Post Dural Puncture Headache, Managed with Epidural Blood Patch, Is Associated with Subsequent Chronic Low Back Pain in Patients: a Pilot Study
Purpose of Review Post dural puncture headache (PDPH) is a relatively common complication which may occur in the setting of inadvertent dural puncture (DP) during labor epidural analgesia and during intentional DP during spinal anesthetic placement or diagnostic lumbar puncture. Few publications hav...
Ausführliche Beschreibung
Autor*in: |
Urits, Ivan [verfasserIn] Cai, Viet [verfasserIn] Aner, Musa [verfasserIn] Simopoulos, Thomas [verfasserIn] Orhurhu, Vwaire [verfasserIn] Nagda, Jyotsna [verfasserIn] Viswanath, Omar [verfasserIn] Kaye, Alan D. [verfasserIn] Hess, Philip E. [verfasserIn] Gill, Jatinder [verfasserIn] |
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Sprache: |
Englisch |
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2020 |
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Enthalten in: Current Review of Pain - Current Medicine Group, 1998, 24(2020), 1 vom: 08. Jan. |
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Übergeordnetes Werk: |
volume:24 ; year:2020 ; number:1 ; day:08 ; month:01 |
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DOI / URN: |
10.1007/s11916-020-0834-5 |
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Katalog-ID: |
SPR023014091 |
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520 | |a Purpose of Review Post dural puncture headache (PDPH) is a relatively common complication which may occur in the setting of inadvertent dural puncture (DP) during labor epidural analgesia and during intentional DP during spinal anesthetic placement or diagnostic lumbar puncture. Few publications have established the long-term safety of an epidural blood patch (EBP) for the treatment of a PDPH. Recent Findings The aim of this pilot study was to examine the association of chronic low back pain (LBP) in patients who experienced a PDPH following labor analgesia and were treated with an EBP. A total of 146 patients were contacted and completed a survey questionnaire via telephone. The EBP group was found to be more likely to have chronic LBP (percentage difference 20% [95% CI 6–33%], RR 2.6 [95% CI 1.3–5.2]) and also LBP < 6 (percentage difference 24% [95% CI 9– 37%], RR 2.3 [95% CI 1.3–4.1]). There were no significant differences in the severity and descriptive qualities of pain between the EBP and non-EBP groups. Summary Our findings suggest that PDPH treated with an EBP is associated with an increased prevalence of subsequent low back pain in parturients. The findings of this pilot study should spur further prospective research into identifying potential associations between DP, EBP, and chronic low back pain. | ||
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10.1007/s11916-020-0834-5 doi (DE-627)SPR023014091 (SPR)s11916-020-0834-5-e DE-627 ger DE-627 rakwb eng Urits, Ivan verfasserin aut Post Dural Puncture Headache, Managed with Epidural Blood Patch, Is Associated with Subsequent Chronic Low Back Pain in Patients: a Pilot Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose of Review Post dural puncture headache (PDPH) is a relatively common complication which may occur in the setting of inadvertent dural puncture (DP) during labor epidural analgesia and during intentional DP during spinal anesthetic placement or diagnostic lumbar puncture. Few publications have established the long-term safety of an epidural blood patch (EBP) for the treatment of a PDPH. Recent Findings The aim of this pilot study was to examine the association of chronic low back pain (LBP) in patients who experienced a PDPH following labor analgesia and were treated with an EBP. A total of 146 patients were contacted and completed a survey questionnaire via telephone. The EBP group was found to be more likely to have chronic LBP (percentage difference 20% [95% CI 6–33%], RR 2.6 [95% CI 1.3–5.2]) and also LBP < 6 (percentage difference 24% [95% CI 9– 37%], RR 2.3 [95% CI 1.3–4.1]). There were no significant differences in the severity and descriptive qualities of pain between the EBP and non-EBP groups. Summary Our findings suggest that PDPH treated with an EBP is associated with an increased prevalence of subsequent low back pain in parturients. The findings of this pilot study should spur further prospective research into identifying potential associations between DP, EBP, and chronic low back pain. Dural puncture (dpeaa)DE-He213 Epidural blood patch (dpeaa)DE-He213 Chronic low back pain (dpeaa)DE-He213 Post dural puncture headache (dpeaa)DE-He213 Labor analgesia (dpeaa)DE-He213 Parturient (dpeaa)DE-He213 Cai, Viet verfasserin aut Aner, Musa verfasserin aut Simopoulos, Thomas verfasserin aut Orhurhu, Vwaire verfasserin aut Nagda, Jyotsna verfasserin aut Viswanath, Omar verfasserin aut Kaye, Alan D. verfasserin aut Hess, Philip E. verfasserin aut Gill, Jatinder verfasserin aut Enthalten in Current Review of Pain Current Medicine Group, 1998 24(2020), 1 vom: 08. Jan. (DE-627)SPR023001666 nnns volume:24 year:2020 number:1 day:08 month:01 https://dx.doi.org/10.1007/s11916-020-0834-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_73 GBV_ILN_252 AR 24 2020 1 08 01 |
