Targeted treatment of yaws with contact tracing : how much do we miss?

Yaws is a disabling bacterial infection found primarily in warm and humid tropical areas. The World Health Organization strategy mandates an initial round of total community treatment (TCT) with single-dose azithromycin followed either by further TCT or active case-finding and treatment of cases and their contacts (the Morges strategy). We sought to investigate the effectiveness of the Morges strategy. We employed a stochastic household model to study the transmission of infection using data collected from a pre-TCT survey conducted in the Solomon Islands. We used this model to assess the proportion of asymptomatic infections that occurred in households without active cases. This analysis indicated that targeted treatment of cases and their household contacts would miss a large fraction of asymptomatic infections (65%–100%). This fraction was actually higher at lower prevalences. Even assuming that all active cases and their households were successfully treated, our analysis demonstrated that at all prevalences present in the data set, up to 90% of (active and asymptomatic) infections would not be treated under household-based contact tracing. Mapping was undertaken as part of the study “Epidemiology of Yaws in the Solomon Islands and the Impact of a Trachoma Control Programme,” in September–October 2013

Targeted Treatment of Yaws With Household Contact Tracing: How Much Do We Miss?

Yaws is a disabling bacterial infection found primarily in warm and humid tropical areas. The World Health Organization strategy mandates an initial round of total community treatment (TCT) with single-dose azithromycin followed either by further TCT or active case-finding and treatment of cases and their contacts (the Morges strategy). We sought to investigate the effectiveness of the Morges strategy. We employed a stochastic household model to study the transmission of infection using data collected from a pre-TCT survey conducted in the Solomon Islands. We used this model to assess the proportion of asymptomatic infections that occurred in households without active cases. This analysis indicated that targeted treatment of cases and their household contacts would miss a large fraction of asymptomatic infections (65%-100%). This fraction was actually higher at lower prevalences. Even assuming that all active cases and their households were successfully treated, our analysis demonstrated that at all prevalences present in the data set, up to 90% of (active and asymptomatic) infections would not be treated under household-based contact tracing. Mapping was undertaken as part of the study "Epidemiology of Yaws in the Solomon Islands and the Impact of a Trachoma Control Programme," in September-October 2013

Clarifying terrestrial recycling pathways

Pausas and Bond argue that there are three major pathways by which the carbon and nutrients assimilated by plants are recycled through ecosystems: microbial decomposition, vertebrate herbivory, and wildfires. This framework has three principles. First, that each pathway recycles nutrients into plant-available forms. Second, that each pathway is broadly equivalent in that they consume ‘biomass’. Third, that the dominance of each pathway varies under different environmental conditions. We welcome the reframing of terrestrial recycling pathways in this way, but have identified three areas where the ‘Three Pathways Framework’ could be built upon.http://www.cell.com/trends/ecology-evolution/homehj2022Zoology and Entomolog

Vitamin D-VDR signaling inhibits Wnt/beta-catenin-mediated melanoma progression and promotes anti-tumor immunity

1α,25-dihydroxyvitamin D3 signals via the Vitamin D Receptor (VDR). Higher serum vitamin D is associated with thinner primary melanoma and better outcome, although a causal mechanism has not been established. As melanoma patients commonly avoid sun exposure, and consequent vitamin D deficiency might worsen outcomes, we interrogated 703 primary melanoma transcriptomes to understand the role of vitamin D-VDR signalling and replicated the findings in TCGA metastases. VDR expression was independently protective for melanoma death in both primary and metastatic disease. High tumor VDR expression was associated with upregulation of pathways mediating anti-tumor immunity and correspondingly with higher imputed immune cell scores and histologically detected tumor infiltrating lymphocytes (TILs). High VDR expressing tumors had downregulation of proliferative pathways, notably Wnt/beta-catenin signaling. Deleterious low VDR levels resulted from promoter methylation and gene deletion in metastases. Vitamin D deficiency (< 25 nmol/l ~ 10 ng/ml) shortened survival in primary melanoma in a VDR-dependent manner. In vitro functional validation studies showed that elevated vitamin D-VDR signaling inhibited Wnt/beta-catenin signaling genes. Murine melanoma cells overexpressing VDR produced fewer pulmonary metastases than controls in tail vein metastasis assays. In summary, vitamin D-VDR signaling contributes to controlling pro-proliferative/immunosuppresive Wnt/beta-catenin signaling in melanoma and this is associated with less metastatic disease and stronger host immune responses. This is evidence of the causal relationship between vitamin D-VDR signaling and melanoma survival which should be explored as a therapeutic target in primary resistance to checkpoint blockade

