920 research outputs found
Effects of ion irradiation on conductivity of CrSi_2 thin films
Electrical resistivity measurements are used to study damage in CrSi_2 thin films induced by Ne, Ar, or Xe ion irradiation over a fluence range of 10^(10)–10^(15) ions cm^(−2). Irradiation produces a factor of 5–12 increase in film conductivity at the higher fluences. The influence of defect generation and recombination is evident. We speculate that formation of a compound defect is a dominant factor enhancing film conductivity. A temperature dependence at low fluences is reported and tentatively identified
A chemoenzymatic route to the (+)-form of the amaryllidaceae alkaloid narseronine
The enzymatically derived and enantiopure cis-1,2-dihydrocatechol 1 has been converted, over 14 one-pot operations, into the (+)-form of the alkaloid narseronine (2). The present study, which complements earlier work that established a route from metabolite 1 to enantiomer (–)-2, involves an N-bromosuccinimide/tri-n-butyltin hydride-mediated cyclisation reaction to construct the unsaturated B-ring lactone of the target compound.We thank the Australian Research Council and the Institute of Advanced Studies for generous financial support
gem-Dibromocyclopropanes and enzymatically derived cis-1,2-dihydrocatechols as building blocks in alkaloid synthesis
The application of the title building blocks, the 6,6-dibromobicyclo[3.1.0]hexanes
and the cis-1,2-dihydrocatechols, to the total synthesis of crinine and lycorinine alkaloids is
described.We thank the Australian Research Council and the Institute of Advanced Studies for generous financial
support
New methods for the synthesis of certain alkaloids and terpenoids
The use of ring-fused gem-dihalocyclopropanes, Au(I)-catalyzed cyclization reactions, and chemoenzymatic techniques in the synthesis of natural products is described.We thank the Australian Research Council for generous financial support through the provision of various
grants
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Over-winter persistence of supraglacial lakes on the Greenland Ice Sheet: Results and insights from a new model
AbstractWe present a newly developed 1-D numerical energy-balance and phase transition supraglacial lake model: GlacierLake. GlacierLake incorporates snowfall, in situ snow and ice melt, incoming water from the surrounding catchment, ice lid formation, basal freeze-up and thermal stratification. Snow cover and temperature are varied to test lake development through winter and the maximum lid thickness is recorded. Average wintertime temperatures of −2 toand total snowfall of 0 to 3.45 m lead to a range of the maximum lid thickness from 1.2 to 2.8 m afterdays, with snow cover exerting the dominant control. An initial ice temperature ofwith simulated advection of cold ice from upstream results in 0.6 m of basal freeze-up. This suggests that lakes with water depths above 1.3 to 3.4 m (dependent on winter snowfall and temperature) upon lid formation will persist through winter. These buried lakes can provide a sizeable water store at the start of the melt season, expedite future lake formation and warm underlying ice even in winter.NER
Malaria burden and costs of intensifi ed control in Bhutan, 2006–14: an observational study and situation analysis
Introduction The number of malaria cases has fallen in Bhutan in the past two decades, and the country has a goal of
complete elimination of malaria by 2016. The aims of this study are to ascertain the trends and burden of malaria, the
costs of intensifi ed control activities, the main donors of funding for the control activities, and the costs of diff erent
preventive measures in the pre-elimination phase (2006–14) in Bhutan.
Methods We undertook a descriptive analysis of malaria surveillance data from 2006 to 2014, using data from the
Vector-borne Disease Control Programme (VDCP) run by the Department of Public Health of Bhutan’s Ministry of
Health. Malaria morbidity and mortality in local Bhutanese people and foreign nationals were analysed. The cost of
diff erent control and preventive measures were calculated, and the average numbers of long-lasting insecticidal nests
per person were estimated.
Findings A total of 5491 confi rmed malaria cases occurred in Bhutan between 2006 and 2014. By 2013, there was an
average of one long-lasting insecticidal net for every 1·51 individuals. The cost of procuring long-lasting insecticidal
nets accounted for more than 90% of the total cost of prevention measures. The Global Fund to Fight AIDS,
Tuberculosis and Malaria was the main international donor, accounting for more than 80% of the total funds.
