective Studies, business.industry, General Medicine, Middle Aged, Metaplastic Breast Carcinoma, Prognosis, medicine.disease, Magnetic Resonance Imaging, Treatment Outcome, Lymphatic Metastasis, Female, Histopathology, Radiology, Neoplasm Grading, business, Follow-Up Studies, Mammography
Abstract: Objective: Metaplastic breast carcinoma (MBC) is a heterogeneous group of invasive carcinomas with squamous and/or mesenchymal differentiation. Because of their rare occurrence, the information regarding the clinical behaviour of metaplastic carcinomas is limited. The purpose of our study was to delineate the clinicopathological and radiological features, treatment outcomes, prognostic factors, and survival of patients with MBC. Methods: Ambispective observational study with prospective recruitment was done from 1st January 2019 to 31st August 2020. Retrospective data included between 1st January 2009 and 31st December 2018. In the retrospective group surgical database of our department was searched and those with MBC diagnosis on post-operative histopathology recruited. In prospective group patients with MBC on core biopsy were followed and those operated were included. The patients followed up at our breast cancer clinic (BCC) and their demographic, clinical, pathological radiological and treatment details noted. Results: Forty patients formed the study population. The mean age of the patents was 42 years. Ipsilateral axillary lymph node metastasis was present in 22.5%. The pathological median tumor size was 5.4 (range 2.1 to 22 cm). The most common differentiation was cartilaginous (35%) followed by squamous (32.5%). The most common mammographic grading was BIRADS 4 (Breast Imaging Reporting and Data system). Magnetic resonance imaging was T2 hyperintense with peripheral rim enhancement and restriction on DWI. The median overall (OS) and disease-free survival (DFS) was 42 and 40 months, respectively. Fifteen patients (37.5%) had disease related mortality. A subgroup analysis revealed that, type of differentiation, histopathology and tumor size > 5cm affected both OS and DFS significantly. Conclusion: Metaplastic breast cancer in our setup presents in young patients with aggressive large tumors at a higher stage and diverse histopathology and with comparable overall and disease-free survival. The histological subtype, tumor differentiation and tumor size are prognostic factors.
Published: 2021

45. Is It Time to Implement Adjuvant Targeted Therapy inEGFR-Mutant Non–Small-Cell Lung Cancer?

Author: Amit Kulkarni, Sonam Puri, Rodrigo Dienstmann, and Abdul Rafeh Naqash
Subjects: Cancer Research, Oncology, business.industry, medicine.medical_treatment, Mutant, Cancer research, Medicine, Non small cell, business, Lung cancer, medicine.disease, Adjuvant, Targeted therapy
Published: 2021

46. Aceruloplasminemia: MRI and Biochemical Profile Clue to Early Diagnosis in an Adolescent

Author: Tarvinder Buxi, Ratna Dua Puri, C S Agrawal, Salil Bhargava, Seema Sud, Sapna Sandal, and Swapnil Sheth
Subjects: Pathology, medicine.medical_specialty, biology, business.industry, Transferrin saturation, Microcytic anemia, Genetic disorder, Hemosiderosis, Gene mutation, medicine.disease, Pediatrics, Perinatology and Child Health, biology.protein, medicine, Choroid plexus, Neurology (clinical), Ceruloplasmin, Aceruloplasminemia, business
Abstract: Aceruloplasminemia (ACP) is a rare autosomal recessive genetic disorder with systemic and brain iron overload, secondary to ceruloplasmin gene mutation, usually presents in adults with neurological manifestations. An abnormal biochemical profile may be the only clue in an adolescent patient, that is, microcytic anemia, low transferrin saturation, hyperferritinemia, and should warrant a possible diagnosis of ACP, which can be established by low serum ceruloplasmin levels and appropriate genetic testing. We present a case of an adolescent patient in whom ACP was suspected when brain magnetic resonance imaging showed iron overload in basal ganglia, thalami, red nuclei, dentate nuclei, and choroid plexus and later on confirmed by biochemical profile. The final diagnosis was confirmed by the presences of a novel mutation on genetic analysis. To the best of our knowledge, our case is the second description of ACP with choroid plexus hemosiderosis.We proposed in this article that the combination of parenchymal and choroid plexus iron overload should prompt the suspicion of ACP.
Published: 2021

