920 research outputs found

    Effects of ion irradiation on conductivity of CrSi_2 thin films

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    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

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    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

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    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

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    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

    Malaria burden and costs of intensifi ed control in Bhutan, 2006–14: an observational study and situation analysis

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    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

    Rituximab monitoring and redosing in pediatric neuromyelitis optica spectrum disorder.

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    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

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    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&thinsp;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&thinsp;000&thinsp;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&thinsp; = &thinsp;0.555&thinsp;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  &lt; 0.125&thinsp;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 ( &lt; 0.125&thinsp;km2) is only 5.1&thinsp;% 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&thinsp;% 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

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    BACKGROUND: Bhutan has reduced its malaria incidence significantly in the last 5 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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