54 research outputs found
Write-up and dissemination of undergraduate and postgraduate research at the University of Rwanda: a cross-sectional study
Introduction: research is essential in all areas of health development. However, medical students and residents frequently lack the time and training on performing research. This is especially prevalent in resource-limited settings. We aimed to compare the word counts of undergraduate and postgraduate dissertations with published projects in Rwanda, and to identify the proportion of postgraduate pediatric research projects that have been published since 2012.
Methods: retrospective, cross-sectional study of undergraduate and postgraduate research dissertations at the University of Rwanda. Dissertations were then compared to randomly selected published papers of Rwandan research. Each IMRaD (Introduction, Methodology, Results and Discussion) section word count was compared using Student's t-test.
Results: 19/190 (10%) undergraduate dissertations and 22/41 (54%) postgraduate dissertations, were available in electronic format for word-count analysis. The mean total word count for postgraduate dissertations (5163 words) was significantly longer (p<0.001) than the randomly selected peer-reviewed journal articles (2959 words). Each section of the IMRaD structure of postgraduate dissertations was significantly longer than those of the control group. Undergraduates used a similar number of words to published papers, but used significantly more tables and figures. Of the 41 postgraduate dissertations, only four (10%), were published in peer-reviewed journals.
Conclusion: this is the first study to assess the writing style of Rwandan medical students and pediatric postgraduate residents. A simple step to increase dissemination of research findings would be for institutions to modify academic regulations so that students write-up in manuscript form rather than dissertation format
Strengthening Health Systems and Improving the Capacity of Pediatric Care Centers to Respond to Epidemics Such as COVID-19 in Resource-limited Settings
The coronavirus disease-2019 (COVID-19) pandemic has highlighted in dramatic fashion the weaknesses of health systems worldwide in responding to emerging pandemics [1]. Although many governments, nongovernment organizations (NGOs) and multinational organizations like the World Health Organization (WHO) have prioritized the strengthening of health systems, and developed pandemic preparedness plans, the world’s uneven (and often belated) response to the COVID-19 pandemic suggests that many of these plans were insufficient and that the global health community will need to improve resource allocation, information-sharing and government coordination in order to minimize the impact of future outbreaks [2]. We are particularly concerned that existing preparedness plans do not adequately address the special needs of children; the relatively low hospitalization and death rates of children in the COVID-19 pandemic may result in the continuation of those needs being overlooked [3]. Additionally, the needs of children in low-resource settings, which differ in many ways from those of wealthier settings, may be even further at stake. As health systems begin to reassess their preparedness plans, this pandemic gives the world the opportunity to put safety measures in place to protect children now, and in turn to prepare for future outbreaks that will, sooner or later, affect children to a greater degree than this pandemic has thus far
Centrifuge facility conceptual system study. Volume 2: Facility systems and study summary
The Centrifuge Facility is a major element of the biological research facility for the implementation of NASA's Life Science Research Program on Space Station Freedom using nonhuman species (small primates, rodents, plants, insects, cell tissues, etc.). The Centrifuge Facility consists of a variable gravity Centrifuge to provide artificial gravity up to 2 earth G's' a Holding System to maintain specimens at microgravity levels, a Glovebox, and a Service Unit for servicing specimen chambers. The following subject areas are covered: (1) Holding System; (2) Centrifuge System; (3) Glovebox System; (4) Service System; and (5) system study summary
FUSE Measurements of Far Ultraviolet Extinction. I. Galactic Sight Lines
We present extinction curves that include data down to far ultraviolet
wavelengths (FUV; 1050 - 1200 A) for nine Galactic sight lines. The FUV
extinction was measured using data from the Far Ultraviolet Spectroscopic
Explorer. The sight lines were chosen for their unusual extinction properties
in the infrared through the ultraviolet; that they probe a wide range of dust
environments is evidenced by the large spread in their measured ratios of
total-to-selective extinction, R_V = 2.43 - 3.81. We find that extrapolation of
the Fitzpatrick & Massa relationship from the ultraviolet appears to be a good
predictor of the FUV extinction behavior. We find that predictions of the FUV
extinction based upon the Cardelli, Clayton & Mathis (CCM) dependence on R_V
give mixed results. For the seven extinction curves well represented by CCM in
the infrared through ultraviolet, the FUV extinction is well predicted in three
sight lines, over-predicted in two sight lines, and under-predicted in 2 sight
lines. A Maximum Entropy Method analysis using a simple three component grain
model shows that seven of the nine sight lines in the study require a larger
fraction of grain materials to be in dust when FUV extinction is included in
the models. Most of the added grain material is in the form of small (radii <
200 A) grains.Comment: Accepted for publication in the Astrophysical Journal. 31 pages with
7 figure
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Challenges of early renal cancer detection: symptom patterns and incidental diagnosis rate in a multicentre prospective UK cohort of patients presenting with suspected renal cancer.