47. Carotid artery revascularization using the Walrus balloon guide catheter: safety and feasibility from a US multicenter experience

Author: Peter Kan, Oded Goren, Christoph J. Griessenauer, A Baig, Anna Luisa Kühn, Omar Tanweer, Elad I. Levy, Ajit S. Puri, Mohamed M. Salem, Daniel M S Raper, Robert M. Starke, Svetlana Kvint, Pascal Jabbour, Jan-Karl Burkhardt, Andre Monteiro, Shamsher S. Dalal, Adnan H. Siddiqui, Gustavo M Cortez, Ricardo A. Hanel, Brian T Jankowitz, and Omar Choudhri
Subjects: medicine.medical_specialty, business.industry, Cerebral infarction, medicine.medical_treatment, General Medicine, Revascularization, medicine.disease, Balloon, Surgery, Stenosis, Modified Rankin Scale, medicine.artery, Angioplasty, Medicine, Neurology (clinical), Common carotid artery, business, Stroke
Abstract: IntroductionThe Walrus balloon guide catheter (BGC) is a new generation of BGC, designed to eliminate conventional limitations during mechanical thrombectomy.ObjectiveTo report a multi-institutional experience using this BGC for proximal flow control (PFC) in the setting of carotid artery angioplasty/stenting (CAS) in elective (eCAS) and tandem strokes (tCAS).MethodsProspectively maintained databases at 8 North American centers were queried to identify patients with cervical carotid disease undergoing eCAS/tCAS with a Walrus BGC.Results110 patients (median age 68, 64.6% male), 80 (72.7%) undergoing eCAS and 30 (27.3%) tCAS procedures, were included (median cervical carotid stenosis 90%; 46 (41.8%) with contralateral stenosis). Using a proximal flow-arrest technique in 95 (87.2%) and flow-reversal in 14 (12.8%) procedures, the Walrus was navigated into the common carotid artery successfully in all cases despite challenging arch anatomy (31, 28.2%), with preferred femoral access (103, 93.6%) and in monitored anesthesia care (90, 81.8%). Angioplasty and distal embolic protection devices (EPDs) were used in 91 (83.7%) and 58 (52.7%) procedures, respectively. tCAS led to a modified Thrombolysis in Cerebral Infarction 2b/3 in all cases. Periprocedural ischemic stroke (up to 30 days postoperatively) rate was 0.9% (n=1) and remote complications occurred in 2 (1.8%) cases. Last follow-up modified Rankin Scale score of 0–2 was seen in 95.3% of eCAS cohort, with no differences in complications in the eCAS subgroup between PFC only versus PFC and distal EPD (median follow-up 4.1 months).ConclusionWalrus BGC for proximal flow control is safe and effective during eCAS and tCAS. Procedural success was achieved in all cases, with favorable safety and functional outcomes on short-term follow-up.
Published: 2021

48. Comparison of two different probing systems for evaluation of bleeding on probing (BOP)

Author: Manish Khatri, Mansi Bansal, Pratiksha Tripathi, Ashish Kumar, Komal Puri, and Mohd. Rehan
Subjects: Quadrant (abdomen), Periodontal disease, business.industry, Gingival bleeding index, Bleeding on probing, Pressure sensitive, Medicine, Dentistry, medicine.symptom, business, Periodontal probe
Abstract: Background: Bleeding on probing (BOP) is the best documented parameter in the monitoring of periodontal health and in?ammation of the gingival tissues. It is measured as bleeding provoked by applying a probe to the bottom of a sulcus/pocket. Since BoP may be provoked by trauma to the tissues using a periodontal probe hence, probing pressure can be considered as an important factor in the assessment of bleeding on probing. Aim: The purpose of the study was to evaluate bleeding on probing by conventional probe and pressure sensitive probe. Materials and Methods : 50 subjects (1400 sites) in this split mouth study were evaluated for bleeding on probing by using a conventional periodontal probe and a manual pressure sensitive probe. Gingival Bleeding Index (Ainamo and Bay 1975) was used in the study for assessment of BOP. Result : More bleeding sites were found in the quadrant associated with the conventional probe as compared to the sites associated with pressure sensitive probe. Conclusion : Amount of pressure applied during probing can be a significant factor in assessment the periodontal disease activity. Keywords: Bleeding on probing, UNC15 probe, TPS probe
Published: 2021

