343 results on '"Wenzlaff, P."'
Search Results
2. Hydrogeologische Systemanalyse zur Erstellung von Grundwassergleichenplänen für Braunschweig
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Langmann, Tobias, Wenzlaff, Konstantin, and Schöniger, Hans Matthias
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- 2024
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3. Hydrogeochemical and microbial characterization of a Middle Triassic carbonate aquifer (Muschelkalk) in Berlin and geochemical simulation of its use as a high-temperature aquifer thermal energy storage
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Virchow, Lioba, Siever-Wenzlaff, Christian, Blöcher, Guido, Alibrandi, Armando, Kallmeyer, Jens, Zimmer, Martin, Wiersberg, Thomas, Thielke, Christoph, Schleicher, Anja, and Regenspurg, Simona
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- 2024
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4. Hydrogeochemical and microbial characterization of a Middle Triassic carbonate aquifer (Muschelkalk) in Berlin and geochemical simulation of its use as a high-temperature aquifer thermal energy storage
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Lioba Virchow, Christian Siever-Wenzlaff, Guido Blöcher, Armando Alibrandi, Jens Kallmeyer, Martin Zimmer, Thomas Wiersberg, Christoph Thielke, Anja Schleicher, and Simona Regenspurg
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HT-ATES ,Carbonate aquifer ,Calcite precipitation ,Geochemical modeling ,North German Basin ,Muschelkalk ,Renewable energy sources ,TJ807-830 ,Geology ,QE1-996.5 - Abstract
Abstract The geological formation of the Muschelkalk is widespread in the center of the North German Basin (NGB) and is increasingly attracting interest for application of geothermal energy extraction or high-temperature aquifer thermal energy storage (HT-ATES). This study investigates the Middle Triassic “Rüdersdorfer Schaumkalk”, which was the former injection horizon of the natural gas storage facility in Berlin, Germany. For the first time, detailed chemical and microbiological analyses of formation water of this Lower Muschelkalk limestone formation were conducted and hydrogeochemically characterized. In addition, a hydrogeochemical model was developed to quantify the potential reactions during HT-ATES focusing on calcite dissolution and precipitation. The main objectives of this study are: (1) to determine the origin of the water from the three wells targeting the Muschelkalk aquifer, (2) to understand changes in hydrochemistry after system operation, and (3) to evaluate the long-term sustainability of a potential HT-ATES system with increasing temperature. The target formation is encountered by several wells at about 525 m below the surface with an average thickness of 30 m. Two hydraulic lifting tests including physical, chemical, and microbial groundwater as well as gas monitoring were carried out. In addition, several downhole samples of formation fluid were collected from the aquifer at in situ pressure and temperature conditions. Fluid analysis of the saline formation water indicate a seawater origin within the Muschelkalk with subsequent evaporation and various water–rock interactions with anhydrite/gypsum, dolomite, and calcite. With a salinity of 130 g/L, dominated by Na–Cl, a slightly acidic pH between 6 and 7, and a low gas content of 3%, the formation water fits to other saline deep formation waters of the NGB. Gas concentrations and microbial communities like sulfate-reducing bacteria and methanogenic archaea in the produced water indicate several geochemical alterations and microbial processes like corrosion and the forming of biogenic methane. Geochemical simulations of calcite equilibrium over 10 HT-ATES cycles indicated a pronounced propensity for calcite precipitation up to 31 mg/kgw, within the heat exchanger. At the same time, these models predicted a significant potential for calcite dissolution, with rates up to 21 mg/kgw, in both the cold and hot reservoirs. The results from the carbonate aquifer characterized in this study can be transferred to other sites in the NGB affected by salt tectonics and have provided information on the microbiological-chemical processes to be expected during the initial use of old wells.
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- 2024
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5. Robustly Removing Deep Sea Lighting Effects for Visual Mapping of Abyssal Plains
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Köser, Kevin, Song, Yifan, Petersen, Lasse, Wenzlaff, Emanuel, and Woelk, Felix
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Computer Science - Computer Vision and Pattern Recognition ,Electrical Engineering and Systems Science - Image and Video Processing - Abstract
The majority of Earth's surface lies deep in the oceans, where no surface light reaches. Robots diving down to great depths must bring light sources that create moving illumination patterns in the darkness, such that the same 3D point appears with different color in each image. On top, scattering and attenuation of light in the water makes images appear foggy and typically blueish, the degradation depending on each pixel's distance to its observed seafloor patch, on the local composition of the water and the relative poses and cones of the light sources. Consequently, visual mapping, including image matching and surface albedo estimation, severely suffers from the effects that co-moving light sources produce, and larger mosaic maps from photos are often dominated by lighting effects that obscure the actual seafloor structure. In this contribution a practical approach to estimating and compensating these lighting effects on predominantly homogeneous, flat seafloor regions, as can be found in the Abyssal plains of our oceans, is presented. The method is essentially parameter-free and intended as a preprocessing step to facilitate visual mapping, but already produces convincing lighting artefact compensation up to a global white balance factor. It does not require to be trained beforehand on huge sets of annotated images, which are not available for the deep sea. Rather, we motivate our work by physical models of light propagation, perform robust statistics-based estimates of additive and multiplicative nuisances that avoid explicit parameters for light, camera, water or scene, discuss the breakdown point of the algorithms and show results on imagery captured by robots in several kilometer water depth.
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- 2021
6. Accounting for EGFR mutations in epidemiological analyses of non-small cell lung cancers: Examples based on the International Lung Cancer Consortium data
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Schmid, Sabine, Jiang, Mei, Brown, M Catherine, Fares, Aline, Garcia, Miguel, Soriano, Joelle, Dong, Mei, Thomas, Sera, Kohno, Takashi, Leal, Leticia Ferro, Diao, Nancy, Xie, Juntao, Wang, Zhichao, Zaridze, David, Holcatova, Ivana, Lissowska, Jolanta, Świątkowska, Beata, Mates, Dana, Savic, Milan, Wenzlaff, Angela S, Harris, Curtis C, Caporaso, Neil E, Ma, Hongxia, Fernandez-Tardon, Guillermo, Barnett, Matthew J, Goodman, Gary, Davies, Michael PA, Pérez-Ríos, Mónica, Taylor, Fiona, Duell, Eric J, Schoettker, Ben, Brenner, Hermann, Andrew, Angeline, Cox, Angela, Ruano-Ravina, Alberto, Field, John K, Marchand, Loic Le, Wang, Ying, Chen, Chu, Tardon, Adonina, Shete, Sanjay, Schabath, Matthew B, Shen, Hongbing, Landi, Maria Teresa, Ryan, Brid M, Schwartz, Ann G, Qi, Lihong, Sakoda, Lori C, Brennan, Paul, Yang, Ping, Zhang, Jie, Christiani, David C, Reis, Rui Manuel, Shiraishi, Kouya, Hung, Rayjean J, Xu, Wei, and Liu, Geoffrey
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Lung ,Lung Cancer ,Cancer ,Prevention ,Carcinoma ,Non-Small-Cell Lung ,ErbB Receptors ,Humans ,Lung Neoplasms ,Mutation ,Survival Analysis ,Medical and Health Sciences ,Epidemiology - Abstract
BackgroundSomatic EGFR mutations define a subset of non-small cell lung cancers (NSCLC) that have clinical impact on NSCLC risk and outcome. However, EGFR-mutation-status is often missing in epidemiologic datasets. We developed and tested pragmatic approaches to account for EGFR-mutation-status based on variables commonly included in epidemiologic datasets and evaluated the clinical utility of these approaches.MethodsThrough analysis of the International Lung Cancer Consortium (ILCCO) epidemiologic datasets, we developed a regression model for EGFR-status; we then applied a clinical-restriction approach using the optimal cut-point, and a second epidemiologic, multiple imputation approach to ILCCO survival analyses that did and did not account for EGFR-status.ResultsOf 35,356 ILCCO patients with NSCLC, EGFR-mutation-status was available in 4,231 patients. A model regressing known EGFR-mutation-status on clinical and demographic variables achieved a concordance index of 0.75 (95% CI, 0.74-0.77) in the training and 0.77 (95% CI, 0.74-0.79) in the testing dataset. At an optimal cut-point of probability-score = 0.335, sensitivity = 69% and specificity = 72.5% for determining EGFR-wildtype status. In both restriction-based and imputation-based regression analyses of the individual roles of BMI on overall survival of patients with NSCLC, similar results were observed between overall and EGFR-mutation-negative cohort analyses of patients of all ancestries. However, our approach identified some differences: EGFR-mutated Asian patients did not incur a survival benefit from being obese, as observed in EGFR-wildtype Asian patients.ConclusionsWe introduce a pragmatic method to evaluate the potential impact of EGFR-status on epidemiological analyses of NSCLC.ImpactThe proposed method is generalizable in the common occurrence in which EGFR-status data are missing.
