How do disease control measures impact spatial predictions of schistosomiasis and hookworm? The example of predicting school-based prevalence before and after preventive chemotherapy in Ghana

BACKGROUND: Schistosomiasis and soil-transmitted helminth infections are among the neglected tropical diseases (NTDs) affecting primarily marginalized communities in low- and middle-income countries. Surveillance data for NTDs are typically sparse, and hence, geospatial predictive modeling based on remotely sensed (RS) environmental data is widely used to characterize disease transmission and treatment needs. However, as large-scale preventive chemotherapy has become a widespread practice, resulting in reduced prevalence and intensity of infection, the validity and relevance of these models should be re-assessed. METHODOLOGY: We employed two nationally representative school-based prevalence surveys of Schistosoma haematobium and hookworm infections from Ghana conducted before (2008) and after (2015) the introduction of large-scale preventive chemotherapy. We derived environmental variables from fine-resolution RS data (Landsat 8) and examined a variable distance radius (1-5 km) for aggregating these variables around point-prevalence locations in a non-parametric random forest modeling approach. We used partial dependence and individual conditional expectation plots to improve interpretability. PRINCIPAL FINDINGS: The average school-level S. haematobium prevalence decreased from 23.8% to 3.6% and that of hookworm from 8.6% to 3.1% between 2008 and 2015. However, hotspots of high-prevalence locations persisted for both diseases. The models with environmental data extracted from a buffer radius of 2-3 km around the school location where prevalence was measured had the best performance. Model performance (according to the R2 value) was already low and declined further from approximately 0.4 in 2008 to 0.1 in 2015 for S. haematobium and from approximately 0.3 to 0.2 for hookworm. According to the 2008 models, land surface temperature (LST), modified normalized difference water index (MNDWI), elevation, slope, and streams variables were associated with S. haematobium prevalence. LST, slope, and improved water coverage were associated with hookworm prevalence. Associations with the environment in 2015 could not be evaluated due to low model performance. CONCLUSIONS/SIGNIFICANCE: Our study showed that in the era of preventive chemotherapy, associations between S. haematobium and hookworm infections and the environment weakened, and thus predictive power of environmental models declined. In light of these observations, it is timely to develop new cost-effective passive surveillance methods for NTDs as an alternative to costly surveys, and to focus on persisting hotspots of infection with additional interventions to reduce reinfection. We further question the broad application of RS-based modeling for environmental diseases for which large-scale pharmaceutical interventions are in place

Developments in MRI-targeted prostate biopsy

PURPOSE OF REVIEW: MRI-targeted prostate biopsy may be an attractive alternative to systematic biopsy for diagnosing clinically significant prostate cancer. In this narrative review, we discuss the new developments that have occurred in the advancement of MRI-targeted prostate biopsy, over the past 24 months. RECENT FINDINGS: MRI-targeted biopsy offers enhanced diagnostic accuracy, when compared with the current standard of care of systematic transrectal ultrasound-guided (TRUS) biopsy, by decreasing the overall number of biopsies needed, maintaining or improving significant prostate cancer detection, and reducing the detection of clinically insignificant prostate cancer. The necessity of combining systematic prostate biopsy with MRI-targeted biopsy is still debated. The use of MRI--ultrasound fusion systems for lesion-targeting is promising for optimizing significant cancer detection, but recent evidence suggests that additional cognitive biopsy cores are still useful in detecting additional cancers. SUMMARY: MRI-targeted biopsy in selected men with positive MRI offers a number of benefits over systematic biopsy in all men, and as such, may emerge as the new standard of care for the diagnosis of clinically significant prostate cancer

High-energy photoemission on Fe3O4: Small polaron physics and the Verwey transition

We have studied the electronic structure and charge ordering (Verwey) transition of magnetite (Fe3O4) by soft x-ray photoemission. Due to the enhanced probing depth and the use of different surface preparations we are able to distinguish surface and volume effects in the spectra. The pseudogap behavior of the intrinsic spectra and its temperature dependence give evidence for the existence of strongly bound small polarons consistent with both dc and optical conductivity. Together with other recent structural and theoretical results our findings support a picture in which the Verwey transition contains elements of a cooperative Jahn-Teller effect, stabilized by local Coulomb interaction

Magnetic and electronic properties of M-Ba-Cu-O (M: Y, Er, Eu)

Various high-Tc superconductors of the La-(Ba,Sr)-Cu-O and the M-Ba-Cu-O systems with M = Y, Er, and Eu have been prepared by the solid-state reaction method. Single-phase samples with no additional diffraction peaks as verified by x-ray diffraction (XRD) measurements have been obtained. Measurements of the electrical resistivity and of the magnetization showed sharp superconducting transitions with a width of 1 K. The measurements of the magnetic susceptibility have been extended above room temperature up to 770 K. There is clear evidence for the formation of a magnetic moment in all M-Ba-Cu-O samples. Monochromated x-ray photoelectron spectroscopy (MXPS) valence band and x-ray photoelectron spectroscopy (XPS) core level spectra have been measured on various samples at room temperature and at liquid nitrogen temperatur