Interpretation The malaria burden in Bhutan decreased signifi cantly during the study period with high coverage of
long-lasting insecticidal nets. The foreseeable challenges that require national attention to maintain a malaria-free
status after elimination are importation of malaria, especially from India; continued protection of the population in
endemic districts through complete coverage with long-lasting insecticidal nets and indoor residual spraying; and
exploration of local funding modalities post-elimination in the event of a reduction in international funding
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Direct measurements of ice-shelf flexure caused by surface meltwater ponding and drainage.
Global sea-level rise is caused, in part, by more rapid ice discharge from Antarctica, following the removal of the restraining forces of floating ice-shelves after their break-up. A trigger of ice-shelf break-up is thought to be stress variations associated with surface meltwater ponding and drainage, causing flexure and fracture. But until now, there have been no direct measurements of these processes. Here, we present field data from the McMurdo Ice Shelf, Antarctica, showing that the filling, to ~2 m depth, and subsequent draining, by overflow and channel incision, of four surface lakes causes pronounced and immediate ice-shelf flexure over multiple-week timescales. The magnitude of the vertical ice-shelf deflection reaches maxima of ~1 m at the lake centres, declining to zero at distances of <500 m. Our results should be used to guide development of continent-wide ice-sheet models, which currently do not simulate ice-shelf break-up due to meltwater loading and unloading.This work was supported by the U.S. National Science Foundation under award PLR-1443126 to the University of Chicago, a Leverhulme Early Career Fellowship (ECF-2014-412) and a CIRES Postdoctoral Visiting Fellowship, both awarded to A.F.B., and a NASA Earth and Space Science Fellowship (NNX15AN44H) awarded to G.J.M
Rituximab monitoring and redosing in pediatric neuromyelitis optica spectrum disorder.
Abstract
OBJECTIVE:
To study rituximab in pediatric neuromyelitis optica (NMO)/NMO spectrum disorders (NMOSD) and the relationship between rituximab, B cell repopulation, and relapses in order to improve rituximab monitoring and redosing.
METHODS:
Multicenter retrospective study of 16 children with NMO/NMOSD receiving 652 rituximab courses. According to CD19 counts, events during rituximab were categorized as "repopulation," "depletion," or "depletion failure" relapses (repopulation threshold CD19 6510
7 10(6) cells/L).
RESULTS:
The 16 patients (14 girls; mean age 9.6 years, range 1.8-15.3) had a mean of 6.1 events (range 1-11) during a mean follow-up of 6.1 years (range 1.6-13.6) and received a total of 76 rituximab courses (mean 4.7, range 2-9) in 42.6-year cohort treatment. Before rituximab, 62.5% had received azathioprine, mycophenolate mofetil, or cyclophosphamide. Mean time from rituximab to last documented B cell depletion and first repopulation was 4.5 and 6.8 months, respectively, with large interpatient variability. Earliest repopulations occurred with the lowest doses. Significant reduction between pre- and post-rituximab annualized relapse rate (ARR) was observed (p = 0.003). During rituximab, 6 patients were relapse-free, although 21 relapses occurred in 10 patients, including 13 "repopulation," 3 "depletion," and 4 "depletion failure" relapses. Of the 13 "repopulation" relapses, 4 had CD19 10-50
7 10(6) cells/L, 10 had inadequate monitoring ( 641 CD19 in the 4 months before relapses), and 5 had delayed redosing after repopulation detection.
CONCLUSION:
Rituximab is effective in relapse prevention, but B cell repopulation creates a risk of relapse. Redosing before B cell repopulation could reduce the relapse risk further.
