CHAPTER 5: FORMATION AND EVOLUTION OF GALAXIES AND LARGE STRUCTURES

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A hybrid method for accurate iris segmentation on at-a-distance visible-wavelength images

[EN] This work describes a new hybrid method for accurate iris segmentation from full-face images independently of the ethnicity of the subject. It is based on a combination of three methods: facial key-point detection, integro-differential operator (IDO) and mathematical morphology. First, facial landmarks are extracted by means of the Chehra algorithm in order to obtain the eye location. Then, the IDO is applied to the extracted sub-image containing only the eye in order to locate the iris. Once the iris is located, a series of mathematical morphological operations is performed in order to accurately segment it. Results are obtained and compared among four different ethnicities (Asian, Black, Latino and White) as well as with two other iris segmentation algorithms. In addition, robustness against rotation, blurring and noise is also assessed. Our method obtains state-of-the-art performance and shows itself robust with small amounts of blur, noise and/or rotation. Furthermore, it is fast, accurate, and its code is publicly available.Fuentes-Hurtado, FJ.; Naranjo Ornedo, V.; Diego-Mas, JA.; Alcañiz Raya, ML. (2019). A hybrid method for accurate iris segmentation on at-a-distance visible-wavelength images. EURASIP Journal on Image and Video Processing (Online). 2019(1):1-14. https://doi.org/10.1186/s13640-019-0473-0S11420191A. Radman, K. Jumari, N. Zainal, Fast and reliable iris segmentation algorithm. IET Image Process.7(1), 42–49 (2013).M. Erbilek, M. Fairhurst, M. C. D. C Abreu, in 5th International Conference on Imaging for Crime Detection and Prevention (ICDP 2013). Age prediction from iris biometrics (London, 2013), pp. 1–5. http://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=6913712&isnumber=6867223 .A. Abbasi, M. Khan, Iris-pupil thickness based method for determining age group of a person. Int. Arab J. Inf. Technol. (IAJIT). 13(6) (2016).G. Mabuza-Hocquet, F. Nelwamondo, T. Marwala, in Intelligent Information and Database Systems. ed. by N. Nguyen, S. Tojo, L. Nguyen, B. Trawiński. Ethnicity Distinctiveness Through Iris Texture Features Using Gabor Filters. ACIIDS 2017. Lecture Notes in Computer Science, vol. 10192 (Springer, Cham, 2017).S. Lagree, K. W. Bowyer, in 2011 IEEE International Conference on Technologies for Homeland Security (HST). Predicting ethnicity and gender from iris texture (IEEEWaltham, 2011). p. 440–445. http://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=6107909&isnumber=6107829 .J. G. Daugman, High confidence visual recognition of persons by a test of statistical independence. IEEE Trans. Pattern Anal. Mach. Intell.15(11), 1148–1161 (1993).N. Kourkoumelis, M. Tzaphlidou. Medical Safety Issues Concerning the Use of Incoherent Infrared Light in Biometrics, eds. A. Kumar, D. Zhang. Ethics and Policy of Biometrics. ICEB 2010. Lecture Notes in Computer Science, vol 6005 (Springer, Berlin, Heidelberg, 2010).R. P. Wildes, Iris recognition: an emerging biometric technology. Proc. IEEE. 85(9), 1348–1363 (1997).M. Kass, A. Witkin, D. Terzopoulos, Snakes: Active contour models. Int. J. Comput. Vision. 1(4), 321–331 (1988).S. J. Pundlik, D. L. Woodard, S. T. Birchfield, in 2008 IEEE Computer Society Conference on Computer Vision and Pattern Recognition Workshops. Non-ideal iris segmentation using graph cuts (IEEEAnchorage, 2008). p. 1–6. http://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=4563108&isnumber=4562948 .H. Proença, Iris recognition: On the segmentation of degraded images acquired in the visible wavelength. IEEE Trans. Pattern Anal. Mach. Intell.32(8), 1502–1516 (2010). http://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=5156505&isnumber=5487331 .T. Tan, Z. He, Z. Sun, Efficient and robust segmentation of noisy iris images for non-cooperative iris recognition. Image Vision Comput.28(2), 223–230 (2010).C. -W. Tan, A. Kumar, in CVPR 2011 WORKSHOPS. Automated segmentation of iris images using visible wavelength face images (Colorado Springs, 2011). p. 9–14. http://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=5981682&isnumber=5981671 .Y. -H. Li, M. Savvides, An automatic iris occlusion estimation method based on high-dimensional density estimation. IEEE Trans. Pattern Anal. Mach. Intell.35(4), 784–796 (2013).M. Yahiaoui, E. Monfrini, B. Dorizzi, Markov chains for unsupervised segmentation of degraded nir iris images for person recognition. Pattern Recogn. Lett.82:, 116–123 (2016).A. Radman, N. Zainal, S. A. Suandi, Automated segmentation of iris images acquired in an unconstrained environment using hog-svm and growcut. Digit. Signal Proc.64:, 60–70 (2017).N. Liu, H. Li, M. Zhang, J. Liu, Z. Sun, T. Tan, in 2016 International Conference on Biometrics (ICB). Accurate iris segmentation in non-cooperative environments using fully convolutional networks (Halmstad, 2016). p. 1–8. http://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=7550055&isnumber=7550036 .Z. Zhao, A. Kumar, in 2017 IEEE International Conference on Computer Vision (ICCV). Towards more accurate iris recognition using deeply learned spatially corresponding features (Venice, 2017). p. 3829–3838. http://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=8237673&isnumber=8237262 .P. Li, X. Liu, L. Xiao, Q. Song, Robust and accurate iris segmentation in very noisy iris images. Image Vision Comput.28(2), 246–253 (2010).D. S. Jeong, J. W. Hwang, B. J. Kang, K. R. Park, C. S. Won, D. -K. Park, J. Kim, A new iris segmentation method for non-ideal iris images. Image Vision Comput.28(2), 254–260 (2010).Y. Chen, M. Adjouadi, C. Han, J. Wang, A. Barreto, N. Rishe, J. Andrian, A highly accurate and computationally efficient approach for unconstrained iris segmentation. Image Vision Comput. 