Admission Diagnosis of Cerebral Malaria in Adults in an Endemic Area of Tanzania:Implications and Clinical Description

Cerebralmalariais commonly diagnosed in adults in endemic areas in Africa, both in hospitals and in the community. This presents a paradox inconsistent with the epidemiological understanding that the development of immunity during childhood confers protection against severe disease in adult life. To establish the contribution of Plasmodium falciparum infection in adults admitted with neurological dysfunction in an endemic area, to assess the implications of an admission clinical diagnosis of ‘cerebral malaria’ on the treatment and clinical outcome, and to describe the clinical features of patients with malaria parasitaemia. Prospective observational study. We studied adult patients admitted with neurological dysfunction to Muhimbili National Hospital, Dar-es-Salaam, Tanzania from October 2000 to July 2001. A full blood count was done and serum creatinine, blood glucose and P. falciparum parasite load were measured. Of 199 patients (median age 34.5 years), 38% were diagnosed as ‘cerebral malaria’ on admission, but only 7.5% had detectable parasitaemia, giving a positive predictive value of 13.3%. Only 1% fulfilled the WHO criteria for cerebral malaria. The prevalence of parasitaemia (7.5%) was less than that observed in a group of asymptomatic controls (9.3%), but distribution of parasite densities was higher in the patients. Mortality was higher in patients with no parasitaemia (22.3%) than in those with parasitaemia (13%). Cerebral malaria was grossly overdiagnosed, resulting in unnecessary treatment and insufficient investigation of other possible diagnoses, which could lead to higher mortality. Extension of this misperception to the assessment of cause of death in community surveys may lead to an overestimation of the impact of malaria in adults.\u

Energy estimation of cosmic rays with the Engineering Radio Array of the Pierre Auger Observatory

The Auger Engineering Radio Array (AERA) is part of the Pierre Auger Observatory and is used to detect the radio emission of cosmic-ray air showers. These observations are compared to the data of the surface detector stations of the Observatory, which provide well-calibrated information on the cosmic-ray energies and arrival directions. The response of the radio stations in the 30–80 MHz regime has been thoroughly calibrated to enable the reconstruction of the incoming electric field. For the latter, the energy deposit per area is determined from the radio pulses at each observer position and is interpolated using a two-dimensional function that takes into account signal asymmetries due to interference between the geomagnetic and charge-excess emission components. The spatial integral over the signal distribution gives a direct measurement of the energy transferred from the primary cosmic ray into radio emission in the AERA frequency range. We measure 15.8 MeV of radiation energy for a 1 EeV air shower arriving perpendicularly to the geomagnetic field. This radiation energy—corrected for geometrical effects—is used as a cosmic-ray energy estimator. Performing an absolute energy calibration against the surface-detector information, we observe that this radio-energy estimator scales quadratically with the cosmic-ray energy as expected for coherent emission. We find an energy resolution of the radio reconstruction of 22% for the data set and 17% for a high-quality subset containing only events with at least five radio stations with signal

Energy estimation of cosmic rays with the Engineering Radio Array of the Pierre Auger Observatory

The Auger Engineering Radio Array (AERA) is part of the Pierre Auger Observatory and is used to detect the radio emission of cosmic-ray air showers. These observations are compared to the data of the surface detector stations of the Observatory, which provide well-calibrated information on the cosmic-ray energies and arrival directions. The response of the radio stations in the 30–80 MHz regime has been thoroughly calibrated to enable the reconstruction of the incoming electric field. For the latter, the energy deposit per area is determined from the radio pulses at each observer position and is interpolated using a two-dimensional function that takes into account signal asymmetries due to interference between the geomagnetic and charge-excess emission components. The spatial integral over the signal distribution gives a direct measurement of the energy transferred from the primary cosmic ray into radio emission in the AERA frequency range. We measure 15.8 MeV of radiation energy for a 1 EeV air shower arriving perpendicularly to the geomagnetic field. This radiation energy—corrected for geometrical effects—is used as a cosmic-ray energy estimator. Performing an absolute energy calibration against the surface-detector information, we observe that this radio-energy estimator scales quadratically with the cosmic-ray energy as expected for coherent emission. We find an energy resolution of the radio reconstruction of 22% for the data set and 17% for a high-quality subset containing only events with at least five radio stations with signal

