35 research outputs found
Distribution of infection with gastro-intestinal nematodes in different groups of dairy goats in Switzerland and its influence on milk production
The aim of this field study was to investigate interactions between gastro-intestinal nematode (GIN) infection, milk performance and age in goats in order to identify animal groups with higher susceptibility to GIN. On 3 farms (farm A: n = 29, farm B: n = 33, farm C: n = 117 milking goats) fecal egg count reduction tests (FECRT) were performed in summer. All 179 milking goats were enrolled in FECRT and individual milk performance was recorded before and after FEC for FECRT. Furthermore, in early summer and autumn bulk fecal samples were cultured for every farm and GIN genera were determined
Managing delays and incidents at intermodal airport hubs in a more efficient way
Der Beitrag untersucht verschiedene Möglichkeiten des Verspätungsmanagements an intermodalen Hubflughäfen. Im Ergebnis ist ein kooperativer Ansatz zwischen allen Stakeholdern sowohl aus verkehrlicher als auch aus ökonomischer Sicht von Vorteil
High unreported mortality in children and youth (<25 years) living with HIV who were lost to care from antiretroviral therapy programs in Southern Africa: results from a multi-country tracing study.
BACKGROUND
Antiretroviral therapy (ART) program mortality maybe underestimated if deceased patients are misclassified as lost.
METHODS
We used two-stage inverse probability weighting to account for probability of being: sampled for tracing and found by the tracer.
RESULTS
Among 680 children and youth aged <25 years on ART who were lost and traced in Southern Africa between October 2017-November 2019, estimated mortality was high at 9.1% (62/680). After adjusting for measured covariates and within-site clustering, mortality remained lower for young adults aged 20-24 years compared to infants aged <2years (adjusted Hazard ratio (aHR): 0.40 (95% confidence interval (CI): 0.31, 0.51)).
CONCLUSIONS
Our study confirms high unreported mortality in children and youth who are lost and the need for tracing to assess vital status among those who are lost to accurately report on program mortality
Availability and experiences of differentiated antiretroviral therapy delivery at HIV care facilities in rural Zimbabwe: a mixed-method study.
INTRODUCTION: Zimbabwe adopted differentiated HIV care policies in 2015 to promote client-centred care and relieve strain on health facilities. We examined the availability, experiences and perceptions of differentiated antiretroviral therapy (ART) delivery in rural Zimbabwe following the policy adoption. METHODS: We undertook a cross-sectional mixed methods study in all the 26 facilities providing HIV care in a rural district in Zimbabwe. We collected quantitative data about ART delivery and visit durations from 31 healthcare providers and a purposive stratified sample of 378 clients obtaining ART either through routine care or differentiated ART delivery models. We performed 26 semi-structured interviews among healthcare providers and seven focus group discussions (FGDs) among clients to elicit their perceptions and experiences of ART delivery. Data were collected in 2019, with one follow-up FGD in 2021. We analysed the transcripts thematically, with inductive coding, to identify emerging themes. RESULTS: Twenty facilities (77%) offered at least one differentiated ART delivery models, including community ART refill groups (CARGs; 13 facilities, 50%), fast-track refill (8, 31%), family refill (6, 23%) or club refill (1, 4%). Thirteen facilities (50%) offered only one model. The median visit duration was 28 minutes (interquartile range [IQR]: 16-62). Participants in fast-track had the shortest visit durations (18 minutes, IQR: 11-24). Confidentiality and disclosure of HIV status, travelling long distances, travel costs and waiting times were the main issues influencing clients' views on differentiated ART delivery. Fast-track refill was perceived as the preferred model of clients for its limited involuntary disclosure and efficiency. In contrast, group- and community-based refill models reduced travel costs but were felt to be associated with involuntary disclosure of HIV status, which could discourage clients. Healthcare providers also experienced an additional workload when offering facility-based group models, such as CARGs. CONCLUSIONS: Differentiated ART delivery models were widely available in this rural setting, but most facilities did not offer a choice of models to address clients' diverse preferences. A minority offered fast-track refills, although this model was often mentioned as desirable. Confidentiality, travel expenses and client waiting times are key elements to consider when planning and rolling out differentiated HIV care
The Liver Tumor Segmentation Benchmark (LiTS)