28(2), 261–269 (2010).Z. Zhao, A. Kumar, in 2015 IEEE International Conference on Computer Vision (ICCV). An accurate iris segmentation framework under relaxed imaging constraints using total variation model (Santiago, 2015). p. 3828–3836. http://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=7410793&isnumber=7410356 .Y. Hu, K. Sirlantzis, G. Howells, Improving colour iris segmentation using a model selection technique. Pattern Recogn. Lett.57:, 24–32 (2015).E. Ouabida, A. Essadique, A. Bouzid, Vander lugt correlator based active contours for iris segmentation and tracking. Expert Systems Appl.71:, 383–395 (2017).C. -W. Tan, A. Kumar, Unified framework for automated iris segmentation using distantly acquired face images. IEEE Trans. Image Proc.21(9), 4068–4079 (2012).C. -W. Tan, A. Kumar, in Proceedings of the 21st International Conference on Pattern Recognition (ICPR2012). Human identification from at-a-distance images by simultaneously exploiting iris and periocular features (Tsukuba, 2012). p. 553–556. http://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=6460194&isnumber=6460043 .C. -W. Tan, A. Kumar, Towards online iris and periocular recognition under relaxed imaging constraints. IEEE Trans. Image Proc.22(10), 3751–3765 (2013).K. Y. Shin, Y. G. Kim, K. R. Park, Enhanced iris recognition method based on multi-unit iris images. Opt. Eng.52(4), 047201–047201 (2013).CASIA iris databases. http://biometrics.idealtest.org/ . Accessed 06 Sept 2017.WVU iris databases. hhttp://biic.wvu.edu/data-sets/synthetic-iris-dataset . Accessed 06 Sept 2017.UBIRIS iris database. http://iris.di.ubi.pt . Accessed 06 Sept 2017.MICHE iris database. http://biplab.unisa.it/MICHE/ . Accessed 06 Sept 2017.P. J. Phillips, et al, in 2005 IEEE Computer Society Conference on Computer Vision and Pattern Recognition (CVPR’05), 1. Overview of the face recognition grand challenge (San Diego, 2005). p. 947–954. http://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=1467368&isnumber=31472 .D. S. Ma, J. Correll, B. Wittenbrink, The chicago face database: A free stimulus set of faces and norming data. Behav. Res. Methods. 47(4), 1122–1135 (2015).P. Soille, Morphological Image Analysis: Principles and Applications (Springer, 2013).A. K. Jain, Fundamentals of Digital Image Processing (Prentice-Hall, Inc., Englewood Cliffs, 1989).J. Daugman, How iris recognition works. IEEE Trans. Circ. Syst. Video Technol.14(1), 21–30 (2004).A. Asthana, S. Zafeiriou, S. Cheng, M. Pantic, in 2014 IEEE Conference on Computer Vision and Pattern Recognition. Incremental face alignment in the wild (Columbus, 2014). p. 1859–1866. http://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=6909636&isnumber=6909393 .T. Baltrusaitis, P. Robinson, L. -P. Morency, in 2013 IEEE International Conference on Computer Vision Workshops. Constrained local neural fields for robust facial landmark detection in the wild (Sydney, 2013). p. 354–361. http://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=6755919&isnumber=6755862 .X. Zhu, D. Ramanan, in Computer Vision and Pattern Recognition (CVPR), 2012 IEEE Conference On. Face detection, pose estimation, and landmark localization in the wild (IEEEBerlin Heidelberg, 2012), pp. 2879–2886.G. Tzimiropoulos, in 2015 IEEE Conference on Computer Vision and Pattern Recognition (CVPR). Project-out cascaded regression with an application to face alignment (Boston, 2015). p. 3659–3667. http://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=7298989&isnumber=7298593 .H. Hofbauer, F. Alonso-Fernandez, P. Wild, J. Bigun, A. Uhl, in 2014 22nd International Conference on Pattern Recognition. A ground truth for iris segmentation (Stockholm, 2014). p. 527–532. http://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=6976811&isnumber=6976709 .H. Proença, L. A. Alexandre, in 2007 First IEEE International Conference on Biometrics: Theory, Applications, and Systems. The NICE.I: Noisy Iris Challenge Evaluation - Part I (Crystal City, 2007). p. 1–4. http://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=4401910&isnumber=4401902 .J. Daugman, in European Convention on Security and Detection. High confidence recognition of persons by rapid video analysis of iris texture, (1995). p. 244–251. http://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=491729&isnumber=10615 .Code of Matlab implementation of Daugman’s integro-differential operator (IDO). https://es.mathworks.com/matlabcentral/fileexchange/15652-iris-segmentation-using-daugman-s-integrodifferential-operator/ . Accessed 06 Sept 2017.Code of Matlab implementation of Zhao and Kumar’s iris segmentation framework under relaxed imaging constraints using total variation model. http://www4.comp.polyu.edu.hk/~csajaykr/tvmiris.htm/ . Accessed 06 Sept 2017.Code of Matlab implementation of presented work. https://gitlab.com/ffuentes/hybrid_iris_segmentation/ . Accessed 06 Sept 2017.Face and eye detection with OpenCV. https://docs.opencv.org/trunk/d7/d8b/tutorial_py_face_detection.html . Accessed 07 Sept 2018.A. K. Boyat, B. K. Joshi, 6. A review paper:noise models in digital image processing signal & image processing. An International Journal (SIPIJ), (2015), pp. 63–75. https://doi.org/10.5121/sipij.2015.6206 .A. Buades, Y. Lou, J. M. Morel, Z. Tang, Multi image noise estimation and denoising (2010). Available: https://hal.archives-ouvertes.fr/hal-00510866/

