83 results on '"M. Larose"'
Search Results
2. The Green Bank North Celestial Cap Pulsar Survey: V. Pulsar Census and Survey Sensitivity
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Scott M. Ransom, Mayuresh Surnis, M. LaRose, M. Mingyar, Harsha Blumer, Xavier Siemens, H. Al Noori, Megan E. DeCesar, Ann Marie Schmiedekamp, Carl Schmiedekamp, David L. Kaplan, P. Chawla, V. I. Kondratiev, Alexander McEwen, Renée Spiewak, G. Y. Agazie, Joseph K. Swiggum, William Fiore, Kevin Stovall, V. M. Kaspi, Mallory S. E. Roberts, Maura McLaughlin, Ryan S. Lynch, Ingrid H. Stairs, J. van Leeuwen, Lina Levin, and High Energy Astrophys. & Astropart. Phys (API, FNWI)
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010504 meteorology & atmospheric sciences ,media_common.quotation_subject ,Astrophysics::High Energy Astrophysical Phenomena ,Population ,Flux ,FOS: Physical sciences ,Scale (descriptive set theory) ,Astrophysics ,Astrophysics::Cosmology and Extragalactic Astrophysics ,01 natural sciences ,Pulsar ,0103 physical sciences ,Sensitivity (control systems) ,education ,010303 astronomy & astrophysics ,0105 earth and related environmental sciences ,media_common ,Physics ,High Energy Astrophysical Phenomena (astro-ph.HE) ,education.field_of_study ,Astrophysics::Instrumentation and Methods for Astrophysics ,Astronomy and Astrophysics ,Census ,Space and Planetary Science ,Sky ,Survey data collection ,Astrophysics - High Energy Astrophysical Phenomena - Abstract
The Green Bank North Celestial Cap (GBNCC) pulsar survey will cover the entire northern sky (δ > −40°) at 350 MHz, and is one of the most uniform and sensitive all-sky pulsar surveys to date. We have created a pipeline to reanalyze GBNCC survey data to take a 350 MHz census of all pulsars detected by the survey, regardless of their discovery survey. Of the 1413 pulsars in the survey region, we were able to recover 670. For these we present measured signal-to-noise ratios (S/N), flux densities, pulse widths, profiles, and where appropriate, refined measurements of dispersion measures (DMs) (656 out of 670) and new or improved spectral indices (339 out of 670 total, 47 new, 292 improved). We also measure the period-pulse width relation at 350 MHz to scale as W ∝ P-0.27. Detection scans for several hundred sources were reanalyzed in order to inspect pulsars' single pulse behavior and 223 were found to exhibit evidence of nulling. With a detailed analysis of measured and expected S/N values and the evolving radio frequency interference environment at 350 MHz, we assess the GBNCC survey's sensitivity as a function of spin period, DM, and sky position. We find the sky-averaged limiting flux density of the survey to be 0.74 mJy. Combining this analysis with PsrPopPy pulsar population simulations, we predict 60/5 nonrecycled/MSP discoveries in the survey's remaining 21,000 pointings, and we begin to place constraints on population model parameters.
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- 2020
3. The Green Bank Northern Celestial Cap Pulsar Survey. VI. Discovery and Timing of PSR J1759+5036: A Double Neutron Star Binary Pulsar
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G. Y. Agazie, M. G. Mingyar, M. A. McLaughlin, J. K. Swiggum, D. L. Kaplan, H. Blumer, P. Chawla, M. DeCesar, P. B. Demorest, W. Fiore, E. Fonseca, J. D. Gelfand, V. M. Kaspi, V. I. Kondratiev, M. LaRose, J. van Leeuwen, L. Levin, E. F. Lewis, R. S. Lynch, A. E. McEwen, H. Al Noori, E. Parent, S. M. Ransom, M. S. E. Roberts, A. Schmiedekamp, C. Schmiedekamp, X. Siemens, R. Spiewak, I. H. Stairs, and M. Surnis
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010308 nuclear & particles physics ,Space and Planetary Science ,Astrophysics::High Energy Astrophysical Phenomena ,0103 physical sciences ,Astronomy and Astrophysics ,010303 astronomy & astrophysics ,01 natural sciences - Abstract
The Green Bank North Celestial Cap survey is a 350 MHz all-sky survey for pulsars and fast radio transients using the Robert C. Byrd Green Bank Telescope. To date, the survey has discovered over 190 pulsars, including 33 millisecond pulsars and 24 rotating radio transients. Several exotic pulsars have been discovered in the survey, including PSR J1759+5036, a binary pulsar with a 176 ms spin period in an orbit with a period of 2.04 days, an eccentricity of 0.3, and a projected semi-major axis of 6.8 light seconds. Using seven years of timing data, we are able to measure one post–Keplerian parameter, advance of periastron, which has allowed us to constrain the total system mass to 2.62 ± 0.03 M ⊙. This constraint, along with the spin period and orbital parameters, suggests that this is a double neutron star system, although we cannot entirely rule out a pulsar-white dwarf binary. This pulsar is only detectable in roughly 45% of observations, most likely due to scintillation. However, additional observations are required to determine whether there may be other contributing effects.
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- 2021
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4. First Discovery of a Fast Radio Burst at 350 MHz by the GBNCC Survey
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William Fiore, Ann Marie Schmiedekamp, Jason W. T. Hessels, Scott M. Ransom, Evan F. Lewis, G. Y. Agazie, Mayuresh Surnis, A. E. McEwen, V. M. Kaspi, Joseph K. Swiggum, P. Chawla, C. Schmiedekamp, Renée Spiewak, Ingrid H. Stairs, David L. Kaplan, Harsha Blumer, Lina Levin, M. LaRose, V. I. Kondratiev, Maura McLaughlin, M. Mingyar, J. van Leeuwen, Mallory S. E. Roberts, E. Parent, Megan E. DeCesar, Emmanuel Fonseca, H. Al Noori, Xavier Siemens, Ryan S. Lynch, and High Energy Astrophys. & Astropart. Phys (API, FNWI)
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Physics ,High Energy Astrophysical Phenomena (astro-ph.HE) ,Electron density ,Line-of-sight ,010504 meteorology & atmospheric sciences ,Fast radio burst ,Astrophysics::High Energy Astrophysical Phenomena ,Green Bank Telescope ,FOS: Physical sciences ,Astronomy and Astrophysics ,Astrophysics ,Astrophysics::Cosmology and Extragalactic Astrophysics ,Comoving distance ,01 natural sciences ,Redshift ,Galaxy ,Pulsar ,Space and Planetary Science ,0103 physical sciences ,Astrophysics - High Energy Astrophysical Phenomena ,010303 astronomy & astrophysics ,Astrophysics::Galaxy Astrophysics ,0105 earth and related environmental sciences - Abstract
We report the first discovery of a fast radio burst (FRB), FRB 20200125A, by the Green Bank Northern Celestial Cap (GBNCC) Pulsar Survey conducted with the Green Bank Telescope at 350 MHz. FRB 20200125A was detected at a Galactic latitude of 58.43 degrees with a dispersion measure of 179 pc cm$^{-3}$, while electron density models predict a maximum Galactic contribution of 25 pc cm$^{-3}$ along this line of sight. Moreover, no apparent Galactic foreground sources of ionized gas that could account for the excess DM are visible in multi-wavelength surveys of this region. This argues that the source is extragalactic. The maximum redshift for the host galaxy is $z_{max}=0.17$, corresponding to a maximum comoving distance of approximately 750 Mpc. The measured peak flux density for FRB 20200125A is 0.37 Jy, and we measure a pulse width of 3.7 ms, consistent with the distribution of FRB widths observed at higher frequencies. Based on this detection and assuming an Euclidean flux density distribution of FRBs, we calculate an all-sky rate at 350 MHz of $3.4^{+15.4}_{-3.3} \times 10^3$ FRBs sky$^{-1}$ day$^{-1}$ above a peak flux density of 0.42 Jy for an unscattered pulse having an intrinsic width of 5 ms, consistent with rates reported at higher frequencies. Given the recent improvements in our single-pulse search pipeline, we also revisit the GBNCC survey sensitivity to various burst properties. Finally, we find no evidence of interstellar scattering in FRB 20200125A, adding to the growing evidence that some FRBs have circumburst environments where free-free absorption and scattering are not significant., Comment: 15 pages, 6 figures, Submitted to ApJ
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- 2020
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5. Novel application of windowed beamforming function imaging for FLGPR
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Brian J. Thelen, Ryan M. LaRose, Joseph W. Burns, and Ismael J. Xique
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Beamforming ,Signal processing ,Transmission (telecommunications) ,Computer science ,Time domain ,Function (mathematics) ,Quadratic function ,Algorithm ,Energy (signal processing) ,Constant false alarm rate - Abstract
Backprojection of cross-correlated array data, using algorithms such as coherent interferometric imaging (Borcea, et al., 2006), has been advanced as a method to improve the statistical stability of images of targets in an inhomogeneous medium. Recently, the Windowed Beamforming Energy (WBE) function algorithm has been introduced as a functionally equivalent approach, which is significantly less computationally burdensome (Borcea, et al., 2011). WBE produces similar results through the use of a quadratic function summing signals after beamforming in transmission and reception, and windowing in the time domain. We investigate the application of WBE to improve the detection of buried targets with forward looking ground penetrating MIMO radar (FLGPR) data. The formulation of WBE as well the software implementation of WBE for the FLGPR data collection will be discussed. WBE imaging results are compared to standard backprojection and Coherence Factor imaging. Additionally, the effectiveness of WBE on field-collected data is demonstrated qualitatively through images and quantitatively through the use of a CFAR statistic on buried targets of a variety of contrast levels.
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- 2018
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6. Differential effects of delay on time-based prospective memory in younger and older adults
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Stephanie-Ann M. LaRose, Jennifer H. Coane, Jason Drwal, and Dawn M. McBride
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Adult ,Male ,Gerontology ,Time Factors ,Adolescent ,Memory, Episodic ,Experimental and Cognitive Psychology ,Time-Based Prospective Memory ,Young Adult ,Age groups ,Retrospective memory ,Prospective memory ,Humans ,Young adult ,Aged ,Aged, 80 and over ,Forgetting curve ,Forgetting ,Age Factors ,Middle Aged ,Differential effects ,Psychiatry and Mental health ,Neuropsychology and Physiological Psychology ,Female ,Geriatrics and Gerontology ,Psychology ,Demography - Abstract
The current study measured forgetting in a time-based, naturalistic prospective memory (PM) task. In Experiment 1, younger and older participants were asked to mail a stamped postcard on a date that was delayed 1, 2, 5, 14, or 28 days in the future. In Experiment 2, a different sample of older participants completed the same task with similar delays to replicate results for the older sample in Experiment 1. Overall, older participants were more likely than younger participants to mail the postcard on time. In addition, delay affected on-time return rates more for the younger participants than the older participants. Younger participants' return rates illustrated the typical forgetting curve seen in numerous retrospective memory studies (i.e., rapid decline at shorter delays and slower decline for longer delays). However, older participants' return rates only declined at the longest delays. These results indicate that time-based PM performance declines with an increase in delay, but the form of the decline may differ across age groups.
