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- Getahun, H, et al.
(författare)
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Management of latent Mycobacterium tuberculosis infection: WHO guidelines for low tuberculosis burden countries
- 2015
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Ingår i: The European respiratory journal. - : European Respiratory Society (ERS). - 1399-3003 .- 0903-1936. ; 46:6, s. 1563-1576
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Tidskriftsartikel (refereegranskat)abstract
- Latent tuberculosis infection (LTBI) is characterised by the presence of immune responses to previously acquired Mycobacterium tuberculosis infection without clinical evidence of active tuberculosis (TB). Here we report evidence-based guidelines from the World Health Organization for a public health approach to the management of LTBI in high risk individuals in countries with high or middle upper income and TB incidence of <100 per 100 000 per year. The guidelines strongly recommend systematic testing and treatment of LTBI in people living with HIV, adult and child contacts of pulmonary TB cases, patients initiating anti-tumour necrosis factor treatment, patients receiving dialysis, patients preparing for organ or haematological transplantation, and patients with silicosis. In prisoners, healthcare workers, immigrants from high TB burden countries, homeless persons and illicit drug users, systematic testing and treatment of LTBI is conditionally recommended, according to TB epidemiology and resource availability. Either commercial interferon-gamma release assays or Mantoux tuberculin skin testing could be used to test for LTBI. Chest radiography should be performed before LTBI treatment to rule out active TB disease. Recommended treatment regimens for LTBI include: 6 or 9 month isoniazid; 12 week rifapentine plus isoniazid; 3–4 month isoniazid plus rifampicin; or 3–4 month rifampicin alone.
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| 2. |
- Abidi, S, et al.
(författare)
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Standardised shorter regimens versus individualised longer regimens for rifampin- or multidrug-resistant tuberculosis
- 2020
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Ingår i: The European respiratory journal. - : European Respiratory Society (ERS). - 1399-3003 .- 0903-1936. ; 55:3
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Tidskriftsartikel (refereegranskat)abstract
- We sought to compare the effectiveness of two World Health Organization (WHO)-recommended regimens for the treatment of rifampin- or multidrug-resistant (RR/MDR) tuberculosis (TB): a standardised regimen of 9–12 months (the “shorter regimen”) and individualised regimens of ≥20 months (“longer regimens”).We collected individual patient data from observational studies identified through systematic reviews and a public call for data. We included patients meeting WHO eligibility criteria for the shorter regimen: not previously treated with second-line drugs, and with fluoroquinolone- and second-line injectable agent-susceptible RR/MDR-TB. We used propensity score matched, mixed effects meta-regression to calculate adjusted odds ratios and adjusted risk differences (aRDs) for failure or relapse, death within 12 months of treatment initiation and loss to follow-up.We included 2625 out of 3378 (77.7%) individuals from nine studies of shorter regimens and 2717 out of 13 104 (20.7%) individuals from 53 studies of longer regimens. Treatment success was higher with the shorter regimen than with longer regimens (pooled proportions 80.0% versus 75.3%), due to less loss to follow-up with the former (aRD −0.15, 95% CI −0.17– −0.12). The risk difference for failure or relapse was slightly higher with the shorter regimen overall (aRD 0.02, 95% CI 0–0.05) and greater in magnitude with baseline resistance to pyrazinamide (aRD 0.12, 95% CI 0.07–0.16), prothionamide/ethionamide (aRD 0.07, 95% CI −0.01–0.16) or ethambutol (aRD 0.09, 95% CI 0.04–0.13).In patients meeting WHO criteria for its use, the standardised shorter regimen was associated with substantially less loss to follow-up during treatment compared with individualised longer regimens and with more failure or relapse in the presence of resistance to component medications. Our findings support the need to improve access to reliable drug susceptibility testing.
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| 8. |
- Nylandsted Larsen, A., et al.
