The estimated median survival is more than 35 years for a young person diagnosed with HIV infection in the late highly active antiretroviral therapy era. However, an ongoing effort is still needed to further reduce mortality rates for these persons compared with the general population.
In a setting where HIV care is well organized and antiretroviral therapy is free of charge, HIV-infected smokers lose more life-years to smoking than to HIV. The excess mortality of smokers is tripled and the population-attributable risk of death associated with smoking is doubled among HIV patients compared to the background population.
HIV-infected patients had increased risk of fracture compared with population controls. Among HIV-monoinfected patients the increased risk was observed for low-energy but not for high-energy fractures, and the increased risk of low-energy fracture was only observed in HAART-exposed patients.
Abstract-This paper presents a novel small-size directional antenna design for ultrawide-band wireless body area networks/wireless personal area networks applications. The design is based on a typical slot antenna structure with an added reflector in order to achieve directionality. The effects of different antenna parameters and human body proximity on the radiation characteristics are analyzed. Antenna measurements with an optic RF setup were performed in order to characterize the small-size antenna far field radiation pattern. The different structural antenna parameters were optimized via extensive numerical simulations. Results show that for frequencies above 3.5 GHz, where the power front-to-back ratio of the directional antenna is greater than 10 dB, its impedance is nearly the same as in the free space. It is not the case neither for the omnidirectional slot antenna nor the monopole antenna next to the body. Between 3 and 6 GHz performance of the novel directional antenna, in terms of radiation efficiency and SAR values, is significantly improved compared to omnidirectional antenna designs.Index Terms-Body-worn antennas, human body, pulsed antennas, specific absorption rate (SAR), ultrawide-band (UWB), wearable antennas, wireless communication.
BackgroundWe determined the impact of three factors on mortality in HIV-infected patients who had been on highly active antiretroviral therapy (HAART) for at least one year: (1) insufficient response to (HAART) and presence of AIDS-defining diseases, (2) comorbidity, and (3) drug and alcohol abuse and compared the mortality to that of the general population.Methodology/Principal FindingsIn a Danish nationwide, population-based cohort study, we used population based registries to identify (1) all Danish HIV-infected patients who started HAART in the period 1 January 1998–1 July 2009, and (2) a comparison cohort of individuals matched on date of birth and gender (N = 2,267 and 9,068, respectively). Study inclusion began 1 year after start of HAART. Patients were categorised hierarchically in four groups according to the three risk factors, which were identified before study inclusion. The main outcome measure was probability of survival from age 25 to 65 years. The probability of survival from age 25 to age 65 was substantially lower in HIV patients [0.48 (95% confidence interval (CI) 0.42–0.55)] compared to the comparison cohort [0.88 (0.86 to 0.90)]. However, in HIV patients with no risk factors (N = 871) the probability of survival was equivalent to that of the general population [0.86 (95% CI 0.77–0.92)]. In contrast, the probability of survival was 0.58 in patients with HIV risk factors (N = 704), 0.30 in patients with comorbidities (N = 479), and 0.03 in patients with drug or alcohol abuse (N = 313).ConclusionsThe increased risk of death in HIV-infected individuals is mainly attributable to risk factors that can be identified prior to or in the initial period of antiretroviral treatment. Mortality in patients without risk factors on a successful HAART is almost identical to that of the non–HIV-infected population.
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