Improving global estimates of syphilis in pregnancy by diagnostic test type: A systematic review and meta-analysis

AbstractBackground“Probable active syphilis,” is defined as seroreactivity in both non-treponemal and treponemal tests. A correction factor of 65%, namely the proportion of pregnant women reactive in one syphilis test type that were likely reactive in the second, was applied to reported syphilis seropositivity data reported to WHO for global estimates of syphilis during pregnancy.ObjectivesTo identify more accurate correction factors based on test type reported.Search StrategyMedline search using: “Syphilis [Mesh] and Pregnancy [Mesh],” “Syphilis [Mesh] and Prenatal Diagnosis [Mesh],” and “Syphilis [Mesh] and Antenatal [Keyword].Selection CriteriaEligible studies must have reported results for pregnant or puerperal women for both non-treponemal and treponemal serology.Data collection and analysisWe manually calculated the crude percent estimates of subjects with both reactive treponemal and reactive non-treponemal tests among subjects with reactive treponemal and among subjects with reactive non-treponemal tests. We summarized the percent estimates using random effects models.Main resultsCountries reporting both reactive non-treponemal and reactive treponemal testing required no correction factor. Countries reporting non-treponemal testing or treponemal testing alone required a correction factor of 52.2% and 53.6%, respectively. Countries not reporting test type required a correction factor of 68.6%.ConclusionsFuture estimates should adjust reported maternal syphilis seropositivity by test type to ensure accuracy

Relative frequencies of constrained events in stochastic processes: An analytical approach

The stochastic simulation algorithm (SSA) and the corresponding Monte Carlo (MC) method are among the most common approaches for studying stochastic processes. They relies on knowledge of interevent probability density functions (PDFs) and on information about dependencies between all possible events. Analytical representations of a PDF are difficult to specify in advance, in many real life applications. Knowing the shapes of PDFs, and using experimental data, different optimization schemes can be applied in order to evaluate probability density functions and, therefore, the properties of the studied system. Such methods, however, are computationally demanding, and often not feasible. We show that, in the case where experimentally accessed properties are directly related to the frequencies of events involved, it may be possible to replace the heavy Monte Carlo core of optimization schemes with an analytical solution. Such a replacement not only provides a more accurate estimation of the properties of the process, but also reduces the simulation time by a factor of order of the sample size (at least ≈104). The proposed analytical approach is valid for any choice of PDF. The accuracy, computational efficiency, and advantages of the method over MC procedures are demonstrated in the exactly solvable case and in the evaluation of branching fractions in controlled radical polymerization (CRP) of acrylic monomers. This polymerization can be modeled by a constrained stochastic process. Constrained systems are quite common, and this makes the method useful for various applications

Impact of competitive processes on controlled radical polymerization

The kinetics of radical polymerization have been systematically studied for nearly a century and in general are well understood. However, in light of recent developments in controlled radical polymerization many kinetic anomalies have arisen. These unexpected results have been largely considered separate, and various, as yet inconclusive, debates as to the cause of these anomalies are ongoing. Herein we present a new theory on the cause of changes in kinetics under controlled radical polymerization conditions. We show that where the fast, intermittent deactivation of radical species takes place, changes in the relative rates of the competitive reactions that exist in radical polymerization can occur. To highlight the applicability of the model, we demonstrate that the model explains well the reduction in branching in acrylic polymers in RAFT polymerization. We further show that such a theory may explain various phenomena in controlled radical polymerization and may be exploited to design precise macromolecular architectures

E2E Segmentation in a Two-Pass Cascaded Encoder ASR Model

We explore unifying a neural segmenter with two-pass cascaded encoder ASR into a single model. A key challenge is allowing the segmenter (which runs in real-time, synchronously with the decoder) to finalize the 2nd pass (which runs 900 ms behind real-time) without introducing user-perceived latency or deletion errors during inference. We propose a design where the neural segmenter is integrated with the causal 1st pass decoder to emit a end-of-segment (EOS) signal in real-time. The EOS signal is then used to finalize the non-causal 2nd pass. We experiment with different ways to finalize the 2nd pass, and find that a novel dummy frame injection strategy allows for simultaneous high quality 2nd pass results and low finalization latency. On a real-world long-form captioning task (YouTube), we achieve 2.4% relative WER and 140 ms EOS latency gains over a baseline VAD-based segmenter with the same cascaded encoder

