A comparison of two tests for filarial antigenemia in areas in Sri Lanka and Indonesia with low-level persistence of lymphatic filariasis following mass drug administration

BACKGROUND: Filarial antigen tests are key tools for mapping the distribution of bancroftian filariasis and for detecting areas with persistent infections following mass drug administration (MDA). A recent study showed that the new Alere Filariasis Test Strip (FTS) has better analytical sensitivity than the BinaxNOW Filariasis card test (Card Test) for detecting circulating filarial antigen, and the FTS detected more positive results than the Card Test in a field study performed in a highly endemic area in Liberia. METHODS: The present study compared the performance of the FTS and the Card Test in community surveys that were conducted in southern Sri Lanka and in Indonesia (Central Java) in areas with low-level persistence of LF following multiple rounds of MDA with diethylcarbamazine plus albendazole. The studies were performed in densely populated semi-urban areas where Wuchereria bancrofti is transmitted by Culex quinquefasciatus. RESULTS: Antigenemia rates by FTS were 138 % higher in the Sri Lanka study (43/852 vs. 18/852) and 21 % higher in the Indonesia study (50/778 vs. 41/778) than antigenemia rates by Card Test. Antigenemia rates were significantly higher in males than in females and higher in adults than in children in both study sites. Although overall antigenemia rates and test scores were significantly higher by FTS than by Card Test in both study areas, rates in young children were similar with both tests in both areas. CONCLUSIONS: These results extend the previously reported superior sensitivity of the FTS to areas with low residual infection rates following MDA, and this could affect mapping and post-MDA survey results in adults. However, our findings suggest that results of transmission assessment surveys (TAS) performed in school-aged children are likely to be similar with both tests

Long-term Transplant Function After Thrombolytic Treatment Ex Vivo of Donated Kidneys Retrieved 4 to 5 Hours After Circulatory Death

Background.\ua0Using a novel thrombolytic technique, we present long-term transplant function, measured by creatinine and iohexol clearance, after utilizing kidneys from porcine donors with uncontrolled donation after circulatory deaths, with 4.5–5 h of warm ischemia.Methods.\ua0Pigs in the study group were subjected to simulated circulatory death. After 2 h, ice slush was inserted into the abdomen and 4.5 h after death, the kidneys were retrieved. Lys-plasminogen, antithrombin-III, and alteplase were injected through the renal arteries on the back table. Subsequent ex vivo perfusion was continued for 3 h at 15\ub0C, followed by 3 h with red blood cells at 32\ub0C, and then transplanted into pigs as an autologous graft as only renal support. Living-donor recipient pigs that did not receive ex vivo perfusion, and unilateral nephrectomized pigs served as the controls.Results.\ua0Pigs in the study group (n = 13), surviving 10 d or more were included, of which 7 survived for 3 mo. Four animals in the living-donor group (n = 6) and all 5 nephrectomized animals survived for 3 mo. Creatinine levels in the plasma and urine, neutrophil gelatinase-associated lipocalin levels, Kidney Injury Marker-1 expression, and iohexol clearance at 3 mo did not differ significantly between the study and living-donor groups. Histology and transmission electron microscopy after 3 mo showed negligible fibrosis and no other damage.Conclusions.\ua0The present method salvages kidneys from extended unontrolled donation after circulatory death using thrombolytic treatment while preserving histology and enabling transplantation after ex vivo reconditioning, with clinically acceptable late function after 3 mo, as measured by creatinine and iohexol clearance

Stromal Vascular Fraction Transplantation as an Alternative Therapy for Ischemic Heart Failure: Anti-inflammatory Role

