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338 The Alabama Genomic Health Initiative: Integrating Genomic Medicine into Primary Care
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- Nita A Limdi, Devin Absher, Irf Asif, Lori Bateman, Greg Barsh, Kevin M. Bowling, Gregory M. Cooper, Brittney H. Davis, Kelly M. East, Candice R. Finnila, Blake Goff, Susan Hiatt, Melissa Kelly, Whitley V. Kelley, Bruce R. Korf, Donald R. Latner, James Lawlor, Thomas May, Matt Might, Irene P. Moss, Mariko Nakano-Okuno, Tiffany Osborne, Stephen Sodeke, Adriana Stout, Michelle L. Thompson
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- Journal:
- Journal of Clinical and Translational Science / Volume 7 / Issue s1 / April 2023
- Published online by Cambridge University Press:
- 24 April 2023, pp. 100-101
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OBJECTIVES/GOALS: Supported by the State of Alabama, the Alabama Genomic Health Initiative (AGHI) is aimed at preventing and treating common conditions with a genetic basis. This joint UAB Medicine-HudsonAlpha Institute for Biotechnology effort provides genomic testing, interpretation, and counseling free of charge to residents in each of Alabama’s 67 counties. METHODS/STUDY POPULATION: Launched in 2017, as a state-wide population cohort, AGHI (1.0) enrolled 6,331 Alabamians and returned individual risk of disease(s) related to the ACMG SF v2.0 medically actionable genes. In 2021, the cohort was expanded to include a primary care cohort. AGHI (2.0) has enrolled 750 primary care patients, returning individual risk of disease(s) related to the ACMG SF v3.1 gene list and pre-emptive pharmacogenetics (PGx) to guide medication therapy. Genotyping is done on the Illumina Global Diversity Array with Sanger sequencing to confirm likely pathogenic / pathogenic variants in medically actionable genes and CYP2D6 copy number variants using Taqman assays, resulting in a CLIA-grade report. Disease risk results are returned by genetic counselors and Pharmacogenetics results are returned by Pharmacists. RESULTS/ANTICIPATED RESULTS: We have engaged a statewide community (>7000 participants), returning 94 disease risk genetic reports and 500 PGx reports. Disease risk reports include increased predisposition to cancers (n=38), cardiac diseases (n=33), metabolic (n=12), other (n=11). 100% of participants harbor an actionable PGx variant, 70% are on medication with PGx guidance, 48% harbor PGx variants and are taking medications affected. In 10% of participants, pharmacists sent an active alert to the provider to consider/ recommend alternative medication. Most commonly impacted medications included antidepressants, NSAIDS, proton-pump inhibitors and tramadol. To enable the EMR integration of genomic information, we have developed an automated transfer of reports into the EMR with Genetics Reports and PGx reports viewable in Cerner. DISCUSSION/SIGNIFICANCE: We share our experience on pre-emptive implementation of genetic risk and pharmacogenetic actionability at a population and clinic level. Both patients and providers are actively engaged, providing feedback to refine the return of results. Real time alerts with guidance at the time of prescription are needed to ensure future actionability and value.
The First Cases of Evolving Glyphosate Resistance in UK Poverty Brome (Bromus sterilis) Populations
- Laura R. Davies, Richard Hull, Stephen Moss, Paul Neve
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- Journal:
- Weed Science / Volume 67 / Issue 1 / January 2019
- Published online by Cambridge University Press:
- 02 October 2018, pp. 41-47
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Poverty brome (Bromus sterilis L.) [sterile or barren brome, syn. Anisantha sterilis (L.) Nevski] is a problematic UK arable weed. There are currently no confirmed cases of glyphosate resistance in any weed species in the United Kingdom or in B. sterilis worldwide. However, there are reports of poor control by glyphosate in this species. Here, we report experiments to confirm the suspected on-farm resistance of B. sterilis populations to glyphosate. Glyphosate screening and dose–response experiments established that glyphosate sensitivity of three UK B. sterilis populations exhibiting poor field control is outside the normal range of sensitivity of 30 sensitive populations and adjacent unexposed populations. Control of sensitive populations ranged from 49% to 82% and for suspected resistant populations from 21% to 30%. Dose–response ED50 values of sensitive populations ranged between 241 and 313 g ai ha−1; corresponding values of suspected resistant populations ranged between 420 and 810 g ha−1, and resistance indices ranged from 1.55 to 4.5. Suspected resistant populations were incompletely controlled at the recommended field rate of glyphosate (540 g ha−1), while adjacent unexposed populations were completely controlled. We conclude that some UK populations of B. sterilis have reduced glyphosate sensitivity and are in the process of evolving resistance. This is the first reported case of reduced glyphosate sensitivity in any UK weed species and in B. sterilis worldwide. This, coupled with increasing glyphosate use, highlights the need for increased vigilance and monitoring for glyphosate resistance in the United Kingdom.