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- 2013
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7. Development and Application of a Modular Watershed-Scale Hydrologic Model Using the Object Modeling System: Runoff Response Evaluation
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L. R. Ahuja, M. Larose, J. C. Ascough, Holm Kipka, Olaf David, Sven Kralisch, Gary C. Heathman, and Peter Krause
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Hydrology ,Watershed ,Hydrological modelling ,Biomedical Engineering ,Soil Science ,Forestry ,Conservation Effects Assessment Project ,Water balance ,Routing (hydrology) ,Streamflow ,Environmental science ,Surface runoff ,Agronomy and Crop Science ,Root-mean-square deviation ,Food Science - Abstract
This study reports on the integration of the J2K model (an object-oriented, hydrological system for fully distributed simulation of the water balance in large watersheds) under the Object Modeling System (OMS) environmental modeling framework and subsequent evaluation of OMS-J2K performance in the Cedar Creek watershed (CCW) in northeastern Indiana. The CCW is one of 14 benchmark watersheds in the USDA-ARS Conservation Effects Assessment Project (CEAP) watershed assessment study. Two input parameter sets were developed for OMS-J2K evaluation: (1) a "base parameter set" with parameter values taken from previous simulation studies where J2K was applied to watersheds with characteristics similar to the CCW, and (2) an "adjusted parameter set" with modifications to input parameters related to evapotranspiration, soil water storage, and soil water lateral flow. Comparisons of daily, average monthly, and annual average simulated and observed flows for the 1997-2005 simulation period using the base parameter set resulted in Nash-Sutcliffe efficiency (E NS ), root mean square deviation (RMSD), and relative error (PBIAS) coefficients of 0.34 to 0.48 for E NS , 1.50 to 8.79 m 3 s -1 for RMSD, and -18.43% for PBIAS. All statistical evaluation coefficients improved for the adjusted parameter set (e.g., 0.44 to 0.59 for E NS , 0.87 to 7.73 m 3 s -1 for RMSD, and -8.59% for PBIAS). The ranges of E NS and PBIAS values for uncalibrated or manually adjusted streamflow predictions in this study (using both parameter sets) were similar to others reported in the literature for various watershed models. This study represents the first attempt to develop and apply a complex natural resource system model under the OMS. The results indicate that the OMS-J2K watershed model was able to reproduce the hydrological dynamics of the CCW and should serve as a foundation on which to build a more comprehensive model to better quantify water quantity and quality at the watershed scale. In particular, the topological routing scheme employed by OMS-J2K (thus allowing the simulation of lateral processes vital for the modeling of runoff concentration dynamics) is much more robust than the quasi-distributed routing schemes used by other watershed-scale natural resource models and represents a noteworthy advancement in hydrological modeling toward deriving suitable conservation management scenarios.
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- 2012
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8. Soil and Water Assessment Tool evaluation of soil and land use geographic information system data sets on simulated stream flow
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M. Larose, Gary C. Heathman, and J. C. Ascough
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Hydrology ,Geographic information system ,Soil and Water Assessment Tool ,business.industry ,Hydrological modelling ,Soil Science ,Soil quality ,Soil survey ,Conservation Effects Assessment Project ,Streamflow ,Environmental science ,SWAT model ,business ,Agronomy and Crop Science ,Nature and Landscape Conservation ,Water Science and Technology - Abstract
The integration of geographic information systems (GIS) and hydrologic models provides the user with the ability to simulate watershed-scale processes within a spatially digitized computer-based environment. Soil type and land use data are essential GIS data layers used in a wide array of government and private sector activities, including resource inventory, land management, landscape ecology, and hydrologic modeling. This investigation was conducted to evaluate the use of different combinations of Soil Survey Geographic (SSURGO) and State Soil Geographic (STATSGO) soil classification systems and the USDA National Agricultural Statistics Service (NASS) and national Gap Analysis Project (GAP) land use data sets and their effects on modeled stream flow using the Soil and Water Assessment Tool (SWAT2005). Performance of the model was tested on the Cedar Creek Watershed in northeastern Indiana, one of 14 benchmark watersheds in the USDA Agricultural Research Service Conservation Effects Assessment Project (CEAP) watershed assessment component. CEAP comprises two main components: (1) a national assessment that provides model estimates of conservation benefits for annual reporting and (2) a watershed assessment component aimed at quantifying the environmental benefits from specific conservation practices at the watershed scale. Model performance for daily, monthly, and annual uncalibrated stream flow responses in SWAT was assessed using the Nash-Sutcliffe efficiency coefficient (ENS), coefficient of determination (R2), root mean square error (RMSE), ratio of RMSE to the standard deviation of measured data (RSR), and percent bias (PBIAS). We found that the range of relative error (e.g., PBIAS) and ENS values for uncalibrated stream flow predictions in this study were similar to others that have been reported in the literature. Simulated stream flow values ranged from slight overestimations of approximately 5%, to underestimating stream flow by 25% to 41% depending on the combination of soil and land use input data sets. Overall, the NASS SSURGO data sets gave the best model performance for monthly stream flow having an ENS value of 0.58, R2 of 0.66, RSR of 0.65, and PBIAS equal to 21.93. The poorest model performance results were obtained using the GAP SSURGO data sets that had an ENS value of -2.58, R2 of 0.49, RSR of 1.89, and a PBIAS value of 27.92. The results of this study indicate that in using the SWAT model, several factors regarding GIS input data sets may affect stream flow simulations and, consequently, water quality assessment studies. In addition to the effect of GIS source data on model output (e.g., SSURGO, STATSGO, NASS, GAP), there is evidence shown in this study that the interaction, pre-processing, and aggregation of unique combinations of GIS input layers within SWAT also influence simulated stream flow output. Overall, results of the study indicate that the use of different land use GIS layers has a greater effect on stream flow estimates than different soil data layers.
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- 2009
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9. Nutrient losses from row crop agriculture in Indiana
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B.W. Zuercher, S.J. Livingston, Chi-hua Huang, M. Larose, G.C. Heathman, and Douglas R. Smith
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Hydrology ,Land use ,Soil Science ,Row crop ,Buffer strip ,Watertable control ,Tile drainage ,Environmental science ,Water quality ,Drainage ,Eutrophication ,Agronomy and Crop Science ,Nature and Landscape Conservation ,Water Science and Technology - Abstract
Agricultural nutrient losses contribute to hypoxia in the Gulf of Mexico and eutrophication in the Great Lakes. Our objective was to assess effects of topography, geomorphology, climate, cropping systems and land use and conservation practices on hydrology and nutrient fate and transport in the St. Joseph River watershed. We monitored five sites (298 to 4,300 ha [736 to 10,600 ac]) on two drainage ditches within the St. Joseph River watershed in northeastern Indiana. Row crop agriculture, primarily corn (Zea mays L.) and soybean (Glycine max [L.] Merr.), is the dominant land use (~60%) in this pothole or closed depression landscape. The hydrology is dominated by subsurface tile drainage supplemented with surface drainage of remote potholes. Vegetative buffer strips have been implemented along >60% of the agricultural drainage ditches. The vegetative buffer strips play an invaluable role protecting water quality though by acting as natural setbacks during fertilizer and pesticide applications. Multiple regressions indicated land cropped to corn and areas with direct drainage or potholes are highly sensitive to nutrient losses. Future conservation assessment efforts in this and similar watersheds should focus on management of potholes in cropped fields and the subsequent effect of those practices on tile drainage water.
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- 2008
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10. Application of the Soil and Water Assessment Tool and Annualized Agricultural Non-Point Source models in the St. Joseph River watershed
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Dennis C. Flanagan, B.W. Zuercher, G.C. Heathman, and M. Larose
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Hydrology ,Watershed ,Soil and Water Assessment Tool ,Water flow ,Hydrological modelling ,Soil Science ,Conservation Effects Assessment Project ,Streamflow ,Environmental science ,SWAT model ,Agronomy and Crop Science ,Nonpoint source pollution ,Nature and Landscape Conservation ,Water Science and Technology - Abstract
This study evaluated the performance of two water quality models in accordance to specific tasks designated in the USDA Agricultural Research Service Conservation Effects Assessment Project. The Soil and Water Assessment Tool (SWAT) and the Annualized Agricultural Non-Point Source (AnnAGNPS) models were applied uncalibrated to the Cedar Creek watershed within the St. Joseph River watershed in northeastern Indiana to predict streamflow and atrazine losses. In order to ultimately assess the benefits of conservation practices in agricultural watersheds (which is one of the major goals of the Conservation Effects Assessment Project), proper application of the SWAT and AnnAGNPS models is essential including baseline comparisons made in an uncalibrated mode aimed at eliminating bias due to parameter optimization. Streamflow prediction results show that SWAT model performance was superior to AnnAGNPS, with SWAT model efficiency values ranging from 0.66 to 0.25 and AnnAGNPS model efficiency values ranging from 0.13 to -2.06 for monthly and annual streamflow, respectively. For uncalibrated conditions, neither model was able to adequately simulate atrazine loss concentrations. Overall results suggest that for Conservation Effects Assessment Project modeling applications at the Cedar Creek watershed scale in this study, the use of the SWAT model would be preferable to AnnAGNPS in terms of overall model performance and model support technology (e.g., model interface and documentation).
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- 2008
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11. Cost Savings Threshold Analysis of a Capacity–Building Program for HIV Prevention Organizations
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Christopher M. LaRose, Willie H. Oglesby, David R. Holtgrave, Kim Nichols Dauner, and Donna L. Richter
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medicine.medical_specialty ,Health (social science) ,business.industry ,Cost effectiveness ,Public health ,Public Health, Environmental and Occupational Health ,Human immunodeficiency virus (HIV) ,Capacity building ,HIV Infections ,medicine.disease ,medicine.disease_cause ,Article ,Cost savings ,Primary Prevention ,Infectious Diseases ,Acquired immunodeficiency syndrome (AIDS) ,Costs and Cost Analysis ,medicine ,Cost analysis ,Humans ,Operations management ,Treatment costs ,business ,health care economics and organizations - Abstract
Although the incidence of HIV each year remains steady, prevention funding is increasingly competitive. Programs need to justify costs in terms of evaluation outcomes, including economic ones. Threshold analyses set performance standards to determine program effectiveness relative to that threshold. This method was used to evaluate the potential cost savings of a national capacity–building program for HIV prevention organizations. Program costs were compared with the lifetime treatment costs of HIV, yielding an estimate of the HIV infections that would have to be prevented for the program to be cost saving. The 136 persons who completed the capacity–building program between 2000 and 2003 would have to avert 41 cases of HIV for the program to be considered cost saving. These figures represent less than one tenth of 1% of the 40,000 new HIV infections that occur in the United States annually and suggest a reasonable performance standard. These data underscore the resources needed to prevent HIV.