Observations of rotationally resolved C3 in translucent sight lines

The rotationally resolved spectrum of the A ^1Pi_u <- X ^1Sigma^+_g 000-000 transition of C3, centered at 4051.6A, has been observed along 10 translucent lines of sight. To interpret these spectra, a new method for the determination of column densities and analysis of excitation profiles involving the simulation and fitting of observed spectra has been developed. The populations of lower rotational levels (J<14) in C3 are best fit by thermal distributions that are consistent with the kinetic temperatures determined from the excitation profile of C2. Just as in the case of C2, higher rotational levels (J>14) of C3 show increased nonthermal population distributions in clouds which have been determined to have total gas densities below ~500 cm-3.Comment: 12 pages, 4 figures, accepted for publication in The Astrophysical Journa

Search for antiproton decay at the Fermilab Antiproton Accumulator

A search for antiproton decay has been made at the Fermilab Antiproton Accumulator. Limits are placed on thirteen antiproton decay modes. The results include the first explicit experimental limits on the muonic decay modes of the antiproton, and the first limits on the decay modes e- gamma gamma, and e- omega. The most stringent limit is for the decay mode pbar-> e- gamma. At 90% C.L. we find that tau/B(pbar-> e- gamma) > 7 x 10^5 yr. The most stringent limit for decay modes with a muon in the final state is for the decay pbar-> mu- gamma. At 90% C.L. we find that tau/B(pbar-> mu- gamma) > 5 x 10^4 yr.Comment: 20 pages, 8 figures. Submitted to Phys. Rev. D. Final results on 13 channels (was 15) are presente

VLT/UVES Observations of Interstellar Molecules and Diffuse Bands in the Magellanic Clouds

We discuss the abundances of interstellar CH, CH+, and CN in the Magellanic Clouds (MC), derived from spectra of 7 SMC and 13 LMC stars obtained (mostly) with the VLT/UVES. CH and/or CH+ are detected toward 3 SMC and 9 LMC stars; CN is detected toward 2 stars. In the MC, the CH/H2 ratio is comparable to that found for diffuse Galactic molecular clouds in some sight lines, but is lower by factors up to 10-15 in others. The abundance of CH in the MC thus appears to depend on local physical conditions -- and not just on metallicity. The observed relationships between the column density of CH and those of CN, CH+, Na I, and K I in the MC are generally consistent with the trends observed in our Galaxy. Using existing data for the rotational populations of H2, we estimate temperatures, radiation field strengths, and local hydrogen densities for the diffuse molecular gas. Densities estimated from N(CH), assuming that CH is produced via steady-state gas-phase reactions, are considerably higher; much better agreement is found by assuming that the CH is made via the (still undetermined) process(es) responsible for the observed CH+. The UVES spectra also reveal absorption from the diffuse interstellar bands at 5780, 5797, and 6284 A in the MC. On average, the three DIBs are weaker by factors of 7-9 (LMC) and about 20 (SMC), compared to those observed in Galactic sight lines with similar N(H I), and by factors of order 2-6, relative to E(B-V), N(Na I), and N(K I). The detection of several of the ``C2 DIBs'', with strengths similar to those in comparable Galactic sight lines, however, indicates that no single, uniform scaling factor (e.g., one related to metallicity) applies to all DIBs (or all sight lines) in the MC. (abstract abridged)Comment: 59 pages, 15 figures, 10 tables; aastex; accepted to ApJ

Unusually Weak Diffuse Interstellar Bands toward HD 62542

As part of an extensive survey of diffuse interstellar bands (DIBs), we have obtained optical spectra of the moderately reddened B5V star HD 62542, which is known to have an unusual UV extinction curve of the type usually identified with dark clouds. The typically strongest of the commonly catalogued DIBs covered by the spectra -- those at 5780, 5797, 6270, 6284, and 6614 A -- are essentially absent in this line of sight, in marked contrast with other lines of sight of similar reddening. We compare the HD 62542 line of sight with others exhibiting a range of extinction properties and molecular abundances and interpret the weakness of the DIBs as an extreme case of deficient DIB formation in a dense cloud whose more diffuse outer layers have been stripped away. We comment on the challenges these observations pose for identifying the carriers of the diffuse bands.Comment: 20 pages, 4 figures; aastex; accepted by Ap