Journal articleJTO Clin Res Rep · August 2026
BACKGROUND: Local treatment options for progressive lung cancer or metastases located in the central or middle thirds of the lungs are limited, especially if progression occurs after radiation. In these patients, local thermal ablative therapies are fraugh ...
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Journal articleEur Heart J · July 9, 2026
BACKGROUND AND AIMS: Chronological age is central to cardiovascular disease (CVD) risk estimation but poorly reflects interindividual heterogeneity in cardiovascular aging. This study developed a peri-aortic adipose tissue (PAAT) radiomic cardiovascular ag ...
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Journal articleJAMA · June 16, 2026
IMPORTANCE: Bronchoscopic biopsy is conventionally performed with forceps, which can result in small specimen sizes and poor specimen quality due to crush artifact. Cryoprobe use localizes freezing at the probe tip, enabling retrieval of larger, more intac ...
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Journal articleJ Natl Compr Canc Netw · May 19, 2026
BACKGROUND: Lung cancer screening (LCS) uptake remains inequitable across the United States, especially among individuals who identify as Black or African American. Synthesized and integrated analyses of quantitative and qualitative studies provide a more ...
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Journal articleContemp Clin Trials · March 2026
BACKGROUND: Transbronchial biopsy is a common bronchoscopic procedure that is traditionally performed with forceps. However, its diagnostic capability is limited by small specimen size and crush artifact. A 1.1 mm cryoprobe was developed to overcome these ...
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Journal articleJ Thorac Dis · September 30, 2025
BACKGROUND: Pulmonary sarcoidosis is diagnosed by endobronchial ultrasound-guided transbronchial needle aspirate (EBUS-TBNA) of hilar and mediastinal lymph nodes and the finding of non-caseating granulomatous inflammation. There are currently no guidelines ...
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Journal articleCHEST Pulm · September 2025
BACKGROUND: Lung cancer screening (LCS) rates are low across the United States, with substantial disparities in availability and uptake. This trend is also reflected in the Veterans Affairs Healthcare System. We aimed to understand clinician perspectives o ...
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Journal articleATS Sch · September 2025
Background: Outside of the operating room airway management (OOORAM) poses unique challenges and is associated with increased complications when compared with routine operative airway management. Approaches to airway management between healthcare systems i ...
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Journal articleChest · January 2025
BACKGROUND: Central airway obstruction (CAO), seen in a variety of malignant and nonmalignant airway disorders, is associated with a poor prognosis. The management of CAO is dependent on provider training and local resources, which may make the clinical ap ...
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Journal articleJ Natl Compr Canc Netw · November 2024
The NCCN Guidelines for the Management of Immunotherapy-Related Toxicities are intended to provide oncology practitioners with guidance on how to manage the wide-ranging and potentially fatal toxicities that may occur with cancer immunotherapy. The guideli ...
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Journal articleLung Cancer · July 2024
BACKGROUND: Direct comparison of tumor microenvironment of matched lung cancer biopsies and pleural effusions (PE) from the same patients is critical in understanding tumor biology but has not been performed. This is the first study to compare the lung can ...
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Journal articleJ Natl Compr Canc Netw · April 18, 2024
BACKGROUND: Racial disparities in lung cancer screening (LCS) are well established. Black Veterans are among those at the highest risk for developing lung cancer but are less likely to complete LCS. We sought to identify barriers and facilitators to LCS up ...
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Journal articleChest · July 2023
BACKGROUND: Pleural cytology is currently used to assess targetable mutations in patients with advanced lung adenocarcinoma. However, it is fraught with low diagnostic yield. RESEARCH QUESTION: Can pleural cell-free DNA (cfDNA) be used to assess targetable ...
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Journal articleJAMA Netw Open · June 1, 2023
IMPORTANCE: Racial disparities in lung cancer screening (LCS) are often ascribed to barriers such as cost, insurance status, access to care, and transportation. Because these barriers are minimized within the Veterans Affairs system, there is a question of ...
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Journal articleLung Cancer · February 2023
Lung cancer screening (LCS) decreases lung cancer related mortality among high-risk people who smoke cigarettes and has been endorsed by the US Preventive Services Task Force (USPSTF) since 2013. However, adoption of LCS has been limited, and disparities i ...