Inclusive photon production at forward rapidities in proton-proton collisions at s\sqrt{s} = 0.9, 2.76 and 7 TeV

See paper for full list of authors – 24 pages, 10 captioned figures, 4 tables, authors from page 19, figures at http://aliceinfo.cern.ch/ArtSubmission/node/1024International audienceThe multiplicity and pseudorapidity distributions of inclusive photons have been measured at forward rapidities ($2.3 < \eta < 3.9$) in proton-proton collisions at three center-of-mass energies, $\sqrt{s}=0.9$, 2.76 and 7 TeV using the ALICE detector. It is observed that the increase in the average photon multiplicity as a function of beam energy is compatible with both a logarithmic and a power-law dependence. The relative increase in average photon multiplicity produced in inelastic pp collisions at 2.76 and 7 TeV center-of-mass energies with respect to 0.9 TeV are 37.2% $\pm$ 0.3% (stat) $\pm$ 8.8% (sys) and 61.2% $\pm$ 0.3% (stat) $\pm$ 7.6% (sys), respectively. The photon multiplicity distributions for all center-of-mass energies are well described by negative binomial distributions. The multiplicity distributions are also presented in terms of KNO variables. The results are compared to model predictions, which are found in general to underestimate the data at large photon multiplicities, in particular at the highest center-of-mass energy. Limiting fragmentation behavior of photons has been explored with the data, but is not observed in the measured pseudorapidity range

