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- Pantazis, N, et al.
(författare)
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Determining the likely place of HIV acquisition for migrants in Europe combining subject-specific information and biomarkers data
- 2019
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Ingår i: Statistical methods in medical research. - : SAGE Publications. - 1477-0334 .- 0962-2802. ; 28:7, s. 1979-1997
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Tidskriftsartikel (refereegranskat)abstract
- In most HIV-positive individuals, infection time is only known to lie between the time an individual started being at risk for HIV and diagnosis time. However, a more accurate estimate of infection time is very important in certain cases. For example, one of the objectives of the Advancing Migrant Access to Health Services in Europe (aMASE) study was to determine if HIV-positive migrants, diagnosed in Europe, were infected pre- or post-migration. We propose a method to derive subject-specific estimates of unknown infection times using information from HIV biomarkers’ measurements, demographic, clinical, and behavioral data. We assume that CD4 cell count (CD4) and HIV-RNA viral load trends after HIV infection follow a bivariate linear mixed model. Using post-diagnosis CD4 and viral load measurements and applying the Bayes’ rule, we derived the posterior distribution of the HIV infection time, whereas the prior distribution was informed by AIDS status at diagnosis and behavioral data. Parameters of the CD4–viral load and time-to-AIDS models were estimated using data from a large study of individuals with known HIV infection times (CASCADE). Simulations showed substantial predictive ability (e.g. 84% of the infections were correctly classified as pre- or post-migration). Application to the aMASE study ( n = 2009) showed that 47% of African migrants and 67% to 72% of migrants from other regions were most likely infected post-migration. Applying a Bayesian method based on bivariate modeling of CD4 and viral load, and subject-specific information, we found that the majority of HIV-positive migrants in aMASE were most likely infected after their migration to Europe.
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- Borges, A. H., et al.
(författare)
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Nonnucleoside Reverse-transcriptase Inhibitor- vs Ritonavir-boosted Protease Inhibitor-based Regimens for Initial Treatment of HIV Infection: A Systematic Review and Metaanalysis of Randomized Trials
- 2016
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Ingår i: Clinical Infectious Diseases. - : Oxford University Press (OUP). - 1058-4838 .- 1537-6591. ; 63:2, s. 268-280
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Tidskriftsartikel (refereegranskat)abstract
- Background. Previous studies suggest that nonnucleoside reverse-transcriptase inhibitors (NNRTIs) cause faster virologic suppression, while ritonavir-boosted protease inhibitors (PI/r) recover more CD4 cells. However, individual trials have not been powered to compare clinical outcomes. Methods. We searched databases to identify randomized trials that compared NNRTI-vs PI/r-based initial therapy. A meta-analysis calculated risk ratios (RRs) or mean differences (MDs), as appropriate. Primary outcome was death or progression to AIDS. Secondary outcomes were death, progression to AIDS, and treatment discontinuation. We calculated RR of virologic suppression and MD for an increase in CD4 cells at week 48. Results. We included 29 trials with 9047 participants. Death or progression to AIDS occurred in 226 participants in the NNRTI arm and in 221 in the PI/r arm (RR, 1.03; 95% confidence interval, .87-1.22; 12 trials; n = 3825), death in 205 participants in the NNRTI arm vs 198 in the PI/r arm (1.04; 0.86-1.25; 22 trials; n = 8311), and progression to AIDS in 140 participants in the NNRTI arm vs 144 in the PI/r arm (1.00; 0.80-1.25; 13 trials; n = 4740). Overall treatment discontinuation (1.12; 0.93-1.35; 24 trials; n = 8249) and from toxicity (1.21; 0.87-1.68; 21 trials; n = 6195) were comparable, but discontinuation due to virologic failure was more common with NNRTI (1.58; 0.91-2.74; 17 trials; n = 5371). At week 48, there was no difference between NNRTI and PI/r in virologic suppression (RR, 1.03; 0.98-1.09) or CD4(+) recovery (MD, -4.7 cells; -14.2 to 4.8). Conclusions. We found no difference in clinical and viro-immunologic outcomes between NNRTI-and PI/r-based therapy.
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| 8. |
- Henkel, C., et al.
