Podoconiosis in East and West Gojam Zones, Northern Ethiopia

Background: Podoconiosis is a neglected tropical disease (NTD) that is prevalent in red clay soil-covered highlands of tropical Africa, Central and South America, and northern India. It is estimated that up to one million cases exist in Ethiopia. This study aimed to estimate the prevalence of podoconiosis in East and West Gojam Zones of Amhara Region in northern Ethiopia. Methodology/Principal Findings: A cross-sectional household survey was conducted in Debre Eliyas and Dembecha woredas (districts) in East and West Gojam Zones, respectively. The survey covered all 17,553 households in 20 kebeles (administrative subunits) randomly selected from the two woredas. A detailed structured interview was conducted on 1,704 cases of podoconiosis identified in the survey. Results: The prevalence of podoconiosis in the population aged 15 years and above was found to be 3.3% (95% CI, 3.2% to 3.6%). 87% of cases were in the economically active age group (15–64 years). On average, patients sought treatment five years after the start of the leg swelling. Most subjects had second (42.7%) or third (36.1%) clinical stage disease, 97.9% had mossy lesions, and 53% had open wounds. On average, patients had five episodes of acute adenolymphangitis (ALA) per year and spent a total of 90 days per year with ALA. The median age of first use of shoes and socks were 22 and 23 years, respectively. More men than women owned more than one pair of shoes (61.1% vs. 50.5%; x2 = 11.6 p = 0.001). At the time of interview, 23.6% of the respondents were barefoot, of whom about two-thirds were women. Conclusions: This study showed high prevalence of podoconiosis and associated morbidities such as ALA, mossy lesions and open wounds in northern Ethiopia. Predominance of cases at early clinical stage of podoconiosis indicates the potential for reversing the swelling and calls for disease prevention interventions

A randomised trial of subcutaneous intermittent interleukin-2 without antiretroviral therapy in HIV-infected patients: the UK-Vanguard Study

Objective: The objective of the trial was to evaluate in a pilot setting the safety and efficacy of interleukin-2 (IL-2) therapy when used without concomitant antiretroviral therapy as a treatment for HIV infection. Design and Setting: This was a multicentre randomised three-arm trial conducted between September 1998 and March 2001 at three clinical centres in the United Kingdom. Participants: Participants were 36 antiretroviral treatment naive HIV-1-infected patients with baseline CD4 T lymphocyte counts of at least 350 cells/mm(3). Interventions: Participants were randomly assigned to receive IL-2 at 15 million international units (MIU) per day ( 12 participants) or 9 MIU/day ( 12 participants) or no treatment ( 12 participants). IL-2 was administered by twice-daily subcutaneous injections for five consecutive days every 8 wk. Outcome Measures: Primary outcome was the change from baseline CD4 T lymphocyte count at 24 wk. Safety and plasma HIV RNA levels were also monitored every 4 wk through 24 wk. The two IL-2 dose groups were combined for the primary analysis. Results: Area under curve (AUC) for change in the mean CD4 T lymphocyte count through 24 wk was 129 cells/mm(3) for those assigned IL-2 ( both dose groups combined) and 13 cells/mm(3) for control participants (95% CI for difference, 51.3 - 181.2 cells/mm(3); p = 0.0009). Compared to the control group, significant increases in CD4 cell count were observed for both IL-2 dose groups: 104.2/mm(3) ( p = 0.008) and 128.4 cells/mm(3) ( p = 0.002) for the 4.5 and 7.5 MIU dose groups, respectively. There were no significant differences between the IL-2 (0.13 log(10) copies/ ml) and control (0.09 log(10) copies/ml) groups for AUC of change in plasma HIV RNA over the 24-wk period of follow- up ( 95% CI for difference, - 0.17 to 0.26; p = 0.70). Grade 4 and dose-limiting side effects were in keeping with those previously reported for IL-2 therapy. Conclusions: In participants with HIV infection and baseline CD4 T lymphocyte counts of at least 350 cells/mm(3), intermittent subcutaneous IL-2 without concomitant antiretroviral therapy was well tolerated and produced significant increases in CD4 T lymphocyte counts and did not adversely affect plasma HIV RNA levels

Solar Coronal Structures and Stray Light in TRACE

Using the 2004 Venus transit of the Sun to constrain a semi-empirical point-spread function for the TRACE EUV solar telescope, we have measured the effect of stray light in that telescope. We find that 43% of 171A EUV light that enters TRACE is scattered, either through diffraction off the entrance filter grid or through other nonspecular effects. We carry this result forward, via known-PSF deconvolution of TRACE images, to identify its effect on analysis of TRACE data. Known-PSF deconvolution by this derived PSF greatly reduces the effect of visible haze in the TRACE 171A images, enhances bright features, and reveals that the smooth background component of the corona is considerably less bright (and hence much more rarefied) than commonly supposed. Deconvolution reveals that some prior conlclusions about the Sun appear to have been based on stray light in the images. In particular, the diffuse background "quiet corona" becomes consistent with hydrostatic support of the coronal plasma; feature contrast is greatly increased, possibly affecting derived parameters such as the form of the coronal heating function; and essentially all existing differential emission measure studies of small features appear to be affected by contamination from nearby features. We speculate on further implications of stray light for interpretation of EUV images from TRACE and similar instruments, and advocate deconvolution as a standard tool for image analysis with future instruments such as SDO/AIA.Comment: Accepted by APJ; v2 reformatted to single-column format for online readabilit

