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- Ruperto, N., et al.
(författare)
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A randomized, placebo-controlled trial of infliximab plus methotrexate for the treatment of polyarticular-course juvenile rheumatoid arthritis
- 2007
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Ingår i: Arthritis Rheum. - : Wiley. - 0004-3591. ; 56:9, s. 3096-3106
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To evaluate the safety and efficacy of infliximab in the treatment of juvenile rheumatoid arthritis (JRA). METHODS: This was an international, multicenter, randomized, placebo-controlled, double-blind study. One hundred twenty-two children with persistent polyarticular JRA despite prior methotrexate (MTX) therapy were randomized to receive infliximab or placebo for 14 weeks, after which all children received infliximab through week 44. Patients received MTX plus infliximab 3 mg/kg through week 44, or MTX plus placebo for 14 weeks followed by MTX plus infliximab 6 mg/kg through week 44. RESULTS: Although a higher proportion of patients in the 3 mg/kg infliximab group than in the placebo group had achieved responses according to the American College of Rheumatology (ACR) Pediatric 30 (Pedi 30) criteria for improvement at week 14 (63.8% and 49.2%, respectively), the between-group difference in this primary efficacy end point was not statistically significant (P = 0.12). By week 16, after the crossover from placebo to infliximab 6 mg/kg when all patients were receiving infliximab, an ACR Pedi 30 response was achieved in 73.2% of all patients. By week 52, ACR Pedi 50 and ACR Pedi 70 responses had been reached in 69.6% and 51.8%, respectively, of patients. Infliximab was generally well tolerated, but the safety profile of infliximab 3 mg/kg appeared less favorable than that of infliximab 6 mg/kg, with more frequent occurrences of serious adverse events, infusion reactions, antibodies to infliximab, and newly induced antinuclear antibodies and antibodies to double-stranded DNA observed with the 3 mg/kg dose. CONCLUSION: While infliximab at 3 mg/kg and 6 mg/kg showed durable efficacy at 1 year, achievement of the primary efficacy end point at 3 months did not differ significantly between infliximab-treated and placebo-treated patients. Safety data indicated that the 6-mg/kg dose may provide a more favorable risk/benefit profile. These results warrant further investigation in children with JRA.
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| 2. |
- Ruperto, N., et al.
(författare)
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PRINTO/PRES international website for families of children with rheumatic diseases: www.pediatric-rheumatology.printo.it
- 2005
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Ingår i: Ann Rheum Dis. - : BMJ. - 0003-4967. ; 64:7, s. 1101-6
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To prepare a website for families and health professionals containing up to date information about paediatric rheumatic diseases (PRD). METHODS: Firstly, paediatric rheumatology centres and family self help associations were surveyed to characterise current clinical practice of physicians providing care for children with PRD, research activities, and training facilities of each centre. Secondly, international consensus was reached on the content of the website. Finally, the website was developed and the texts translated. RESULTS: The web page contains three main sections: (a) description for families of the characteristics of 15 PRD; (b) list of paediatric rheumatology centres; (c) contact information for family self help associations. A version for 45 countries in 52 languages (with another three in progress) is now available on the web. 291 surveys from 171 centres and 102 family associations were received from 42 countries. The median proportion of time spent in paediatric practice in the centres examined was 100%, with 70% of this time dedicated to paediatric rheumatology. 90% of the centres were willing to perform clinical trials in the future. CONCLUSIONS: The PRINTO/PRES website provides a well defined and competent set of information about PRD, with appropriate multiple translated versions and easy web navigational direction.
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| 3. |
- Gutierrez-Suarez, R., et al.
(författare)
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Health-related quality of life of patients with juvenile idiopathic arthritis coming from 3 different geographic areas. The PRINTO multinational quality of life cohort study
- 2007
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Ingår i: Rheumatology (Oxford). - : Oxford University Press (OUP). - 1462-0324 .- 1462-0332. ; 46:2, s. 314-320
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: To compare health-related quality of life (HRQL) and to identify clinical determinants for poor HRQL of patients with juvenile idiopathic arthritis (JIA) coming from three geographic areas.METHODS: The HRQL was assessed through the Child Health Questionnaire (CHQ). A total of 30 countries were included grouped in three geographic areas: 16 countries in Western Europe; 10 in Eastern Europe; and four in Latin America. Potential determinants of poor HRQL included demographic data, physician's and parent's global assessments, measures of joint inflammation, disability as measured by Childhood Health Assessment Questionnaire (CHAQ) and erythrocyte sedimentation rate. Poor HRQL was defined as a CHQ physical summary score (PhS) or psychosocial summary score (PsS) <2 S.D. from that of healthy children.RESULTS: A total of 3167 patients with JIA, younger than 18 yrs, were included in this study. The most affected health concepts (<2 S.D. from healthy children) that differentiate the three geographic areas include physical functioning, bodily pain/discomfort, global health, general health perception, change in health with respect to the previous year, self-esteem and family cohesion. Determinants for poor HRQL were similar across geographic areas with physical well-being mostly affected by the level of disability while the psychosocial well-being by the intensity of pain.CONCLUSION: We found that patients with JIA have a significant impairment of their HRQL compared with healthy peers, particularly in the physical domain. Disability and pain are the most important determinants of physical and psychosocial well-being irrespective of the geographic area of origin.