Advances in Understanding High-Mass X-ray Binaries with INTEGRAL and Future Directions

High mass X-ray binaries are among the brightest X-ray sources in the Milky Way, as well as in nearby Galaxies. Thanks to their highly variable emissions and complex phenomenology, they have attracted the interest of the high energy astrophysical community since the dawn of X-ray Astronomy. In more recent years, they have challenged our comprehension of physical processes in many more energy bands, ranging from the infrared to very high energies. In this review, we provide a broad but concise summary of the physical processes dominating the emission from high mass X-ray binaries across virtually the whole electromagnetic spectrum. These comprise the interaction of stellar winds with the high gravitational and magnetic fields of compact objects, the behaviour of matter under extreme magnetic and gravity conditions, and the perturbation of the massive star evolutionary processes by presence in a binary system. We highlight the role of the INTEGRAL mission in the discovery of many of the most interesting objects in the high mass X-ray binary class and its contribution in reviving the interest for these sources over the past two decades. We show how the INTEGRAL discoveries have not only contributed to significantly increase the number of high mass X-ray binaries known, thus advancing our understanding of the population as a whole, but also have opened new windows of investigation that stimulated the multi-wavelength approach nowadays common in most astrophysical research fields. We conclude the review by providing an overview of future facilities being planned from the X-ray to the very high energy domain that will hopefully help us in finding an answer to the many questions left open after more than 18 years of INTEGRAL scientific observations.The INTEGRALteams in the participating countries acknowledge the continuous support from their space agencies and funding organizations: the Italian Space Agency ASI (via different agreements including the latest one, 2019-35HH, and the ASIINAF agreement 2017-14-H.0), the French Centre national d’études spatiales (CNES), the Russian Foundation for Basic Research (KP, 19-02-00790), the Russian Science Foundation (ST, VD, AL; 19-12-00423), the Spanish State Research Agency (via different grants including ESP2017-85691-P, ESP2017-87676-C5-1-R and Unidad de Excelencia María de Maeztu – CAB MDM-2017-0737). IN is partially supported by the Spanish Government under grant PGC2018-093741-B-C21/C22 (MICIU/AEI/FEDER, UE). LD acknowledges grant 50 OG 1902

Land- and water-based exercise intervention in women with fibromyalgia: the al-andalus physical activity randomised controlled trial

Background The al-Andalus physical activity intervention study is a randomised control trial to investigate the effectiveness of a land- and water-based exercise intervention for reducing the overall impact of fibromyalgia (primary outcome), and for improving tenderness and pain-related measures, body composition, functional capacity, physical activity and sedentary behaviour, fatigue, sleep quality, health-related quality of life, and cognitive function (secondary outcomes) in women with fibromyalgia. Methods/Design One hundred eighty women with fibromyalgia (age range: 35-65 years) will be recruited from local associations of fibromyalgia patients in Andalucía (Southern Spain). Patients will be randomly assigned to a usual care (control) group (n = 60), a water-based exercise intervention group (n = 60) or a land-based exercise intervention group (n = 60). Participants in the usual care group will receive general physical activity guidelines and participants allocated in the intervention groups will attend three non-consecutive training sessions (60 min each) per week during 24 weeks. Both exercise interventions will consist of aerobic, muscular strength and flexibility exercises. We will also study the effect of a detraining period (i.e., 12 weeks with no exercise intervention) on the studied variables. Discussion Our study attempts to reduce the impact of fibromyalgia and improve patients' health status by implementing two types of exercise interventions. Results from this study will help to assess the efficacy of exercise interventions for the treatment of fibromyalgia. If the interventions would be effective, this study will provide low-cost and feasible alternatives for health professionals in the management of fibromyalgia. Results from the al-Andalus physical activity intervention will help to better understand the potential of regular physical activity for improving the well-being of women with fibromyalgia.This study was supported by the Consejeria de Turismo, Comercio y Deporte (CTCD-201000019242-TRA), the Spanish Ministry of Science and Innovation (I + D + I DEP2010-15639, grants: BES-2009-013442, BES-2011-047133, RYC-2010-05957, RYC-2011-09011), the Swedish Heart-Lung Foundation (20090635), the Spanish Ministry of Education (AP-2009-3173), Granada Research of Excelence Initiative on Biohealth (GREIB), Campus BioTic, University of Granada, Spain and European University of Madrid. Escuela de Estudios Universitarios Real Madrid. 2010/04RM