In this work, we report the set-up and results of the Liver Tumor
Segmentation Benchmark (LITS) organized in conjunction with the IEEE
International Symposium on Biomedical Imaging (ISBI) 2016 and International
Conference On Medical Image Computing Computer Assisted Intervention (MICCAI)
2017. Twenty four valid state-of-the-art liver and liver tumor segmentation
algorithms were applied to a set of 131 computed tomography (CT) volumes with
different types of tumor contrast levels (hyper-/hypo-intense), abnormalities
in tissues (metastasectomie) size and varying amount of lesions. The submitted
algorithms have been tested on 70 undisclosed volumes. The dataset is created
in collaboration with seven hospitals and research institutions and manually
reviewed by independent three radiologists. We found that not a single
algorithm performed best for liver and tumors. The best liver segmentation
algorithm achieved a Dice score of 0.96(MICCAI) whereas for tumor segmentation
the best algorithm evaluated at 0.67(ISBI) and 0.70(MICCAI). The LITS image
data and manual annotations continue to be publicly available through an online
evaluation system as an ongoing benchmarking resource.Comment: conferenc
Plasma–liquid interactions: a review and roadmap
Plasma–liquid interactions represent a growing interdisciplinary area of research involving plasma science, fluid dynamics, heat and mass transfer, photolysis, multiphase chemistry and aerosol science. This review provides an assessment of the state-of-the-art of this multidisciplinary area and identifies the key research challenges. The developments in diagnostics, modeling and further extensions of cross section and reaction rate databases that are necessary to address these challenges are discussed. The review focusses on non-equilibrium plasmas
Retrospective evaluation of whole exome and genome mutation calls in 746 cancer samples
Funder: NCI U24CA211006Abstract: The Cancer Genome Atlas (TCGA) and International Cancer Genome Consortium (ICGC) curated consensus somatic mutation calls using whole exome sequencing (WES) and whole genome sequencing (WGS), respectively. Here, as part of the ICGC/TCGA Pan-Cancer Analysis of Whole Genomes (PCAWG) Consortium, which aggregated whole genome sequencing data from 2,658 cancers across 38 tumour types, we compare WES and WGS side-by-side from 746 TCGA samples, finding that ~80% of mutations overlap in covered exonic regions. We estimate that low variant allele fraction (VAF < 15%) and clonal heterogeneity contribute up to 68% of private WGS mutations and 71% of private WES mutations. We observe that ~30% of private WGS mutations trace to mutations identified by a single variant caller in WES consensus efforts. WGS captures both ~50% more variation in exonic regions and un-observed mutations in loci with variable GC-content. Together, our analysis highlights technological divergences between two reproducible somatic variant detection efforts
Intermodale Verkehrsknoten besser managen
Delays due to missed connections at an intermodal hub such as an airport or train station may cause individual and overall economic costs. Travelers experience individual stress and may incur costs due to missed business appointments or lost vacation or spare time, for example. Transportation companies may encounter higher costs due to a delay, e.g., for additional employees or overtime, including at night, for rebooking, for compensation payments on the basis of passenger rights regulations, or - for example if entire journeys or flights have to be canceled due to delays - for loss of revenue. Currently, delays are hardly considered and managed in a coordinated way as expert interviews conducted by the authors revealed. Our modelling results indicate that a coordinated intermodal delay management at intermodal hubs considering the whole travel chain on the way to the airport can lead to advantages over the current, uncoordinated management of delays
How to manage delays and disruptions at intermodal transportation hubs in a better way?
Delays due to missed connections at an airport, train station or other transportation hub are not only annoying, they also cause individual and overall economic costs. In addition to individual stress and uncertainty, travelers may incur costs due to missed business appointments or lost vacation time. Moreover, delays also frequently entail higher costs for transport companies operating at transport hubs, e.g. for additional employees, for rebooking or for compensation payments on the basis of passenger rights regulations, or even the loss of revenue. Against this background, the objective our research is to analyze the pros and cons of different delay and incident management approaches at an intermodal transport hub in terms of traffic and economic effects, considering all important stakeholders at such hubs