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Journal articleJ Cardiopulm Rehabil Prev · May 1, 2022
PURPOSE: Few programs exist to address persistent impairment in functional status, quality of life, and mental health in lung cancer survivors. We aimed to determine whether a 12-wk multimodal survivorship program imparts clinical benefit. METHODS: Any pat ...
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Journal articleJ Natl Compr Canc Netw · April 2022
The aim of the NCCN Guidelines for Management of Immunotherapy-Related Toxicities is to provide guidance on the management of immune-related adverse events resulting from cancer immunotherapy. The NCCN Management of Immunotherapy-Related Toxicities Panel i ...
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Journal articleRespiration · 2022
RATIONALE: Transbronchial lung cryobiopsy (TBLC) has emerged as a less invasive method to obtain a tissue diagnosis in patients with interstitial lung disease (ILD). The diagnostic yield of TBLC compared to surgical lung biopsy (SLB) remains uncertain. OBJ ...
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Journal articleJ Bronchology Interv Pulmonol · July 1, 2021
BACKGROUND: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has become the standard for diagnosis and staging of lung cancer. Historically, 21- and 22-G needles have been paired with EBUS. We evaluated the performance of EBUS-T ...
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Journal articleJ Heart Lung Transplant · April 2021
BACKGROUND: Central airway stenosis (CAS) is a severe airway complication after lung transplantation associated with bronchial ischemia and necrosis. We sought to determine whether hyperbaric oxygen therapy (HBOT), an established treatment for tissue ische ...
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Journal articleRespiration · 2021
BACKGROUND: Despite increased use of rigid bronchoscopy (RB) for therapeutic indications and recommendations from professional societies to use performance-based competency, an assessment tool has not been utilized to measure the competency of trainees to ...
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Journal articleRespir Care · November 2020
BACKGROUND: Single-use flexible bronchoscopes have gained popularity in recent years for various advantages over the traditional reusable bronchoscope. There are several commercially available disposable bronchoscopes; however, all have limitations compare ...
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Journal articleRespirology · November 2020
BACKGROUND AND OBJECTIVE: The RENEW trial demonstrated that bronchoscopic lung volume reduction using endobronchial coils improves quality of life, pulmonary function and exercise performance. In this post hoc analysis of RENEW, we examine the mechanism of ...
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Journal articleAnn Am Thorac Soc · July 2020
Rationale: Bronchoscopic lung volume reduction with Zephyr Valves improves lung function, exercise tolerance, and quality of life of patients with hyperinflated emphysema and little to no collateral ventilation.Objectives:Post hoc analysis of patient-repor ...
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Journal articleJ Natl Compr Canc Netw · March 2020
The NCCN Guidelines for Management of Immunotherapy-Related Toxicities provide interdisciplinary guidance on the management of immune-related adverse events (irAEs) resulting from cancer immunotherapy. These NCCN Guidelines Insights describe symptoms that ...
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Journal articleMil Med · January 7, 2020
INTRODUCTION: There is mounting evidence of respiratory problems related to military service in the Middle East in the past two decades due to environmental exposures during deployment (eg, sand storms and burn pits). This pilot study tests the hypothesis ...
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Journal articleBMC Pulm Med · November 21, 2019
BACKGROUND: Malignant central airway obstruction (CAO) occurs in approximately 20-30% of patients with lung cancer and is associated with debilitating symptoms and poor prognosis. Multimodality therapeutic bronchoscopy can relieve malignant CAO, though car ...
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Journal articleChest · May 2019
BACKGROUND: The Lung Volume Reduction Coil Treatment in Patients With Emphysema (RENEW) trial reported improvements in quality of life, pulmonary function, and exercise performance following endobronchial coil treatment. OBJECTIVES: The purpose of this pos ...
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Journal articleJ Bronchology Interv Pulmonol · April 2019
BACKGROUND: Pleural fluid can be used to assess targetable mutations in patients with lung adenocarcinoma. The primary objective of this study was to assess the yield of pleural fluid cytology for targetable oncogenic mutations (EGFR, KRAS, BRAF, ALK, and ...
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Journal articleJ Bronchology Interv Pulmonol · April 2019
BACKGROUND: Bronchial stenosis is a significant source of morbidity among lung transplant recipients, with etiologies including infection and ischemia of the airways. Current management with balloon bronchoplasty and stents is imperfect and a subset of pat ...