Herbicide Cross-Resistance in Slender Foxtail (Alopecurus myosuroides)
- Stephen R. Moss
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- Journal:
- Weed Science / Volume 38 / Issue 6 / November 1990
- Published online by Cambridge University Press:
- 12 June 2017, pp. 492-496
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The resistance of four populations of slender foxtail from England to chlorotoluron, pendimethalin, and the methyl ester of diclofop was studied in whole-plant spray assays. Two populations showed cross-resistance to all three herbicides while a third showed resistance to chlorotoluron only. Resistance, although not absolute, was sufficient to cause substantial reductions in herbicide performance at recommended field doses. Resistant (Peldon) and susceptible (Rothamsted) populations also were assessed for resistance to six dinitroaniline herbicides in a petri dish test in which the effects on shoot development were measured. The degree of resistance of the Peldon population varied considerably among herbicides, with greatest resistance to pendimethalin, whereas sensitivity to ethalfluralin, isopropalin, and trifluralin was similar to that of the Rothamsted standard. Differential response to butralin and oryzalin was smaller than to pendimethalin. The large difference between populations in their response to pendimethalin and trifluralin was confirmed in a pot experiment.
Managing Herbicide-resistant Blackgrass (Alopecurus myosuroides): Theory and Practice
- Stephen R. Moss, Sarah A. M. Perryman, Lynn V. Tatnell
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- Journal:
- Weed Technology / Volume 21 / Issue 2 / June 2007
- Published online by Cambridge University Press:
- 20 January 2017, pp. 300-309
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Blackgrass is the most important herbicide-resistant weed in Europe, occurring in 10 countries. Enhanced metabolism is the most common mechanism, conferring partial resistance to a wide range of herbicides, but acetyl-CoA carboxylase (ACCase) target-site resistance also occurs widely. Recently, acetolactate synthase (ALS) target-site resistance conferred by a Pro197 mutation was identified in blackgrass in England and is of concern because of increasing use of sulfonylurea herbicides such as mesosulfuron + iodosulfuron. Resistance management strategies encourage (1) greater use of cultural control measures such as plowing, crop rotation, and delayed drilling; (2) reduced reliance on high-risk herbicides (ACCase, ALS); and (3) use of mixtures and sequences of herbicides with different modes of action. A key message is that, as weeds are relatively immobile, preventing and managing herbicide resistance is largely within the individual farmer's own control. In practice, financial and environmental pressures limit the scope for more cultural control, and the European Community Pesticide Review will result in fewer alternative herbicides being available. Consultants often feel unable to recommend lower risk but weaker herbicide strategies to farmers because the amount of blackgrass remaining might be unacceptable. This dilemma is exemplified by the recent introduction of a formulated mixture of mesosulfuron + iodosulfuron, which has given outstanding control of blackgrass. Farmers expect new herbicides to become available, but this optimistic view appears misplaced. A primary aim is to continue to encourage farmers to integrate cultural and chemical control in a long-term strategy.
The Broadbalk long-term experiment at Rothamsted: what has it told us about weeds?
