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  1. Article ; Online: Characterization of c-di-AMP signaling in the periodontal pathobiont, Treponema denticola.

    Moylan, Aidan D / Patel, Dhara T / O'Brien, Claire / Schuler, Edward J A / Hinson, Annie N / Marconi, Richard T / Miller, Daniel P

    Molecular oral microbiology

    2024  

    Abstract: Pathobionts associated with periodontitis, such as Treponema denticola, must possess numerous sensory transduction systems to adapt to the highly dynamic subgingival environment. To date, the signaling pathways utilized by T. denticola to rapidly sense ... ...

    Abstract Pathobionts associated with periodontitis, such as Treponema denticola, must possess numerous sensory transduction systems to adapt to the highly dynamic subgingival environment. To date, the signaling pathways utilized by T. denticola to rapidly sense and respond to environmental stimuli are mainly unknown. Bis-(3'-5') cyclic diadenosine monophosphate (c-di-AMP) is a nucleotide secondary messenger that regulates osmolyte transport, central metabolism, biofilm development, and pathogenicity in many bacteria but is uncharacterized in T. denticola. Here, we studied c-di-AMP signaling in T. denticola to understand how it contributes to T. denticola physiology. We demonstrated that T. denticola produces c-di-AMP and identified enzymes that function in the synthesis (TDE1909) and hydrolysis (TDE0027) of c-di-AMP. To investigate how c-di-AMP may impact T. denticola cellular processes, a screening assay was performed to identify putative c-di-AMP receptor proteins. This approach identified TDE0087, annotated as a potassium uptake protein, as the first T. denticola c-di-AMP binding protein. As potassium homeostasis is critical for maintaining turgor pressure, we demonstrated that T. denticola c-di-AMP concentrations are impacted by osmolarity, suggesting that c-di-AMP negatively regulates potassium uptake in hypoosmotic solutions. Collectively, this study demonstrates T. denticola utilizes c-di-AMP signaling, identifies c-di-AMP metabolism proteins, identifies putative receptor proteins, and correlates c-di-AMP signaling to osmoregulation.
    Language English
    Publishing date 2024-03-04
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 2537726-7
    ISSN 2041-1014 ; 2041-1006
    ISSN (online) 2041-1014
    ISSN 2041-1006
    DOI 10.1111/omi.12458
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Independent inhibitory control mechanisms for aggressive motivation and action.

    Minakuchi, Tomohito / Guthman, Eartha Mae / Acharya, Preeta / Hinson, Justin / Fleming, Weston / Witten, Ilana B / Oline, Stefan N / Falkner, Annegret L

    Nature neuroscience

    2024  Volume 27, Issue 4, Page(s) 702–715

    Abstract: Social behaviors often consist of a motivational phase followed by action. Here we show that neurons in the ventromedial hypothalamus ventrolateral area (VMHvl) of mice encode the temporal sequence of aggressive motivation to action. The VMHvl receives ... ...

    Abstract Social behaviors often consist of a motivational phase followed by action. Here we show that neurons in the ventromedial hypothalamus ventrolateral area (VMHvl) of mice encode the temporal sequence of aggressive motivation to action. The VMHvl receives local inhibitory input (VMHvl shell) and long-range input from the medial preoptic area (MPO) with functional coupling to neurons with specific temporal profiles. Encoding models reveal that during aggression, VMHvl shell
    MeSH term(s) Mice ; Animals ; Aggression/physiology ; Motivation ; Social Behavior ; Hypothalamus/physiology ; Neurons/physiology
    Language English
    Publishing date 2024-02-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1420596-8
    ISSN 1546-1726 ; 1097-6256
    ISSN (online) 1546-1726
    ISSN 1097-6256
    DOI 10.1038/s41593-023-01563-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Selenomonas sputigena Interactions with Gingival Epithelial Cells That Promote Inflammation.