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10.1007/s11916-020-0834-5 doi (DE-627)SPR023014091 (SPR)s11916-020-0834-5-e DE-627 ger DE-627 rakwb eng Urits, Ivan verfasserin aut Post Dural Puncture Headache, Managed with Epidural Blood Patch, Is Associated with Subsequent Chronic Low Back Pain in Patients: a Pilot Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose of Review Post dural puncture headache (PDPH) is a relatively common complication which may occur in the setting of inadvertent dural puncture (DP) during labor epidural analgesia and during intentional DP during spinal anesthetic placement or diagnostic lumbar puncture. Few publications have established the long-term safety of an epidural blood patch (EBP) for the treatment of a PDPH. Recent Findings The aim of this pilot study was to examine the association of chronic low back pain (LBP) in patients who experienced a PDPH following labor analgesia and were treated with an EBP. A total of 146 patients were contacted and completed a survey questionnaire via telephone. The EBP group was found to be more likely to have chronic LBP (percentage difference 20% [95% CI 6–33%], RR 2.6 [95% CI 1.3–5.2]) and also LBP < 6 (percentage difference 24% [95% CI 9– 37%], RR 2.3 [95% CI 1.3–4.1]). There were no significant differences in the severity and descriptive qualities of pain between the EBP and non-EBP groups. Summary Our findings suggest that PDPH treated with an EBP is associated with an increased prevalence of subsequent low back pain in parturients. The findings of this pilot study should spur further prospective research into identifying potential associations between DP, EBP, and chronic low back pain. Dural puncture (dpeaa)DE-He213 Epidural blood patch (dpeaa)DE-He213 Chronic low back pain (dpeaa)DE-He213 Post dural puncture headache (dpeaa)DE-He213 Labor analgesia (dpeaa)DE-He213 Parturient (dpeaa)DE-He213 Cai, Viet verfasserin aut Aner, Musa verfasserin aut Simopoulos, Thomas verfasserin aut Orhurhu, Vwaire verfasserin aut Nagda, Jyotsna verfasserin aut Viswanath, Omar verfasserin aut Kaye, Alan D. verfasserin aut Hess, Philip E. verfasserin aut Gill, Jatinder verfasserin aut Enthalten in Current Review of Pain Current Medicine Group, 1998 24(2020), 1 vom: 08. Jan. (DE-627)SPR023001666 nnns volume:24 year:2020 number:1 day:08 month:01 https://dx.doi.org/10.1007/s11916-020-0834-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_73 GBV_ILN_252 AR 24 2020 1 08 01 |
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10.1007/s11916-020-0834-5 doi (DE-627)SPR023014091 (SPR)s11916-020-0834-5-e DE-627 ger DE-627 rakwb eng Urits, Ivan verfasserin aut Post Dural Puncture Headache, Managed with Epidural Blood Patch, Is Associated with Subsequent Chronic Low Back Pain in Patients: a Pilot Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose of Review Post dural puncture headache (PDPH) is a relatively common complication which may occur in the setting of inadvertent dural puncture (DP) during labor epidural analgesia and during intentional DP during spinal anesthetic placement or diagnostic lumbar puncture. Few publications have established the long-term safety of an epidural blood patch (EBP) for the treatment of a PDPH. Recent Findings The aim of this pilot study was to examine the association of chronic low back pain (LBP) in patients who experienced a PDPH following labor analgesia and were treated with an EBP. A total of 146 patients were contacted and completed a survey questionnaire via telephone. The EBP group was found to be more likely to have chronic LBP (percentage difference 20% [95% CI 6–33%], RR 2.6 [95% CI 1.3–5.2]) and also LBP < 6 (percentage difference 24% [95% CI 9– 37%], RR 2.3 [95% CI 1.3–4.1]). There were no significant differences in the severity and descriptive qualities of pain between the EBP and non-EBP groups. Summary Our