Use of rapid diagnostic tests in malaria school surveys in Kenya: does their under-performance matter for planning malaria control?

Malaria rapid diagnostic tests (RDTs) are known to yield false-positive results, and their use in epidemiologic surveys will overestimate infection prevalence and potentially hinder efficient targeting of interventions. To examine the consequences of using RDTs in school surveys, we compared three RDT brands used during a nationwide school survey in Kenya with expert microscopy and investigated the cost implications of using alternative diagnostic approaches in identifying localities with differing levels of infection. Overall, RDT sensitivity was 96.1% and specificity was 70.8%. In terms of classifying districts and schools according to prevalence categories, RDTs were most reliable for the 40% categories and least reliable in the 1-4.9% category. In low-prevalence settings, microscopy was the most expensive approach, and RDT results corrected by either microscopy or polymerase chain reaction were the cheapest. Use of polymerase chain reaction-corrected RDT results is recommended in school malaria surveys, especially in settings with low-to-moderate malaria transmission

Electrical Conductivity of Fermi Liquids. II. Quasiparticle Transport

We develop a general theory of Fermi liquids to discuss the Kadowaki-Woods relation $A\propto \gamma^2$. We derive a formula for the ratio $A/\gamma^2$ which is expressed as a product of two dimensionless parameters $\alpha$ and $F$, where $\alpha$ represents a coupling constant for quasiparticle scattering and $F$ is a geometric factor determined by the shape of the Fermi surface. Then we argue that the universal ratio observed in heavy fermion compounds is reproduced under the conditions $\alpha\sim 1$ and $F\sim 20$. The former is regarded as a universality of Fermi liquids in a strong coupling regime, and the latter is corroborated by evaluating $F$ definitely in simple cases. It is noted that the proportional relation is just an example of the universal phenomena to be expected for the whole class of strong coupling Fermi liquids.Comment: 28 pages, 7 figures; J. Phys. Soc. Jpn. Vol.67, No.1

Discrete organic phosphorus signatures are evident in pollutant sources within a Lake Erie tributary

Author Posting. © The Author(s), 2018. This is the author's version of the work. It is posted here under a nonexclusive, irrevocable, paid-up, worldwide license granted to WHOI. It is made available for personal use, not for redistribution. The definitive version was published in Environmental Science and Technology 52 (2018): 6771-6779, doi:10.1021/acs.est.7b05703.Phosphorus loads are strongly associated with the severity of harmful algal blooms in Lake Erie, a Great Lake situated between the United States and Canada. Inorganic and total phosphorus measurements have historically been used to estimate nonpoint and point source contributions, from contributing watersheds with organic phosphorus often neglected. Here, we used ultrahigh resolution mass spectrometry to characterize the dissolved organic matter and specifically dissolved organic phosphorus composition of several nutrient pollutant source materials and aqueous samples in a Lake Erie tributary. We detected between 23-313 organic phosphorus formulae across our samples, with manure samples having greater abundance of phosphorus- and nitrogen containing compounds compared to other samples. Manures also were enriched in lipids and protein-like compounds. The greatest similarities were observed between the Sandusky River and wastewater treatment plant effluent (WWTP), or the Sandusky River and agricultural edge of field samples. These sample pairs shared 84% of organic compounds and 59 to 73% of P-containing organic compounds, respectively. This similarity suggests that agricultural and/or WWTP sources dominate the supply of organic phosphorus compounds to the river. We identify formulae shared between the river and pollutant sources that could serve as possible markers of source contamination in the tributary.This research was supported by an Ohio State University Field to Faucet Institute award to P.J.M and by a Harmful Algal Bloom Research Initiative grant from the Ohio Department of Higher Education

Effects of Dementia Care Mapping on well-being and quality of life of older people with intellectual disability:A quasi-experimental study

BACKGROUND: The ageing of people with intellectual disability, accompanied with consequences like dementia, challenges intellectual disability-care staff and creates a need for supporting methods, with Dementia Care Mapping (DCM) as a promising possibility. This study examined the effect of DCM on the quality of life of older people with intellectual disability.METHODS: We performed a quasi-experimental study in 23 group homes for older people with intellectual disability in the Netherlands, comparing DCM (n = 113) with care-as-usual (CAU; n = 111). Using three measures, we assessed the staff-reported quality of life of older people with intellectual disability.RESULTS: DCM achieved no significantly better or worse quality of life than CAU. Effect sizes varied from 0.01 to -0.22. Adjustments for covariates and restriction of analyses to people with dementia yielded similar results.CONCLUSION: The finding that DCM does not increase quality of life of older people with intellectual disability contradicts previous findings and deserves further study.</p

Integrated Surveys of Neglected Tropical Diseases in Southern Sudan: How Much Do They Cost and Can They Be Refined?

