Health education and the control of urogenital schistosomiasis: assessing the impact of the Juma na Kichocho comic-strip medical booklet in Zanzibar

Endeavours to control urogenital schistosomiasis on Unguja Island (Zanzibar) have focused on school-aged children. To assess the impact of an associated health education campaign, the supervised use of the comic-strip medical booklet Juma na Kichocho by Class V pupils attending eighteen primary schools was investigated. A validated knowledge and attitudes questionnaire was completed at baseline and repeated one year later following the regular use of the booklet during the calendar year. A scoring system (ranging from 0.0 to 5.0) measured children's understandings of schistosomiasis and malaria, with the latter being a neutral comparator against specific changes for schistosomiasis. In 2006, the average score from 751 children (328 boys and 423 girls) was 2.39 for schistosomiasis and 3.03 for malaria. One year later, the score was 2.43 for schistosomiasis and 2.70 for malaria from 779 children (351 boys and 428 girls). As might be expected, knowledge and attitudes scores for schistosomiasis increased (+0.05), but not as much as originally hoped, while the score for malaria decreased (-0.33). According to a Kolmogorov-Smirnov test, neither change was statistically significant. Analysis also revealed that 75% of school children misunderstood the importance of reinfection after treatment with praziquantel. These results are disappointing. They demonstrate that it is mistaken to assume that knowledge conveyed in child-friendly booklets will necessarily be interpreted, and acted upon, in the way intended. If long-term sustained behavioural change is to be achieved, health education materials need to engage more closely with local understandings and responses to urogenital schistosomiasis. This, in turn, needs to be part of the development of a more holistic, biosocial approach to the control of schistosomiasis

A New Evolutionary Path to Type Ia Supernovae: Helium-Rich Super-Soft X-Ray Source Channel

We have found a new evolutionary path to Type Ia supernovae (SNe Ia) which has been overlooked in previous work. In this scenario, a carbon-oxygen white dwarf (C+O WD) is originated, not from an asymptotic giant branch star with a C+O core, but from a red-giant star with a helium core of $\sim 0.8-2.0 M_\odot$. The helium star, which is formed after the first common envelope evolution, evolves to form a C+O WD of $\sim 0.8-1.1 M_\odot$ with transferring a part of the helium envelope onto the secondary main-sequence star. This new evolutionary path, together with the optically thick wind from mass-accreting white dwarf, provides a much wider channel to SNe Ia than previous scenarios. A part of the progenitor systems are identified as the luminous supersoft X-ray sources or the recurrent novae like U Sco, which are characterized by the accretion of helium-rich matter. The white dwarf accretes hydrogen-rich, helium-enhanced matter from a lobe-filling, slightly evolved companion at a critical rate and blows excess matter in the wind. The white dwarf grows in mass to the Chandrasekhar mass limit and explodes as an SN Ia. A theoretical estimate indicates that this channel contributes a considerable part of the inferred rate of SNe Ia in our Galaxy, i.e., the rate is about ten times larger than the previous theoretical estimates for white dwarfs with slightly evolved companions.Comment: 19 pages including 12 figures, to be published in ApJ, 519, No.

Paraunitary oversampled filter bank design for channel coding

Oversampled filter banks (OSFBs) have been considered for channel coding, since their redundancy can be utilised to permit the detection and correction of channel errors. In this paper, we propose an OSFB-based channel coder for a correlated additive Gaussian noise channel, of which the noise covariance matrix is assumed to be known. Based on a suitable factorisation of this matrix, we develop a design for the decoder's synthesis filter bank in order to minimise the noise power in the decoded signal, subject to admitting perfect reconstruction through paraunitarity of the filter bank. We demonstrate that this approach can lead to a significant reduction of the noise interference by exploiting both the correlation of the channel and the redundancy of the filter banks. Simulation results providing some insight into these mechanisms are provided

Charge dynamics at heterojunctions for PbS/ZnO colloidal quantum dot solar cells probed with time-resolved surface photovoltage spectroscopy

Time-resolved laser-pump X-ray-photoemission-probe spectroscopy of a ZnO (101 ⎯ ⎯ 0 101¯0 ) substrate with and without PbS quantum dots (QDs) chemically linked to the surface is performed, using laser photon energies resonant with and below the band gap energy of the substrate (λ = 372 and 640 nm, hν = 3.33 and 1.94 eV). Charge injection from the photoexcited QDs to ZnO is demonstrated through the change in the surface photovoltage of the ZnO substrate observed when the heterojunction is illuminated with 1.94 eV radiation. The measured carrier dynamics are limited by the persistent photoconductivity of ZnO, giving dark carrier lifetimes of the order of 200 μs in a depletion layer at the interface. The chemical specificity of soft X-rays is used to separately measure the charge dynamics in the quantum dots and the substrate, yielding evidence that the depletion region at the interface extends into the PbS QD layer

Cell-intrinsic depletion of Aml1-ETO-expressing pre-leukemic hematopoietic stem cells by K-Ras activating mutation