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Journal articleJ Natl Compr Canc Netw · March 1, 2019
The aim of the NCCN Guidelines for Management of Immunotherapy-Related Toxicities is to provide guidance on the management of immune-related adverse events resulting from cancer immunotherapy. The NCCN Management of Immunotherapy-Related Toxicities Panel i ...
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Journal articleJ Natl Compr Canc Netw · February 2019
Background: Accurate staging for small cell lung cancer (SCLC) is critical for determining appropriate therapy. The clinical impact of increasing PET adoption and stage migration is well described in non-small cell lung cancer but not in SCLC. The objectiv ...
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Journal articleJ Bronchology Interv Pulmonol · July 2018
BACKGROUND: Metastasis of breast cancer to mediastinal lymph nodes is common and biopsy of suspicious lesions can have important diagnostic, prognostic, and therapeutic implications, particularly with respect to tumor receptor status. Our aim was to show t ...
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Journal articleAm J Case Rep · July 31, 2017
BACKGROUND Recurrent respiratory papillomatosis (RRP), caused by human papillomavirus (HPV), is the most common benign neoplasm of the larynx and central airways. RRP has a significant impact on quality life and high annual costs to healthcare. Currently, ...
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Journal articleAm J Transplant · July 2017
Bronchial stenosis in lung transplant recipients is a common disorder that adversely affects clinical outcomes. It is evaluated by spirometry, CT scanning, and bronchoscopy with significant limitations. We hypothesize that MRI using both ultrashort echo ti ...
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Journal articleAm J Respir Crit Care Med · April 15, 2017
RATIONALE: Patients with malignant pleural effusions have significant dyspnea and shortened life expectancy. Indwelling pleural catheters allow patients to drain pleural fluid at home and can lead to autopleurodesis. The optimal drainage frequency to achie ...
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Journal articleJ Allergy Clin Immunol · October 2016
The present study demonstrates that acute ozone exposure of healthy human subjects enhances lung immune responses to subsequent bacterial stimuli. This highlights common air pollutant exposures as modifiers of the intensity of pulmonary immune activation. ...
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Journal articleClin Transplant · September 2016
BACKGROUND: Central airway stenosis (CAS) is common after lung transplantation and causes significant post-transplant morbidity. It is often preceded by extensive airway necrosis, related to airway ischemia. Hyperbaric oxygen therapy (HBOT) is useful for i ...
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Journal articleJAMA · May 24, 2016
IMPORTANCE: Preliminary clinical trials have demonstrated that endobronchial coils compress emphysematous lung tissue and may improve lung function, exercise tolerance, and symptoms in patients with emphysema and severe lung hyperinflation. OBJECTIVE: To d ...
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Journal articleAnn Am Thorac Soc · April 2016
RATIONALE: Rigid bronchoscopy is increasingly used by pulmonologists for the management of central airway disorders. However, an assessment tool to evaluate the competency of operators in the performance of this technique has not been developed. We created ...
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Journal articleAm J Respir Crit Care Med · March 1, 2016
RATIONALE: Central airway stenosis (CAS) after lung transplantation has been attributed in part to chronic airway ischemia; however, little is known about the time course or significance of large airway hypoxia early after transplantation. OBJECTIVES: To e ...
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Journal articleAnn Am Thorac Soc · January 2015
RATIONALE: Endobronchial aspergilloma is a rare condition affecting immunocompromised patients. We present three cases resulting in airway fistulae. CASE PRESENTATIONS: A 68-year-old male with orthotopic heart transplantation presented with fatigue, cough, ...
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Journal articleRespiration · 2015
BACKGROUND: Central airway obstruction (CAO) occurs in patients with primary or metastatic lung malignancy and nonmalignant pulmonary disorders and results in significant adverse effects on respiratory function and quality of life. OBJECTIVES: The objectiv ...
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Journal articleCancer Invest · July 2014
The biopsy collection data from two lung cancer trials that required fresh tumor samples be obtained for microarray analysis were reviewed. In the trial for advanced disease, microarray data were obtained on 50 patient samples, giving an overall success ra ...
