1,775 research outputs found
Review of the 2015 Guidelines for Maternity Care with relevance to congenital disorders
The 4th edition of the Guidelines for Maternal Care in South Africa published by the National Department of Health in 2015 was evaluated with relevance to the care and prevention of congenital disorders (CDs). Disparate terminology is used for CDs throughout the guidelines, and overall less detail is included on CDs compared with the previous edition. This demonstrates a lack of awareness around the growing health need and contribution of CDs to the disease burden in South Africa (SA). Referrals to medical genetic services in the guidelines for mothers of advanced maternal age and other high-risk categories do not take into account the insufficient capacity available for screening and diagnosis of CDs. This highlights the lack of consultation with the medical genetics sector during the development of the guidelines. To respond to the Sustainable Development Goals by 2030, CDs must be integrated comprehensively at all levels of healthcare in SA
Selective cerebral hypothermia for post-hypoxic neuroprotection in neonates using a solid ice cap
No Abstract. South African Medical Journal Vol. 96(9) (Part 2) 2006: 976-98
Authority, Power and Distributed Leadership
This is the Accepted Manuscript version of an article accepted for publication in Management and Education following peer review. The version of record, Philip Woods, ‘Authority, power and distributed leadership’, Management and Education, Vol 30(4): 155-160, first published online 28 September 2016, is available online via doi: 10.1177/0892020616665779 © 2016 British Educational Leadership, Management & Administration Society (BELMAS) Published by SAGE.A much greater understanding is needed of power in the practice of distributed leadership. This article explores how the concept of social authority might be helpful in achieving this. It suggests that the practice of distributed leadership is characterized by multiple authorities which are constructed in the interactions between people. Rather than there being a uniform hierarchy (relatively flat or otherwise) of formal authority, organizational members may be ‘high’ in some authorities and ‘low’ in others, and people’s positioning in relation to these authorities is dynamic and changeable. The article maps different forms of authorities, provides illustrations from educational institutions, and concludes with implications for educational leadership. A key conclusion is that everyone is involved in the ongoing production of authorities by contributing to who is accepted as or excluded from exercising authority and leadershipPeer reviewedFinal Accepted Versio
Detecting event-related recurrences by symbolic analysis: Applications to human language processing
Quasistationarity is ubiquitous in complex dynamical systems. In brain
dynamics there is ample evidence that event-related potentials reflect such
quasistationary states. In order to detect them from time series, several
segmentation techniques have been proposed. In this study we elaborate a recent
approach for detecting quasistationary states as recurrence domains by means of
recurrence analysis and subsequent symbolisation methods. As a result,
recurrence domains are obtained as partition cells that can be further aligned
and unified for different realisations. We address two pertinent problems of
contemporary recurrence analysis and present possible solutions for them.Comment: 24 pages, 6 figures. Draft version to appear in Proc Royal Soc
‘Trying to pin down jelly’ - exploring intuitive processes in quality assessment for meta-ethnography
Background:
Studies that systematically search for and synthesise qualitative research are becoming more evident in health care, and they can make an important contribution to patient care. However, there is still no agreement as to whether, or how we should appraise studies for inclusion. We aimed to explore the intuitive processes that determined the ‘quality’ of qualitative research for inclusion in qualitative research syntheses. We were particularly interested to explore the way that knowledge was constructed.
Methods:
We used qualitative methods to explore the process of quality appraisal within a team of seven qualitative researchers funded to undertake a meta-ethnography of chronic non-malignant musculoskeletal pain. Team discussions took place monthly between October 2010 and June 2012 and were recorded and transcribed. Data was coded and organised using constant comparative method. The development of our conceptual analysis was both iterative and collaborative. The strength of this team approach to quality came from open and honest discussion, where team members felt free to agree, disagree, or change their position within the safety of the group.
Results:
We suggest two core facets of quality for inclusion in meta-ethnography - (1) Conceptual clarity; how clearly has the author articulated a concept that facilitates theoretical insight. (2) Interpretive rigour; fundamentally, can the interpretation ‘be trusted?’ Our findings showed that three important categories help the reader to judge interpretive rigour: (ii) What is the context of the interpretation? (ii) How inductive is the interpretation? (iii) Has the researcher challenged their interpretation?
Conclusions:
We highlight that methods alone do not determine the quality of research for inclusion into a meta-ethnography. The strength of a concept and its capacity to facilitate theoretical insight is integral to meta-ethnography, and arguably to the quality of research. However, we suggest that to be judged ‘good enough’ there also needs to be some assurance that qualitative findings are more than simply anecdotal. Although our conceptual model was developed specifically for meta-ethnography, it may be transferable to other research methodologies
Reliable microsatellite genotyping of the Eurasian badger (Meles meles) using faecal DNA
The potential link between badgers and bovine tuberculosis has made it vital to develop
accurate techniques to census badgers. Here we investigate the potential of using genetic
profiles obtained from faecal DNA as a basis for population size estimation. After trialling
several methods we obtained a high amplification success rate (89%) by storing faeces in
70% ethanol and using the guanidine thiocyanate/silica method for extraction. Using 70%
ethanol as a storage agent had the advantage of it being an antiseptic. In order to obtain reliable
genotypes with fewer amplification reactions than the standard multiple-tubes
approach, we devised a comparative approach in which genetic profiles were compared
and replication directed at similar, but not identical, genotypes. This modified method
achieved a reduction in polymerase chain reactions comparable with the maximumlikelihood
model when just using reliability criteria, and was slightly better when using
reliability criteria with the additional proviso that alleles must be observed twice to be considered
reliable. Our comparative approach would be best suited for studies that include
multiple faeces from each individual. We utilized our approach in a well-studied population
of badgers from which individuals had been sampled and reliable genotypes obtained.