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- 2022
7. The relationship between body-mass index and overall survival in non-small cell lung cancer by sex, smoking status, and race: A pooled analysis of 20,937 International lung Cancer consortium (ILCCO) patients
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Jiang, Mei, Fares, Aline F, Shepshelovich, Daniel, Yang, Ping, Christiani, David, Zhang, Jie, Shiraishi, Kouya, Ryan, Brid M, Chen, Chu, Schwartz, Ann G, Tardon, Adonina, Shete, Sanjay, Schabath, Matthew B, Teare, M Dawn, Le Marchand, Loic, Zhang, Zuo-Feng, Field, John K, Brenner, Hermann, Diao, Nancy, Xie, Juntao, Kohno, Takashi, Harris, Curtis C, Wenzlaff, Angela S, Fernandez-Tardon, Guillermo, Ye, Yuanqing, Taylor, Fiona, Wilkens, Lynne R, Davies, Michael, Liu, Yi, Barnett, Matt J, Goodman, Gary E, Morgenstern, Hal, Holleczek, Bernd, Thomas, Sera, Brown, M Catherine, Hung, Rayjean J, Xu, Wei, and Liu, Geoffrey
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Biomedical and Clinical Sciences ,Oncology and Carcinogenesis ,Obesity ,Lung ,Lung Cancer ,Cancer ,Nutrition ,Clinical Research ,Stroke ,Body Mass Index ,Carcinoma ,Non-Small-Cell Lung ,Female ,Humans ,Lung Neoplasms ,Male ,Overweight ,Risk Factors ,Smoking ,Body mass index ,Lung cancer ,Interaction ,Clinical Sciences ,Oncology & Carcinogenesis ,Clinical sciences ,Oncology and carcinogenesis - Abstract
IntroductionThe relationship between Body-Mass-Index (BMI) and lung cancer prognosis is heterogeneous. We evaluated the impact of sex, smoking and race on the relationship between BMI and overall survival (OS) in non-small-cell-lung-cancer (NSCLC).MethodsData from 16 individual ILCCO studies were pooled to assess interactions between BMI and the following factors on OS: self-reported race, smoking status and sex, using Cox models (adjusted hazard ratios; aHR) with interaction terms and adjusted penalized smoothing spline plots in stratified analyses.ResultsAmong 20,937 NSCLC patients with BMI values, females = 47 %; never-smokers = 14 %; White-patients = 76 %. BMI showed differential survival according to race whereby compared to normal-BMI patients, being underweight was associated with poor survival among white patients (OS, aHR = 1.66) but not among black patients (aHR = 1.06; pinteraction = 0.02). Comparing overweight/obese to normal weight patients, Black NSCLC patients who were overweight/obese also had relatively better OS (pinteraction = 0.06) when compared to White-patients. BMI was least associated with survival in Asian-patients and never-smokers. The outcomes of female ever-smokers at the extremes of BMI were associated with worse outcomes in both the underweight (pinteraction
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- 2021
8. Body Mass Index (BMI), BMI Change, and Overall Survival in Patients With SCLC and NSCLC: A Pooled Analysis of the International Lung Cancer Consortium
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Shepshelovich, Daniel, Xu, Wei, Lu, Lin, Fares, Aline, Yang, Ping, Christiani, David, Zhang, Jie, Shiraishi, Kouya, Ryan, Brid M, Chen, Chu, Schwartz, Ann G, Tardon, Adonina, Wu, Xifeng, Schabath, Matthew B, Teare, M Dawn, Le Marchand, Loic, Zhang, Zuo-Feng, Field, John K, Brenner, Hermann, Diao, Nancy, Xie, Juntao, Kohno, Takashi, Harris, Curtis C, Wenzlaff, Angela S, Fernandez-Tardon, Guillermo, Ye, Yuanqing, Taylor, Fiona, Wilkens, Lynne R, Davies, Michael, Liu, Yi, Barnett, Matt J, Goodman, Gary E, Morgenstern, Hal, Holleczek, Bernd, Brown, M Catherine, Liu, Geoffrey, and Hung, Rayjean J
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Biomedical and Clinical Sciences ,Oncology and Carcinogenesis ,Obesity ,Lung Cancer ,Lung ,Nutrition ,Prevention ,Cancer ,Adolescent ,Adult ,Aged ,Aged ,80 and over ,Body Mass Index ,Carcinoma ,Non-Small-Cell Lung ,Female ,Humans ,Lung Neoplasms ,Male ,Middle Aged ,Risk Factors ,Small Cell Lung Carcinoma ,Survival Analysis ,Young Adult ,Body mass index ,Lung cancer ,Survival ,Cardiorespiratory Medicine and Haematology ,Clinical Sciences ,Oncology & Carcinogenesis ,Clinical sciences ,Oncology and carcinogenesis - Abstract
IntroductionThe relationships between morbid obesity, changes in body mass index (BMI) before cancer diagnosis, and lung cancer outcomes by histology (SCLC and NSCLC) have not been well studied.MethodsIndividual level data analysis was performed on 25,430 patients with NSCLC and 2787 patients with SCLC from 16 studies of the International Lung Cancer Consortium evaluating the association between various BMI variables and lung cancer overall survival, reported as adjusted hazard ratios (aHRs) from Cox proportional hazards models and adjusted penalized smoothing spline plots.ResultsOverall survival of NSCLC had putative U-shaped hazard ratio relationships with BMI based on spline plots: being underweight (BMI < 18.5 kg/m2; aHR = 1.56; 95% confidence interval [CI]:1.43-1.70) or morbidly overweight (BMI > 40 kg/m2; aHR = 1.09; 95% CI: 0.95-1.26) at the time of diagnosis was associated with worse stage-specific prognosis, whereas being overweight (25 kg/m2 ≤ BMI < 30 kg/m2; aHR = 0.89; 95% CI: 0.85-0.95) or obese (30 kg/m2 ≤ BMI ≤ 40 kg/m2; aHR = 0.86; 95% CI: 0.82-0.91) was associated with improved survival. Although not significant, a similar pattern was seen with SCLC. Compared with an increased or stable BMI from the period between young adulthood until date of diagnosis, a decreased BMI was associated with worse outcomes in NSCLC (aHR = 1.24; 95% CI: 1.2-1.3) and SCLC patients (aHR=1.26 (95% CI: 1.0-1.6). Decreased BMI was consistently associated with worse outcome, across clinicodemographic subsets.ConclusionsBoth being underweight or morbidly obese at time of diagnosis is associated with lower stage-specific survival in independent assessments of NSCLC and SCLC patients. In addition, a decrease in BMI at lung cancer diagnosis relative to early adulthood is a consistent marker of poor survival.
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- 2019
9. Lung Cancer Risk in Never-Smokers of European Descent is Associated With Genetic Variation in the 5p15.33 TERT-CLPTM1Ll Region
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Hung, Rayjean J, Spitz, Margaret R, Houlston, Richard S, Schwartz, Ann G, Field, John K, Ying, Jun, Li, Yafang, Han, Younghun, Ji, Xuemei, Chen, Wei, Wu, Xifeng, Gorlov, Ivan P, Na, Jie, de Andrade, Mariza, Liu, Geoffrey, Brhane, Yonathan, Diao, Nancy, Wenzlaff, Angela, Davies, Michael PA, Liloglou, Triantafillos, Timofeeva, Maria, Muley, Thomas, Rennert, Hedy, Saliba, Walid, Ryan, Bríd M, Bowman, Elise, Barros-Dios, Juan-Miguel, Pérez-Ríos, Mónica, Morgenstern, Hal, Zienolddiny, Shanbeh, Skaug, Vidar, Ugolini, Donatella, Bonassi, Stefano, van der Heijden, Erik HFM, Tardon, Adonina, Bojesen, Stig E, Landi, Maria Teresa, Johansson, Mattias, Bickeböller, Heike, Arnold, Susanne, Le Marchand, Loic, Melander, Olle, Andrew, Angeline, Grankvist, Kjell, Caporaso, Neil, Teare, M Dawn, Schabath, Matthew B, Aldrich, Melinda C, Kiemeney, Lambertus A, Wichmann, H-Erich, Lazarus, Philip, Mayordomo, Jose, Neri, Monica, Haugen, Aage, Zhang, Zuo-Feng, Ruano-Raviña, Alberto, Brenner, Hermann, Harris, Curtis C, Orlow, Irene, Rennert, Gadi, Risch, Angela, Brennan, Paul, Christiani, David C, Amos, Christopher I, Yang, Ping, and Gorlova, Olga Y
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Biomedical and Clinical Sciences ,Oncology and Carcinogenesis ,Human Genome ,Lung Cancer ,Tobacco ,Prevention ,Cancer ,Genetics ,Clinical Research ,Tobacco Smoke and Health ,Lung ,2.1 Biological and endogenous factors ,Aetiology ,Good Health and Well Being ,Case-Control Studies ,Chromosomes ,Human ,Pair 5 ,Europe ,Female ,Genetic Predisposition to Disease ,Genetic Variation ,Genome-Wide Association Study ,Genotyping Techniques ,Humans ,Lung Neoplasms ,Membrane Proteins ,Middle Aged ,Polymorphism ,Single Nucleotide ,Risk Factors ,Telomerase ,Lung cancer ,Never smokers ,Genome-wide association study ,Genetic susceptibility ,Cardiorespiratory Medicine and Haematology ,Clinical Sciences ,Oncology & Carcinogenesis ,Clinical sciences ,Oncology and carcinogenesis - Abstract
IntroductionInherited susceptibility to lung cancer risk in never-smokers is poorly understood. The major reason for this gap in knowledge is that this disease is relatively uncommon (except in Asians), making it difficult to assemble an adequate study sample. In this study we conducted a genome-wide association study on the largest, to date, set of European-descent never-smokers with lung cancer.MethodsWe conducted a two-phase (discovery and replication) genome-wide association study in never-smokers of European descent. We further augmented the sample by performing a meta-analysis with never-smokers from the recent OncoArray study, which resulted in a total of 3636 cases and 6295 controls. We also compare our findings with those in smokers with lung cancer.ResultsWe detected three genome-wide statistically significant single nucleotide polymorphisms rs31490 (odds ratio [OR]: 0.769, 95% confidence interval [CI]: 0.722-0.820; p value 5.31 × 10-16), rs380286 (OR: 0.770, 95% CI: 0.723-0.820; p value 4.32 × 10-16), and rs4975616 (OR: 0.778, 95% CI: 0.730-0.829; p value 1.04 × 10-14). All three mapped to Chromosome 5 CLPTM1L-TERT region, previously shown to be associated with lung cancer risk in smokers and in never-smoker Asian women, and risk of other cancers including breast, ovarian, colorectal, and prostate.ConclusionsWe found that genetic susceptibility to lung cancer in never-smokers is associated to genetic variants with pan-cancer risk effects. The comparison with smokers shows that top variants previously shown to be associated with lung cancer risk only confer risk in the presence of tobacco exposure, underscoring the importance of gene-environment interactions in the etiology of this disease.
