Advances and challenges in predicting the impact of lymphatic filariasis elimination programmes by mathematical modelling

Mathematical simulation models for transmission and control of lymphatic filariasis are useful tools for studying the prospects of lymphatic filariasis elimination. Two simulation models are currently being used. The first, EPIFIL, is a population-based, deterministic model that simulates average trends in infection intensity over time. The second, LYMFASIM, is an individual-based, stochastic model that simulates acquisition and loss of infection for each individual in the simulated population, taking account of individual characteristics. For settings like Pondicherry (India), where Wuchereria bancrofti infection is transmitted by Culex quinquefasciatus, the models give similar predictions of the coverage and number of treatment rounds required to bring microfilaraemia prevalence below a level of 0.5%. Nevertheless, published estimates of the duration of mass treatment required for elimination differed, due to the use of different indicators for elimination (EPIFIL: microfilaraemia prevalence < 0.5% after the last treatment; LYMFASIM: reduction of microfilaraemia prevalence to zero, within 40 years after the start of mass treatment). The two main challenges for future modelling work are: 1) quantification and validation of the models for other regions, for investigation of elimination prospects in situations with other vector-parasite combinations and endemicity levels than in Pondicherry; 2) application of the models to address a range of programmatic issues related to the monitoring and evaluation of ongoing control programmes. The models' usefulness could be enhanced by several extensions; inclusion of different diagnostic tests and natural history of disease in the models is of particular relevance

A Mach-Zehnder Interferometer for a Two-Photon Wave Packet

We propose an experiment that permits observation of the de Broglie two-photon wave packet behavior for a pair of photons, using a Mach-Zehnder interferometer. It is based on the use of pulsed lasers to generate pairs of photons via spontaneous parametric down-conversion and the post-selection of events. It differs from previous realizations by the use of a third time-correlated photon to engineer the state of the photons. The same technique can give us which-path information via an ``interaction-free'' experiment and can be used in other experiments on the foundations of quantum mechanics related to wave-particle duality and to nonlocality.Comment: Submmited for publication in Physical Review

The Long Term Effect of Current and New Interventions on the New Case Detection of Leprosy: A Modeling Study

Leprosy is a contagious disease that will remain prevalent, despite the declining number of patients worldwide over the last century. With approximately 250,000 new cases detected annually, leprosy is far from being eradicated. Leprosy can be treated with drugs after disease detection

Experimental violation of a spin-1 Bell inequality using maximally-entangled four-photon states

We demonstrate the first experimental violation of a spin-1 Bell inequality. The spin-1 inequality is a calculation based on the Clauser, Horne, Shimony and Holt formalism. For entangled spin-1 particles the maximum quantum mechanical prediction is 2.552 as opposed to a maximum of 2, predicted using local hidden variables. We obtained an experimental value of 2.27 $\pm 0.02$ using the four-photon state generated by pulsed, type-II, stimulated parametric down-conversion. This is a violation of the spin-1 Bell inequality by more than 13 standard deviations.Comment: 5 pages, 3 figures, Revtex4. Problem with figures resolve

Development of new imaging techniques for the study and interpretation of late Rembrandt paintings

Recent macro-XRF scanning of Rembrandt’s Selfportrait from 1669 in the Mauritshuis – as part of the ReVisRembrandt project – has revealed significant new information about the pigments and build-up of the painting. The elemental distribution maps make clear that the umber-rich ground plays a very important role in the final appearance of this painting, information that is highly relevant for the study of this self-portrait, as well as many other late Rembrandt paintings. It was also possible to image the presence of organic lakes (by means of the potassium map) and bone black (by means of the calcium and phosphorus maps) in the upper paint layers. In addition to conventional investigative techniques, such as x-radiography and infrared imaging, it is anticipated macro-XRF scanning will become an important diagnostic tool for conservators and art historians alike

Motional effects of single trapped atomic/ionic qubit

We investigate theoretical decoherence effects of the motional degrees of freedom of a single trapped atomic/ionic electronically coded qubit. For single bit rotations from a resonant running wave laser field excitation, we found the achievable fidelity to be determined by a single parameter characterized by the motional states. Our quantitative results provide a useful realistic view for current experimental efforts in quantum information and computing.Comment: 3 fig

Is there an association between serum soluble interleukin-2 receptor levels and syndrome severity in persistent Complex Regional Pain Syndrome?