CLASSIFICATION OF EVIDENCE:
This study provides Class IV evidence that rituximab significantly reduces ARR in pediatric NMO/NMOSD. This study also demonstrates a relationship between B cell repopulation and relapses
Dual-satellite (Sentinel-2 and Landsat 8) remote sensing of supraglacial lakes in Greenland
Remote sensing is commonly used to monitor supraglacial lakes on
the Greenland Ice Sheet (GrIS); however, most satellite records must trade off
higher spatial resolution for higher temporal resolution (e.g. MODIS) or vice
versa (e.g. Landsat). Here, we overcome this issue by developing and applying
a dual-sensor method that can monitor changes to lake areas and volumes at
high spatial resolution (10–30 m) with a frequent revisit time ( ∼ 3 days). We achieve this by mosaicking imagery from the Landsat 8 Operational Land Imager (OLI) with
imagery from the recently launched Sentinel-2 Multispectral Instrument (MSI) for a  ∼ 12 000 km2 area of West Greenland in the 2016 melt season. First, we
validate a physically based method for calculating lake depths with
Sentinel-2 by comparing measurements against those derived from the available
contemporaneous Landsat 8 imagery; we find close correspondence between the
two sets of values (R2 = 0.841; RMSE  =  0.555 m). This provides us
with the methodological basis for automatically calculating lake areas,
depths, and volumes from all available Landsat 8 and Sentinel-2 images. These
automatic methods are incorporated into an algorithm for Fully Automated
Supraglacial lake Tracking at Enhanced Resolution (FASTER). The FASTER
algorithm produces time series showing lake evolution during the 2016 melt
season, including automated rapid ( ≤ 4 day) lake-drainage identification.
With the dual Sentinel-2–Landsat 8 record, we identify 184 rapidly draining
lakes, many more than identified with either imagery collection alone (93
with Sentinel-2; 66 with Landsat 8), due to their inferior temporal
resolution, or would be possible with MODIS, due to its omission of small
lakes  < 0.125 km2. Finally, we estimate the water volumes drained
into the GrIS during rapid-lake-drainage events and, by analysing downscaled
regional climate-model (RACMO2.3p2) run-off data, the water quantity that
enters the GrIS via the moulins opened by such events. We find that during
the lake-drainage events alone, the water drained by small lakes ( < 0.125 km2) is only 5.1 % of the total water volume drained by all
lakes. However, considering the total water volume entering the GrIS after
lake drainage, the moulins opened by small lakes deliver 61.5 % of the
total water volume delivered via the moulins opened by large and small lakes;
this is because there are more small lakes, allowing more moulins to open,
and because small lakes are found at lower elevations than large lakes, where
run-off is higher. These findings suggest that small lakes should be included
in future remote-sensing and modelling work.</p
Development and evaluation of a spatial decision support system for malaria elimination in Bhutan
BACKGROUND:
Bhutan has reduced its malaria incidence significantly in the last 5Â years, and is aiming for malaria elimination by 2016. To assist with the management of the Bhutanese malaria elimination programme a spatial decision support system (SDSS) was developed. The current study aims to describe SDSS development and evaluate SDSS utility and acceptability through informant interviews.
METHODS:
The SDSS was developed based on the open-source Quantum geographical information system (QGIS) and piloted to support the distribution of long-lasting insecticidal nets (LLINs) and indoor residual spraying (IRS) in the two sub-districts of Samdrup Jongkhar District. It was subsequently used to support reactive case detection (RACD) in the two sub-districts of Samdrup Jongkhar and two additional sub-districts in Sarpang District. Interviews were conducted to ascertain perceptions on utility and acceptability of 11 informants using the SDSS, including programme and district managers, and field workers.
RESULTS:
A total of 1502 households with a population of 7165 were enumerated in the four sub-districts, and a total of 3491 LLINs were distributed with one LLIN per 1.7 persons. A total of 279 households representing 728 residents were involved with RACD. Informants considered that the SDSS was an improvement on previous methods for organizing LLIN distribution, IRS and RACD, and could be easily integrated into routine malaria and other vector-borne disease surveillance systems. Informants identified some challenges at the programme and field level, including the need for more skilled personnel to manage the SDSS, and more training to improve the effectiveness of SDSS implementation and use of hardware.
CONCLUSIONS:
The SDSS was well accepted and informants expected its use to be extended to other malaria reporting districts and other vector-borne diseases. Challenges associated with efficient SDSS use included adequate skills and knowledge, access to training and support, and availability of hardware including computers and global positioning system receivers
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