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- 2019
10. Tied Agents within the ECSPR Regime
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Till Otto, Patrick Wambold, and Karsten Wenzlaff
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Commercial law ,K1000-1395 - Abstract
The European Crowdfunding Service Provider Regime allows the intermediation of securities, loans and other admitted instruments for crowdfunding purposes up to five million Euro. Crowdfunding offers above five million Euro continue to be subject to national crowdfunding regimes, which may be regulated under MiFID. The authors discuss how existing MiFID licenses can be used in parallel to a license under ECSPR, with a focus on tied agents who operate under a so-called liability umbrella (investment firm or credit institution) holding a MiFID license. In Germany, the law implementing MiFID states that tied agents can operate “solely [in the name,] for the account and under the liability of” an investment firm or credit institution acting as liability umbrella. This raises the question, whether a tied agent can hold a license under ECSPR itself at the same time. However, the authors argue that both MiFID and ECSPR as well as the intent of the German legislator provide for the fact that one can hold an ECSPR authorization and at the same time be appointed as tied agent of a MiFID investment firm or credit institution.
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- 2022
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11. Germline Genetic Variants and Lung Cancer Survival in African Americans
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Jones, Carissa C, Bush, William S, Crawford, Dana C, Wenzlaff, Angela S, Schwartz, Ann G, Wiencke, John K, Wrensch, Margaret R, Blot, William J, Chanock, Stephen J, Grogan, Eric L, and Aldrich, Melinda C
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Epidemiology ,Biomedical and Clinical Sciences ,Health Sciences ,Oncology and Carcinogenesis ,Prevention ,Cancer ,Lung ,Lung Cancer ,Human Genome ,Genetics ,2.1 Biological and endogenous factors ,Aetiology ,Good Health and Well Being ,Adult ,Black or African American ,Aged ,Cohort Studies ,Female ,Genetic Variation ,Humans ,Lung Neoplasms ,Middle Aged ,Risk Factors ,Survival Analysis ,Medical and Health Sciences ,Biomedical and clinical sciences ,Health sciences - Abstract
Background: African Americans have the highest lung cancer mortality in the United States. Genome-wide association studies (GWASs) of germline variants influencing lung cancer survival have not yet been conducted with African Americans. We examined five previously reported GWAS catalog variants and explored additional genome-wide associations among African American lung cancer cases.Methods: Incident non-small cell lung cancer cases (N = 286) in the Southern Community Cohort Study were genotyped on the Illumina HumanExome BeadChip. We used Cox proportional hazards models to estimate HRs and 95% confidence intervals (CIs) for overall mortality. Two independent African American studies (N = 316 and 298) were used for replication.Results: One previously reported variant, rs1878022 on 12q23.3, was significantly associated with mortality (HR = 0.70; 95% CI: 0.54-0.92). Replication findings were in the same direction, although attenuated (HR = 0.87 and 0.94). Meta-analysis had a HR of 0.83 (95% CI, 0.71-0.97). Analysis of common variants identified an association between chromosome 6q21.33 and mortality (HR = 0.46; 95% CI, 0.33-0.66).Conclusions: We identified an association between rs1878022 in CMKLR1 and lung cancer survival. However, our results in African Americans have a different direction of effect compared with a prior study in European Americans, suggesting a different genetic architecture or presence of gene-environment interactions. We also identified variants on chromosome 6 within the gene-rich HLA region, which has been previously implicated in lung cancer risk and survival.Impact: We found evidence that inherited genetic risk factors influence lung cancer survival in African Americans. Replication in additional populations is necessary to confirm potential genetic differences in lung cancer survival across populations. Cancer Epidemiol Biomarkers Prev; 26(8); 1288-95. ©2017 AACR.
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- 2017
12. Alcohol and lung cancer risk among never smokers: A pooled analysis from the international lung cancer consortium and the SYNERGY study
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Fehringer, Gordon, Brenner, Darren R, Zhang, Zuo‐Feng, Lee, Yuan‐Chin Amy, Matsuo, Keitaro, Ito, Hidemi, Lan, Qing, Vineis, Paolo, Johansson, Mattias, Overvad, Kim, Riboli, Elio, Trichopoulou, Antonia, Sacerdote, Carlotta, Stucker, Isabelle, Boffetta, Paolo, Brennan, Paul, Christiani, David C, Hong, Yun‐Chul, Landi, Maria Teresa, Morgenstern, Hal, Schwartz, Ann G, Wenzlaff, Angela S, Rennert, Gad, McLaughlin, John R, Harris, Curtis C, Olivo‐Marston, Susan, Orlow, Irene, Park, Bernard J, Zauderer, Marjorie, Dios, Juan M Barros, Raviña, Alberto Ruano, Siemiatycki, Jack, Koushik, Anita, Lazarus, Philip, Fernández‐Somoano, Ana, Tardon, Adonina, Le Marchand, Loic, Brenner, Hermann, Saum, Kai‐Uwe, Duell, Eric J, Andrew, Angeline S, Szeszenia‐Dabrowska, Neonila, Lissowska, Jolanta, Zaridze, David, Rudnai, Peter, Fabianova, Eleonora, Mates, Dana, Foretova, Lenka, Janout, Vladimir, Bencko, Vladimir, Holcatova, Ivana, Pesatori, Angela Cecilia, Consonni, Dario, Olsson, Ann, Straif, Kurt, and Hung, Rayjean J
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Biomedical and Clinical Sciences ,Oncology and Carcinogenesis ,Lung ,Cancer ,Substance Misuse ,Tobacco ,Alcoholism ,Alcohol Use and Health ,Tobacco Smoke and Health ,Prevention ,Lung Cancer ,Cardiovascular ,Stroke ,Respiratory ,Good Health and Well Being ,Aged ,Alcohol Drinking ,Alcoholic Beverages ,Asia ,Case-Control Studies ,Cohort Studies ,Europe ,Female ,Humans ,Lung Neoplasms ,Male ,Middle Aged ,North America ,Risk Factors ,Smoking ,alcohol ,lung cancer ,wine ,beer ,liquor ,Oncology & Carcinogenesis ,Oncology and carcinogenesis - Abstract
It is not clear whether alcohol consumption is associated with lung cancer risk. The relationship is likely confounded by smoking, complicating the interpretation of previous studies. We examined the association of alcohol consumption and lung cancer risk in a large pooled international sample, minimizing potential confounding of tobacco consumption by restricting analyses to never smokers. Our study included 22 case-control and cohort studies with a total of 2548 never-smoking lung cancer patients and 9362 never-smoking controls from North America, Europe and Asia within the International Lung Cancer Consortium (ILCCO) and SYNERGY Consortium. Alcohol consumption was categorized into amounts consumed (grams per day) and also modelled as a continuous variable using restricted cubic splines for potential non-linearity. Analyses by histologic sub-type were included. Associations by type of alcohol consumed (wine, beer and liquor) were also investigated. Alcohol consumption was inversely associated with lung cancer risk with evidence most strongly supporting lower risk for light and moderate drinkers relative to non-drinkers (>0-4.9 g per day: OR = 0.80, 95% CI = 0.70-0.90; 5-9.9 g per day: OR = 0.82, 95% CI = 0.69-0.99; 10-19.9 g per day: OR = 0.79, 95% CI = 0.65-0.96). Inverse associations were found for consumption of wine and liquor, but not beer. The results indicate that alcohol consumption is inversely associated with lung cancer risk, particularly among subjects with low to moderate consumption levels, and among wine and liquor drinkers, but not beer drinkers. Although our results should have no relevant bias from the confounding effect of smoking we cannot preclude that confounding by other factors contributed to the observed associations. Confounding in relation to the non-drinker reference category may be of particular importance.