    Hawkes, Colin G / Hinson, Annie N / Vashishta, Aruna / Read, Curtis B / Carlyon, Jason A / Lamont, Richard J / Uriarte, Silvia M / Miller, Daniel P

    Infection and immunity

    2023  Volume 91, Issue 2, Page(s) e0031922

    Abstract: Increased prevalence and abundance of Selenomonas sputigena have been associated with periodontitis, a chronic inflammatory disease of tooth-supporting tissues, for more than 50 years. Over the past decade, molecular surveys of periodontal disease using ... ...

    Abstract Increased prevalence and abundance of Selenomonas sputigena have been associated with periodontitis, a chronic inflammatory disease of tooth-supporting tissues, for more than 50 years. Over the past decade, molecular surveys of periodontal disease using 16S and shotgun metagenomic sequencing approaches have confirmed the disease association of classically recognized periodontal pathogens such as Porphyromonas gingivalis, Treponema denticola, and Tannerella forsythia while highlighting previously underappreciated organisms such as Filifactor alocis and S. sputigena. Despite abundant clinical association between
    MeSH term(s) Humans ; Inflammation ; Periodontitis/pathology ; Porphyromonas gingivalis/metabolism ; Periodontal Diseases ; Cytokines/metabolism ; Epithelial Cells/metabolism
    Chemical Substances Cytokines
    Language English
    Publishing date 2023-01-17
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 218698-6
    ISSN 1098-5522 ; 0019-9567
    ISSN (online) 1098-5522
    ISSN 0019-9567
    DOI 10.1128/iai.00319-22
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Do prehospital sepsis alerts decrease time to complete CMS sepsis measures?

    Troncoso, Ruben / Garfinkel, Eric M / Hinson, Jeremiah S / Smith, Aria / Margolis, Asa M / Levy, Matthew J

    The American journal of emergency medicine

    2023  Volume 71, Page(s) 81–85

    Abstract: ... for patients who did not receive a prehospital sepsis alert (p-value 0.105). Median time to completion was ... shorter for serum lactate collection (28 min. vs 35 min., p-value 0.019), blood culture collection (28 min ... vs 38 min., p-value <0.01), and intravenous fluid administration (54 min. vs 61 min., p-value 0.025 ...

    Abstract Introduction: In an effort to improve sepsis outcomes the Centers for Medicare and Medicaid Services (CMS) established a time sensitive sepsis management bundle as a core quality measure that includes blood culture collection, serum lactate collection, initiation of intravenous fluid administration, and initiation of broad-spectrum antibiotics. Few studies examine the effects of a prehospital sepsis alert protocol on decreasing time to complete CMS sepsis core measures.
    Methods: This study was a retrospective cohort study of patients transported via EMS from December 1, 2018 to December 1, 2019 who met the criteria of the Maryland Statewide EMS sepsis protocol and compared outcomes between patients who activated a prehospital sepsis alert and patients who did not activate a prehospital sepsis alert. The Maryland Institute for Emergency Medical Services Systems developed a sepsis protocol that instructs EMS providers to notify the nearest appropriate facility with a sepsis alert if a patient 18 years of age and older is suspected of having an infection and also presents with at least two of the following: temperature >38 °C or <35.5 °C, a heart rate >100 beats per minute, a respiratory rate >25 breaths per minute or end-tidal carbon dioxide less than or equal to 32 mmHg, a systolic blood pressure <90 mmHg, or a point of care lactate reading greater than or equal to 4 mmol/L.
    Results: Median time to achieve all four studied CMS sepsis core measures was 103 min [IQR 61-153] for patients who received a prehospital sepsis alert and 106.5 min [IQR 75-189] for patients who did not receive a prehospital sepsis alert (p-value 0.105). Median time to completion was shorter for serum lactate collection (28 min. vs 35 min., p-value 0.019), blood culture collection (28 min. vs 38 min., p-value <0.01), and intravenous fluid administration (54 min. vs 61 min., p-value 0.025) but was not significantly different for antibiotic administration (94 min. vs 103 min., p-value 0.12) among patients who triggered a sepsis alert.
    Conclusion: This study questions the effectiveness of prehospital sepsis alert protocols on decreasing time to complete CMS sepsis core measures. Future studies should address if these times can be impacted by having EMS providers independently administer antibiotics.
    MeSH term(s) Humans ; Aged ; United States ; Adolescent ; Adult ; Retrospective Studies ; Centers for Medicare and Medicaid Services, U.S. ; Medicare ; Emergency Medical Services/methods ; Sepsis/therapy ; Sepsis/drug therapy ; Lactic Acid ; Anti-Bacterial Agents/therapeutic use
    Chemical Substances Lactic Acid (33X04XA5AT) ; Anti-Bacterial Agents
    Language English
    Publishing date 2023-06-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2023.06.024
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  5. Article ; Online: Epidemiology of alopecia areata in the Hispanic/Latinx community: A cross-sectional analysis of the All of Us database.