- Stephen R. Moss, Jonathan Storkey, John W. Cussans, Sarah A. M. Perryman, Michael V. Hewitt
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- Journal:
- Weed Science / Volume 52 / Issue 5 / October 2004
- Published online by Cambridge University Press:
- 20 January 2017, pp. 864-873
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The Broadbalk experiment was started in 1843 to investigate the relative importance of different plant nutrients (N, P, K, Na, Mg) on grain yield of winter wheat. Weeds were controlled initially by hand hoeing and fallowing, but since 1964, herbicides have been applied to the whole experiment with the exception of the 18 plots on Section 8. Approximately 130 weed species have been recorded on Broadbalk and about 30 of these are currently recorded annually on Section 8. Detailed weed surveys, conducted from 1930 to 1979, provide a unique 50-yr record, but the relatively small number of frequency categories used (six) poses a limitation on the interpretation of these data for ecological studies. Weed surveys were restarted in 1991 on Section 8. The current assessment method records the presence of individual weed species in 25 random 0.1-m2 quadrats per plot, which is more appropriate for detecting long-term trends in weed frequencies and population differences between plots. A principal components analysis of the 1991–2002 survey data for 15 species showed clearly the influence of inorganic N fertilizer levels on the frequency of individual species. The frequency of one species (common chickweed) was greatly favored by increasing amounts of nitrogen fertilizer from 0 to 288 kg N ha−1, others were strongly disadvantaged (e.g., black medic and field horsetail), some were slightly disadvantaged (e.g., common vetch and parsley-piert), and some showed little response to differing N rates (e.g., blackgrass and corn poppy). Other weed investigations include studies on the effects of fallowing on the weed seed bank, seed dormancy and persistence, agroecology, and population dynamics of individual weed species. Recently, molecular approaches have been used to study the genetic diversity of weeds found on Section 8, which is one of the few arable sites in the country where herbicides have never been applied. This site also provides an invaluable reserve for seven nationally rare or uncommon species. Broadbalk continues to act as a valuable resource for weed investigations 160 yr after it was established.
Using Assembly Theory to Explain Changes in a Weed Flora in Response to Agricultural Intensification
- J. Storkey, Stephen R. Moss, John W. Cussans
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- Journal:
- Weed Science / Volume 58 / Issue 1 / March 2010
- Published online by Cambridge University Press:
- 20 January 2017, pp. 39-46
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The intensification of crop management in the U.K. over the past 60 years has resulted in the decline of the populations of a number of annual plant species adapted to arable habitats. In contrast, other species continue to be common as arable weeds. A community assembly approach was taken to explain these recent changes in the weed flora using databases of plant functional traits, a pot experiment, and weed surveys of the Broadbalk long-term experiment. The hypothesis was tested that species that have been selected against by increased fertilizer inputs and herbicide use share an adverse combination of traits. An analysis comparing the combination of maximum height, seed weight, and time of first flowering of 29 common and 32 rare or threatened U.K. autumn weeds established that rare or threatened species occupied an area of trait space that was distinct from the common species. A rare weed trait syndrome of short stature, large seed, and late flowering was identified. The theory that species with a trait syndrome that is currently unfavorable are better adapted for less fertile environments was supported by the pot experiment. Species with a combination of short stature and large seed had a relatively greater competitive ability in low compared to high fertility treatments. Analysis of survey data from the Broadbalk long-term experiment confirmed that, as N inputs increased, the abundance of the two functional groups that contained only common species remained stable or increased; whereas, the groups dominated by rare or threatened species declined as fertility increased. An understanding of the response traits of arable plants to management filters, including fertilizer inputs and herbicide, is valuable for designing conservation strategies for rare species or predicting future shifts in the functional diversity of weed communities including the potential for invasive species to establish.
Identification of Japanese Foxtail (Alopecurus Japonicus) Resistant to Haloxyfop Using Three Different Assay Techniques
- Caihong Yang, Liyao Dong, Jun Li, Stephen R. Moss
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- Journal:
- Weed Science / Volume 55 / Issue 6 / December 2007
- Published online by Cambridge University Press:
- 20 January 2017, pp. 537-540
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The objective of this study was to investigate the resistance level of Japanese foxtail to haloxyfop, an acetyl coenzyme A carboxylase (ACCase; EC 6.4.1.2)–inhibiting herbicide. Eleven biotypes were collected from oilseed rape fields in different areas in Jiangsu and Anhui provinces where haloxyfop had been continuously applied for various periods. Biotypes were assessed by two different methods, a seed bioassay and whole-plant assay, to identify the most resistant and susceptible biotypes for further studies on the activity of the target enzyme ACCase. A good correlation was obtained between the two different bioassay methods. The Jurong and Chuzhou biotypes were the most resistant and susceptible biotypes, respectively, whereas the other nine biotypes showed variable and relatively low degrees of haloxyfop resistance. Furthermore, target-site enzyme sensitivity results confirmed that the Jurong biotype was resistant to haloxyfop with a concentration of herbicide causing 50% inhibition of ACCase activity (IC50) of 9.19 µM, whereas the IC50 of the susceptible biotype (Chuzhou) was 0.76 µM, giving a resistance index of 12.
