Evaluation of C-reactive protein and haptoglobin as malaria episode markers in an area of high transmission in Africa

Field studies of malaria in endemic areas frequently use the presence or levels of parasitaemia, together with the measurement of fever, as the primary criteria with which to identify cases. However, since malaria cases do not always present with measurable fever, and since asymptomatic parasitaemia occurs, additional episode markers might be useful epidemiological tools. We have measured the C-reactive protein and haptoglobin levels in paediatric patients presenting to a village health post in the Kilombero District in Tanzania and in convalescent sera from the same patients, in order to evaluate these acute-phase reactants as alternative markers of Plasmodium falciparum episodes. Among afebrile patients, C-reactive protein levels were highly correlated with parasite density. High C-reactive protein levels are therefore probably indicative of recent clinical malaria episodes in currently afebrile individuals with high parasite densities. An appropriate case definition for malaria in epidemiological studies in endemic areas might therefore be hyperparasitaemia accompanied by either, or both, measurable fever and raised C-reactive protein levels. This would give less biased estimates of the overall burden of malaria morbidity than does a definition which requires measurable fever. Levels of haptoglobin were highly negatively correlated with parasitaemia, but did not appear to be useful episode markers because this correlation was probably not related to acute morbidity. However, haptoglobin can be useful to assess at community level the impact of interventions on parasitaemi

Gonadotrophin stimulation for in vitro fertilization significantly alters the hormone milieu in follicular fluid: a comparative study between natural cycle IVF and conventional IVF

STUDY QUESTION Is the steroid hormone profile in follicular fluid (FF) at the time of oocyte retrieval different in naturally matured follicles, as in natural cycle IVF (NC-IVF), compared with follicles stimulated with conventional gonadotrophin stimulated IVF (cIVF)? SUMMARY ANSWER Anti-Mullerian hormone (AMH), testosterone (T) and estradiol (E2) concentrations are ∼3-fold higher, androstenedione (A2) is ∼1.5-fold higher and luteinizing hormone (LH) is ∼14-fold higher in NC-IVF than in cIVF follicles, suggesting an alteration of the follicular metabolism in conventional gonadotrophin stimulated IVF. WHAT IS KNOWN ALREADY In conventional IVF, the implantation rate of unselected embryos appears to be lower than in NC-IVF, which is possibly due to negative effects of the stimulation regimen on follicular metabolism. In NC-IVF, the intrafollicular concentration of AMH has been shown to be positively correlated with the oocyte fertilization and implantation rates. Furthermore, androgen treatment seems to improve the ovarian response in low responders. STUDY DESIGN, SIZE, DURATION This cross-sectional study involving 36 NC-IVF and 40 cIVF cycles was performed from 2011 to 2013. Within this population, 13 women each underwent 1 NC-IVF and 1 cIVF cycle. cIVF was performed by controlled ovarian stimulation with HMG and GnRH antagonists. PARTICIPANTS/MATERIALS, SETTING, METHODS Follicular fluid was collected from the leading follicles. AMH, T, A2, dehydroepiandrosterone (DHEA), E2, FSH, LH and progesterone (P) were determined by immunoassays in 76 women. Aromatase activity in follicular fluid cells was analysed by a tritiated water release assay in 33 different women. For statistical analysis, the non-parametric Mann-Whitney U or Wilcoxon tests were used. MAIN RESULTS AND ROLE OF CHANCE In follicular fluid from NC-IVF and from cIVF, median levels were 32.8 and 10.7 pmol/l for AMH (P < 0.0001), 47.2 and 18.8 µmol/l for T (P < 0.0001), 290 and 206 nmol/l for A2 (P = 0.0035), 6.7 and 5.6 pg/ml for DHEA (n.s.), 3292 and 1225 nmol/l for E2 (P < 0.0001), 4.9 and 7.2 mU/ml for FSH (P < 0.05), 14.4 and 0.9 mU/ml for LH (P < 0.0001) and 62 940 and 54 710 nmol/l for P (n.s.), respectively. Significant differences in follicular fluid concentrations for AMH, E2 and LH were also found in the 13 patients who underwent both NC-IVF and cIVF when they were analysed separately in pairs. Hormone analysis in serum excluded any relevant impact of AMH, T, A2, and E2 serum concentration on the follicular fluid hormone concentrations. Median serum concentrations were 29.4 and 0.9 mU/ml for LH (P < 0.0001) and 2.7 and 23.5 nmol/l for P (P < 0.0001) after NC-IVF and c-IVF, respectively. Positive correlations were seen for FF-AMH with FF-T (r = 0.35, P = 0.0002), FF-T with FF-LH (r = 0.48, P < 0.0001) and FF-E2 with FF-T (r = 0.75, P < 0.0001). The analysis of aromatase activity was not different in NC-IVF and cIVF follicular cells. LIMITATION, REASONS FOR CAUTION Any association between the hormone concentrations and the implantation potential of the oocytes could not be investigated as the oocytes in cIVF were not treated individually in the IVF laboratory. Since both c-IVF and NC-IVF follicles were stimulated by hCG before retrieval, the endocrine milieu in the natural cycle does not represent the pure physiological situation. WIDER IMPLICATIONS OF THE FINDINGS The endocrine follicular milieu and the concentration of putative markers of oocyte quality, such as AMH, are significantly different in gonadotrophin-stimulated conventional IVF compared with natural cycle IVF. This could be a cause for the suggested lower oocyte quality in cIVF compared with naturally matured oocytes. The reasons for the reduced AMH concentration might be low serum and follicular fluid LH concentrations due to LH suppression, leading initially to low follicular androgen concentrations and then to low follicular AMH production. STUDY FUNDING/COMPETING INTERESTS Funding for this study was obtained from public universities (for salaries) and private industry (for consumables). Additionally, the study was supported by an unrestricted grant from MSD Merck Sharp & Dohme GmbH and IBSA Institut Biochimique SA. The authors are clinically involved in low-dose monofollicular stimulation and IVF therapies, using gonadotrophins from all gonadotrophin distributors on the Swiss market, including Institut Biochimique SA and MSD Merck Sharp & Dohme GmbH. Otherwise, the authors have no competing interests. TRIAL REGISTRATION NUMBER Not applicabl

