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Diagnosis by rapid antigen tests (RATs) is useful for early initiation of antiviral treatment. Because RATs are easy to use, they can be adapted for self-testing. Several kinds of RATs approved for such use by the Japanese regulatory authority are available from drug stores and websites. Most RATs for COVID-19 are based on antibody detection of the SARS-CoV-2 N protein. Since Omicron and its subvariants have accumulated several amino acid substitutions in the N protein, such amino acid changes might affect the sensitivity of RATs. Here, we investigated the sensitivity of seven RATs available in Japan, six of which are approved for public use and one of which is approved for clinical use, for the detection of BA.5, BA.2.75, BF.7, XBB.1, and BQ.1.1, as well as the delta variant (B.1.627.2). All tested RATs detected the delta variant with a detection level between 7500 and 75 000 pfu per test, and all tested RATs showed similar sensitivity to the Omicron variant and its subvariants (BA.5, BA.2.75, BF.7, XBB.1, and BQ.1.1). Human saliva did not reduce the sensitivity of the RATs tested. Espline SARS-CoV-2 N showed the highest sensitivity followed by Inspecter KOWA SARS-CoV-2 and V Trust SARS-CoV-2 Ag. Since the RATs failed to detect low levels of infectious virus, individuals whose specimens contained less infectious virus than the detection limit would be considered negative. Therefore, it is important to note that RATs may miss individuals shedding low levels of infectious virus., (© 2023 The Authors. Journal of Medical Virology published by Wiley Periodicals LLC.)

We propose a method for the global optimization of stochastic functions. During the course of the optimization, a probability distribution is built up for the location and the value of the global optimum. The concept of information entropy is used to make the optimization as efficient as possible. The entropy measures the information content of a probability distribution, and thus gives a criterion for decisions: From several possibilities we choose the one which yields the most information concerning location and value of the global maximum sought.

Recycling of light allows the luminance (radiance) emitted by a light source to be increased at the cost of reducing the total luminous flux (radiant power). Recycling of light means returning part of the emitted light to the source, where part of it will escape absorption. An optical design that is suitable for multiple and controlled recycling is described. Carambola optics is named for its resemblance to star fruit. Several pairs of mirrors or prisms redirect light repeatedly onto the source, thus achieving multiple transits of the light through the source. This recycled light exits the carambola in the same phase space as light directly emitted and not recycled.

Light guides are employed to homogenize an illumination distribution, to translate cross-sectional beam shapes, and to provide concentration. Microstructures enhance the performance of light guides based on the selective mixing of direction vector components in the two-dimensional phase space (etendue) that is perpendicular to the system's optical axis. For linear concentrators we find that the microstructured light guide beats the two-dimensional concentration limit and roughly allows for a three-dimensional concentration ratio. This result is verified in simulation and experiment.

Our purpose was to investigate the utility of the DNA amplification by ligase chain reaction (LCR) for the direct detection of Mycobacterium tuberculosis complex (MTC) in pleural fluid specimens from patients suspected for tuberculous pleural effusion. We have used the LCx M. tuberculosis kit (Abbott) which uses the amplification of the gene that encodes for antigen b. We have examined 81 pleural fluid specimens by isolation (on Löwenstein-Jensen medium and MB/BacT system) and by LCR. Out of 10 positive specimens in culture, 4 were also positive by LCR; out of 71 negative specimens in culture, 8 were positive by LCR. We have re-evaluated the LCR results according to the clinical diagnosis, sustained by the successful therapy, and to the pathological diagnosis on the pleural biopsy. The sensitivity and specificity of LCR in the diagnosis of tuberculous pleural effusion were 31.5% and 100%. This commercial LCR kit is a rapid, specific, but less sensitive test for the routine diagnosis of the tuberculous pleural effusion.

The changes in the public health system in Germany have led to an increasing number of in-house patients in clinics for psychotherapy, whose attitudes towards their disorders can be described as medically orientated and who are less motivated towards psychotherapy. To integrate these patients with low motivation or little experience and knowledge of behavior therapy, therapists of the Fachklinik Bad Dürkheim developed a special program for group therapy ("Psychosomatic Group Therapy", PSG). The goals of this program, which consists of 10 sessions, are: 1. Teaching the basics of psychosomatic medicine and behavioral therapy, 2. imparting a bio-psycho-social model of psychosomatic disorders, and 3. initiating and supporting basic capabilities of self management, thereby increasing the motivation for behavior therapy and reducing the symptoms of the patients. This empirical study follows a one-group pre-post design. The results show several positive outcomes of the program: In the eyes of the patients, the sessions themselves and the exercises between the sessions ("homework") are didactically excellent and personally relevant. The patients' knowledge about and their attitudes towards psychosomatics change in a positive direction. Furthermore, the motivation for psychotherapy increases and general improvements in physical and psychological symptoms can be shown. However, these changes in motivation do not correlate with changes in knowledge of and attitudes towards psychotherapy. The reasons for these results are critically discussed.