Systematics of some Late Ordovician encrinurine trilobites from Laurentian North America
- David K. Moss, Stephen R. Westrop
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- Journal of Paleontology / Volume 88 / Issue 6 / November 2014
- Published online by Cambridge University Press:
- 14 July 2015, pp. 1095-1119
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Classification and relationships of the Ordovician encrinurines Frencrinoides Lespérance and Desbiens and Walencrinoides Lespérance and Desbiens are poorly understood, with little evidence for monophyly of either genus. We revise the type species of both genera, F. capitonis (Frederickson) and W. rarus (Walcott), using new and archival material. We explore their species composition and phylogenetic relationships with a parsimony analysis that includes 17 well-documented ingroup species that can be coded readily, and which is rooted with Encrinuroides regularis Parnaste, the oldest known encrinurine. The results support monophyly of Frencrinuroides and Walencrinuroides, albeit with more limited species membership than proposed by Lespérance and Desbiens. Previous suggestions that both E. uncatus Evitt and Tripp and E. neuter Evitt and Tripp should be assigned to Erratencrinurus Kruger are also supported by our analysis, as is monophyly of Physemataspis Evitt and Tripp. New species are W. rolfi and W. tremblayi.
Comparing Management Systems for Beef Cattle Backgrounding: A Multidisciplinary Approach
- Garnett L. Bradford, James A. Boling, Stephen R. Rutledge, Terry W. Moss
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- Journal:
- Journal of Agricultural and Applied Economics / Volume 10 / Issue 2 / December 1978
- Published online by Cambridge University Press:
- 28 April 2015, pp. 57-62
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Beef cattle production gradually has become more specialized with increasing separation of activities among geographic regions and farmers. The research literature commonly identifies two tiers of production — (1) cow-calf enterprises and (2) feedlot finishing [14, 19]. An intermediate tier — special feeding activities whose main functions are to assemble and grow out calves from a weaning weight to a weight and condition ready for feedlot finishing — has been operating for years. In recent years, as these activities have become more visible and distinct from the cow-calf or finishing enterprises, the name “backgrounding” has come into common usage among producers and market analysts [8].
Contributors
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- By Aakash Agarwala, Linda S. Aglio, Rae M. Allain, Paul D. Allen, Houman Amirfarzan, Yasodananda Kumar Areti, Amit Asopa, Edwin G. Avery, Patricia R. Bachiller, Angela M. Bader, Rana Badr, Sibinka Bajic, David J. Baker, Sheila R. Barnett, Rena Beckerly, Lorenzo Berra, Walter Bethune, Sascha S. Beutler, Tarun Bhalla, Edward A. Bittner, Jonathan D. Bloom, Alina V. Bodas, Lina M. Bolanos-Diaz, Ruma R. Bose, Jan Boublik, John P. Broadnax, Jason C. Brookman, Meredith R. Brooks, Roland Brusseau, Ethan O. Bryson, Linda A. Bulich, Kenji Butterfield, William R. Camann, Denise M. Chan, Theresa S. Chang, Jonathan E. Charnin, Mark Chrostowski, Fred