Point vortices and polynomials of the Sawada-Kotera and Kaup-Kupershmidt equations

Rational solutions and special polynomials associated with the generalized K_2 hierarchy are studied. This hierarchy is related to the Sawada-Kotera and Kaup-Kupershmidt equations and some other integrable partial differential equations including the Fordy-Gibbons equation. Differential-difference relations and differential equations satisfied by the polynomials are derived. The relationship between these special polynomials and stationary configurations of point vortices with circulations Gamma and -2Gamma is established. Properties of the polynomials are studied. Differential-difference relations enabling one to construct these polynomials explicitly are derived. Algebraic relations satisfied by the roots of the polynomials are found.Comment: 23 pages, 8 figure

Sign-reversal of drag in bilayer systems with in-plane periodic potential modulation

We develop a theory for describing frictional drag in bilayer systems with in-plane periodic potential modulations, and use it to investigate the drag between bilayer systems in which one of the layers is modulated in one direction. At low temperatures, as the density of carriers in the modulated layer is changed, we show that the transresistivity component in the direction of modulation can change its sign. We also give a physical explanation for this behavior.Comment: 4 pages, 4 figure

Information decomposition of symbolic sequences

We developed a non-parametric method of Information Decomposition (ID) of a content of any symbolical sequence. The method is based on the calculation of Shannon mutual information between analyzed and artificial symbolical sequences, and allows the revealing of latent periodicity in any symbolical sequence. We show the stability of the ID method in the case of a large number of random letter changes in an analyzed symbolic sequence. We demonstrate the possibilities of the method, analyzing both poems, and DNA and protein sequences. In DNA and protein sequences we show the existence of many DNA and amino acid sequences with different types and lengths of latent periodicity. The possible origin of latent periodicity for different symbolical sequences is discussed.Comment: 18 pages, 8 figure

Inverse flux quantum periodicity of magnetoresistance oscillations in two-dimensional short-period surface superlattices

