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Research paper thumbnail of IMMUNOEPIDEMIOLOGY OFDRACUNCULUS MEDINENSISINFECTIONS II. VARIATION IN ANTIBODY RESPONSES IN RELATION TO TRANSMISSION SEASON AND PATENCY

The serum antibody responses (specific IgG1, IgG4, and IgE, and total IgE) to Dracunculus medinen... more The serum antibody responses (specific IgG1, IgG4, and IgE, and total IgE) to Dracunculus medinensis infection in humans from a highly endemic area of northern Ghana were examined regularly by ELISA over a period of one year in cohorts of individuals who developed a patent D. medinensis infection during the study period (actively infected category), or who claimed to have never had a patent infection (endemic normal category). The results were analyzed in relation to seasonality and time of patency of infection. For individuals in the actively infected category, a clear seasonal variation in the mean levels of specific IgG1 and IgG4 was found, with the highest levels late in the dry season and early in the rainy season, when transmission is high, and the lowest levels late in the rainy season and early in the dry season. Endemic normal individuals responded with low and fluctuating levels of specific IgG1 and with low and nonfluctuating levels of specific IgG4. For specific and total IgE, no seasonal variation was observed in any of the two infection status categories. In relation to time of patency of infection (only involving the category of actively infected individuals), the mean levels of specific IgG1 and IgG4 increased from two months before patency of infection, peaked during patency, and then gradually decreased for four months until a constant level was reached. No significant fluctuations in the levels of specific and total IgE were observed in relation to time of patency. The present study thus showed extensive variation in levels of D. medinensis-specific IgG1 and IgG4 (but not IgE) over time. Seasonal variations in antibody responses may also occur in other helminth infections, especially those with seasonal transmission, and these should be taken into consideration when interpreting the results of immunologic studies.

Research paper thumbnail of Sonographic longitudinal cervical length measurements in nulliparous women at term; prediction of spontaneous onset of labour

Zeitschrift Fur Geburtshilfe Und Neonatologie, 2007

Research paper thumbnail of Prediction of the outcome of labour induction at term by transvaginal ultrasound in supine and upright position

Zeitschrift Fur Geburtshilfe Und Neonatologie, 2007

Research paper thumbnail of Harmonic operators: the dual perspective

Mathematische Zeitschrift, 2007

The study of harmonic functions on a locally compact group G has recently been transferred to a “... more The study of harmonic functions on a locally compact group G has recently been transferred to a “non-commutative” setting in two different directions: Chu and Lau replaced the algebra L ∞(G) by the group von Neumann algebra VN(G) and the convolution action of a probability measure μ on L ∞(G) by the canonical action of a positive definite function σ on VN(G); on the other hand, Jaworski and the first author replaced L ∞(G) by mathcalB(L2(G)){\mathcal B} (L^2(G))mathcalB(L2(G)) to which the convolution action by μ can be extended in a natural way. We establish a link between both approaches. The action of σ on VN(G) can be extended to mathcalB(L2(G))\mathcal{B} (L^2(G))mathcalB(L2(G)) . We study the corresponding space tildemathcalHsigma\tilde{\mathcal H}_\sigmatildemathcalHsigma of “σ-harmonic operators”, i.e., fixed points in mathcalB(L2(G)){\mathcal B} (L^2(G))mathcalB(L2(G)) under the action of σ. We show, under mild conditions on either σ or G, that tildemathcalHsigma\tilde{\mathcal H}_\sigmatildemathcalHsigma is in fact a von Neumann subalgebra of mathcalB(L2(G)){\mathcal B} (L^2(G))mathcalB(L2(G)) . Our investigation of tildemathcalHsigma\tilde{\mathcal H}_\sigmatildemathcalHsigma relies, in particular, on a notion of support for an arbitrary operator in mathcalB(L2(G)){\mathcal B} (L^2(G))mathcalB(L2(G)) that extends Eymard’s definition for elements of VN(G). Finally, we present an approach to tildemathcalHsigma\tilde{\mathcal H}_\sigmatildemathcalHsigma via ideals in mathcalT(L2(G)){\mathcal T} (L^2(G))mathcalT(L2(G)) , where mathcalT(L2(G)){\mathcal T}(L^2(G))mathcalT(L2(G)) denotes the trace class operators on L 2(G), but equipped with a product different from composition, as it was pioneered for harmonic functions by Willis.

