Extensive dynamics of Plasmodium falciparum densities, stages and genotyping profiles

<p>Abstract</p> <p>Background</p> <p>Individuals living in areas of high malaria transmission often have different <it>Plasmodium falciparum </it>clones detected in the peripheral blood over time. The aim of this study was to assess the dynamics of asymptomatic <it>P. falciparum </it>infections in a few hours intervals.</p> <p>Methods</p> <p>Capillary blood samples were collected 6-hourly during five days from asymptomatic children in a highly endemic area in Tanzania. Parasite densities and maturation stages were investigated by light microscopy. Types and number of clones were analysed by PCR based genotyping of the polymorphic merozoite surface proteins 1 and 2 genes. Results: Parasite densities and maturation stages fluctuated 48-hourly with a gradual shift into more mature forms. Various genotyping patterns were observed in repeated samples over five days with only few samples with identical profiles. Up to six alleles differed in samples collected six hours apart in the same individual.</p> <p>Conclusion</p> <p>This detailed assessment highlights the extensive within-host dynamics of <it>P. falciparum </it>populations and the limitations of single blood samples to determine parasite densities, stages and genotyping profiles in a malaria infected individual.</p

Descriptions, truth value intuitions, and questions

International audienceSince the famous debate between Russell (Mind 14: 479–493, 1905, Mind 66: 385–389, 1957) and Strawson (Mind 59: 320–344, 1950; Introduction to logical theory, 1952; Theoria, 30: 96–118, 1964) linguistic intuitions about truth values have been considered notoriously unreliable as a guide to the semantics of definite descriptions. As a result, most existing semantic analyses of definites leave a large number of intuitions unexplained. In this paper, I explore the nature of the relationship between truth value intuitions and non-referring definites. Inspired by comments in Strawson (Introduction to logical theory, 1964), I argue that given certain systematic considerations, one can provide a structured explanation of conflicting intuitions. I show that the intuitions of falsity, which proponents of a Russellian analysis often appeal to, result from evaluating sentences in relation to specific questions in context. This is shown by developing a method for predicting when sentences containing non-referring definites elicit intuitions of falsity. My proposed analysis draws importantly on Roberts (in: Yoon & Kathol (eds.) OSU working papers in Linguistics: vol. 49: Papers in Semantics 1998; in: Horn & Ward (eds.) Handbook of pragmatics, 2004) and recent research in the semantics and pragmatics of focus

Contrastive focus and emphasis

The paper puts forward a discourse-semantic account of the notoriously evasive phenomena of contrastivity and emphasis. Based on new evidence from Chadic, it is argued that occurrences of focus that are treated in terms of ‘contrastive focus’, ‘kontrast’ (Vallduví-Vilkuna 1998) or ‘identificational focus’ (É. Kiss 1998) in the literature should not be analyzed in familiar semantic terms as involving the introduction and subsequent exclusion of alternatives. Rather, an adequate analysis must take into account discourse-semantic notions like ‘hearer expectation’ or ‘discourse expectability’ of the focused content in a given discourse situation. The less expected the focus content is judged to be for the hearer, relative to the Common Ground, the more likely a speaker is to mark the focus constituent by means of special grammatical devices, thus giving rise to emphasis

Approximating the limit: the interaction between 'almost' and some temporal connectives in Italian

International audienceThis paper focuses on the interpretation of the Italian approximative adverb 'almost' by primarily looking at cases in which it modifies temporal connectives, a domain which, to our knowledge, has been largely unexplored thus far. Consideration of this domain supports the need for a scalar account of the semantics of (close in spirit to Hitzeman's semantic analysis of , in: Canakis et al. (eds) Papers from the 28th regional meeting of the Chicago Linguistic Society, 1992). When paired with suitable analyses of temporal connectives, such an account can provide a simple explanation of the patterns of implication that are observed when modifies locational (e.g. 'when'), directional (e.g. 'until' and 'since'), and event-sequencing temporal connectives (e.g. 'before' and 'after'). A challenging empirical phenomenon that is observed is a contrast between the modification of and by , on the one hand, and the modification of and by the same adverb, on the other. While and behave symmetrically, a puzzling asymmetry is observed between and . To explain the asymmetry, we propose an analysis of and on which the former has the meaning of the temporal comparative 'earlier', while the latter is seen as an atomic predicate denoting temporal succession between events (Del Prete, Nat Lang Semantics 16:157-203, 2008). We show that the same pattern of implication observed for is attested when modifies overt comparatives, and propose a pragmatic analysis of this pattern that uniformly applies to both cases, thus providing new evidence for the claim that is underlyingly a comparative. A major point of this paper is a discussion of the notion of scale which is relevant for the semantics of ; in particular, we show that the notion of Horn (entailment-based) scale is not well-suited for handling modification of temporal connectives, and that a more general notion of scale is required in order to provide a uniform analysis of as a cross-categorial modifier