(författare)
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Tin-vacancy acceptor levels in electron-irradiated n-type silicon
- 2000
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Ingår i: Physical Review B. Condensed Matter and Materials Physics. - 1098-0121 .- 1550-235X. ; 62:7, s. 4535-4544
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Tidskriftsartikel (refereegranskat)abstract
- Si crystals (n-type, fz) with doping levels between 1.5×1014 and 2×1016 cm-3 containing in addition ∼1018 Sn/cm3 were irradiated with 2-MeV electrons to different doses and subsequently studied by deep level transient spectroscopy, Mössbauer spectroscopy, and positron annihilation. Two tin-vacancy (Sn-V) levels at Ec-0.214 eV and Ec-0.501 eV have been identified (Ec denotes the conduction band edge). Based on investigations of the temperature dependence of the electron-capture cross sections, the electric-field dependence of the electron emissivity, the anneal temperature, and the defect-introduction rate, it is concluded that these levels are the double and single acceptor levels, respectively, of the Sn-V pair. These conclusions are in agreement with electronic structure calculations carried out using a local spin-density functional theory, incorporating pseudopotentials to eliminate the core electrons, and applied to large H-terminated clusters. Thus, the Sn-V pair in Si has five different charge states corresponding to four levels in the band gap.
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| 9. |
- Roebbert, Y., et al.
(författare)
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Fractionation of Fe and Cu isotopes in acid mine tailings : Modification and application of a sequential extraction method
- 2018
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Ingår i: Chemical Geology. - : Elsevier. - 0009-2541 .- 1872-6836. ; 493, s. 67-79
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Tidskriftsartikel (refereegranskat)abstract
- Sulfidic mine tailings have a high potential for contamination of the environment by triggering acid mine drainage. Hence, it is crucial to understand metal mobilization processes and to develop monitoring tools. Metal isotope fingerprinting as a potential monitoring tool for metal sulfide oxidation processes was in the focus of this study by using stable isotope signatures of Cu and Fe. For Fe, a six-step sequential extraction method was applied, in order to separate potential Fe-bearing minerals (water-soluble, exchangeable fraction, Fe(III)(oxyhydr)oxides, Fe-oxides, sulfides and organic compounds and residual/silicates). For Cu, this method was modified into a four step extraction method (water-soluble, exchangeable fraction, oxalate fraction/bound to Fe-oxides and sulfides/residual). To verify accuracy and precision of the sequential extraction method for metal isotope analysis, isotope fractionation during the extraction procedure was investigated employing minerals for which the mineral composition and the isotopic composition was known. The developed procedure is suitable to separate target minerals with only a small loss in the elemental budget. No significant isotope fractionation was observed during the extraction procedure.Application of this method on two sites of porphyry copper mine tailings in the Atacama Desert in Chile (Chañaral bay) revealed several implications about the mobilization of Fe and Cu in an environmental setting. Iron contents and Fe isotope compositions are homogeneous with depth (0–61 cm; δ56Fe ~0.2–0.3‰) for the bulk and the Fe(hyr)oxide fraction and only the deepest samples at ~60 cm exhibited lower δ56Fe values (~0‰), which are likely related to the occurrence of an alluvium at this depth. The Fe silicate fraction shows higher δ56Fe values (0.6–0.9‰), most likely because of preferential leaching of the light Fe isotopes. This consequently indicates a more pronounced Fe isotope fractionation with depth, as is expected from longer weathering. The Fe sulfide fraction is isotopically lighter compared to the Fe(hydr)oxide fraction, because during sulfide oxidation the heavy Fe isotopes prefer the oxidized forms and oxidative precipitation results in an enriched Fe isotopic signature for Fe(hydr)oxides. The Cu isotope compositions of all bulk samples and individual fractions (except the Cu sulfides) of one site (Ch1) exhibited a decrease of the δ65Cu values from the depth towards the surface, i.e. in agreement with the capillary water rise in the arid climate. A correlation of δ65Cu with pH indicates preferential adsorption of 65Cu on Fe(oxy)hydroxides at site Ch1, which is evident by a change of δ65Cu from 0.5‰ to −0.7‰ in the water-soluble fraction. At another site (Ch12), where pH at depths was potentially not high enough for the formation of Fe-minerals that could adsorb Cu, only minor Cu isotope fractionation was observed in the water-soluble fraction. The Cu sulfide fraction at site Ch1 exhibits higher δ65Cu values with an increase from the bottom (0.42‰) to the surface (0.92‰), which might be related to preferential leaching of the light isotopes, e.g. by microorganisms.
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