494 research outputs found
Over-and Under Diagnosis of Malaria at Health Facilities in Tanzania: Implications for Developing Composite Indicators of Appropriate Treatment Based on Malaria Parasitemia Status
Secrets of Light: Notes on an Exposed Anthropology
Strongly inspired by the mysterious exercise of recording, protecting, and revealing the images in Luis Poirot’s photographic archive, this article experiments with a mode of ethnographic writing that, rather than trying to convince the reader about the correctness of its conceptual propositions, it simply suggests certain secrets of light. These are images appearing in multiple temporalities as vivid evidence of the presence of absences. Attempting to avoid the sterilization of ‘lived experience’ and its multiple temporalities, often produced by the anthropological discipline itself, this article imagines an exposed anthropology. Rather than being interested in the creation and analysis of concepts, this exposed anthropology focuses on opening up suggestive spaces of coexistence with the presence of absence. Thus, it offers singular evidence of the encounter of worlds occurring beyond concepts. In particular, this work gives an account of how Poirot’s photographic archive, and the present absences that inhabit his images affect, resonate and even incorporate the ethnographic writing itself within the same living archive.ResumenFuertemente inspirado por el misterioso ejercicio que supone registrar, proteger y revelar las imágenes del archivo fotográfico de Luis Poirot, este trabajo experimenta con un modo de escribir etnográficamente que, más que intentar convencer al lector sobre lo adecuado de sus proposiciones conceptuales, simplemente sugiere secretos de luz, imágenes que aparecen en temporalidades múltiples como evidencia viva de la presencia de la ausencia. Intentando evitar la esterilización de la experiencia vivida y sus múltiples temporalidades, muchas veces producida por la misma disciplina antropológica, este trabajo imagina una antropología expuesta que, más que interesarse en el análisis y creación de conceptos, se aboca a abrir espacios sugestivos de coexistencia con la presencia de la ausencia y ofrecer una evidencia singular del encuentro entre mundos que, al tocarse, van más allá de lo conceptual. En particular, este trabajo da cuenta de cómo el archivo fotográfico de Poirot y las ausencias presentes que habitan sus imágenes, afectan, resuenan y hasta incorporan la propia escritura etnográfica dentro del mismo archivo vivo.<br/
Multiple Approaches for Individualized Fertility Protective Therapy in Cancer Patients
In the last decade, fertility preservation has risen as a major field of interest, creating new interactions between oncologists and gynecologists. Various options, such as cryopreservation of ovarian tissue, have been developed and are currently routinely proposed in many centers. However, many of the options remain experimental and should be offered to patients only after adequate counseling. This paper addresses the efficiency and the potential of the different fertility preservation approaches
Fertility Preservation in Female Cancer Patients
With improved survival rates among cancer patients, fertility preservation is now being recognized as an issue of great importance. There are currently several methods of fertility preservation available in female cancer patients and the options and techniques via assisted reproduction and cryopreservation are increasing, but some are still experimental and continues to be evaluated. The established means of preserving fertility include embryo cryopreservation, gonadal shielding during radiation therapy, ovarian transposition, conservative gynecologic surgery such as radical trachelectomy, donor embryos/oocytes, gestational surrogacy, and adoption. The experimental methods include oocyte cryopreservation, ovarian cryopreservation and transplantation, in vitro maturation, and ovarian suppression. With advances in methods for the preservation of fertility, providing information about risk of infertility and possible options of fertility preservation to all young patients with cancer, and discussing future fertility with them should be also considered as one of the important parts of consultation at the time of cancer diagnosis
Signature of stripe pinning in optical conductivity
The response of charge stripes to an external electric field applied
perpendicular to the stripe direction is studied within a diagrammatic approach
for both weak and strong pinning by random impurities. The sound-like mode of
the stripes described as elastic strings moves to finite frequency due to
impurity pinning. By calculating the optical conductivity we determine this
characteristic energy scale for both a single stripe and an array of
interacting stripes. The results explain the anomalous far-infrared peak
observed recently in optical-conductivity measurements on cuprates.Comment: Revised version, to appear in Phys. Rev.