Observation of Plasma Focusing of a 28.5 GeV Positron Beam

The observation of plasma focusing of a 28.5 GeV positron beam is reported. The plasma was formed by ionizing a nitrogen jet only 3 mm thick. Simultaneous focusing in both transverse dimensions was observed with effective focusing strengths of order Tesla per micron. The minimum area of the beam spot was reduced by a factor of 2.0 +/- 0.3 by the plasma. The longitudinal beam envelope was measured and compared with numerical calculations

Towards the theory of ferrimagnetism

Two-sublattice ferrimagnet, with spin-$s_1$ operators $\bf{S_{1i}}$ at the sublattice $A$ site and spin-$s_2$ operators $\bf{S_{2i}}$ at the sublattice $B$ site, is considered. The magnon of the system, the transversal fluctuation of the total magnetization, is a complicate mixture of the transversal fluctuations of the sublattice $A$ and $B$ spins. As a result, the magnons' fluctuations suppress in a different way the magnetic orders of the $A$ and $B$ sublattices and one obtains two phases. At low temperature $(0,T^*)$ the magnetic orders of the $A$ and $B$ spins contribute to the magnetization of the system, while at the high temperature $(T^*,T_N)$, the magnetic order of the spins with a weaker intra-sublattice exchange is suppressed by magnon fluctuations, and only the spins with stronger intra-sublattice exchange has non-zero spontaneous magnetization. The $T^*$ transition is a transition between two spin-ordered phases in contrast to the transition from spin-ordered state to disordered state ($T_N$-transition). There is no additional symmetry breaking, and the Goldstone boson has a ferromagnetic dispersion in both phases. A modified spin-wave theory is developed to describe the two phases. All known Neel's anomalous $M(T)$ curves are reproduced, in particular that with "compensation point". The theoretical curves are compared with experimental ones for sulpho-spinel $MnCr2S_{4-x}Se_{x}$ and rare earth iron garnets.Comment: 9 pages, 8 figure

Critical Casimir effect in classical binary liquid mixtures

If a fluctuating medium is confined, the ensuing perturbation of its fluctuation spectrum generates Casimir-like effective forces acting on its confining surfaces. Near a continuous phase transition of such a medium the corresponding order parameter fluctuations occur on all length scales and therefore close to the critical point this effect acquires a universal character, i.e., to a large extent it is independent of the microscopic details of the actual system. Accordingly it can be calculated theoretically by studying suitable representative model systems. We report on the direct measurement of critical Casimir forces by total internal reflection microscopy (TIRM), with femto-Newton resolution. The corresponding potentials are determined for individual colloidal particles floating above a substrate under the action of the critical thermal noise in the solvent medium, constituted by a binary liquid mixture of water and 2,6-lutidine near its lower consolute point. Depending on the relative adsorption preferences of the colloid and substrate surfaces with respect to the two components of the binary liquid mixture, we observe that, upon approaching the critical point of the solvent, attractive or repulsive forces emerge and supersede those prevailing away from it. Based on the knowledge of the critical Casimir forces acting in film geometries within the Ising universality class and with equal or opposing boundary conditions, we provide the corresponding theoretical predictions for the sphere-planar wall geometry of the experiment. The experimental data for the effective potential can be interpreted consistently in terms of these predictions and a remarkable quantitative agreement is observed.Comment: 30 pages, 17 figure

Results on Plasma Focusing of High Energy Density Electron and Positron Beams

We present results from the SLAC E-150 experiment on plasma focusing of high energy density electron and, for the first time, positron beams. We also discuss measurements on plasma lens-induced synchrotron radiation, longitudinal dynamics of plasma focusing, and laser- and beam-plasma interactions.Comment: LINAC 2000 paper No. THC13, Monterey, CA. Aug.21-25,2000, 3 pages, 2 figure

Opportunities for considering green infrastructure and ecosystems in the Sendai Framework Monitor

Ecosystem-based disaster risk reduction has gained attention to complement or replace grey infrastructure. The paper explores ways in which ecosystems and green infrastructure (GI) are critical infrastructure in the context of disaster risk reduction to report respective losses in the Sendai Framework Monitor (SFM). We argue that reporting on GI under indicators D-4 and C-5 in the SFM represent an opportunity for tracking losses, yet do not provide direct information on progress made in reducing risk. Custom targets and indicators according to countries' needs within the SFM might be a more practical opportunity to report on both losses and progress

Observation of the Askaryan Effect: Coherent Microwave Cherenkov Emission from Charge Asymmetry in High Energy Particle Cascades

We present the first direct experimental evidence for the charge excess in high energy particle showers predicted nearly 40 years ago by Askaryan. We directed bremsstrahlung photons from picosecond pulses of 28.5 GeV electrons at the SLAC Final Focus Test Beam facility into a 3.5 ton silica sand target, producing electromagnetic showers several meters long. A series of antennas spanning 0.3 to 6 GHz were used to detect strong, sub-nanosecond radio frequency pulses produced whenever a shower was present. The measured electric field strengths are consistent with a completely coherent radiation process. The pulses show 100% linear polarization, consistent with the expectations of Cherenkov radiation. The field strength versus depth closely follows the expected particle number density profile of the cascade, consistent with emission from excess charge distributed along the shower. These measurements therefore provide strong support for experiments designed to detect high energy cosmic rays and neutrinos via coherent radio emission from their cascades.Comment: 10 pages, 4 figures. Submitted to Phys. Rev. Let