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Journal articleAnn Am Thorac Soc · May 2014
Due to growing interest in management of central airway obstruction, rigid bronchoscopy is undergoing a resurgence in popularity among pulmonologists. Performing rigid bronchoscopy requires use of deep sedation or general anesthesia to achieve adequate pat ...
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Journal articleChest · March 1, 2014
BACKGROUND: Linear endobronchial ultrasound (EBUS) allows real-time guidance of transbronchial needle aspiration of thoracic structures and has become an increasingly important diagnostic tool for chest physicians. Little has been published about the learn ...
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Journal articleBMJ Open Respir Res · 2014
INTRODUCTION: Providing smokers feedback using epigenetic markers of lung cancer risk has yet to be tested as a strategy to motivate smoking cessation. Epigenetic modification of Rb-p16 (p16) due to tobacco exposure is associated with increased risk of dev ...
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Journal articleAnn Am Thorac Soc · January 2014
RATIONALE: Clopidogrel is a commonly used antiplatelet medication. The risk of local hemorrhage associated with use of this drug during routine thoracentesis or small-bore chest tube placement is not well established. OBJECTIVES: We conducted a prospective ...
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Journal articleAnn Thorac Surg · September 2013
BACKGROUND: Risk factors and outcomes of bronchial stricture after lung transplantation are not well defined. An association between acute rejection and development of stricture has been suggested in small case series. We evaluated this relationship using ...
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Journal articleJ Bronchology Interv Pulmonol · July 2013
Optimal treatment for unresectable central airway tumors is not well established. Stereotactic body radiation therapy has shown efficacy for both peripheral and central lung lesions. However, the treatment of central tumors has been limited because of asso ...
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Journal articleAm J Transplant · February 2013
Central airways stenosis (CAS) after lung transplant is a poorly understood complication. Objectives of this study were to determine if CAS was associated with chronic rejection or worse survival after transplant as well as to identify factors associated w ...
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Journal articleLancet · September 10, 2011
BACKGROUND: Airway bypass is a bronchoscopic lung-volume reduction procedure for emphysema whereby transbronchial passages into the lung are created to release trapped air, supported with paclitaxel-coated stents to ease the mechanics of breathing. The aim ...
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Journal articleJ Thorac Oncol · September 2011
BACKGROUND: Laser has been the main ablative modality in the airways, but a growing experience with endobronchial electrocautery suggests a comparable efficacy and safety profile. OBJECTIVES: To evaluate the efficacy and safety of electrocautery as the pri ...
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Journal articleCurr Opin Pulm Med · July 2010
PURPOSE OF REVIEW: The field of pulmonary medicine has experienced a rapid growth in innovative new technologies aimed at both diagnosis and treatment of airway, mediastinal and parenchymal disorders. Endobronchial ultrasound (EBUS) has emerged as an extre ...
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Journal articleRespiration · 2010
BACKGROUND: Transbronchial lung biopsy (TBLB) is a commonly performed bronchoscopic procedure. Previous studies have suggested that larger biopsy forceps may improve diagnostic yield; however, the risk of bleeding associated with larger samples may be incr ...
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Journal articleJ Appl Physiol (1985) · August 2008
The effects of lung injury on pulmonary recruitment are incompletely understood. X-ray computed tomography (CT) has been a valuable tool in assessing changes in recruitment during lung injury. With the development of preclinical CT scanners designed for th ...
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Journal articleInfection · October 2007
Ochroconis gallopavum, a dematiaceous fungus, is a rare cause disease in immunocompromised patients and epidemic encephalitis in poultry. We report the first case of active O. gallopavum pulmonary infection in an immunocompetent host with rapid and complet ...
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Journal articleAm J Med Sci · April 2007
Numerous investigations studying multiple populations across a variety of environmental settings have demonstrated a strong association between ambient air particulate matter and cardiopulmonary morbidity and mortality. In most studies, the effect size of ...
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Journal articleAm J Med Sci · April 2007
Ozone is a respiratory irritant associated with a spectrum of adverse health events. Ground-level ozone has been shown to cause decreases in lung function and has been associated with other important respiratory health effects. Some reports suggest short-t ...
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Journal articleAm J Med Sci · April 2007
Outdoor air pollution is a significant public health hazard in population centers throughout the world. Recognition of air pollution as a nuisance dates back many centuries. Decades of research have established a strong link between air pollution and a spe ...
