30 research outputs found
Increased systemic inflammation is associated with cardiac and vascular dysfunction over the first 12 weeks of antiretroviral therapy among undernourished, HIV-infected adults in Southern Africa.
This is an open-access article distributed
under the terms of the Creative Commons Attribution License, which permits
unrestricted use, distribution, and reproduction in any medium, provided the
original author and source are credited.INTRODUCTION: Persistent systemic inflammation is associated with mortality among undernourished, HIV-infected adults starting antiretroviral therapy (ART) in sub-Saharan Africa, but the etiology of these deaths is not well understood. We hypothesized that greater systemic inflammation is accompanied by cardiovascular dysfunction over the first 12 weeks of ART. METHODS: In a prospective cohort of 33 undernourished (body mass index <18.5 kg/m2) Zambian adults starting ART, we measured C-reactive protein (CRP), tumor necrosis factor-α receptor 1 (TNF-α R1), and soluble CD163 and CD14 at baseline and 12 weeks. An EndoPAT device measured the reactive hyperemia index (LnRHI; a measure of endothelial responsiveness), peripheral augmentation index (AI; a measure of arterial stiffness), and heart rate variability (HRV; a general marker of autonomic tone and cardiovascular health) at the same time points. We assessed paired changes in inflammation and cardiovascular parameters, and relationships independent of time point (adjusted for age, sex, and CD4+ T-cell count) using linear mixed models. RESULTS: Serum CRP decreased (median change -3.5 mg/l, p=0.02), as did TNF-α R1 (-0.31 ng/ml, p<0.01), over the first 12 weeks of ART. A reduction in TNF-α R1 over 12 weeks was associated with an increase in LnRHI (p=0.03), and a similar inverse relationship was observed for CRP and LnRHI (p=0.07). AI increased in the cohort as a whole over 12 weeks, and a reduction in sCD163 was associated with a rise in the AI score (p=0.04). In the pooled analysis of baseline and 12 week data, high CRP was associated with lower HRV parameters (RMSSD, p=0.01; triangular index, p<0.01), and higher TNF- α R1 accompanied lower HRV (RMSSD, p=0.07; triangular index, p=0.06). CONCLUSIONS: Persistent inflammation was associated with impaired cardiovascular health over the first 12 weeks of HIV treatment among undernourished adults in Africa, suggesting cardiac events may contribute to high mortality in this population.This work was supported by the Vanderbilt
Meharry Center for AIDS Research (NIH grant number P30 AI54999); the NIH
Fogarty International Center, Office of the Director, National Institutes of Health,
National Heart, Blood, and Lung Institute, and National Institute of Mental Health,
through the Vanderbilt-Emory-Cornell-Duke Consortium for Global Health Fellows
(grant number R25 TW009337); the National Center for Advancing Translational
Sciences (CTSA award number UL1TR000445) and the European and Developing
Countries Clinical Trials Partnership (grant IP.2009.33011.004)
NuSTAR Hard X-ray Survey of the Galactic Center Region I: Hard X-ray Morphology and Spectroscopy of the Diffuse Emission
We present the first sub-arcminute images of the Galactic Center above 10
keV, obtained with NuSTAR. NuSTAR resolves the hard X-ray source IGR
J17456-2901 into non-thermal X-ray filaments, molecular clouds, point sources
and a previously unknown central component of hard X-ray emission (CHXE).
NuSTAR detects four non-thermal X-ray filaments, extending the detection of
their power-law spectra with - up to ~50 keV. A
morphological and spectral study of the filaments suggests that their origin
may be heterogeneous, where previous studies suggested a common origin in young
pulsar wind nebulae (PWNe). NuSTAR detects non-thermal X-ray continuum emission
spatially correlated with the 6.4 keV Fe K fluorescence line emission
associated with two Sgr A molecular clouds: MC1 and the Bridge. Broad-band
X-ray spectral analysis with a Monte-Carlo based X-ray reflection model
self-consistently determined their intrinsic column density (
cm), primary X-ray spectra (power-laws with ) and set a
lower limit of the X-ray luminosity of Sgr A* flare illuminating the Sgr A
clouds to erg s. Above ~20 keV, hard
X-ray emission in the central 10 pc region around Sgr A* consists of the
candidate PWN G359.95-0.04 and the CHXE, possibly resulting from an unresolved
population of massive CVs with white dwarf masses . Spectral energy distribution analysis suggests that G359.95-0.04 is
likely the hard X-ray counterpart of the ultra-high gamma-ray source HESS
J1745-290, strongly favoring a leptonic origin of the GC TeV emission.Comment: 27 pages. Accepted for publication in the Astrophysical Journa
Evidence for intermediate polars as the origin of the Galactic Center hard X-ray emission