Transport properties of the two-dimensional electron gas (2DEG) are considered in the presence of a perpendicular magnetic field $B$ and of a {\it weak} two-dimensional (2D) periodic potential modulation in the 2DEG plane. The symmetry of the latter is rectangular or hexagonal. The well-known solution of the corresponding tight-binding equation shows that each Landau level splits into several subbands when a rational number of flux quanta $h/e$ pierces the unit cell and that the corresponding gaps are exponentially small. Assuming the latter are closed due to disorder gives analytical wave functions and simplifies considerably the evaluation of the magnetoresistivity tensor $\rho_{\mu\nu}$. The relative phase of the oscillations in $\rho_{xx}$ and $\rho_{yy}$ depends on the modulation periods involved. For a 2D modulation with a {\bf short} period $\leq 100$ nm, in addition to the Weiss oscillations the collisional contribution to the conductivity and consequently the tensor $\rho_{\mu\nu}$ show {\it prominent peaks when one flux quantum $h/e$ passes through an integral number of unit cells} in good agreement with recent experiments. For periods $300- 400$ nm long used in early experiments, these peaks occur at fields 10-25 times smaller than those of the Weiss oscillations and are not resolved

Direct Integration of the Topological String

We present a new method to solve the holomorphic anomaly equations governing the free energies of type B topological strings. The method is based on direct integration with respect to the non-holomorphic dependence of the amplitudes, and relies on the interplay between non-holomorphicity and modularity properties of the topological string amplitudes. We develop a formalism valid for any Calabi-Yau manifold and we study in detail two examples, providing closed expressions for the amplitudes at low genus, as well as a discussion of the boundary conditions that fix the holomorphic ambiguity. The first example is the non-compact Calabi-Yau underlying Seiberg-Witten theory and its gravitational corrections. The second example is the Enriques Calabi-Yau, which we solve in full generality up to genus six. We discuss various aspects of this model: we obtain a new method to generate holomorphic automorphic forms on the Enriques moduli space, we write down a new product formula for the fiber amplitudes at all genus, and we analyze in detail the field theory limit. This allows us to uncover the modularity properties of SU(2), N=2 super Yang-Mills theory with four massless hypermultiplets.Comment: 75 pages, 3 figure

Breast MRI in the Diagnostic and Preoperative Workup Among Medicare Beneficiaries With Breast Cancer

We compared the frequency and sequence of breast imaging and biopsy use for the diagnostic and preoperative workup of breast cancer according to breast MRI use among older women

Correction to: Comparison of Vitamin B12, Vitamin D, and Folic Acid Blood Levels in Plumbism Patients and Controls in Eastern Iran (Biological Trace Element Research, (2021), 199, 1, (9-17), 10.1007/s12011-020-02119-6)

The original version of this article unfortunately contained mistakes. & The name of �Namam Ali Azadi� is now corrected in the author group & Fourth to seventh sentence of the Abstract section should be �The results indicated that the mean vitamin B12, vitamin D, and folic acid levels for the case group were 517.3 ± 419.4 pg/ml, 25.1 ± 10.8 ng/ml, and 9.2 ± 6.1 ng/ml, respectively. Mean folic acid level in the case group was significantly lower than control group (Fisher exact test, P < 0.001), whereas the mean of the vitamin D levels at the case group was no significantly higher than the control group (Fisher exact test, P = 0.059). Moreover, mean vitamin B12 levels were significantly different between the case and control groups (Fisher exact test, P = 0.009). In the control group, three patients had folic acid below normal level (< 6 ng/mL), while twelve subjects at case group had folic acid below normal level (P < 0.05).Also, none of the control group had low vitamin B12 concentrations (< 180 pg/ml), while seven subjects of case group had vitamin B12 below normal level (P < 0.05).� & In page 6, Discussion part, 4th paragraph: We found that mean blood folate levels in the lead-poisoned patients, who had a mean BLL of 66 ± 37. 3 µg/dl, were significantly lower than in healthy subjects (9.2 ± 6.1 ng/ml vs. 12.70 pg/ml). © 2020, Springer Science+Business Media, LLC, part of Springer Nature