    Joshi, Tejas P / Garcia, Danielle / Gedeon, Francesca / Hinson, Darien / Strouphauer, Emily / Okundia, Fyona / Tschen, Jaime

    Journal of the American Academy of Dermatology

    2023  Volume 89, Issue 1, Page(s) e61–e62

    MeSH term(s) Humans ; Alopecia Areata/epidemiology ; Alopecia Areata/ethnology ; Cross-Sectional Studies ; Hispanic or Latino/statistics & numerical data ; Population Health
    Language English
    Publishing date 2023-03-13
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 603641-7
    ISSN 1097-6787 ; 0190-9622
    ISSN (online) 1097-6787
    ISSN 0190-9622
    DOI 10.1016/j.jaad.2023.02.054
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Paraneoplastic Calmodulin Kinase-Like Vesicle-Associated Protein (CAMKV) Autoimmune Encephalitis.

    Gilligan, Michael / Lesnick, Connie E / Guo, Yong / Bradshaw, Michael J / Ladha, Shafeeq S / Nowak, Mihaela / Shah, Maulik P / Wittenborn, John R / Basal, Eati / Hinson, Shannon / Yang, Binxia / Dubey, Divyanshu / Mills, John R / Pittock, Sean J / Zekeridou, Anastasia / McKeon, Andrew

    Annals of neurology

    2024  

    Abstract: Objectives: To report an autoimmune paraneoplastic encephalitis characterized by immunoglobulin G (IgG) antibody targeting synaptic protein calmodulin kinase-like vesicle-associated (CAMKV).: Methods: Serum and cerebrospinal fluid (CSF) samples ... ...

    Abstract Objectives: To report an autoimmune paraneoplastic encephalitis characterized by immunoglobulin G (IgG) antibody targeting synaptic protein calmodulin kinase-like vesicle-associated (CAMKV).
    Methods: Serum and cerebrospinal fluid (CSF) samples harboring unclassified antibodies on murine brain-based indirect immunofluorescence assay (IFA) were screened by human protein microarray. In 5 patients with identical cerebral IFA staining, CAMKV was identified as top-ranking candidate antigen. Western blots, confocal microscopy, immune-absorption, and mass spectrometry were performed to substantiate CAMKV specificity. Recombinant CAMKV-specific assays (cell-based [fixed and live] and Western blot) provided additional confirmation.
    Results: Of 5 CAMKV-IgG positive patients, 3 were women (median symptom-onset age was 59 years; range, 53-74). Encephalitis-onset was subacute (4) or acute (1) and manifested with: altered mental status (all), seizures (4), hyperkinetic movements (4), psychiatric features (3), memory loss (2), and insomnia (2). Paraclinical testing revealed CSF lymphocytic pleocytosis (all 4 tested), electrographic seizures (3 of 4 tested), and striking MRI abnormalities in all (mesial temporal lobe T2 hyperintensities [all patients], caudate head T2 hyperintensities [3], and cortical diffusion weighted hyperintensities [2]). None had post-gadolinium enhancement. Cancers were uterine adenocarcinoma (3 patients: poorly differentiated or neuroendocrine-differentiated in 2, both demonstrated CAMKV immunoreactivity), bladder urothelial carcinoma (1), and non-Hodgkin lymphoma (1). Two patients developed encephalitis following immune checkpoint inhibitor cancer therapy (atezolizumab [1], pembrolizumab [1]). All treated patients (4) demonstrated an initial response to immunotherapy (corticosteroids [4], IVIG [2]), though 3 died from cancer.
    Interpretation: CAMKV-IgG is a biomarker of immunotherapy-responsive paraneoplastic encephalitis with temporal and extratemporal features and uterine cancer as a prominent oncologic association. ANN NEUROL 2024.
    Language English
    Publishing date 2024-04-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80362-5
    ISSN 1531-8249 ; 0364-5134
    ISSN (online) 1531-8249
    ISSN 0364-5134
    DOI 10.1002/ana.26943
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  7. Article ; Online: Hemophagocytic Lymphohistiocytosis in Langerhans Cell Histiocytosis: A Case Report and Review of the Literature.