49. Poor efficacy of oral iron replacement therapy in pediatric patients with heart failure

Author: Jack F. Price, Jacquelyn M. Powers, Joseph A. Spinner, William J. Dreyer, Swati Choudhry, Susan W. Denfield, Kriti Puri, and Hari Tunuguntla
Subjects: Adult, Male, medicine.medical_specialty, Heart disease, Iron, medicine.medical_treatment, Cardiomyopathy, Gastroenterology, Internal medicine, medicine, Humans, Child, Retrospective Studies, Heart Failure, Heart transplantation, Anemia, Iron-Deficiency, medicine.diagnostic_test, Transferrin saturation, business.industry, Transferrin, Retrospective cohort study, Iron Deficiencies, General Medicine, Iron deficiency, medicine.disease, Heart failure, Pediatrics, Perinatology and Child Health, Serum iron, Female, Cardiology and Cardiovascular Medicine, business, Heart Failure, Systolic
Abstract: Introduction:Iron deficiency is associated with worse outcomes in children and adults with systolic heart failure. While oral iron replacement has been shown to be ineffective in adults with heart failure, its efficacy in children with heart failure is unknown. We hypothesised that oral iron would be ineffective in replenishing iron stores in ≥50% of children with heart failure.Methods:We performed a single-centre retrospective cohort study of patients aged ≤21 years with systolic heart failure and iron deficiency who received oral iron between 01/2013 and 04/2019. Iron deficiency was defined as ≥2 of the following: serum iron 300 ng/mL, transferrin saturation Results:Fifty-one children with systolic heart failure and iron deficiency (median age 11 years, 49% female) met inclusion criteria. Heart failure aetiologies included cardiomyopathy (51%), congenital heart disease (37%), and history of heart transplantation with graft dysfunction (12%). Median dose of oral iron therapy was 2.9 mg/kg/day of elemental iron, prescribed for a median duration of 96 days. Follow-up iron testing was available for 20 patients, of whom 55% (11/20) remained iron deficient despite oral iron therapy.Conclusions:This is the first report on the efficacy of oral iron therapy in children with heart failure. Over half of the children with heart failure did not respond to oral iron and remained iron deficient.
Published: 2021

50. Type 1 diabetes self-care in urban schools in India

Author: Meena Chhabra, Rishi Shukla, Shalini Jaggi, Archana Sarda, Sirisha Kusuma Boddu, Anju Virmani, Ganesh Jevalikar, and Srishti Puri
Subjects: Diabetes duration, Type 1 diabetes, Diabetes mellitus, medicine, Self care, Developing country, School environment, Mean age, medicine.disease, Psychology, Demography, Odds
Abstract: Objectives: Children with type 1 diabetes (T1D) need a supportive, non-stigmatizing school environment for self-care activities such as checking blood glucose (BG) and taking pre-meal insulin. Data about T1D self-care in schools in developing countries are scarce. We looked at diabetes self-care activities at school, and attitudes of school staff toward diabetes care. Material and Methods: We interviewed, over an 8-week period, consecutive patient-parent dyads attending T1D clinics in North (Delhi, Gurgaon, and Kanpur), West (Aurangabad), and South (Hyderabad) India. Results: We received responses from 397 patients, 51% of boys. Mean age was 11.7 years (SD: 3.7), mean age at diagnosis 7.2 years (SD: 3.7), and mean diabetes duration 4.5 years (SD: 3.5). A majority (69.8%) were attending private (fee paying) schools (PS) and the rest were studying at government (subsidized/free) schools (GS). More than half of the parents had high educational status: graduate or more (mothers: 52.1%, fathers: 56.9%). Parents visited school daily in 17.1%, significantly more if they had high educational status and if the child was Conclusion: Half of our children were able to manage T1D self-care in school, as schools were often supportive, whether private or government. Parental educational status was positively associated with better care. Although self-care was better in PS and they had better infrastructure, there is much scope for improvement.
Published: 2021

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