Assessment of Immature Platelet Fraction in the Diagnosis of Wiskott-Aldrich Syndrome.

Children with Wiskott-Aldrich syndrome (WAS) are often first diagnosed with immune thrombocytopenia (ITP), potentially leading to both inappropriate treatment and the delay of life-saving definitive therapy. WAS is traditionally differentiated from ITP based on the small size of WAS platelets. In practice, microthrombocytopenia is often not present or not appreciated in children with WAS. To develop an alternative method of differentiating WAS from ITP, we retrospectively reviewed all complete blood counts and measurements of immature platelet fraction (IPF) in 18 subjects with WAS and 38 subjects with a diagnosis of ITP treated at our hospital. Examination of peripheral blood smears revealed a wide range of platelet sizes in subjects with WAS. Mean platelet volume (MPV) was not reported in 26% of subjects, and subjects in whom MPV was not reported had lower platelet counts than did subjects in whom MPV was reported. Subjects with WAS had a lower IPF than would be expected for their level of thrombocytopenia, and the IPF in subjects with WAS was significantly lower than in subjects with a diagnosis of ITP. Using logistic regression, we developed and validated a rule based on platelet count and IPF that was more sensitive for the diagnosis of WAS than was the MPV, and was applicable regardless of the level of platelets or the availability of the MPV. Our observations demonstrate that MPV is often not available in severely thrombocytopenic subjects, which may hinder the diagnosis of WAS. In addition, subjects with WAS have a low IPF, which is consistent with the notion that a platelet production defect contributes to the thrombocytopenia of WAS. Knowledge of this detail of WAS pathophysiology allows to differentiate WAS from ITP with increased sensitivity, thereby allowing a physician to spare children with WAS from inappropriate treatment, and make definitive therapy available in a timely manner

Multiscale Partition of Unity

We introduce a new Partition of Unity Method for the numerical homogenization of elliptic partial differential equations with arbitrarily rough coefficients. We do not restrict to a particular ansatz space or the existence of a finite element mesh. The method modifies a given partition of unity such that optimal convergence is achieved independent of oscillation or discontinuities of the diffusion coefficient. The modification is based on an orthogonal decomposition of the solution space while preserving the partition of unity property. This precomputation involves the solution of independent problems on local subdomains of selectable size. We deduce quantitative error estimates for the method that account for the chosen amount of localization. Numerical experiments illustrate the high approximation properties even for 'cheap' parameter choices.Comment: Proceedings for Seventh International Workshop on Meshfree Methods for Partial Differential Equations, 18 pages, 3 figure

Experimental Validation of Contact Dynamics for In-Hand Manipulation

This paper evaluates state-of-the-art contact models at predicting the motions and forces involved in simple in-hand robotic manipulations. In particular it focuses on three primitive actions --linear sliding, pivoting, and rolling-- that involve contacts between a gripper, a rigid object, and their environment. The evaluation is done through thousands of controlled experiments designed to capture the motion of object and gripper, and all contact forces and torques at 250Hz. We demonstrate that a contact modeling approach based on Coulomb's friction law and maximum energy principle is effective at reasoning about interaction to first order, but limited for making accurate predictions. We attribute the major limitations to 1) the non-uniqueness of force resolution inherent to grasps with multiple hard contacts of complex geometries, 2) unmodeled dynamics due to contact compliance, and 3) unmodeled geometries dueto manufacturing defects.Comment: International Symposium on Experimental Robotics, ISER 2016, Tokyo, Japa

Ability of tropical forest soils of French Guiana and Reunion to depollute woods impregnated with biocides

Our study sought to fine-tune knowledge about those microorganisms, particularly wood-decaying fungi degrading pollutants in situ. With a view to the depollution or bioremediation of treated woods, wood-decaying microorganisms from tropical forest soils in French Guiana and the island of Reunion were assessed for their ability to degrade toxic biocides such as pentachlorophenol (PCP) or copper chromium arsenic compounds (CCA). The degradation of red pine (Pinus resinosa) test pieces was monitored and it was found that the soil from French Guiana was more efficient than the soil from Reunion in terms of microbial activity in relation to these two biocides. A significant difference in weight loss was found for the red pinetest pieces treated with CCA and PCP, varying in a ratio of one to two (18% and 30%, respectively). In addition, a study of wood and soil fungus communities using D-HPLC and CE-SSCP, then analysed by a PCA, showed that biocide products leached into the soil had an impact on the fungus communities, which differed depending on the sampling time and on the wood treatment. Lastly, these results confirmed that CCA was less leachable and less degradable by microorganisms in these soils than PCP. (Résumé d'auteur