    Hinson, Ashley R P / Patel, Niraj / Kaplan, Joel

    Journal of pediatric hematology/oncology

    2019  Volume 43, Issue 1, Page(s) 24–27

    Abstract: A toddler undergoing treatment for refractory Langerhans cell histiocytosis (LCH) developed concurrent hemophagocytic lymphohistiocytosis (HLH). These are thought to be distinct histiocytic disorders, with different pathophysiologies, diagnostic criteria, ...

    Abstract A toddler undergoing treatment for refractory Langerhans cell histiocytosis (LCH) developed concurrent hemophagocytic lymphohistiocytosis (HLH). These are thought to be distinct histiocytic disorders, with different pathophysiologies, diagnostic criteria, and treatments. HLH in a patient with LCH is thought to be quite rare. In this report, we review the presentation of our patient, as well as review the existing literature of other pediatric patients who have been diagnosed with both LCH and HLH.
    MeSH term(s) Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Histiocytosis, Langerhans-Cell/complications ; Histiocytosis, Langerhans-Cell/drug therapy ; Histiocytosis, Langerhans-Cell/pathology ; Humans ; Infant ; Lymphohistiocytosis, Hemophagocytic/complications ; Lymphohistiocytosis, Hemophagocytic/drug therapy ; Lymphohistiocytosis, Hemophagocytic/pathology ; Male ; Prognosis
    Language English
    Publishing date 2019-11-11
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 1231152-2
    ISSN 1536-3678 ; 1077-4114 ; 0192-8562
    ISSN (online) 1536-3678
    ISSN 1077-4114 ; 0192-8562
    DOI 10.1097/MPH.0000000000001652
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  8. Article ; Online: Treponema denticola Induces Interleukin-36γ Expression in Human Oral Gingival Keratinocytes via the Parallel Activation of NF-κB and Mitogen-Activated Protein Kinase Pathways.

    Hinson, Annie N / Hawkes, Colin G / Blake, Christopher S / Fitzsimonds, Zackary R / Zhu, Bin / Buck, Gregory / Lamont, Richard J / Miller, Daniel P

    Infection and immunity

    2022  Volume 90, Issue 10, Page(s) e0024722

    Abstract: The oral epithelial barrier acts as both a physical barrier to the abundant oral microbiome and a sentry for the immune system that, in health, constrains the accumulation of the polymicrobial plaque biofilm. The immune homeostasis during gingivitis that ...