Benchmark calculations for elastic fermion-dimer scattering

We present continuum and lattice calculations for elastic scattering between a fermion and a bound dimer in the shallow binding limit. For the continuum calculation we use the Skorniakov-Ter-Martirosian (STM) integral equation to determine the scattering length and effective range parameter to high precision. For the lattice calculation we use the finite-volume method of L\"uscher. We take into account topological finite-volume corrections to the dimer binding energy which depend on the momentum of the dimer. After subtracting these effects, we find from the lattice calculation kappa a_fd = 1.174(9) and kappa r_fd = -0.029(13). These results agree well with the continuum values kappa a_fd = 1.17907(1) and kappa r_fd = -0.0383(3) obtained from the STM equation. We discuss applications to cold atomic Fermi gases, deuteron-neutron scattering in the spin-quartet channel, and lattice calculations of scattering for nuclei and hadronic molecules at finite volume.Comment: 16 pages, 5 figure

Structural plasticity and associative memory in balanced neural networks with spike-time dependent inhibitory plasticity

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Dislodged teeth in four intact child mummies from Graeco/Roman Egypt (332 BCE – c. 395 CE) – child abuse, accident or careless embalmers?

In a computerised tomographic (CT) scanning and x-ray imaging of four ancient Egyptian Graeco/Roman child mummies, it was observed that deciduous teeth had been dislodged and that the cervical spines were flexed. The objective of this study was to determine whether the cause of the tooth loss and spinal flexion were linked or whether they related to ante-mortem accident or abuse.Three mummies were examined using high speed helical CT scanners and the fourth mummy was examined using x-ray film. The images were loaded into an advanced visualisation workstation for further examination and to provide accurate data to identify exfoliated teeth and the flexion of the cervical spine.The age range of the children was approximately eighteen months to six years. The study showed that in two cases the dislodged teeth were within the oral cavity and in the third case the dislodged teeth were found close to empty sockets. In the fourth mummy two upper teeth were dislodged but could not be identified in the oral cavity due to the lack of clarity in the x-ray films.In all cases natural exfoliation or dental extraction as a cause of tooth loss was rejected due to the age of each child and identification of dislodged teeth which lacked evidence of root resorption. The reason for the dislodgement of teeth appeared to be due rough post-mortem handling by embalmers when grasping the mandible to flex the cervical spine and manipulate the head towards the chest. Ante-mortem accident, child abuse, periodontal disease or extractions were rejected as the cause of tooth loss

Is stimulation of leaf photosynthesis by elevated carbon dioxide concentration maintained in the long term? A test with Lolium perenne grown for 10 years at two nitrogen fertilization levels under Free Air CO2 Enrichment (FACE)

Photosynthesis is commonly stimulated in grasslands with experimental increases in atmospheric CO2 concentration ([CO2]), a physiological response that could significantly alter the future carbon cycle if it persists in the long term.. Yet an acclimation of photosynthetic capacity suggested by theoretical models and short-term experiments could completely remove this effect of CO2. Perennial ryegrass (Lolium perenne L. cv. Bastion) was grown under an elevated [CO2] of 600 mumol mol(-1) for 10 years using Free Air CO2 Enrichment (FACE), with two contrasting nitrogen levels and abrupt changes in the source: sink ratio following periodic harvests. More than 3000 measurements characterized the response of leaf photosynthesis and stomatal conductance to elevated [CO2] across each growing season for the duration of the experiment. Over the 10 years as a whole, growth at elevated [CO2] resulted in a 43% higher rate of light-saturated leaf photosynthesis and a 36% increase in daily integral of leaf CO2 uptake. Photosynthetic stimulation was maintained despite a 30% decrease in stomatal conductance and significant decreases in both the apparent, maximum carboxylation velocity (V-c,V-max) and the maximum rate of electron transport (J(max)). Immediately prior to the periodic (every 4-8 weeks) cuts of the L. perenne stands, V-c,V-max and J(max), were significantly lower in elevated than in ambient [CO2] in the low-nitrogen treatment. This difference was smaller after the cut, suggesting a dependence upon the balance between the sources and sinks for carbon. In contrast with theoretical expectations and the results of shorter duration experiments, the present results provide no significant change in photosynthetic stimulation across a 10-year period, nor greater acclimation in V-c,V-max and J(max) in the later years in either nitrogen treatment

Optimization of input parameters to a CN neuron model to simulate its activity during and between epileptic absence seizures

Peer reviewe