Somatic mutations in acute myeloid leukemia are acquired sequentially and hierarchically. First, pre-leukemic mutations, such as t(8;21) that encodes AML1-ETO, are acquired within the hematopoietic stem cell (HSC) compartment, while signaling pathway mutations, including KRAS activating mutations, are late events acquired during transformation of leukemic progenitor cells and are rarely detectable in HSC. This raises the possibility that signaling pathway mutations are detrimental to clonal expansion of pre-leukemic HSC. To address this hypothesis, we used conditional genetics to introduce Aml1-ETO and K-RasG12D into murine HSC, either individually or in combination. In the absence of activated Ras, Aml1-ETO-expressing HSC conferred a competitive advantage. However, activated K-Ras had a marked detrimental effect on Aml1-ETO-expressing HSC, leading to loss of both phenotypic and functional HSC. Cell cycle analysis revealed a loss of quiescence in HSC co-expressing Aml1-ETO and K-RasG12D, accompanied by an enrichment in E2F and Myc target gene expression and depletion of HSC self-renewal-associated gene expression. These findings provide a mechanistic basis for the observed absence of KRAS signaling mutations in the pre-malignant HSC compartment

Recruitment Constraints in Singapore's Fluted Giant Clam (Tridacna squamosa) Populations - A Dispersal Model Approach

10.1371/journal.pone.0058819PLoS ONE83

Inconsistent coral bleaching risk indicators between temperature data sources

Coral reefs are facing severe threats and are at risk of accelerated decline due to climate change-induced changes in their environment. Ongoing efforts to understand the mechanisms of coral response to warming rely on multiple sources of temperature data. Yet, it remains uncertain whether the Sea Surface Temperature (SST) data used for coral reef studies are consistent among different data products, despite potential implications for conservation. A better understanding of the consistency among the different SST data applied to coral reefs may facilitate the fusion of data into a standard product. This will improve monitoring and understanding of the impact of global warming on coral reefs. Four types of SST data across North-Western and South-Western Australia are compared to assess their differences and ability to observe high thermal stress during historical coral bleaching events. The four SST data sources included those derived from Global Circulation Models, NOAA CoralTemp SST product, ESA CCI SST product, and coral core derived SST. Coral bleaching risk indicators, Degree Heating Week (DHW), and Degree Heating Month (DHM) were calculated using these sources and compared for consistency. DHW and DHM were inconsistent among data sets and did not accurately reflect high thermal stress metrics during moderate and severe bleaching events. Some reefs did not experience bleaching in spite of high DHWs and DHMs, suggesting a mismatch in data scales, or perhaps other oceanographic factors and coral adaptation. By exploring the differences and similarities among these four data sources, this study highlights the need to compare existing indicators of thermal stress from different data sets

Distribution and pathological features of pancreatic, ampullary, biliary and duodenal cancers resected with pancreaticoduodenectomy

BACKGROUND: Pancreatic cancer (PC) has the worst survival of all periampullary cancers. This may relate to histopathological differences between pancreatic cancers and other periampullary cancers. Our aim was to examine the distribution and histopathologic features of pancreatic, ampullary, biliary and duodenal cancers resected with a pancreaticoduodenectomy (PD) and to examine local trends of periampullary cancers resected with a PD. METHODS: A retrospective review of PD between January 2000 and December 2012 at a public metropolitan database was performed. The institutional ethics committee approved this study. RESULTS: There were 142 PDs during the study period, of which 70 cases were pre-2010 and 72 post-2010, corresponding to a recent increase in the number of cases. Of the 142 cases, 116 were for periampullary cancers. There were also proportionately more PD for PC (26/60, 43% pre-2010 vs 39/56, 70% post-2010, P = 0.005). There were 65/116 (56%) pancreatic, 29/116 (25%), ampullary, 17/116 (15%) biliary and 5/116 (4%) duodenal cancers. Nodal involvement occurred more frequently in PC (78%) compared to ampullary (59%), biliary (47%) and duodenal cancers (20%), P = 0.002. Perineural invasion was also more frequent in PC (74%) compared to ampullary (34%), biliary (59%) and duodenal cancers (20%), P = 0.002. Microvascular invasion was seen in 57% pancreatic, 38% ampullary, 41% biliary and 20% duodenal cancers, P = 0.222. Overall, clear margins (R0) were achieved in fewer PC 41/65 (63%) compared to ampullary 27/29 (93%; P = 0.003) and biliary cancers 16/17 (94%; P = 0.014). CONCLUSIONS: This study highlights that almost half of PD was performed for cancers other than PC, mainly ampullary and biliary cancers. The volume of PD has increased in recent years with an increased proportion being for PC. PC had higher rates of nodal and perineural invasion compared to ampullary, biliary and duodenal cancers.Manju D Chandrasegaram, Su C Chiam, John W Chen, Aisha Khalid, Murthy L Mittinty, Eu L Neo, Chuan P Tan, Paul M Dolan, Mark E Brooke-Smith, Harsh Kanhere and Chris S Worthle