    Abstract The oral epithelial barrier acts as both a physical barrier to the abundant oral microbiome and a sentry for the immune system that, in health, constrains the accumulation of the polymicrobial plaque biofilm. The immune homeostasis during gingivitis that is largely protective becomes dysregulated, unproductive, and destructive to gingival tissue as periodontal disease progresses to periodontitis. The progression to periodontitis is associated with the dysbiosis of the oral microbiome, with increasing prevalences and abundances of periodontal pathogens such as Treponema denticola. Despite the association of T. denticola with a chronic inflammatory disease, relatively little is known about gingival epithelial cell responses to T. denticola infection. Here, we characterized the transcriptome of gingival keratinocytes following T. denticola challenge and identified interleukin-36γ (IL-36γ) as the most differentially expressed cytokine. IL-36γ expression is regulated by p65 NF-κB and the activation of both the Jun N-terminal protein kinase (JNK) and p38 mitogen-activated protein kinase (MAPK) pathways downstream of Toll-like receptor 2 (TLR2). Finally, we demonstrate for the first time that mitogen- and stress-activated kinase 1 (MSK1) contributes to IL-36γ expression and may link the activation of MAPK and NF-κB signaling. These findings suggest that the interactions of T. denticola with the gingival epithelium lead to elevated IL-36γ expression, which may be a critical inducer and amplifier of gingival inflammation and subsequent alveolar bone loss.
    MeSH term(s) Humans ; Cytokines ; Interleukins ; JNK Mitogen-Activated Protein Kinases ; Keratinocytes/metabolism ; Mitogen-Activated Protein Kinases ; Mitogens ; NF-kappa B ; p38 Mitogen-Activated Protein Kinases ; Periodontitis ; Toll-Like Receptor 2/metabolism ; Treponema denticola
    Chemical Substances Cytokines ; Interleukins ; JNK Mitogen-Activated Protein Kinases (EC 2.7.11.24) ; Mitogen-Activated Protein Kinases (EC 2.7.11.24) ; Mitogens ; NF-kappa B ; p38 Mitogen-Activated Protein Kinases (EC 2.7.11.24) ; Toll-Like Receptor 2 ; IL36G protein, human
    Language English
    Publishing date 2022-08-30
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 218698-6
    ISSN 1098-5522 ; 0019-9567
    ISSN (online) 1098-5522
    ISSN 0019-9567
    DOI 10.1128/iai.00247-22
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  9. Article ; Online: Enhanced recovery after surgery pathways for deep inferior epigastric perforator flap breast reconstruction: A systematic review and meta-analysis.

    Pierzchajlo, Noah / Zibitt, Meira / Hinson, Chandler / Stokes, J Avery / Neil, Zachery D / Pierzchajlo, Garret / Gendreau, Julian / Buchanan, Patrick J

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2023  Volume 87, Page(s) 259–272

    Abstract: ... length of stay, was reduced by a mean of 1.12 (95% confidence interval [CI] [-1.30, -0.94], n = 1627, p ... in the ERAS group by 104.02 (95% CI [-181.43, -26.61], n = 545, p = 0.008) OME. The ERAS group saw ... a significant 3.54 (95% CI [-4.43, -2.65], n = 527, p < 0.001) standardized mean difference cost reduction ...