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- 2008
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12. Transcriptome of mouse uterus by serial analysis of gene expression (SAGE): Comparison with skeletal muscle
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Jean Morissette, Fernand Labrie, Mayumi Yoshioka, Pascal Belleau, Claude Labrie, Vincent Raymond, Jonny St-Amand, and M Larose
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medicine.medical_specialty ,Transcription, Genetic ,Population ,Uterus ,Biology ,Transcriptome ,Mice ,Internal medicine ,Genetics ,medicine ,Animals ,RNA, Messenger ,Serial analysis of gene expression ,Muscle, Skeletal ,education ,Gene ,Expressed Sequence Tags ,Expressed sequence tag ,education.field_of_study ,Gene Expression Profiling ,Skeletal muscle ,Cell Biology ,Molecular biology ,Mice, Inbred C57BL ,Gene expression profiling ,Endocrinology ,medicine.anatomical_structure ,Female ,Databases, Nucleic Acid ,Developmental Biology - Abstract
The aim of this study was to identify the transcriptome of the normal mouse uterus by Serial Analysis of Gene Expression method. mRNA was extracted from the uterus and also from the gastrocnemius muscle of mice. Short sequences (tags), each one usually corresponding to a distinct transcript, were isolated and concatemerized into long DNA molecules which were cloned and sequenced. We detected 44,484 tags for the uterus and 42,518 tags for the muscle, representing 14,543 and 14,958 potential transcript species, respectively. Seventy-five and sixty-nine genes were expressed at more than 0.1%, thus corresponding to 37 and 34% of the mRNA population detected in the respective tissues. In both cases, the most highly expressed genes are especially involved in muscle contraction, energy metabolism, and protein synthesis. Compared to skeletal muscle, some differentially expressed genes in the uterus are likely to correspond to its specific reproductive functions. The majority of these genes remain to be characterized. More than 70% of the different tags detected in the uterus did not match any sequence in the public databases and can represent novel or poorly identified genes. This study is the first quantitative description of the transcriptome of the uterus.
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- 2004
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13. A new gene related to human obesity identified by suppression subtractive hybridization
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M. Larose, Yvon C. Chagnon, and Claude Bouchard
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Adult ,medicine.medical_specialty ,DNA, Complementary ,Endocrinology, Diabetes and Metabolism ,Molecular Sequence Data ,Population ,Gene Expression ,Medicine (miscellaneous) ,Adipose tissue ,Locus (genetics) ,Biology ,Centimorgan ,Sequence Homology, Nucleic Acid ,Complementary DNA ,Internal medicine ,medicine ,Humans ,education ,Gene ,education.field_of_study ,Nutrition and Dietetics ,Reverse Transcriptase Polymerase Chain Reaction ,Nucleic Acid Hybridization ,Sequence Analysis, DNA ,Middle Aged ,Molecular biology ,Obesity, Morbid ,Molecular Weight ,Open reading frame ,Endocrinology ,Adipose Tissue ,Suppression subtractive hybridization ,Case-Control Studies ,Female ,Chromosomes, Human, Pair 8 - Abstract
OBJECTIVE: The aim of the research was to identify genes specially expressed in the obese state and potentially involved in the pathogenesis of obesity. DESIGN AND SUBJECTS: We used the technique of suppression subtractive hybridization (SSH), which combines subtractive hybridization with PCR, to generate a population of PCR fragments enriched for transcripts of high or low abundance from differentially expressed genes. PolyA+ mRNA was isolated from subcutaneous abdominal adipose tissue of five massively obese (>35 kg/m2) and five normal-weight (
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- 2001
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14. Essential cis-Acting Elements in Rat Uncoupling Protein Gene Are in an Enhancer Containing a Complex Retinoic Acid Response Domain
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Frédéric Bouillaud, Francisca Serra, Odette Champigny, Anne-Marie Cassard-Doulcier, Daniel Ricquier, M. Larose, and Christophe Fleury
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Transgene ,Molecular Sequence Data ,Retinoic acid ,Mice, Transgenic ,Tretinoin ,Retinoic acid receptor beta ,Dioxoles ,Biology ,Biochemistry ,Ion Channels ,Mitochondrial Proteins ,Chloramphenicol acetyltransferase ,Mice ,Norepinephrine ,chemistry.chemical_compound ,Adipose Tissue, Brown ,Animals ,Enhancer ,Molecular Biology ,Uncoupling Protein 1 ,Sequence Deletion ,Base Sequence ,Retinoid X receptor alpha ,Uncoupling Agents ,Chromosome Mapping ,Membrane Proteins ,DNA ,Cell Biology ,Retinoic acid receptor gamma ,Molecular biology ,Mitochondria ,Rats ,Retinoic acid receptor ,Enhancer Elements, Genetic ,chemistry ,Carrier Proteins - Abstract
Transgenic mice were generated with a transgene containing the 211-base pair (bp) enhancer and 0.4 kilobase pairs of 5'-flanking DNA of the uncoupling protein (ucp) gene. Expression of this transgene was restricted to brown adipose tissue and was inducible by cold exposure or treatment of transgenic mice by norepinephrine, retinoic acid (RA), or CL-316,243 beta3-adrenoreceptor agonist. A search for retinoic acid response elements in the ucp gene enhancer was undertaken using mutagenesis and transfection of cultured cells with chloramphenicol acetyltransferase constructs. Deletion or mutations of several putative retinoic acid response elements were ineffective. Mutations of a TGAATCA region dramatically decreased the transcriptional activity in the presence of RA. In vitro this region was able to bind a complex containing proteins recognized by antibodies against Jun or Fos. Mutations of an adjacent region related to an inverted repeat of type 2 also markedly decreased RA effect. This region was able to bind in vitro retinoid X receptor alpha and retinoic acid receptor beta. The two regions form an activating region between bp -2421 and -2402 (referred to as the ucp gene-activating region), which has an enhancer activity but cannot confer RA response to a promoter. This response was obtained with a larger DNA fragment (bp -2489 to -2398) constituting a complex RA response domain.
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- 1996
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15. The Treatment of Depression with Group Behavioural-Cognitive Therapy and Imipramine
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Robert Langlois, M. Larose, Richard Verreault, S. Gagnier, G. Gaudette, and Ariel Stravynski
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Imipramine ,medicine.medical_specialty ,Personality Inventory ,medicine.medical_treatment ,Group psychotherapy ,Pharmacotherapy ,Internal medicine ,Intervention (counseling) ,Ambulatory Care ,medicine ,Humans ,Psychiatry ,Depression (differential diagnoses) ,Depressive Disorder ,Chemotherapy ,Cognitive Behavioral Therapy ,Combined Modality Therapy ,Psychiatry and Mental health ,Antidepressant medication ,Treatment Outcome ,Psychotherapy, Group ,Cognitive therapy ,Psychology ,Follow-Up Studies ,medicine.drug - Abstract
Twenty-four outpatients meeting DSM-III-R criteria for major depression were assigned to group behavioural-cognitive therapy either with or without antidepressant medication (imipramine). Eighteen patients completed 15 weekly sessions of treatment. Equivalent improvement was observed in both regimens after treatment. The results essentially maintained at six months follow-up. This suggests that a group format of behavioural-cognitive therapy is a viable therapeutic intervention for outpatients diagnosed as suffering from major depression. However, the addition of imipramine to group behavioural-cognitive therapy did not enhance the outcome.
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- 1994
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16. In vitro interactions between nuclear proteins and uncoupling protein gene promoter reveal several putative transactivating factors including Ets1, retinoid X receptor, thyroid hormone receptor, and a CACCC box-binding protein
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Frédéric Bouillaud, M. Larose, Daniel Ricquier, Odette Champigny, J C Matamala, and Anne-Marie Cassard-Doulcier
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Thyroid hormone receptor ,ETS1 ,Binding protein ,Uncoupling protein ,Promoter ,Cell Biology ,Retinoid X receptor ,Nuclear protein ,Biology ,Enhancer ,Molecular Biology ,Biochemistry ,Molecular biology - Abstract
Previous studies of rat ucp (uncoupling protein) gene organization carried out in this laboratory identified regulatory sequences located in the 5'-flanking region. In this work, DNase I footprint analysis of the enhancer revealed two domains at base pairs (bp) -2444 to -2423 and bp -2352 to -2319. The former domain can bind in vitro, in a cooperative manner, factors related to nuclear factor 1 and Ets1; the latter domain contains a type 3 directly repeated sequence that was shown to be able to bind the retinoid X and triiodothyronine receptors. Moreover, a positive effect of retinoic acid on ucp mRNA levels in immortalized brown adipocytes was observed. DNase I footprint analysis identified two hypersensitive regions, A and B, at bp -509 to -472 and bp -403 to -350, respectively; region A contains a repeated CACCC box, and region B can bind protein related to Ets1. The A box differentially binds liver and brown adipose tissue nuclear proteins and could be involved in uncoupling protein induction. Further analysis showed three foot-printed boxes, C-E, at bp -182 to -159, -147 to -120, and -111 to -85, able to bind in vitro proteins related to nuclear factor 1, cAMP response element-binding protein, and Sp1, respectively.
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- 1994
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17. Endocrine regulation of uncoupling proteins and energy expenditure
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Bruno Miroux, Anne-Marie Cassard-Doulcier, Daniel Ricquier, Frédéric Bouillaud, and M. Larose
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medicine.medical_specialty ,Sympathetic Nervous System ,Endocrinology, Diabetes and Metabolism ,Medicine (miscellaneous) ,Mitochondrion ,Ion Channels ,Mitochondrial Proteins ,Adipose Tissue, Brown ,Endocrine Glands ,Internal medicine ,Respiration ,medicine ,Animals ,Humans ,Uncoupling Protein 3 ,Inner membrane ,Uncoupling protein ,Uncoupling Protein 2 ,Nutrition and Dietetics ,Uncoupling Agents ,Chemistry ,Leptin ,Membrane Transport Proteins ,Proteins ,Thermogenin ,Endocrinology ,Carrier Proteins ,Energy Metabolism ,Thermogenesis ,Body Temperature Regulation ,Hormone - Abstract
Regulatory thermogenesis occurs upon exposure to the cold or during food intake. Among a variety of mechanisms leading to heat production, uncoupling of respiration in brown adipocyte mitochondria appears to be a major contributor to resistance to the cold in rodents. This uncoupling mechanism is due to the activity of uncoupling protein-1 (UCP-1), a specific carrier present in the inner membrane of mitochondria. The recent identification of UCP-2 and UCP-3, two homologues of the brown fat UCP, suggested that respiration uncoupling could contribute to thermogenesis in most tissues. Activity and expression of the three UCP's are stimulated by several neuromediators and hormones such as noradrenaline, tri-iodothyronine and leptin.
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- 2000
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18. WITHDRAWN: Wildlife use of Riparian Vegetation Buffer Zones in High Voltage Powerline Rights-of-Way in Quebec Deciduous Forest
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M. Larose, G. J. Doucet, A. Bérubé, and M. Belles-Isles
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geography ,geography.geographical_feature_category ,Deciduous ,Habitat ,biology ,Abundance (ecology) ,Ecology ,Spring peeper ,Wildlife ,Vegetation ,Species richness ,biology.organism_classification ,Riparian zone - Abstract
Publisher Summary TranslEnergie operates a network of approximately 33,000 km of high-voltage powerlines in Quebec. Over 8,000 vegetation buffer zones are located in these rights-of-way, mainly to protect stream habitats. These riparian buffers are made up of woody vegetation strips about 10 m wide, which span the width of the right-of-way. The objective of this chapter is to compare wildlife activity in riparian vegetation buffer zones of transmission powerline rights-of-way to that of adjacent habitat in the southern Quebec deciduous forest. Fieldwork was conducted during the spring and summer of 2002 and 2003 in the Laurentians-Lanaudi6re regions. A total of 39 buffers located in rights-of-way were sampled for small mammals, birds, and anurans. Bird and anuran calls were sampled using automatic tape recorders. Small mammals and anurans were sampled using snap traps and pitfall traps. Vegetation in buffer zones consisted of a low stratum with a high stem density and small mean diameter at breast height (DBH). The herbaceous stratum in buffer zones was more developed than in the adjacent forest. The latter was characterized by a high vegetation stratum, lower stem density and a large mean DBH. Results tend to show higher bird species richness in buffers, but the occurrence probability is higher for species recorded in the adjacent forest. American toad and Northern spring peeper were heard in both habitats. The occurrence probability of the Northern spring peeper was higher in buffers compared to that in adjacent forest. A total of 690 specimens belonging to 13 species of small mammals were captured for a trapping effort of 8,256 trap-nights. Abundance of small mammals was similar in buffers and adjacent forest. Overall, results indicate a high species richness in buffer zones. These resultssuggest it would be appropriate to adopt a prudent management strategy, which promotes the conservation of shrubby and herbaceous strata in these riparian right-of-way habitats.