The motor function measure to study limitation of activity in children and adults with Charcot-Marie-Tooth disease
AbstractObjectiveTo study the applicability and responsiveness of the motor function measure (total score and sub-scores D1, D2 and D3) in patients with Charcot-Marie-Tooth disease.Patients and methodsTwo hundred and thirty-three patients aged 4–86 years were included in the descriptive study. Scores and sub-scores were analyzed by age and by disease subtypes. Sensitivity to change (responsiveness) was estimated in patients having had at least two evaluations with at least six months between the first and the second.ResultsMotor function measure scores decrease with age, especially sub-scores D1 and D3. There were no significant differences between the scores according to type of Charcot-Marie-Tooth disease. The scores were significantly higher for ambulatory than for non-ambulatory patients. Significant responsiveness was demonstrated only in type 2 Charcot-Marie-Tooth disease.Discussion/conclusionsOur results suggest that, especially for D1 and D3 sub-scores, the motor function measure is a reliable and valid outcome measure that can be usefully applied in longitudinal follow-up. Studies of longer duration could demonstrate its responsiveness in other Charcot-Marie-Tooth disease subtypes
Sonogashira diversification of unprotected halotryptophans, halotryptophan containing tripeptides; and generation of a new to nature bromo-natural product and its diversification in water
The blending together of synthetic chemistry with natural product biosynthesis represents a potentially powerful approach to synthesis; to enable this, further synthetic tools and methodologies are needed. To this end, we have explored the first Sonogashira cross-coupling to halotryptophans in water. Broad reaction scope is demonstrated and we have explored the limits of the scope of the reaction. We have demonstrated this methodology to work excellently in the modification of model tripeptides. Furthermore, through precursor directed biosynthesis, we have generated for the first time a new to nature brominated natural product bromo-cystargamide, and demonstrated the applicability of our reaction conditions to modify this novel metabolite
Gene editing of PKLR gene in human hematopoietic progenitors through 5' and 3' UTR modified TALEN mRNA
TheauthorswouldliketothankMiguelA.MartinforthecarefulmaintenanceofNSGmice,andRebecaSa ́nchezandOmairaAlberquillafortheirtechnicalassistanceinflowcytometry.TheauthorsalsothankFundacio ́n Botı ́n forpromotingtranslationalresearchattheHemato-poieticInnovativeTherapiesDivisionoftheCIEMATPyruvate Kinase Deficiency (PKD) is a rare erythroid metabolic disease caused by mutations in the PKLR gene, which encodes the erythroid specific Pyruvate Kinase enzyme. Erythrocytes from PKD patients show an energetic imbalance and are susceptible to hemolysis. Gene editing of hematopoietic stem cells (HSCs) would provide a therapeutic benefit and improve safety of gene therapy approaches to treat PKD patients. In previous studies, we established a gene editing protocol that corrected the PKD phenotype of PKD-iPSC lines through a TALEN mediated homologous recombination strategy. With the goal of moving toward more clinically relevant stem cells, we aim at editing the PKLR gene in primary human hematopoietic progenitors and hematopoietic stem cells (HPSCs). After nucleofection of the gene editing tools and selection with puromycin, up to 96% colony forming units showed precise integration. However, a low yield of gene edited HPSCs was associated to the procedure. To reduce toxicity while increasing efficacy, we worked on i) optimizing gene editing tools and ii) defining optimal expansion and selection times. Different versions of specific nucleases (TALEN and CRISPR-Cas9) were compared. TALEN mRNAs with 5' and 3' added motifs to increase RNA stability were the most efficient nucleases to obtain high gene editing frequency and low toxicity. Shortening ex vivo manipulation did not reduce the efficiency of homologous recombination and preserved the hematopoietic progenitor potential of the nucleofected HPSCs. Lastly, a very low level of gene edited HPSCs were detected after engraftment in immunodeficient (NSG) mice. Overall, we showed that gene editing of the PKLR gene in HPSCs is feasible, although further improvements must to be done before the clinical use of the gene editing to correct PKD.S
Safety and Efficacy of Adding a Single Low Dose of Primaquine to the Treatment of Adult Patients With Plasmodium falciparum Malaria in Senegal, to Reduce Gametocyte Carriage: A Randomized Controlled Trial.
Introduction: More information is needed about the safety of low-dose primaquine in populations where G6PD deficiency is common. Methods: Adults with Plasmodium falciparum malaria were randomized to receive 1 of 3 artemisinin combination therapies (ACTs) with or without primaquine (0.25 mg/kg). Glucose-6-phosphate dehydrogenase (G6PD) status was determined using a rapid test. Patients were followed for 28 days to record hemoglobin concentration, adverse events, and gametocyte carriage. The primary end point was the change in Hb at day 7. Results: In sum, 274 patients were randomized, 139 received an ACT alone, and 135 received an ACT + primaquine. The mean reduction in Hb at day 7 was similar in each group, a difference in the ACT + PQ versus the ACT alone group of -0.04 g/dL (95% confidence interval [CI] -0.23, 0.31), but the effect of primaquine differed according to G6PD status. In G6PD-deficient patients the drop in Hb was 0.63 g/dL (95% CI 0.03, 1.24) greater in those who received primaquine than in those who received an ACT alone. In G6PD-normal patients, the reduction in Hb was 0.22 g/dL (95% CI -0.08, 0.52) less in those who received primaquine (interaction P = .01). One G6PD normal patient who received primaquine developed moderately severe anaemia (Hb < 8 g/dL). Dark urine was more frequent in patients who received primaquine. Primaquine was associated with a 73% (95% CI 24-90) reduction in gametocyte carriage (P = .013). Conclusion: Primaquine substantially reduced gametocyte carriage. However, the fall in Hb concentration at day 7 was greater in G6PD-deficient patients who received primaquine than in those who did not and one patient who received primaquine developed moderately severe anemia. Clinical Trial registration: PACTR201411000937373 (www.pactr.org)
Mid-Infrared Conductivity from Mid-Gap States Associated with Charge Stripes
The optical conductivity of La(2-x)Sr(x)NiO(4) has been interpreted in
various ways, but so far the proposed interpretations have neglected the fact
that the holes doped into the NiO(2) planes order in diagonal stripes, as
established by neutron and X-ray scattering. Here we present a study of optical
conductivity in La(2)NiO(4+d) with d=2/15, a material in which the charge
stripes order three-dimensionally. We show that the conductivity can be
decomposed into two components, a mid-infrared peak that we attribute to
transitions from the filled valence band into empty mid-gap states associated
with the stripes, and a Drude peak that appears at higher temperatures as
carriers are thermally excited into the mid-gap states. The shift of the mid-IR
peak to lower energy with increasing temperature is explained in terms of the
Franck-Condon effect. The relevance of these results to understanding the
optical conductivity in the cuprates is discussed.Comment: final version of paper (minor changes from previous version
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