| 781. |
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| 782. |
- Montalban, X, et al.
(författare)
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ECTRIMS/EAN Guideline on the pharmacological treatment of people with multiple sclerosis
- 2018
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Ingår i: Multiple sclerosis (Houndmills, Basingstoke, England). - : SAGE Publications. - 1477-0970 .- 1352-4585. ; 24:2, s. 96-120
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Tidskriftsartikel (refereegranskat)abstract
- Multiple sclerosis (MS) is a complex disease with new drugs becoming available in the past years. There is a need for a reference tool compiling current data to aid professionals in treatment decisions. Objectives: To develop an evidence-based clinical practice guideline for the pharmacological treatment of people with MS. Methods: This guideline has been developed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology and following the updated EAN recommendations. Clinical questions were formulated in Patients–Intervention–Comparator–Outcome (PICO) format and outcomes were prioritized. The quality of evidence was rated into four categories according to the risk of bias. The recommendations with assigned strength (strong and weak) were formulated based on the quality of evidence and the risk-benefit balance. Consensus between the panelists was reached by use of the modified nominal group technique. Results: A total of 10 questions were agreed, encompassing treatment efficacy, response criteria, strategies to address suboptimal response and safety concerns and treatment strategies in MS and pregnancy. The guideline takes into account all disease-modifying drugs approved by the European Medicine Agency (EMA) at the time of publication. A total of 21 recommendations were agreed by the guideline working group after three rounds of consensus. Conclusion: The present guideline will enable homogeneity of treatment decisions across Europe.
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| 783. |
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| 784. |
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| 785. |
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| 786. |
- Nakanishi, T, et al.
(författare)
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Age-dependent impact of the major common genetic risk factor for COVID-19 on severity and mortality
- 2021
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Ingår i: medRxiv : the preprint server for health sciences. - : Cold Spring Harbor Laboratory.
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- BackgroundThere is considerable variability in COVID-19 outcomes amongst younger adults—and some of this variation may be due to genetic predisposition. We characterized the clinical implications of the major genetic risk factor for COVID-19 severity, and its age-dependent effect, using individual-level data in a large international multi-centre consortium.MethodThe major common COVID-19 genetic risk factor is a chromosome 3 locus, tagged by the marker rs10490770. We combined individual level data for 13,424 COVID-19 positive patients (N=6,689 hospitalized) from 17 cohorts in nine countries to assess the association of this genetic marker with mortality, COVID-19-related complications and laboratory values. We next examined if the magnitude of these associations varied by age and were independent from known clinical COVID-19 risk factors.FindingsWe found that rs10490770 risk allele carriers experienced an increased risk of all-cause mortality (hazard ratio [HR] 1·4, 95% confidence interval [CI] 1·2–1·6) and COVID-19 related mortality (HR 1·5, 95%CI 1·3–1·8). Risk allele carriers had increased odds of several COVID-19 complications: severe respiratory failure (odds ratio [OR] 2·0, 95%CI 1·6-2·6), venous thromboembolism (OR 1·7, 95%CI 1·2-2·4), and hepatic injury (OR 1·6, 95%CI 1·2-2·0). Risk allele carriers ≤ 60 years had higher odds of death or severe respiratory failure (OR 2·6, 95%CI 1·8-3·9) compared to those > 60 years OR 1·5 (95%CI 1·3-1·9, interaction p-value=0·04). Amongst individuals ≤ 60 years who died or experienced severe respiratory COVID-19 outcome, we found that 31·8% (95%CI 27·6-36·2) were risk variant carriers, compared to 13·9% (95%CI 12·6-15·2%) of those not experiencing these outcomes. Prediction of death or severe respiratory failure among those ≤ 60 years improved when including the risk allele (AUC 0·82 vs 0·84, p=0·016) and the prediction ability of rs10490770 risk allele was similar to, or better than, most established clinical risk factors.InterpretationThe major common COVID-19 risk locus on chromosome 3 is associated with increased risks of morbidity and mortality—and these are more pronounced amongst individuals ≤ 60 years. The effect on COVID-19 severity was similar to, or larger than most established risk factors, suggesting potential implications for clinical risk management.FundingFunding was obtained by each of the participating cohorts individually.
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| 787. |
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| 788. |
- Perez-Torres, Miguel Angel, et al.