Freeform optical surfaces embedded in three-dimensional space, without any symmetry, are tailored so as to solve the archetypal problem of illumination design: redistribute the radiation of a given small light source onto a given reference surface, thus achieving a desired irradiance distribution on that surface. The shape of the optical surface is found by solving a set of partial nonlinear differential equations. For most cases, a few topologically distinct solutions exist, given suitable boundary conditions.

An optical measurement method for nonimaging radiation concentrators is proposed. A Lambertian light source is placed in the exit aperture of the concentrator. Looking into the concentrator's entrance aperture from a remote position, one can photograph the transmission patterns. The patterns show the transmission of radiation through the concentrator with the full resolution of the four-dimensional phase space of geometric optics. By matching ray-tracing simulations to the measurement, one can achieve detailed and accurate information about the geometry of the concentrator. This is a remote, noncontact measurement and can be performed in situ for installed concentrators. Additional information regarding small-scale reflector waviness and surface reflectivity can also be obtained from the same measurement with additional analysis.

For technical reasons, large three-dimensional compound parabolic concentrators (CPC's) are often built from facets with either no or only one-dimensional curvature. We analyze CPC approximations made with various numbers of axial and circumferential subdivisions. Incident radiation within half-angles of 10 degrees and 30 degrees is considered. The reflectivity of the mirrors is assumed to be 90% or 95%. The performance of faceted concentrators can be significantly improved by optimization as compared with heuristic CPC approaches. The highest increase in transmission that we observed was 19% greater as compared with that of a heuristic CPC approximation. The shapes of the optimized concentrators differ from that of a classic CPC, and most of the optimized concentrators are longer than a classic CPC. For practical concentrators with a small number of facets, the optimized geometry provides better performance than a heuristic approximation of the CPC shape.

Designs for flexible, high-power-density, remote irradiation systems are presented. Applications include industrial infrared heating such as in semiconductor processing, alternatives to laser light for certain medical procedures, and general remote high-brightness lighting. The high power densities in herent to the small active radiating regions of conventional metal-halide, halogen, xenon, microwave-sulfur, and related lamps can be restored with nonimaging concentrators with little loss of power. These high fluxlevels can then be transported at high transmissivity with light channels such as optical fibers or lightpipes, and reshaped into luminaires that can deliver prescribed angular and spatial flux distributions onto desired targets. Details for nominally two- and three-dimensional systems are developed, along with estimates ofoptical performance.

The maximum concentration of radiation is proportional to the square of the refractive index of the medium in which it propagates. A medium with a high refractive index can also serve as a lightguide for concentrated radiation. However, if concentrated radiation is extracted from one medium, with a high refractive index, to another, whose index is lower (e.g., from fused silica into air), part of the radiation may be lost because of the total internal reflection at the interface. We present polygonal shapes suitable for efficient extraction of the concentrated radiation in a controllable way, without increasing the cross-section area (or diameter) of the lightguide. It is shown analytically and experimentally that the use of a secondary concentrator, followed by such a light extractor, both having a high refractive index, can provide considerably more power to a solar receiver with a specific aperture.

For parabolic trough solar collectors with tubular absorbers, we design new tailored secondary concentrators. The design is applicable for any rim angle of a parabolic reflector. With the secondary, the concentration can be increased by a factor of more than 2 with a compact secondary reflector consisting of a single piece, even for the important case of a rim angle of 90 deg. The parabolic reflector can be used without changes; the reduced absorber is still tubular but smaller than the original absorber and slightly displaced toward the primary.

For both linear and point-focus Fresnel reflectors, we present a new type of ideal nonimaging secondary concentrator, the tailored edge-ray concentrator, that can closely approach the thermodynamic limit of concentration. For large rim-angle heliostat fields, practical-sized secondaries with shapes that should be relatively easy to fabricate can achieve concentrations substantially above those of compound parabolic concentrators. This superiority stems from designing so as to accommodate the particular flux from the heliostat field. The edge-ray principle used for generating the new secondary dictates a heliostat tracking strategy that is different from the conventional one but is equally easy to implement.

Young boys and girls when opening their mouth show an involuntary movement of one or both hands, i.e. slight flexion with maximal extension of fingers. The highest incidence of this "hand-stretching reflex" (HSR) is found in the age group of 4 to 5. Below this age more girls than boys are found with a positive HSR, whereas at the age of eleven girls are outnumbered by boys. Beyond this age the reflex disappears. Lefthandedness and leftsided reflex seem to correspond and vice versa. Lack of this reflex in the age group of 4 to 5 as well as persistence over the age of eleven seems to indicate retarded cerebral maturation.