findings suggest that PDPH treated with an EBP is associated with an increased prevalence of subsequent low back pain in parturients. The findings of this pilot study should spur further prospective research into identifying potential associations between DP, EBP, and chronic low back pain. Dural puncture (dpeaa)DE-He213 Epidural blood patch (dpeaa)DE-He213 Chronic low back pain (dpeaa)DE-He213 Post dural puncture headache (dpeaa)DE-He213 Labor analgesia (dpeaa)DE-He213 Parturient (dpeaa)DE-He213 Cai, Viet verfasserin aut Aner, Musa verfasserin aut Simopoulos, Thomas verfasserin aut Orhurhu, Vwaire verfasserin aut Nagda, Jyotsna verfasserin aut Viswanath, Omar verfasserin aut Kaye, Alan D. verfasserin aut Hess, Philip E. verfasserin aut Gill, Jatinder verfasserin aut Enthalten in Current Review of Pain Current Medicine Group, 1998 24(2020), 1 vom: 08. Jan. (DE-627)SPR023001666 nnns volume:24 year:2020 number:1 day:08 month:01 https://dx.doi.org/10.1007/s11916-020-0834-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_73 GBV_ILN_252 AR 24 2020 1 08 01 |
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10.1007/s11916-020-0834-5 doi (DE-627)SPR023014091 (SPR)s11916-020-0834-5-e DE-627 ger DE-627 rakwb eng Urits, Ivan verfasserin aut Post Dural Puncture Headache, Managed with Epidural Blood Patch, Is Associated with Subsequent Chronic Low Back Pain in Patients: a Pilot Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose of Review Post dural puncture headache (PDPH) is a relatively common complication which may occur in the setting of inadvertent dural puncture (DP) during labor epidural analgesia and during intentional DP during spinal anesthetic placement or diagnostic lumbar puncture. Few publications have established the long-term safety of an epidural blood patch (EBP) for the treatment of a PDPH. Recent Findings The aim of this pilot study was to examine the association of chronic low back pain (LBP) in patients who experienced a PDPH following labor analgesia and were treated with an EBP. A total of 146 patients were contacted and completed a survey questionnaire via telephone. The EBP group was found to be more likely to have chronic LBP (percentage difference 20% [95% CI 6–33%], RR 2.6 [95% CI 1.3–5.2]) and also LBP < 6 (percentage difference 24% [95% CI 9– 37%], RR 2.3 [95% CI 1.3–4.1]). There were no significant differences in the severity and descriptive qualities of pain between the EBP and non-EBP groups. Summary Our findings suggest that PDPH treated with an EBP is associated with an increased prevalence of subsequent low back pain in parturients. The findings of this pilot study should spur further prospective research into identifying potential associations between DP, EBP, and chronic low back pain. Dural puncture (dpeaa)DE-He213 Epidural blood patch (dpeaa)DE-He213 Chronic low back pain (dpeaa)DE-He213 Post dural puncture headache (dpeaa)DE-He213 Labor analgesia (dpeaa)DE-He213 Parturient (dpeaa)DE-He213 Cai, Viet verfasserin aut Aner, Musa verfasserin aut Simopoulos, Thomas verfasserin aut Orhurhu, Vwaire verfasserin aut Nagda, Jyotsna verfasserin aut Viswanath, Omar verfasserin aut Kaye, Alan D. verfasserin aut Hess, Philip E. verfasserin aut Gill, Jatinder verfasserin aut Enthalten in Current Review of Pain Current Medicine Group, 1998 24(2020), 1 vom: 08. Jan. (DE-627)SPR023001666 nnns volume:24 year:2020 number:1 day:08 month:01 https://dx.doi.org/10.1007/s11916-020-0834-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_73 GBV_ILN_252 AR 24 2020 1 08 01 |
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10.1007/s11916-020-0834-5 doi (DE-627)SPR023014091 (SPR)s11916-020-0834-5-e DE-627 ger DE-627 rakwb eng Urits, Ivan verfasserin aut Post Dural Puncture Headache, Managed with Epidural Blood Patch, Is Associated with Subsequent Chronic Low Back Pain in Patients: a Pilot Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose of Review Post dural puncture headache (PDPH) is a relatively common complication which may occur in the setting of inadvertent dural puncture (DP) during labor epidural analgesia and during intentional DP during spinal anesthetic placement or diagnostic lumbar puncture. Few publications have established the long-term safety of an epidural blood patch (EBP) for the treatment of a PDPH. Recent Findings The aim of this pilot study was to examine the association of chronic low back pain (LBP) in patients who experienced a PDPH following labor analgesia and were treated with an EBP. A total of 146 patients were contacted and