Control of neglected tropical diseases (NTDs) is suggested to be more cost-effective when drugs are co-administered through a single integrated delivery system rather than separate systems. An essential prerequisite for such efficiency gains is sufficient geographical overlap of the targeted diseases – lymphatic filariasis (LF), onchocerciasis, schistosomiasis, soil-transmitted helminth infection and trachoma. Lack of data on geographical NTD distribution currently hampers the implementation of integrated control in many African countries. To generate the required data quickly and efficiently, integrated surveys of several NTDs simultaneously have been recommended. However, experience with integrated surveys is limited and requires additional research on cost and effectiveness to inform improvements in methodology and to guide scale-up. Here we analyse costs of the first integrated NTD survey round in Southern Sudan, generating average costs per implementation unit surveyed. Cost estimates are presented for use of the existing survey method and for modified versions. Key cost drivers were survey consumables and personnel, both of which are recurrent costs. These inputs could be reduced or put to more efficient use by modifying sampling for LF. To generate comparable cost estimates and identify key cost drivers in other settings we provide detailed cost data and guidance on how to replicate this work

Ein neues, unkompliziertes Verfahren zur Bestimmung der Zusammensetzung binärer Flüssigkeitsgemische

Ein neues Verfahren zur Bestimmung der Zusammensetzung binärer Flüssigkeitsgemische mit Hilfe solvatochromer Farbstoffe wird beschrieben. Die Analyse erfolgt durch einfache UV/VIS-Absorptionsmessung und ist unter Verwendung einer Zwei-Parameter-Gleichung ein exakter Schnelltest

The generalized non-conservative model of a 1-planet system - revisited

We study the long-term dynamics of a planetary system composed of a star and a planet. Both bodies are considered as extended, non-spherical, rotating objects. There are no assumptions made on the relative angles between the orbital angular momentum and the spin vectors of the bodies. Thus, we analyze full, spatial model of the planetary system. Both objects are assumed to be deformed due to their own rotations, as well as due to the mutual tidal interactions. The general relativity corrections are considered in terms of the post-Newtonian approximation. Besides the conservative contributions to the perturbing forces, there are also taken into account non-conservative effects, i.e., the dissipation of the mechanical energy. This dissipation is a result of the tidal perturbation on the velocity field in the internal zones with non-zero turbulent viscosity (convective zones). Our main goal is to derive the equations of the orbital motion as well as the equations governing time-evolution of the spin vectors (angular velocities). We derive the Lagrangian equations of the second kind for systems which do not conserve the mechanical energy. Next, the equations of motion are averaged out over all fast angles with respect to time-scales characteristic for conservative perturbations. The final equations of motion are then used to study the dynamics of the non-conservative model over time scales of the order of the age of the star. We analyze the final state of the system as a function of the initial conditions. Equilibria states of the averaged system are finally discussed.Comment: 37 pages, 13 figures, accepted to Celestial Mechanics and Dynamical Astronom

Schistosomiasis and neglected tropical diseases: towards integrated and sustainable control and a word of caution

In May 2001, the World Health Assembly (WHA) passed a resolution which urged member states to attain, by 2010, a minimum target of regularly administering anthelminthic drugs to at least 75% and up to 100% of all school-aged children at risk of morbidity. The refined global strategy for the prevention and control of schistosomiasis and soil-transmitted helminthiasis was issued in the following year and large-scale administration of anthelminthic drugs endorsed as the central feature. This strategy has subsequently been termed ‘preventive chemotherapy'. Clearly, the 2001 WHA resolution led the way for concurrently controlling multiple neglected tropical diseases. In this paper, we recall the schistosomiasis situation in Africa in mid-2003. Adhering to strategic guidelines issued by the World Health Organization, we estimate the projected annual treatment needs with praziquantel among the school-aged population and critically discuss these estimates. The important role of geospatial tools for disease risk mapping, surveillance and predictions for resource allocation is emphasised. We clarify that schistosomiasis is only one of many neglected tropical diseases and that considerable uncertainties remain regarding global burden estimates. We examine new control initiatives targeting schistosomiasis and other tropical diseases that are often neglected. The prospect and challenges of integrated control are discussed and the need for combining biomedical, educational and engineering strategies and geospatial tools for sustainable disease control are highlighted. We conclude that, for achieving integrated and sustainable control of neglected tropical diseases, a set of interventions must be tailored to a given endemic setting and fine-tuned over time in response to the changing nature and impact of control. Consequently, besides the environment, the prevailing demographic, health and social systems contexts need to be considere

Integrated Mapping of Neglected Tropical Diseases: Epidemiological Findings and Control Implications for Northern Bahr-el-Ghazal State, Southern Sudan

Integrated control of neglected tropical diseases (NTDs) is being scaled up in a number of developing countries, because it is thought to be more cost-effective than stand-alone control programmes. Under this approach, treatments for onchocerciasis, lymphatic filariasis (LF), schistosomiasis, soil-transmitted helminth (STH) infection, and trachoma are administered through the same delivery structure and at about the same time. A pre-requisite for implementation of integrated NTD control is information on where the targeted diseases are endemic and to what extent they overlap. This information is generated through surveys that can be labour-intensive and expensive. In Southern Sudan, all of the above diseases except onchocerciasis require further mapping before a comprehensive integrated NTD control programme can be implemented. To determine where treatment for which disease is required, integrated surveys were conducted for schistosomiasis, STH infection, LF, and loiasis, throughout one of ten states of the country. Our results show that treatment is only required for urinary schistosomiasis and STH in a few, yet separate, geographical area. This illustrates the importance of investing in disease mapping to minimize overall programme costs by being able to target interventions. Integration of survey methodologies for the above disease was practical and efficient, and minimized the effort required to collect these data