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- 2017
13. Illustrating Best Practices in Optimizing Social Media Strategy for a Campaign Targeting Military Mental Health Stigma
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Hong, Esther L., Slay, Patrick D., Hampton, Molly, Critchfield, Daniel T., Wenzlaff, Tina, Castille, Kristina W., Polizzi, Nicholas C., and Hoyt, Tim
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- 2021
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14. Genome-wide association study confirms lung cancer susceptibility loci on chromosomes 5p15 and 15q25 in an African-American population
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Zanetti, Krista A, Wang, Zhaoming, Aldrich, Melinda, Amos, Christopher I, Blot, William J, Bowman, Elise D, Burdette, Laurie, Cai, Qiuyin, Caporaso, Neil, Chung, Charles C, Gillanders, Elizabeth M, Haiman, Christopher A, Hansen, Helen M, Henderson, Brian E, Kolonel, Laurence N, Le Marchand, Loic, Li, Shengchao, McNeill, Lorna Haughton, Ryan, Bríd M, Schwartz, Ann G, Sison, Jennette D, Spitz, Margaret R, Tucker, Margaret, Wenzlaff, Angela S, Wiencke, John K, Wilkens, Lynne, Wrensch, Margaret R, Wu, Xifeng, Zheng, Wei, Zhou, Weiyin, Christiani, David, Palmer, Julie R, Penning, Trevor M, Rieber, Alyssa G, Rosenberg, Lynn, Ruiz-Narvaez, Edward A, Su, Li, Vachani, Anil, Wei, Yongyue, Whitehead, Alexander S, Chanock, Stephen J, and Harris, Curtis C
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Biomedical and Clinical Sciences ,Oncology and Carcinogenesis ,Lung ,Women's Health ,Clinical Research ,Cancer ,Lung Cancer ,Human Genome ,Genetics ,Prevention ,2.1 Biological and endogenous factors ,Respiratory ,Black or African American ,Case-Control Studies ,Chromosomes ,Human ,Pair 15 ,Chromosomes ,Human ,Pair 5 ,Genetic Predisposition to Disease ,Genome-Wide Association Study ,Humans ,Lung Neoplasms ,Polymorphism ,Single Nucleotide ,Population Surveillance ,Quantitative Trait Loci ,Genome-wide association study ,Lung neoplasms ,Smoking ,African Americans ,Telomerase ,Receptors ,Cholinergic ,Clinical Sciences ,Oncology & Carcinogenesis ,Clinical sciences ,Oncology and carcinogenesis - Abstract
ObjectivesGenome-wide association studies (GWAS) of lung cancer have identified regions of common genetic variation with lung cancer risk in Europeans who smoke and never-smoking Asian women. This study aimed to conduct a GWAS in African Americans, who have higher rates of lung cancer despite smoking fewer cigarettes per day when compared with Caucasians. This population provides a different genetic architecture based on underlying African ancestry allowing the identification of new regions and exploration of known regions for finer mapping.Materials and methodsWe genotyped 1,024,001 SNPs in 1737 cases and 3602 controls in stage 1, followed by a replication phase of 20 SNPs (p
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- 2016
15. Gene by Environment Investigation of Incident Lung Cancer Risk in African-Americans
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David, Sean P, Wang, Ange, Kapphahn, Kristopher, Hedlin, Haley, Desai, Manisha, Henderson, Michael, Yang, Lingyao, Walsh, Kyle M, Schwartz, Ann G, Wiencke, John K, Spitz, Margaret R, Wenzlaff, Angela S, Wrensch, Margaret R, Eaton, Charles B, Furberg, Helena, Brown, W Mark, Goldstein, Benjamin A, Assimes, Themistocles, Tang, Hua, Kooperberg, Charles L, Quesenberry, Charles P, Tindle, Hilary, Patel, Manali I, Amos, Christopher I, Bergen, Andrew W, Swan, Gary E, and Stefanick, Marcia L
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Epidemiology ,Biomedical and Clinical Sciences ,Health Sciences ,Oncology and Carcinogenesis ,Cancer Genomics ,Prevention ,Human Genome ,Clinical Research ,Lung ,Lung Cancer ,Tobacco Smoke and Health ,Tobacco ,Women's Health ,Cancer ,Genetics ,Good Health and Well Being ,Black or African American ,Case-Control Studies ,Chromosomes ,Human ,Pair 15 ,Female ,Gene-Environment Interaction ,Genes ,Modifier ,Humans ,Lung Neoplasms ,Male ,Nerve Tissue Proteins ,Polymorphism ,Single Nucleotide ,Receptors ,Nicotinic ,Smoking ,African-Americans ,Environment ,rs2036527 ,Single Nucleotide Polymorphisms ,Clinical Sciences ,Public Health and Health Services ,Clinical sciences - Abstract
BackgroundGenome-wide association studies have identified polymorphisms linked to both smoking exposure and risk of lung cancer. The degree to which lung cancer risk is driven by increased smoking, genetics, or gene-environment interactions is not well understood.MethodsWe analyzed associations between 28 single nucleotide polymorphisms (SNPs) previously associated with smoking quantity and lung cancer in 7156 African-American females in the Women's Health Initiative (WHI), then analyzed main effects of top nominally significant SNPs and interactions between SNPs, cigarettes per day (CPD) and pack-years for lung cancer in an independent, multi-center case-control study of African-American females and males (1078 lung cancer cases and 822 controls).FindingsNine nominally significant SNPs for CPD in WHI were associated with incident lung cancer (corrected p-values from 0.027 to 6.09 × 10(-5)). CPD was found to be a nominally significant effect modifier between SNP and lung cancer for six SNPs, including CHRNA5 rs2036527[A](betaSNP*CPD = - 0.017, p = 0.0061, corrected p = 0.054), which was associated with CPD in a previous genome-wide meta-analysis of African-Americans.InterpretationThese results suggest that chromosome 15q25.1 variants are robustly associated with CPD and lung cancer in African-Americans and that the allelic dose effect of these polymorphisms on lung cancer risk is most pronounced in lighter smokers.
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- 2016
16. CHRNA5 Risk Variant Predicts Delayed Smoking Cessation and Earlier Lung Cancer Diagnosis—A Meta-Analysis
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Chen, Li-Shiun, Hung, Rayjean J, Baker, Timothy, Horton, Amy, Culverhouse, Rob, Saccone, Nancy, Cheng, Iona, Deng, Bo, Han, Younghun, Hansen, Helen M, Horsman, Janet, Kim, Claire, Lutz, Sharon, Rosenberger, Albert, Aben, Katja K, Andrew, Angeline S, Breslau, Naomi, Chang, Shen-Chih, Dieffenbach, Aida Karina, Dienemann, Hendrik, Frederiksen, Brittni, Han, Jiali, Hatsukami, Dorothy K, Johnson, Eric O, Pande, Mala, Wrensch, Margaret R, McLaughlin, John, Skaug, Vidar, van der Heijden, Henricus F, Wampfler, Jason, Wenzlaff, Angela, Woll, Penella, Zienolddiny, Shanbeh, Bickeböller, Heike, Brenner, Hermann, Duell, Eric J, Haugen, Aage, Heinrich, Joachim, Hokanson, John E, Hunter, David J, Kiemeney, Lambertus A, Lazarus, Philip, Le Marchand, Loic, Liu, Geoffrey, Mayordomo, Jose, Risch, Angela, Schwartz, Ann G, Teare, Dawn, Wu, Xifeng, Wiencke, John K, Yang, Ping, Zhang, Zuo-Feng, Spitz, Margaret R, Kraft, Peter, Amos, Christopher I, and Bierut, Laura J
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Biomedical and Clinical Sciences ,Oncology and Carcinogenesis ,Clinical Research ,Lung ,Lung Cancer ,Cancer ,Human Genome ,Tobacco ,Prevention ,Genetics ,Tobacco Smoke and Health ,Detection ,screening and diagnosis ,4.2 Evaluation of markers and technologies ,Respiratory ,Good Health and Well Being ,Genetic Variation ,Humans ,Lung Neoplasms ,Middle Aged ,Nerve Tissue Proteins ,Phenotype ,Receptors ,Nicotinic ,Risk Factors ,Smoking ,Smoking Cessation ,Time Factors ,Oncology & Carcinogenesis ,Oncology and carcinogenesis - Abstract
BackgroundRecent meta-analyses show strong evidence of associations among genetic variants in CHRNA5 on chromosome 15q25, smoking quantity, and lung cancer. This meta-analysis tests whether the CHRNA5 variant rs16969968 predicts age of smoking cessation and age of lung cancer diagnosis.MethodsMeta-analyses examined associations between rs16969968, age of quitting smoking, and age of lung cancer diagnosis in 24 studies of European ancestry (n = 29 072). In each dataset, we used Cox regression models to evaluate the association between rs16969968 and the two primary phenotypes (age of smoking cessation among ever smokers and age of lung cancer diagnosis among lung cancer case patients) and the secondary phenotype of smoking duration. Heterogeneity across studies was assessed with the Cochran Q test. All statistical tests were two-sided.ResultsThe rs16969968 allele (A) was associated with a lower likelihood of smoking cessation (hazard ratio [HR] = 0.95, 95% confidence interval [CI] = 0.91 to 0.98, P = .0042), and the AA genotype was associated with a four-year delay in median age of quitting compared with the GG genotype. Among smokers with lung cancer diagnoses, the rs16969968 genotype (AA) was associated with a four-year earlier median age of diagnosis compared with the low-risk genotype (GG) (HR = 1.08, 95% CI = 1.04 to 1.12, P = 1.1*10(-5)).ConclusionThese data support the clinical significance of the CHRNA5 variant rs16969968. It predicts delayed smoking cessation and an earlier age of lung cancer diagnosis in this meta-analysis. Given the existing evidence that this CHRNA5 variant predicts favorable response to cessation pharmacotherapy, these findings underscore the potential clinical and public health importance of rs16969968 in CHRNA5 in relation to smoking cessation success and lung cancer risk.
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- 2015
17. Teachers Need Teachers to Grow
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Wenzlaff, Terri L. and Wieseman, Katherine C.
- Abstract
The purpose of this study was to examine the nature of teacher learning in a cohort-based, master's degree program in curriculum and pedagogy that was intentionally designed to be responsive to teachers' personal needs and preferences. The program aimed to: (1) provide teachers with the confidence to connect what they do in their classrooms to research-informed practices; (2) immerse teachers in a collaborative culture that allowed them to learn from one another as colleagues; (3) consider teacher input in course content and structure design; and (4) address university guidelines and NCATE standards. A secondary purpose was to evaluate teachers' perceptions of how the program design responded to their needs, preferences, and learning processes. This program design took into account what is known about factors that influence teacher learning, including teacher beliefs as filters, the importance of interactions in a discourse community, and the significance of a collaborative culture as a force for change. The findings of this study suggest that a cohort-based graduate program that is personalized and responsive to teachers' needs promotes meaningful learning and a sense of empowerment. A collaborative culture comprised of teachers from different levels of schooling and content areas, as well as different district contexts, can help teachers to broaden their perspectives about teaching and learning and educational systems. In order to connect theory to practice the teachers in this study best "learned by doing," meaning they learned best by having authentic experiences and practical course assignments, reflecting on their "doing," and having input on graduate course design and content. (Contains 1 figure.)
