132 research outputs found

    Review of: Golde, Peggy (ed.): Women the Field: Anthropological Experiences

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    Review of: Maclean, Una: Magical Medicine: A Nigerian Case-Study

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    Review of: Geertz, Clifford: Works and Lives: The Anthropologist as Author

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    Automated Mapping of Flood Events in the Mississippi River Basin Utilizing NASA Earth Observations

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    The Mississippi River Basin is the fourth largest drainage basin in the world, and is susceptible to multi-level flood events caused by heavy precipitation, snow melt, and changes in water table levels. Conducting flood analysis during periods of disaster is a challenging endeavor for NASA's Short-term Prediction Research and Transition Center (SPoRT), Federal Emergency Management Agency (FEMA), and the U.S. Geological Survey's Hazards Data Distribution Systems (USGS HDDS) due to heavily-involved research and lack of manpower. During this project, an automated script was generated that performs high-level flood analysis to relieve the workload for end-users. The script incorporated Landsat 8 Operational Land Imager (OLI) tiles and utilized computer-learning techniques to generate accurate water extent maps. The script referenced the Moderate Resolution Imaging Spectroradiometer (MODIS) land-water mask to isolate areas of flood induced waters. These areas were overlaid onto the National Land Cover Database's (NLCD) land cover data, the Oak Ridge National Laboratory's LandScan data, and Homeland Infrastructure Foundation-Level Data (HIFLD) to determine the classification of areas impacted and the population density affected by flooding. The automated algorithm was initially tested on the September 2016 flood event that occurred in Upper Mississippi River Basin, and was then further tested on multiple flood events within the Mississippi River Basin. This script allows end users to create their own flood probability and impact maps for disaster mitigation and recovery efforts

    Predictors of preeclampsia in women in the metformin in gestational diabetes (MiG) study

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    Background: Gestational Diabetes Mellitus (GDM), maternal obesity and pregnancy weight gain are associated with an increased risk of developing Preeclampsia (PE). The aim of this study was to examine the predictors of PE in women commencing pharmacotherapy for GDM in the Metformin in Gestational diabetes trial.Methods: Descriptive and logistic regression analyses examined the relationship between maternal enrolment characteristics and later development of PE.Results: 46 (6.3%) of 703 women developed PE. At enrolment ((30 (SD3.2) weeks gestation), women who later developed PE had higher HbA1c (6.14% (95% CI 5.84, 6.45) vs. 5.73% (95% CI 5.67, 5.78), P = 0.003), fasting triglycerides (2.93 mmol/L (95% CI 2.57, 3.29) vs. 2.55mmol/L (95% CI 2.47, 2.62), P = 0.03) and blood pressure. Their infants were born 9 days earlier (P < 0.001) but were otherwise not different. In univariate analysis, the strongest positive predictors for PE were Polynesian ethnicity (OR 2.75 (95% CI 1.48, 5.09), P= 0.001), personal or family history of PE (OR 2.65 (95% CI 1.36, 5.16), P=0.004), maternal HbA1c (OR 1.96 (95% CI 1.35, 2.89), P< 0.001), triglycerides (OR 1.45 (95% CI 1.07,1.97), P=0.002), and weight gain from early pregnancy (OR 1.09 (95% CI 1.03,1.17), P=0.01). HDL-C was a negative predictor of PE (OR 0.29 (95% CI 0.09, 0.94), P= 0.04).Following adjustment for Polynesian ethnicity and personal or family history of PE, and when further adjusted for HbA1c or early pregnancy BMI, these variables remained significant.Conclusion: Treatment allocation and BMI were not associated with risk of PE. Personal or family history of PE, Polynesian ethnicity, degree of hyperglycemia, maternal triglycerides and weight gain prior to treatment signal increased risk of subsequent PE in women needing pharmacotherapy for GDM

    Preliminary Exploration of the Accuracy of Visual Evaluation in Estimating Actual Bruise-Trim Weight of Beef Carcasses