(författare)
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Core-collapse and type ia supernovae with the SKA
- 2014
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Ingår i: Proceedings of Science. - 1824-8039. ; 9-13-June-2014
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Konferensbidrag (refereegranskat)abstract
- Core-collapse SNe (CCSNe): Systematic searches of radio emission from CCSNe are still lacking, and only targeted searches of radio emission from just some of the optically discovered CCSNe in the local universe have been carried out. Optical searches miss a significant fraction of CCSNe due to dust obscuration; CCSN radio searches are thus more promising for yielding the complete, unobscured star-formation rates in the local universe. The SKA yields the possibility to piggyback for free in this area of research by carrying out commensal, wide-field, blind transient survey observations. SKA1-SUR should be able to discover several hundreds of CCSNe in just one year, compared to about a dozen CCSNe that the VLASS would be able to detect in one year, at most. SKA, with an expected sensitivity ten times that of SKA1, is expected to detect CCSNe in the local Universe by the thousands. Therefore, commensal SKA observations could easily result in an essentially complete census of all CCSNe in the local universe, thus yielding an accurate determination of the volumetric CCSN rate. Type Ia SNe: We advocate for the use of the SKA to search for the putative prompt (first few days after the explosion) radio emission of any nearby type Ia SN, via target-of-opportunity observations. The huge improvement in sensitivity of the SKA with respect to its predecessors will allow to unambiguously discern which progenitor scenario (single-degenerate vs. double-degenerate) applies to them.
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| 789. |
- Ritacco, A., et al.
(författare)
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NIKA 150 GHz polarization observations of the Crab nebula and its spectral energy distribution
- 2018
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Ingår i: Astronomy and Astrophysics. - : EDP Sciences. - 0004-6361 .- 1432-0746. ; 616
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Tidskriftsartikel (refereegranskat)abstract
- The Crab nebula is a supernova remnant exhibiting a highly polarized synchrotron radiation at radio and millimetre wavelengths. It is the brightest source in the microwave sky with an extension of 7 by 5 arcmin, and is commonly used as a standard candle for any experiment which aims to measure the polarization of the sky. Though its spectral energy distribution has been well characterized in total intensity, polarization data are still lacking at millimetre wavelengths. We report in this paper high resolution observations (18 00 FWHM) of the Crab nebula in total intensity and linear polarization at 150 GHz with the NIKA camera. NIKA, operated at the IRAM 30 m telescope from 2012 to 2015, is a camera made of Lumped Element Kinetic Inductance Detectors (LEKIDs) observing the sky at 150 and 260 GHz. From these observations we are able to reconstruct the spatial distribution of the polarization degree and angle of the Crab nebula, which is found to be compatible with previous observations at lower and higher frequencies. Averaging across the source and using other existing data sets we find that the Crab nebula polarization angle is consistent with being constant over a wide range of frequencies with a value of -87.7 degrees +/- 0.3 in Galactic coordinates. We also present the first estimation of the Crab nebula spectral energy distribution polarized flux in a wide frequency range: 30-353 GHz. Assuming a single power law emission model we find that the polarization spectral index beta(pol) = -0.347 +/- 0.026 is compatible with the intensity spectral index beta = -0.323 +/- 0.001.
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| 790. |
- Romero-Cañizales, C., et al.
(författare)
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The nature of supernovae 2010O and 2010P in Arp 299 - II. Radio emission
- 2014
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Ingår i: Monthly Notices of the Royal Astronomical Society. - : Oxford University Press (OUP). - 0035-8711 .- 1365-2966. ; 440:2, s. 1067-1079
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Tidskriftsartikel (refereegranskat)abstract
- We report radio observations of two stripped-envelope supernovae (SNe), 2010O and 2010P, which exploded within a few days of each other in the luminous infrared galaxy Arp 299. Whilst SN 2010O remains undetected at radio frequencies, SN 2010P was detected (with an astrometric accuracy better than 1 milli arcsec in position) in its optically thin phase in epochs ranging from similar to 1 to similar to 3 yr after its explosion date, indicating a very slow radio evolution and a strong interaction of the SN ejecta with the circumstellar medium. Our late-time radio observations towards SN 2010P probe the dense circumstellar envelope of this SN, and imply M [M-circle dot yr(-1)]/upsilon(wind) [10 km s(-1)] = (3.0 - 5.1) x 10(-5), with a 5 GHz peak luminosity of similar to 1.2 x 10(27) erg s(- 1) Hz(- 1) on day similar to 464 after explosion. This is consistent with a Type IIb classification for SN 2010P, making it the most distant and most slowly evolving Type IIb radio SN detected to date.
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