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- 2004
18. Fine-mapping of the 5p15.33, 6p22.1-p21.31, and 15q25.1 Regions Identifies Functional and Histology-Specific Lung Cancer Susceptibility Loci in African-Americans
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Walsh, Kyle M, Gorlov, Ivan P, Hansen, Helen M, Wu, Xifeng, Spitz, Margaret R, Zhang, Huifeng, Lu, Emily Y, Wenzlaff, Angela S, Sison, Jennette D, Wei, Chongjuan, Lloyd, Stacy M, Chen, Wei, Frazier, Marsha L, Seldin, Michael F, Bierut, Laura J, Bracci, Paige M, Wrensch, Margaret R, Schwartz, Ann G, Wiencke, John K, and Amos, Christopher I
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Epidemiology ,Biomedical and Clinical Sciences ,Health Sciences ,Oncology and Carcinogenesis ,Clinical Research ,Cancer ,Lung ,Genetics ,Human Genome ,Lung Cancer ,Aetiology ,2.1 Biological and endogenous factors ,Adenocarcinoma ,Black or African American ,Aged ,Biomarkers ,Tumor ,Carcinoma ,Squamous Cell ,Case-Control Studies ,Chromosome Mapping ,Chromosomes ,Human ,Pair 15 ,Chromosomes ,Human ,Pair 5 ,Chromosomes ,Human ,Pair 6 ,Female ,Genetic Predisposition to Disease ,Genome-Wide Association Study ,Humans ,Linkage Disequilibrium ,Lung Neoplasms ,Male ,Middle Aged ,Nerve Tissue Proteins ,Polymerase Chain Reaction ,Polymorphism ,Single Nucleotide ,Prognosis ,Proteins ,Receptors ,Nicotinic ,Risk Factors ,Small Cell Lung Carcinoma ,Telomerase ,Medical and Health Sciences ,Biomedical and clinical sciences ,Health sciences - Abstract
BackgroundGenome-wide association studies of European and East Asian populations have identified lung cancer susceptibility loci on chromosomes 5p15.33, 6p22.1-p21.31, and 15q25.1. We investigated whether these regions contain lung cancer susceptibly loci in African-Americans and refined previous association signals by using the reduced linkage disequilibrium observed in African-Americans.Methods1,308 African-American cases and 1,241 African-American controls from 3 centers were genotyped for 760 single-nucleotide polymorphisms (SNP) spanning 3 regions, and additional SNP imputation was carried out. Associations between polymorphisms and lung cancer risk were estimated using logistic regression, stratified by tumor histology where appropriate.ResultsThe strongest associations were observed on 15q25.1 in/near CHRNA5, including a missense substitution [rs16969968: OR, 1.57; 95% confidence interval (CI), 1.25-1.97; P, 1.1 × 10(-4)) and variants in the 5'-UTR. Associations on 6p22.1-p21.31 were histology specific and included a missense variant in BAT2 associated with squamous cell carcinoma (rs2736158: OR, 0.64; 95% CI, 0.48-0.85; P, 1.82 × 10(-3)). Associations on 5p15.33 were detected near TERT, the strongest of which was rs2735940 (OR, 0.82; 95% CI, 0.73-0.93; P, 1.1 × 10(-3)). This association was stronger among cases with adenocarcinoma (OR, 0.75; 95% CI, 0.65-0.86; P, 8.1 × 10(-5)).ConclusionsPolymorphisms in 5p15.33, 6p22.1-p21.31, and 15q25.1 are associated with lung cancer in African-Americans. Variants on 5p15.33 are stronger risk factors for adenocarcinoma and variants on 6p21.33 associated only with squamous cell carcinoma.ImpactResults implicate the BAT2, TERT, and CHRNA5 genes in the pathogenesis of specific lung cancer histologies.
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- 2013
19. Association study of nicotinic acetylcholine receptor genes identifies a novel lung cancer susceptibility locus near CHRNA1 in African-Americans
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Walsh, Kyle, Wiencke, John, Wrensch, Margaret, Walsh, KM, Amos, CI, Wenzlaff, AS, Gorlov, IP, Sison, JD, Wu, X, Spitz, MR, Hansen, HM, Lu, EY, and Wei, C
- Abstract
Studies in European and East Asian populations have identified lung cancer susceptibility loci in nicotinic acetylcholine receptor (nAChR) genes on chromosome 15q25.1 which also appear to influence smoking behaviors. We sought to determine if genetic varia
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- 2012
20. Structural Control, Evolution, and Accumulation Rates of Massive Sulfides in the TAG Hydrothermal Field
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Sebastian Graber, Sven Petersen, Isobel Yeo, Florent Szitkar, Meike Klischies, John Jamieson, Mark Hannington, Marcel Rothenbeck, Emanuel Wenzlaff, Nico Augustin, and Iain Stobbs
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TAG hydrothermal field ,seafloor massive sulfides ,AUV mapping ,structural control ,Geophysics. Cosmic physics ,QC801-809 ,Geology ,QE1-996.5 - Abstract
Abstract The Trans‐Atlantic Geotraverse (TAG) hydrothermal field on the Mid‐Atlantic Ridge is one of the best‐studied hydrothermal systems to date. However, high‐resolution bathymetric data obtained in 2016 by an autonomous underwater vehicle (AUV) reveal new information about the distribution of active and inactive hydrothermal deposits, and their relation to structural features. The discovery of previously undocumented inactive vent sites contributes to a better understanding of the accumulation rates and the resource potential of seafloor massive sulfide deposits at slow‐spreading ridges. The interpretation of ship‐based and high‐resolution AUV‐based data sets allowed for the determination of the main tectonic stress regimes that have a first‐order control on the location and distribution of past and present hydrothermal activity. The data reveal the importance of cross‐cutting lineament populations and temporal variations in the prevalent stress regime. A dozen sulfide mounds contribute to a substantial accumulation of hydrothermal material (~29 Mt). The accumulation rate of ~1,500 t/yr is comparable to those of other modern seafloor vent fields. However, our observations suggest that the TAG segment is different from many other slow‐spreading ridge segments in its tectonic complexity, which confines sulfide formation into a relatively small area and is responsible for the longevity of the hydrothermal system and substantial mineral accumulation. The inactive and weakly active mounds contain almost 10 times the amount of material as the active high‐temperature mound, providing an important indication of the global resource potential for inactive seafloor massive sulfide deposits.
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- 2020
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21. Correction: Meyer-Plath et al. A Practicable Measurement Strategy for Compliance Checking Number Concentrations of Airborne Nano- and Microscale Fibers. Atmosphere 2020, 11, 1254
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Asmus Meyer-Plath, Daphne Bäger, Nico Dziurowitz, Doris Perseke, Barbara Katrin Simonow, Carmen Thim, Daniela Wenzlaff, and Sabine Plitzko
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n/a ,Meteorology. Climatology ,QC851-999 - Abstract
The authors wish to make the following corrections to this paper [...]
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- 2022
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22. Performance Based Education: How One District Handled State Mandates.
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Wenzlaff, Terri
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When the North Dakota State Department of Education mandated new guidelines for accreditation, each school district in the state was required to develop and implement student performance standards and measurements for every curricular area. This paper describes one district's approach to developing a performance assessment program. Teacher committees in each school identified exit outcomes reflecting student expectations upon graduation. Outcome was defined as the demonstration of what students know, can do, and are like; program outcomes state what a student should be able to do upon completion of a program. Authentic task assessments, portfolio assessments, and criterion referenced tests were developed and validated. A typical performance assessment designed for K-5 science emphasized the process of science rather than content; students were asked to interpret, classify, compare, make observations, and predict rather than respond to multiple choice questions; writing skills were used to explain responses. Vocational and fine arts areas are designed for authentic assessment tasks; mathematics and science make use of both performance assessment and criterion referenced tests. A sample geometry assessment is provided. The paper concludes with a discussion of student learning within the context of performance assessment. (LL)
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- 1992
23. An elevated plus-maze in mixed reality for studying human anxiety-related behavior
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Sarah V. Biedermann, Daniel G. Biedermann, Frederike Wenzlaff, Tim Kurjak, Sawis Nouri, Matthias K. Auer, Klaus Wiedemann, Peer Briken, Jan Haaker, Tina B. Lonsdorf, and Johannes Fuss
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Virtual reality ,Approach ,Avoidance ,Risk assessment ,Behavioral assay ,Anxiety disorder ,Biology (General) ,QH301-705.5 - Abstract
Abstract Background A dearth of laboratory tests to study actual human approach-avoidance behavior has complicated translational research on anxiety. The elevated plus-maze (EPM) is the gold standard to assess approach-avoidance behavior in rodents. Methods Here, we translated the EPM to humans using mixed reality through a combination of virtual and real-world elements. In two validation studies, we observed participants’ anxiety on a behavioral, physiological, and subjective level. Results Participants reported higher anxiety on open arms, avoided open arms, and showed an activation of endogenous stress systems. Participants’ with high anxiety exhibited higher avoidance. Moreover, open arm avoidance was moderately predicted by participants’ acrophobia and sensation seeking, with opposing influences. In a randomized, double blind, placebo controlled experiment, GABAergic stimulation decreased avoidance of open arms while alpha-2-adrenergic antagonism increased avoidance. Conclusion These findings demonstrate cross-species validity of open arm avoidance as a translational measure of anxiety. We thus introduce the first ecologically valid assay to track actual human approach-avoidance behavior under laboratory conditions.