completed a survey questionnaire via telephone. The EBP group was found to be more likely to have chronic LBP (percentage difference 20% [95% CI 6–33%], RR 2.6 [95% CI 1.3–5.2]) and also LBP < 6 (percentage difference 24% [95% CI 9– 37%], RR 2.3 [95% CI 1.3–4.1]). There were no significant differences in the severity and descriptive qualities of pain between the EBP and non-EBP groups. Summary Our findings suggest that PDPH treated with an EBP is associated with an increased prevalence of subsequent low back pain in parturients. The findings of this pilot study should spur further prospective research into identifying potential associations between DP, EBP, and chronic low back pain. Dural puncture (dpeaa)DE-He213 Epidural blood patch (dpeaa)DE-He213 Chronic low back pain (dpeaa)DE-He213 Post dural puncture headache (dpeaa)DE-He213 Labor analgesia (dpeaa)DE-He213 Parturient (dpeaa)DE-He213 Cai, Viet verfasserin aut Aner, Musa verfasserin aut Simopoulos, Thomas verfasserin aut Orhurhu, Vwaire verfasserin aut Nagda, Jyotsna verfasserin aut Viswanath, Omar verfasserin aut Kaye, Alan D. verfasserin aut Hess, Philip E. verfasserin aut Gill, Jatinder verfasserin aut Enthalten in Current Review of Pain Current Medicine Group, 1998 24(2020), 1 vom: 08. Jan. (DE-627)SPR023001666 nnns volume:24 year:2020 number:1 day:08 month:01 https://dx.doi.org/10.1007/s11916-020-0834-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_73 GBV_ILN_252 AR 24 2020 1 08 01 |
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Urits, Ivan |
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Urits, Ivan misc Dural puncture misc Epidural blood patch misc Chronic low back pain misc Post dural puncture headache misc Labor analgesia misc Parturient Post Dural Puncture Headache, Managed with Epidural Blood Patch, Is Associated with Subsequent Chronic Low Back Pain in Patients: a Pilot Study |
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Post Dural Puncture Headache, Managed with Epidural Blood Patch, Is Associated with Subsequent Chronic Low Back Pain in Patients: a Pilot Study Dural puncture (dpeaa)DE-He213 Epidural blood patch (dpeaa)DE-He213 Chronic low back pain (dpeaa)DE-He213 Post dural puncture headache (dpeaa)DE-He213 Labor analgesia (dpeaa)DE-He213 Parturient (dpeaa)DE-He213 |
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misc Dural puncture misc Epidural blood patch misc Chronic low back pain misc Post dural puncture headache misc Labor analgesia misc Parturient |
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misc Dural puncture misc Epidural blood patch misc Chronic low back pain misc Post dural puncture headache misc Labor analgesia misc Parturient |
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misc Dural puncture misc Epidural blood patch misc Chronic low back pain misc Post dural puncture headache misc Labor analgesia misc Parturient |
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Post Dural Puncture Headache, Managed with Epidural Blood Patch, Is Associated with Subsequent Chronic Low Back Pain in Patients: a Pilot Study |
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(DE-627)SPR023014091 (SPR)s11916-020-0834-5-e |
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Post Dural Puncture Headache, Managed with Epidural Blood Patch, Is Associated with Subsequent Chronic Low Back Pain in Patients: a Pilot Study |
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Urits, Ivan |
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Current Review of Pain |
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2020 |
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Urits, Ivan Cai, Viet Aner, Musa Simopoulos, Thomas Orhurhu, Vwaire Nagda, Jyotsna Viswanath, Omar Kaye, Alan D. Hess, Philip E. Gill, Jatinder |
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24 |
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Urits, Ivan |
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10.1007/s11916-020-0834-5 |
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post dural puncture headache, managed with epidural blood patch, is associated with subsequent chronic low back pain in patients: a pilot study |
title_auth |
Post Dural Puncture Headache, Managed with Epidural Blood Patch, Is Associated with Subsequent Chronic Low Back Pain in Patients: a Pilot Study |
abstract |