Cut-offs and response criteria for the Hospital Universitario la Princesa Index (HUPI) and their comparison to widely-used indices of disease activity in rheumatoid arthritis

Objective To estimate cut-off points and to establish response criteria for the Hospital Universitario La Princesa Index (HUPI) in patients with chronic polyarthritis. Methods Two cohorts, one of early arthritis (Princesa Early Arthritis Register Longitudinal PEARL] study) and other of long-term rheumatoid arthritis (Estudio de la Morbilidad y Expresión Clínica de la Artritis Reumatoide EMECAR]) including altogether 1200 patients were used to determine cut-off values for remission, and for low, moderate and high activity through receiver operating curve (ROC) analysis. The areas under ROC (AUC) were compared to those of validated indexes (SDAI, CDAI, DAS28). ROC analysis was also applied to establish minimal and relevant clinical improvement for HUPI. Results The best cut-off points for HUPI are 2, 5 and 9, classifying RA activity as remission if =2, low disease activity if >2 and =5), moderate if >5 and <9 and high if =9. HUPI''s AUC to discriminate between low-moderate activity was 0.909 and between moderate-high activity 0.887. DAS28''s AUCs were 0.887 and 0.846, respectively; both indices had higher accuracy than SDAI (AUCs: 0.832 and 0.756) and CDAI (AUCs: 0.789 and 0.728). HUPI discriminates remission better than DAS28-ESR in early arthritis, but similarly to SDAI. The HUPI cut-off for minimal clinical improvement was established at 2 and for relevant clinical improvement at 4. Response criteria were established based on these cut-off values. Conclusions The cut-offs proposed for HUPI perform adequately in patients with either early or long term arthritis

Population genetic structure of the malaria vector Anopheles nili in sub-Saharan Africa

<p>Abstract</p> <p>Background</p> <p><it>Anopheles nili </it>is a widespread efficient vector of human malaria parasites in the humid savannas and forested areas of sub-Saharan Africa. Understanding <it>An. nili </it>population structure and gene flow patterns could be useful for the development of locally-adapted vector control measures.</p> <p>Methods</p> <p>Polymorphism at eleven recently developed microsatelitte markers, and sequence variation in four genes within the 28s rDNA subunit (ITS2 and D3) and mtDNA (COII and ND4) were assessed to explore the level of genetic variability and differentiation among nine populations of <it>An. nili </it>from Senegal, Ivory Coast, Burkina Faso, Nigeria, Cameroon and the Democratic Republic of Congo (DRC).</p> <p>Results</p> <p>All microsatellite loci successfully amplified in all populations, showing high and very similar levels of genetic diversity in populations from West Africa and Cameroon (mean Rs = 8.10-8.88, mean He = 0.805-0.849) and much lower diversity in the Kenge population from DRC (mean Rs = 5.43, mean He = 0.594). Bayesian clustering analysis of microsatellite allelic frequencies revealed two main genetic clusters in the dataset. The first one included only the Kenge population and the second grouped together all other populations. High Fst estimates based on microsatellites (Fst > 0.118, P < 0.001) were observed in all comparisons between Kenge and all other populations. By contrast, low Fst estimates (Fst < 0.022, P < 0.05) were observed between populations within the second cluster. The correlation between genetic and geographic distances was weak and possibly obscured by demographic instability. Sequence variation in mtDNA genes matched these results, whereas low polymorphism in rDNA genes prevented detection of any population substructure at this geographical scale.</p> <p>Conclusion</p> <p>Overall, high genetic homogeneity of the <it>An. nili </it>gene pool was found across its distribution range in West and Central Africa, although demographic events probably resulted in a higher level of genetic isolation in the marginal population of Kenge (DRC). The role of the equatorial forest block as a barrier to gene flow and the implication of such findings for vector control are discussed.</p

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London