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- 2017
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24. Assessing a Polygenic Risk Score for Lung Cancer Susceptibility in Non-Hispanic White and Black Populations.
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Trendowski, Matthew R., Lusk, Christine M., Wenzlaff, Angela S., Neslund-Dudas, Christine, Gadgeel, Shirish M., Soubani, Ayman O., and Schwartz, Ann G.
- Abstract
Background: Polygenic risk scores (PRS) have become an increasingly popular approach to evaluate cancer susceptibility, but have not adequately represented Black populations in model development. Methods: We used a previously published lung cancer PRS on the basis of 80 SNPs associated with lung cancer risk in the OncoArray cohort and validated in UK Biobank. The PRS was evaluated for association with lung cancer risk adjusting for age, sex, total pack-years, family history of lung cancer, history of chronic obstructive pulmonary disease, and the top five principal components for genetic ancestry. Results: Among the 80 PRS SNPs included in the score, 14 were significantly associated with lung cancer risk (P < 0.05) in INHALE White participants, while there were no significant SNPs among INHALE Black participants. After adjusting for covariates, the PRS was significantly associated with risk in Whites (continuous score P = 0.007), but not in Blacks (continuous score P = 0.88). The PRS remained a statistically significant predictor of lung cancer risk in Whites ineligible for lung cancer screening under current U.S. Preventive Services Task Force guidelines (P = 0.02). Conclusions: Using a previously validated PRS, we did find some predictive ability for lung cancer in INHALE White participants beyond traditional risk factors. However, this effect was not observed in Black participants, indicating the need to develop and validate ancestry-specific lung cancer risk models. Impact: While a previously published lung cancer PRS was able to stratify White participants into different levels of risk, the model was not predictive in Blacks. Our findings highlight the need to develop and validate ancestry-specific lung cancer risk models. [ABSTRACT FROM AUTHOR]
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- 2023
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25. Genetic Risk Can Be Decreased: Quitting Smoking Decreases and Delays Lung Cancer for Smokers With High and Low CHRNA5 Risk Genotypes — A Meta-Analysis
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Li-Shiun Chen, Timothy Baker, Rayjean J. Hung, Amy Horton, Robert Culverhouse, Sarah Hartz, Nancy Saccone, Iona Cheng, Bo Deng, Younghun Han, Helen M. Hansen, Janet Horsman, Claire Kim, Albert Rosenberger, Katja K. Aben, Angeline S. Andrew, Shen-Chih Chang, Kai-Uwe Saum, Hendrik Dienemann, Dorothy K. Hatsukami, Eric O. Johnson, Mala Pande, Margaret R. Wrensch, John McLaughlin, Vidar Skaug, Erik H. van der Heijden, Jason Wampfler, Angela Wenzlaff, Penella Woll, Shanbeh Zienolddiny, Heike Bickeböller, Hermann Brenner, Eric J. Duell, Aage Haugen, Irene Brüske, Lambertus A. Kiemeney, Philip Lazarus, Loic Le Marchand, Geoffrey Liu, Jose Mayordomo, Angela Risch, Ann G. Schwartz, M. Dawn Teare, Xifeng Wu, John K. Wiencke, Ping Yang, Zuo-Feng Zhang, Margaret R. Spitz, Christopher I. Amos, and Laura J. Bierut
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Smoking cessation ,Genetics ,Meta-analysis ,Lung cancer ,Medicine ,Medicine (General) ,R5-920 - Abstract
Background: Recent meta-analyses show that individuals with high risk variants in CHRNA5 on chromosome 15q25 are likely to develop lung cancer earlier than those with low-risk genotypes. The same high-risk genetic variants also predict nicotine dependence and delayed smoking cessation. It is unclear whether smoking cessation confers the same benefits in terms of lung cancer risk reduction for those who possess CHRNA5 risk variants versus those who do not. Methods: Meta-analyses examined the association between smoking cessation and lung cancer risk in 15 studies of individuals with European ancestry who possessed varying rs16969968 genotypes (N = 12,690 ever smokers, including 6988 cases of lung cancer and 5702 controls) in the International Lung Cancer Consortium. Results: Smoking cessation (former vs. current smokers) was associated with a lower likelihood of lung cancer (OR = 0.48, 95%CI = 0.30–0.75, p = 0.0015). Among lung cancer patients, smoking cessation was associated with a 7-year delay in median age of lung cancer diagnosis (HR = 0.68, 95%CI = 0.61–0.77, p = 4.9 ∗ 10–10). The CHRNA5 rs16969968 risk genotype (AA) was associated with increased risk and earlier diagnosis for lung cancer, but the beneficial effects of smoking cessation were very similar in those with and without the risk genotype. Conclusion: We demonstrate that quitting smoking is highly beneficial in reducing lung cancer risks for smokers regardless of their CHRNA5 rs16969968 genetic risk status. Smokers with high-risk CHRNA5 genotypes, on average, can largely eliminate their elevated genetic risk for lung cancer by quitting smoking- cutting their risk of lung cancer in half and delaying its onset by 7 years for those who develop it. These results: 1) underscore the potential value of smoking cessation for all smokers, 2) suggest that CHRNA5 rs16969968 genotype affects lung cancer diagnosis through its effects on smoking, and 3) have potential value for framing preventive interventions for those who smoke.
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- 2016
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26. Gene by Environment Investigation of Incident Lung Cancer Risk in African-Americans
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Sean P. David, Ange Wang, Kristopher Kapphahn, Haley Hedlin, Manisha Desai, Michael Henderson, Lingyao Yang, Kyle M. Walsh, Ann G. Schwartz, John K. Wiencke, Margaret R. Spitz, Angela S. Wenzlaff, Margaret R. Wrensch, Charles B. Eaton, Helena Furberg, W. Mark Brown, Benjamin A. Goldstein, Themistocles Assimes, Hua Tang, Charles L. Kooperberg, Charles P. Quesenberry, Hilary Tindle, Manali I. Patel, Christopher I. Amos, Andrew W. Bergen, Gary E. Swan, and Marcia L. Stefanick
- Subjects
African-Americans ,Environment ,Genetics ,Lung Cancer ,rs2036527 ,Single Nucleotide Polymorphisms ,Smoking ,Medicine ,Medicine (General) ,R5-920 - Abstract
Background: Genome-wide association studies have identified polymorphisms linked to both smoking exposure and risk of lung cancer. The degree to which lung cancer risk is driven by increased smoking, genetics, or gene–environment interactions is not well understood. Methods: We analyzed associations between 28 single nucleotide polymorphisms (SNPs) previously associated with smoking quantity and lung cancer in 7156 African-American females in the Women's Health Initiative (WHI), then analyzed main effects of top nominally significant SNPs and interactions between SNPs, cigarettes per day (CPD) and pack-years for lung cancer in an independent, multi-center case–control study of African-American females and males (1078 lung cancer cases and 822 controls). Findings: Nine nominally significant SNPs for CPD in WHI were associated with incident lung cancer (corrected p-values from 0.027 to 6.09 × 10−5). CPD was found to be a nominally significant effect modifier between SNP and lung cancer for six SNPs, including CHRNA5 rs2036527[A](betaSNP*CPD = −0.017, p = 0.0061, corrected p = 0.054), which was associated with CPD in a previous genome-wide meta-analysis of African-Americans. Interpretation: These results suggest that chromosome 15q25.1 variants are robustly associated with CPD and lung cancer in African-Americans and that the allelic dose effect of these polymorphisms on lung cancer risk is most pronounced in lighter smokers.
- Published
- 2016
- Full Text
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27. A Practicable Measurement Strategy for Compliance Checking Number Concentrations of Airborne Nano- and Microscale Fibers
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Asmus Meyer-Plath, Daphne Bäger, Nico Dziurowitz, Doris Perseke, Barbara Katrin Simonow, Carmen Thim, Daniela Wenzlaff, and Sabine Plitzko
- Subjects
nanofiber ,aerosol ,workplace exposure assessment ,fiber number concentration limit ,occupational health and safety ,Meteorology. Climatology ,QC851-999 - Abstract
Despite compelling reports on asbestos-like pathogenicity, regulatory bodies have been hesitant to implement fiber number-based exposure limits for biodurable nanoscale fibers. One reason has been the lack of a practicable strategy for assessing airborne fiber number concentrations. Here, a method is proposed, detailed and tested for compliance checking concentrations of airborne nano- and microscale fibers. It relies on Poisson statistical significance testing of the observed versus a predicted number of fibers on filters that have sampled a known volume of aerosol. The prediction is based on the exposure concentration to test. Analogous to the established counting rules for WHO-fibers, which use a phase contrast microscopy-related visibility criterion of 200 nm, the new method also introduces a cut-off diameter, now at 20 nm, which is motivated by toxicological findings on multi-walled carbon nanotubes. This cut-off already reduces the workload by a factor of 400 compared to that necessary for imaging, detecting and counting nanofibers down to 1 nm in diameter. Together with waiving any attempt to absolutely quantify fiber concentrations, a compliance check at the limit-of-detection results in an analytical workload that renders our new approach practicable. The proposed method was applied to compliance checking in 14 very different workplaces that handled or machined nanofiber-containing materials. It achieved detecting violations of the German benchmark exposure level of 10,000 nanofibers per cubic meter.
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- 2020
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28. If there's a penis, it's most likely a man: Investigating the social construction of gender using eye tracking.