    Abstract Background: Deep inferior epigastric perforator (DIEP) surgery is one of the most difficult breast reconstruction techniques available, both in terms of operating complexity and patient recovery. Enhanced recovery after surgery (ERAS) pathways were recently introduced in numerous subspecialties to reduce recovery time, patient pain, and cost by providing multimodal perioperative care. Plastic surgery has yet to widely integrate ERAS with DIEP reconstruction, mostly due to insufficient data on patient outcomes with this combined approach.
    Methods: Five major medical databases were queried using predetermined search criteria according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement. Statistical analysis was performed using Cochrane's RevMan (v5.4).
    Results: A total of 466 articles were identified. A total of 14 studies were included in the review with a combined sample of 2102 patients. Eight studies were included in the meta-analysis with a combined sample of 1679 patients. On average, the included studies utilized 11.69 of 18 suggested protocols for ERAS with breast reconstruction. Our primary outcome, length of stay, was reduced by a mean of 1.12 (95% confidence interval [CI] [-1.30, -0.94], n = 1627, p < 0.001) days in the ERAS group. Postoperative oral morphine equivalents (OME) were also reduced in the ERAS group by 104.02 (95% CI [-181.43, -26.61], n = 545, p = 0.008) OME. The ERAS group saw a significant 3.54 (95% CI [-4.43, -2.65], n = 527, p < 0.001) standardized mean difference cost reduction relative to the control groups. The surgery time was reduced by 60.46 (95% CI [-125, 4.29], n = 624, p < 0.07) min, although this was not statistically significant.
    Conclusions: The ERAS pathway in DIEP breast reconstruction is consistently associated with reduced hospital stay, opioid use, and patient cost. Moreover, there appears to be no evidence of serious adverse outcomes associated with the application of the ERAS protocol.
    MeSH term(s) Humans ; Enhanced Recovery After Surgery ; Perforator Flap ; Mammaplasty/methods ; Breast ; Perioperative Care
    Language English
    Publishing date 2023-10-15
    Publishing country Netherlands
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Review
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2023.10.058
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  10. Article ; Online: Incorporating Immunoproteins in the Development of Classification Models of Progression of Intracranial Hemorrhage After Traumatic Brain Injury.

    Hinson, H E / Li, Peter / Myers, Loren / Agarwal, Chinar / Pollock, Jeffrey / McWeeney, Shannon

    The Journal of head trauma rehabilitation

    2021  Volume 36, Issue 5, Page(s) E322–E328

    Abstract: ... rates of these models for correct classification of PICH were estimated; significance was set at P < .05 ... Results: We identified 106 patients, 36% had PICH. Dichotomized admission Glasgow Coma Scale (P = .004 ... Marshall score (P = .004), and 3 PCs were significantly associated with PICH. For the CV only model ...

    Abstract Objective: To define clinical, radiographic, and blood-based biomarker features to be incorporated into a classification model of progression of intracranial hemorrhage (PICH), and to provide a pilot assessment of those models.
    Methods: Patients with hemorrhage on admission head computed tomography were identified from a prospectively enrolled cohort of subjects with traumatic brain injury. Initial and follow-up images were interpreted both by 2 independent readers, and disagreements adjudicated. Admission plasma samples were analyzed and principal components (PCs) composed of the immune proteins (IPs) significantly associated with the outcome of interest were selected for further evaluation. A series of logistic regression models were constructed based on (1) clinical variables (CV) and (2) clinical variables + immune proteins (CV+IP). Error rates of these models for correct classification of PICH were estimated; significance was set at P < .05.
    Results: We identified 106 patients, 36% had PICH. Dichotomized admission Glasgow Coma Scale (P = .004), Marshall score (P = .004), and 3 PCs were significantly associated with PICH. For the CV only model, sensitivity was 1.0 and specificity was 0.29 (95% CI, 0.07-0.67). The CV+IP model performed significantly better, with a sensitivity of 0.93 (95% CI, 0.64-0.99) and a specificity of 1.0 (P = .008). Adjustments to refine the definition of PICH and better define radiographic predictors of PICH did not significantly improve the models' performance.
    Conclusions: In this pilot investigation, we observed that composites of IPs may improve PICH classification models when combined with CVs. However, overall model performance must be further optimized; results will inform feature inclusion included in follow-up models.
    MeSH term(s) Brain Injuries, Traumatic/complications ; Brain Injuries, Traumatic/diagnosis ; Glasgow Coma Scale ; Humans ; Immunoproteins ; Intracranial Hemorrhages/diagnostic imaging ; Retrospective Studies
    Chemical Substances Immunoproteins
    Language English
    Publishing date 2021-01-26
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 639221-0
    ISSN 1550-509X ; 0885-9701
    ISSN (online) 1550-509X
    ISSN 0885-9701
    DOI 10.1097/HTR.0000000000000654
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