(författare)
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Molecular line emission in NGC 4945, imaged with ALMA
- 2018
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Ingår i: Astronomy and Astrophysics. - : EDP Sciences. - 0004-6361 .- 1432-0746. ; 615
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Tidskriftsartikel (refereegranskat)abstract
- NGC 4945 is one of the nearest (D ≈ 3.8 Mpc; 1 00 ≈ 19 pc) starburst galaxies. To investigate the structure, dynamics, and composition of the dense nuclear gas of this galaxy, ALMA band 3 (λ ≈ 3−4 mm) observations were carried out with ≈2 00 resolution. Three HCN and two HC + isotopologues, CS, C 3 H 2 , SiO, HCO, and CH 3 C 2 H were measured. Spectral line imaging demonstrates the presence of a rotating nuclear disk of projected size 10 00 × 2 00 reaching out to a galactocentric radius of r ≈ 100 pc with position angle PA = 45 ◦ ± 2 ◦ , inclination i = 75 ◦ ± 2 ◦ and an unresolved bright central core of size <∼ 2 00 . The continuum source, representing mostly free-free radiation from star forming regions, is more compact than the nuclear disk by a linear factor of two but shows the same position angle and is centered 0 00 . 39 ± 0 00 . 14 northeast of the nuclear accretion disk defined by H 2 O maser emission. Near the systemic velocity but outside the nuclear disk, both HCN J = 1 → 0 and CS J = 2 → 1 delineate molecular arms of length >∼ 15 00 ( >∼ 285 pc) on opposite sides of the dynamical center. These are connected by a (deprojected) ≈ 0.6 kpc sized molecular bridge, likely a dense gaseous bar seen almost ends-on, shifting gas from the front and back side into the nuclear disk. Modeling this nuclear disk located farther inside (r <∼ 100 pc) with tilted rings provides a good fit by inferring a coplanar outflow reaching a characteristic deprojected velocity of ≈50 km s −1 . All our molecular lines, with the notable exception of CH 3 C 2 H, show significant absorption near the systemic velocity (≈571 km s −1 ), within the range ≈500-660 km s −1 . Apparently, only molecular transitions with low critical H 2 density (n crit<∼ 10 4 cm −3 ) do not show absorption. The velocity field of the nuclear disk, derived from CH 3 C 2 H, provides evidence for rigid rotation in the inner few arcseconds and a dynamical mass of M tot = (2.1 ± 0.2) × 10 8 M inside a galactocentric radius of 2 00 . 45 (≈45 pc), with a significantly flattened rotation curve farther out. Velocity integrated line intensity maps with most pronounced absorption show molecular peak positions up to ≈1 00 . 5 (≈30 pc) southwest of the continuum peak, presumably due to absorption, which appears to be most severe slightly northeast of the nuclear maser disk. A nitrogen isotope ratio of 14 N/ 15 N ≈ 200-450 is estimated. This range of values is much higher then previously reported on a tentative basis. Therefore, because 15 N is less abundant than expected, the question for strong 15 N enrichment by massive star ejecta in starbursts still remains to be settled.
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| 9. |
- Sakamoto, K., et al.
(författare)
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Resolved Structure of the Arp 220 Nuclei at lambda approximate to 3 mm
- 2017
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Ingår i: Astrophysical Journal. - : American Astronomical Society. - 1538-4357 .- 0004-637X. ; 849:1
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Tidskriftsartikel (refereegranskat)abstract
- We analyze the 3 mm emission of the ultraluminous infrared galaxy Arp 220 for the spatially resolved structure and the spectral properties of the merger nuclei. ALMA archival data at similar to 0.'' 05 resolution are used for extensive visibility fitting and deep imaging of the continuum emission. The data are fitted well by two concentric components for each nucleus, such as two Gaussians or one Gaussian plus one exponential disk. The larger components in the individual nuclei are similar in shape and extent, similar to 100-150 pc, to the centimeter wave emission due to supernovae. They are therefore identified with the known starburst nuclear disks. The smaller components in both nuclei have about a few 10 pc sizes and peak brightness temperatures (Tb) more than twice higher than those in previous single-Gaussian fitting. They correspond to the dust emission that we find centrally concentrated in both nuclei by subtracting the plasma emission measured at 33 GHz. The dust emission in the western nucleus is found to have a peak Tb approximate to 530 K and an FWHM of about 20 pc. This component is estimated to have a bolometric luminosity on the order of 1012.5L& and a 20 pc scale luminosity surface density 1015.5L& kpc-2. A luminous active galactic nucleus is a plausible energy source for these high values while other explanations remain to be explored. Our continuum image also reveals a third structural component of the western nucleus- a pair of faint spurs perpendicular to the disk major axis. We attribute it to a bipolar outflow from the highly inclined (i approximate to 60 degrees) western nuclear disk.
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| 10. |
- Sakamoto, K., et al.
(författare)
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Resolved Structure of the Arp 220 Nuclei at λ ≈ 3 mm
- 2017
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Ingår i: Astrophysical Journal. - : American Astronomical Society. - 1538-4357 .- 0004-637X. ; 849:1
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Tidskriftsartikel (refereegranskat)abstract
- We analyze the 3 mm emission of the ultraluminous infrared galaxy Arp 220 for the spatially resolved structure and the spectral properties of the merger nuclei. ALMA archival data at ∼0.″05 resolution are used for extensive visibility fitting and deep imaging of the continuum emission. The data are fitted well by two concentric components for each nucleus, such as two Gaussians or one Gaussian plus one exponential disk. The larger components in the individual nuclei are similar in shape and extent, ∼100-150 pc, to the centimeter wave emission due to supernovae. They are therefore identified with the known starburst nuclear disks. The smaller components in both nuclei have about a few 10 pc sizes and peak brightness temperatures (Tb) more than twice higher than those in previous single-Gaussian fitting. They correspond to the dust emission that we find centrally concentrated in both nuclei by subtracting the plasma emission measured at 33 GHz. The dust emission in the western nucleus is found to have a peak Tb ≈ 530 K and an FWHM of about 20 pc. This component is estimated to have a bolometric luminosity on the order of 1012.5,Lo˙ and a 20 pc scale luminosity surface density 1015.5, Lo˙ kpc-2. A luminous active galactic nucleus is a plausible energy source for these high values while other explanations remain to be explored. Our continuum image also reveals a third structural component of the western nucleus - a pair of faint spurs perpendicular to the disk major axis. We attribute it to a bipolar outflow from the highly inclined (i ≈ 60°) western nuclear disk.
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