OBJECTIVE: A potentially useful biomarker for Complex Regional Pain Syndrome (CRPS) is the serum soluble interleukin-2 receptor (sIL-2R) level, which is a marker for T-cell activation. Elevated serum sIL-2R levels have been described in CRPS patients compared to healthy controls. In T-cell mediated inflammatory diseases such as sarcoidosis and rheumatoid arthritis, the serum sIL-2R levels correlate with disease severity. In this study, we investigate whether an association exists between serum sIL-2R levels in CRPS patients and CRPS severity. METHODS: A cross-sectional cohort study was conducted in a tertiary pain referral center in the Netherlands. Adult CRPS patients diagnosed by the IASP criteria were included between October 2018 until October 2022. The main study parameters were serum sIL-2R levels and the CRPS severity score. RESULTS: Fifty-three CRPS patients were included with a mean syndrome duration of 84 months (Q3 - Q1:180 - 48). The majority had persistent CRPS with a syndrome duration &gt;1 year (n = 52, 98%). The median pain Numerical Rating Score (NRS) was 7 (Q3 - Q1: 8 - 5) and the mean CRPS severity score was 11 (SD ± 2.3). The median serum sIL-2R level was 330 U/mL (Q3 - Q1:451 - 256). No statistically significant correlation was observed between serum sIL-2R levels and the CRPS severity score (rs = 0.15, P = .28). CONCLUSIONS: Our findings suggest that serum sIL-2R levels cannot be used as a biomarker for syndrome severity in persistent CRPS (syndrome duration &gt;1 year). Serial measurements of serum sIL-2R from early CRPS to persistent CRPS are needed to investigate whether serum sIL-2R levels can be used to monitor T-cell mediated inflammatory syndrome activity.</p

Dissection of a metastatic gene expression signature into distinct components

BACKGROUND: Metastasis, the process whereby cancer cells spread, is in part caused by an incompletely understood interplay between cancer cells and the surrounding stroma. Gene expression studies typically analyze samples containing tumor cells and stroma. Samples with less than 50% tumor cells are generally excluded, thereby reducing the number of patients that can benefit from clinically relevant signatures. RESULTS: For a head-neck squamous cell carcinoma (HNSCC) primary tumor expression signature that predicts the presence of lymph node metastasis, we first show that reduced proportions of tumor cells results in decreased predictive accuracy. To determine the influence of stroma on the predictive signature and to investigate the interaction between tumor cells and the surrounding microenvironment, we used laser capture microdissection to divide the metastatic signature into six distinct components based on tumor versus stroma expression and on association with the metastatic phenotype. A strikingly skewed distribution of metastasis associated genes is revealed. CONCLUSION: Dissection of predictive signatures into different components has implications for design of expression signatures and for our understanding of the metastatic process. Compared to primary tumors that have not formed metastases, primary HNSCC tumors that have metastasized are characterized by predominant down-regulation of tumor cell specific genes and exclusive up-regulation of stromal cell specific genes. The skewed distribution agrees with poor signature performance on samples that contain less than 50% tumor cells. Methods for reducing tumor composition bias that lead to greater predictive accuracy and an increase in the types of samples that can be included are presented

Irreversible Effects of Ivermectin on Adult Parasites in Onchocerciasis Patients in the Onchocerciasis Control Programme in West Africa

Ivermectin is an effective drug for the treatment of human onchocerciasis, a disease caused by the parasitic filarial nematode Onchocerca volvulus. When humans are treated, the microfilariae normally found in the skin are rapidly and very nearly completely eliminated. Nonetheless, after a delay, microfilariae gradually reappear in the skin. This study is concerned with the causes of this delay. Hypotheses are tested by comparing the results of model calculations with skin microfilaria counts collected from 114 patients during a trial of five annual treatments in the focus area of Asubende, Ghana. The results obtained strongly suggest that annual treatment with ivermectin causes an irreversible decline in microfilariae production of ∼30%/treatment. This result has important implications for public health strategies designed to eliminate onchocerciasis as a significant health hazar