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| 4. |
- Marchaudon, A., et al.
(författare)
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Simultaneous double star and cluster ftes observations on the dawnside flank of the magnetosphere
- 2006
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Ingår i: Eur Space Agency Spec Publ ESA SP. - 929092909X - 9789290929093 ; , s. 163-170
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Konferensbidrag (refereegranskat)abstract
- We present Cluster and Double Star-1 (TC-1) observations from a close magnetic conjunction on May 8, 2004. The five spacecraft were on the dawnside flank of the magnetosphere, with TC-1 located near the equatorial plane and Cluster at higher geographic latitudes in the southern hemisphere. TC-1, at its apogee, skimmed the magnetopause for almost 8 hours (between 08:00-16:00 UT). Flux Transfer Events (FTEs), moving southward/tailward from the reconnection site, were observed by TC-1 throughout almost all of the period. Cluster, travelling on a mainly dawn-dusk trajectory, crossed the magnetopause at around 10:30 UT in the same Magnetic Local Time (MLT) sector as TC-1 and remained close to the magnetopause boundary layer in the southern hemisphere. The four Cluster spacecraft observed FTEs for a period of 6.5 hours between 07:30 and 14:00 UT. From the properties of these FTEs, the reconnection site was located northward of both TC-1 and Cluster on the dawn flank of the magnetosphere. Reconnection occurred between draped magnetosheath and closed magnetospheric field lines. Despite variable interplanetary magnetic field (IMF) conditions and IMF-B z turnings, the IMF clock-angle remained greater than 70° and the location site appeared to remain relatively stable in position during the whole period. This result is in agreement with previous studies which reported that the dayside reconnection remained active for an IMF clock-angle greater than 70°. The simultaneous observation of FTEs at both Cluster and TC-1, separated by 2 hours in MLT, implies that the reconnection site on the magnetopause must have been extended over several hours in MLT. This event has been already presented in more details in [1].
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| 7. |
- Bavassano Cattaneo, M. Bice, et al.
(författare)
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Kinetic signatures during a quasi-continuous lobe reconnection event : Cluster Ion Spectrometer (CIS) observations
- 2006
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Ingår i: Journal of Geophysical Research. - 0148-0227 .- 2156-2202. ; 111:A9, s. A09212-
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Tidskriftsartikel (refereegranskat)abstract
- On 3 December 2001 the Cluster spacecraft observed a long-lasting lobe reconnection event in the southern high-latitude dusk magnetopause (MP) tailward of the cusp, during a 4 hour interval of mainly northward interplanetary magnetic field ( IMF) and of sub-Alfvenic magnetosheath flow. Almost all the MP encounters have accelerated flows ( for which the Walen test has been successfully verified by Retino et al. ( 2005)) as well as a large number of secondary populations related to reconnection, that is, ions of magnetosheath or magnetospheric origin which cross the MP either way. The detailed analysis of the distribution functions shows that the reconnection site frequently moves relative to the spacecraft, but simultaneous measurements by two spacecraft on opposite sides of the reconnection site indicate that the spacecraft's distance from the X line is small, i.e., below 3200 km. The vicinity to the X line throughout the event is probably the reason why the distribution functions characteristics agree with theoretical expectations on both sides of the reconnection site throughout this long event. Moreover, the detailed analysis of the distribution functions shows evidence, during a few time intervals, of dual reconnection, i.e., of reconnection simultaneously going on also in the northern hemisphere.
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| 10. |
- Sung, S. -K, et al.
(författare)
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Simultaneous ground-based and satellite observations of Pc5 geomagnetic pulsations : A case study using multipoint measurements
- 2006
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Ingår i: Earth Planets and Space. - 1343-8832 .- 1880-5981. ; 58:7, s. 873-883
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Tidskriftsartikel (refereegranskat)abstract
- Pc5 pulsations with a latitude-independent frequency of similar to 2.8 rnHz (period similar to 6 min) were observed with ground-based magnetometers in the morning sector (0700-1000 local time) from 0730 to 0810 UT, April 29, 2001. The pulsations exhibited an amplitude peak and a similar to 180 degrees phase change at similar to 67 degrees geomagnetic latitude. A vortex structure of the equivalent ionospheric current system was also observed centered at the geomagnetic latitude between 67 degrees and 71 degrees. During the Pc5 event, the Polar spacecraft was located near the morningside magnetic equator and crossed magnetic field lines conjugate to the ground stations at which the pulsations were strong. Polar observed similar to 2.8 mHz pulsations in the radial electric field and compressional magnetic field components. Since toroidal mode Alfven waves in the magnetosphere are characterized by an electric field perturbation in the radial direction, the simultaneous presence of pulsations in both components indicates that a field line resonance (FLR) was driven by compressional pulsations. The ground H component at the station conjugate to Polar and the radial electric field perturbation at Polar oscillated with a great similarity without a phase delay. From an analysis of the ground-satellite data, we suggest that the ground perturbations are associated with toroidal mode Alfven waves rather than compressional mode propagating across magnetic field lines. In addition, we discuss the source of the compressional perturbations observed at Polar using solar wind and geosynchronous data.
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