Purpose of Review Post dural puncture headache (PDPH) is a relatively common complication which may occur in the setting of inadvertent dural puncture (DP) during labor epidural analgesia and during intentional DP during spinal anesthetic placement or diagnostic lumbar puncture. Few publications have established the long-term safety of an epidural blood patch (EBP) for the treatment of a PDPH. Recent Findings The aim of this pilot study was to examine the association of chronic low back pain (LBP) in patients who experienced a PDPH following labor analgesia and were treated with an EBP. A total of 146 patients were contacted and completed a survey questionnaire via telephone. The EBP group was found to be more likely to have chronic LBP (percentage difference 20% [95% CI 6–33%], RR 2.6 [95% CI 1.3–5.2]) and also LBP < 6 (percentage difference 24% [95% CI 9– 37%], RR 2.3 [95% CI 1.3–4.1]). There were no significant differences in the severity and descriptive qualities of pain between the EBP and non-EBP groups. Summary Our findings suggest that PDPH treated with an EBP is associated with an increased prevalence of subsequent low back pain in parturients. The findings of this pilot study should spur further prospective research into identifying potential associations between DP, EBP, and chronic low back pain. |
abstractGer |
Purpose of Review Post dural puncture headache (PDPH) is a relatively common complication which may occur in the setting of inadvertent dural puncture (DP) during labor epidural analgesia and during intentional DP during spinal anesthetic placement or diagnostic lumbar puncture. Few publications have established the long-term safety of an epidural blood patch (EBP) for the treatment of a PDPH. Recent Findings The aim of this pilot study was to examine the association of chronic low back pain (LBP) in patients who experienced a PDPH following labor analgesia and were treated with an EBP. A total of 146 patients were contacted and completed a survey questionnaire via telephone. The EBP group was found to be more likely to have chronic LBP (percentage difference 20% [95% CI 6–33%], RR 2.6 [95% CI 1.3–5.2]) and also LBP < 6 (percentage difference 24% [95% CI 9– 37%], RR 2.3 [95% CI 1.3–4.1]). There were no significant differences in the severity and descriptive qualities of pain between the EBP and non-EBP groups. Summary Our findings suggest that PDPH treated with an EBP is associated with an increased prevalence of subsequent low back pain in parturients. The findings of this pilot study should spur further prospective research into identifying potential associations between DP, EBP, and chronic low back pain. |
abstract_unstemmed |
Purpose of Review Post dural puncture headache (PDPH) is a relatively common complication which may occur in the setting of inadvertent dural puncture (DP) during labor epidural analgesia and during intentional DP during spinal anesthetic placement or diagnostic lumbar puncture. Few publications have established the long-term safety of an epidural blood patch (EBP) for the treatment of a PDPH. Recent Findings The aim of this pilot study was to examine the association of chronic low back pain (LBP) in patients who experienced a PDPH following labor analgesia and were treated with an EBP. A total of 146 patients were contacted and completed a survey questionnaire via telephone. The EBP group was found to be more likely to have chronic LBP (percentage difference 20% [95% CI 6–33%], RR 2.6 [95% CI 1.3–5.2]) and also LBP < 6 (percentage difference 24% [95% CI 9– 37%], RR 2.3 [95% CI 1.3–4.1]). There were no significant differences in the severity and descriptive qualities of pain between the EBP and non-EBP groups. Summary Our findings suggest that PDPH treated with an EBP is associated with an increased prevalence of subsequent low back pain in parturients. The findings of this pilot study should spur further prospective research into identifying potential associations between DP, EBP, and chronic low back pain. |
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Post Dural Puncture Headache, Managed with Epidural Blood Patch, Is Associated with Subsequent Chronic Low Back Pain in Patients: a Pilot Study |
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https://dx.doi.org/10.1007/s11916-020-0834-5 |
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Cai, Viet Aner, Musa Simopoulos, Thomas Orhurhu, Vwaire Nagda, Jyotsna Viswanath, Omar Kaye, Alan D. Hess, Philip E. Gill, Jatinder |
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Cai, Viet Aner, Musa Simopoulos, Thomas Orhurhu, Vwaire Nagda, Jyotsna Viswanath, Omar Kaye, Alan D. Hess, Philip E. Gill, Jatinder |
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