In a study of 53 faeces sampled from three social groups over 10 days, we found that direct
enumeration could not be used to estimate population size, but that the application of
mark–recapture models has the potential to provide more accurate results
Adrenalectomy alters the sensitivity of the central nervous system melanocortin system
Removal of adrenal steroids by adrenalectomy (ADX) reduces food intake and body weight in rodents and prevents excessive weight gain in many genetic and dietary models of obesity. Thus, glucocorticoids appear to play a key role to promote positive energy balance in normal and pathological conditions. By comparison, central nervous system melanocortin signaling provides critical inhibitory tone to regulate energy balance. The present experiments sought to test whether glucocorticoids influence energy balance by altering the sensitivity to melanocortin receptor ligands. Because melanocortin-producing neurons are hypothesized to be downstream of leptin in a key weight-reducing circuit, we tested rats for their sensitivity to leptin and confirmed reports that the hypophagic response to third ventricular (i3vt) leptin is increased in ADX rats and is normalized by glucocorticoid replacement. Next we tested rats for their sensitivity to the melanocortin agonist melanotan II and found that, as for leptin, ADX enhanced the hypophagic response via a glucocorticoid-dependent mechanism. The central nervous system melanocortin system is unique in that it includes the endogenous melanocortin receptor antagonist, AgRP. The orexigenic effect of i3vt AgRP was absent in ADX rats and restored by glucocorticoid replacement. We conclude that the potent weight-reducing effects of ADX likely involve heightened responsiveness to melanocortin receptor stimulation
Groupwise Multimodal Image Registration using Joint Total Variation
In medical imaging it is common practice to acquire a wide range of
modalities (MRI, CT, PET, etc.), to highlight different structures or
pathologies. As patient movement between scans or scanning session is
unavoidable, registration is often an essential step before any subsequent
image analysis. In this paper, we introduce a cost function based on joint
total variation for such multimodal image registration. This cost function has
the advantage of enabling principled, groupwise alignment of multiple images,
whilst being insensitive to strong intensity non-uniformities. We evaluate our
algorithm on rigidly aligning both simulated and real 3D brain scans. This
validation shows robustness to strong intensity non-uniformities and low
registration errors for CT/PET to MRI alignment. Our implementation is publicly
available at https://github.com/brudfors/coregistration-njtv
Large-scale synchrony of gap dynamics and the distribution of understory tree species in maple-beech forests
Large-scale synchronous variations in community dynamics are well documented for a vast array of organisms, but are considerably less understood for forest trees. Because of temporal variations in canopy gap dynamics, forest communities—even old-growth ones—are never at equilibrium at the stand scale. This paucity of equilibrium may also be true at the regional scale. Our objectives were to determine (1) if nonequilibrium dynamics caused by temporal variations in the formation of canopy gaps are regionally synchronized, and (2) if spatiotemporal variations in canopy gap formation aVect the relative abundance of tree species in the understory. We examined these questions by analyzing variations in the suppression and release history of Acer saccharum Marsh. and Fagus grandifolia Ehrh. from 481 growth series of understory saplings taken from 34 mature stands. We observed that (1) the proportion of stems in release as a function of time exhibited a U-shaped pattern over the last 35 years, with the lowest levels occurring during 1975–1985, and that (2) the response to this in terms of species composition was that A. saccharum became more abundant at sites that had the highest proportion of stems in release during 1975–1985. We concluded that the understory dynamics, typically thought of as a stand-scale process, may be regionally synchronized
X-ray emission from isolated neutron stars
X-ray emission is a common feature of all varieties of isolated neutron stars
(INS) and, thanks to the advent of sensitive instruments with good
spectroscopic, timing, and imaging capabilities, X-ray observations have become
an essential tool in the study of these objects. Non-thermal X-rays from young,
energetic radio pulsars have been detected since the beginning of X-ray
astronomy, and the long-sought thermal emission from cooling neutron star's
surfaces can now be studied in detail in many pulsars spanning different ages,
magnetic fields, and, possibly, surface compositions. In addition, other
different manifestations of INS have been discovered with X-ray observations.
These new classes of high-energy sources, comprising the nearby X-ray Dim
Isolated Neutron Stars, the Central Compact Objects in supernova remnants, the
Anomalous X-ray Pulsars, and the Soft Gamma-ray Repeaters, now add up to
several tens of confirmed members, plus many candidates, and allow us to study
a variety of phenomena unobservable in "standard'' radio pulsars.Comment: Chapter to be published in the book of proceedings of the 1st Sant
Cugat Forum on Astrophysics, "ICREA Workshop on the high-energy emission from
pulsars and their systems", held in April, 201
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