<p>Abstract</p> <p>Background</p> <p>The aims of this study were: (1) to show the feasibility of using adipose-derived stromal vascular fraction (SVF) as an alternative to bone marrow mono nuclear cell (BM-MNC) for cell transplantation into chronic ischemic myocardium; and (2) to explore underlying mechanisms with focus on anti-inflammation role of engrafted SVF and BM-MNC post chronic myocardial infarction (MI) against left ventricular (LV) remodelling and cardiac dysfunction.</p> <p>Methods</p> <p>Four weeks after left anterior descending coronary artery ligation, 32 Male Lewis rats with moderate MI were divided into 3 groups. SVF group (n = 12) had SVF cell transplantation (6 × 10⁶cells). BM-MNC group (n = 12) received BM-MNCs (6 × 10⁶) and the control (n = 10) had culture medium. At 4 weeks, after the final echocardiography, histological sections were stained with Styrus red and immunohistochemical staining was performed for α-smooth muscle actin, von Willebrand factor, CD3, CD8 and CD20.</p> <p>Results</p> <p>At 4 weeks, in SVF and BM-MNC groups, LV diastolic dimension and LV systolic dimension were smaller and fractional shortening was increased in echocardiography, compared to control group. Histology revealed highest vascular density, CD3+ and CD20+ cells in SVF transplanted group. SVF transplantation decreased myocardial mRNA expression of inflammatory cytokines TNF-α, IL-6, MMP-1, TIMP-1 and inhibited collagen deposition.</p> <p>Conclusions</p> <p>Transplantation of adipose derived SVF cells might be a useful therapeutic option for angiogenesis in chronic ischemic heart disease. Anti-inflammation role for SVF and BM transplantation might partly benefit for the cardioprotective effect for chronic ischemic myocardium.</p

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

A Critical investigation of the possible compliance standards of academic and research ethics under the right to Information Act of Sri Lanka

Research ethics, Right to Information Act, Freedom of informatio

Traffic Reduction in Packet Switched Networked Control Systems Using Deadband Error Modulation

This paper introduces a novel traffic reduction method for Networked Control Systems (NCS) called Deadband Error Modulation (DEM). The deadband modifies the periodic dynamics of Delta Modulation (DM) based techniques such as our previously proposed Event Triggered Adaptive Differential Modulation (ETADM). Like ETADM it can be used for encoding individual scalar elements of a vector (i.e., the state vector or control input). It is also robust to bounded packet drops.Australian Research Council Linkage, Infrastructure, Equipment and Facility Grant LE12010011

Unified protection for the informed decision in business transactions by legal test

Consumers and companies alike require to make countless informed decisions in the context of commercial activities. Going beyond the trivial purchase of a substandard good or service, the informed decision is a choice made after a comprehensive evaluation of the reasonably predicted possible outcomes of each potential option. A typical example would be a consumer without expert knowledge in energy, investing in a solar power system. Under such circumstances the consumer has to be aware if there will be a benefit compared to the no action alternative which requires both information provided by the manufacturer and possible reliance on expert opinion. Venture capitalists and hedging fund managers face similar circumstances where they need to invest based upon informed decisions of the subject as well as the risks. This paper investigates the available legal remedies in both local and foreign jurisdictions for consumers and companies when deprived of an informed decision due to restriction of information, deception or perfidy. Based on this, a judicial test is formulated to allow a generalized protection of the informed decision in business transactions

Extremum Seeking Control with Sporadic Packet Transmission for Networked Control Systems

Extremum Seeking Control (ESC) is a data-driven optimization technique that can steer a dynamic plant towards an extremum of an unknown but measurable, input to steady-state map. In the context of Networked Control Systems (NCS) a new implementation method for ESC inspired by the well known Luus-Jaakola algorithm is proposed. The main motivation is to minimize the communication burden associated with the search phase of ESC. In the proposed method the controller only requires a notification of a change registered at the sensor, rather than the full information available at the sensor. This event based approach leads to sporadic packet transmission. In addition the proposed method is able to directly account for constraints whilst seeking for the desired extremum. The constraints may be of the inequality or equality type. The algorithm's behavior is illustrated on a networked water pump control system.Australian Research Council Linkage, Infrastructure, Equipment and Facilities Grant LE120100117 and University of Moratuwa Senate Research Committee Grant SRC/ST/2016/0

A Sum of Bernoulli Sources Approximation for Packet Switched Network Traffic in Backbone Links

In this letter an intuitive measurement based approximation for packet switched network traffic in backbone links is presented. It consists of a sum of independent non-identical Bernoulli sources. The resulting sum has a Poisson binomial distribution which can be approximated to a skewed Gaussian distribution at the asymptote. It can be further approximated to a binomial distribution for predicting congestion by estimating the number of users of the network. The results are verified using samples of traffic data from 42 academic and research institutions.University of Moratuwa Senate Research Committee Grant SRC/ST/2016/1