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    Carcass bruising results in economic loss to the beef industry and is an indicator of a potential animal-welfare concern. The industry relies on visual assessment to determine the prevalence of bruising and to estimate bruise size (weight). This study examines the accuracy of using visual assessment to estimate bruise-trim weight from beef carcasses in a commercial slaughter facility. The removed bruise trim from 105 beef carcasses (84 cow and 21 steer carcasses; hot carcass weight for a subsample [mean ± standard deviation] = 768 ± 157 lb) was visually assessed by one trained observer using a protocol adapted from the National Beef Quality Audit Bruise Key visual assessment tool, and a second observer weighed the bruise trim. These data were used to assess the accuracy of the visual assessment of trim off of a carcass. A total of 68.6% (95% confidence interval: 58.7%, 77.1%) of collected bruise-trim weights were assessed correctly using the modi- fied National Beef Quality Audit Bruise Size Key visual assessment. Because of a limited number of samples in several of the bruise-trim categories, there is not a clear trend in how accuracy of estimation changed with increased bruise weight. These findings suggest that visual assessment of bruise trim may not be providing an accurate estimate of bruise-trim weight. The development of training materials to aid in visual bruise weight/size assessment would be helpful for improving bruise estimates within the cattle industry

    SPRING: an RCT study of probiotics in the prevention of gestational diabetes mellitus in overweight and obese women

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    Background: Obesity is increasing in the child-bearing population as are the rates of gestational diabetes. Gestational diabetes is associated with higher rates of Cesarean Section for the mother and increased risks of macrosomia, higher body fat mass, respiratory distress and hypoglycemia for the infant. Prevention of gestational diabetes through life style intervention has proven to be difficult. A Finnish study showed that ingestion of specific probiotics altered the composition of the gut microbiome and thereby metabolism from early gestation and decreased rates of gestational diabetes in normal weight women. In SPRING (the Study of Probiotics IN the prevention of Gestational diabetes), the effectiveness of probiotics ingestion for the prevention of gestational diabetes will be assessed in overweight and obese women

    Quantifying prediction of pathogenicity for within-codon concordance (PM5) using 7541 functional classifications of BRCA1 and MSH2 missense variants.

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    PURPOSE: Conditions and thresholds applied for evidence weighting of within-codon concordance (PM5) for pathogenicity vary widely between laboratories and expert groups. Because of the sparseness of available clinical classifications, there is little evidence for variation in practice. METHODS: We used as a truthset 7541 dichotomous functional classifications of BRCA1 and MSH2, spanning 311 codons of BRCA1 and 918 codons of MSH2, generated from large-scale functional assays that have been shown to correlate excellently with clinical classifications. We assessed PM5 at 5 stringencies with incorporation of 8 in silico tools. For each analysis, we quantified a positive likelihood ratio (pLR, true positive rate/false positive rate), the predictive value of PM5-lookup in ClinVar compared with the functional truthset. RESULTS: pLR was 16.3 (10.6-24.9) for variants for which there was exactly 1 additional colocated deleterious variant on ClinVar, and the variant under examination was equally or more damaging when analyzed using BLOSUM62. pLR was 71.5 (37.8-135.3) for variants for which there were 2 or more colocated deleterious ClinVar variants, and the variant under examination was equally or more damaging than at least 1 colocated variant when analyzed using BLOSUM62. CONCLUSION: These analyses support the graded use of PM5, with potential to use it at higher evidence weighting where more stringent criteria are met

    Cancer Variant Interpretation Group UK (CanVIG-UK): an exemplar national subspecialty multidisciplinary network.

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    Advances in technology have led to a massive expansion in the capacity for genomic analysis, with a commensurate fall in costs. The clinical indications for genomic testing have evolved markedly; the volume of clinical sequencing has increased dramatically; and the range of clinical professionals involved in the process has broadened. There is general acceptance that our early dichotomous paradigms of variants being pathogenic-high risk and benign-no risk are overly simplistic. There is increasing recognition that the clinical interpretation of genomic data requires significant expertise in disease-gene-variant associations specific to each disease area. Inaccurate interpretation can lead to clinical mismanagement, inconsistent information within families and misdirection of resources. It is for this reason that 'national subspecialist multidisciplinary meetings' (MDMs) for genomic interpretation have been articulated as key for the new NHS Genomic Medicine Service, of which Cancer Variant Interpretation Group UK (CanVIG-UK) is an early exemplar. CanVIG-UK was established in 2017 and now has >100 UK members, including at least one clinical diagnostic scientist and one clinical cancer geneticist from each of the 25 regional molecular genetics laboratories of the UK and Ireland. Through CanVIG-UK, we have established national consensus around variant interpretation for cancer susceptibility genes via monthly national teleconferenced MDMs and collaborative data sharing using a secure online portal. We describe here the activities of CanVIG-UK, including exemplar outputs and feedback from the membership
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