- Published
- 2008
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19. Hydrologic and atrazine simulation of the Cedar Creek Watershed using the SWAT model
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L. D. Norton, M. Larose, G. C. Heathman, and Bernard A. Engel
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Indiana ,Environmental Engineering ,Watershed ,Soil and Water Assessment Tool ,Drainage basin ,Land cover ,Management, Monitoring, Policy and Law ,Soil survey ,Rivers ,Water Supply ,Water Movements ,Computer Simulation ,SWAT model ,Waste Management and Disposal ,Water Science and Technology ,Hydrology ,geography ,geography.geographical_feature_category ,Herbicides ,Reproducibility of Results ,Models, Theoretical ,Pollution ,Environmental science ,Atrazine ,Soil conservation ,Surface water ,Water Pollutants, Chemical - Abstract
One of the major factors contributing to surface water contamination in agricultural areas is the use of pesticides. The Soil and Water Assessment Tool (SWAT) is a hydrologic model capable of simulating the fate and transport of pesticides in an agricultural watershed. The SWAT model was used in this study to estimate stream flow and atrazine (2-chloro-4-(ethylamino)-6-(isopropylamino)-s-triazine) losses to surface water in the Cedar Creek Watershed (CCW) within the St. Joseph River Basin in northeastern Indiana. Model calibration and validation periods consisted of five and two year periods, respectively. The National Agricultural Statistics Survey (NASS) 2001 land cover classification and the Soil Survey Geographic (SSURGO) database were used as model input data layers. Data from the St. Joseph River Watershed Initiative and the Soil and Water Conservation Districts of Allen, Dekalb, and Noble counties were used to represent agricultural practices in the watershed which included the type of crops grown, tillage practices, fertilizer, and pesticide application rates. Model results were evaluated based on efficiency coefficient values, standard statistical measures, and visual inspection of the measured and simulated hydrographs. The Nash and Sutcliffe model efficiency coefficients (E(NS)) for monthly and daily stream flow calibration and validation ranged from 0.51 to 0.66. The E(NS) values for atrazine calibration and validation ranged from 0.43 to 0.59. All E(NS) values were within the range of acceptable model performance standards. The results of this study indicate that the model is an effective tool in capturing the dynamics of stream flow and atrazine concentrations on a large-scale agricultural watershed in the midwestern USA.
- Published
- 2007
20. Effects of dihydrotestosterone on adipose tissue measured by serial analysis of gene expression
- Author
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Claude Labrie, Jean Morissette, Pascal Belleau, P Ye, M Larose, Vincent Raymond, Carl Bolduc, Fernand Labrie, Jonny St-Amand, and Mayumi Yoshioka
- Subjects
Male ,medicine.medical_specialty ,Adipose tissue ,Biology ,Mice ,Endocrinology ,Internal medicine ,medicine ,Animals ,Serial analysis of gene expression ,Molecular Biology ,Cell Shape ,Lipoprotein lipase ,Cell growth ,Gene Expression Profiling ,Cell Cycle ,Dihydrotestosterone ,Monoacylglycerol lipase ,Mice, Inbred C57BL ,Fatty acid synthase ,Adipose Tissue ,Adipogenesis ,biology.protein ,Energy Metabolism ,Glycolysis ,Orchiectomy ,medicine.drug ,Signal Transduction - Abstract
Intra-abdominal fat accumulation is related to several diseases, especially diabetes and heart disease. Molecular mechanisms associated with this independent risk factor are not well established. Through the serial analysis of gene expression (SAGE) strategy, we have studied the transcriptomic effects of castration and dihydrotestosterone (DHT) in retroperitoneal adipose tissue of C57BL6 male mice. Approximately 50 000 SAGE tags were isolated in intact and gonadectomized mice, as well as 3 and 24 h after DHT administration. Transcripts involved in energy metabolism, such as glyceraldehyde-3-phosphate dehydrogenase, malic enzyme supernatant, fatty acid synthase, lipoprotein lipase, hormone-sensitive lipase and monoglyceride lipase, were upregulated by DHT. Transcripts involved in adipogenesis, and cell cycle and cell shape organization, such as DDX5, C/EBPα, cyclin I, procollagen types I, III, IV, V and VI, SPARC and matrix metalloproteinase 2, were upregulated by DHT. Cell defense, division and signaling, protein expression and many novel transcripts were regulated by castration and DHT. The present results provide global genomic evidence for a stimulation of glycolysis, fatty acids and triacylglycerol production, lipolysis and cell shape reorganization, as well as cell proliferation and differentiation, by DHT. The novel transcripts regulated by DHT may contribute to identify new mechanisms involved in the action of sex hormones and their potential role in obesity.
- Published
- 2004
21. A +2138InsCAGACC polymorphism of the melanocortin receptor 3 gene is associated in human with fat level and partitioning in interaction with body corpulence
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N, Boucher, C M, Lanouette, M, Larose, L, Pérusse, C, Bouchard, and Y C, Chagnon
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Adult ,Aged, 80 and over ,Male ,Polymorphism, Genetic ,Sequence Analysis, DNA ,Middle Aged ,Blotting, Southern ,Glucose ,Adipose Tissue ,Receptors, Corticotropin ,Body Constitution ,Humans ,Female ,Aged ,Microsatellite Repeats ,Receptor, Melanocortin, Type 3 ,Research Article - Abstract
BACKGROUND: The melanocortin system includes five receptors (MC1R to MC5R), and mouse and human MC4R has been shown to be involved in the regulation of feeding, and mouse MC3R in body composition. To verify a possible similar effect of MC3R in humans, we analyzed one insertion and one single nucleotide polymorphism by restriction fragment length polymorphisms (RFLP), and a microsatellite (D20S32e) in relation to body composition and glucose metabolism. METHODS: Eight hundred twelve subjects of the Québec Family Study (QFS) cohort were analyzed for body composition, food intake, and energy metabolism phenotypes. Southern Blot with the complete MC3R cDNA was used to detect a new +2138InsCAGACC variant by Pst1 restriction. PCR-RFLP with BsaJ1 was used to type amino acid polymorphism V81I arising from a G241A nucleotide change. PCR and automatic DNA sequencers were used for the analysis of the TG dinucleotide repeat D20S32e located between -1933/-1892 of MC3R. In a covariance analysis among genotypes, phenotypes were adjusted for age and sex as covariates. Food intake and energy metabolism phenotypes were also adjusted for body mass index (BMI), and leptin and abdominal fat, as assessed by a computed tomography scan, for fatness using six skinfold thicknesses. RESULTS: An association between the +2138InsCAGACC MC3R polymorphism was observed with fat mass (FM), percent body fat (%FAT), and total abdominal fat (ATF). Homozygote subjects for the +2138 insertion variant allele in normal weight (BMI < 25 kg/m(2)) and overweight (25 < or = BMI < 30 kg/m(2)) subjects showed a similar level of fatness despite the overall difference in BMI. In normal weight, homozygotes for the insertion allele showed higher mean values than heterozygotes and homozygotes for wild-type allele without insertion (%FAT: 24.0 +/- 1.1 versus 19.3 +/- 0.9 and 20.5 +/- 0.8, p = 0.0005; FM: 15.7 +/- 0.9 kg versus 11.7 +/- 0.7 kg and 12.6 +/- 0.6 kg, p = 0.0003). In contrast, overweight subjects homozygote for the variant allele showed lower mean values (%FAT: 27.0 +/- 1.2 versus 31.4 +/- 0.8 and 30.9 +/- 0.7, p = 0.002; FM: 18.3 +/- 1.0 kg versus 22.8 +/- 0.8 kg and 22.0 +/- 0.6 kg, p = 0.0001). This resulted in a similar level of body fat between both BMI groups for subjects homozygote for the insertion allele versus wild-type allele carriers (%FAT: +/-2-3% versus +/-10-12%; FM: +/-2 kg versus +/-9-11 kg). In obese subjects (BMI > or = 30 kg/m(2) ), a lower level of ATF was seen (-15%, p = 0.002). Other polymorphisms and phenotypes tested showed no association. CONCLUSION: A new 12138InsCAGACC MC3R polymorphism is associated with the level of adiposity and with body fat partitioning in interaction with corpulence in humans.
- Published
- 2002
22. The mitochondrial uncoupling protein UCP / genetic and structural studies
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Frédéric Bouillaud, M. Larose, Serge Raimbault, Anne-Marie Cassard-Doulcier, Christophe Fleury, Corinne Levi-Meyrueis, and Daniel Ricquier
- Subjects
chemistry.chemical_classification ,chemistry.chemical_compound ,Mitochondrial respiratory chain ,chemistry ,Biochemistry ,Inner membrane ,Uncoupling protein ,Nucleotide ,Transfection ,Mitochondrion ,Biology ,Enhancer ,DNA - Abstract
Heat production by brown adipocytes is due to uncoupling of the mitochondrial respiratory chain by the uncoupling protein UCP, a nucleotide-inhibitable and free fatty acid-activable proton carrier in the inner membrane, unique to brown adipocyte mitochondria. Our laboratory is studying the mechanisms that restrict UCP gene transcription to brown adipocytes, and the functional organization of the UCP which belongs to the family of mitochondrial transporters. Using cell transfection and transgenic mice evidence was obtained that a region encompassing 3 kb of DNA upstream the transcription start site contains positive and negative elements controlling UCP gene transcription. Transfection experiments based on DNA-CAT constructs identified a strong enhancer at −2.4 kb. This enhancer as well as the proximal region of the promoter were analyzed in detail using DNAse I footprint analysis and band-shift experiments. To study UCP topological organization, antibodies directed against certain subsequences were selected and used. The orientation of 5 out of 6 predicted α-helices was determined and allowed to propose a membranous folding. In collaboration with E. Rial (Madrid), wild and mutated UCP was expressed in yeasts. This strategy was used to demonstrate that none cysteine is essential for UCP and that lysine 268 and glycine 269 are involved in its inhibition by nucleotides.