Improving white dwarfs as chronometers with gaia parallaxes and spectroscopic metallicities

White dwarfs (WDs) offer unrealized potential in solving two problems in astrophysics: stellar age accuracy and precision. WD cooling ages can be inferred from surface temperatures and radii, which can be constrained with precision by high-quality photometry and parallaxes. Accurate and precise Gaia parallaxes along with photometric surveys provide information to derive cooling and total ages for vast numbers of WDs. Here we analyze 1372 WDs found in wide binaries with main-sequence (MS) companions and report on the cooling and total age precision attainable in these WD+MS systems. The total age of a WD can be further constrained if its original metallicity is known because the MS lifetime depends on metallicity at fixed mass, yet metallicity is unavailable via spectroscopy of the WD. We show that incorporating spectroscopic metallicity constraints from 38 wide binary MS companions substantially decreases internal uncertainties in WD total ages compared to a uniform constraint. Averaged over the 38 stars in our sample, the total (internal) age uncertainty improves from 21.04% to 16.77% when incorporating the spectroscopic constraint. Higher mass WDs yield better total age precision; for eight WDs with zero-age MS masses ≥2.0 M⊙, the mean uncertainty in total ages improves from 8.61% to 4.54% when incorporating spectroscopic metallicities. We find that it is often possible to achieve 5% total age precision for WDs with progenitor masses above 2.0 M⊙ if parallaxes with ≤1% precision and Pan-STARRS g, r, and i photometry with ≤0.01 mag precision are available

Stabilizing versus destabilizing the microtubules: A double-edge sword for an effective cancer treatment option?

Microtubules are dynamic and structural cellular components involved in several cell functions, including cell shape, motility, and intracellular trafficking. In proliferating cells, they are essential components in the division process through the formation of the mitotic spindle. As a result of these functions, tubulin and microtubules are targets for anticancer agents. Microtubule-targeting agents can be divided into two groups: microtubule-stabilizing, and microtubule-destabilizing agents. The former bind to the tubulin polymer and stabilize microtubules, while the latter bind to the tubulin dimers and destabilize microtubules. Alteration of tubulin-microtubule equilibrium determines the disruption of the mitotic spindle, halting the cell cycle at the metaphase-anaphase transition and, eventually, resulting in cell death. Clinical application of earlier microtubule inhibitors, however, unfortunately showed several limits, such as neurological and bone marrow toxicity and the emergence of drug-resistant tumor cells. Here we review several natural and synthetic microtubule-targeting agents, which showed antitumor activity and increased efficacy in comparison to traditional drugs in various preclinical and clinical studies. Cryptophycins, combretastatins, ombrabulin, soblidotin, D-24851, epothilones and discodermolide were used in clinical trials. Some of them showed antiangiogenic and antivascular activity and others showed the ability to overcome multidrug resistance, supporting their possible use in chemotherapy

Training Models in Counseling Psychology: Scientist-Practitioner Versus Practitioner-Scholar

Considerable discussion has occurred through the years regarding models of training. With the recent accreditation of counseling psychology programs espousing the practitioner-scholar model, the importance of reexamining the merits of this as well as the traditional scientist-practitioner is now very important for the future of the field. This article consists of two positions: One pro practitioner-scholar and the other pro scientist-practitioner and con practitioner-scholar. The first position (first part of the article) by Biever, Patterson, and Welch argues for inclusion of the practitioner-scholar model as an alternative for training in counseling psychology. The second position (in the second part of the article) by Stoltenberg, Pace, and Kashubeck reviews concerns with two competing models. These authors conclude that the scientist-practitioner model is a better fit for training in counseling psychology. Recommendations for training within models are presented.Yeshttps://us.sagepub.com/en-us/nam/manuscript-submission-guideline