OBJECTIVES: To describe the frequency and nature of symptoms in patients presenting with suspected renal cell carcinoma (RCC) and examine their reliability in achieving early diagnosis. DESIGN: Multicentre prospective observational cohort study. SETTING AND PARTICIPANTS: Eleven UK centres recruiting patients presenting with suspected newly diagnosed RCC. Symptoms reported by patients were recorded and reviewed. Comprehensive clinico-pathological and outcome data were also collected. OUTCOMES: Type and frequency of reported symptoms, incidental diagnosis rate, metastasis-free survival and cancer-specific survival. RESULTS: Of 706 patients recruited between 2011 and 2014, 608 patients with a confirmed RCC formed the primary study population. The majority (60%) of patients were diagnosed incidentally. 87% of patients with stage Ia and 36% with stage III or IV disease presented incidentally. Visible haematuria was reported in 23% of patients and was commonly associated with advanced disease (49% had stage III or IV disease). Symptomatic presentation was associated with poorer outcomes, likely reflecting the presence of higher stage disease. Symptom patterns among the 54 patients subsequently found to have a benign renal mass were similar to those with a confirmed RCC. CONCLUSIONS: Raising public awareness of RCC-related symptoms as a strategy to improve early detection rates is limited by the fact that related symptoms are relatively uncommon and often associated with advanced disease. Greater attention must be paid to the feasibility of screening strategies and the identification of circulating diagnostic biomarkers
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Challenges of early renal cancer detection: symptom patterns and incidental diagnosis rate in a multicentre prospective UK cohort of patients presenting with suspected renal cancer
Objectives: To describe the frequency and nature of symptoms in patients presenting with suspected renal cell carcinoma (RCC) and examine their reliability in achieving early diagnosis. Design: Multicentre prospective observational cohort study. Setting and participants: Eleven UK centres recruiting patients presenting with suspected newly diagnosed RCC. Symptoms reported by patients were recorded and reviewed. Comprehensive clinico-pathological and outcome data were also collected. Outcomes: Type and frequency of reported symptoms, incidental diagnosis rate, metastasis-free survival and cancer-specific survival. Results: Of 706 patients recruited between 2011 and 2014, 608 patients with a confirmed RCC formed the primary study population. The majority (60%) of patients were diagnosed incidentally. 87% of patients with stage Ia and 36% with stage III or IV disease presented incidentally. Visible haematuria was reported in 23% of patients and was commonly associated with advanced disease (49% had stage III or IV disease). Symptomatic presentation was associated with poorer outcomes, likely reflecting the presence of higher stage disease. Symptom patterns among the 54 patients subsequently found to have a benign renal mass were similar to those with a confirmed RCC. Conclusions: Raising public awareness of RCC-related symptoms as a strategy to improve early detection rates is limited by the fact that related symptoms are relatively uncommon and often associated with advanced disease. Greater attention must be paid to the feasibility of screening strategies and the identification of circulating diagnostic biomarkers
Extragalactic chemical abundances: do HII regions and young stars tell the same story? The case of the spiral galaxy NGC 300
(Abridged) We have obtained new spectrophotometric data for 28 HII regions in
the spiral galaxy NGC 300, a member of the nearby Sculptor Group. The detection
of auroral lines, including [OIII]4363, [SIII]6312 and [NII]5755, has allowed
us to measure electron temperatures and direct chemical abundances for the
whole sample. We determine for the first time in this galaxy a radial gas-phase
oxygen abundance gradient based solely on auroral lines, and obtain the
following least-square solution: 12+log(O/H)=8.57-0.41 R/R25, where the
galactocentric distance is expressed in terms of the isophotal radius R25. The
gradient corresponds to -0.077 dex/kpc, and agrees very well with the
galactocentric trend in metallicity obtained for 29 B and A supergiants in the
same galaxy. The intercept of the regression for the nebular data virtually
coincides with the intercept obtained from the stellar data. This allows little
room for depletion of nebular oxygen onto dust grains, although in this kind of
comparison we are somewhat limited by systematic uncertainties, such as those
related to the atomic parameters used to derive the chemical compositions.