- Published
- 1995
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23. In vitro interactions between nuclear proteins and uncoupling protein gene promoter reveal several putative transactivating factors including Ets1, retinoid X receptor, thyroid hormone receptor, and a CACCC box-binding protein
- Author
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A M, Cassard-Doulcier, M, Larose, J C, Matamala, O, Champigny, F, Bouillaud, and D, Ricquier
- Subjects
Transcriptional Activation ,Receptors, Retinoic Acid ,Molecular Sequence Data ,Receptors, Cytoplasmic and Nuclear ,CHO Cells ,Ion Channels ,Mitochondrial Proteins ,Mice ,Adipose Tissue, Brown ,Cricetinae ,Animals ,Deoxyribonuclease I ,Promoter Regions, Genetic ,Cells, Cultured ,Uncoupling Protein 1 ,Oncogene Proteins ,Receptors, Thyroid Hormone ,Base Sequence ,Proto-Oncogene Proteins c-ets ,Membrane Proteins ,Mitochondria ,Rats ,DNA-Binding Proteins ,Retinoid X Receptors ,Liver ,Carrier Proteins ,Transcription Factors - Abstract
Previous studies of rat ucp (uncoupling protein) gene organization carried out in this laboratory identified regulatory sequences located in the 5'-flanking region. In this work, DNase I footprint analysis of the enhancer revealed two domains at base pairs (bp) -2444 to -2423 and bp -2352 to -2319. The former domain can bind in vitro, in a cooperative manner, factors related to nuclear factor 1 and Ets1; the latter domain contains a type 3 directly repeated sequence that was shown to be able to bind the retinoid X and triiodothyronine receptors. Moreover, a positive effect of retinoic acid on ucp mRNA levels in immortalized brown adipocytes was observed. DNase I footprint analysis identified two hypersensitive regions, A and B, at bp -509 to -472 and bp -403 to -350, respectively; region A contains a repeated CACCC box, and region B can bind protein related to Ets1. The A box differentially binds liver and brown adipose tissue nuclear proteins and could be involved in uncoupling protein induction. Further analysis showed three foot-printed boxes, C-E, at bp -182 to -159, -147 to -120, and -111 to -85, able to bind in vitro proteins related to nuclear factor 1, cAMP response element-binding protein, and Sp1, respectively.
- Published
- 1994
24. Transcriptome of mouse uterus by serial analysis of gene expression (SAGE): Comparison with skeletal muscle.
- Author
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M. Larose, J. St-Amand, M. Yoshioka, P. Belleau, J. Morissette, C. Labrie, V. Raymond, and F. Labrie
- Published
- 2004
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25. Influence of Uric Acid on Photostability of Sulfathiazole Sodium Solutions
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A. F. Asker and M. Larose
- Subjects
Pharmacology ,SULFATHIAZOLE SODIUM ,Sodium ,Organic Chemistry ,Inorganic chemistry ,Pharmaceutical Science ,chemistry.chemical_element ,Photoprotective agent ,chemistry.chemical_compound ,Sulfathiazole ,chemistry ,Drug Discovery ,medicine ,Uric acid ,Chemical stability ,Boron ,Sodium sulfite ,Nuclear chemistry ,medicine.drug - Abstract
The effect of uric acid as a photoprotective agent for buffered and unbuffered solutions of sulfathiazole sodium was investigated. Uric acid solution in glycerin was found to enhance the photostability of sulfathiazole sodium solutions. The higher the concentration of uric acid used, the greater was its photoprotective action within the concentration range studied. Uric acid was also found to demonstrate its photoprotective effect in the presence of either sodium sulfite or EDTA. Sodium sulfite alone in a concentration of 0.1% produced a detrimental effect on the photostability of sulfathiazole sodium in either borate or phosphate buffer of pH 9 ± 0.2. From the standpoint of the overall chemical stability of sodium sulfathiazole, uric acid appeared to be most effective when used alone in the borate buffer. However, the incorporation of 0.1% sodium sulfite in addition to uric acid contributed to the prevention of discoloration in either the borate or the phosphate buffer.
- Published
- 1987
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26. Alerting Devices: Available Options
- Author
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Mary P. Evans, Roger W. Larose, and Giselle M. Larose
- Subjects
Speech and Hearing - Published
- 1989
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- View/download PDF
27. Temperature representative curves applied to energy management
- Author
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G. Roy, D. Mukhedkar, M. Larose, and P. Blondeau
- Subjects
Amplitude ,Meteorology ,Data memory ,Energy management ,Energy resources ,Weather prediction ,General Engineering ,Environmental science ,Energy storage - Abstract
Energy storage and management systems require the best possible forecast regarding temperature behavior. Heating depends almost directly on outside temperature and cost to Canadian people as much as 20% of energy resources. The following paper presents the analysis done on 27 years of meteorologic datas provided by Environment Canada. By using extensive computer calculations, the following results are produced: typical curves of hourly average temperature given on a daily, monthly or yearly basis, spectral representations of daily average temperature and daily amplitude, and some observations about the lack of weather prediction using degree-days. The analysis show how a digital temperature generator can be implemented with a limited size data memory.
- Published
- 1983
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- View/download PDF
28. The Green Bank North Celestial Cap Pulsar Survey. V. Pulsar Census and Survey Sensitivity.
- Author
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A. E. McEwen, R. Spiewak, J. K. Swiggum, D. L. Kaplan, W. Fiore, G. Y. Agazie, H. Blumer, P. Chawla, M. DeCesar, V. M. Kaspi, V. I. Kondratiev, M. LaRose, L. Levin, R. S. Lynch, M. McLaughlin, M. Mingyar, H. Al Noori, S. M. Ransom, M. S. E. Roberts, and A. Schmiedekamp
- Subjects
PULSAR detection ,RADIO interference ,PULSARS ,ACTINIC flux ,PARAMETERS (Statistics) ,SIGNAL-to-noise ratio - Abstract
The Green Bank North Celestial Cap (GBNCC) pulsar survey will cover the entire northern sky (δ > −40°) at 350 MHz, and is one of the most uniform and sensitive all-sky pulsar surveys to date. We have created a pipeline to reanalyze GBNCC survey data to take a 350 MHz census of all pulsars detected by the survey, regardless of their discovery survey. Of the 1413 pulsars in the survey region, we were able to recover 670. For these we present measured signal-to-noise ratios (S/N), flux densities, pulse widths, profiles, and where appropriate, refined measurements of dispersion measures (DMs) (656 out of 670) and new or improved spectral indices (339 out of 670 total, 47 new, 292 improved). We also measure the period-pulse width relation at 350 MHz to scale as . Detection scans for several hundred sources were reanalyzed in order to inspect pulsars’ single pulse behavior and 223 were found to exhibit evidence of nulling. With a detailed analysis of measured and expected S/N values and the evolving radio frequency interference environment at 350 MHz, we assess the GBNCC survey’s sensitivity as a function of spin period, DM, and sky position. We find the sky-averaged limiting flux density of the survey to be 0.74 mJy. Combining this analysis with PsrPopPy pulsar population simulations, we predict 60/5 nonrecycled/MSP discoveries in the survey’s remaining 21,000 pointings, and we begin to place constraints on population model parameters. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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29. Preparation of collections of canadian rocks and minerals for distribution to the Public
- Author
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J M Larose
- Subjects
business.industry ,Geochemistry ,Distribution (economics) ,business ,Geology - Published
- 1972
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30. [Evaluation of an oral contraceptive in a new sequential form]
- Author
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L, Fortier, M, Larose, and R, Benoit
- Subjects
Adult ,Time Factors ,Adolescent ,Methods ,Humans ,Estrogens ,Female ,Middle Aged ,Progesterone ,Contraceptives, Oral - Published
- 1970
31. A+2138InsCAGACC polymorphism of the melanocortin receptor 3 gene is associated in human with fat level and partitioning in interaction with body corpulence
- Author
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M. Larose, Claude Bouchard, Christian-Marc Lanouette, Yvon C. Chagnon, Nathalie Boucher, and Louis Pérusse
- Subjects
Genetics ,medicine.medical_specialty ,Leptin ,Heterozygote advantage ,Single-nucleotide polymorphism ,Overweight ,Biology ,Endocrinology ,Internal medicine ,Genotype ,medicine ,Molecular Medicine ,Restriction fragment length polymorphism ,medicine.symptom ,Allele ,Molecular Biology ,Body mass index ,Genetics (clinical) - Abstract
The melanocortin system includes five receptors (MC1R to MC5R), and mouse and human MC4R has been shown to be involved in the regulation of feeding, and mouse MC3R in body composition. To verify a possible similar effect of MC3R in humans, we analyzed one insertion and one single nucleotide polymorphism by restriction fragment length polymorphisms (RFLP), and a microsatellite (D20S32e) in relation to body composition and glucose metabolism. Eight hundred twelve subjects of the Quebec Family Study (QFS) cohort were analyzed for body composition, food intake, and energy metabolism phenotypes. Southern Blot with the complete MC3R cDNA was used to detect a new +2138InsCAGACC variant by Pst1 restriction. PCR-RFLP with BsaJ1 was used to type amino acid polymorphism V81I arising from a G241A nucleotide change. PCR and automatic DNA sequencers were used for the analysis of the TG dinucleotide repeat D20S32e located between −1933/ −1892 of MC3R. In a covariance analysis among genotypes, phenotypes were adjusted for age and sex as covariates. Food intake and energy metabolism phenotypes were also adjusted for body mass index (BMI), and leptin and abdominal fat, as assessed by a computed tomography scan, for fatness using six skinfold thicknesses. An association between the +2138InsCAGACC MC3R polymorphism was observed with fat mass (FM), percent body fat (%FAT), and total abdominal fat (ATF). Homozygote subjects for the + 2138 insertion variant allele in normal weight (BMI < 25 kg/m2) and overweight (25 ≤ BMI < 30 kg/m2) subjects showed a similar level of fatness despite the overall difference in BMI. In normal weight, homozygotes for the insertion allele showed higher mean values than heterozygotes and homozygotes for wild-type allele without insertion (%FAT: 24.0 ± 1.1 versus 19.3 ± 0.9 and 20.5 ± 0.8, p = 0.0005; FM: 15.7 ± 0.9 kg versus 11.7 ± 0.7 kg and 12.6 ± 0.6 kg, p = 0.0003). In contrast, overweight subjects homozygote for the variant allele showed lower mean values (%FAT: 27.0 ± 1.2 versus 31.4 ± 0.8 and 30.9 ± 0.7, p = 0.002; FM: 18.3 ± 1.0 kg versus 22.8 ± 0.8 kg and 22.0 ± 0.6 kg, p = 0.0001). This resulted in a similar level of body fat between both BMI groups for subjects homozygote for the insertion allele versus wild-type allele carriers (%FAT: ±2–3% versus ±10–12%; FM: ±2 kg versus ±9–11 kg). In obese subjects (BMI ≥ 30 kg/m2), a lower level of ATF was seen (−15%, p = 0.002). Other polymorphisms and phenotypes tested showed no association. A new +2138InsCAGACC MC3R polymorphism is associated with the level of adiposity and with body fat partitioning in interaction with corpulence in humans.
32. Multi-task Bayesian model combining FDG-PET/CT imaging and clinical data for interpretable high-grade prostate cancer prognosis.