Influence of Rapid Malaria Diagnostic Tests on Treatment and Health Outcome in Fever Patients, Zanzibar—A Crossover Validation Study

Anders Bjorkman and colleagues report results from a cross-over trial evaluating rapid diagnostic testing for malaria diagnosis in Zanzibar

Basic notions of information structure

This article takes stock of the basic notions of Information Structure (IS). It first provides a general characterization of IS — following Chafe (1976) — within a communicative model of Common Ground(CG), which distinguishes between CG content and CG management. IS is concerned with those features of language that concern the local CG. Second, this paper defines and discusses the notions of Focus (as indicating alternatives) and its various uses, Givenness (as indicating that a denotation is already present in the CG), and Topic (as specifying what a statement is about). It also proposes a new notion, Delimitation, which comprises contrastive topics and frame setters, and indicates that the current conversational move does not entirely satisfy the local communicative needs. It also points out that rhetorical structuring partly belongs to IS.Peer Reviewe

Проблема ада как компонент проблемы зла в христианской религиозно-философской парадигме

Целью данной работы выступает религиоведческое исследование темы получившей название проблема ада в ее философско-теологическом измерении. Соответственно цели автор ставит перед собой такие задания как: проследить становление традиционной концепции ада, выявить богословские и философские предпосылки формирования данного учения, провести религиоведческий и философский анализ альтернативных учений относительно загробного воздаяния

Malaria misdiagnosis in Uganda – implications for policy change

BACKGROUND: In Uganda, like in many other countries traditionally viewed as harbouring very high malaria transmission, the norm has been to recommend that febrile episodes are diagnosed as malaria. In this study, the policy implications of such recommendations are revisited. METHODS: A cross-sectional survey was undertaken at outpatient departments of all health facilities in four Ugandan districts. The routine diagnostic practices were assessed for all patients during exit interviews and a research slide was obtained for later reading. Primary outcome measures were the accuracy of national recommendations and routine malaria diagnosis in comparison with the study definition of malaria (any parasitaemia on expert slide examination in patient with fever) stratified by age and intensity of malaria transmission. Secondary outcome measures were the use, interpretation and accuracy of routine malaria microscopy. RESULTS: 1,763 consultations undertaken by 233 health workers at 188 facilities were evaluated. The prevalence of malaria was 24.2% and ranged between 13.9% in patients >or=5 years in medium-to-high transmission areas to 50.5% for children <5 years in very high transmission areas. Overall, the sensitivity and negative predictive value (NPV) of routine malaria diagnosis were high (89.7% and 91.6% respectively) while the specificity and positive predictive value (PPV) were low (35.6% and 30.8% respectively). However, malaria was under-diagnosed in 39.9% of children less than five years of age in the very high transmission area. At 48 facilities with functional microscopy, the use of malaria slide examination was low (34.5%) without significant differences between age groups, or between patients for whom microscopy is recommended or not. 96.2% of patients with a routine positive slide result were treated for malaria but also 47.6% with a negative result. CONCLUSION: Current recommendations and associated clinical practices result in massive malaria over-diagnosis across all age groups and transmission areas in Uganda. Yet, under-diagnosis is also common in children <5 years. The potential benefits of malaria microscopy are not realized. To address malaria misdiagnosis, Uganda's policy shift from presumptive to parasitological diagnosis should encompass introduction of malaria rapid diagnostic tests and substantial strengthening of malaria microscopy