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Frederike Wenzlaff, Peer Briken, and Arne Dekker
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Medicine ,Science - Abstract
In their foundational work on the social construction of gender, Kessler and McKenna (1978) investigated the relationship between gender attribution and genital attribution. We used digital reproductions of the original stimuli to replicate their findings in the current social context. To further investigate the underlying decision processes we applied eye tracking. The stimuli shown varied in the composition of gender cues: from those more commonly associated with maleness to associated with femaleness. Applying the ethnomethodological approach originally used, participants were asked to decide for each stimulus whether they saw a man or a woman and to indicate subjective confidence with the decision. In line with the original results we found that the genital attribution contributed immensely to the gender attribution. Also, male gender was ascribed more often when the penis was present than was female gender when the vulva was shown. Eye tracking revealed that overall most dwell time as a proxy for important information was dedicated to the head, chest and genital areas of all the stimuli. Total dwell time depended on whether the gender attribution was made in line with the depicted genital, if the genital was a penis. Attributing female gender when a penis was present was associated with longer total dwell time, unlike attributing male gender with a vulva shown. This is indicative of higher cognitive effort and more difficulty ignoring the penis as opposed to the vulva. We interpret this finding in context of the persistent male dominance as well as to the socio-cultural understanding of the vulva as a concealed and therefore seemingly absent organ. In summary, we were able to show that the gender attribution is still closely linked to genital attribution when having a binary forced choice task and that the penis is a special cue in this attribution process.
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- 2018
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29. Associated Links Among Smoking, Chronic Obstructive Pulmonary Disease, and Small Cell Lung Cancer: A Pooled Analysis in the International Lung Cancer Consortium
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Ruyi Huang, Yongyue Wei, Rayjean J. Hung, Geoffrey Liu, Li Su, Ruyang Zhang, Xuchen Zong, Zuo-Feng Zhang, Hal Morgenstern, Irene Brüske, Joachim Heinrich, Yun-Chul Hong, Jin Hee Kim, Michele Cote, Angela Wenzlaff, Ann G. Schwartz, Isabelle Stucker, John Mclaughlin, Michael W. Marcus, Michael P.A. Davies, Triantafillos Liloglou, John K. Field, Keitaro Matsuo, Matt Barnett, Mark Thornquist, Gary Goodman, Yi Wang, Size Chen, Ping Yang, Eric J. Duell, Angeline S. Andrew, Philip Lazarus, Joshua Muscat, Penella Woll, Janet Horsman, M. Dawn Teare, Anath Flugelman, Gad Rennert, Yan Zhang, Hermann Brenner, Christa Stegmaier, Erik H.F.M. van der Heijden, Katja Aben, Lambertus Kiemeney, Juan Barros-Dios, Monica Pérez-Ríos, Alberto Ruano-Ravina, Neil E. Caporaso, Pier Alberto Bertazzi, Maria Teresa Landi, Juncheng Dai, Hongbing Shen, Guillermo Fernandez-Tardon, Marta Rodriguez-Suarez, Adonina Tardon, and David C. Christiani
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Smoking behaviors ,Chronic obstructive pulmonary disease ,Small cell lung cancer risk ,Multicenter pooling ,Causal mediation analysis ,Medicine ,Medicine (General) ,R5-920 - Abstract
Background: The high relapse and mortality rate of small-cell lung cancer (SCLC) fuels the need for epidemiologic study to aid in its prevention. Methods: We included 24 studies from the ILCCO collaboration. Random-effects panel logistic regression and cubic spline regression were used to estimate the effects of smoking behaviors on SCLC risk and explore their non-linearity. Further, we explored whether the risk of smoking on SCLC was mediated through COPD. Findings: Significant dose–response relationships of SCLC risk were observed for all quantitative smoking variables. Smoking pack-years were associated with a sharper increase of SCLC risk for pack-years ranged 0 to approximately 50. The former smokers with longer cessation showed a 43%quit_for_5–9 years to 89%quit_for_≥20 years declined SCLC risk vs. subjects who had quit smoking
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- 2015
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30. Continuous dry dispersion of multi-walled carbon nanotubes to aerosols with high concentrations of individual fibers
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Simonow, Barbara Katrin, Wenzlaff, Daniela, Meyer-Plath, Asmus, Dziurowitz, Nico, Thim, Carmen, Thiel, Jana, Jandy, Mikolaj, and Plitzko, Sabine
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- 2018
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31. Quality management in traumatic brain injury (TBI) Lessons from the prospective study in 6.800 patients after acute TBI in respect of neurorehabilitation
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the TBI Study Council, von Wild, K. R. H., Wenzlaff, P., Steiger, H. -J., editor, and von Wild, Klaus R. H., editor
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- 2005
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32. EP.13D.12 International Consortium Real-World Outcomes in Extensive Disease Small Cell Lung Cancer Compared to IMPOWER133 And CASPIAN
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Khan, S., Hueniken, K., Brown, C.M., Tan, K., Wenzlaff, A.S., Fernandez-Tardon, G., Pesatori, A., Barnett, M.J., Kothari, J., Ma, H., Pérez-Ríos, M., Davies, M.P.A., Schöttker, B., Xie, J., Leighl, N.B., Tsao, M., Zhang, J., Brenner, H., Andrew, A.S., Wang, Y., Field, J.K., Ruano-Ravina, A., Schabath, M.B., Shen, H., Le Marchand, L., Christiani, D.C., Neuhouser, M.L., Landi, M.T., Tardon, A., Taylor, F., Schwartz, A.G., Yang, P., Hung, R.J., Xu, W., Shepherd, F.A., and Liu, G.
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- 2024
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33. MA17.03 30 Years of International Real World Outcomes in Patients with Limited Disease Small Cell Lung Cancer
- Author
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Khan, S., Hueniken, K., Brown, C.M., Tan, K., Wenzlaff, A.S., Fernandez-Tardon, G., Pesatori, A., Barnett, M.J., Kothari, J., Ma, H., Pérez-Ríos, M., Davies, M.P.A., Schöttker, B., Xie, J., Leighl, N.B., Tsao, M., Zhang, J., Brenner, H., Andrew, A.S., Wang, Y., Field, J.K., Ruano-Ravina, A., Schabath, M.B., Shen, H., Le Marchand, L., Christiani, D.C., Neuhouser, M.L., Landi, M.T., Tardon, A., Taylor, F., Schwartz, A.G., Yang, P., Hung, R.J., Xu, W., Shepherd, F.A., and Liu, G.
- Published
- 2024
- Full Text
- View/download PDF
34. Finiteness and Verb-Second in German Agrammatism
- Author
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Wenzlaff, Michaela and Clahsen, Harald
- Abstract
This study presents results from sentence-completion and grammaticality-judgement tasks with seven German-speaking agrammatic aphasics and seven age-matched control subjects examining verb finiteness marking and verb-second (V2) placement. The patients were found to be selectively impaired in tense marking in the face of preserved mood and agreement marking. Moreover, our results revealed that V2 scores varied across our patients, with some showing impaired and others preserved V2 performance. These findings will be discussed in the light of different syntactic accounts of agrammatism.
- Published
- 2005
- Full Text
- View/download PDF
35. Tense and Agreement in German Agrammatism
- Author
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Wenzlaff, Michaela and Clahsen, Harald
- Abstract
This study presents results from sentence-completion and grammaticality-judgment tasks with 7 German-speaking agrammatic aphasics and 7 age-matched control subjects examining tense and subject-verb agreement marking. For both experimental tasks, we found that the aphasics achieved high correctness scores for agreement, while tense marking was severely impaired. To account for the observed tense-agreement dissociation, we suggest that the functional category T(ense)/INFL(ection) is tense-defective in agrammatic aphasia, i.e., it is specified for [+/-Realis], but not for [+/-Past]. It will also be argued that other accounts, specifically the tree-pruning model, do not explain our findings.
- Published
- 2004
- Full Text
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36. The Portfolio as Metaphor for Teacher Reflection.
- Author
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Wenzlaff, Terri L. and Cummings, Katherine E.
- Abstract
One university incorporated preparation of teaching portfolios into preservice teacher education, providing a link between the portfolio assignment and the development of students' abilities to reflect on their teaching. The paper notes students' reactions to the assignment, explaining how teaching portfolios can become the first stage in preservice professional development. (SM)
- Published
- 1996
37. Research: Native American Students Define Factors for Success.
- Author
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Wenzlaff, Terri L. and Biewer, Anne
- Abstract
Considers explanations for the successes of Native American students at a predominantly white university. Describes the Native American Secondary Teacher Education Program, reviewing methods used by participating students to accommodate Native American cultural needs in the Caucasian higher education institution. Includes recommendations for implementing similar programs. (13 citations) (MAB)
- Published
- 1996
38. The Role of Teachers in a Cross-cultural Drama.
- Author
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Wenzlaff, Terri L. and Throd, Mary A.
- Abstract
Examines why there are so few Native American teachers in this country, specifically in the upper Midwest. Describes how one institution has increased the number of native teachers and notes student reactions to assimilation at a traditional, largely white university. Proposes an eight-hour workshop on diversity training for faculty. (SM)
- Published
- 1995
39. Versorgung Schädel-Hirn-Verletzter in Deutschland
- Author
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Rickels, E., von Wild, K., and Wenzlaff, P.