- Author
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Larose M, Archambault L, Touma N, Brodeur R, Desroches F, Raymond N, Bédard-Tremblay D, LeBlanc D, Rasekh F, Hovington H, Neveu B, Vallières M, and Pouliot F
- Subjects
- Humans, Male, Prognosis, Neoplasm Grading, Aged, Middle Aged, Bayes Theorem, Prostatic Neoplasms diagnostic imaging, Prostatic Neoplasms pathology, Positron Emission Tomography Computed Tomography methods, Fluorodeoxyglucose F18
- Abstract
We propose a fully automatic multi-task Bayesian model, named Bayesian Sequential Network (BSN), for predicting high-grade (Gleason ≥ 8) prostate cancer (PCa) prognosis using pre-prostatectomy FDG-PET/CT images and clinical data. BSN performs one classification task and five survival tasks: predicting lymph node invasion (LNI), biochemical recurrence-free survival (BCR-FS), metastasis-free survival, definitive androgen deprivation therapy-free survival, castration-resistant PCa-free survival, and PCa-specific survival (PCSS). Experiments are conducted using a dataset of 295 patients. BSN outperforms widely used nomograms on all tasks except PCSS, leveraging multi-task learning and imaging data. BSN also provides automated prostate segmentation, uncertainty quantification, personalized feature-based explanations, and introduces dynamic predictions, a novel approach that relies on short-term outcomes to refine long-term prognosis. Overall, BSN shows great promise in its ability to exploit imaging and clinicopathological data to predict poor outcome patients that need treatment intensification with loco-regional or systemic adjuvant therapy for high-risk PCa., (© 2024. The Author(s).)
- Published
- 2024
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- View/download PDF
33. Regional Anesthesia Decreases Inpatient But Not Outpatient Opioid Demand in Ankle and Distal Tibia Fracture Surgery.
- Author
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Cunningham DJ, Paniagua A, DeLaura I, Zhang G, Kim B, Kim J, Lee T, LaRose M, Adams S, and Gage MJ
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- Humans, Male, Female, Middle Aged, Retrospective Studies, Adult, Ankle Fractures surgery, Outpatients statistics & numerical data, Aged, Inpatients, Tibial Fractures surgery, Analgesics, Opioid therapeutic use, Anesthesia, Conduction, Pain, Postoperative drug therapy
- Abstract
Introduction: Regional anesthesia (RA) is commonly used in ankle and distal tibia fracture surgery. However, the pragmatic effects of this treatment on inpatient and outpatient opioid demand are unclear. The hypothesis was that RA would decrease inpatient opioid consumption and have little effect on outpatient demand in patients undergoing ankle and distal tibia fracture surgery compared with patients not receiving RA., Methods: All patients aged 18 years and older undergoing ankle and distal tibia fracture surgery at a single institution between July 2013 and July 2018 were included in this study (n = 1310). Inpatient opioid consumption (0-72 hours postoperatively) and outpatient opioid prescribing (1 month preoperatively to 90 days postoperatively) were recorded in oxycodone 5-mg equivalents (OEs). Adjusted models were used to evaluate the impact of RA versus no RA on inpatient and outpatient opioid demand., Results: Patients without RA had higher rates of high-energy mechanism of injury, additional injuries, open fractures, and additional surgery compared with patients with RA. Adjusted models demonstrated decreased inpatient opioid consumption in patients with RA (12.1 estimated OEs without RA vs 8.8 OEs with RA from 0 to 24 hours postoperatively, P < .001) but no significant difference after that time (9.7 vs 10.4 from 24 to 48 hours postoperatively, and 9.5 vs 8.5 from 48 to 72 hours postoperatively). Estimated cumulative outpatient opioid demand was significantly increased in patients receiving RA at all time points (112.5 OEs without RA vs 137.3 with RA from 1 month preoperatively to 2 weeks, 125.6 vs 155.5 OEs to 6 weeks, and 134.6 vs 163.3 OEs to 90 days, all P values for RA <.001)., Discussion: In ankle and distal tibia fracture surgery, RA was associated with decreased early inpatient opioid demand but significantly increased outpatient demand after adjusting for baseline patient and treatment characteristics. This study encourages the use of RA to decrease inpatient opioid use, although there was a worrisome increase in outpatient opioid demand., Level of Evidence: Level III: Retrospective, therapeutic cohort study ., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article:Samuel AdamsAmerican Orthopaedic Foot and Ankle Society: Board or committee memberExactech, Inc: Paid consultantMedshape: Paid consultant; Stock or stock OptionsOrthofix, Inc.: Paid consultantRegeneration Technologies, Inc.: Paid consultantStryker: Paid consultantDaniel CunninghamNoneIsabel DeLauraNoneMark GageAO: Research supportArthrex, Inc: Paid consultant; Research supportFoundation for Orthopaedic Trauma: Research supportTrackX: Paid consultantBilly KimNoneJonathan KimNoneMicaela LaRoseNoneJonathan LeeNoneAriana PaniaguaNoneGloria ZhangNone
- Published
- 2024
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- View/download PDF
34. External validation of the Memorial Sloan Kettering Cancer Center preoperative nomogram predicting lymph node invasion in a cohort of high-grade prostate cancer patients.
- Author
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Touma N, Larose M, Ouellet J, Bédard-Tremblay D, Singbo N, Hovington H, Neveu B, Archambault L, and Pouliot F
- Subjects
- Humans, Male, Middle Aged, Aged, Lymph Node Excision, Lymph Nodes pathology, Neoplasm Grading, Cohort Studies, Retrospective Studies, Prostatic Neoplasms pathology, Prostatic Neoplasms surgery, Nomograms, Prostatectomy methods, Lymphatic Metastasis pathology
- Abstract
Background: Commonly used preoperative nomograms predicting clinical and pathological outcomes in prostate cancer (PCa) patients have not been yet validated in high-grade only PCa patients. Our objective is to perform an external validation of the Memorial Sloan Kettering Cancer Center (MSKCC) preoperative nomogram as a predictor of lymph node invasion (LNI) in a cohort of high-grade PCa patients., Methods: We included patients with high-grade PCa (Gleason ≥8) treated at our institution between 2011 and 2020 with radical prostatectomy and pelvic lymph node dissection without receiving neoadjuvant or adjuvant therapy. The area under the curve (AUC) of the receiver operator characteristic (ROC) was used to quantify the accuracy of the model to predict LNI. A calibration plot was used to evaluate the model's precision, and a decision curve analysis was computed to evaluate the net benefit associated with its use. This study was approved by our institution's ethics board., Results: A total of 242 patients with a median age of 66 (60-71) years were included. LNI was observed in 70 (29%) patients with a mean of 16 (median = 15; range = 2-42) resected nodes. The MSKCC nomogram discriminative accuracy, as evaluated by the AUC-ROC was 79.0% (CI: [0.727-0.853])., Conclusion: The MSKCC preoperative nomogram is a good predictor of LNI and a useful tool associated with net clinical benefit in this patient population., (© 2024 Wiley Periodicals LLC.)
- Published
- 2024
- Full Text
- View/download PDF
35. Variants of uncertain significance in precision oncology: nuance or nuisance?
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Mellgard GS, Atabek Z, LaRose M, Kastrinos F, and Bates SE
- Subjects
- Humans, Medical Oncology methods, Medical Oncology standards, Precision Medicine methods, Neoplasms therapy
- Published
- 2024
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- View/download PDF
36. The Impact of Exuberance on Equipoise in Oncology Clinical Trials: Sotorasib as Archetype.
- Author
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Fojo T, LaRose M, and Bates SE
- Subjects
- Humans, Patient Selection, Proto-Oncogene Proteins p21(ras), Pyrimidines, United States, Piperazines, Pyridines, Drug Approval
- Published
- 2024
- Full Text
- View/download PDF
37. Beyond BRCA: Diagnosis and management of homologous recombination repair deficient pancreatic cancer.
- Author
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LaRose M, Manji GA, and Bates SE
- Subjects
- Female, Humans, DNA Repair, Poly(ADP-ribose) Polymerase Inhibitors therapeutic use, Recombinational DNA Repair, Adenocarcinoma drug therapy, Ovarian Neoplasms genetics, Pancreatic Neoplasms diagnosis, Pancreatic Neoplasms drug therapy, Pancreatic Neoplasms genetics
- Abstract
Approximately 4%-7% of patients diagnosed with pancreatic adenocarcinoma (PDAC) are found to harbor deleterious germline mutations in BRCA1 and/or BRCA2. Loss of function of BRCA1 and/or BRCA2 results in deficiency in homologous recombination repair (HRR), a critical DNA repair pathway, and confers sensitivity to certain DNA damaging agents, including platinum chemotherapy and PARP inhibitors. The PARP inhibitor olaparib is food and drug administration (FDA) approved for use in pancreatic cancer based on the POLO trial, which found that maintenance olaparib significantly prolonged progression free survival compared to placebo among patients with germline BRCA1 or BRCA2 mutations and metastatic PDAC that had not progressed following frontline platinum-based chemotherapy. Recently, there has been considerable interest in identifying patients without BRCA inactivation whose tumors also exhibit properties of HRR deficiency and thus may be susceptible to therapies with proven benefit in cancers harboring BRCA mutations. Here, we discuss methods for identification of HRR-deficiency and review the management of HRR-deficient cancers with a focus on HRR-deficient PDAC., Competing Interests: Declaration of competing interest None., (Copyright © 2023 Elsevier Inc. All rights reserved.)
- Published
- 2024
- Full Text
- View/download PDF
38. Regional anesthesia improves inpatient but not outpatient opioid demand in tibial shaft fracture surgery.
- Author
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Cunningham D, LaRose M, Patel P, Zhang G, Morriss N, Paniagua A, and Gage M
- Subjects
- Humans, Analgesics, Opioid therapeutic use, Retrospective Studies, Cohort Studies, Inpatients, Pain, Tibial Fractures surgery, Anesthesia, Conduction
- Abstract
Background: Patients undergoing operative treatment of tibial shaft fractures have considerable pain largely managed with opioids. Regional anesthesia (RA) has been increasingly used to reduce perioperative opioid use., Methods: This was a retrospective study of 426 patients that underwent operative treatment of tibial shaft fractures with and without RA. Inpatient opioid consumption and 90-day outpatient opioid demand were measured., Results: RA significantly decreased inpatient opioid consumption for 48 h post-operatively (p = 0.008). Neither inpatient use after 48 h nor outpatient opioid demand differed in patients with RA (p > 0.05)., Conclusions: RA may help with inpatient pain control and reduce opioid use in tibial shaft fracture., Level of Evidence: Level III, retrospective, therapeutic cohort study., (© 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.)
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- 2023
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39. Reevaluating Core Elements of Emotional Intelligence in Professional Identity Formation for Inclusion in Pharmacy Education.
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Larose-Pierre M, Cleven AJ, Renaud A, Hughes JA, McQuade B, Griffin BL, and Johnson C
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- Humans, Social Identification, Emotional Intelligence, Empathy, Education, Pharmacy, Pharmacy
- Abstract
Objectives: The objectives of this review are to (1) analyze the core concepts of emotional intelligence self-perception, self-expression, interpersonal relationships, decision-making skills, and stress management and their role in professional identity formation, and (2) investigate the methods and strategies to incorporate emotional intelligence in pharmacy education., Findings: A literature review of emotional intelligence in health care education was conducted by searching the electronic databases PubMed, Google Scholar, ProQuest, and ERIC. The following search terms were included: emotional intelligence, emotional quotient, in association with professional identity formation, pharmacy curriculum, pharmacy cocurriculum, entrustable professional activities, medicine, and nursing. Only full-length, free-access, English-text articles were included. Twenty articles addressed the inclusion and/or assessment of core elements of emotional intelligence in pharmacy education. Commonly taught, cultivated, and assessed core elements include self-awareness, empathy, and interdisciplinary relationships. Assessment tools used to evaluate emotional intelligence in pharmacy education are subjective, qualitative, and semiquantitative, and may include pre and postcourse surveys, event surveys, and questionnaires., Summary: The pharmacy literature is scarce on how best to analyze emotional intelligence and the role it plays in the pharmacist's education and practice. A comprehensive integration of emotional intelligence into the pharmacy curriculum is a challenging task and requires additional in-depth discussions on how best to incorporate it in the pharmacist's professional identity formation. The Academy will benefit from re-engaging its constituents in addressing the gaps of emotional intelligence in the professional curriculum in preparation for the Accreditation Council for Pharmacy Education 2025 standards., Competing Interests: Declaration of Competing Interests None declared., (Copyright © 2023 American Association of Colleges of Pharmacy. Published by Elsevier Inc. All rights reserved.)