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Journal articleAm J Med Sci · April 2007
Air pollution is monitored on a daily basis in large population centers in the United States and reported to the general public through a variety of media outlets as the Air Quality Index. This index is based on current national air quality standards for c ...
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Journal articleAm J Med Sci · April 2007
Nitrogen dioxide (NO2), sulfur dioxide (SO2), and carbon monoxide are important ambient air pollutants. High-intensity, confined space exposure to NO2 has caused catastrophic injury to humans, including death. Ambient NO2 exposure may increase the risk of ...
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Journal articleExp Lung Res · 2007
Micro-computed tomography (microCT) is being increasingly used to examine small animal models of pulmonary injury. The authors have developed a microCT technique suitable for the determination of pulmonary compliance in injured mice. Lung volumes in normal ...
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Journal articleChest · August 2006
BACKGROUND: Approximately 10 to 15% of new-onset asthma in adults is attributable to occupational exposure. The occupational history is the most important instrument in the diagnosis of occupational asthma (OA). STUDY OBJECTIVES: To assess the quality of o ...
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Journal articleChest · August 2003
The term pulmonary pseudotumor may be used to describe a well-demarcated interlobar pleural effusion. Pseudotumors are located within pulmonary fissures and are commonly associated with congestive heart failure and other processes that cause transudative p ...
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Journal articleEcotoxicol Environ Saf · March 2002
Toxicity tests with larval marine organisms are widely used as water quality-monitoring tools. Often employing a single morphological endpoint, they provide only limited insight into toxic action mechanisms. Since mechanistic observations can provide more ...
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Journal articleAm J Physiol Gastrointest Liver Physiol · December 2000
Although substance P (SP) has been implicated as a mediator of neurogenic inflammation in the small intestine, little information is available regarding the role of SP in the pathogenesis of chronic ulcerative colitis. In this study, our aim was to investi ...
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Journal articleVet Parasitol · April 30, 1998
Sera from 361 horses were tested by indirect immunofluorescence antibody test (IFA) and by competitive inhibition ELISA (cELISA), to detect antibodies to Babesia equi. The concordance between the assays was 95.7%. Application of a cutoff based on a calcula ...
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Journal articleComp Biochem Physiol C Pharmacol Toxicol Endocrinol · January 1998
Many studies have used adenylate energy charge (AEC) as an index of an organism's metabolic state under conditions of imposed stress, either through natural or xenobiotic stressors. AEC is a linear measure of the ratio of ATP concentration to total adenyla ...
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Journal articleComparative Biochemistry and Physiology C Pharmacology Toxicology and Endocrinology · July 1, 1997
The activity of arginine kinase (AK) was evaluated by saturation transfer NMR in red abalone (Haliotis rufescens) in response to hypoxia, sodium azide (NaN3; an inhibitor of cytochrome c oxidase), or penta chlorophenol (PCP; an uncoupler of oxid ...
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Journal articleComparative Biochemistry and Physiology A Physiology · January 1, 1997
The effects of hypoxia, sodium azide and pentachlorophenol (PCP) exposure on high-energy phosphorylated compounds, intracellular pH (pH(i)) and intracellular free Mg2+ (Mg(f)) in intact red abalone (Haliotis rufescens) were determined using
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Journal articleMarine Environmental Research · January 1, 1996
Previous studies have demonstrated 31P nuclear magnetic resonance (NMR) to be a sensitive technique in assessing biochemical effects of sublethal toxicant exposure in live, intact marine organisms. This study builds upon previous work using
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Journal articleAquatic Toxicology · January 1, 1995
An acute study was carried out to determine the toxicokinetics and biotransformation of p-nitrophenol (PNP) in the black turban snail (Tegula funebralis), an intertidal gastropod mollusc. Snails (n = 80), in four groups of 20, were exposed to 10 mg/l of [U ...
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Journal articlePesticide Biochemistry and Physiology · January 1, 1993
In order to elucidate possible detoxication mechanisms, the disposition and biotransformation of pentachlorophenol (PCP, a general biocide) were compared in two marine molluscs: a bivalve, the Pacific oyster (Crassostrea gigas), and a gastropod, the green ...
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