Longitudinal analysis of Brain Metabolite levels for HIV infected Children from ages five to eleven

dc.contributor.advisorLittle, Francesca
dc.contributor.advisorMeintjes, Ernesta
dc.contributor.advisorHolmes, Martha
dc.contributor.advisorRobertson, Frances
dc.contributor.authorVan Biljon, Noƫlle
dc.date.accessioned2020-11-10T14:49:56Z
dc.date.available2020-11-10T14:49:56Z
dc.date.issued2020
dc.date.updated2020-11-10T09:53:20Z
dc.description.abstractHIV infected (HIV+) children initiate antiretroviral therapy (ART) early in life and remain on it lifelong. However, the long-term impact of ART and HIV on the maturing brain is not well documented and longitudinal neuroimaging studies are rare, especially in developing countries most heavily impacted by HIV/AIDS where access to imaging resources are limited. We have examined HIV related changes in metabolite level trajectories from 5-11 years in three brain regions using Magnetic Resonance Spectroscopy (MRS). We used univariate linear mixed effect models to identify independent profiles of the metabolites measured in each region of the brain. To explore the metabolite trends in a multivariate setting we generated multilevel mixed effects models, and correlated response models. There was an element of confounding introduced through the change of MRI scanner during the follow-up period and we compare different methods to resolve this issue. Consequently, we did observe differences in metabolite profiles from HIV+ children compared to HIV uninfected (HIV-) controls. This suggests that while these children are on ART treatment, there is still some underlying effect on their neurochemistry which sets their development apart from the normal healthy profiles we expect.
dc.identifier.apacitationVan Biljon, N. (2020). <i>Longitudinal analysis of Brain Metabolite levels for HIV infected Children from ages five to eleven</i>. (). ,Faculty of Science ,Department of Statistical Sciences. Retrieved from http://hdl.handle.net/11427/32370en_ZA
dc.identifier.chicagocitationVan Biljon, Noƫlle. <i>"Longitudinal analysis of Brain Metabolite levels for HIV infected Children from ages five to eleven."</i> ., ,Faculty of Science ,Department of Statistical Sciences, 2020. http://hdl.handle.net/11427/32370en_ZA
dc.identifier.citationVan Biljon, N. 2020. Longitudinal analysis of Brain Metabolite levels for HIV infected Children from ages five to eleven. . ,Faculty of Science ,Department of Statistical Sciences. http://hdl.handle.net/11427/32370en_ZA
dc.identifier.ris TY - Master Thesis AU - Van Biljon, Noƫlle AB - HIV infected (HIV+) children initiate antiretroviral therapy (ART) early in life and remain on it lifelong. However, the long-term impact of ART and HIV on the maturing brain is not well documented and longitudinal neuroimaging studies are rare, especially in developing countries most heavily impacted by HIV/AIDS where access to imaging resources are limited. We have examined HIV related changes in metabolite level trajectories from 5-11 years in three brain regions using Magnetic Resonance Spectroscopy (MRS). We used univariate linear mixed effect models to identify independent profiles of the metabolites measured in each region of the brain. To explore the metabolite trends in a multivariate setting we generated multilevel mixed effects models, and correlated response models. There was an element of confounding introduced through the change of MRI scanner during the follow-up period and we compare different methods to resolve this issue. Consequently, we did observe differences in metabolite profiles from HIV+ children compared to HIV uninfected (HIV-) controls. This suggests that while these children are on ART treatment, there is still some underlying effect on their neurochemistry which sets their development apart from the normal healthy profiles we expect. DA - 2020 DB - OpenUCT DP - University of Cape Town KW - Biostatistics LK - https://open.uct.ac.za PY - 2020 T1 - Longitudinal analysis of Brain Metabolite levels for HIV infected Children from ages five to eleven TI - Longitudinal analysis of Brain Metabolite levels for HIV infected Children from ages five to eleven UR - http://hdl.handle.net/11427/32370 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/32370
dc.identifier.vancouvercitationVan Biljon N. Longitudinal analysis of Brain Metabolite levels for HIV infected Children from ages five to eleven. []. ,Faculty of Science ,Department of Statistical Sciences, 2020 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/32370en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Statistical Sciences
dc.publisher.facultyFaculty of Science
dc.subjectBiostatistics
dc.titleLongitudinal analysis of Brain Metabolite levels for HIV infected Children from ages five to eleven
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMSc
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