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- 2023
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40. Associating Growth Mindset with Emotional Intelligence and Why It's Needed for Professional Identity Formation.
- Author
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Cleven AJ, Renaud A, Larose-Pierre M, McQuade B, Griffin BL, Johnson C, and Hughes JA
- Subjects
- Humans, Emotional Intelligence, Emotions, Pharmacists, Social Identification, Education, Pharmacy
- Abstract
Nurturing professional identity formation (PIF) is incumbent for the future of a pharmacist. The process of PIF incorporates norms, roles, and expectations of the profession into existing identities. This process can be particularly challenging when there are conflicting identities that provoke strong emotional experiences. Emotions are driven by beliefs and thoughts which serve as the catalyst for our reactions and behavior. Dealing with strong emotions can be uncomfortable, requiring proper regulation and management. Emotional intelligence and a growth mindset are fundamental traits that significantly influence a learner's ability to navigate the emotional complexities and thoughts associated with PIF. Although there is some evidence in the literature on the benefits of cultivating emotionally intelligent pharmacists there is a paucity of information on its association with growth mindset and PIF. Emotional intelligence and growth mindset are not mutually exclusive traits and development of both is needed for a learner's professional identity., Competing Interests: Declaration of Competing Interests None declared., (Copyright © 2023 American Association of Colleges of Pharmacy. Published by Elsevier Inc. All rights reserved.)
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- 2023
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41. A Phase I Study of a Combination of Liposomal Irinotecan and Veliparib in Solid Tumors.
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LaRose M, Connolly RM, O'Sullivan CC, Velcheti V, Vilimas R, Gano K, Bates SE, Pommier Y, and Thomas A
- Subjects
- Humans, Irinotecan pharmacology, Irinotecan therapeutic use, Poly(ADP-ribose) Polymerase Inhibitors adverse effects, Topoisomerase I Inhibitors adverse effects, Poly(ADP-ribose) Polymerases, Diarrhea chemically induced, Antineoplastic Combined Chemotherapy Protocols adverse effects, Neoplasms drug therapy, Neoplasms pathology, Antineoplastic Agents therapeutic use
- Abstract
Background: Multiple preclinical studies have shown cytotoxic synergy involving combinations of poly (ADP-ribose) polymerase (PARP) inhibitors and topoisomerase 1 (TOP1) inhibitors, but such combinations have proven too toxic in clinical trials. Liposomal irinotecan (nal-IRI) achieved similar intratumoral exposure with better antitumor activity than the conventional TOP1 inhibitor irinotecan in preclinical models. Tumor targeted delivery of TOP1 inhibitor using nal-IRI and an intermittent schedule of administration of PARP inhibitor may provide a tolerable combination., Methods: A phase I study was performed to evaluate the safety and tolerability of escalating doses of nal-IRI and the PARP inhibitor veliparib in patients with solid tumors resistant to standard treatments. Nal-IRI was administered on days 1 and 15 and veliparib on days 5-12 and 19-25 in 28-day cycles., Results: Eighteen patients were enrolled across 3 dose levels. Five patients encountered dose-limiting toxicities, including grade 3 diarrhea lasting more than 72 h in 3 patients and 1 patient each with grade 4 diarrhea and grade 3 hyponatremia. The most common grade 3 or 4 toxicities included diarrhea (50% of patients), nausea (16.6%), anorexia, and vomiting (11.1% each) (Table 1). There was no difference in frequencies of adverse events based on UGT1A1*28 status or prior opioid use (Table 1)., Conclusion: The clinical trial was terminated due to high frequency of unacceptable gastrointestinal toxicities, which precluded dose escalation of veliparib in combination with nal-IRI (ClinicalTrials.gov Identifier: NCT02631733)., (Published by Oxford University Press 2023.)
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- 2023
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42. Critical Risk Factors for Opioid Demand after Pelvic and Acetabular Fracture Surgery.
- Author
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Cunningham D, LaRose M, Robinette P, Maceroli MA, Olson SA, and Gage MJ
- Subjects
- Humans, Retrospective Studies, Cohort Studies, Acetabulum surgery, Acetabulum injuries, Risk Factors, Analgesics, Opioid therapeutic use, Hip Fractures
- Abstract
The characteristics that contribute to opioid demand in pelvic and acetabular fracture surgery are not well understood. We hypothesize that fracture pattern and psychiatric comorbidities will be associated with increased opioid demand. This study evaluated perioperative opioid prescription filling in 743 patients undergoing operative fixation of pelvic and acetabular injuries. Multivariable linear and logistic regression models were used to evaluate associations between baseline factors and opioid outcomes. Patients filled prescriptions for 111.2, 89.3, and 200.3 oxycodone 5-mg pills at the 1-month preop to 90-days postop, 3-months postop to 1-year postop, and 1-month preop to 1-year postop timeframes. Operatively treated wall, transverse and two-column acetabular fractures were associated with the highest opioid demand. Drug abuse and pre-injury opioid use were the primary non-surgical drivers of opioid demand. Acetabular fractures, pre-injury opioid filling, and drug abuse were the main risk factors for increased perioperative opioid prescription filling. Level of Evidence: Level III, retrospective, prognostic cohort study. (Journal of Surgical Orthopaedic Advances 32(1):041-046, 2023).
- Published
- 2023
43. The impact of regional anesthesia on opioid demand in distal radius fracture surgery.
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Cunningham D, LaRose M, Kinamon T, MacAlpine E, Au S, Paniagua A, Klifto C, and Gage MJ
- Subjects
- Humans, Adolescent, Analgesics, Opioid therapeutic use, Cohort Studies, Retrospective Studies, Aftercare, Pain, Postoperative drug therapy, Fracture Fixation, Internal, Practice Patterns, Physicians', Patient Discharge, Wrist Fractures, Radius Fractures surgery, Anesthesia, Conduction
- Abstract
Purpose: Regional anesthesia (RA) is commonly used in distal radius fracture surgery to reduce pain and opioid consumption. The purpose of this study was to evaluate the real-world impact of RA on inpatient and outpatient opioid consumption and demand in patients undergoing distal radius fracture surgery., Methods: All patients ages 18 and older undergoing distal radius fracture surgery between 7/2013 and 7/2018 at a single institution ( n = 969) were identified. Inpatient opioid consumption and outpatient opioid prescribing in oxycodone 5-mg equivalents (OE's) up to 90-d post-operative were recorded for patients with and without RA. Adjusted models were used to evaluate the impact of RA on opioid outcomes., Results: Adjusted models demonstrated decreases in inpatient opioid consumption in patients with RA (10.7 estimated OE's without RA vs. 7.6 OE's with RA from 0 to 24 h post-op, 10.2 vs. 5.3 from 24 to 48 h post-op and 7.5 vs. 5.0 from 48 to 72 h post-op, p <.05). Estimated cumulative outpatient opioid demand was significantly higher in patients with RA (65.3 OE's without RA vs. 81.0 with RA from 1-month pre-op to 2-week post-discharge, 76.1 vs. 87.7 OE's to 6-weeks, and 80.8 vs. 93.5 OE's to 90-d, all p values for RA <.05) though rates of refill were significantly lower in patients with RA from 2-week to 6-week post-op compared to patients without RA., Conclusions: Patients undergoing RA in distal radius fracture surgery had decreased inpatient opioid consumption but increased outpatient demand after adjustment for patient and operative characteristics., Level of Evidence: Level III, retrospective, therapeutic cohort study.
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- 2023
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44. Hip Fracture Surgery: Regional Anesthesia and Opioid Demand.
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Cunningham DJ, Paniagua A, LaRose M, Kim B, MacAlpine E, Wixted C, and Gage MJ
- Subjects
- Analgesics, Opioid therapeutic use, Cohort Studies, Humans, Pain, Postoperative drug therapy, Practice Patterns, Physicians', Retrospective Studies, Anesthesia, Conduction, Hip Fractures surgery
- Abstract
Background: Hip fracture surgery is painful, and regional anesthesia (RA) has been used in an attempt to reduce pain and opioid consumption after surgery. Despite potential analgesic benefits, the effect of RA on inpatient and outpatient opioid demand is not well known. We hypothesized that RA would be associated with decreased inpatient opioid demand and has little effect on outpatient opioid demand in hip fracture surgery., Methods: This study retrospectively evaluated all patients of 18 years and older undergoing hip fracture surgery from July 2013 to July 2018 at a single, level I trauma center (n = 1,659). Inpatient opioid consumption in 24-hour increments up to 72-hour postoperative and outpatient opioid prescribing up to 90-day postoperative were recorded in oxycodone 5-mg equivalents (OE's). Adjusted models evaluated the effect of RA on opioid demand after adjusting for other baseline and treatment variables., Results: After adjusting for baseline and treatment variables, there were small increases in inpatient opioid consumption in patients with RA (2.6 estimated OE's without RA versus three OE's with RA from 0 to 24 hours postoperatively, 2.1 versus 2.4 from 24 to 48 hours postoperatively, and 1.6 versus 2.2 from 48 to 72 hours postoperatively, all P values for RA <0.001). However, there were no notable differences in outpatient opioid demand., Discussion: RA did not decrease inpatient or outpatient opioid demand in patients undergoing hip fracture surgery in this pragmatic study. In fact, there were slight increases in inpatient opioid consumption, although these differences are likely clinically insignificant. These results temper enthusiasm for RA in hip fracture surgery., Level of Evidence: Level III, retrospective, therapeutic cohort study., (Copyright © 2022 by the American Academy of Orthopaedic Surgeons.)
- Published
- 2022
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45. I-SPY COVID adaptive platform trial for COVID-19 acute respiratory failure: rationale, design and operations.
