Abolishing user fees for children and pregnant women trebled uptake of malaria-related interventions in Kangaba, Mali.

Malaria is the most common cause of morbidity and mortality in children under 5 in Mali. Health centres provide primary care, including malaria treatment, under a system of cost recovery. In 2005, Médecins sans Frontieres (MSF) started supporting health centres in Kangaba with the provision of rapid malaria diagnostic tests and artemisinin-based combination therapy. Initially MSF subsidized malaria tests and drugs to reduce the overall cost for patients. In a second phase, MSF abolished fees for all children under 5 irrespective of their illness and for pregnant women with fever. This second phase was associated with a trebling of both primary health care utilization and malaria treatment coverage for these groups. MSF's experience in Mali suggests that removing user fees for vulnerable groups significantly improves utilization and coverage of essential health services, including for malaria interventions. This effect is far more marked than simply subsidizing or providing malaria drugs and diagnostic tests free of charge. Following the free care strategy, utilization of services increased significantly and under-5 mortality was reduced. Fee removal also allowed for more efficient use of existing resources, reducing average cost per patient treated. These results are particularly relevant for the context of Mali and other countries with ambitious malaria treatment coverage objectives, in accordance with the United Nations Millennium Development Goals. This article questions the effectiveness of the current national policy, and the effectiveness of reducing the cost of drugs only (i.e. partial subsidies) or providing malaria tests and drugs free for under-5s, without abolishing other related fees. National and international budgets, in particular those that target health systems strengthening, could be used to complement existing subsidies and be directed towards effective abolition of user fees. This would contribute to increasing the impact of interventions on population health and, in turn, the effectiveness of aid

Synchrotron Emission from Hot Accretion Flows and the Cosmic Microwave Background Anisotropy

Current estimates of number counts of radio sources in the frequency range where the most sensitive Cosmic Microwave Background (CMB) experiments are carried out significantly under-represent sources with strongly inverted spectra. Hot accretion flows around supermassive black holes in the nuclei of nearby galaxies are expected to produce inverted radio spectra by thermal synchrotron emission. We calculate the temperature fluctuations and power spectra of these sources in the Planck Surveyor 30 GHz energy channel, where their emission is expected to peak. We find that their potential contribution is generally comparable to the instrumental noise, and approaches the CMB anisotropy level at small angular scales. Forthcoming CMB missions, which will provide a large statistical sample of inverted-spectra sources, will be crucial for determining the distribution of hot accretion flows in nearby quiescent galactic nuclei. Detection of these sources in different frequency channels will help constrain their spectral characteristics, hence their physical properties.Comment: 10 pages, 4 figures, accepted for publication in Ap

A programmable two-qubit quantum processor in silicon

With qubit measurement and control fidelities above the threshold of fault-tolerance, much attention is moving towards the daunting task of scaling up the number of physical qubits to the large numbers needed for fault tolerant quantum computing. Here, quantum dot based spin qubits may offer significant advantages due to their potential for high densities, all-electrical operation, and integration onto an industrial platform. In this system, the initialisation, readout, single- and two-qubit gates have been demonstrated in various qubit representations. However, as seen with other small scale quantum computer demonstrations, combining these elements leads to new challenges involving qubit crosstalk, state leakage, calibration, and control hardware which provide invaluable insight towards scaling up. Here we address these challenges and demonstrate a programmable two-qubit quantum processor in silicon by performing both the Deutsch-Josza and the Grover search algorithms. In addition, we characterise the entanglement in our processor through quantum state tomography of Bell states measuring state fidelities between 85-89% and concurrences between 73-80%. These results pave the way for larger scale quantum computers using spins confined to quantum dots

Rap1 up-regulation and activation on plasma membrane regulates T cell adhesion

Rap1 and Ras are closely related GTPases that share some effectors but have distinct functions. We studied the subcellular localization of Rap1 and its sites of activation in living cells. Both GFP-tagged Rap1 and endogenous Rap1 were localized to the plasma membrane (PM) and endosomes. The PM association of GFP-Rap1 was dependent on GTP binding, and GFP-Rap1 was rapidly up-regulated on this compartment in response to mitogens, a process blocked by inhibitors of endosome recycling. A novel fluorescent probe for GTP-bound Rap1 revealed that this GTPase was transiently activated only on the PM of both fibroblasts and T cells. Activation on the PM was blocked by inhibitors of endosome recycling. Moreover, inhibition of endosome recycling blocked the ability of Rap1 to promote integrin-mediated adhesion of T cells. Thus, unlike Ras, the membrane localizations of Rap1 are dynamically regulated, and the PM is the principle platform from which Rap1 signaling emanates. These observations may explain some of the biological differences between these GTPases