Recently, unresolved hard (20–40 keV) X-ray emission has been discovered within the central 10 pc of the Galaxy, possibly indicating a large population of intermediate polars (IPs). Chandra and XMM-Newton measurements in the surrounding ~50 pc imply a much lighter population of IPs with . Here we use broadband NuSTAR observations of two IPs: TV Columbae, which has a fairly typical but widely varying reported mass of –, and IGR J17303–0601, with a heavy reported mass of –. We investigate how varying spectral models and observed energy ranges influences estimated white dwarf mass. Observations of the inner 10 pc can be accounted for by IPs with , consistent with that of the CV population in general and the X-ray observed field IPs in particular. The lower mass derived by Chandra and XMM-Newton appears to be an artifact of narrow energy-band fitting. To explain the (unresolved) central hard X-ray emission (CHXE) by IPs requires an X-ray (2–8 keV) luminosity function (XLF) extending down to at least 5 × 1031 erg s−1. The CHXE XLF, if extended to the surrounding ~50 pc observed by Chandra and XMM-Newton, requires that at least ~20%–40% of the ~9000 point sources are IPs. If the XLF extends just a factor of a few lower in luminosity, then the vast majority of these sources are IPs. This is in contrast to recent observations of the Galactic ridge, where the bulk of the 2–8 keV emission is ascribed to non-magnetic CVs.Astronom
The Science Performance of JWST as Characterized in Commissioning
This paper characterizes the actual science performance of the James Webb Space Telescope (JWST), as determined from the six month commissioning period. We summarize the performance of the spacecraft, telescope, science instruments, and ground system, with an emphasis on differences from pre-launch expectations. Commissioning has made clear that JWST is fully capable of achieving the discoveries for which it was built. Moreover, almost across the board, the science performance of JWST is better than expected; in most cases, JWST will go deeper faster than expected. The telescope and instrument suite have demonstrated the sensitivity, stability, image quality, and spectral range that are necessary to transform our understanding of the cosmos through observations spanning from near-earth asteroids to the most distant galaxies
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NuSTAR Hard X-ray Survey of the Galactic Center Region I: Hard X-ray Morphology and Spectroscopy of the Diffuse Emission
We present the first sub-arcminute images of the Galactic Center above 10 keV, obtained with NuSTAR. NuSTAR resolves the hard X-ray source IGR J17456–2901 into non-thermal X-ray filaments, molecular clouds, point sources, and a previously unknown central component of hard X-ray emission (CHXE). NuSTAR detects four non-thermal X-ray filaments, extending the detection of their power-law spectra with Γ ~ 1.3–2.3 up to ~50 keV. A morphological and spectral study of the filaments suggests that their origin may be heterogeneous, where previous studies suggested a common origin in young pulsar wind nebulae (PWNe). NuSTAR detects non-thermal X-ray continuum emission spatially correlated with the 6.4 keV Fe Kα fluorescence line emission associated with two Sgr A molecular clouds: MC1 and the Bridge. Broadband X-ray spectral analysis with a Monte-Carlo based X-ray reflection model self-consistently determined their intrinsic column density (~1023 cm−2), primary X-ray spectra (power-laws with Γ ~ 2) and set a lower limit of the X-ray luminosity of Sgr A* flare illuminating the Sgr A clouds to LX gsim 1038 erg s−1. Above ~20 keV, hard X-ray emission in the central 10 pc region around Sgr A* consists of the candidate PWN G359.95–0.04 and the CHXE, possibly resulting from an unresolved population of massive CVs with white dwarf masses MWD ~ 0.9 M⊙. Spectral energy distribution analysis suggests that G359.95–0.04 is likely the hard X-ray counterpart of the ultra-high gamma-ray source HESS J1745–290, strongly favoring a leptonic origin of the GC TeV emission.Astronom
The James Webb Space Telescope Mission
Twenty-six years ago a small committee report, building on earlier studies,
expounded a compelling and poetic vision for the future of astronomy, calling
for an infrared-optimized space telescope with an aperture of at least .
With the support of their governments in the US, Europe, and Canada, 20,000
people realized that vision as the James Webb Space Telescope. A
generation of astronomers will celebrate their accomplishments for the life of
the mission, potentially as long as 20 years, and beyond. This report and the
scientific discoveries that follow are extended thank-you notes to the 20,000
team members. The telescope is working perfectly, with much better image
quality than expected. In this and accompanying papers, we give a brief
history, describe the observatory, outline its objectives and current observing
program, and discuss the inventions and people who made it possible. We cite
detailed reports on the design and the measured performance on orbit.Comment: Accepted by PASP for the special issue on The James Webb Space
Telescope Overview, 29 pages, 4 figure
The Science Performance of JWST as Characterized in Commissioning
This paper characterizes the actual science performance of the James Webb
Space Telescope (JWST), as determined from the six month commissioning period.
We summarize the performance of the spacecraft, telescope, science instruments,
and ground system, with an emphasis on differences from pre-launch
expectations. Commissioning has made clear that JWST is fully capable of
achieving the discoveries for which it was built. Moreover, almost across the
board, the science performance of JWST is better than expected; in most cases,
JWST will go deeper faster than expected. The telescope and instrument suite
have demonstrated the sensitivity, stability, image quality, and spectral range
that are necessary to transform our understanding of the cosmos through
observations spanning from near-earth asteroids to the most distant galaxies.Comment: 5th version as accepted to PASP; 31 pages, 18 figures;
https://iopscience.iop.org/article/10.1088/1538-3873/acb29