Translating from egg- to antigen-based indicators for Schistosoma mansoni elimination targets: A Bayesian latent class analysis study

This Document is Protected by copyright and was first published by Frontiers. All rights reserved. it is reproduced with permission.Schistosomiasis is a parasitic disease affecting over 240-million people. World Health Organization (WHO) targets for Schistosoma mansoni elimination are based on Kato-Katz egg counts, without translation to the widely used, urine-based, point-of-care circulating cathodic antigen diagnostic (POC-CCA). We aimed to standardize POC-CCA score interpretation and translate them to Kato-Katz-based standards, broadening diagnostic utility in progress towards elimination. A Bayesian latent-class model was fit to data from 210 school-aged-children over four timepoints pre- to six-months-post-treatment. We used 1) Kato-Katz and established POC-CCA scoring (Negative, Trace, +, ++ and +++), and 2) Kato-Katz and G-Scores (a new, alternative POC-CCA scoring (G1 to G10)). We established the functional relationship between Kato-Katz counts and POC-CCA scores, and the score-associated probability of true infection. This was combined with measures of sensitivity, specificity, and the area under the curve to determine the optimal POC-CCA scoring system and positivity threshold. A simulation parametrized with model estimates established antigen-based elimination targets. True infection was associated with POC-CCA scores of ≥ + or ≥G3. POC-CCA scores cannot predict Kato-Katz counts because low infection intensities saturate the POC-CCA cassettes. Post-treatment POC-CCA sensitivity/specificity fluctuations indicate a changing relationship between egg excretion and antigen levels (living worms). Elimination targets can be identified by the POC-CCA score distribution in a population. A population with ≤2% ++/+++, or ≤0.5% G7 and above, indicates achieving current WHO Kato-Katz-based elimination targets. Population-level POC-CCA scores can be used to access WHO elimination targets prior to treatment. Caution should be exercised on an individual level and following treatment, as POC-CCAs lack resolution to discern between WHO Kato-Katz-based moderate- and high-intensity-infection categories, with limited use in certain settings and evaluations

Optical properties of germania and titania at 1064 nm and at 1550 nm

One of the main noise sources in current gravitational wave detectors is the thermal noise of the high-reflectivity coatings on the main interferometer optics.
Coating thermal noise is dominated by the mechanical loss of the high-refractive index material within the coating stacks, Ta2O5 mixed with TiO2. For upgrades to room-temperature detectors, a mixture of GeO2 and TiO2 is an interesting alternative candidate coating material. While the rather low refractive index of GeO2 increases with increasing TiO2 content, a higher TiO2 content results in a lower threshold temperature before heat treatment leads to crystallisation, and potentially to a degradation of optical properties. For future cryogenic detectors, on the other hand, a higher TiO2 content is beneficial as the TiO2 suppresses the low-temperature mechanical loss peak of GeO2. In this paper, we present the optical properties of coatings -- produced by plasma-assisted ion-beam evaporation -- with high TiO2 content at 1550nm, a laser wavelength considered for cryogenic gravitational-wave detectors, as a function of heat-treatment temperature. For comparison, the absorption was also measured of pure GeO2. Furthermore, results at the currently-used wavelength of 1064nm are presented