Comparison of Generic and Proprietary Sodium Stibogluconate for the Treatment of Visceral Leishmaniasis in Kenya.

OBJECTIVE: To compare the use of generic and proprietary sodium stibogluconate for the treatment of visceral leishmaniasis (kala-azar). METHODS: A total of 102 patients with confirmed kala-azar were treated in a mission hospital in West Pokot region, Kenya, with sodium stibogluconate (20 mg/kg/day for 30 days)--either as Pentostam (PSM) or generic sodium stibogluconate (SSG); 51 patients were allocated alternately to each treatment group. FINDINGS: There were no significant differences in baseline demographic characteristics or disease severity, or in events during treatment. There were 3 deaths in the PSM group and 1 in the SSG group; 2 patients defaulted in each group. Only 1 out of 80 test-of-cure splenic aspirates was positive for Leishmania spp.; this patient was in the SSG group. Follow-up after > or = 6 months showed that 6 out of 58 patients had relapsed, 5 in the SSG group and 1 in the PSM group. No outcome variable was significantly different between the two groups. CONCLUSION: The availability of cheaper generic sodium stibogluconate, subject to rigid quality controls, now makes it possible for the health authorities in kala-azar endemic areas to provide treatment to many more patients in Africa

Non-adiabatic effects in the phonon dispersion of Mg 1--x Al x B 2

Superconducting MgB$\_2$ shows an E$\_{2g}$ zone center phonon, as measured by Raman spectroscopy, that is very broad in energy and temperature dependent. The Raman shift and lifetime show large differences with the values elsewhere in the Brillouin Zone measured by Inelastic X-ray Scattering (IXS), where its dispersion can be accounted for by standard harmonic phonon theory, adding only a moderate electron-phonon coupling. Here we show that the effects rapidly disappear when electron-phonon coupling is switched off by Al substitution on the Mg sites. Moreover, using IXS with very high wave-vector resolution in MgB$\_2$, we can follow the dispersion connecting the Raman and the IXS signal, in agreement with a theory using only electron-phonon coupling but without strong anharmonic terms. The observation is important in order to understand the effects of electron-phonon coupling on zone center phonons modes in MgB$\_2$, but also in all metals characterized by a small Fermi velocity in a particular direction, typical for layered compounds

Electron-phonon coupling and superconductivity in α\alpha-MoB2_2 as a function of pressure

We have studied the lattice dynamics, electron-phonon coupling, and superconducting properties of $\alpha$-MoB$_2$, as a function of applied pressure, within the framework of density functional perturbation theory using a mixed-basis pseudopotential method. We found that phonon modes located along the A$-$H, H$-$L, and L$-$A high-symmetry paths exhibit large phonon linewidths and contribute significantly to the electron-phonon coupling constant. Although linewidths are particularly large for the highest-frequency optical phonon modes (dominated by B vibrations), their contribution to the electron-phonon coupling constant is marginal. The latter is largely controlled by the acoustic low-frequency modes of predominantly Mo character. It was observed that at a pressure of $90$~GPa, where $\alpha$-MoB$_2$ forms, the phonon-mediated pairing falls into the strong-coupling regime, and the estimate for the superconducting critical temperature $T_c$ agrees well with experimental observations. When further increasing the applied pressure, a reduction of $T_c$ is predicted, which correlates with a hardening of the acoustic low-frequency phonon modes and a decrease of the electron-phonon coupling parameter.Comment: Updated and accepted for publication versio

Training telescope operators and support astronomers at Paranal

The operations model of the Paranal Observatory relies on the work of efficient staff to carry out all the daytime and nighttime tasks. This is highly dependent on adequate training. The Paranal Science Operations department (PSO) has a training group that devises a well-defined and continuously evolving training plan for new staff, in addition to broadening and reinforcing courses for the whole department. This paper presents the training activities for and by PSO, including recent astronomical and quality control training for operators, as well as adaptive optics and interferometry training of all staff. We also present some future plans.Comment: Paper 9910-123 presented at SPIE 201

Assessing the causal effect of binary interventions from observational panel data with few treated units

Researchers are often challenged with assessing the impact of an intervention on an outcome of interest in situations where the intervention is non-randomised, the intervention is only applied to one or few units, the intervention is binary, and outcome measurements are available at multiple time points. In this paper, we review existing methods for causal inference in these situations. We detail the assumptions underlying each method, emphasize connections between the different approaches and provide guidelines regarding their practical implementation. Several open problems are identified thus highlighting the need for future research

A first-principles study of superconductivity on RbH by doping without applied pressure

The structural, electronic, lattice dynamics, electron-phonon coupling, and superconducting properties of the alkali-metal hydride RbH, metalized through electron-doping by the construction of the solid-solution Rb$_{1-x}$Sr$_x$H, are systematically analyzed as a function of Sr-content within the framework of density functional perturbation and Migdal-Eliashberg theories, taking into account the effect of zero-point energy contribution by the quasi-harmonic approximation. For the entire studied range of Sr-content, steady increments of the electron-phonon coupling constant and the superconducting critical temperature are found with progressive alkaline-earth metal content through electron-doping, reaching the values of $\lambda=1.92$ and $T_c=51.3(66.1)$~K with $\mu^*$=0.1(0). The steady rise of such quantities as a function of Sr-content is consequence of the metallization of the hydride as an increase of density of states at the Fermi level is observed, as well as the softening of the phonon spectrum, mainly coming from H-optical modes. Our results indicate that electron-doping on metal-hydrides is an encouraging alternative to look for superconductivity without applied pressure.Comment: 8 pages, 6 figure