The risk and burden of vertebral fractures in Sweden

The aim of this study was to determine the risk and burden of vertebral fractures judged as those coming to clinical attention and as morphometric fractures. Incidence and utility loss were computed from data from Malmo, Sweden. Clinical fractures accounted for 23% of all vertebral deformities in women and for 42% in men. The average 10-year fracture probability for morphometric fractures increased with age in men from 2.9% at the age of 50 years (7.2% in women) to 8.4 at the age of 85 years (26.7% in women). As expected, probabilities increased with decreasing T-score for hip BMD. Cumulative utility loss from a clinical vertebral fracture was substantial and was 50-62% of that due to a hip fracture depending on age. When incidence of fractures in the population was weighted by disutility, all spine fractures accounted for more morbidity than hip fracture up to the age of 75 years. We conclude that vertebral fractures have a major personal and societal impact that needs to be recognised in algorithms for assessment of risk and in health economic strategies for osteoporosis

Neighbourhood Reading Clubs: Rekindling Reading Interest among Nigerian Children

A common comment on the state of reading in Nigeria today is that we have a poor reading culture. Yet up to the early 70s’ school children had a healthy respect for reading because there was supportive environment for such activities through the school system, township/mobile libraries, British Council and United States Information Service (USIS) libraries, etc. To rekindle this interest would require not only the provision of reading materials but also democratising access, quality in time and space, environment considerations and technical expertise by teachers and enthusiasts. Above all, any intervention must be unobtrusive, yet must captivate the children especially given the ICT revolution which revolves round audio-visuals. One avenue for achieving this is the neighbourhood reading club. In this paper we present a report of a volunteer reading club situated within the University of Calabar for children of the neighbourhood. Insights into reading interests, impact of the club on the children’s emotional, educational and psychological development are explored with very surprising results and outcomes. Keywords: Neighbourhood reading clubs, reading culture, mobile libraries, reading materials democratizing access, volunteer reading club, reading interest, educational and psychological development

Optimizing Students’ Performance in English through Quality Teacher Education

Research has established significant connection between quality teacher education and student achievement. This cannot but be a concept in considering the performance of students in English language, a skill-based school subject. This paper examines the course content for language education for trainee teachers in the University of Calabar. This study appraises and validates the adequacy of the curriculum content to meet the language needs of the trainees with regard to transferring their learning to meeting the curriculum demands of secondary school English language learner. Suggestions towards optimizing quality teacher and professional education with the aim of improving performance in English language are proffered. Keywords: Student’s performance, English language, quality teacher education, curriculum content, trainee teachers

Soyinka’s Language Engineering in the Jero Plays and The Beatification of Area Boy

Wole Soyinka engineers language to reflect his bilinguality and biculturalism, and to define his style. The paper attempts to debunk some misconceptions about Soyinka’s language which portray him as a Eurocentric scholar who often uses obscure diction and foreign imagery in his works. Two of his plays- The Jero Plays, published before he won the Nobel Prize, and The Beatification of Area Boy published after, serve as points of reference. The systemic functional linguistic theory is used as a framework because it recognizes situational constraints on language use. A content analysis of the texts under review undertakes from the viewpoint of Soyinka’s style, his portrayal of the African culture and worldview, and his concern for the language problemreveals that in most of his works, Soyinka has used features which mark out the varieties of English used in a second language situation.

Temporal variance of disturbance did not affect diversity and structure of a marine fouling community in north-eastern New Zealand

Natural heterogeneity in ecological parameters, like population abundance, is more widely recognized and investigated than variability in the processes that control these parameters. Experimental ecologists have focused mainly on the mean intensity of predictor variables and have largely ignored the potential to manipulate variances in processes, which can be considered explicitly in experimental designs to explore variation in causal mechanisms. In the present study, the effect of the temporal variance of disturbance on the diversity of marine assemblages was tested in a field experiment replicated at two sites on the northeast coast of New Zealand. Fouling communities grown on artificial settlement substrata experienced disturbance regimes that differed in their inherent levels of temporal variability and timing of disturbance events, while disturbance intensity was identical across all levels. Additionally, undisturbed assemblages were used as controls. After 150 days of experimental duration, the assemblages were then compared with regard to their species richness, abundance and structure. The disturbance effectively reduced the average total cover of the assemblages, but no consistent effect of variability in the disturbance regime on the assemblages was detected. The results of this study were corroborated by the outcomes from simultaneous replicate experiments carried out in each of eight different biogeographical regions around the world