We discuss the implications of our result with regard to strong-line
abundance indicators commonly used to estimate the chemical compositions of
star-forming galaxies, such as R23. By applying a few popular calibrations of
these indices based on grids of photoionization models on the NGC 300 HII
region fluxes we find metallicities that are higher by 0.3 dex (a factor of
two) or more relative to our nebular (Te-based) and stellar ones.
We confirm a metallicity dependence of the `softness' parameter
eta=(O+/O++)/(S+/S++), in the sense that softer stellar continua are found at
high metallicity.Comment: Accepted for publication in The Astrophysical Journa
The sound of revolution: BBC monitoring and the Hungarian uprising, 1956
Radio played a vitally important role during the 1956 Hungarian uprising: as an information service, diplomatic interlocutor and cultural mediator. Broadcasters and the authorities that stood behind them on both sides of the Iron Curtain mapped, interpreted and, at times, appeared to influence the course of events on the ground. The BBC Monitoring Service Transcription Collection offers an essential and unexplored perspective on the mediated experience of the Hungarian uprising, in the context of the wider political warfare battle of the cold war
Practical guidelines for rigor and reproducibility in preclinical and clinical studies on cardioprotection
The potential for ischemic preconditioning to reduce infarct size was first recognized more than 30 years ago. Despite extension of the concept to ischemic postconditioning and remote ischemic conditioning and literally thousands of experimental studies in various species and models which identified a multitude of signaling steps, so far there is only a single and very recent study, which has unequivocally translated cardioprotection to improved clinical outcome as the primary endpoint in patients. Many potential reasons for this disappointing lack of clinical translation of cardioprotection have been proposed, including lack of rigor and reproducibility in preclinical studies, and poor design and conduct of clinical trials. There is, however, universal agreement that robust preclinical data are a mandatory prerequisite to initiate a meaningful clinical trial. In this context, it is disconcerting that the CAESAR consortium (Consortium for preclinicAl assESsment of cARdioprotective therapies) in a highly standardized multi-center approach of preclinical studies identified only ischemic preconditioning, but not nitrite or sildenafil, when given as adjunct to reperfusion, to reduce infarct size. However, ischemic preconditioning—due to its very nature—can only be used in elective interventions, and not in acute myocardial infarction. Therefore, better strategies to identify robust and reproducible strategies of cardioprotection, which can subsequently be tested in clinical trials must be developed. We refer to the recent guidelines for experimental models of myocardial ischemia and infarction, and aim to provide now practical guidelines to ensure rigor and reproducibility in preclinical and clinical studies on cardioprotection. In line with the above guideline, we define rigor as standardized state-of-the-art design, conduct and reporting of a study, which is then a prerequisite for reproducibility, i.e. replication of results by another laboratory when performing exactly the same experiment
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