Low efficacy of the combination artesunate plus amodiaquine for uncomplicated falciparum malaria among children under 5 years in Kailahun, Sierra Leone.

OBJECTIVE: In 2004, Sierra Leone adopted artesunate plus amodiaquine as first-line antimalarial treatment. We evaluated the efficacy of this combination in Kailahun, where a previous study had shown 70.2% efficacy of amodiaquine in monotherapy. METHODS: Method and outcome classification of the study complied with WHO guidelines. Children 6-59 months with uncomplicated malaria were followed-up for 28 days. PCR genotyping was used to distinguish recrudescence from reinfection. Reinfections were reclassified as cured. RESULTS: Of 172 children who were referred to the study clinic, 126 satisfied inclusion criteria and were enrolled. No early treatment failures were reported. The day 14, efficacy was 98.2% (95% CI: 93.8-99.8). Of 65 recurrent parasitaemias analysed by PCR, 17 were recrudescences. The PCR-adjusted day 28 efficacy was 84.5% (95% CI: 76.4-90.7). All true failures occurred in the last 8 days of follow-up. Of 110 children who completed the 28-day follow-up, 54 (49.1%) experienced a novel infection. CONCLUSION: The efficacy of this combination was disappointing. The high reinfection rate suggested little prophylactic effect. In Kailahun a more efficacious combination might be necessary in the future. The efficacy of AS + AQ needs to be monitored in Kailahun and in the other regions of Sierra Leone

Interaction Between Air Propellers and Airplane Structures

The purpose of this investigation was the determination of the character and amount of interaction between air propellers as usually mounted on airplanes and the adjacent parts of the airplane structure - or, more specifically, those parts of the airplane structure within the wash of the propeller, and capable of producing any significant effect on propeller performance. In report no. 177 such interaction between air propellers and certain simple geometrical forms was made the subject of investigation and report. The present investigation aims to carry this general study one stage further by substituting actual airplane structures for the simple geometrical forms. From the point of view of the present investigation, the airplane structures, viewed as an obstruction in the wake of the propeller, must also be viewed as a necessary part of the airplane and not as an appendage which might be installed or removed at will. (author

A proof of the theorem regarding the distribution of lift over the span for minimum induced drag

The proof of the theorem that the elliptical distribution of lift over the span is that which will give rise to the minimum induced drag has been given in a variety of ways, generally speaking too difficult to be readily followed by the graduate of the average good technical school of the present day. In the form of proof this report makes an effort to bring the matter more readily within the grasp of this class of readers

Experimental research on air propellers

The purposes of the experimental investigation on the performance of air propellers described in this report are as follows: (1) the development of a series of design factors and coefficients drawn from model forms distributed with some regularity over the field of air-propeller design and intended to furnish a basis of check with similar work done in other aerodynamic laboratories, and as a point of departure for the further study of special or individual types and forms; (2) the establishment of a series of experimental values derived from models and intended for later use as a basis for comparison with similar results drawn from certain selected full-sized forms and tested in free flight

Tests on thirteen navy type model propellers

The tests on these model propellers were undertaken for the purpose of determining the performance coefficients and characteristics for certain selected series of propellers of form and type as commonly used in recent navy designs. The first series includes seven propellers of pitch ratio varying by 0.10 to 1.10, the area, form of blade, thickness, etc., representing an arbitrary standard propeller which had shown good results. The second series covers changes in thickness of blade section, other things equal, and the third series, changes in blade area, other things equal. These models are all of 36-inch diameter. Propellers A to G form the series on pitch ratio, C, N. I. J the series on thickness of section, and K, M, C, L the series on area. (author

Cooling Tests of the NectarCAM camera for the Cherenkov Telescope Array

The NectarCAM is a camera proposed for the medium-sized telescopes in the framework of the Cherenkov Telescope Array (CTA), the next-generation observatory for very-high-energy gamma-ray astronomy. The cameras are designed to operate in an open environment and their mechanics must provide protection for all their components under the conditions defined for the CTA observatory. In order to operate in a stable environment and ensure the best physics performance, each NectarCAM will be enclosed in a slightly overpressurized, nearly air-tight, camera body, to prevent dust and water from entering. The total power dissipation will be ~7.7 kW for a 1855-pixel camera. The largest fraction is dissipated by the readout electronics in the modules. We present the design and implementation of the cooling system together with the test bench results obtained on the NectarCAM thermal demonstrator.Comment: In Proceedings of the 34th International Cosmic Ray Conference (ICRC2015), The Hague, The Netherlands. All CTA contributions at arXiv:1508.0589

Résultats de l’Enquête internationale 2013 « Quelles activités, quels processus, quelles méthodes, quels systèmes »

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