Attitudes of students from south-east and east Asian countries to slaughter and transport of livestock

Attitudes to animals have been extensively studied for people in developed countries, but not for those in developing countries. The attitudes of prospective stakeholders in the livestock sectors in south-east and east Asia toward transport and slaughter were examined by surveying university students studying veterinary medicine and animal science in Malaysia, Thailand, China and Vietnam, with a total of 739 students taking part. Students had greater acceptability of transport than slaughter issues for livestock, and female students found most transport and slaughter issues of greater concern than male students. Veterinary students were more accepting of several issues than animal science students, in particular killing animals that were injured or ill. Religion had a major effect on attitudes. Muslim students found using animals that died naturally for products least acceptable. Compared to them, Hindu students were less accepting of killing injured or ill animals and Buddhist students less accepting of euthanasing healthy pets. Students with more experience of pets were less accepting of both transport and slaughter issues. It is concluded that concern was exhibited by future stakeholders in the SE and E Asian livestock industries for slaughter and, to a lesser extent, transport issues, although attitudes were influenced by their religion, gender and experience of pet-keeping

Quasi-One-Dimensional Spin Dynamics in dd-Electron Heavy-Fermion Metal Y1−x_{1-x}Scx_xMn2_2

Slow spin fluctuations ($\nu < 10^{12}$ s$^-1$) observed by the muon spin relaxation technique in Y$_{1-x}$Sc$_x$Mn$_2$ exhibits a power law dependence on temperature ($\nu \propto T^\alpha$), where the power converges asymptotically to unity ($\alpha\rightarrow 1$) as the system moves away from spin-glass instability with increasing Sc content $x$. This linear $T$ dependence, which is common to that observed in LiV$_2$O$_4$, is in line with the prediction of the "intersecting Hubbard chains" model for a metallic pyrochlore lattice, suggesting that the geometrical constraints to t2g bands specific to the pyrochlore structure serve as a basis of the $d$-electron heavy-fermion state.Comment: 5 pages, 4 figures, to appear in J. Phys. Soc. Jp

Light transport in cold atoms: the fate of coherent backscattering in the weak localization regime

The recent observation of coherent backscattering (CBS) of light by atoms has emphasized the key role of the velocity spread and of the quantum internal structure of the atoms. Firstly, using highly resonant scatterers imposes very low temperatures of the disordered medium in order to keep the full contrast of the CBS interference. This criterion is usually achieved with standard laser cooling techniques. Secondly, a non trivial internal atomic structure leads to a dramatic decrease of the CBS contrast. Experiments with Rubidium atoms (with a non trivial internal structure) and with Strontium (with the simplest possible internal structure) show this behaviour and confirm theoretical calculations

L\'evy Distribution of Single Molecule Line Shape Cumulants in Low Temperature Glass

We investigate the distribution of single molecule line shape cumulants, $\kappa_1,\kappa_2,...$, in low temperature glasses based on the sudden jump, standard tunneling model. We find that the cumulants are described by L\'evy stable laws, thus generalized central limit theorem is applicable for this problem.Comment: 5 pages, 3 figure

Tie-2–dependent activation of RhoA and Rac1 participates in endothelial cell motility triggered by angiopoietin-1

AbstractAngiopoietin-1 is implicated in the maturation and remodeling of the vascular network during embryo development and in adult life. Through its tyrosine kinase receptor Tie-2 it stimulates endothelial cells to migrate and change shape. Here we show that angiopoietin-1 elicits chemokinesis of endothelial cells by a phosphoinositide 3-OH kinase/son of sevenless-dependent modulation of Rac1 and RhoA. The resulting temporal events are associated with cytoskeletal rearrangements and occur in discrete zones of the cell. Endothelial cells carrying dominant-negative mutants of RhoA and Rac1 or treated with LY294002, an inhibitor of phosphoinositide 3-OH kinase, dramatically decrease their chemokinetic velocity. Taken together, these results further expand our understanding of angiopoietin-1-mediated endothelial cell motility during vascular network assembly and angiogenesis. (Blood. 2003;102:2482-2490