Cobey, Adam B. Collins, Mercedes A. Concepcion, Christopher W. Connor, Bronwyn Cooper, Jeffrey B. Cooper, Martha Cordoba-Amorocho, Stephen B. Corn, Darin J. Correll, Gregory J. Crosby, Lisa J. Crossley, Deborah J. Culley, Tomas Cvrk, Michael N. D'Ambra, Michael Decker, Daniel F. Dedrick, Mark Dershwitz, Francis X. Dillon, Pradeep Dinakar, Alimorad G. Djalali, D. John Doyle, Lambertus Drop, Ian F. Dunn, Theodore E. Dushane, Sunil Eappen, Thomas Edrich, Jesse M. Ehrenfeld, Jason M. Erlich, Lucinda L. Everett, Elliott S. Farber, Khaldoun Faris, Eddy M. Feliz, Massimo Ferrigno, Richard S. Field, Michael G. Fitzsimons, Hugh L. Flanagan Jr., Vladimir Formanek, Amanda A. Fox, John A. Fox, Gyorgy Frendl, Tanja S. Frey, Samuel M. Galvagno Jr., Edward R. Garcia, Jonathan D. Gates, Cosmin Gauran, Brian J. Gelfand, Simon Gelman, Alexander C. Gerhart, Peter Gerner, Omid Ghalambor, Christopher J. Gilligan, Christian D. Gonzalez, Noah E. Gordon, William B. Gormley, Thomas J. Graetz, Wendy L. Gross, Amit Gupta, James P. Hardy, Seetharaman Hariharan, Miriam Harnett, Philip M. Hartigan, Joaquim M. Havens, Bishr Haydar, Stephen O. Heard, James L. Helstrom, David L. Hepner, McCallum R. Hoyt, Robert N. Jamison, Karinne Jervis, Stephanie B. Jones, Swaminathan Karthik, Richard M. Kaufman, Shubjeet Kaur, Lee A. Kearse Jr., John C. Keel, Scott D. Kelley, Albert H. Kim, Amy L. Kim, Grace Y. Kim, Robert J. Klickovich, Robert M. Knapp, Bhavani S. Kodali, Rahul Koka, Alina Lazar, Laura H. Leduc, Stanley Leeson, Lisa R. Leffert, Scott A. LeGrand, Patricio Leyton, J. Lance Lichtor, John Lin, Alvaro A. Macias, Karan Madan, Sohail K. Mahboobi, Devi Mahendran, Christine Mai, Sayeed Malek, S. Rao Mallampati, Thomas J. Mancuso, Ramon Martin, Matthew C. Martinez, J. A. Jeevendra Martyn, Kai Matthes, Tommaso Mauri, Mary Ellen McCann, Shannon S. McKenna, Dennis J. McNicholl, Abdel-Kader Mehio, Thor C. Milland, Tonya L. K. Miller, John D. Mitchell, K. Annette Mizuguchi, Naila Moghul, David R. Moss, Ross J. Musumeci, Naveen Nathan, Ju-Mei Ng, Liem C. Nguyen, Ervant Nishanian, Martina Nowak, Ala Nozari, Michael Nurok, Arti Ori, Rafael A. Ortega, Amy J. Ortman, David Oxman, Arvind Palanisamy, Carlo Pancaro, Lisbeth Lopez Pappas, Benjamin Parish, Samuel Park, Deborah S. Pederson, Beverly K. Philip, James H. Philip, Silvia Pivi, Stephen D. Pratt, Douglas E. Raines, Stephen L. Ratcliff, James P. Rathmell, J. Taylor Reed, Elizabeth M. Rickerson, Selwyn O. Rogers Jr., Thomas M. Romanelli, William H. Rosenblatt, Carl E. Rosow, Edgar L. Ross, J. Victor Ryckman, Mônica M. Sá Rêgo, Nicholas Sadovnikoff, Warren S. Sandberg, Annette Y. Schure, B. Scott Segal, Navil F. Sethna, Swapneel K. Shah, Shaheen F. Shaikh, Fred E. Shapiro, Torin D. Shear, Prem S. Shekar, Stanton K. Shernan, Naomi Shimizu, Douglas C. Shook, Kamal K. Sikka, Pankaj K. Sikka, David A. Silver, Jeffrey H. Silverstein, Emily A. Singer, Ken Solt, Spiro G. Spanakis, Wolfgang Steudel, Matthias Stopfkuchen-Evans, Michael P. Storey, Gary R. Strichartz, Balachundhar Subramaniam, Wariya Sukhupragarn, John Summers, Shine Sun, Eswar Sundar, Sugantha Sundar, Neelakantan Sunder, Faraz Syed, Usha B. Tedrow, Nelson L. Thaemert, George P. Topulos, Lawrence C. Tsen, Richard D. Urman, Charles A. Vacanti, Francis X. Vacanti, Joshua C. Vacanti, Assia Valovska, Ivan T. Valovski, Mary Ann Vann, Susan Vassallo, Anasuya Vasudevan, Kamen V. Vlassakov, Gian Paolo Volpato, Essi M. Vulli, J. Matthias Walz, Jingping Wang, James F. Watkins, Maxwell Weinmann, Sharon L. Wetherall, Mallory Williams, Sarah H. Wiser, Zhiling Xiong, Warren M. Zapol, Jie Zhou