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Files DC, Matthay MA, Calfee CS, Aggarwal NR, Asare AL, Beitler JR, Berger PA, Burnham EL, Cimino G, Coleman MH, Crippa A, Discacciati A, Gandotra S, Gibbs KW, Henderson PT, Ittner CAG, Jauregui A, Khan KT, Koff JL, Lang J, LaRose M, Levitt J, Lu R, McKeehan JD, Meyer NJ, Russell DW, Thomas KW, Eklund M, Esserman LJ, and Liu KD
- Subjects
- Bayes Theorem, Humans, Pandemics, SARS-CoV-2, Treatment Outcome, COVID-19, Respiratory Distress Syndrome, Respiratory Insufficiency
- Abstract
Introduction: The COVID-19 pandemic brought an urgent need to discover novel effective therapeutics for patients hospitalised with severe COVID-19. The Investigation of Serial studies to Predict Your Therapeutic Response with Imaging And moLecular Analysis (ISPY COVID-19 trial) was designed and implemented in early 2020 to evaluate investigational agents rapidly and simultaneously on a phase 2 adaptive platform. This manuscript outlines the design, rationale, implementation and challenges of the ISPY COVID-19 trial during the first phase of trial activity from April 2020 until December 2021., Methods and Analysis: The ISPY COVID-19 Trial is a multicentre open-label phase 2 platform trial in the USA designed to evaluate therapeutics that may have a large effect on improving outcomes from severe COVID-19. The ISPY COVID-19 Trial network includes academic and community hospitals with significant geographical diversity across the country. Enrolled patients are randomised to receive one of up to four investigational agents or a control and are evaluated for a family of two primary outcomes-time to recovery and mortality. The statistical design uses a Bayesian model with 'stopping' and 'graduation' criteria designed to efficiently discard ineffective therapies and graduate promising agents for definitive efficacy trials. Each investigational agent arm enrols to a maximum of 125 patients per arm and is compared with concurrent controls. As of December 2021, 11 investigational agent arms had been activated, and 8 arms were complete. Enrolment and adaptation of the trial design are ongoing., Ethics and Dissemination: ISPY COVID-19 operates under a central institutional review board via Wake Forest School of Medicine IRB00066805. Data generated from this trial will be reported in peer-reviewed medical journals., Trial Registration Number: NCT04488081., Competing Interests: Competing interests: DCF has received funding from Quantum Leap Healthcare Collaborative related to this work and from the National Institutes of Health unrelated to this work. DCF has worked as a consultant for Cytovale and Medpace unrelated to this work., (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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- 2022
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46. Deltoid ligament repair versus trans-syndesmotic fixation for bimalleolar equivalent ankle fractures.
- Author
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Whitlock KG, LaRose M, Barber H, Fletcher A, Cunningham D, Menken L, Yoon RS, and Gage MJ
- Subjects
- Ankle, Ankle Joint surgery, Bone Screws, Fracture Fixation, Internal, Humans, Ligaments, Ligaments, Articular injuries, Ligaments, Articular surgery, Retrospective Studies, Treatment Outcome, Ankle Fractures diagnostic imaging, Ankle Fractures surgery
- Abstract
Introduction: The role of deltoid ligament repair is controversial in the treatment of bimalleolar equivalent ankle injuries. Our purpose was to compare midterm functional outcomes and reoperation rates of unstable distal fibula fractures treated with open reduction internal fixation (ORIF) of the fibula and either deltoid ligament repair, trans-syndesmotic fixation, or combined fixation., Methods: Skeletally mature subjects were retrospectively identified after fixation of isolated unstable distal fibula fractures treated at a single academic level 1 hospital from January 2005 to May 2019. The AAOS Foot and Ankle Module outcomes questionnaire (AAOS-FAM) was obtained at a mean time from surgery of 4.6 +/- 3.1 years. Subjects underwent one of three methods of fixation including distal fibula ORIF and one of the following: trans-syndesmotic fixation (N = 66), deltoid ligament repair (N = 16), or combined trans-syndesmotic fixation and deltoid ligament repair (N = 26). Outcomes scores and Charlson Comorbidity Index scores were compared between groups by Kruskal-Wallis testing for non-normally distributed data. Rates of reoperation were compared by Fisher's exact test. Statistical significance was set to P < 0.05 for all comparisons., Results: There was no significant difference in AAOS-FAM scores between the three groups (P = 0.18). No subjects in the deltoid ligament repair group underwent reoperation compared to 17 (26%) in the trans-syndesmotic fixation group and six (23%) in the combined fixation group. The most common reason for reoperation was removal of hardware, which was performed in 12 (18%) subjects in the trans-syndesmotic fixation group and three (12%) subjects in the combined fixation group., Conclusions: Direct deltoid ligament repair yields similar functional scores and fewer reoperations compared to trans-syndesmotic fixation at midterm follow up. Deltoid ligament repair may be a favorable treatment strategy when considering trans-syndesmotic fixation in the surgical treatment of unstable distal fibula fractures., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier Ltd. All rights reserved.)
- Published
- 2022
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47. Regional Anesthesia Associated With Decreased Inpatient and Outpatient Opioid Demand in Tibial Plateau Fracture Surgery.
- Author
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Cunningham DJ, LaRose M, Zhang G, Patel P, Paniagua A, Gadsden J, and Gage MJ
- Subjects
- Analgesics, Opioid adverse effects, Humans, Inpatients, Outpatients, Oxycodone, Pain, Postoperative diagnosis, Pain, Postoperative drug therapy, Pain, Postoperative etiology, Practice Patterns, Physicians', Anesthesia, Conduction adverse effects, Compartment Syndromes, Tibial Fractures
- Abstract
Background: Regional anesthesia (RA) has been used to reduce pain and opioid usage in elective orthopedic surgery. The hypothesis of this study was that RA would be associated with decreased opioid demand in tibial plateau fracture surgery., Methods: Inpatient opioid consumption and 90-day outpatient opioid prescribing in all patients ≥18 years of age undergoing tibial plateau fracture surgery from July 2013 to July 2018 (n = 264) at a single, level I trauma center were recorded. The presence or absence of perioperative RA was noted. Of 60 patients receiving RA, 52 underwent peripheral nerve blockade (PNB) with single-shot sciatic-popliteal (40.0%; n = 24), femoral (26.7%; n = 16), adductor canal (18.3%; n = 11), or fascia iliaca (1.7%; n = 1) block with ropivacaine. Ten patients received epidural analgesia (EA) with either single-shot spinal (11.7%; n = 7) blocks or continuous epidural (5.0%; n = 3). Additional baseline and treatment characteristics were recorded, including age, sex, race, body mass index (BMI), smoking, chronic opioid use, American Society of Anesthesiologists (ASA) score, injury mechanism, additional injuries, open injury, and additional inpatient surgery. Statistical models, including multivariable generalized linear models with propensity score weighting to adjust for baseline patient and treatment characteristics, were used to assess perioperative opioid demand with and without RA., Results: RA was associated with reduced inpatient opioid usage from 0 to 24 hours postoperatively of approximately 5.2 oxycodone 5-mg equivalents (0.74 incident rate ratio [IRR]; 0.63-0.86 CI; P < .001) and from 24 to 48 hours postoperatively of approximately 2.9 oxycodone 5-mg equivalents (0.78 IRR; 0.64-0.95 CI; P = .014) but not at 48 to 72 hours postoperatively. From 1 month preoperatively to 2 weeks postoperatively, RA was associated with reduced outpatient opioid prescribing of approximately 24.0 oxycodone 5-mg equivalents (0.87; 0.75-0.99; P = .044) and from 1 month preoperatively to 90 days postoperatively of approximately 44.0 oxycodone 5-mg equivalents (0.83; 0.71-0.96; P = .011), although there was no significant difference from 1 month preoperatively to 6 weeks postoperatively. There were no cases of acute compartment syndrome in this cohort., Conclusions: In tibial plateau fracture surgery, RA was associated with reduced inpatient opioid consumption up to 48 hours postoperatively and reduced outpatient opioid demand up to 90 days postoperatively without an associated risk of acute compartment syndrome. RA should be considered for patients undergoing tibial plateau fracture fixation., Competing Interests: The authors declare no conflicts of interest., (Copyright © 2022 International Anesthesia Research Society.)
- Published
- 2022
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48. Long-Term Post-traumatic Stress Disorder After Orthopaedic Injury: Prevalence and Risk Factors.
- Author
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LaRose M, Cunningham D, Paniagua A, and Gage MJ
- Subjects
- Cross-Sectional Studies, Humans, Prevalence, Retrospective Studies, Risk Factors, Orthopedics, Stress Disorders, Post-Traumatic diagnosis, Stress Disorders, Post-Traumatic epidemiology
- Abstract
Objectives: To evaluate the prevalence of post-traumatic stress disorder (PTSD) symptoms in individuals who are further removed from injury (up to 3 years) and to identify injury-specific characteristics that are associated with an increased risk for persistent PTSD symptoms., Design: Cross-sectional, retrospective cohort., Setting: Level I trauma center., Patients/participants: Two hundred forty-three patients operatively treated for orthopaedic trauma between March 2017 through June 2018., Intervention: Orthopaedic trauma requiring operative intervention., Main Outcome Measurements: The primary outcome was score on the PTSD Checklist for the DSM-5 (PCL-5) survey. A score of 31 or higher was considered concerning for PTSD., Results: Forty-nine of 239 respondents (20.5%) scored positive for PTSD. Multivariate analysis demonstrated an increased risk of PTSD for patients with a history of smoking and those who required delayed reoperation (greater than 90 days postoperative). White race and low-energy mechanisms of injury were associated with decreased risk of PTSD. Fracture locations were not associated with a higher likelihood of PTSD., Conclusions: The prevalence of PTSD symptoms in patients up to 3 years after surgery remains higher than the estimated prevalence of PTSD in the general US population. It is similar to previously documented rates of PTSD for patients less than 1 year after injury. Long-term complication requiring reoperation was associated with an increased risk of persistent PTSD symptoms. Orthopaedic providers should be mindful of PTSD symptoms not only in the immediate postoperative period but throughout the treatment course particularly for those with identified PTSD risk factors., Level of Evidence: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence., Competing Interests: The authors report no conflict of interest., (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)
- Published
- 2022
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49. Response to Shen et al regarding "Regional anesthesia reduces inpatient and outpatient perioperative opioid demand in peri-articular elbow surgery".
- Author
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Cunningham DJ, LaRose M, Zhang G, Au S, MacAlpine E, Paniagua A, Klifto CS, and Gage MJ
- Subjects
- Elbow, Humans, Inpatients, Outpatients, Pain, Postoperative drug therapy, Pain, Postoperative prevention & control, Analgesics, Opioid, Anesthesia, Conduction
- Published
- 2022
- Full Text
- View/download PDF
50. Long-term prognosis and educational determinants of brain network decline in older adult individuals.
- Author
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Chan MY, Han L, Carreno CA, Zhang Z, Rodriguez RM, LaRose M, Hassenstab J, and Wig GS
- Subjects
- Humans, Aged, Middle Aged, Aged, 80 and over, tau Proteins cerebrospinal fluid, Amyloid beta-Peptides cerebrospinal fluid, Biomarkers cerebrospinal fluid, Brain diagnostic imaging, Prognosis, Educational Status, Alzheimer Disease diagnosis
- Abstract
Older adults with lower education are at greater risk for dementia. It is unclear which brain changes lead to these outcomes. Longitudinal imaging-based measures of brain structure and function were examined in adult individuals (baseline age, 45-86 years; two to five visits per participant over 1-9 years). College degree completion differentiates individual-based and neighborhood-based measures of socioeconomic status and disadvantage. Older adults (~65 years and over) without a college degree exhibit a pattern of declining large-scale functional brain network organization (resting-state system segregation) that is less evident in their college-educated peers. Declining brain system segregation predicts impending changes in dementia severity, measured up to 10 years past the last scan date. The prognostic value of brain network change is independent of Alzheimer's disease (AD)-related genetic risk ( APOE status), the presence of AD-associated pathology (cerebrospinal fluid phosphorylated tau, cortical amyloid) and cortical thinning. These results demonstrate that the trajectory of an individual's brain network organization varies in relation to their educational attainment and, more broadly, is a unique indicator of individual brain health during older age., Competing Interests: Competing interests The authors declare no competing interests.
- Published
- 2021
- Full Text
- View/download PDF
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