Prospectus, December 14, 1983

MERRY CHRISTMAS TO ALL; Memories recalled from Christmases past; 32 are named in Who\u27s Who; News Digest; Parkland student talks with Santa; Simpson keeps position; Illinois joins no-fault divorce movement; PC Happenings: Second blood drive is success; German club goes to Chicago; Rotary scholarships available; Camera ban lifted; Final Exam Schedule; Looking forward to a winter like last year\u27s!; Parkland publishes annual magazine--Intercom; Zamary decorates cakes; Letter to the editor; Christmas carols are important part of world history; Letter to the editor; Question: When did you stop believing in Santa?; Question: What was the best Christmas gift you ever received?; Question: What is your best Christmas memory or tradition?; Christmas--ancient celebration of the birth of Christ; Spring brings more of an abundance of Cabbage Patches; The brighter side of Christmas; Make holiday cleaning easy; Tips for easier Holiday Baking; Tree trimming is art; Christmas cards originate in England; Recipes for Christmas and New Years; Christmas of yesteryear at the Lake of the Woods; Parkland before the brown brick campus; Photographer captures old-fashioned Christmas; Wham Bam it\u27s Tieken man and U.R.S.A..; Pulitzer winner at Krannert; WILL--most varied holiday line-up; Variety of films hits the 1983 Christmas season; Dylan is back again; \u27Stones\u27 come back to life; January Krannert Schedule; Classifieds; Tips on how to stay out of an accident on icy days; 1984 Bowl game schedule; Cobra volleyball players feted; Composite Athletic Schedule; I.M. News...; Women win; Track tream ready for season; Fire hazard safety tips; Local search for Opryland talent; President\u27s Christmas messagehttps://spark.parkland.edu/prospectus_1983/1000/thumbnail.jp

Eco-engineered rock pools: a concrete solution to biodiversity loss and urban sprawl in the marine environment

journal_title: Environmental Research Letters article_type: lett article_title: Eco-engineered rock pools: a concrete solution to biodiversity loss and urban sprawl in the marine environment copyright_information: © 2016 IOP Publishing Ltd license_information: cc-by Original content from this work may be used under the terms of the Creative Commons Attribution 3.0 licence. Any further distribution of this work must maintain attribution to the author(s) and the title of the work, journal citation and DOI. date_received: 2016-05-12 date_accepted: 2016-08-10 date_epub: 2016-09-1

People of the British Isles: preliminary analysis of genotypes and surnames in a UK control population

There is a great deal of interest in fine scale population structure in the UK, both as a signature of historical immigration events and because of the effect population structure may have on disease association studies. Although population structure appears to have a minor impact on the current generation of genome-wide association studies, it is likely to play a significant part in the next generation of studies designed to search for rare variants. A powerful way of detecting such structure is to control and document carefully the provenance of the samples involved. Here we describe the collection of a cohort of rural UK samples (The People of the British Isles), aimed at providing a well-characterised UK control population that can be used as a resource by the research community as well as providing fine scale genetic information on the British population. So far, some 4,000 samples have been collected, the majority of which fit the criteria of coming from a rural area and having all four grandparents from approximately the same area. Analysis of the first 3,865 samples that have been geocoded indicates that 75% have a mean distance between grandparental places of birth of 37.3km, and that about 70% of grandparental places of birth can be classed as rural. Preliminary genotyping of 1,057 samples demonstrates the value of these samples for investigating fine scale population structure within the UK, and shows how this can be enhanced by the use of surnames