- Published
- 2011
- Full Text
- View/download PDF
40. Is parental unemployment related to an increased risk for stillbirths?
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Reime, Birgit, Jacob, Carina, and Wenzlaff, Paul
- Published
- 2009
- Full Text
- View/download PDF
41. Results from a prostate cancer admixture mapping study in African-American men
- Author
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Bock, Cathryn Hufford, Schwartz, Ann G., Ruterbusch, Julie J., Levin, Albert M., Neslund-Dudas, Christine, Land, Susan J., Wenzlaff, Angela S., Reich, David, McKeigue, Paul, Chen, Wei, Heath, Elisabeth I., Powell, Isaac J., Kittles, Rick A., and Rybicki, Benjamin A.
- Published
- 2009
- Full Text
- View/download PDF
42. Youth, culture, negotiation and politics
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Wenzlaff, Karsten
- Published
- 2008
- Full Text
- View/download PDF
43. Obstetrical volume and early neonatal mortality in preterm infants
- Author
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Bartels, Dorothee B., Wenzlaff, Paul, and Poets, Christian F.
- Published
- 2007
- Full Text
- View/download PDF
44. DeepSurveyCam—A Deep Ocean Optical Mapping System
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Tom Kwasnitschka, Kevin Köser, Jan Sticklus, Marcel Rothenbeck, Tim Weiß, Emanuel Wenzlaff, Timm Schoening, Lars Triebe, Anja Steinführer, Colin Devey, and Jens Greinert
- Subjects
AUV ,photogrammetry ,camera ,survey ,deep sea ,mapping ,mosaicking ,Photoscan ,Chemical technology ,TP1-1185 - Abstract
Underwater photogrammetry and in particular systematic visual surveys of the deep sea are by far less developed than similar techniques on land or in space. The main challenges are the rough conditions with extremely high pressure, the accessibility of target areas (container and ship deployment of robust sensors, then diving for hours to the ocean floor), and the limitations of localization technologies (no GPS). The absence of natural light complicates energy budget considerations for deep diving flash-equipped drones. Refraction effects influence geometric image formation considerations with respect to field of view and focus, while attenuation and scattering degrade the radiometric image quality and limit the effective visibility. As an improvement on the stated issues, we present an AUV-based optical system intended for autonomous visual mapping of large areas of the seafloor (square kilometers) in up to 6000 m water depth. We compare it to existing systems and discuss tradeoffs such as resolution vs. mapped area and show results from a recent deployment with 90,000 mapped square meters of deep ocean floor.
- Published
- 2016
- Full Text
- View/download PDF
45. Sexually transmitted diseases and other urogenital conditions as risk factors for prostate cancer: a case–control study in Wayne County, Michigan
- Author
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Patel, Divya A., Bock, Cathryn H., Schwartz, Kendra, Wenzlaff, Angela S., Demers, Raymond Y., and Severson, Richard K.
- Published
- 2005
- Full Text
- View/download PDF
46. Multiple independent loci at chromosome 15q25.1 affect smoking quantity: a meta-analysis and comparison with lung cancer and COPD.
- Author
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Nancy L Saccone, Robert C Culverhouse, Tae-Hwi Schwantes-An, Dale S Cannon, Xiangning Chen, Sven Cichon, Ina Giegling, Shizhong Han, Younghun Han, Kaisu Keskitalo-Vuokko, Xiangyang Kong, Maria Teresa Landi, Jennie Z Ma, Susan E Short, Sarah H Stephens, Victoria L Stevens, Lingwei Sun, Yufei Wang, Angela S Wenzlaff, Steven H Aggen, Naomi Breslau, Peter Broderick, Nilanjan Chatterjee, Jingchun Chen, Andrew C Heath, Markku Heliövaara, Nicole R Hoft, David J Hunter, Majken K Jensen, Nicholas G Martin, Grant W Montgomery, Tianhua Niu, Thomas J Payne, Leena Peltonen, Michele L Pergadia, John P Rice, Richard Sherva, Margaret R Spitz, Juzhong Sun, Jen C Wang, Robert B Weiss, William Wheeler, Stephanie H Witt, Bao-Zhu Yang, Neil E Caporaso, Marissa A Ehringer, Tim Eisen, Susan M Gapstur, Joel Gelernter, Richard Houlston, Jaakko Kaprio, Kenneth S Kendler, Peter Kraft, Mark F Leppert, Ming D Li, Pamela A F Madden, Markus M Nöthen, Sreekumar Pillai, Marcella Rietschel, Dan Rujescu, Ann Schwartz, Christopher I Amos, and Laura J Bierut
- Subjects
Genetics ,QH426-470 - Abstract
Recently, genetic association findings for nicotine dependence, smoking behavior, and smoking-related diseases converged to implicate the chromosome 15q25.1 region, which includes the CHRNA5-CHRNA3-CHRNB4 cholinergic nicotinic receptor subunit genes. In particular, association with the nonsynonymous CHRNA5 SNP rs16969968 and correlates has been replicated in several independent studies. Extensive genotyping of this region has suggested additional statistically distinct signals for nicotine dependence, tagged by rs578776 and rs588765. One goal of the Consortium for the Genetic Analysis of Smoking Phenotypes (CGASP) is to elucidate the associations among these markers and dichotomous smoking quantity (heavy versus light smoking), lung cancer, and chronic obstructive pulmonary disease (COPD). We performed a meta-analysis across 34 datasets of European-ancestry subjects, including 38,617 smokers who were assessed for cigarettes-per-day, 7,700 lung cancer cases and 5,914 lung-cancer-free controls (all smokers), and 2,614 COPD cases and 3,568 COPD-free controls (all smokers). We demonstrate statistically independent associations of rs16969968 and rs588765 with smoking (mutually adjusted p-values
- Published
- 2010
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47. The Role of Thought Suppression in Depressive Rumination
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Wenzlaff, Richard M. and Luxton, David D.
- Published
- 2003
- Full Text
- View/download PDF
48. Chromosome 5p Region SNPs Are Associated with Risk of NSCLC among Women
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Alison L. Van Dyke, Michele L. Cote, Angela S. Wenzlaff, Judith Abrams, Susan Land, Priyanka Iyer, and Ann G. Schwartz
- Subjects
Medicine - Abstract
In a population-based case-control study, we explored the associations between 42 polymorphisms in seven genes in this region and non-small cell lung cancer (NSCLC) risk among Caucasian (364 cases; 380 controls) and African American (95 cases; 103 controls) women. Two TERT region SNPs, rs2075786 and rs2853677, conferred an increased risk of developing NSCLC, especially among African American women, and TERT-rs2735940 was associated with a decreased risk of lung cancer among African Americans. Five of the 20 GHR polymorphisms and SEPP1-rs6413428 were associated with a marginally increased risk of NSCLC among Caucasians. Random forest analysis reinforced the importance of GHR among Caucasians and identified AMACR, TERT, and GHR among African Americans, which were also significant using gene-based risk scores. Smoking-SNP interactions were explored, and haplotypes in TERT and GHR associated with NSCLC risk were identified. The roles of TERT, GHR, AMACR and SEPP1 genes in lung carcinogenesis warrant further exploration.
- Published
- 2009
- Full Text
- View/download PDF
49. Financial Hardship by Age at Diagnosis Including in Young Adulthood among African American Cancer Survivors.
- Author
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Hastert, Theresa A., Ruterbusch, Julie J., Abrams, Judith, Nair, Mrudula, Wenzlaff, Angie S., Beebe-Dimmer, Jennifer L., Pandolfi, Stephanie S., and Schwartz, Ann G.
- Abstract
Background: Financial hardship is most common among cancer survivors with the fewest financial resources at diagnosis; however, little is known about the financial outcomes of young adult (YA) survivors (ages 20-39 at diagnosis), despite their having fewer financial reserves than older adults. Methods: We utilized data from 3,888 participants in the population-based Detroit Research on Cancer Survivors cohort. Participants self-reported several forms of material and behavioral financial hardship (MFH and BFH, respectively). Psychological financial hardship (PFH) was measured using the Comprehensive Score for financial Toxicity (COST) score. Modified Poisson models estimated prevalence ratios (PR) and 95% confidence intervals (CI) for financial hardship by age at diagnosis controlling for demographic, socioeconomic, and cancer-related factors. Results: MFH prevalence was inversely associated with age such that 72% of YA survivors reported MFH, 62% ages 40 to 54, 49% ages 55 to 64, and 33% ages 65 to 79 (PR
adjusted YA vs. 65+ : 1.75; 95% CI, 1.49-2.04; Ptrend < 0.001). BFH was also more common among YA survivors (26%) than those ages 65 to 79 (20%; PRadjusted : 1.50; 95% CI, 1.08-2.08; Ptrend = 0.019). Age was positively associated with financial wellbeing. COST scores ranged from 20.7 (95% CI, 19.0-22.4) among YA survivors to 27.2 (95% CI, 26.1-28.2) among adults 65 to 79 years old (Ptrend < 0.001). Conclusions: In this population of African American cancer survivors, MFH and BFH were more common, and PFH was more severe, in YA survivors compared with those diagnosed as older adults. Impact: Young adulthood at diagnosis should be considered a risk factor for cancer-related financial hardship and addressed in work designed to reduce the adverse financial impacts of cancer. [ABSTRACT FROM AUTHOR]- Published
- 2022
- Full Text
- View/download PDF
50. Begriffe und Konzepte des Qualitätsmanagements - 3. Auflage
- Author
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Sens, Brigitte, Fischer, Burkhard, Bastek, Angelika, Eckardt, Jörg, Kaczmarek, Dirk, Paschen, Ulrich, Pietsch, Barbara, Rath, Sabine, Ruprecht, Thomas, Thomeczek, Christian, Veit, Christof, and Wenzlaff, Paul
- Subjects
Computer applications to medicine. Medical informatics ,R858-859.7 ,Infectious and parasitic diseases ,RC109-216 - Published
- 2007
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