- Edited by Charles Vacanti, Scott Segal, Pankaj Sikka, Richard Urman
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- Book:
- Essential Clinical Anesthesia
- Published online:
- 05 January 2012
- Print publication:
- 11 July 2011, pp xv-xxviii
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Contributors
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- By Waiel Almoustadi, Brian J. Anderson, David B. Auyong, Michael Avidan, Michael J. Avram, Roland J. Bainton, Jeffrey R. Balser, Juliana Barr, W. Scott Beattie, Manfred Blobner, T. Andrew Bowdle, Walter A. Boyle, Eugene B. Campbell, Laura F. Cavallone, Mario Cibelli, C. Michael Crowder, Ola Dale, M. Frances Davies, Mark Dershwitz, George Despotis, Clifford S. Deutschman, Brian S. Donahue, Marcel E. Durieux, Thomas J. Ebert, Talmage D. Egan, Helge Eilers, E. Wesley Ely, Charles W. Emala, Alex S. Evers, Heidrun Fink, Pierre Foëx, Stuart A. Forman, Helen F. Galley, Josephine M. Garcia-Ferrer, Robert W. Gereau, Tony Gin, David Glick, B. Joseph Guglielmo, Dhanesh K. Gupta, Howard B. Gutstein, Robert G. Hahn, Greg B. Hammer, Brian P. Head, Helen Higham, Laureen Hill, Kirk Hogan, Charles W. Hogue, Christopher G. Hughes, Eric Jacobsohn, Roger A. Johns, Dean R. Jones, Max Kelz, Evan D. Kharasch, Ellen W. King, W. Andrew Kofke, Tom C. Krejcie, Richard M. Langford, H. T. Lee, Isobel Lever, Jerrold H. Levy, J. Lance Lichtor, Larry Lindenbaum, Hung Pin Liu, Geoff Lockwood, Alex Macario, Conan MacDougall, M. B. MacIver, Aman Mahajan, Nándor Marczin, J. A. Jeevendra Martyn, George A. Mashour, Mervyn Maze, Thomas McDowell, Stuart McGrane, Berend Mets, Patrick Meybohm, Charles F. Minto, Jonathan Moss, Mohamed Naguib, Istvan Nagy, Nick Oliver, Paul S. Pagel, Pratik P. Pandharipande, Piyush Patel, Andrew J. Patterson, Robert A. Pearce, Ronald G. Pearl, Misha Perouansky, Kristof Racz, Chinniampalayam Rajamohan, Nilesh Randive, Imre Redai, Stephen Robinson, Richard W. Rosenquist, Carl E. Rosow, Uwe Rudolph, Francis V. Salinas, Robert D. Sanders, Sunita Sastry, Michael Schäfer, Jens Scholz, Thomas W. Schnider, Mark A. Schumacher, John W. Sear, Frédérique S. Servin, Jeffrey H. Silverstein, Tom De Smet, Martin Smith, Joe Henry Steinbach, Markus Steinfath, David F. Stowe, Gary R. Strichartz, Michel M. R. F. Struys, Isao Tsuneyoshi, Robert A. Veselis, Arthur Wallace, Robert P. Walt, David C. Warltier, Nigel R. Webster, Jeanine Wiener-Kronish, Troy Wildes, Paul Wischmeyer, Ling-Gang Wu, Stephen Yang
- Edited by Alex S. Evers, Washington University School of Medicine, St Louis, Mervyn Maze, University of California, San Francisco, Evan D. Kharasch, Washington University School of Medicine, St Louis
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- Book:
- Anesthetic Pharmacology
- Published online:
- 11 April 2011
- Print publication:
- 10 March 2011, pp viii-xiv
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