Genotypic status of the TbAT1/P2 adenosine transporter of Trypanosoma brucei gambiense isolates from northwestern Uganda following melarsoprol withdrawal

Human African trypanosomiasis (HAT) manifests as a chronic infection caused by <i>Trypanosoma brucei gambiense</i>, or as a more acute form due to <i>T. b. rhodesiense</i>. Both manifestations occur in Uganda and melarsoprol use against the former was jeopardised in the 1990s as reports of reduced efficacy increased to the point where it was dismissed as first-line treatment at some treatment centers. Previous work to elucidate possible mechanisms leading to melarsoprol resistance pointed to a P2 type adenosine transporter known to mediate melarsoprol uptake and previously shown to be mutated in significant numbers of patients not responding to the drug. Our present findings indicate that there is a low prevalence of mutants in foci where melarsoprol relapses are infrequent. In addition we observe that at the Omugo focus where the drug was withdrawn as first line over 6 years ago, the mutant alleles have disappeared, suggesting that drug pressure is responsible for fuelling their spread. Thus constant monitoring for mutants could play a key role in cost-effective HAT management by identifying which foci can still use the less logistically demanding melarsoprol as opposed to the alternative drug eflornithine. What is required now is a simple method for identifying such mutants at the point of care, enabling practitioners to make informed prescriptions at first diagnosis

Finite temperature molecular dynamics study of unstable stacking fault free energies in silicon

We calculate the free energies of unstable stacking fault (USF) configurations on the glide and shuffle slip planes in silicon as a function of temperature, using the recently developed Environment Dependent Interatomic Potential (EDIP). We employ the molecular dynamics (MD) adiabatic switching method with appropriate periodic boundary conditions and restrictions to atomic motion that guarantee stability and include volume relaxation of the USF configurations perpendicular to the slip plane. Our MD results using the EDIP model agree fairly well with earlier first-principles estimates for the transition from shuffle to glide plane dominance as a function of temperature. We use these results to make contact to brittle-ductile transition models.Comment: 6 pages revtex, 4 figs, 16 refs, to appear in Phys. Rev.

Population-based mammography screening below age 50: balancing radiation-induced vs prevented breast cancer deaths

Introduction:Exposure to ionizing radiation at mammography screening may cause breast cancer. Because the radiation risk increases with lower exposure age, advancing the lower age limit may affect the balance between screening benefits and risks. The present study explores the benefit-risk ratio of screening before age 50.Methods:The benefits of biennial mammography screening, starting at various ages between 40 and 50, and continuing up to age 74 were examined using micro-simulation. In contrast with previous studies that commonly used excess relative risk models, we assessed the radiation risks using the latest BEIR-VII excess abso

Diagnostic value of MRS-quantified brain tissue lactate level in identifying children with mitochondrial disorders

Magnetic resonance spectroscopy (MRS) of children with or without neurometabolic disease is used for the first time for quantitative assessment of brain tissue lactate signals, to elaborate on previous suggestions of MRS-detected lactate as a marker of mitochondrial disease. Multivoxel MRS of a transverse plane of brain tissue cranial to the ventricles was performed in 88 children suspected of having neurometabolic disease, divided into 'definite' (n = 17, >= 1 major criteria), 'probable' (n = 10, >= 2 minor criteria), 'possible' (n = 17, 1 minor criterion) and 'unlikely' mitochondrial disease (n = 44, none of the criteria). Lactate levels, expressed in standardized arbitrary units or relative to creatine, were derived from summed signals from all voxels. Ten 'unlikely' children with a normal neurological exam served as the MRS reference subgroup. For 61 of 88 children, CSF lactate values were obtained. MRS lactate level (> 12 arbitrary units) and the lactate-to-creatine ratio (L/Cr > 0.22) differed significantly between the definite and the unlikely group (p = 0.015 and p = 0.001, respectively). MRS L/Cr also differentiated between the probable and the MRS reference subgroup (p = 0.03). No significant group differences were found for CSF lactate. MRS-quantified brain tissue lactate levels can serve as diagnostic marker for identifying mitochondrial disease in children. MRS-detected brain tissue lactate levels can be quantified. MRS lactate and lactate/Cr are increased in children with mitochondrial disease. CSF lactate is less suitable as marker of mitochondrial disease

Interpreting Overdiagnosis Estimates in Population-based Mammography Screening

Estimates of overdiagnosis in mammography screening range from 1% to 54%. This review explains such variations using gradual implementation of mammography screening in the Netherlands as an example. Breast cancer incidence without screening was predicted with a micro-simulation model. Observed breast cancer incidence (including ductal carcinoma in situ and invasive breast cancer) was modeled and compared with predicted incidence without screening during various phases of screening program implementation. Overdiagnosis was calculated as the difference between the modeled number of breast cancers with and the predicted number of breast cancers without screening. Estimating overdiagnosis annually between 1990 and 2006 illustrated the importance of the time at which overdiagnosis is measured. Overdiagnosis was also calculated using several estimators identified from the literature. The estimated overdiagnosis rate peaked during the implementation phase of screening, at 11.4% of all predicted cancers in women aged 0–100 years in the absence of screening. At steady-state screening, in 2006, this estimate had decreased to 2.8%. When different estimators were used, the overdiagnosis rate in 2006 ranged from 3.6% (screening age or older) to 9.7% (screening age only). The authors concluded that the estimated overdiagnosis rate in 2006 could vary by a factor of 3.5 when different denominators were used. Calculations based on earlier screening program phases may overestimate overdiagnosis by a factor 4. Sufficient follow-up and agreement regarding the chosen estimator are needed to obtain reliable estimates

A Technique for Assessing Seed Survival of New Pasture Legumes Following Grazing by Sheep

A technique for assessing the fate of seed grazed by sheep in small field plots was examined using the pasture species Trifolium michelianum cv. Paradana, Medicago truncatula cv. Mogul, Trifolium spumosum and Trigonella balansae. Trifolium spumosum lost the greatest proportion of seed from dry pasture residues (88% seed eaten), whereas Trigonella balansae, Paradana and Mogul lost 61%, 55% and 53% respectively. However, Trifolium spumosum and Paradana had high levels of seed in the faeces (56.8 kg/ha and 65.2 kg/ha respectively), whereas Mogul and Trigonella balansae had low levels (10.3 kg/ha and 11.0 kg/ha respectively). Mogul, due to it\u27s large pod and seed sustained the greatest losses of seed eaten by sheep. Structure and size of the seed head, proximity of the seed head to the ground, seed size and hardseededness all influence the survival of seed grazed by sheep

Parental perspectives on green schoolyards:advantages outweigh disadvantages, but willingness to help is limited

Parental involvement is critical to the successful implementation of green schoolyards. This paper reports results from two surveys that asked a total of 402 parents of children in schools with green and paved schoolyards about their appreciation of the schoolyard, children’s behavior in the schoolyard, (dis)advantages of a green schoolyard, and willingness to become involved. Parents from schools with a green, compared to a paved, schoolyard showed higher appreciation of the schoolyard and more often reported that the schoolyard supports varied play and other behaviors. Parents generally saw more advantages than disadvantages of a green schoolyard, and many parents indicated that disadvantages, such as children coming home dirty, are not very important to them. Parents wanted to be involved in designing a green schoolyard and with schoolyard activities. However, they were less willing to help with maintenance, and their time to help is limited