Research paper thumbnail of Mulla Shadra

Research paper thumbnail of IMMUNOEPIDEMIOLOGY OFDRACUNCULUS MEDINENSISINFECTIONS II. VARIATION IN ANTIBODY RESPONSES IN RELATION TO TRANSMISSION SEASON AND PATENCY

The serum antibody responses (specific IgG1, IgG4, and IgE, and total IgE) to Dracunculus medinen... more The serum antibody responses (specific IgG1, IgG4, and IgE, and total IgE) to Dracunculus medinensis infection in humans from a highly endemic area of northern Ghana were examined regularly by ELISA over a period of one year in cohorts of individuals who developed a patent D. medinensis infection during the study period (actively infected category), or who claimed to have never had a patent infection (endemic normal category). The results were analyzed in relation to seasonality and time of patency of infection. For individuals in the actively infected category, a clear seasonal variation in the mean levels of specific IgG1 and IgG4 was found, with the highest levels late in the dry season and early in the rainy season, when transmission is high, and the lowest levels late in the rainy season and early in the dry season. Endemic normal individuals responded with low and fluctuating levels of specific IgG1 and with low and nonfluctuating levels of specific IgG4. For specific and total IgE, no seasonal variation was observed in any of the two infection status categories. In relation to time of patency of infection (only involving the category of actively infected individuals), the mean levels of specific IgG1 and IgG4 increased from two months before patency of infection, peaked during patency, and then gradually decreased for four months until a constant level was reached. No significant fluctuations in the levels of specific and total IgE were observed in relation to time of patency. The present study thus showed extensive variation in levels of D. medinensis-specific IgG1 and IgG4 (but not IgE) over time. Seasonal variations in antibody responses may also occur in other helminth infections, especially those with seasonal transmission, and these should be taken into consideration when interpreting the results of immunologic studies.

Research paper thumbnail of Sonographic longitudinal cervical length measurements in nulliparous women at term; prediction of spontaneous onset of labour

Zeitschrift Fur Geburtshilfe Und Neonatologie, 2007

Research paper thumbnail of Prediction of the outcome of labour induction at term by transvaginal ultrasound in supine and upright position

Zeitschrift Fur Geburtshilfe Und Neonatologie, 2007

Research paper thumbnail of Harmonic operators: the dual perspective

Mathematische Zeitschrift, 2007

The study of harmonic functions on a locally compact group G has recently been transferred to a “... more The study of harmonic functions on a locally compact group G has recently been transferred to a “non-commutative” setting in two different directions: Chu and Lau replaced the algebra L ∞(G) by the group von Neumann algebra VN(G) and the convolution action of a probability measure μ on L ∞(G) by the canonical action of a positive definite function σ on VN(G); on the other hand, Jaworski and the first author replaced L ∞(G) by mathcalB(L2(G)){\mathcal B} (L^2(G))mathcalB(L2(G)) to which the convolution action by μ can be extended in a natural way. We establish a link between both approaches. The action of σ on VN(G) can be extended to mathcalB(L2(G))\mathcal{B} (L^2(G))mathcalB(L2(G)) . We study the corresponding space tildemathcalHsigma\tilde{\mathcal H}_\sigmatildemathcalHsigma of “σ-harmonic operators”, i.e., fixed points in mathcalB(L2(G)){\mathcal B} (L^2(G))mathcalB(L2(G)) under the action of σ. We show, under mild conditions on either σ or G, that tildemathcalHsigma\tilde{\mathcal H}_\sigmatildemathcalHsigma is in fact a von Neumann subalgebra of mathcalB(L2(G)){\mathcal B} (L^2(G))mathcalB(L2(G)) . Our investigation of tildemathcalHsigma\tilde{\mathcal H}_\sigmatildemathcalHsigma relies, in particular, on a notion of support for an arbitrary operator in mathcalB(L2(G)){\mathcal B} (L^2(G))mathcalB(L2(G)) that extends Eymard’s definition for elements of VN(G). Finally, we present an approach to tildemathcalHsigma\tilde{\mathcal H}_\sigmatildemathcalHsigma via ideals in mathcalT(L2(G)){\mathcal T} (L^2(G))mathcalT(L2(G)) , where mathcalT(L2(G)){\mathcal T}(L^2(G))mathcalT(L2(G)) denotes the trace class operators on L 2(G), but equipped with a product different from composition, as it was pioneered for harmonic functions by Willis.

Research paper thumbnail of Mulla Shadra

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